{
  "generatedAt": "2026-07-17T12:26:45.082Z",
  "methodology": {
    "locations": "HIFLD Hospitals RAPT, downloaded from ArcGIS Feature Service",
    "quality": "CMS Hospital General Information, conservatively matched by normalized name, city, and state",
    "caveat": "No documented PE relationship is not proof that no private negotiation exists.",
    "privateEquity": "Current PE and VC-backed hospital rows from the PESP tracker snapshot republished by Clinicians.fyi; matched primarily by CMS Certification Number, then conservatively by facility name/city/state. Missing locations were geocoded with the U.S. Census Geocoder.",
    "privateEquityCaveat": "This is an evidence-backed public tracker, not a complete census of private transactions or service contracts. Orange VC-backed records are watchlist context, not confirmed PE ownership.",
    "northCarolinaBaseline": "North Carolina hospitals are baseline-classified using CMS/HIFLD ownership fields, CMS enrollment/owner/CHOW rows, NC DHSR facility context, and conservative system-affiliation rules. Baseline classification is not a completed full research dossier.",
    "nationalBaseline": "Hospitals are baseline-classified using CMS/HIFLD ownership fields, CMS enrollment/owner/CHOW rows, CMS cost-report distress checks, conservative national system/operator rules, and website-domain affiliation groups. Baseline classification is not a completed full research dossier.",
    "financialAssistance": "Exact normalized hospital name, city, and state matches to the Dollar For hospital directory are labeled Listed by Dollar For.",
    "financialAssistanceCaveat": "Dollar For listing is a patient-help signal, not an ownership classification. Unmatched facilities are shown as Not confirmed rather than Absent."
  },
  "stats": {
    "hospitals": 8242,
    "cmsMatches": 4558,
    "valleyMatches": 6,
    "peTrackerRows": 457,
    "peWatchlistRows": 13,
    "peMatchedExisting": 464,
    "peAddedWithCoordinates": 6,
    "peUnmapped": 0,
    "mappedConfirmedPe": 395,
    "mappedWatchlist": 338,
    "mappedDisputed": 55,
    "mappedContracts": 13,
    "publicDossiers": 1161,
    "mappedCorporateChains": 3413,
    "ncBaselineRecords": 160,
    "ncBaselineResearchIncomplete": 133,
    "nationalBaselineRecords": 8231,
    "nationalBaselineResearchIncomplete": 7345,
    "nationalBaselineUnresolvedGray": 403,
    "totalHospitals": 8231,
    "dollarForDirectoryRows": 7677,
    "financialAssistanceListedByDollarFor": 4745,
    "mappedClosedHospitals": 39,
    "mappedClosedAfterPeAcquisition": 35,
    "expandedClosureResearchRows": 43,
    "expandedClosureMappedClosed": 33
  },
  "hospitals": [
    {
      "id": "0000000004",
      "name": "CARL R. DARNALL ARMY MEDICAL CENTER",
      "address": "36065 SANTA FE AVENUE",
      "city": "FORT HOOD",
      "state": "TX",
      "zip": "76544",
      "county": "BELL",
      "latitude": 31.1309055301034,
      "longitude": -97.7742903999851,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 128,
      "rating": null,
      "website": "http://darnall.tricare.mil/clinics/russell-collier-health-clinic",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-hood-carl-r.-darnall-army-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-tx-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000004",
        "external-resolution-0000000004"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000008",
      "name": "FORT RILEY PUBLIC HEALTH DEPARTMENT",
      "address": "650 HUEBNER ROAD",
      "city": "FORT RILEY",
      "state": "KS",
      "zip": "66442",
      "county": "GEARY",
      "latitude": 39.0830322001473,
      "longitude": -96.7683039002089,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://irwin.tricare.mil/health-services/preventive-care/public-health",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ks-department-of-defense",
      "campusFamilyId": "campus-ks-17002f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000009",
      "name": "KELLER ARMY COMMUNITY HOSPITAL",
      "address": "900 WASHINGTON ROAD",
      "city": "WEST POINT",
      "state": "NY",
      "zip": "10996",
      "county": "ORANGE",
      "latitude": 41.4018712397062,
      "longitude": -73.9771370396675,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 20,
      "rating": null,
      "website": "https://keller.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-point-keller-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ny-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000011",
      "name": "NAVAL HOSPITAL BEAUFORT",
      "address": "1 PINCKNEY BOULEVARD",
      "city": "BEAUFORT",
      "state": "SC",
      "zip": "29902",
      "county": "BEAUFORT",
      "latitude": 32.3894646998361,
      "longitude": -80.6822799295692,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://beaufort.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaufort-naval-hospital-beaufort/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-sc-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SC resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SC resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000013",
      "name": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
      "address": "100 BREWSTER BOULEVARD",
      "city": "CAMP LEJEUNE",
      "state": "NC",
      "zip": "28547",
      "county": "ONSLOW",
      "latitude": 34.7230662498637,
      "longitude": -77.3580520601909,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 60,
      "rating": null,
      "website": "https://camp-lejeune.tricare.mil",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-nc-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000015",
      "name": "NAVAL HOSPITAL PENSACOLA",
      "address": "6000 WEST HIGHWAY 98",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32512",
      "county": "ESCAMBIA",
      "latitude": 30.3985699502217,
      "longitude": -87.2986156902831,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://pensacola.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pensacola-naval-hospital-pensacola/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-fl-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000015",
        "external-resolution-0000000015"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000016",
      "name": "NAVAL MEDICAL CENTER PORTSMOUTH",
      "address": "620 JOHN PAUL JONES CIRCLE",
      "city": "PORTSMOUTH",
      "state": "VA",
      "zip": "23708",
      "county": "PORTSMOUTH",
      "latitude": 36.8454139298655,
      "longitude": -76.3057679097223,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 202,
      "rating": null,
      "website": "https://portsmouth.tricare.mil",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portsmouth-naval-medical-center-portsmouth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-va-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000017",
      "name": "NAVAL MEDICAL CENTER SAN DIEGO",
      "address": "34800 BOB WILSON DRIVE",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92134",
      "county": "SAN DIEGO",
      "latitude": 32.7275202297456,
      "longitude": -117.145937289788,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 272,
      "rating": null,
      "website": "https://sandiego.tricare.mil",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-naval-medical-center-san-diego/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ca-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sandiego.tricare.mil/About-Us"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Naval Medical Center San Diego official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Naval Medical Center San Diego official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000019",
      "name": "WINN ARMY COMMUNITY HOSPITAL",
      "address": "1061 HARMON AVE",
      "city": "FORT STEWART",
      "state": "GA",
      "zip": "31314",
      "county": "LIBERTY",
      "latitude": 31.8722569600193,
      "longitude": -81.6003889495772,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 39,
      "rating": null,
      "website": "http://winn.amedd.army.mil/sitepages/home.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-stewart-winn-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ga-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000021",
      "name": "99TH MEDICAL GROUP - MIKE O'CALLAGHAN MILITARY MEDICAL CENTER",
      "address": "4700 NORTH LAS VEGAS BLVD, BUILDING 1300",
      "city": "NELLIS AFB",
      "state": "NV",
      "zip": "89191",
      "county": "CLARK",
      "latitude": 36.2460270103295,
      "longitude": -115.049281889761,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://nellis.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nv-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000021",
        "external-resolution-0000000021"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000022",
      "name": "BASSETT ARMY COMMUNITY HOSPITAL",
      "address": "4076 NEELY ROAD",
      "city": "FT. WAINWRIGHT",
      "state": "AK",
      "zip": "99703",
      "county": "FAIRBANKS NORTH STAR",
      "latitude": 64.8297002399641,
      "longitude": -147.662229160082,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 23,
      "rating": null,
      "website": "https://bassett-wainwright.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ak-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Department of Defense; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Department of Defense; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000024",
      "name": "88TH MEDICAL GROUP - WRIGHT - PATTERSON AIR FORCE BASE MEDICAL CENTER",
      "address": "4881 SUGAR MAPLE DRIVE",
      "city": "WRIGHT-PATTERSON AFB",
      "state": "OH",
      "zip": "45433",
      "county": "GREENE",
      "latitude": 39.805347849708,
      "longitude": -84.0374071300124,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 57,
      "rating": null,
      "website": "https://wrightpatterson.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wright-patterson-afb-88th-medical-group---wright-patterson-air-force-base-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-oh-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000026",
      "name": "DWIGHT D. EISENHOWER ARMY MEDICAL CENTER",
      "address": "300 EAST HOSPITAL ROAD",
      "city": "FORT GORDON",
      "state": "GA",
      "zip": "30905",
      "county": "RICHMOND",
      "latitude": 33.4303328502022,
      "longitude": -82.1258971600723,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 125,
      "rating": null,
      "website": "https://eisenhower.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ga-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000027",
      "name": "EVANS ARMY COMMUNITY HOSPITAL",
      "address": "1650 COCHRANE CIRCLE, BUILDING 7500",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80913",
      "county": "EL PASO",
      "latitude": 38.7191142801143,
      "longitude": -104.797068890338,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 92,
      "rating": null,
      "website": "https://evans.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-co-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000027",
        "external-resolution-0000000027"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000029",
      "name": "GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
      "address": "4430 MISSOURI AVENUE",
      "city": "FT. LEONARD WOOD",
      "state": "MO",
      "zip": "65473",
      "county": "PULASKI",
      "latitude": 37.7661645597039,
      "longitude": -92.114832579881,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 46,
      "rating": null,
      "website": "https://leonard-wood.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-mo-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000035",
      "name": "NAVAL HOSPITAL TWENTYNINE PALMS",
      "address": "STURGIS STREET, BUILDING 1145, MCAGCC",
      "city": "TWENTYNINE PALMS",
      "state": "CA",
      "zip": "92278",
      "county": "SAN BERNARDINO",
      "latitude": 34.2270664697879,
      "longitude": -116.04879378033,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 19,
      "rating": null,
      "website": "https://twentynine-palms.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ca-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000035",
        "external-resolution-0000000035"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000036",
      "name": "WEED ARMY COMMUNITY HOSPITAL",
      "address": "390 NORTH LOOP RD",
      "city": "FORT IRWIN",
      "state": "CA",
      "zip": "92310",
      "county": "SAN BERNARDINO",
      "latitude": 35.2654395997933,
      "longitude": -116.688329549787,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 27,
      "rating": null,
      "website": "https://weed-irwin.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-irwin-weed-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ca-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://weed-irwin.tricare.mil/About-Us"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Weed Army Community Hospital official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Weed Army Community Hospital official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000037",
      "name": "WOMACK ARMY MEDICAL CENTER",
      "address": "2817 REILLY RD",
      "city": "FORT BRAGG",
      "state": "NC",
      "zip": "28310",
      "county": "CUMBERLAND",
      "latitude": 35.14562624002,
      "longitude": -79.0021702302954,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 138,
      "rating": null,
      "website": "https://womack.tricare.mil",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-bragg-womack-army-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-nc-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000043",
      "name": "MISSION TRAIL BAPTIST HOSPITAL",
      "address": "3333 RESEARCH PLAZA",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78235",
      "county": "BEXAR",
      "latitude": 29.3447885096928,
      "longitude": -98.4384867197231,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 110,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000043",
        "external-resolution-0000000043"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000044",
      "name": "ST DAVIDS GEORGETOWN HOSPITAL - A ST DAVIDS MEDICAL CENTER FACILITY",
      "address": "2000 SCENIC DRIVE",
      "city": "GEORGETOWN",
      "state": "TX",
      "zip": "78626",
      "county": "WILLIAMSON",
      "latitude": 30.6260947498323,
      "longitude": -97.6887124797834,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 114,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000044",
        "external-resolution-0000000044"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000045",
      "name": "NORTH CENTRAL BAPTIST HOSPITAL",
      "address": "520 MADISON OAK",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78258",
      "county": "BEXAR",
      "latitude": 29.6203790999596,
      "longitude": -98.4914282895956,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 443,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-north-central-baptist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000045",
        "external-resolution-0000000045"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000046",
      "name": "NORTHEAST BAPTIST HOSPITAL",
      "address": "8811 VILLAGE DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78217",
      "county": "BEXAR",
      "latitude": 29.5195970001266,
      "longitude": -98.4290579800431,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 347,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-northeast-baptist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000046",
        "external-resolution-0000000046"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000047",
      "name": "CHRISTUS SANTA ROSA HOSPITAL - WESTOVER HILLS",
      "address": "11212 STATE HIGHWAY 151",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78251",
      "county": "BEXAR",
      "latitude": 29.4667339902899,
      "longitude": -98.6959104601282,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 150,
      "rating": null,
      "website": "http://www.christussantarosa.org/westoverhills",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "Christussantarosa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christussantarosa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-christus-santa-rosa-hospital---westover-hills/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450237",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000049",
      "name": "METHODIST SPECIALTY AND TRANSPLANT HOSPITAL",
      "address": "8026 FLOYD CURL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5142240303011,
      "longitude": -98.5755992396532,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 383,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000049",
        "external-resolution-0000000049"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000050",
      "name": "ST LUKES BAPTIST HOSPITAL",
      "address": "7930 FLOYD CURL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5125494098268,
      "longitude": -98.5749108696341,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 287,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-st-luke-s-baptist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000050",
        "external-resolution-0000000050"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000051",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - HILLCREST",
      "address": "100 HILLCREST MEDICAL BLV",
      "city": "WACO",
      "state": "TX",
      "zip": "76712",
      "county": "MCLENNAN",
      "latitude": 31.4891830602484,
      "longitude": -97.1575429902481,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 260,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waco-baylor-scott-&-white-medical-center---hillcrest/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID E HAYNES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID E HAYNES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000058",
      "name": "UNIVERSITY OF MINNESOTA MEDICAL CENTER-FAIRVIEW-EAST BANK-ER",
      "address": "500 HARVARD ST SE",
      "city": "MINNEAPOLIS",
      "state": "MN",
      "zip": "55455",
      "county": "HENNEPIN",
      "latitude": 44.9730804799558,
      "longitude": -93.2314408603737,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "https://www.mhealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minneapolis-university-of-minnesota-medical-center-fairview-east-bank-er/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF MINNESOTA MEDICAL CENTER-FAIRVIEW-EAST BANK-ER",
      "parentSystemId": "entity-university-of-minnesota-medical-center-fairview-east-bank-er",
      "siblingGroupId": "siblings-mn-university-of-minnesota-medical-center-fairview-east-bank-er",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000058",
        "external-resolution-0000000058"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mhealth.org"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000000059",
      "name": "MAYO CLINIC HOSPITAL METHODIST CAMPUS",
      "address": "201 WEST CENTER ST",
      "city": "ROCHESTER",
      "state": "MN",
      "zip": "55902",
      "county": "OLMSTED",
      "latitude": 44.02395962024,
      "longitude": -92.465833219765,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 794,
      "rating": null,
      "website": "http://www.mayoclinic.org/patient-visitor-guide/minnesota/clinic-hospital-buildings/mayo-clinic-hospital-methodist-campus",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-mayo-clinic-hospital-methodist-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000062",
      "name": "PROVIDENCE - PARK HOSPITAL",
      "address": "47601 GRAND RIVER AVENUE",
      "city": "NOVI",
      "state": "MI",
      "zip": "48374",
      "county": "OAKLAND",
      "latitude": 42.4886600302396,
      "longitude": -83.5192458099331,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 244,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-novi-providence---park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-mi-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000062",
        "external-resolution-0000000062"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000063",
      "name": "BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER, INC",
      "address": "4800 HOSPITAL PARKWAY, PO BOX 278",
      "city": "BEATRICE",
      "state": "NE",
      "zip": "68310",
      "county": "GAGE",
      "latitude": 40.3161463700984,
      "longitude": -96.7497206100298,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC",
      "parentSystemId": "entity-beatrice-community-hospital-and-health-center-inc",
      "siblingGroupId": "siblings-ne-beatrice-community-hospital-and-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-beatrice-community-hospital-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists RICHARD HARALDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD HARALDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000064",
      "name": "MERCY MEDICAL CENTER WEST LAKES",
      "address": "1755 59TH PLACE",
      "city": "WEST DES MOINES",
      "state": "IA",
      "zip": "50266",
      "county": "POLK",
      "latitude": 41.5971784697441,
      "longitude": -93.7897681403235,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 146,
      "rating": null,
      "website": "http://www.mercydesmoines.org/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-des-moines-mercy-medical-center-west-lakes/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000064",
        "external-resolution-0000000064"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mercyone.org/location"
      ],
      "ownershipProofNotes": "MercyOne official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "MercyOne official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000065",
      "name": "METHODIST WEST HOSPITAL",
      "address": "1660 60TH STREET",
      "city": "WEST DES MOINES",
      "state": "IA",
      "zip": "50266",
      "county": "DALLAS",
      "latitude": 41.5966082597665,
      "longitude": -93.7957096497149,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 95,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000065",
        "external-resolution-0000000065"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitypoint.org/find-a-location"
      ],
      "ownershipProofNotes": "UnityPoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UnityPoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000066",
      "name": "GENESIS MEDICAL CENTER WEST-DAVENPORT",
      "address": "1401 W CENTRAL PARK AVE",
      "city": "DAVENPORT",
      "state": "IA",
      "zip": "52804",
      "county": "SCOTT",
      "latitude": 41.5436741298866,
      "longitude": -90.5937651397285,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 502,
      "rating": null,
      "website": "http://www.genesishealth.com/",
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Genesishealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Genesishealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "campusFamilyId": "campus-ia-160033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000069",
      "name": "EDWARD PLAINFIELD",
      "address": "24600 W 127TH ST",
      "city": "PLAINFIELD",
      "state": "IL",
      "zip": "60585",
      "county": "WILL",
      "latitude": 41.6528205898354,
      "longitude": -88.2173798103053,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.edward.org/plainfield",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Endeavor Health",
      "parentSystemId": "entity-endeavor-health",
      "siblingGroupId": "siblings-il-endeavor-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000069",
        "external-resolution-0000000069"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.edward.org/plainfield"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000072",
      "name": "THE BARIATRIC CENTER OF KANSAS CITY LLC",
      "address": "23401 PRAIRIE STAR PARKWAY, SUITE B350",
      "city": "LENEXA",
      "state": "KS",
      "zip": "66227",
      "county": "JOHNSON",
      "latitude": 38.9556467897095,
      "longitude": -94.8568687599319,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "www.adventhealth.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lenexa-the-bariatric-center-of-kansas-city-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-ks-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000072",
        "external-resolution-0000000072"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000073",
      "name": "ASCENSION VIA CHRISTI HOSPITAL ST. JOSEPH",
      "address": "3600 E HARRY ST",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67218",
      "county": "SEDGWICK",
      "latitude": 37.6661581199478,
      "longitude": -97.2925965499874,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.via-christi.org/location/via-christi-hospital-st-joseph",
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-ascension-via-christi-hospital-st.-joseph/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-ks-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000073",
        "external-resolution-0000000073"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000074",
      "name": "PARSONS STATE HOSPITAL",
      "address": "2601 GABRIEL AVENUE",
      "city": "PARSONS",
      "state": "KS",
      "zip": "67357",
      "county": "LABETTE",
      "latitude": 37.351263039651,
      "longitude": -95.2805422600882,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "http://www.kdads.ks.gov/parsons/parsons_index.html",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parsons-parsons-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Kansas Department for Aging and Disability Services",
      "parentSystemId": "entity-kansas-department-for-aging-and-disability-services",
      "siblingGroupId": "siblings-ks-kansas-department-for-aging-and-disability-services",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000074",
        "external-resolution-0000000074"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.kdads.ks.gov/parsons/parsons_index.html"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000000078",
      "name": "OU MEDICAL CENTER EDMOND-ER",
      "address": "1 S BRYANT AVE",
      "city": "EDMOND",
      "state": "OK",
      "zip": "73034",
      "county": "OKLAHOMA",
      "latitude": 35.6546583196812,
      "longitude": -97.4615102996462,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 54,
      "rating": null,
      "website": "http://www.oumedicine.com/edmond",
      "status": "corporate_chain",
      "parentSystem": "OU Health",
      "affiliatedSystem": "Oumedicine",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Oumedicine",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edmond-ou-medical-center-edmond-er/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-ou-health",
      "siblingGroupId": "siblings-ok-ou-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000078",
        "external-resolution-0000000078"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ouhealth.com/find-a-location/"
      ],
      "ownershipProofNotes": "OU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "OU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000081",
      "name": "SAINT FRANCIS HOSPITAL",
      "address": "5959 PARK AVENUE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38119",
      "county": "SHELBY",
      "latitude": 35.0982050301814,
      "longitude": -89.8648751904322,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 479,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEALTHCARE NETWORK HOLDINGS INC",
      "parentSystemId": "entity-healthcare-network-holdings-inc",
      "siblingGroupId": "siblings-tn-healthcare-network-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-healthcare-network-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHCARE NETWORK HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HEALTHCARE NETWORK HOLDINGS INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHCARE NETWORK HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HEALTHCARE NETWORK HOLDINGS INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000083",
      "name": "TENNOVA HEALTHCARE - CLEVELAND",
      "address": "2305 CHAMBLISS AVENUE NW",
      "city": "CLEVELAND",
      "state": "TN",
      "zip": "37311",
      "county": "BRADLEY",
      "latitude": 35.1771981702991,
      "longitude": -84.8699056101941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 351,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-tennova-healthcare---cleveland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HAMILTON HEALTH CARE SYSTEM, INC.",
      "parentSystemId": "entity-hamilton-health-care-system-inc",
      "siblingGroupId": "siblings-tn-hamilton-health-care-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hamilton-health-care-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAMILTON HEALTH CARE SYSTEM, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HAMILTON HEALTH CARE SYSTEM, INC.; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON HEALTH CARE SYSTEM, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAMILTON HEALTH CARE SYSTEM, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HAMILTON HEALTH CARE SYSTEM, INC.; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON HEALTH CARE SYSTEM, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000086",
      "name": "9TH MEDICAL GROUP",
      "address": "15301 WARREN SHINGLE ROAD",
      "city": "BEALE AFB",
      "state": "CA",
      "zip": "95903",
      "county": "YUBA",
      "latitude": 39.1151520802844,
      "longitude": -121.34158828021,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://beale.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beale-afb-9th-medical-group/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ca-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000086",
        "external-resolution-0000000086"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000090",
      "name": "BETHESDA ARROW SPRINGS-ER",
      "address": "100 ARROW SPRINGS BLVD",
      "city": "LEBANON",
      "state": "OH",
      "zip": "45036",
      "county": "WARREN",
      "latitude": 39.3947408097905,
      "longitude": -84.2087442198974,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.trihealth.com/hospitals-and-practices/bethesda-arrow-springs/",
      "status": "corporate_chain",
      "parentSystem": "TriHealth",
      "affiliatedSystem": "Trihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trihealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000090",
        "external-resolution-0000000090"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "TriHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "TriHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000091",
      "name": "SOUTHVIEW HOSPITAL",
      "address": "1997 MIAMISBURG-CENTERVILLE RD",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45459",
      "county": "MONTGOMERY",
      "latitude": 39.6353966102688,
      "longitude": -84.2034201702115,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 129,
      "rating": null,
      "website": "http://www.ketteringhealth.org/southview/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-southview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kettering Health",
      "parentSystemId": "entity-kettering-health",
      "siblingGroupId": "siblings-oh-kettering-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000091",
        "external-resolution-0000000091"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "Kettering Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Kettering Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000095",
      "name": "CHILDREN'S HOSPITAL MEDICAL CENTER - LIBERTY CAMPUS",
      "address": "7777 YANKEE ROAD",
      "city": "LIBERTY TOWNSHIP",
      "state": "OH",
      "zip": "45044",
      "county": "BUTLER",
      "latitude": 39.3765772502473,
      "longitude": -84.367944090232,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 54,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Cincinnati Children's",
      "parentSystemId": "entity-cincinnati-children-s",
      "siblingGroupId": "siblings-oh-cincinnati-children-s",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000095",
        "external-resolution-0000000095"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cincinnatichildrens.org/locations"
      ],
      "ownershipProofNotes": "Cincinnati Children's official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Cincinnati Children's official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000097",
      "name": "AKRON CHILDREN'S HOSPITAL - MAHONING VALLEY",
      "address": "6505 MARKET STREET",
      "city": "BOARDMAN",
      "state": "OH",
      "zip": "44512",
      "county": "MAHONING",
      "latitude": 41.0325548398411,
      "longitude": -80.6604810398805,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 43,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Akron Children's",
      "parentSystemId": "entity-akron-children-s",
      "siblingGroupId": "siblings-oh-akron-children-s",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000097",
        "external-resolution-0000000097"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.akronchildrens.org/locations.html"
      ],
      "ownershipProofNotes": "Akron Children's official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Akron Children's official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000099",
      "name": "TRINITY MEDICAL CENTER WEST",
      "address": "4000 JOHNSON ROAD",
      "city": "STEUBENVILLE",
      "state": "OH",
      "zip": "43952",
      "county": "JEFFERSON",
      "latitude": 40.367774110251,
      "longitude": -80.6590338997719,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 248,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-oh-commonspirit-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000099",
        "external-resolution-0000000099"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080112000166 (360211). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080112000166 (360211). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000000100",
      "name": "IU HEALTH UNIVERSITY HOSPITAL",
      "address": "550 UNIVERSITY BLVD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46202",
      "county": "MARION",
      "latitude": 39.7752833299993,
      "longitude": -86.1765616204172,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "http://iuhealth.org/university/",
      "status": "corporate_chain",
      "parentSystem": "IU Health",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-iu-health-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-iu-health",
      "siblingGroupId": "siblings-in-iu-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000100",
        "external-resolution-0000000100"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://iuhealth.org/find-locations"
      ],
      "ownershipProofNotes": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000102",
      "name": "RILEY HOSPITAL FOR CHILDREN",
      "address": "705 RILEY HOSPITAL DR",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46202",
      "county": "MARION",
      "latitude": 39.7771077401339,
      "longitude": -86.1802764604425,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://iuhealth.org/riley/",
      "status": "corporate_chain",
      "parentSystem": "IU Health",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-riley-hospital-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-iu-health",
      "siblingGroupId": "siblings-in-iu-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000102",
        "external-resolution-0000000102"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://iuhealth.org/find-locations"
      ],
      "ownershipProofNotes": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000103",
      "name": "PORTER-PORTAGE HOSPITAL CAMPUS-ER",
      "address": "3630 WILLOWCREEK RD",
      "city": "PORTAGE",
      "state": "IN",
      "zip": "46368",
      "county": "PORTER",
      "latitude": 41.546435000305,
      "longitude": -87.184331910243,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.porterhealth.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000103",
        "external-resolution-0000000103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "The location is a Northwest Health or Mat-Su facility tied to a CHS hospital subsidiary; CHS is publicly traded.",
      "parentSystemEvidence": "The location is a Northwest Health or Mat-Su facility tied to a CHS hospital subsidiary; CHS is publicly traded."
    },
    {
      "id": "0000000104",
      "name": "METHODIST HOSPITAL-SOUTHLAKE",
      "address": "8701 BROADWAY",
      "city": "MERRILLVILLE",
      "state": "IN",
      "zip": "46410",
      "county": "LAKE",
      "latitude": 41.4583728298528,
      "longitude": -87.3329309002502,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.methodisthospitals.org/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-merrillville-methodist-hospital-southlake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Methodist Hospitals",
      "parentSystemId": "entity-methodist-hospitals",
      "siblingGroupId": "siblings-in-methodist-hospitals",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000104",
        "external-resolution-0000000104"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://methodisthospitals.org/locations/"
      ],
      "ownershipProofNotes": "The official nonprofit system directory identifies Southlake as a Methodist Hospitals campus.",
      "parentSystemEvidence": "The official nonprofit system directory identifies Southlake as a Methodist Hospitals campus."
    },
    {
      "id": "0000000108",
      "name": "UPMC SHADYSIDE-ER",
      "address": "5230 CENTRE AVE",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15232",
      "county": "ALLEGHENY",
      "latitude": 40.4545883500567,
      "longitude": -79.9397677503364,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 520,
      "rating": null,
      "website": "http://www.upmc.com/locations/hospitals/shadyside/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000108",
        "external-resolution-0000000108"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000109",
      "name": "UPMC PASSAVANT-CRANBERRY-ER",
      "address": "1 ST FRANCIS WAY",
      "city": "CRANBERRY",
      "state": "PA",
      "zip": "16066",
      "county": "BUTLER",
      "latitude": 40.6833150798344,
      "longitude": -80.0982204604081,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "website": "http://upmc.com/locations/hospitals/passavant/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000109",
        "external-resolution-0000000109"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000113",
      "name": "UPMC HORIZON-SHENANGO VALLEY-ER",
      "address": "2200 MEMORIAL DR",
      "city": "FARRELL",
      "state": "PA",
      "zip": "16121",
      "county": "MERCER",
      "latitude": 41.2106847399388,
      "longitude": -80.4695218201741,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "website": "http://www.upmc.com/locations/hospitals/horizon/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000113",
        "external-resolution-0000000113"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000114",
      "name": "SPRINGFIELD HOSPITAL",
      "address": "190 W SPROUL RD",
      "city": "SPRINGFIELD",
      "state": "PA",
      "zip": "19064",
      "county": "DELAWARE",
      "latitude": 39.9220501697844,
      "longitude": -75.3500561898621,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.crozerkeystone.org/locations/location-profile/?id=5",
      "status": "closed",
      "parentSystem": "Prospect Medical Holdings (Crozer Health)",
      "affiliatedSystem": "Crozer Health",
      "affiliatedSystemEvidence": "Delaware County Prospect Medical bankruptcy update",
      "affiliationConfidence": "low",
      "evidenceSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "evidenceSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "SPRINGFIELD HOSPITAL closed or ceased hospital operations in 2022 after a documented private-equity acquisition. Former PE sponsor: Leonard Green & Partners; operating platform: Prospect Medical Holdings / Crozer Health. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule",
        "Delaware County Health Department — Prospect Medical Update",
        "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Delaware County Health Department — Prospect Medical bankruptcy update",
        "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/",
        "https://whyy.org/articles/prospect-finds-buyers-crozer-chester-medical-center-springfield-hospital/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "closureDate": "2022 (inpatient); 2025 (full)",
      "closureYear": 2022,
      "closureStatusLabel": "Partial closure 2022 (inpatient ended); full closure 2025",
      "closureSummary": "Springfield Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Prospect Medical Holdings (Crozer Health). Historical PE sponsor/context: Leonard Green & Partners. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "closureSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "peFirm": "Leonard Green & Partners",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-springfield-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "formerOperator": "Prospect Medical Holdings (Crozer Health)",
      "hospitalId": "0000000114",
      "acquiredDate": "2016",
      "historicalPeOwnership": true,
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "Inpatient care ended 2022; system-wide layoffs and service cuts",
      "acquisitionSourceId": "pe-acquisition-0000000114",
      "closureSourceId": "closure-0000000114",
      "expandedClosureResearch": {
        "sourceRow": 14,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Partial closure 2022 (inpatient ended); full closure 2025",
        "closureDate": "2022 (inpatient); 2025 (full)",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "25-45 (approx, needs verification)",
        "patientsServedNote": "Community hospital for central Delaware County",
        "ruralUrban": "Suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Leonard Green & Partners",
        "parentCompany": "Prospect Medical Holdings (Crozer Health)",
        "acquiredYear": "2016",
        "acquisitionDealNote": "Part of $300M Crozer Health purchase with 10-year keep-open pledge",
        "yearsPeToClosure": "6-9",
        "extractionMoneyTrail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025",
        "degradationRecord": "Inpatient care ended 2022; system-wide layoffs and service cuts",
        "communityImpact": "Reduced local access; county gave millions to keep Crozer alive before final collapse",
        "buildingFate": "Sale to backup bidder KQT Aikens Partners in bankruptcy",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/",
          "https://whyy.org/articles/prospect-finds-buyers-crozer-chester-medical-center-springfield-hospital/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prospect-medical-holdings-crozer-health",
      "siblingGroupId": "siblings-pa-prospect-medical-holdings-crozer-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000114",
        "external-resolution-0000000114"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.crozerkeystone.org/locations/location-profile/?id=5"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000115",
      "name": "TAYLOR HOSPITAL",
      "address": "175 E CHESTER PIKE",
      "city": "RIDLEY PARK",
      "state": "PA",
      "zip": "19078",
      "county": "DELAWARE",
      "latitude": 39.8777003298393,
      "longitude": -75.3202257497807,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 213,
      "rating": null,
      "website": "http://www.crozerkeystone.org/locations/location-profile/?id=4",
      "status": "closed",
      "parentSystem": "Prospect Medical Holdings (Crozer Health)",
      "affiliatedSystem": "Crozer Health",
      "affiliatedSystemEvidence": "Delaware County Prospect Medical bankruptcy update",
      "affiliationConfidence": "low",
      "evidenceSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "evidenceSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "TAYLOR HOSPITAL closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Leonard Green & Partners; operating platform: Prospect Medical Holdings / Crozer Health. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule",
        "Delaware County Health Department — Prospect Medical Update",
        "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Delaware County Health Department — Prospect Medical bankruptcy update",
        "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "closureDate": "2025-04",
      "closureYear": 2025,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Taylor Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Prospect Medical Holdings (Crozer Health). Historical PE sponsor/context: Leonard Green & Partners. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "closureSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "peFirm": "Leonard Green & Partners",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ridley-park-taylor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "formerOperator": "Prospect Medical Holdings (Crozer Health)",
      "hospitalId": "0000000115",
      "acquiredDate": "2016",
      "historicalPeOwnership": true,
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "Prospect told court it ran out of cash to keep the lights on",
      "acquisitionSourceId": "pe-acquisition-0000000115",
      "closureSourceId": "closure-0000000115",
      "expandedClosureResearch": {
        "sourceRow": 16,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2025-04",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "~90 (needs verification)",
        "patientsServedNote": "Community hospital for Ridley Park area",
        "ruralUrban": "Suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Leonard Green & Partners",
        "parentCompany": "Prospect Medical Holdings (Crozer Health)",
        "acquiredYear": "2016",
        "acquisitionDealNote": "Part of $300M Crozer Health purchase; closed after Chapter 11 filing (Jan 2025)",
        "yearsPeToClosure": "9",
        "extractionMoneyTrail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025",
        "degradationRecord": "Prospect told court it ran out of cash to keep the lights on",
        "communityImpact": "All four Crozer hospitals closed over Prospect's 9-year tenure",
        "buildingFate": "Sold Sept 2025 to KQT Aikens Partners",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prospect-medical-holdings-crozer-health",
      "siblingGroupId": "siblings-pa-prospect-medical-holdings-crozer-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000115",
        "external-resolution-0000000115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.crozerkeystone.org/locations/location-profile/?id=4"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000116",
      "name": "METHODIST HOSPITAL-ER",
      "address": "2301 S BROAD ST",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19148",
      "county": "PHILADELPHIA",
      "latitude": 39.9211358699195,
      "longitude": -75.1693023698741,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 204,
      "rating": null,
      "website": "http://hospitals.jefferson.edu/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Jefferson Health",
      "parentSystemId": "entity-jefferson-health",
      "siblingGroupId": "siblings-pa-jefferson-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000116",
        "external-resolution-0000000116"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "Jefferson Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Jefferson Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000119",
      "name": "TEMPLE UNIVERSITY-EPISCOPAL HOSP-ER",
      "address": "100 E LEHIGH AVE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19125",
      "county": "PHILADELPHIA",
      "latitude": 39.9898568600021,
      "longitude": -75.1291240402022,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 21,
      "rating": null,
      "website": "http://episcopal.templehealth.org/content/default.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-temple-university-episcopal-hosp-er/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TEMPLE UNIVERSITY-EPISCOPAL HOSP-ER",
      "parentSystemId": "entity-temple-university-episcopal-hosp-er",
      "siblingGroupId": "siblings-pa-temple-university-episcopal-hosp-er",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000119",
        "external-resolution-0000000119"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://episcopal.templehealth.org/content/default.htm"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000000120",
      "name": "CAMC - MEMORIAL HOSPITAL",
      "address": "3200 MACCORKLE AVE SE",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25304",
      "county": "KANAWHA",
      "latitude": 38.3303593899325,
      "longitude": -81.6030607000306,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://www.camc.org/locations/camc-memorial-hospital",
      "status": "corporate_chain",
      "parentSystem": "Camc",
      "affiliatedSystem": "Camc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Camc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-camc-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-camc",
      "siblingGroupId": "siblings-wv-camc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000120",
        "external-resolution-0000000120"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.camc.org/locations/camc-memorial-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000121",
      "name": "OVERLOOK MEDICAL CENTER",
      "address": "1000 GALLOPING HILL RD",
      "city": "UNION",
      "state": "NJ",
      "zip": "07083",
      "county": "UNION",
      "latitude": 40.6748157400609,
      "longitude": -74.2656545200397,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 504,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-union-overlook-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Atlantic Health System",
      "parentSystemId": "entity-atlantic-health-system",
      "siblingGroupId": "siblings-nj-atlantic-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000121",
        "external-resolution-0000000121"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.atlantichealth.org/locations"
      ],
      "ownershipProofNotes": "Atlantic Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Atlantic Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000124",
      "name": "CENTRAL STATE HOSPITAL",
      "address": "26317 WEST WASHINGTON STREET",
      "city": "PETERSBURG",
      "state": "VA",
      "zip": "23803",
      "county": "DINWIDDIE",
      "latitude": 37.2115996801954,
      "longitude": -77.4491097799825,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 126,
      "rating": null,
      "website": "http://www.csh.dbhds.virginia.gov/contact.html",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-petersburg-central-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-va-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000124",
        "external-resolution-0000000124"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20101105000337 (490104). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20101105000337 (490104). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000000126",
      "name": "KERNERSVILLE MEDICAL CENTER-ER",
      "address": "1750 KERNERSVILLE MEDICAL PKWY",
      "city": "KERNERSVILLE",
      "state": "NC",
      "zip": "27284",
      "county": "FORSYTH",
      "latitude": 36.0914045698175,
      "longitude": -80.0436922402668,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "https://www.novanthealth.org/kernersville-medical-center.aspx",
      "status": "corporate_chain",
      "parentSystem": "Atrium Health Wake Forest Baptist",
      "affiliatedSystem": "Atrium Health Wake Forest Baptist",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health Wake Forest Baptist",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health-wake-forest-baptist",
      "siblingGroupId": "siblings-nc-atrium-health-wake-forest-baptist",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000126",
        "facility-site-0000000126"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.novanthealth.org/kernersville-medical-center.aspx"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0000000127",
      "name": "NEW HANOVER REGIONAL MEDICAL CENTER ORTHOPEDIC HOSPITAL",
      "address": "5301 WRIGHTSVILLE AVE",
      "city": "WILMINGTON",
      "state": "NC",
      "zip": "28403",
      "county": "NEW HANOVER",
      "latitude": 34.21265038992,
      "longitude": -77.8626688195715,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://www.nhrmc.org/locations/nhrmc-orthopedic-hospital",
      "status": "corporate_chain",
      "parentSystem": "Novant Health",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health",
      "siblingGroupId": "siblings-nc-novant-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000127",
        "facility-site-0000000127"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nhrmc.org/locations/nhrmc-orthopedic-hospital"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0000000128",
      "name": "NOVANT HEALTH BRUNSWICK MEDICAL CENTER",
      "address": "240 HOSPITAL DR, PO BOX 139",
      "city": "BOLIVIA",
      "state": "NC",
      "zip": "28422",
      "county": "BRUNSWICK",
      "latitude": 34.0311700001571,
      "longitude": -78.2608799996992,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Unknown",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bolivia-novant-health-brunswick-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000128"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0000000133",
      "name": "FOX ARMY HEALTH CENTER",
      "address": "4100 GOSS RD",
      "city": "REDSTONE ARSENAL",
      "state": "AL",
      "zip": "35809",
      "county": "MADISON",
      "latitude": 34.6962141999581,
      "longitude": -86.6602308899792,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://redstone.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-al-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000133",
        "external-resolution-0000000133"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000000134",
      "name": "OLYMPIC MEMORIAL HOSPITAL",
      "address": "939 CAROLINE ST",
      "city": "PORT ANGELES",
      "state": "WA",
      "zip": "98362",
      "county": "CLALLAM",
      "latitude": 48.0895533498488,
      "longitude": -123.111195940074,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 67,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=61",
      "status": "corporate_chain",
      "parentSystem": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-clallam-county-public-hospital-district-2",
      "siblingGroupId": "siblings-wa-clallam-county-public-hospital-district-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-clallam-county-public-hospital-district-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000000138",
      "name": "SAINT ALPHONSUS EAGLE HEALTH PLZ-ER",
      "address": "323 E RIVERSIDE DR",
      "city": "EAGLE",
      "state": "ID",
      "zip": "83616",
      "county": "ADA",
      "latitude": 43.6889288198888,
      "longitude": -116.35030122041,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.saintalphonsus.org/",
      "status": "corporate_chain",
      "parentSystem": "Saint Alphonsus Health System",
      "affiliatedSystem": "Saintalphonsus",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintalphonsus",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saint-alphonsus-health-system",
      "siblingGroupId": "siblings-id-saint-alphonsus-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000000138",
        "external-resolution-0000000138"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.saintalphonsus.org/location"
      ],
      "ownershipProofNotes": "Saint Alphonsus Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Saint Alphonsus Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000100614",
      "name": "HOSPITAL DR SUSONI INC",
      "address": "55 PALM ST",
      "city": "ARECIBO",
      "state": "PR",
      "zip": "00614",
      "county": "ARECIBO",
      "latitude": 18.4732884799734,
      "longitude": -66.7169149703725,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 138,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0000107663",
      "name": "KESSLER INSTITUTE FOR REHABILITATION, INC NORTH FACILITY",
      "address": "300 MARKET STREET",
      "city": "SADDLE BROOK",
      "state": "NJ",
      "zip": "07663",
      "county": "BERGEN",
      "latitude": 40.8960694199533,
      "longitude": -74.0928089899094,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 112,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nj-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000107663",
        "external-resolution-0000107663"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000118017",
      "name": "GOOD SHEPHERD SPECIALTY HOSPITAL",
      "address": "2545 SCHOENERSVILLE ROAD",
      "city": "BETHLEHEM",
      "state": "PA",
      "zip": "18017",
      "county": "LEHIGH",
      "latitude": 40.6446155897483,
      "longitude": -75.4080625601211,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 32,
      "rating": null,
      "website": "http://www.goodshepherdrehab.org/location/specialty-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALLENTOWN SPECIALTY HOSPITAL",
      "parentSystemId": "entity-allentown-specialty-hospital",
      "siblingGroupId": "siblings-pa-allentown-specialty-hospital",
      "campusFamilyId": "campus-pa-392033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-allentown-specialty-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLENTOWN SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLENTOWN SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLENTOWN SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLENTOWN SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000120794",
      "name": "CLIFTON T PERKINS HOSPITAL CENTER",
      "address": "8450 DORSEY RUN ROAD",
      "city": "JESSUP",
      "state": "MD",
      "zip": "20794",
      "county": "HOWARD",
      "latitude": 39.1398486903051,
      "longitude": -76.7953656002221,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 298,
      "rating": null,
      "website": "http://www.dhmh.state.md.us/perkins/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jessup-clifton-t-perkins-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Maryland Department of Health",
      "parentSystemId": "entity-maryland-department-of-health",
      "siblingGroupId": "siblings-md-maryland-department-of-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000120794",
        "external-resolution-0000120794"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.dhmh.state.md.us/perkins/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000145690",
      "name": "ADENA PIKE COMMUNITY HOSPITAL",
      "address": "100 DAWN LANE",
      "city": "WAVERLY",
      "state": "OH",
      "zip": "45690",
      "county": "PIKE",
      "latitude": 39.1163345798394,
      "longitude": -83.0041865000906,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adena Health System",
      "parentSystemId": "entity-adena-health-system",
      "siblingGroupId": "siblings-oh-adena-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-adena-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADENA HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADENA HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000146628",
      "name": "A ROSIE PLACE",
      "address": "53131 QUINCE RD",
      "city": "SOUTH BEND",
      "state": "IN",
      "zip": "46628",
      "county": "ST. JOSEPH",
      "latitude": 41.7200460401595,
      "longitude": -86.381464339945,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 10,
      "rating": null,
      "website": "http://arosieplace.org/index.php",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-bend-a-rosie-place/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "A ROSIE PLACE",
      "parentSystemId": "entity-a-rosie-place",
      "siblingGroupId": "siblings-in-a-rosie-place",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000146628",
        "external-resolution-0000146628"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://arosieplace.org/index.php"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000149010",
      "name": "ALLEGAN GENERAL HOSPITAL",
      "address": "555 LINN STREET",
      "city": "ALLEGAN",
      "state": "MI",
      "zip": "49010",
      "county": "ALLEGAN",
      "latitude": 42.5199662000647,
      "longitude": -85.8563703102881,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.aghosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-allegan-allegan-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-mi-beacon-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-ascension-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000153934",
      "name": "MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS",
      "address": "402 W LAKE ST",
      "city": "FRIENDSHIP",
      "state": "WI",
      "zip": "53934",
      "county": "ADAMS",
      "latitude": 43.9745537002161,
      "longitude": -89.8213495996712,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.moundview.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "parentSystemId": "entity-bellin-gundersen-health-system-inc",
      "siblingGroupId": "siblings-wi-bellin-gundersen-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000155454",
      "name": "UNIVERSITY OF MN MED CTR",
      "address": "2450 RIVERSIDE AVENUE SOUTH",
      "city": "MINNEAPOLIS",
      "state": "MN",
      "zip": "55454",
      "county": "HENNEPIN",
      "latitude": 44.9677339298094,
      "longitude": -93.2380751702752,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 1700,
      "rating": null,
      "website": "https://www.mhealth.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "M Health Fairview",
      "parentSystemId": "entity-m-health-fairview",
      "siblingGroupId": "siblings-mn-m-health-fairview",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000155454",
        "external-resolution-0000155454"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to M Health Fairview and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to M Health Fairview and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0000156633",
      "name": "CASS LAKE HOSPITAL",
      "address": "425 7TH ST NW",
      "city": "CASS LAKE",
      "state": "MN",
      "zip": "56633",
      "county": "CASS",
      "latitude": 47.3844654300782,
      "longitude": -94.608547919592,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 5,
      "rating": null,
      "website": "https://www.ihs.gov/bemidji/healthcarefacilities/casslake/",
      "status": "corporate_chain",
      "parentSystem": "Tribal / IHS authority",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cass-lake-cass-lake-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-tribal-ihs-authority",
      "siblingGroupId": "siblings-mn-tribal-ihs-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000160169",
      "name": "ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL",
      "address": "1650 MOON LAKE BOULEVARD",
      "city": "HOFFMAN ESTATES",
      "state": "IL",
      "zip": "60169",
      "county": "COOK",
      "latitude": 42.054067300192,
      "longitude": -88.137167810265,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 318,
      "rating": null,
      "website": "http://www.abbhh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hoffman-estates-alexian-brothers-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALEXIAN BROTHERS HEALTH SYSTEM",
      "parentSystemId": "entity-alexian-brothers-health-system",
      "siblingGroupId": "siblings-il-alexian-brothers-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-alexian-brothers-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALEXIAN BROTHERS HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ALEXIAN BROTHERS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEXIAN BROTHERS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALEXIAN BROTHERS HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ALEXIAN BROTHERS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEXIAN BROTHERS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000180229",
      "name": "NORTH SUBURBAN MEDICAL CENTER",
      "address": "9191 GRANT ST",
      "city": "THORNTON",
      "state": "CO",
      "zip": "80229",
      "county": "ADAMS",
      "latitude": 39.8633858798009,
      "longitude": -104.985306479736,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 157,
      "rating": null,
      "website": "http://www.northsuburban.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thornton-north-suburban-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000184010",
      "name": "SOUTH DAVIS COMMUNITY HOSPITAL",
      "address": "401 SOUTH 400 EAST",
      "city": "BOUNTIFUL",
      "state": "UT",
      "zip": "84010",
      "county": "DAVIS",
      "latitude": 40.8850013497649,
      "longitude": -111.871796940096,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 43,
      "rating": null,
      "website": "http://www.sdch.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTH DAVIS COMMUNITY HOSPITAL",
      "parentSystemId": "entity-south-davis-community-hospital",
      "siblingGroupId": "siblings-ut-south-davis-community-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-12-31",
      "ownershipSourceIds": [
        "hifld-location-0000184010",
        "external-resolution-0000184010"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 462003; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 462003; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0000185012",
      "name": "CARL T. HAYDEN VETERANS' ADMINISTRATION MEDICAL CENTER",
      "address": "650 EAST INDIAN SCHOOL ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85012",
      "county": "MARICOPA",
      "latitude": 33.4956721803029,
      "longitude": -112.066253049675,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.phoenix.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-az-veterans-health-administration",
      "campusFamilyId": "campus-az-03012f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000189512",
      "name": "BHC WEST HILLS HOSPITAL",
      "address": "1240 E 9TH ST",
      "city": "RENO",
      "state": "NV",
      "zip": "89512",
      "county": "WASHOE",
      "latitude": 39.5378713898677,
      "longitude": -119.797402939664,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 95,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reno-bhc-west-hills-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000189512",
        "external-resolution-0000189512"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 294003. The tracker parent candidate was corroborated against Universal Health Services's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 294003. The tracker parent candidate was corroborated against Universal Health Services's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0000200613",
      "name": "HOSPITAL DR CAYETANO COLL Y TOSTE",
      "address": "CARRETERA 129, KM1 AVENIDA SAN LUIS",
      "city": "ARECIBO",
      "state": "PR",
      "zip": "00613",
      "county": "ARECIBO",
      "latitude": 18.4670455397587,
      "longitude": -66.7311405995837,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 188,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0000200820",
      "name": "GOV JUAN F LUIS HOSPITAL AND MEDICAL CTR",
      "address": "4007 EST DIAMOND RUBY, CHRISTIANSTED",
      "city": "ST CROIX",
      "state": "VI",
      "zip": "00820",
      "county": "ST. CROIX",
      "latitude": 17.7331949997765,
      "longitude": -64.7514780002528,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 188,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0000202176",
      "name": "MELROSEWKFLD HLTHCRE MELROSE - WKFLD",
      "address": "585 LEBANON STREET",
      "city": "MELROSE",
      "state": "MA",
      "zip": "02176",
      "county": "MIDDLESEX",
      "latitude": 42.4605000001944,
      "longitude": -71.0608999998946,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 174,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Tufts Medicine",
      "parentSystemId": "entity-tufts-medicine",
      "siblingGroupId": "siblings-ma-tufts-medicine",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-472250732-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/472250732.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLFORCE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES R. WHIPPLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate WELLFORCE INC was mapped through the reviewed alias registry to exact nonprofit filer Tufts Medicine Inc (EIN 472250732); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLFORCE INC, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps WELLFORCE INC to Tufts Medicine; the legal intermediate name remains available in source records.",
      "parentSystemEvidence": "CMS owner candidate: WELLFORCE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES R. WHIPPLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate WELLFORCE INC was mapped through the reviewed alias registry to exact nonprofit filer Tufts Medicine Inc (EIN 472250732); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLFORCE INC, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps WELLFORCE INC to Tufts Medicine; the legal intermediate name remains available in source records."
    },
    {
      "id": "0000202830",
      "name": "ZAMBARANO MEMORIAL HOSPITAL",
      "address": "2056 WALLUM LAKE ROAD",
      "city": "BURRILLVILLE",
      "state": "RI",
      "zip": "02830",
      "county": "PROVIDENCE",
      "latitude": 41.9972536498929,
      "longitude": -71.7624610395963,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 120,
      "rating": null,
      "website": "http://www.bhddh.ri.gov/esh/zam.php",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burrillville-zambarano-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ZAMBARANO MEMORIAL HOSPITAL",
      "parentSystemId": "entity-zambarano-memorial-hospital",
      "siblingGroupId": "siblings-ri-zambarano-memorial-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000202830",
        "external-resolution-0000202830"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.bhddh.ri.gov/esh/zam.php"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000203079",
      "name": "NORTHEAST REHABILITATION HOSPITAL",
      "address": "70 BUTLER STREET",
      "city": "SALEM",
      "state": "NH",
      "zip": "03079",
      "county": "ROCKINGHAM",
      "latitude": 42.7646867999767,
      "longitude": -71.1851464602533,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 67,
      "rating": null,
      "website": "http://www.northeastrehab.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salem-northeast-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "THE JAMES EDWARD GRILLO DYNASTY TRUST OF 2012",
      "parentSystemId": "entity-the-james-edward-grillo-dynasty-trust-of-2012",
      "siblingGroupId": "siblings-nh-the-james-edward-grillo-dynasty-trust-of-2012",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE JAMES EDWARD GRILLO DYNASTY TRUST OF 2012 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 12%). CMS universe sources: PDC not matched; active POS matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JAMES EDWARD GRILLO DYNASTY TRUST OF 2012, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE JAMES EDWARD GRILLO DYNASTY TRUST OF 2012 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 12%). CMS universe sources: PDC not matched; active POS matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JAMES EDWARD GRILLO DYNASTY TRUST OF 2012, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000206105",
      "name": "SAINT FRANCIS HOSPITAL AND MEDICAL CENTER",
      "address": "114 WOODLAND STREET AND 500 BLUE HILLS AVENUE",
      "city": "HARTFORD",
      "state": "CT",
      "zip": "06105",
      "county": "CAPITOL",
      "latitude": 41.7738138703153,
      "longitude": -72.6986800903423,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 617,
      "rating": null,
      "website": "https://www.trinityhealthofne.org/location/saint-francis-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hartford-st-francis-hospital-&-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ct-trinity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000208901",
      "name": "BRISTOL MYERS SQUIBB CHILDRENS HOSPITAL",
      "address": "1 ROBERT WOOD JOHNSON PLACE",
      "city": "NEW BRUNSWICK",
      "state": "NJ",
      "zip": "08901",
      "county": "MIDDLESEX",
      "latitude": 40.4958450596709,
      "longitude": -74.4488863598069,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 600,
      "rating": null,
      "website": "http://www.bmsch.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-brunswick-bristol-myers-squibb-childrens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJBarnabas Health",
      "parentSystemId": "entity-rwjbarnabas-health",
      "siblingGroupId": "siblings-nj-rwjbarnabas-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000208901",
        "external-resolution-0000208901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.rwjbh.org/our-locations/"
      ],
      "ownershipProofNotes": "RWJBarnabas Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "RWJBarnabas Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000219901",
      "name": "BAYHEALTH HOSPITAL KENT CAMPUS",
      "address": "640 SOUTH STATE ST",
      "city": "DOVER",
      "state": "DE",
      "zip": "19901",
      "county": "KENT",
      "latitude": 39.1507908002529,
      "longitude": -75.5236959196368,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 266,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dover-bayhealth-hospital-kent-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAYHEALTH, INC.",
      "parentSystemId": "entity-bayhealth-inc",
      "siblingGroupId": "siblings-de-bayhealth-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "de-dhcq-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dhss.delaware.gov/dhcq/dhcq/hospitals/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYHEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYHEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000221044",
      "name": "HOWARD COUNTY GENERAL HOSPITAL",
      "address": "5755 CEDAR LANE",
      "city": "COLUMBIA",
      "state": "MD",
      "zip": "21044",
      "county": "HOWARD",
      "latitude": 39.2143598400523,
      "longitude": -76.8858697098637,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 225,
      "rating": null,
      "website": "http://www.hcgh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-howard-county-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION",
      "parentSystemId": "entity-the-johns-hopkins-health-system-corporation",
      "siblingGroupId": "siblings-md-the-johns-hopkins-health-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-johns-hopkins-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hopkinsmedicine.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000224445",
      "name": "BATH COUNTY COMMUNITY HOSPITAL",
      "address": "106 PARK DR, PO DRAWER Z",
      "city": "HOT SPRINGS",
      "state": "VA",
      "zip": "24445",
      "county": "BATH",
      "latitude": 37.99290720028,
      "longitude": -79.8320306100159,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "www.bathhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hot-springs-bath-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BATH COUNTY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-bath-county-community-hospital",
      "siblingGroupId": "siblings-va-bath-county-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-bath-county-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists JANE RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BATH COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATH COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JANE RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BATH COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATH COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000228791",
      "name": "MARGARET R. PARDEE MEMORIAL HOSPITAL",
      "address": "800 NORTH JUSTICE STREET",
      "city": "HENDERSONVILLE",
      "state": "NC",
      "zip": "28791",
      "county": "HENDERSON",
      "latitude": 35.3203143598622,
      "longitude": -82.4670804203383,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 222,
      "rating": null,
      "website": "http://www.pardeehospital.org",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-hospitals-at-chapel-hill",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-hospitals-at-chapel-hill",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN EDNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN EDNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000249080",
      "name": "ASCENSION BORGESS PIPP HOSPITAL",
      "address": "411 NAOMI STREET",
      "city": "PLAINWELL",
      "state": "MI",
      "zip": "49080",
      "county": "ALLEGAN",
      "latitude": 42.4469953402598,
      "longitude": -85.6538966002542,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 43,
      "rating": null,
      "website": "http://www.borgess.com",
      "status": "corporate_chain",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plainwell-ascension-borgess-pipp-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-mi-beacon-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-ascension-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000260640",
      "name": "AURORA CHICAGO LAKESHORE HOSPITAL, LLC",
      "address": "4840 N MARINE DRIVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60640",
      "county": "COOK",
      "latitude": 41.9702992900353,
      "longitude": -87.650600030319,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 161,
      "rating": null,
      "website": "https://www.chicagolakeshorehospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Illinois Mental Health Network, LLC",
      "parentSystemId": "entity-illinois-mental-health-network-llc",
      "siblingGroupId": "siblings-il-illinois-mental-health-network-llc",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-11-26",
      "ownershipSourceIds": [
        "hifld-location-0000260640",
        "external-resolution-0000260640"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/documents/inventories-data/facility-profiles/hospital-facility-profiles-%28new%29/2004-hospital-profiles.pdf"
      ],
      "ownershipProofNotes": "The Illinois hospital profile names Illinois Mental Health Network, LLC as owner. HHS subsequently affirmed termination of the hospital Medicare agreement; the edge is historical rather than an active-system claim.",
      "parentSystemEvidence": "The Illinois hospital profile names Illinois Mental Health Network, LLC as owner. HHS subsequently affirmed termination of the hospital Medicare agreement; the edge is historical rather than an active-system claim."
    },
    {
      "id": "0000265203",
      "name": "RUSK REHABILITATION HOSPITAL",
      "address": "315 BUSINESS LOOP 70 WEST",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65203",
      "county": "BOONE",
      "latitude": 38.966382050263,
      "longitude": -92.342104419877,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://healthsouthruskrehab.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-mo-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000270427",
      "name": "BOGALUSA REHABILITATION HOSPITAL",
      "address": "621 COLUMBIA STREET",
      "city": "BOGALUSA",
      "state": "LA",
      "zip": "70427",
      "county": "WASHINGTON",
      "latitude": 30.7714819699168,
      "longitude": -89.8535908502772,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "https://www.bogalusarehabilitationhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BOGALUSA REHABILITATION HOSPITAL LLC",
      "parentSystemId": "entity-bogalusa-rehabilitation-hospital-llc",
      "siblingGroupId": "siblings-la-bogalusa-rehabilitation-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOGALUSA REHABILITATION HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOGALUSA REHABILITATION HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000272653",
      "name": "BAXTER REGIONAL MEDICAL CENTER",
      "address": "624 HOSPITAL DRIVE",
      "city": "MOUNTAIN HOME",
      "state": "AR",
      "zip": "72653",
      "county": "BAXTER",
      "latitude": 36.342103330027,
      "longitude": -92.3965442098617,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 268,
      "rating": null,
      "website": "http://www.baxterregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mountain-home-baxter-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAXTER COUNTY REGIONAL HOSPITAL INC",
      "parentSystemId": "entity-baxter-county-regional-hospital-inc",
      "siblingGroupId": "siblings-ar-baxter-county-regional-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAXTER COUNTY REGIONAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BAXTER COUNTY REGIONAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAXTER COUNTY REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAXTER COUNTY REGIONAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BAXTER COUNTY REGIONAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAXTER COUNTY REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000279606",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ABILENE",
      "address": "6401 DIRECTORS PARKWAY",
      "city": "ABILENE",
      "state": "TX",
      "zip": "79606",
      "county": "TAYLOR",
      "latitude": 32.3714282296895,
      "longitude": -99.7438465499244,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.healthsouthabilene.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abilene-encompass-health-rehabilitation-hospital-of-abilene/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000280601",
      "name": "INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL",
      "address": "1600 PRAIRIE CENTER PKWY",
      "city": "BRIGHTON",
      "state": "CO",
      "zip": "80601",
      "county": "ADAMS",
      "latitude": 39.964724879983,
      "longitude": -104.769196829678,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 98,
      "rating": 3,
      "status": "corporate_chain",
      "evidenceSource": "Colorado Department of Law and CMS Hospital All Owners",
      "evidenceSourceUrl": "https://coag.gov/press-releases/3-31-22/",
      "evidenceAsOf": "2026-07-06",
      "reviewedAt": "2026-07-06",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Government, CMS, and official system sources establish Intermountain Health as the ultimate parent/system and operational controller. This is a major nonprofit health-system warning, not a private-equity ownership claim.",
      "classificationSources": [
        "Colorado Department of Law SCL/Intermountain merger review",
        "Intermountain Health official merger and naming releases",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "PESP Private Equity Hospital Tracker import"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-06",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brighton-platte-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ccn": "060004",
      "relationshipType": "major_health_system",
      "parentSystem": "INTEGRITY HEALTH",
      "formerOperator": "SCL Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "Colorado Attorney General merger review plus CMS enrollment and owner/control records.",
      "affiliationConfidence": "high",
      "acquiredDate": "April 1, 2022",
      "peFirm": "",
      "caseId": "colorado-intermountain-st-marys",
      "classificationNote": "Current Intermountain system control confirmed.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integrity-health",
      "siblingGroupId": "siblings-co-integrity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000283544",
      "name": "CLEARWATER VALLEY HOSPITAL AND CLINICS",
      "address": "301 CEDAR ST",
      "city": "OROFINO",
      "state": "ID",
      "zip": "83544",
      "county": "CLEARWATER",
      "latitude": 46.4869291598857,
      "longitude": -116.25976950015,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "website": "http://www.smh-cvhc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orofino-clearwater-valley-hospital-and-clinics/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kootenai Health",
      "parentSystemId": "entity-kootenai-health",
      "siblingGroupId": "siblings-id-kootenai-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-kootenai-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kh.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KOOTENAI HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Kootenai Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOOTENAI HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KOOTENAI HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Kootenai Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOOTENAI HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000284081",
      "name": "COPPER HILLS YOUTH CENTER",
      "address": "5899 WEST RIVENDELL DRIVE",
      "city": "WEST JORDAN",
      "state": "UT",
      "zip": "84081",
      "county": "SALT LAKE",
      "latitude": 40.5883659297031,
      "longitude": -112.031171489634,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "copperhillsyouthcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-jordan-copper-hills-youth-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ut-universal-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000284081",
        "external-resolution-0000284081"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000285224",
      "name": "ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC",
      "address": "2905 WEST WARNER ROAD, SUITE 1",
      "city": "CHANDLER",
      "state": "AZ",
      "zip": "85224",
      "county": "MARICOPA",
      "latitude": 33.333885990071,
      "longitude": -111.891283809687,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000285224",
        "external-resolution-0000285224"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 030112. That CCN bridged to CMS enrollment O20040707001170 and 12 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 030112. That CCN bridged to CMS enrollment O20040707001170 and 12 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0000285723",
      "name": "HOSPITAL - 6TH AVENUE",
      "address": "3601 S 6TH AVE",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85713",
      "county": "PIMA",
      "latitude": 32.1812322203461,
      "longitude": -110.964934890327,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL - 6TH AVENUE",
      "parentSystemId": "entity-hospital-6th-avenue",
      "siblingGroupId": "siblings-az-hospital-6th-avenue",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000285723",
        "external-resolution-0000285723"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.az.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000287124",
      "name": "PRESBYTERIAN RUST MEDICAL CENTER",
      "address": "2400 UNSER BOULEVARD",
      "city": "RIO RANCHO",
      "state": "NM",
      "zip": "87124",
      "county": "SANDOVAL",
      "latitude": 35.2193621397057,
      "longitude": -106.693207010408,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 199,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rio-rancho-presbyterian-rust-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Presbyterian Healthcare Services",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000287124",
        "external-resolution-0000287124"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.phs.org/locations"
      ],
      "ownershipProofNotes": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000289703",
      "name": "CARSON TAHOE CONTINUING CARE HOSPITAL",
      "address": "775 FLEISCHMANN WAY",
      "city": "CARSON CITY",
      "state": "NV",
      "zip": "89703",
      "county": "CARSON CITY",
      "latitude": 39.1707809898665,
      "longitude": -119.772152139647,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 29,
      "rating": null,
      "website": "http://www.carsontahoe.com/ltach",
      "status": "corporate_chain",
      "parentSystem": "Carson Tahoe Health",
      "affiliatedSystem": "Carsontahoe",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carsontahoe",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carson-city-carson-tahoe-continuing-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carson-tahoe-health",
      "siblingGroupId": "siblings-nv-carson-tahoe-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000289703",
        "external-resolution-0000289703"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.carsontahoe.com/ltach"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000296727",
      "name": "HALE HO'OLA HAMAKUA",
      "address": "45-547 PLUMERIA STREET",
      "city": "HONOKAA",
      "state": "HI",
      "zip": "96727",
      "county": "HAWAII",
      "latitude": 20.0761730403135,
      "longitude": -155.469829650404,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 11,
      "rating": null,
      "website": "https://www.halehoolahamakua.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honokaa-hale-ho-ola-hamakua/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAWAII HEALTH SYSTEMS CORPORATION",
      "parentSystemId": "entity-hawaii-health-systems-corporation",
      "siblingGroupId": "siblings-hi-hawaii-health-systems-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL JOHN BRINKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL JOHN BRINKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000298431",
      "name": "MADIGAN ARMY MEDICAL CENTER",
      "address": "FT LEWIS",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98431",
      "county": "PIERCE",
      "latitude": 47.1086697797689,
      "longitude": -122.552270189906,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 222,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=147",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tacoma-madigan-army-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-wa-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000298431",
        "external-resolution-0000298431"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000302860",
      "name": "MEMORIAL HOSPITAL OF RHODE ISLAND",
      "address": "111 BREWSTER STREET",
      "city": "PAWTUCKET",
      "state": "RI",
      "zip": "02860",
      "county": "PROVIDENCE",
      "latitude": 41.8699220002895,
      "longitude": -71.3764564496203,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 294,
      "rating": null,
      "website": "http://www.mhri.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Care New England",
      "parentSystemId": "entity-care-new-england",
      "siblingGroupId": "siblings-ri-care-new-england",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-09-30",
      "ownershipSourceIds": [
        "hifld-location-0000302860",
        "external-resolution-0000302860"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 410001; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 410001; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0000304092",
      "name": "SPRING HARBOR HOSPITAL",
      "address": "123 ANDOVER ROAD",
      "city": "WESTBROOK",
      "state": "ME",
      "zip": "04092",
      "county": "CUMBERLAND",
      "latitude": 43.6534255602694,
      "longitude": -70.3440845497756,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "website": "http://www.springharbor.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westbrook-spring-harbor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR",
      "parentSystemId": "entity-mainehealth-behavioral-health-at-spring-harbor",
      "siblingGroupId": "siblings-me-mainehealth-behavioral-health-at-spring-harbor",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000314895",
      "name": "MEMORIAL HOSP OF WM F AND GERTRUDE F JONES - JONES MEMORIAL HOSP",
      "address": "191 NORTH MAIN STREET",
      "city": "WELLSVILLE",
      "state": "NY",
      "zip": "14895",
      "county": "ALLEGANY",
      "latitude": 42.1224210798672,
      "longitude": -77.9509013000653,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC",
      "parentSystemId": "entity-the-memorial-hospital-of-william-f-and-gertrude-f-jones-inc",
      "siblingGroupId": "siblings-ny-the-memorial-hospital-of-william-f-and-gertrude-f-jones-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-the-memorial-hospital-of-william-f-and-gertrude-f-jones-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists CHRISTINA COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTINA COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000316501",
      "name": "SELECT SPECIALTY HOSPITAL - ERIE, INC",
      "address": "252 WEST 11TH STREET",
      "city": "ERIE",
      "state": "PA",
      "zip": "16501",
      "county": "ERIE",
      "latitude": 42.1340135701852,
      "longitude": -80.0878787799729,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erie-select-specialty-hospital-erie/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN DUEMMEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN DUEMMEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000321041",
      "name": "SHEPPARD PRATT AT ELLICOTT CITY",
      "address": "4100 COLLEGE AVENUE",
      "city": "ELLICOTT CITY",
      "state": "MD",
      "zip": "21041",
      "county": "HOWARD",
      "latitude": 39.2556923398979,
      "longitude": -76.7931180396357,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 78,
      "rating": null,
      "website": "http://www.sheppardpratt.org/sp_htmlcode/sp_locations/sp_loc_hc_ellicot.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ellicott-city-sheppard-pratt-at-ellicott-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sheppard Pratt",
      "parentSystemId": "entity-sheppard-pratt",
      "siblingGroupId": "siblings-md-sheppard-pratt",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000321041",
        "external-resolution-0000321041"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sheppardpratt.org/locations-directions/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Sheppard Pratt and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Sheppard Pratt and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0000324450",
      "name": "CARILION ROCKBRIDGE COMMUNITY HOSPITAL",
      "address": "1 HEALTH CIRCLE",
      "city": "LEXINGTON",
      "state": "VA",
      "zip": "24450",
      "county": "LEXINGTON",
      "latitude": 37.7785170700098,
      "longitude": -79.4409549601924,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "https://www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "CARILION CLINIC",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilion-clinic",
      "siblingGroupId": "siblings-va-carilion-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-carilion-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carilionclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARILION CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARILION CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000327536",
      "name": "MARIA PARHAM HEALTH",
      "address": "566 RUIN CREEK RD, PO BOX 59",
      "city": "HENDERSON",
      "state": "NC",
      "zip": "27536",
      "county": "VANCE",
      "latitude": 36.3308650601331,
      "longitude": -78.4494464596283,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 205,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000329532",
      "name": "MCLEOD MEDICAL CENTER DARLINGTON",
      "address": "701 CASHUA FERRY RD",
      "city": "DARLINGTON",
      "state": "SC",
      "zip": "29532",
      "county": "DARLINGTON",
      "latitude": 34.313330500244,
      "longitude": -79.8398029497368,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "website": "http://www.mcleodhealth.org/mcleod-darlington/the-choice-for-medical-excellence.html",
      "status": "corporate_chain",
      "parentSystem": "Mcleodhealth",
      "affiliatedSystem": "Mcleodhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mcleodhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-darlington-mcleod-medical-center-darlington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcleodhealth",
      "siblingGroupId": "siblings-sc-mcleodhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000329532",
        "external-resolution-0000329532"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mcleodhealth.org/mcleod-darlington/the-choice-for-medical-excellence.html"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000349707",
      "name": "MIDMICHIGAN MEDICAL CENTER - ALPENA",
      "address": "1501 W CHISHOLM ST",
      "city": "ALPENA",
      "state": "MI",
      "zip": "49707",
      "county": "ALPENA",
      "latitude": 45.0776729501,
      "longitude": -83.4493742901788,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 124,
      "rating": null,
      "website": "https://www.midmichigan.org/about/our-affiliates/hospitals/midmichigan-medical-center-alpena/",
      "status": "corporate_chain",
      "parentSystem": "MYMICHIGAN HEALTH",
      "affiliatedSystem": "Midmichigan",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Midmichigan",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230036",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000364506",
      "name": "LONG - TERM ACUTE CARE HOSPITAL - MOSAIC",
      "address": "5325 FARAON STREET",
      "city": "SAINT JOSEPH",
      "state": "MO",
      "zip": "64506",
      "county": "BUCHANAN",
      "latitude": 39.7723536199865,
      "longitude": -94.7705977203182,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 41,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEARTLAND REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-heartland-regional-medical-center",
      "siblingGroupId": "siblings-mo-heartland-regional-medical-center",
      "campusFamilyId": "campus-mo-260006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-heartland-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEARTLAND REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HEARTLAND REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEARTLAND REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEARTLAND REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HEARTLAND REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEARTLAND REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000373034",
      "name": "EDMOND - AMG SPECIALTY HOSPITAL",
      "address": "1100 EAST NINTH STREET",
      "city": "EDMOND",
      "state": "OK",
      "zip": "73034",
      "county": "OKLAHOMA",
      "latitude": 35.6448438800312,
      "longitude": -97.4653926296579,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 37,
      "rating": null,
      "website": "http://www.amgedmond.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edmond-edmond--amg-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG Integrated Healthcare Management",
      "parentSystemId": "entity-amg-integrated-healthcare-management",
      "siblingGroupId": "siblings-ok-amg-integrated-healthcare-management",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000373034",
        "external-resolution-0000373034"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.amgedmond.com/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to AMG Integrated Healthcare Management and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to AMG Integrated Healthcare Management and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0000389128",
      "name": "PAM SPECIALTY HOSPITAL OF LAS VEGAS LLC",
      "address": "2500 NORTH TENAYA WAY",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89128",
      "county": "CLARK",
      "latitude": 36.2055307701168,
      "longitude": -115.250356370434,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "website": "https://postacutemedical.com/facilities/find-facility/specialty-hospitals/pam-specialty-hospital-of-las-vegas",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-nv-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000400000",
      "name": "NORTHWEST MEDICAL CENTER - BENTONVILLE",
      "address": "3000 MEDICAL CENTER PARKWAY",
      "city": "BENTONVILLE",
      "state": "AR",
      "zip": "72712",
      "county": "BENTON",
      "latitude": 36.3399063299083,
      "longitude": -94.1913568996812,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 128,
      "rating": null,
      "website": "http://www.northwesthealth.com/pages/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bentonville-northwest-medical-center---bentonville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ar-community-health-systems",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000400000",
        "external-resolution-0000400000"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "Community Health Systems primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Community Health Systems primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000402879",
      "name": "SOUTH COUNTY HEALTH",
      "address": "100 KENYON AVENUE",
      "city": "WAKEFIELD",
      "state": "RI",
      "zip": "02879",
      "county": "WASHINGTON",
      "latitude": 41.4310786500201,
      "longitude": -71.496411100013,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wakefield-south-county-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM",
      "parentSystemId": "entity-south-county-hospital-healthcare-system",
      "siblingGroupId": "siblings-ri-south-county-hospital-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ri-parent-south-county-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.southcountyhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS lists JAMES L FARRELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to South County Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JAMES L FARRELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to South County Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000405602",
      "name": "CENTRAL VERMONT MEDICAL CENTER",
      "address": "130 FISHER ROAD",
      "city": "BERLIN",
      "state": "VT",
      "zip": "05602",
      "county": "WASHINGTON",
      "latitude": 44.2206642200033,
      "longitude": -72.5608256095982,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 122,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berlin-central-vermont-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "University of Vermont Health Network",
      "parentSystemId": "entity-university-of-vermont-health-network",
      "siblingGroupId": "siblings-vt-university-of-vermont-health-network",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000405602",
        "external-resolution-0000405602"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uvmhealth.org/locations"
      ],
      "ownershipProofNotes": "University of Vermont Health Network official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "University of Vermont Health Network official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000417011",
      "name": "SELECT SPECIALTY HOSPITAL CENTRAL PENNSYLVANIA CAMP HILL",
      "address": "503 NORTH 21ST STREET, 5TH FLOOR",
      "city": "CAMP HILL",
      "state": "PA",
      "zip": "17011",
      "county": "CUMBERLAND",
      "latitude": 40.2531619399068,
      "longitude": -76.9223505495716,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "http://www.hsh.org/behavioral-health/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-camp-hill-select-specialty-hospital-central-pennsylvania-camp-hill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000417011",
        "external-resolution-0000417011"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000427892",
      "name": "MARTIN GENERAL HOSPITAL",
      "address": "310 S MCCASKEY RD, PO BOX 1128",
      "city": "WILLIAMSTON",
      "state": "NC",
      "zip": "27892",
      "county": "MARTIN",
      "latitude": 35.8397906997681,
      "longitude": -77.0722540002709,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Quorum Health Corporation",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williamston-martin-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quorum-health-corporation",
      "siblingGroupId": "siblings-nc-quorum-health-corporation",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000427892",
        "external-resolution-0000427892"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.quorumhealth.com/locations/"
      ],
      "ownershipProofNotes": "Quorum Health Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Quorum Health Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000439530",
      "name": "MERIT HEALTH BILOXI",
      "address": "150 REYNOIR STREET",
      "city": "BILOXI",
      "state": "MS",
      "zip": "39530",
      "county": "HARRISON",
      "latitude": 30.3959386799514,
      "longitude": -88.8897506500085,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 153,
      "rating": null,
      "website": "http://www.merithealthbiloxi.com/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "BILOXI HEALTH SYSTEM LLC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-biloxi-merit-health-biloxi/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-biloxi-health-system-llc",
      "siblingGroupId": "siblings-ms-biloxi-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BILOXI HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILOXI HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BILOXI HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILOXI HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000445502",
      "name": "OHIO VALLEY MEDICAL CENTER",
      "address": "100 WEST MAIN STREET",
      "city": "SPRINGFIELD",
      "state": "OH",
      "zip": "45502",
      "county": "CLARK",
      "latitude": 39.925000159726,
      "longitude": -83.8130225804425,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "website": "http://myovmc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-ohio-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEALTHSPAN PARTNERS",
      "parentSystemId": "entity-healthspan-partners",
      "siblingGroupId": "siblings-oh-healthspan-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHSPAN PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists MENDY WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSPAN PARTNERS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHSPAN PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists MENDY WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSPAN PARTNERS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000449058",
      "name": "SPECTRUM HEALTH PENNOCK",
      "address": "1009 W GREEN ST",
      "city": "HASTINGS",
      "state": "MI",
      "zip": "49058",
      "county": "BARRY",
      "latitude": 42.6447738997077,
      "longitude": -85.3028252396011,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.spectrumhealth.org/pennock",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hastings-spectrum-health-pennock/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000455415",
      "name": "HENNEPIN COUNTY MEDICAL CTR",
      "address": "701 PARK AVENUE",
      "city": "MINNEAPOLIS",
      "state": "MN",
      "zip": "55415",
      "county": "HENNEPIN",
      "latitude": 44.972132490091,
      "longitude": -93.2622359599162,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 894,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minneapolis-hennepin-county-medical-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HENNEPIN COUNTY",
      "parentSystemId": "entity-hennepin-county",
      "siblingGroupId": "siblings-mn-hennepin-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENNEPIN COUNTY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENNEPIN COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENNEPIN COUNTY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENNEPIN COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000487109",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ALBUQUERQUE",
      "address": "7000 JEFFERSON STREET NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87109",
      "county": "BERNALILLO",
      "latitude": 35.1603512599676,
      "longitude": -106.592267349978,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 87,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-encompass-health-rehabilitation-hospital-of-albuquerque/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nm-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000489119",
      "name": "DESERT SPRINGS HOSPITAL MEDICAL CENTER",
      "address": "2075 E FLAMINGO RD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89119",
      "county": "CLARK",
      "latitude": 36.1139595797843,
      "longitude": -115.124505180313,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 282,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-desert-springs-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000489119",
        "external-resolution-0000489119"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0000494578",
      "name": "FAIRMONT HOSPITAL",
      "address": "15400 FOOTHILL BOULEVARD",
      "city": "SAN LEANDRO",
      "state": "CA",
      "zip": "94578",
      "county": "ALAMEDA",
      "latitude": 37.7076845599664,
      "longitude": -122.11870995031,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 159,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-leandro-fairmont-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Alameda Health System",
      "parentSystemId": "entity-alameda-health-system",
      "siblingGroupId": "siblings-ca-alameda-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000494578",
        "external-resolution-0000494578"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080415000560 (05T320). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080415000560 (05T320). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000496706",
      "name": "THE QUEEN'S MEDICAL CENTER - WEST OAHU",
      "address": "91-2141 FORT WEAVER ROAD",
      "city": "EWA BEACH",
      "state": "HI",
      "zip": "96706",
      "county": "HONOLULU",
      "latitude": 21.3723410499207,
      "longitude": -158.026815339717,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 104,
      "rating": null,
      "website": "https://www.queens.org/west-oahu/queens-medical-center-west-oahu",
      "status": "corporate_chain",
      "parentSystem": "Queens",
      "affiliatedSystem": "Queens",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Queens",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ewa-beach-queen-s-medical-center---west-oahu/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-queens",
      "siblingGroupId": "siblings-hi-queens",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000496706",
        "external-resolution-0000496706"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.queens.org/west-oahu/queens-medical-center-west-oahu"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000498438",
      "name": "92ND MEDICAL GROUP",
      "address": "701 HOSPITAL LOOP, BUILDING 9000",
      "city": "FAIRCHILD AFB",
      "state": "WA",
      "zip": "99011",
      "county": "SPOKANE",
      "latitude": 47.639416039784,
      "longitude": -117.645275270082,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 48,
      "rating": null,
      "website": "https://fairchild.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-wa-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000498438",
        "external-resolution-0000498438"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000502215",
      "name": "BETH ISRAEL DEACONESS MED CTR - EAST",
      "address": "330 BROOKLINE AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02215",
      "county": "SUFFOLK",
      "latitude": 42.3394999997229,
      "longitude": -71.1050999999569,
      "hospitalType": "Academic medical center campus",
      "sourceOwner": "NON-PROFIT",
      "beds": 292,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-bidmc",
      "classificationNote": "Academic medical center campus",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "campusFamilyId": "campus-ma-220086",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PETER HEALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PETER HEALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000503055",
      "name": "ST JOSEPH HOSPITAL MILFORD MED CTR",
      "address": "442 NASHUA ROAD",
      "city": "MILFORD",
      "state": "NH",
      "zip": "03055",
      "county": "HILLSBOROUGH",
      "latitude": 42.8293914398656,
      "longitude": -71.6335650295827,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.stjosephhospital.com/about/milford-medical-center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milford-st-joseph-hospital---milford-med-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOSEPH HOSPITAL MILFORD MED CTR",
      "parentSystemId": "entity-st-joseph-hospital-milford-med-ctr",
      "siblingGroupId": "siblings-nh-st-joseph-hospital-milford-med-ctr",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000503055",
        "external-resolution-0000503055"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.stjosephhospital.com/about/milford-medical-center"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000505401",
      "name": "UNIVERSITY OF VERMONT MEDICAL CENTER, INC",
      "address": "111 COLCHESTER AVENUE",
      "city": "BURLINGTON",
      "state": "VT",
      "zip": "05401",
      "county": "CHITTENDEN",
      "latitude": 44.4797397197011,
      "longitude": -73.1941205797569,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 562,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burlington-the-university-of-vermont-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNIVERSITY OF VERMONT HEALTH NETWORK INC.",
      "parentSystemId": "entity-the-university-of-vermont-health-network-inc",
      "siblingGroupId": "siblings-vt-the-university-of-vermont-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000507470",
      "name": "KINDRED HOSPITAL NJ-WAYNE",
      "address": "224 HAMBURG TURNPIKE",
      "city": "WAYNE",
      "state": "NJ",
      "zip": "07470",
      "county": "PASSAIC",
      "latitude": 40.9466864200723,
      "longitude": -74.2048529303831,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "website": "http://www.khwayne.com/",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-nj-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000507470",
        "external-resolution-0000507470"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000519801",
      "name": "CHRISTIANA CARE HEALTH SERVICES - WILMINGTON HOSPITAL",
      "address": "501 WEST 14TH ST, PO BOX 1668",
      "city": "WILMINGTON",
      "state": "DE",
      "zip": "19899",
      "county": "NEW CASTLE",
      "latitude": 39.751463900131,
      "longitude": -75.5496618001794,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 321,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ChristianaCare",
      "parentSystemId": "entity-christianacare",
      "siblingGroupId": "siblings-de-christianacare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000519801",
        "external-resolution-0000519801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://christianacare.org/us/en/care/locations"
      ],
      "ownershipProofNotes": "ChristianaCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ChristianaCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000525702",
      "name": "CORNERSTONE SPECIALTY HOSPITALS HUNTINGTON",
      "address": "2900 FIRST AVENUE, 2E",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25702",
      "county": "CABELL",
      "latitude": 38.431913880234,
      "longitude": -82.4007696498937,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "website": "http://www.chghospitals.com",
      "status": "corporate_chain",
      "parentSystem": "CORNERSTONE HEALTHCARE GROUP HOLDING INC",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-cornerstone-healthcare-group-holding-inc",
      "siblingGroupId": "siblings-wv-cornerstone-healthcare-group-holding-inc",
      "campusFamilyId": "campus-wv-512003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000532806",
      "name": "ARNOLD PALMER MEDICAL CENTER",
      "address": "92 W MILLER ST",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32806",
      "county": "ORANGE",
      "latitude": 28.5236186403529,
      "longitude": -81.3792704201571,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 506,
      "rating": null,
      "website": "www.orlandohealth.com",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000532806",
        "external-resolution-0000532806"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.orlandohealth.com/facilities"
      ],
      "ownershipProofNotes": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000535259",
      "name": "SELECT SPECIALTY HOSPITAL - BIRMINGHAM",
      "address": "2010 BROOKWOOD MEDICAL CENTER DRIVE, 3RD FLOOR",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35209",
      "county": "JEFFERSON",
      "latitude": 33.4637309400218,
      "longitude": -86.7762533897945,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "website": "http://www.bwmc.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-select-specialty-hospital-birmingham/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-al-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEFFREY FENN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Select Medical; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEFFREY FENN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Select Medical; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000537312",
      "name": "TENNOVA HEALTHCARE - CLEVELAND WESTSIDE",
      "address": "2800 WESTSIDE DRIVE",
      "city": "CLEVELAND",
      "state": "TN",
      "zip": "37312",
      "county": "BRADLEY",
      "latitude": 35.1942892760072,
      "longitude": -84.8813056704258,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 351,
      "rating": null,
      "website": "http://www.tennovaeast.com/locations/tennova-healthcare-cleveland",
      "status": "corporate_chain",
      "parentSystem": "Tennovaeast",
      "affiliatedSystem": "Tennovaeast",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tennovaeast",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-tennovaeast",
      "siblingGroupId": "siblings-tn-tennovaeast",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000537312",
        "external-resolution-0000537312"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.tennovaeast.com/locations/tennova-healthcare-cleveland"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000544256",
      "name": "MEDINA GENERAL HOSPITAL",
      "address": "1000 E WASHINGTON STREET",
      "city": "MEDINA",
      "state": "OH",
      "zip": "44256",
      "county": "MEDINA",
      "latitude": 41.1384508802219,
      "longitude": -81.8382929303741,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 148,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000564502",
      "name": "NORTHWEST MO PSYCHIATRIC REHAB CTR",
      "address": "3505 FREDERICK AVENUE",
      "city": "ST. JOSEPH",
      "state": "MO",
      "zip": "64506",
      "county": "BUCHANAN",
      "latitude": 39.7784892398193,
      "longitude": -94.811402599748,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 108,
      "rating": null,
      "website": "https://dmh.mo.gov/nmprc/",
      "status": "corporate_chain",
      "parentSystem": "STATE OF MISSOURI",
      "affiliatedSystem": "Dmh Mo",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dmh Mo",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-joseph-northwest-mo-psychiatric-rehab-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-missouri",
      "siblingGroupId": "siblings-mo-state-of-missouri",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSOURI (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSOURI (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000575013",
      "name": "PAM REHABILITATION HOSPITAL OF ALLEN",
      "address": "1001 RAINTREE CIRCLE",
      "city": "ALLEN",
      "state": "TX",
      "zip": "75013",
      "county": "COLLIN",
      "latitude": 33.113074269793,
      "longitude": -96.6764302999335,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.warmsprings.org/our-facilities/outpatient-rehabilitation/warm-springs-rehabilitation-center-allen/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-allen-pam-rehabilitation-hospital-of-allen/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: POST ACUTE MEDICAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POST ACUTE MEDICAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000580011",
      "name": "SPALDING REHABILITATION HOSPITAL",
      "address": "900 POTOMAC ST",
      "city": "AURORA",
      "state": "CO",
      "zip": "80011",
      "county": "ARAPAHOE",
      "latitude": 39.7310299598862,
      "longitude": -104.827472750218,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 78,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-spalding-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000583544",
      "name": "STATE HOSPITAL NORTH",
      "address": "300 HOSPITAL DR",
      "city": "OROFINO",
      "state": "ID",
      "zip": "83544",
      "county": "CLEARWATER",
      "latitude": 46.4917567302016,
      "longitude": -116.260389529935,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE",
      "parentSystemId": "entity-state-of-idaho-department-of-health-and-welfare",
      "siblingGroupId": "siblings-id-state-of-idaho-department-of-health-and-welfare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-state-of-idaho-department-of-health-and-welfare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/about-dhw/key-buildings-and-descriptions"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to State of Idaho Department of Health and Welfare; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to State of Idaho Department of Health and Welfare; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000589148",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DESERT CANYON",
      "address": "9175 W OQUENDO RD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89148",
      "county": "CLARK",
      "latitude": 36.0803497800742,
      "longitude": -115.29244832007,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-encompass-health-rehabilitation-hospital-of-desert-canyon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nv-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000594025",
      "name": "VA MEDICAL CENTER - MENLO PARK DIVISION",
      "address": "795 WILLOW RD",
      "city": "MENLO PARK",
      "state": "CA",
      "zip": "94025",
      "county": "SAN MATEO",
      "latitude": 37.4652921001542,
      "longitude": -122.161005159949,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 715,
      "rating": null,
      "website": "http://www.paloalto.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-menlo-park-va-medical-center---menlo-park-division/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ca-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000594025",
        "external-resolution-0000594025"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000596744",
      "name": "HAWAII STATE HOSPITAL",
      "address": "45-710 KEAAHALA ROAD",
      "city": "KANEOHE",
      "state": "HI",
      "zip": "96744",
      "county": "HONOLULU",
      "latitude": 21.405132490388,
      "longitude": -157.81585487958,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 202,
      "rating": null,
      "website": "https://health.hawaii.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kaneohe-hawaii-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Hawaii Department of Health",
      "parentSystemId": "entity-hawaii-department-of-health",
      "siblingGroupId": "siblings-hi-hawaii-department-of-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000596744",
        "external-resolution-0000596744"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://health.hawaii.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000599664",
      "name": "PROVIDENCE SEWARD MEDICAL AND CARE CENTER",
      "address": "417 FIRST AVE",
      "city": "SEWARD",
      "state": "AK",
      "zip": "99664",
      "county": "KENAI PENINSULA",
      "latitude": 60.1050201098129,
      "longitude": -149.446425479924,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 6,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ak-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Providence; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Providence; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000601742",
      "name": "EMERSON HOSPITAL",
      "address": "OLD ROAD TO NINE ACRE CORNER",
      "city": "CONCORD",
      "state": "MA",
      "zip": "01742",
      "county": "MIDDLESEX",
      "latitude": 42.4516999998196,
      "longitude": -71.3758000003365,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 150,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-concord-emerson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EMERSON HOSPITAL",
      "parentSystemId": "entity-emerson-hospital",
      "siblingGroupId": "siblings-ma-emerson-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220084"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS lists CHRISTINE SCHUSTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Emerson official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERSON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTINE SCHUSTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Emerson official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERSON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000605060",
      "name": "GIFFORD MEMORIAL HOSPITAL",
      "address": "44 SOUTH MAIN STREET",
      "city": "RANDOLPH",
      "state": "VT",
      "zip": "05060",
      "county": "ORANGE",
      "latitude": 43.916839589678,
      "longitude": -72.6654889997824,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GIFFORD MEDICAL CENTER INC",
      "parentSystemId": "entity-gifford-medical-center-inc",
      "siblingGroupId": "siblings-vt-gifford-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GIFFORD MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GIFFORD MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000608628",
      "name": "ANN KLEIN FORENSIC CENTER",
      "address": "STUYVESANT AVENUE",
      "city": "WEST TRENTON",
      "state": "NJ",
      "zip": "08628",
      "county": "MERCER",
      "latitude": 40.2472377702022,
      "longitude": -74.8019454999443,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 200,
      "rating": null,
      "website": "http://www.state.nj.us/humanservices/involved/nurses/mentalhph/annklein.html",
      "status": "corporate_chain",
      "parentSystem": "State Nj",
      "affiliatedSystem": "State Nj",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "State Nj",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-trenton-ann-klein-forensic-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-nj",
      "siblingGroupId": "siblings-nj-state-nj",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000608628",
        "external-resolution-0000608628"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.state.nj.us/humanservices/involved/nurses/mentalhph/annklein.html"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000613790",
      "name": "UNITED HEALTH SERVICES HOSPITALS INC - WILSON MEDICAL CENTER",
      "address": "33-57 HARRISON STREET",
      "city": "JOHNSON CITY",
      "state": "NY",
      "zip": "13790",
      "county": "BROOME",
      "latitude": 42.1141993897495,
      "longitude": -75.9585235096218,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 280,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNITED HEALTH SERVICES HOSPITALS, INC.",
      "parentSystemId": "entity-united-health-services-hospitals-inc",
      "siblingGroupId": "siblings-ny-united-health-services-hospitals-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000613790",
        "external-resolution-0000613790"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20071205000684 (330394). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20071205000684 (330394). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000617405",
      "name": "SELECT SPECIALTY HOSPITAL CENTRAL PENNSYLVANIA YORK",
      "address": "1001 S GEORGE STREET, 5TH FLOOR",
      "city": "YORK",
      "state": "PA",
      "zip": "17405",
      "county": "YORK",
      "latitude": 39.9465290896587,
      "longitude": -76.718446290414,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 23,
      "rating": null,
      "website": "http://york.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-york-select-specialty-hospital-central-pennsylvania-york/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000617405",
        "external-resolution-0000617405"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000625705",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF HUNTINGTON",
      "address": "6900 WEST COUNTRY CLUB DRIVE",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25705",
      "county": "CABELL",
      "latitude": 38.4188890896836,
      "longitude": -82.3386682600047,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "website": "http://www.healthsouthhuntington.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-encompass-health-rehab-hospital-of-huntington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-wv-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000637762",
      "name": "JELLICO REGIONAL HOSPITAL, LLC",
      "address": "188 HOSPITAL LANE",
      "city": "JELLICO",
      "state": "TN",
      "zip": "37762",
      "county": "CAMPBELL",
      "latitude": 36.5737013597737,
      "longitude": -84.1285435898336,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JELLICO REGIONAL HOSPITAL",
      "parentSystemId": "entity-jellico-regional-hospital",
      "siblingGroupId": "siblings-tn-jellico-regional-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2024-03-08",
      "ownershipSourceIds": [
        "hifld-location-0000637762",
        "external-resolution-0000637762"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 441324; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 441324; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0000647630",
      "name": "BRENTWOOD SPRINGS",
      "address": "4488 ROSLIN RD",
      "city": "NEWBURGH",
      "state": "IN",
      "zip": "47630",
      "county": "WARRICK",
      "latitude": 37.9929099697825,
      "longitude": -87.331528499836,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "http://www.brentwoodmeadows.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-in-lifepoint-health",
      "campusFamilyId": "campus-in-154055",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000652101",
      "name": "WINNESHIEK MEDICAL CENTER",
      "address": "901 MONTGOMERY STREET",
      "city": "DECORAH",
      "state": "IA",
      "zip": "52101",
      "county": "WINNESHIEK",
      "latitude": 43.2946454898288,
      "longitude": -91.7742734798542,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WINNESHIEK MEDICAL CENTER",
      "parentSystemId": "entity-winneshiek-medical-center",
      "siblingGroupId": "siblings-ia-winneshiek-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-winneshiek-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to WINNESHIEK MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINNESHIEK MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to WINNESHIEK MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINNESHIEK MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000654301",
      "name": "BELLIN PSYCHIATRIC CENTER",
      "address": "301 E ST JOSEPH ST",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54301",
      "county": "BROWN",
      "latitude": 44.4843146701009,
      "longitude": -88.0162551003336,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "website": "http://www.bellin.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-green-bay-bellin-psychiatric-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN PSYCHIATRIC CENTER  INC.",
      "parentSystemId": "entity-bellin-psychiatric-center-inc",
      "siblingGroupId": "siblings-wi-bellin-psychiatric-center-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0000654301",
        "external-resolution-0000654301"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 524038; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 524038; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0000655102",
      "name": "UNITED HOSPITAL",
      "address": "333 NORTH SMITH AVENUE",
      "city": "ST. PAUL",
      "state": "MN",
      "zip": "55102",
      "county": "RAMSEY",
      "latitude": 44.9433798098043,
      "longitude": -93.1071449396737,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 546,
      "rating": null,
      "website": "https://www.allinahealth.org/united-hospital/",
      "status": "corporate_chain",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "affiliatedSystem": "Allinahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Allinahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-paul-united-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000663701",
      "name": "SOUTHEASTHEALTH",
      "address": "1701 LACEY STREET",
      "city": "CAPE GIRARDEAU",
      "state": "MO",
      "zip": "63701",
      "county": "CAPE GIRARDEAU",
      "latitude": 37.3107343403113,
      "longitude": -89.5398458200842,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 245,
      "rating": null,
      "website": "http://www.sehealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cape-girardeau-southeasthealth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists FRANK M KINDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists FRANK M KINDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000666720",
      "name": "NEOSHO MEMORIAL REGIONAL MED CENTER",
      "address": "629 SOUTH PLUMMER",
      "city": "CHANUTE",
      "state": "KS",
      "zip": "66720",
      "county": "NEOSHO",
      "latitude": 37.6752770001109,
      "longitude": -95.4721165401,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NEOSHO COUNTY",
      "parentSystemId": "entity-neosho-county",
      "siblingGroupId": "siblings-ks-neosho-county",
      "campusFamilyId": "campus-ks-171380",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-neosho-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEOSHO COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WENDY BRAZIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEOSHO COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEOSHO COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEOSHO COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WENDY BRAZIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEOSHO COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEOSHO COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000679106",
      "name": "BAPTIST ST ANTHONYS HOSPITAL",
      "address": "1600 WALLACE BLVD",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "POTTER",
      "latitude": 35.1964519898789,
      "longitude": -101.920315510333,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 445,
      "rating": null,
      "website": "http://www.bsahs.org/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000680011",
      "name": "KINDRED HOSPITAL AURORA",
      "address": "700 POTOMAC ST, FL 2",
      "city": "AURORA",
      "state": "CO",
      "zip": "80011",
      "county": "ARAPAHOE",
      "latitude": 39.7281306796937,
      "longitude": -104.826973819621,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 37,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "062013",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-kindred-hospital-aurora/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-co-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000685308",
      "name": "ABRAZO ARROWHEAD CAMPUS",
      "address": "18701 NORTH 67TH AVENUE",
      "city": "GLENDALE",
      "state": "AZ",
      "zip": "85308",
      "county": "MARICOPA",
      "latitude": 33.6550542001234,
      "longitude": -112.201581759793,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 217,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glendale-abrazo-arrowhead-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-az-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to TENET HEALTHCARE CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to TENET HEALTHCARE CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000688340",
      "name": "MESCALERO HOSPITAL",
      "address": "318 ABALONE LOOP",
      "city": "MESCALERO",
      "state": "NM",
      "zip": "88340",
      "county": "OTERO",
      "latitude": 33.1587894002088,
      "longitude": -105.77247290024,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 13,
      "rating": null,
      "website": "http://www.ihs.gov/albuquerque/healthcarefacilities/mescalero",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-nm-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000688340",
        "external-resolution-0000688340"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000689052",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON",
      "address": "10301 JEFFREYS ST",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89052",
      "county": "CLARK",
      "latitude": 36.0011021300556,
      "longitude": -115.120883209918,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 90,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-encompass-health-rehabilitation-hospital-of-henderson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nv-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000690012",
      "name": "LOS ANGELES AMBULATORY CARE CENTER",
      "address": "351 E TEMPLE ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90012",
      "county": "LOS ANGELES",
      "latitude": 34.0520150399828,
      "longitude": -118.238420469808,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.losangeles.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-los-angeles-ambulatory-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LOS ANGELES AMBULATORY CARE CENTER",
      "parentSystemId": "entity-los-angeles-ambulatory-care-center",
      "siblingGroupId": "siblings-ca-los-angeles-ambulatory-care-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000690012",
        "external-resolution-0000690012"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.losangeles.va.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0000696720",
      "name": "HILO MEDICAL CENTER",
      "address": "1190 WAIANUENUE AVENUE",
      "city": "HILO",
      "state": "HI",
      "zip": "96720",
      "county": "HAWAII",
      "latitude": 19.7181396997809,
      "longitude": -155.112841870306,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 166,
      "rating": null,
      "website": "https://www.hilomedicalcenter.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hilo-hilo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAWAII HEALTH SYSTEMS CORPORATION",
      "parentSystemId": "entity-hawaii-health-systems-corporation",
      "siblingGroupId": "siblings-hi-hawaii-health-systems-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000702905",
      "name": "WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND",
      "address": "101 DUDLEY STREET",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02905",
      "county": "PROVIDENCE",
      "latitude": 41.8108773299887,
      "longitude": -71.4122007597285,
      "hospitalType": "WOMEN",
      "sourceOwner": "NON-PROFIT",
      "beds": 167,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CARE NEW ENGLAND HEALTH SYSTEMS",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-providence-women-&-infants-hospital-of-rhode-island/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-care-new-england-health-systems",
      "siblingGroupId": "siblings-ri-care-new-england-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-care-new-england-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carenewengland.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARE NEW ENGLAND HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Care New England Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARE NEW ENGLAND HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARE NEW ENGLAND HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Care New England Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARE NEW ENGLAND HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000708611",
      "name": "NEW JERSEY STATE PRISON HOSPITAL",
      "address": "2ND STREET",
      "city": "TRENTON",
      "state": "NJ",
      "zip": "08611",
      "county": "MERCER",
      "latitude": 40.2079795697211,
      "longitude": -74.7565284704199,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "http://state.nj.us/",
      "status": "corporate_chain",
      "parentSystem": "State Nj",
      "affiliatedSystem": "State Nj",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "State Nj",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-nj",
      "siblingGroupId": "siblings-nj-state-nj",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000708611",
        "external-resolution-0000708611"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://state.nj.us/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000718764",
      "name": "PAM SPECIALTY HOSPITAL OF WILKES - BARRE",
      "address": "575 NORTH RIVER STREET, 7TH FLOOR",
      "city": "WILKES-BARRE",
      "state": "PA",
      "zip": "18764",
      "county": "LUZERNE",
      "latitude": 41.2584850000712,
      "longitude": -75.8672619998215,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "http://postacutemedical.com",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilkes-barre-pam-specialty-hospital-of-wilkes-barre/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-pa-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: POST ACUTE MEDICAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POST ACUTE MEDICAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000721223",
      "name": "GRACE MEDICAL CENTER, INC",
      "address": "2000 W BALTIMORE STREET",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21223",
      "county": "BALTIMORE",
      "latitude": 39.2883462997417,
      "longitude": -76.6492529798346,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 71,
      "rating": null,
      "website": "http://www.bonsecoursbaltimore.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-grace-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SINAI HOSPITAL OF BALTIMORE, INC",
      "parentSystemId": "entity-sinai-hospital-of-baltimore-inc",
      "siblingGroupId": "siblings-md-sinai-hospital-of-baltimore-inc",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-03-01",
      "ownershipSourceIds": [
        "hifld-location-0000721223",
        "external-resolution-0000721223"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in MD. The latest transaction effective 03/01/2022 identifies SINAI HOSPITAL OF BALTIMORE, INC as buyer/current legal organization; the seller was GRACE MEDICAL CENTER INC.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in MD. The latest transaction effective 03/01/2022 identifies SINAI HOSPITAL OF BALTIMORE, INC as buyer/current legal organization; the seller was GRACE MEDICAL CENTER INC."
    },
    {
      "id": "0000745804",
      "name": "LIMA MEMORIAL HOSPITAL",
      "address": "1001 BELLEFONTAINE AVENUE",
      "city": "LIMA",
      "state": "OH",
      "zip": "45804",
      "county": "ALLEN",
      "latitude": 40.7357456001989,
      "longitude": -84.0859584201907,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 322,
      "rating": null,
      "website": "http://www.limamemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIMA MEMORIAL JOINT OPERATING COMPANY",
      "parentSystemId": "entity-lima-memorial-joint-operating-company",
      "siblingGroupId": "siblings-oh-lima-memorial-joint-operating-company",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-lima-memorial-joint-operating-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to LIMA MEMORIAL JOINT OPERATING COMPANY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIMA MEMORIAL JOINT OPERATING COMPANY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to LIMA MEMORIAL JOINT OPERATING COMPANY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIMA MEMORIAL JOINT OPERATING COMPANY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000749016",
      "name": "SELECT SPECIALTY HOSPITAL - BATTLE CREEK",
      "address": "300 NORTH AVENUE 6TH FLOOR",
      "city": "BATTLE CREEK",
      "state": "MI",
      "zip": "49016",
      "county": "CALHOUN",
      "latitude": 42.3306359400193,
      "longitude": -85.1793450502646,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/battlecre ek.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-battle-creek-select-specialty-hospital---battle-creek/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH LEPAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH LEPAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000761021",
      "name": "KATHERINE SHAW BETHEA HOSPITAL",
      "address": "403 E FIRST STREET",
      "city": "DIXON",
      "state": "IL",
      "zip": "61021",
      "county": "LEE",
      "latitude": 41.8447784300947,
      "longitude": -89.4788951199719,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dixon-katherine-shaw-bethea-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE SYSTEM",
      "parentSystemId": "entity-osf-healthcare-system",
      "siblingGroupId": "siblings-il-osf-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0000761021",
        "external-resolution-0000761021"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 140012; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20241209000675 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 140012; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20241209000675 and 1 owner/control organization row(s)."
    },
    {
      "id": "0000779124",
      "name": "PLUM CREEK SPECIALTY HOSPITAL",
      "address": "5601 PLUM CREEK DRIVE",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79124",
      "county": "POTTER",
      "latitude": 35.2184989998029,
      "longitude": -101.90220479957,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "website": "http://www.specialtyhospital-plumcreek.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amarillo-plum-creek-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PLUM CREEK SPECIALTY HOSPITAL",
      "parentSystemId": "entity-plum-creek-specialty-hospital",
      "siblingGroupId": "siblings-tx-plum-creek-specialty-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-12-31",
      "ownershipSourceIds": [
        "hifld-location-0000779124",
        "external-resolution-0000779124"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 452066; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 452066; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0000780229",
      "name": "VIBRA HOSPITAL OF DENVER",
      "address": "8451 PEARL ST",
      "city": "THORNTON",
      "state": "CO",
      "zip": "80229",
      "county": "ADAMS",
      "latitude": 39.8501621098246,
      "longitude": -104.979911299649,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "8451 PEARL STREET OPERATING COMPANY, LLC",
      "parentSystemId": "entity-8451-pearl-street-operating-company-llc",
      "siblingGroupId": "siblings-co-8451-pearl-street-operating-company-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent 8451 PEARL STREET OPERATING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent 8451 PEARL STREET OPERATING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000784770",
      "name": "DIXIE REGIONAL MEDICAL CENTER",
      "address": "544 SOUTH 400 EAST (FLOOD ST)",
      "city": "SAINT GEORGE",
      "state": "UT",
      "zip": "84770",
      "county": "WASHINGTON",
      "latitude": 37.0990663197859,
      "longitude": -113.575864629844,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 261,
      "rating": null,
      "website": "http://www.intermountainhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000784770",
        "external-resolution-0000784770"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000789106",
      "name": "HORIZON SPECIALTY HOSPITAL - LAS VEGAS",
      "address": "640 S MARTIN L KING BLVD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89106",
      "county": "CLARK",
      "latitude": 36.1630915397329,
      "longitude": -115.162811850327,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 199,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-horizon-specialty-hospital---las-vegas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HUNT VALLEY HOLDINGS LLC",
      "parentSystemId": "entity-hunt-valley-holdings-llc",
      "siblingGroupId": "siblings-nv-hunt-valley-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUNT VALLEY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MURRAY FORMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT VALLEY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HUNT VALLEY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MURRAY FORMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT VALLEY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000801852",
      "name": "LOWELL GENERAL HOSP SAINTS CAMPUS",
      "address": "1 HOSPITAL DRIVE",
      "city": "LOWELL",
      "state": "MA",
      "zip": "01852",
      "county": "MIDDLESEX",
      "latitude": 42.6457000003164,
      "longitude": -71.3008000004218,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 140,
      "rating": null,
      "website": "http://www.lowellgeneral.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lowell-lowell-general-hospital---saints-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Tufts Medicine",
      "parentSystemId": "entity-tufts-medicine",
      "siblingGroupId": "siblings-ma-tufts-medicine",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000801852",
        "external-resolution-0000801852"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.tuftsmedicine.org/get-care/locations"
      ],
      "ownershipProofNotes": "Tufts Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tufts Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000815009",
      "name": "CURAHEALTH HERITAGE VALLEY",
      "address": "1000 DUTCH RIDGE ROAD, SECOND FLOOR, TOWER A",
      "city": "BEAVER",
      "state": "PA",
      "zip": "15009",
      "county": "BEAVER",
      "latitude": 40.7120710002866,
      "longitude": -80.321960999666,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaver-curahealth-heritage-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-pa-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000815009",
        "external-resolution-0000815009"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20160826000249 (392043). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20160826000249 (392043). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000819805",
      "name": "ST FRANCIS HEALTHCARE",
      "address": "701 N CLAYTON ST",
      "city": "WILMINGTON",
      "state": "DE",
      "zip": "19805",
      "county": "NEW CASTLE",
      "latitude": 39.7498689399442,
      "longitude": -75.5668735102433,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 395,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-de-trinity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "de-dhcq-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dhss.delaware.gov/dhcq/dhcq/hospitals/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000820010",
      "name": "MEDSTAR NATIONAL REHABILITATION HOSPITAL",
      "address": "102 IRVING ST NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20010",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9305425198402,
      "longitude": -77.01334348017,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 137,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-medstar-national-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-093025",
        "official-dc-093025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/locations/medstar-national-rehabilitation-hospital/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "0000827401",
      "name": "CONE HEALTH",
      "address": "1200 NORTH ELM ST",
      "city": "GREENSBORO",
      "state": "NC",
      "zip": "27401",
      "county": "GUILFORD",
      "latitude": 36.0908847402677,
      "longitude": -79.7864573796333,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 883,
      "rating": null,
      "website": "http://www.conehealth.com/locations/moses-cone-hospital/",
      "status": "corporate_chain",
      "parentSystem": "RISANT HEALTH, INC.",
      "affiliatedSystem": "Cone Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Cone Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-risant-health-inc",
      "siblingGroupId": "siblings-nc-risant-health-inc",
      "campusFamilyId": "campus-nc-340091",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-risant-health-cone-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.conehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RISANT HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARY J CAGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Risant Health / Cone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RISANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RISANT HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARY J CAGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Risant Health / Cone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RISANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000831405",
      "name": "SELECT SPECIALTY HOSPITAL - SAVANNAH, INC",
      "address": "5353 REYNOLDS STREET 4 SOUTH",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31405",
      "county": "CHATHAM",
      "latitude": 32.0279005800786,
      "longitude": -81.1003106200475,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://savannah.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-savannah-select-specialty-hospital---savannah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ga-select-medical",
      "campusFamilyId": "campus-ga-112011",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CANDICE R CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CANDICE R CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000839202",
      "name": "SELECT SPECIALTY HOSPITAL - BELHAVEN, LLC",
      "address": "1225 NORTH STATE STREET",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39202",
      "county": "HINDS",
      "latitude": 32.3152625900037,
      "longitude": -90.1790367802022,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "https://belhaven.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-select-specialty-hospital-belhaven/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mississippi-baptist-health-systems-inc",
      "siblingGroupId": "siblings-ms-mississippi-baptist-health-systems-inc",
      "campusFamilyId": "campus-ms-250102",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000840504",
      "name": "CARDINAL HILL REHABILITATION HOSPITAL",
      "address": "2050 VERSAILLES ROAD",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40504",
      "county": "FAYETTE",
      "latitude": 38.0469724299225,
      "longitude": -84.5413889403873,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 158,
      "rating": null,
      "website": "http://www.cardinalhill.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-cardinal-hill-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ky-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000844805",
      "name": "SAMARITAN HOSPITAL",
      "address": "1025 CENTER STREET",
      "city": "ASHLAND",
      "state": "OH",
      "zip": "44805",
      "county": "ASHLAND",
      "latitude": 40.8592289699834,
      "longitude": -82.3095378599562,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 124,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000847303",
      "name": "CENTRAL INDIANA AMG SPECIALTY HOSPITAL LLC",
      "address": "2401 W UNIVERSITY AVE, 5TH FLOOR EAST TOWER",
      "city": "MUNCIE",
      "state": "IN",
      "zip": "47303",
      "county": "DELAWARE",
      "latitude": 40.1967418401582,
      "longitude": -85.4139914496854,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 HOLDCO INC",
      "parentSystemId": "entity-amg-2-0-holdco-inc",
      "siblingGroupId": "siblings-in-amg-2-0-holdco-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-amg-2-0-holdco-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to AMG 2 0 HOLDCO INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to AMG 2 0 HOLDCO INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000856303",
      "name": "ST. CLOUD HOSPITAL",
      "address": "1406 6TH AVENUE NORTH",
      "city": "ST. CLOUD",
      "state": "MN",
      "zip": "56301",
      "county": "STEARNS",
      "latitude": 45.5746605901136,
      "longitude": -94.1690911303865,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 489,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-cloud-st-cloud-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000860025",
      "name": "ENDEAVOR HEALTH GLENBROOK HOSPITAL",
      "address": "2100 PFINGSTEN ROAD",
      "city": "GLENVIEW",
      "state": "IL",
      "zip": "60025",
      "county": "COOK",
      "latitude": 42.0925522899951,
      "longitude": -87.8525633301849,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 173,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Unknown",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "affiliationConfidence": "high",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "NorthShore acute care campus",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000860025"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0000867337",
      "name": "COFFEYVILLE REGIONAL MEDICAL CENTER INC",
      "address": "1400 W 4TH ST, PO BOX 856",
      "city": "COFFEYVILLE",
      "state": "KS",
      "zip": "67337",
      "county": "MONTGOMERY",
      "latitude": 37.0409936802142,
      "longitude": -95.639427339559,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 47,
      "rating": null,
      "website": "www.crmcinc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coffeyville-coffeyville-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COFFEYVILLE REGIONAL MEDICAL CENTER, INC.",
      "parentSystemId": "entity-coffeyville-regional-medical-center-inc",
      "siblingGroupId": "siblings-ks-coffeyville-regional-medical-center-inc",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-11-01",
      "ownershipSourceIds": [
        "hifld-location-0000867337",
        "external-resolution-0000867337"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in KS. The latest transaction effective 11/01/2023 identifies COFFEYVILLE REGIONAL MEDICAL CENTER, INC. as buyer/current legal organization; the seller was COFFEYVILLE REGIONAL MEDICAL CENTER, INC..",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in KS. The latest transaction effective 11/01/2023 identifies COFFEYVILLE REGIONAL MEDICAL CENTER, INC. as buyer/current legal organization; the seller was COFFEYVILLE REGIONAL MEDICAL CENTER, INC.."
    },
    {
      "id": "0000869022",
      "name": "CAMBRIDGE MEMORIAL HOSPITAL, INC",
      "address": "1305 WEST HIGHWAY 6/34",
      "city": "CAMBRIDGE",
      "state": "NE",
      "zip": "69022",
      "county": "FURNAS",
      "latitude": 40.2806050102958,
      "longitude": -100.180359339857,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAMBRIDGE MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-cambridge-memorial-hospital-inc",
      "siblingGroupId": "siblings-ne-cambridge-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-cambridge-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CAMBRIDGE MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMBRIDGE MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CAMBRIDGE MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMBRIDGE MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000870809",
      "name": "BATON ROUGE REHAB HOSPITAL",
      "address": "8595 UNITED PLAZA BOULEVARD",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70809",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4102069802042,
      "longitude": -91.0949900797852,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "https://www.brrehab.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BEHAVIORAL HEALTH INC",
      "parentSystemId": "entity-behavioral-health-inc",
      "siblingGroupId": "siblings-la-behavioral-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 45%). CMS lists SAMUEL E WILLIAMSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 45%). CMS lists SAMUEL E WILLIAMSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000879106",
      "name": "VIBRA HOSPITAL OF AMARILLO",
      "address": "7501 WALLACE BLVD",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79124",
      "county": "POTTER",
      "latitude": 35.1941490000976,
      "longitude": -101.92669261011,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 37,
      "rating": null,
      "website": "http://www.khamarillo.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amarillo-vibra-hospital-of-amarillo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-tx-vibra-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000879106",
        "external-resolution-0000879106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000882902",
      "name": "MEMORIAL HOSPITAL OF SWEETWATER COUNTY DBA COUNTY OF SWEETWATER",
      "address": "1200 COLLEGE DR",
      "city": "ROCK SPRINGS",
      "state": "WY",
      "zip": "82901",
      "county": "SWEETWATER",
      "latitude": 41.5849511502136,
      "longitude": -109.235500940099,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 99,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SWEETWATER",
      "parentSystemId": "entity-county-of-sweetwater",
      "siblingGroupId": "siblings-wy-county-of-sweetwater",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-county-of-sweetwater"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF SWEETWATER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to COUNTY OF SWEETWATER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SWEETWATER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF SWEETWATER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to COUNTY OF SWEETWATER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SWEETWATER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000887102",
      "name": "HEART HOSPITAL OF NEW MEXICO",
      "address": "504 ELM STREET NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "BERNALILLO",
      "latitude": 35.0877902497906,
      "longitude": -106.637056880225,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-heart-hospital-of-new-mexico/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Ardent Health",
      "parentSystemId": "entity-ardent-health",
      "siblingGroupId": "siblings-nm-ardent-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000887102",
        "external-resolution-0000887102"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Ardent Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Ardent Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0000889119",
      "name": "KINDRED HOSPITAL - LAS VEGAS - SAHARA CAMPUS",
      "address": "5110 W SAHARA AVE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89146",
      "county": "CLARK",
      "latitude": 36.1159162396695,
      "longitude": -115.121836229908,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 52,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "292002",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-nv-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000898356",
      "name": "ARBOR HEALTH - MORTON GENERAL HOSPITAL",
      "address": "521 ADAMS ST",
      "city": "MORTON",
      "state": "WA",
      "zip": "98356",
      "county": "LEWIS",
      "latitude": 46.555674809755,
      "longitude": -122.280354389858,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 17,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=49",
      "status": "corporate_chain",
      "parentSystem": "LEWIS COUNTY HOSPITAL DISTRICT NO 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-lewis-county-hospital-district-no-1",
      "siblingGroupId": "siblings-wa-lewis-county-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-lewis-county-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEWIS COUNTY HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JANICE CRAMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to LEWIS COUNTY HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEWIS COUNTY HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEWIS COUNTY HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JANICE CRAMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to LEWIS COUNTY HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEWIS COUNTY HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000900605",
      "name": "HOSP COMUNITARIO BUEN SAMARITANO",
      "address": "CARR2, KM14, AVE SEVERIANO CUEVAS, SUITE18",
      "city": "AGUADILLA",
      "state": "PR",
      "zip": "00603",
      "county": "AGUADILLA",
      "latitude": 18.4428093402065,
      "longitude": -67.150885110334,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 154,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0000902920",
      "name": "ELEANOR SLATER HOSPITAL",
      "address": "111 HOWARD AVENUE",
      "city": "CRANSTON",
      "state": "RI",
      "zip": "02920",
      "county": "PROVIDENCE",
      "latitude": 41.7447051596716,
      "longitude": -71.4632247202185,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 230,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cranston-eleanor-slater-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF RHODE ISLAND",
      "parentSystemId": "entity-state-of-rhode-island",
      "siblingGroupId": "siblings-ri-state-of-rhode-island",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-state-of-rhode-island"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.ri.gov/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF RHODE ISLAND (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. RI resolution: normalized CMS owner/operator to STATE OF RHODE ISLAND; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF RHODE ISLAND, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF RHODE ISLAND (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. RI resolution: normalized CMS owner/operator to STATE OF RHODE ISLAND; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF RHODE ISLAND, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000905819",
      "name": "NORTHEASTERN VT REGIONAL HOSPITAL",
      "address": "1315 HOSPITAL DRIVE",
      "city": "ST. JOHNSBURY",
      "state": "VT",
      "zip": "05819",
      "county": "CALEDONIA",
      "latitude": 44.4457869200415,
      "longitude": -72.0095579900404,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEASTERN VERMONT REGIONAL HOSPITAL INC",
      "parentSystemId": "entity-northeastern-vermont-regional-hospital-inc",
      "siblingGroupId": "siblings-vt-northeastern-vermont-regional-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-northeastern-vermont-regional-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to NORTHEASTERN VERMONT REGIONAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN VERMONT REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to NORTHEASTERN VERMONT REGIONAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN VERMONT REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000915213",
      "name": "SELECT SPECIALTY HOSPITAL - PITTSBURGH - UPMC, INC",
      "address": "200 LOTHROP STREET, MUH E824",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15213",
      "county": "ALLEGHENY",
      "latitude": 40.4422089998936,
      "longitude": -79.9596680003664,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 67,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-select-specialty-hospital---pittsburgh-/-upmc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURIE KOZOROSKY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURIE KOZOROSKY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000920010",
      "name": "CHILDREN'S NATIONAL MEDICAL CENTER",
      "address": "111 MICHIGAN AVE NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20010",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9272660698147,
      "longitude": -77.0143937203316,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 323,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-children-s-national-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-093300",
        "official-dc-093300"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.childrensnational.org/about-us/our-health-system"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "0000929506",
      "name": "MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE",
      "address": "555 E CHEVES ST",
      "city": "FLORENCE",
      "state": "SC",
      "zip": "29506",
      "county": "FLORENCE",
      "latitude": 34.1971149700958,
      "longitude": -79.7589747197846,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 517,
      "rating": null,
      "website": "http://www.mcleodhealth.org/mcleod-regional-medical-center/the-choice-for-medical-excellence.html",
      "status": "corporate_chain",
      "parentSystem": "MCLEOD HEALTH",
      "affiliatedSystem": "Mcleodhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mcleodhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcleod-health",
      "siblingGroupId": "siblings-sc-mcleod-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-mcleod-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mcleodhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000930274",
      "name": "SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE",
      "address": "11 UPPER RIVERDALE ROAD SW",
      "city": "RIVERDALE",
      "state": "GA",
      "zip": "30274",
      "county": "CLAYTON",
      "latitude": 33.5793287002637,
      "longitude": -84.3891337999871,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://www.dubuis.org/southerncrescenthospitalforspecialtycare",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverdale-southern-crescent-hospital-for-specialty-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ga-prime-healthcare",
      "campusFamilyId": "campus-ga-110165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000933180",
      "name": "HCA FLORIDA AVENTURA HOSPITAL",
      "address": "20900 BISCAYNE BLVD",
      "city": "AVENTURA",
      "state": "FL",
      "zip": "33180",
      "county": "MIAMI-DADE",
      "latitude": 25.9702031797509,
      "longitude": -80.1453962196806,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 467,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/aventura-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100131",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aventura-hca-florida-aventura-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000947130",
      "name": "CLARK MEMORIAL HEALTH",
      "address": "1220 MISSOURI AVE",
      "city": "JEFFERSONVILLE",
      "state": "IN",
      "zip": "47130",
      "county": "CLARK",
      "latitude": 38.282255719861,
      "longitude": -85.7486318503424,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 236,
      "rating": null,
      "website": "http://www.clarkmemorial.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTON HEALTHCARE - INDIANA, INC",
      "parentSystemId": "entity-norton-healthcare-indiana-inc",
      "siblingGroupId": "siblings-in-norton-healthcare-indiana-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-norton-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nortonhealthcare.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTON HEALTHCARE - INDIANA, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Norton Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON HEALTHCARE - INDIANA, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTON HEALTHCARE - INDIANA, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Norton Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON HEALTHCARE - INDIANA, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000949720",
      "name": "MUNSON HEALTHCARE CHARLEVOIX HOSPITAL",
      "address": "14700 LAKESHORE DRIVE",
      "city": "CHARLEVOIX",
      "state": "MI",
      "zip": "49720",
      "county": "CHARLEVOIX",
      "latitude": 45.3148200900519,
      "longitude": -85.2748625595905,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.munsonhealthcare.org/charlevoixhospital",
      "status": "corporate_chain",
      "parentSystem": "MUNSON HEALTHCARE",
      "affiliatedSystem": "Munsonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Munsonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlevoix-munson-healthcare-charlevoix-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000955101",
      "name": "REGIONS HOSPITAL",
      "address": "640 JACKSON STREET",
      "city": "ST. PAUL",
      "state": "MN",
      "zip": "55101",
      "county": "RAMSEY",
      "latitude": 44.9558875299441,
      "longitude": -93.0949516400968,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 480,
      "rating": null,
      "website": "http://www.regionshospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-paul-regions-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HPI RAMSEY",
      "parentSystemId": "entity-hpi-ramsey",
      "siblingGroupId": "siblings-mn-hpi-ramsey",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-healthpartners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthpartners.com/care/find/location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HPI RAMSEY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HPI RAMSEY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HPI RAMSEY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HPI RAMSEY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000961605",
      "name": "GREATER PEORIA SPECIALTY HOSPITAL LLC",
      "address": "500 W ROMEO B GARRETT AVE",
      "city": "PEORIA",
      "state": "IL",
      "zip": "61605",
      "county": "PEORIA",
      "latitude": 40.6928886202759,
      "longitude": -89.6007296496068,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/ltac/kindred-hospital-peoria",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000964116",
      "name": "NORTH KANSAS CITY HOSPITAL",
      "address": "2800 CLAY EDWARDS DRIVE",
      "city": "NORTH KANSAS CITY",
      "state": "MO",
      "zip": "64116",
      "county": "CLAY",
      "latitude": 39.1489875797405,
      "longitude": -94.551161620441,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 451,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-kansas-city-north-kansas-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTH KANSAS CITY HOSPITAL",
      "parentSystemId": "entity-north-kansas-city-hospital",
      "siblingGroupId": "siblings-mo-north-kansas-city-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH KANSAS CITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUSTIN JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH KANSAS CITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH KANSAS CITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUSTIN JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH KANSAS CITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000973701",
      "name": "INTEGRIS BASS PAVILION",
      "address": "401 SOUTH THIRD STREET",
      "city": "ENID",
      "state": "OK",
      "zip": "73701",
      "county": "GARFIELD",
      "latitude": 36.3926324602492,
      "longitude": -97.8740892404293,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "website": "http://www.integris-health.com/integris/en-us/locations/bass-enid",
      "status": "corporate_chain",
      "parentSystem": "Integris Health",
      "affiliatedSystem": "Integris Health",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Integris Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-enid-integris-bass-pavilion/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integris-health",
      "siblingGroupId": "siblings-ok-integris-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000973701",
        "external-resolution-0000973701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.integris-health.com/integris/en-us/locations/bass-enid"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000979124",
      "name": "PHYSICIANS SURGICAL HOSPITAL - QUAIL CREEK CAMPUS",
      "address": "6819 PLUM CREEK DRIVE",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79124",
      "county": "POTTER",
      "latitude": 35.2104222098034,
      "longitude": -101.912779539821,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 19,
      "rating": null,
      "website": "http://www.physurg.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Ardent Health",
      "parentSystemId": "entity-ardent-health",
      "siblingGroupId": "siblings-tx-ardent-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000979124",
        "external-resolution-0000979124"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20030929000004 (450875). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20030929000004 (450875). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0000987102",
      "name": "LOVELACE UNM REHABILITATION HOSPITAL, LLC",
      "address": "505 ELM STREET NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "BERNALILLO",
      "latitude": 35.0877726699394,
      "longitude": -106.638345260175,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHS Management",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nm-ahs-management",
      "campusFamilyId": "campus-nm-323028",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-ardent-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0000989146",
      "name": "KINDRED HOSPITAL - LAS VEGAS - FLAMINGO CAMPUS",
      "address": "2250 E FLAMINGO RD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89119",
      "county": "CLARK",
      "latitude": 36.1454920402889,
      "longitude": -115.211866499797,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 66,
      "rating": null,
      "website": "http://www.kindredhospitallvf.com/",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-nv-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000989146",
        "external-resolution-0000989146"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0000999506",
      "name": "673RD MEDICAL GROUP",
      "address": "5955 ZEAMER AVENUE",
      "city": "JOINT BASE ELMENDORF - RICHARDSON",
      "state": "AK",
      "zip": "99506",
      "county": "ANCHORAGE",
      "latitude": 61.2350959698959,
      "longitude": -149.744667059753,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://elmendorfrichardson.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ak-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0000999506",
        "external-resolution-0000999506"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001003047",
      "name": "CROTCHED MOUNTAIN REHABILITATION CENTER",
      "address": "1 VERNEY DRIVE",
      "city": "GREENFIELD",
      "state": "NH",
      "zip": "03047",
      "county": "HILLSBOROUGH",
      "latitude": 42.9718710997915,
      "longitude": -71.8745359099636,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 62,
      "rating": null,
      "website": "http://www.cmf.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenfield-crotched-mountain-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Crotched Mountain Rehabilitation Center Inc",
      "parentSystemId": "entity-crotched-mountain-rehabilitation-center-inc",
      "siblingGroupId": "siblings-nh-crotched-mountain-rehabilitation-center-inc",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001003047",
        "external-resolution-0001003047"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/222541478"
      ],
      "ownershipProofNotes": "The normalized facility name exactly matches the IRS-recognized organization Crotched Mountain Rehabilitation Center Inc (EIN 222541478) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented.",
      "parentSystemEvidence": "The normalized facility name exactly matches the IRS-recognized organization Crotched Mountain Rehabilitation Center Inc (EIN 222541478) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented."
    },
    {
      "id": "0001005478",
      "name": "NORTHWESTERN MEDICAL CENTER",
      "address": "133 FAIRFIELD STREET",
      "city": "ST. ALBANS",
      "state": "VT",
      "zip": "05487",
      "county": "FRANKLIN",
      "latitude": 44.8077396197171,
      "longitude": -73.0725130903268,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-albans-northwestern-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWESTERN MEDICAL CENTER INC",
      "parentSystemId": "entity-northwestern-medical-center-inc",
      "siblingGroupId": "siblings-vt-northwestern-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS lists JOHN P MINADEO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOHN P MINADEO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001008094",
      "name": "MARYVILLE INCORPORATED",
      "address": "1903 GRANT AVENUE",
      "city": "WILLIAMSTOWN",
      "state": "NJ",
      "zip": "08094",
      "county": "GLOUCESTER",
      "latitude": 39.6354745799724,
      "longitude": -75.0351038796228,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 68,
      "rating": null,
      "website": "http://www.maryvillenj.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williamstown-maryville-incorporated/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MARYVILLE INCORPORATED",
      "parentSystemId": "entity-maryville-incorporated",
      "siblingGroupId": "siblings-nj-maryville-incorporated",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001008094",
        "external-resolution-0001008094"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.maryvillenj.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0001015132",
      "name": "SELECT SPECIALTY HOSPITAL - MCKEESPORT, INC",
      "address": "1500 FIFTH AVENUE",
      "city": "MCKEESPORT",
      "state": "PA",
      "zip": "15132",
      "county": "ALLEGHENY",
      "latitude": 40.3505765602389,
      "longitude": -79.8492774801401,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "website": "http://mckeesport.selectspecialtyhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mckeesport-select-specialty-hospital-mckeesport/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LOUIS A URBAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LOUIS A URBAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001027804",
      "name": "NASH GENERAL HOSPITAL",
      "address": "2460 CURTIS ELLIS DR",
      "city": "ROCKY MOUNT",
      "state": "NC",
      "zip": "27804",
      "county": "NASH",
      "latitude": 35.9761559700545,
      "longitude": -77.852310809561,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 345,
      "rating": null,
      "website": "http://www.nhcs.org",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001035601",
      "name": "DECATUR MORGAN HOSPITAL - PARKWAY CAMPUS",
      "address": "1874 BELTLINE ROAD SW",
      "city": "DECATUR",
      "state": "AL",
      "zip": "35601",
      "county": "MORGAN",
      "latitude": 34.5768967897627,
      "longitude": -87.0158086600348,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 120,
      "rating": null,
      "website": "http://www.decaturgeneral.org/",
      "status": "corporate_chain",
      "parentSystem": "Decaturgeneral",
      "affiliatedSystem": "Decaturgeneral",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Decaturgeneral",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-decatur-decatur-morgan-hospital---parkway-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-decaturgeneral",
      "siblingGroupId": "siblings-al-decaturgeneral",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001035601",
        "external-resolution-0001035601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.decaturgeneral.org/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001048879",
      "name": "SPARROW CLINTON HOSPITAL",
      "address": "805 S OAKLAND",
      "city": "SAINT JOHNS",
      "state": "MI",
      "zip": "48879",
      "county": "CLINTON",
      "latitude": 42.9931308998604,
      "longitude": -84.5551358600785,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.sparrow.org/sparrowclinton",
      "status": "corporate_chain",
      "parentSystem": "SPARROW HEALTH SYSTEM",
      "affiliatedSystem": "Sparrow",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Sparrow",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-johns-sparrow-clinton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sparrow-health-system",
      "siblingGroupId": "siblings-mi-sparrow-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-sparrow-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPARROW HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SPARROW HEALTH SYSTEM; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARROW HEALTH SYSTEM, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPARROW HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SPARROW HEALTH SYSTEM; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARROW HEALTH SYSTEM, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001051247",
      "name": "HEGG MEMORIAL HOSPITAL",
      "address": "1202 21ST AVENUE",
      "city": "ROCK VALLEY",
      "state": "IA",
      "zip": "51247",
      "county": "SIOUX",
      "latitude": 43.2027938699963,
      "longitude": -96.2839682603691,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEGG MEMORIAL HOSPITAL",
      "parentSystemId": "entity-hegg-memorial-hospital",
      "siblingGroupId": "siblings-ia-hegg-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-hegg-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to HEGG MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEGG MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to HEGG MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEGG MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001055440",
      "name": "PARK NICOLLET METHODIST HOSPITAL",
      "address": "6500 EXCELSIOR BLVD, PO BOX 650",
      "city": "ST. LOUIS PARK",
      "state": "MN",
      "zip": "55426",
      "county": "HENNEPIN",
      "latitude": 44.9289851901859,
      "longitude": -93.3622300204413,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 426,
      "rating": null,
      "website": "http://www.parknicollet.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "PARK NICOLLET HEALTH SERVICES",
      "parentSystemId": "entity-park-nicollet-health-services",
      "siblingGroupId": "siblings-mn-park-nicollet-health-services",
      "campusFamilyId": "campus-mn-240053",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-healthpartners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthpartners.com/care/find/location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARK NICOLLET HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK NICOLLET HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARK NICOLLET HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK NICOLLET HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001057201",
      "name": "PRAIRIE LAKES HOSPITAL",
      "address": "401 9TH AVE NW",
      "city": "WATERTOWN",
      "state": "SD",
      "zip": "57201",
      "county": "CODINGTON",
      "latitude": 44.9109746099975,
      "longitude": -97.1212373399868,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 81,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-watertown-prairie-lakes-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRAIRIE LAKES HEALTHCARE SYSTEM, INC",
      "parentSystemId": "entity-prairie-lakes-healthcare-system-inc",
      "siblingGroupId": "siblings-sd-prairie-lakes-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE LAKES HEALTHCARE SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE LAKES HEALTHCARE SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001060035",
      "name": "ENDEAVOR HEALTH HIGHLAND PARK HOSPITAL",
      "address": "777 PARK AVENUE WEST",
      "city": "HIGHLAND PARK",
      "state": "IL",
      "zip": "60035",
      "county": "LAKE",
      "latitude": 42.1911067701548,
      "longitude": -87.8084149500137,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 139,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "affiliationConfidence": "high",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "NorthShore acute care campus",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001060035"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0001068818",
      "name": "MEMORIAL COMMUNITY HEALTH, INC",
      "address": "1423 SEVENTH ST",
      "city": "AURORA",
      "state": "NE",
      "zip": "68818",
      "county": "HAMILTON",
      "latitude": 40.8712343400499,
      "longitude": -98.0106406304121,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-memorial-community-health-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ne-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-memorial-community-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MEMORIAL COMMUNITY HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MEMORIAL COMMUNITY HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001074464",
      "name": "CHEROKEE NATION W. W. HASTINGS HOSPITAL",
      "address": "100 SOUTH BLISS AVENUE",
      "city": "TAHLEQUAH",
      "state": "OK",
      "zip": "74464",
      "county": "CHEROKEE",
      "latitude": 35.9118314698562,
      "longitude": -94.9505388003327,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.cherokee.org/services/health/30866/information.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tahlequah-cherokee-nation-w.-w.-hastings-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHEROKEE NATION",
      "parentSystemId": "entity-cherokee-nation",
      "siblingGroupId": "siblings-ok-cherokee-nation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-cherokee-nation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHEROKEE NATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CHEROKEE NATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHEROKEE NATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHEROKEE NATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CHEROKEE NATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHEROKEE NATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001079119",
      "name": "NORTHWEST TEXAS SURGERY CENTER",
      "address": "3501 SONCY ROAD, SUITE 118",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79119",
      "county": "RANDALL",
      "latitude": 35.1736525199706,
      "longitude": -101.936375570321,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "website": "www.nwtsc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amarillo-northwest-texas-surgery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NORTHWEST TEXAS SURGERY CENTER",
      "parentSystemId": "entity-northwest-texas-surgery-center",
      "siblingGroupId": "siblings-tx-northwest-texas-surgery-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2015-06-30",
      "ownershipSourceIds": [
        "hifld-location-0001079119",
        "external-resolution-0001079119"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 450796; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 450796; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001080122",
      "name": "CENTURA HEALTH - LITTLETON ADVENTIST HOSPITAL",
      "address": "7700 S BROADWAY",
      "city": "LITTLETON",
      "state": "CO",
      "zip": "80122",
      "county": "ARAPAHOE",
      "latitude": 39.5763312202329,
      "longitude": -104.986073819754,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 231,
      "rating": null,
      "website": "http://www.mylittletonhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-littleton-centura-health-littleton-adventist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-co-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001089103",
      "name": "DESERT WINDS HOSPITAL",
      "address": "5900 W ROCHELLE AVE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89103",
      "county": "CLARK",
      "latitude": 36.1117522597368,
      "longitude": -115.22163808959,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 154,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-desert-winds-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "THRIVE BEHAVIORAL HOSPITAL LLC",
      "parentSystemId": "entity-thrive-behavioral-hospital-llc",
      "siblingGroupId": "siblings-nv-thrive-behavioral-hospital-llc",
      "campusFamilyId": "campus-nv-294016",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS lists YOSEF MEYSTEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THRIVE BEHAVIORAL HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists YOSEF MEYSTEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THRIVE BEHAVIORAL HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001094704",
      "name": "ALTA BATES SUMMIT MEDICAL CENTER - HERRICK CAMPUS",
      "address": "2001 DWIGHT WAY",
      "city": "BERKELEY",
      "state": "CA",
      "zip": "94704",
      "county": "ALAMEDA",
      "latitude": 37.8644118602694,
      "longitude": -122.268577620213,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 69,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berkeley-alta-bates-summit-med-ctr-herrick-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001094704",
        "external-resolution-0001094704"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sutterhealth.org/find-location"
      ],
      "ownershipProofNotes": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001096826",
      "name": "KAPIOLANI MEDICAL CENTER FOR WOMEN AND CHILDREN",
      "address": "1319 PUNAHOU STREET",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96826",
      "county": "HONOLULU",
      "latitude": 21.3003561000444,
      "longitude": -157.833736469639,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 253,
      "rating": null,
      "website": "https://www.hawaiipacifichealth.org/kapiolani/locations/kapiolani-medical-center/",
      "status": "corporate_chain",
      "parentSystem": "HAWAII PACIFIC HEALTH",
      "affiliatedSystem": "Hawaiipacifichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hawaiipacifichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hawaii-pacific-health",
      "siblingGroupId": "siblings-hi-hawaii-pacific-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-pacific-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hawaiipacifichealth.org/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII PACIFIC HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII PACIFIC HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001098312",
      "name": "NAVAL HOSPITAL BREMERTON",
      "address": "1 BOONE RD",
      "city": "BREMERTON",
      "state": "WA",
      "zip": "98312",
      "county": "KITSAP",
      "latitude": 47.5949977197609,
      "longitude": -122.691560529715,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 40,
      "rating": null,
      "website": "https://bremerton.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bremerton-naval-hospital-bremerton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-wa-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001098312",
        "external-resolution-0001098312"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001100623",
      "name": "HOSPITAL PSIQUIATRICO METROPOLITANO CABO ROJO",
      "address": "108 MUNOZ RIVERA STREET",
      "city": "BO BALLAJA",
      "state": "PR",
      "zip": "00623",
      "county": "CABO ROJO",
      "latitude": 18.085732299745,
      "longitude": -67.1473275302806,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 43,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0001102118",
      "name": "BOSTON MED CTR CORP MENINO PAVILION",
      "address": "830-840 HARRISON AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02118",
      "county": "SUFFOLK",
      "latitude": 42.3347000002336,
      "longitude": -71.0731999995644,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 414,
      "rating": null,
      "website": "http://www.smma.com/project/life-science/boston-medical-center-menino-pavilion-formerly-boston-city-hospital-master-plan",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Boston Medical Center Health System",
      "parentSystemId": "entity-boston-medical-center-health-system",
      "siblingGroupId": "siblings-ma-boston-medical-center-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001102118",
        "external-resolution-0001102118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bmchealthsystem.org/"
      ],
      "ownershipProofNotes": "Boston Medical Center Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Boston Medical Center Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001106066",
      "name": "ROCKVILLE GENERAL HOSPITAL",
      "address": "31 UNION ST",
      "city": "VERNON ROCKVILLE",
      "state": "CT",
      "zip": "06066",
      "county": "CAPITOL",
      "latitude": 41.8666005502998,
      "longitude": -72.4512112903712,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 102,
      "rating": null,
      "website": "http://www.echn.org/locations/rockville-general-hospital.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prospect Medical Holdings",
      "parentSystemId": "entity-prospect-medical-holdings",
      "siblingGroupId": "siblings-ct-prospect-medical-holdings",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001106066",
        "external-resolution-0001106066"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pmh.com/hospitals"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 070012. The tracker parent candidate was corroborated against Prospect Medical Holdings's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 070012. The tracker parent candidate was corroborated against Prospect Medical Holdings's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0001107018",
      "name": "EAST ORANGE VA MEDICAL CENTER",
      "address": "385 TREMONT AVENUE",
      "city": "EAST ORANGE",
      "state": "NJ",
      "zip": "07018",
      "county": "ESSEX",
      "latitude": 40.7525336897033,
      "longitude": -74.2361401800388,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 439,
      "rating": null,
      "website": "https://www.va.gov/new-jersey-health-care/locations/east-orange-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nj-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NJ resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NJ resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001117822",
      "name": "SELECT SPECIALTY HOSPITAL - DANVILLE INC",
      "address": "100 NORTH ACADEMY AVENUE, 3RD FL BUSH AND GEISINGER",
      "city": "DANVILLE",
      "state": "PA",
      "zip": "17822",
      "county": "MONTOUR",
      "latitude": 40.9680273297826,
      "longitude": -76.6040831298455,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://danville.selectspecialtyhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-select-specialty-hospital-danville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001117822",
        "external-resolution-0001117822"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001129203",
      "name": "MUSC HEALTH COLUMBIA MEDICAL CENTER - NORTHEAST",
      "address": "120 GATEWAY CORPORATE BLVD",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29203",
      "county": "RICHLAND",
      "latitude": 34.1041678897102,
      "longitude": -80.9586357696901,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-musc-health-columbia-medical-center-northeast-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-medical-university-hospital-authority",
      "siblingGroupId": "siblings-sc-medical-university-hospital-authority",
      "campusFamilyId": "campus-sc-420026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-verified-parent-medical-university-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001130306",
      "name": "HILLSIDE HOSPITAL",
      "address": "690 COURTENAY DRIVE NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30306",
      "county": "FULTON",
      "latitude": 33.790881239782,
      "longitude": -84.3654103398708,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 81,
      "rating": null,
      "website": "http://www.hside.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-hillside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Hillside, Inc.",
      "parentSystemId": "entity-hillside-inc",
      "siblingGroupId": "siblings-ga-hillside-inc",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001130306",
        "external-resolution-0001130306"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://apps.irs.gov/pub/epostcard/cor/060646653_202106_990_2022102520557612.pdf"
      ],
      "ownershipProofNotes": "The IRS filing identifies Hillside Hospital at the exact Atlanta address as a 501(c)(3) organization. No higher system parent is inferred.",
      "parentSystemEvidence": "The IRS filing identifies Hillside Hospital at the exact Atlanta address as a 501(c)(3) organization. No higher system parent is inferred."
    },
    {
      "id": "0001135601",
      "name": "DECATUR MORGAN WEST",
      "address": "2205 BELTLINE ROAD SW, PO BOX 2240",
      "city": "DECATUR",
      "state": "AL",
      "zip": "35601",
      "county": "MORGAN",
      "latitude": 34.5836823199527,
      "longitude": -87.0254165902578,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "http://www.decaturgeneral.org/",
      "status": "corporate_chain",
      "parentSystem": "Decaturgeneral",
      "affiliatedSystem": "Decaturgeneral",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Decaturgeneral",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-decatur-decatur-morgan-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-decaturgeneral",
      "siblingGroupId": "siblings-al-decaturgeneral",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001135601",
        "external-resolution-0001135601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.decaturgeneral.org/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001139211",
      "name": "SELECT SPECIALTY HOSPITAL JACKSON",
      "address": "5903 RIDGEWOOD ROAD",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39211",
      "county": "HINDS",
      "latitude": 32.3897700399152,
      "longitude": -90.1433756100719,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 53,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/jackson.",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-select-specialty-hospital---jackson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ms-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-select-medical-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT SHANNON CANARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT SHANNON CANARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001142749",
      "name": "THE MEDICAL CENTER AT CAVERNA",
      "address": "1501 SOUTH DIXIE STREET",
      "city": "HORSE CAVE",
      "state": "KY",
      "zip": "42749",
      "county": "HART",
      "latitude": 37.1613061501216,
      "longitude": -85.9230381601598,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-horse-cave-the-medical-center-at-caverna/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "parentSystemId": "entity-commonwealth-health-corporation-inc",
      "siblingGroupId": "siblings-ky-commonwealth-health-corporation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-med-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medcenterhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001155102",
      "name": "ST. JOSEPH'S HOSPITAL",
      "address": "45 10TH STREET WEST",
      "city": "ST. PAUL",
      "state": "MN",
      "zip": "55102",
      "county": "RAMSEY",
      "latitude": 44.9485549501611,
      "longitude": -93.0999002002822,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 401,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "FAIRVIEW BETHESDA HOSPITAL",
      "parentSystemId": "entity-fairview-bethesda-hospital",
      "siblingGroupId": "siblings-mn-fairview-bethesda-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-m-health-fairview"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW BETHESDA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW BETHESDA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001160016",
      "name": "PRESENCE CHICAGO HOSPITALS NETWORK",
      "address": "100 NORTH RIVER ROAD",
      "city": "DES PLAINES",
      "state": "IL",
      "zip": "60016",
      "county": "COOK",
      "latitude": 42.0555971098103,
      "longitude": -87.890037609579,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 188,
      "rating": null,
      "website": "https://www.amitahealth.org/location/amita-health-holy-family-medical-center-des-plaines",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001173507",
      "name": "LAWTON HOSPITAL",
      "address": "1515 LAWRIE TATUM ROAD",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73507",
      "county": "COMANCHE",
      "latitude": 34.6275983200093,
      "longitude": -98.3842419503932,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 26,
      "rating": null,
      "website": "https://www.ihs.gov/oklahomacity/healthcarefacilities/lawton/",
      "status": "corporate_chain",
      "parentSystem": "LAWTON INDIAN HOSPITAL",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-lawton-indian-hospital",
      "siblingGroupId": "siblings-ok-lawton-indian-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-lawton-indian-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LAWTON INDIAN HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWTON INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LAWTON INDIAN HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWTON INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001174868",
      "name": "ALLIANCEHEALTH SEMINOLE",
      "address": "2401 WRANGLER BOULEVARD",
      "city": "SEMINOLE",
      "state": "OK",
      "zip": "74868",
      "county": "SEMINOLE",
      "latitude": 35.2449749898953,
      "longitude": -96.6984092398529,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://myalliancehealth.com/",
      "status": "corporate_chain",
      "parentSystem": "ALLIANCEHEALTH SEMINOLE",
      "affiliatedSystem": "Myalliancehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Myalliancehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-alliancehealth-seminole",
      "siblingGroupId": "siblings-ok-alliancehealth-seminole",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-alliancehealth-seminole"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to ALLIANCEHEALTH SEMINOLE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLIANCEHEALTH SEMINOLE, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to ALLIANCEHEALTH SEMINOLE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLIANCEHEALTH SEMINOLE, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001177515",
      "name": "UTMB HEALTH ANGLETON DANBURY CAMPUS",
      "address": "132 EAST HOSPITAL DRIVE",
      "city": "ANGLETON",
      "state": "TX",
      "zip": "77515",
      "county": "BRAZORIA",
      "latitude": 29.1839941503625,
      "longitude": -95.4053823703058,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 25,
      "rating": null,
      "website": "https://www.utmb.edu/utmbhealth/locations/hospitals-campuses/angleton-danbury-campus",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UTMB Health",
      "parentSystemId": "entity-utmb-health",
      "siblingGroupId": "siblings-tx-utmb-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001177515",
        "external-resolution-0001177515"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.utmbhealth.com/locations"
      ],
      "ownershipProofNotes": "UTMB Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UTMB Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001182520",
      "name": "SAGEWEST HEALTH CARE - LANDER",
      "address": "1320 BISHOP RANDALL DRIVE",
      "city": "LANDER",
      "state": "WY",
      "zip": "82520",
      "county": "FREMONT",
      "latitude": 42.8204750301735,
      "longitude": -108.726743249991,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 89,
      "rating": null,
      "website": "https://www.sagewesthealthcare.com/lander",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-wy-lifepoint-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001182520",
        "external-resolution-0001182520"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "LifePoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "LifePoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001187505",
      "name": "CHRISTUS ST VINCENT PHYSICIANS MEDICAL CENTER",
      "address": "2990 RODEO PARK DRIVE EAST",
      "city": "SANTA FE",
      "state": "NM",
      "zip": "87505",
      "county": "SANTA FE",
      "latitude": 35.6334653600447,
      "longitude": -105.96329577994,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 19,
      "rating": null,
      "website": "https://www.christushealth.org/",
      "status": "corporate_chain",
      "parentSystem": "CHRISTUS Health",
      "affiliatedSystem": "Christushealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christushealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-nm-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001187505",
        "external-resolution-0001187505"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001199362",
      "name": "VETERANS AFFAIRS MEDICAL CENTER",
      "address": "77 WAINWRIGHT DRIVE",
      "city": "WALLA WALLA",
      "state": "WA",
      "zip": "99362",
      "county": "WALLA WALLA",
      "latitude": 46.0535534100293,
      "longitude": -118.358503319673,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 102,
      "rating": null,
      "website": "http://www.wallawalla.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-wa-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001199362",
        "external-resolution-0001199362"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001200680",
      "name": "HOSP PEREA",
      "address": "CALLE DR BASORA 15",
      "city": "MAYAGUEZ",
      "state": "PR",
      "zip": "00680",
      "county": "MAYAGÜEZ",
      "latitude": 18.2027329903171,
      "longitude": -67.1398263901474,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "website": "http://www.paviahealth.com/perea_hospital.htm",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0001202215",
      "name": "BETH ISRAEL DEACONESS MED CTR - WEST",
      "address": "1 DEACONESS ROAD",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02215",
      "county": "SUFFOLK",
      "latitude": 42.3379000003181,
      "longitude": -71.1091999998469,
      "hospitalType": "Academic medical center campus",
      "sourceOwner": "NON-PROFIT",
      "beds": 405,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-bidmc",
      "classificationNote": "Academic medical center campus",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "campusFamilyId": "campus-ma-220086",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PETER HEALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PETER HEALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001204005",
      "name": "SOUTHERN MAINE HEALTH CARE",
      "address": "1 MEDICAL CENTER DRIVE",
      "city": "BIDDEFORD",
      "state": "ME",
      "zip": "04005",
      "county": "YORK",
      "latitude": 43.4775106803165,
      "longitude": -70.49037773962,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 150,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MaineHealth",
      "parentSystemId": "entity-mainehealth",
      "siblingGroupId": "siblings-me-mainehealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001204005",
        "external-resolution-0001204005"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mainehealth.org/locations"
      ],
      "ownershipProofNotes": "MaineHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "MaineHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001206776",
      "name": "NEW MILFORD HOSPITAL",
      "address": "21 ELM ST",
      "city": "NEW MILFORD",
      "state": "CT",
      "zip": "06776",
      "county": "WESTERN CONNECTICUT",
      "latitude": 41.5819366799897,
      "longitude": -73.4096195101692,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 85,
      "rating": null,
      "website": "http://www.newmilfordhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-milford-new-milford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northwell Health",
      "parentSystemId": "entity-northwell-health",
      "siblingGroupId": "siblings-ct-northwell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001206776",
        "external-resolution-0001206776"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20141203002366 (07003301). 5 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20141203002366 (07003301). 5 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0001207112",
      "name": "CHILDRENS HOSPITAL OF NEW JERSEY - NEWARK",
      "address": "201 LYONS AVENUE",
      "city": "NEWARK",
      "state": "NJ",
      "zip": "07112",
      "county": "ESSEX",
      "latitude": 40.7094702802104,
      "longitude": -74.2119276402509,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.barnabashealth.org/hospitals/childrens_hospital/",
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "Barnabashealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Barnabashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-childrens-hospital-of-new-jersey---newark/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "campusFamilyId": "campus-nj-310002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001219380",
      "name": "LIFECARE HOSPITALS OF CHESTER COUNTY",
      "address": "400 EAST MARSHAL STREET",
      "city": "WEST CHESTER",
      "state": "PA",
      "zip": "19380",
      "county": "CHESTER",
      "latitude": 39.9683250002148,
      "longitude": -75.6009069995542,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 39,
      "rating": null,
      "website": "http://www.lifecare-hospitals.com",
      "status": "corporate_chain",
      "parentSystem": "Lifecare Hospitals",
      "affiliatedSystem": "Lifecare Hospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lifecare Hospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-chester-lifecare-hospitals-of-chester-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifecare-hospitals",
      "siblingGroupId": "siblings-pa-lifecare-hospitals",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001219380",
        "external-resolution-0001219380"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.lifecare-hospitals.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001220037",
      "name": "GEORGE WASHINGTON UNIVERSITY HOSPITAL",
      "address": "900 23RD ST NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20037",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9013190098796,
      "longitude": -77.0506366798641,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 395,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-george-washington-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-dc-universal-health-services",
      "ownershipRelationship": "jointly_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-090001",
        "official-dc-090001"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://uhs.com/news/universal-health-services-and-the-george-washington-university-to-restructure-gw-hospital-partnership/"
      ],
      "ownershipProofNotes": "GW Hospital is jointly owned and operated by George Washington University and a UHS subsidiary; UHS is the controlling public-company parent in CMS ownership records.",
      "parentSystemEvidence": "GW Hospital is jointly owned and operated by George Washington University and a UHS subsidiary; UHS is the controlling public-company parent in CMS ownership records."
    },
    {
      "id": "0001236801",
      "name": "EAST ALABAMA MEDICAL CENTER",
      "address": "2000 PEPPERELL PARKWAY",
      "city": "OPELIKA",
      "state": "AL",
      "zip": "36801",
      "county": "LEE",
      "latitude": 32.6385248700227,
      "longitude": -85.4044747900919,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 314,
      "rating": null,
      "website": "http://www.eamc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-opelika-east-alabama-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
      "parentSystemId": "entity-the-east-alabama-health-care-authority",
      "siblingGroupId": "siblings-al-the-east-alabama-health-care-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-east-alabama-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.eastalabamahealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to East Alabama Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE EAST ALABAMA HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to East Alabama Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE EAST ALABAMA HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001244106",
      "name": "LOUIS STOKES CLEVELAND DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "10701 EAST BOULEVARD",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44106",
      "county": "CUYAHOGA",
      "latitude": 41.5132563899046,
      "longitude": -81.6137035397665,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 585,
      "rating": null,
      "website": "https://www.cleveland.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-oh-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001259254",
      "name": "SHERIDAN MEMORIAL HOSPITAL",
      "address": "440 W LAUREL AVE",
      "city": "PLENTYWOOD",
      "state": "MT",
      "zip": "59254",
      "county": "SHERIDAN",
      "latitude": 48.7791842898325,
      "longitude": -104.563276989975,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 19,
      "rating": null,
      "website": "http://www.sheridanhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plentywood-sheridan-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHERIDAN MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-sheridan-memorial-hospital-association",
      "siblingGroupId": "siblings-mt-sheridan-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-sheridan-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to SHERIDAN MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHERIDAN MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to SHERIDAN MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHERIDAN MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001261364",
      "name": "ST MARYS HOSPITAL",
      "address": "111 SPRING STREET",
      "city": "STREATOR",
      "state": "IL",
      "zip": "61364",
      "county": "LASALLE",
      "latitude": 41.1135909800646,
      "longitude": -88.83458224009,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 98,
      "rating": null,
      "website": "http://www.stmaryshospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. MARYS HOSPITAL",
      "parentSystemId": "entity-st-marys-hospital",
      "siblingGroupId": "siblings-il-st-marys-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2016-01-03",
      "ownershipSourceIds": [
        "hifld-location-0001261364",
        "external-resolution-0001261364"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 140026; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 140026; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001283861",
      "name": "BENEWAH COMMUNITY HOSPITAL",
      "address": "229 S 7TH ST",
      "city": "ST MARIES",
      "state": "ID",
      "zip": "83861",
      "county": "BENEWAH",
      "latitude": 47.3146595200375,
      "longitude": -116.567579220225,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-maries-benewah-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF BENEWAH",
      "parentSystemId": "entity-county-of-benewah",
      "siblingGroupId": "siblings-id-county-of-benewah",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF BENEWAH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF BENEWAH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF BENEWAH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF BENEWAH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001289103",
      "name": "SANA BEHAVIORAL HEALTH - LAS VEGAS",
      "address": "5975 WEST TWAIN AVENUE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89103",
      "county": "CLARK",
      "latitude": 36.1212914900632,
      "longitude": -115.223355280341,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 19,
      "rating": null,
      "website": "http://www.redrockhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-sana-behavioral-health---las-vegas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SANA BEHAVIORAL HEALTH LAS VEGAS",
      "parentSystemId": "entity-sana-behavioral-health-las-vegas",
      "siblingGroupId": "siblings-nv-sana-behavioral-health-las-vegas",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0001289103",
        "external-resolution-0001289103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 294014; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 294014; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001300680",
      "name": "CLINICA ESPANOLA INC",
      "address": "PR-106 BO LA QUINTA - SECTOR CLINICA ESPANOLA",
      "city": "MIRADERO",
      "state": "PR",
      "zip": "00680",
      "county": "MAYAGÜEZ",
      "latitude": 18.2061577299943,
      "longitude": -67.1314610500496,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0001302118",
      "name": "BOSTON MED CTR CORP NEWTON PAVILION",
      "address": "88 EAST NEWTON STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02118",
      "county": "SUFFOLK",
      "latitude": 42.3369999999026,
      "longitude": -71.0706000002477,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Boston Medical Center Health System",
      "parentSystemId": "entity-boston-medical-center-health-system",
      "siblingGroupId": "siblings-ma-boston-medical-center-health-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001302118",
        "external-resolution-0001302118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bmchealthsystem.org/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Boston Medical Center Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Boston Medical Center Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0001302907",
      "name": "SAINT JOSEPH HEALTH SERVICES OF RHODE ISLAND",
      "address": "21 PEACE STREET",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02907",
      "county": "PROVIDENCE",
      "latitude": 41.8068937001879,
      "longitude": -71.4208196996209,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 231,
      "rating": null,
      "website": "http://www.saintjosephri.com/",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ri-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001302907",
        "external-resolution-0001302907"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001308302",
      "name": "SEABROOK HOUSE",
      "address": "133 POLK LANE",
      "city": "SEABROOK",
      "state": "NJ",
      "zip": "08302",
      "county": "CUMBERLAND",
      "latitude": 39.5245215803272,
      "longitude": -75.2184763003421,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 146,
      "rating": null,
      "website": "http://seabrookhouse.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seabrook-seabrook-house/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SEABROOK HOUSE",
      "parentSystemId": "entity-seabrook-house",
      "siblingGroupId": "siblings-nj-seabrook-house",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001308302",
        "external-resolution-0001308302"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://seabrookhouse.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0001315202",
      "name": "LIFECARE HOSPITALS OF PITTSBURGH - SUBURBAN",
      "address": "100 SOUTH JACKSON AVENUE",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15202",
      "county": "ALLEGHENY",
      "latitude": 40.495198259986,
      "longitude": -80.0604064004443,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://www.lifecare-hospitals.com/hospital/pittsburgh",
      "status": "corporate_chain",
      "parentSystem": "Lifecare Hospitals",
      "affiliatedSystem": "Lifecare Hospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lifecare Hospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-lifecare-hospitals-of-pittsburgh---suburban/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifecare-hospitals",
      "siblingGroupId": "siblings-pa-lifecare-hospitals",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001315202",
        "external-resolution-0001315202"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.lifecare-hospitals.com/hospital/pittsburgh"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001324701",
      "name": "BLUEFIELD REGIONAL MEDICAL CENTER",
      "address": "500 CHERRY ST",
      "city": "BLUEFIELD",
      "state": "WV",
      "zip": "24701",
      "county": "MERCER",
      "latitude": 37.2557323201861,
      "longitude": -81.2355074700577,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 92,
      "rating": null,
      "website": "http://www.bluefield.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-wv-lifepoint-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-07-31",
      "ownershipSourceIds": [
        "hifld-location-0001324701",
        "external-resolution-0001324701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 510071; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 510071; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001348532",
      "name": "SELECT SPECIALTY HOSPITAL - FLINT",
      "address": "401 S BALLENGER, 5TH FLOOR",
      "city": "FLINT",
      "state": "MI",
      "zip": "48532",
      "county": "GENESEE",
      "latitude": 43.0144391499005,
      "longitude": -83.7328792503174,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/flint.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flint-select-specialty-hospital---flint/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTINA DEBLOUW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTINA DEBLOUW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001365265",
      "name": "NOBLE HEALTH AUDRAIN COMMUNITY HOSPI",
      "address": "620 EAST MONROE STREET",
      "city": "MEXICO",
      "state": "MO",
      "zip": "65265",
      "county": "AUDRAIN",
      "latitude": 39.1722927102101,
      "longitude": -91.8776110402223,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "status": "closed",
      "evidenceSource": "PESP — rural hospitals and private-equity ownership",
      "evidenceSourceUrl": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "NOBLE HEALTH AUDRAIN COMMUNITY HOSPI closed or ceased hospital operations in 2022 after a documented private-equity acquisition. Former PE sponsor: Nueterra Capital; operating platform: Noble Health. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "PESP — rural hospitals and private-equity ownership",
        "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
        "https://kffhealthnews.org/aging/private-equity-rural-hospitals-closure-missouri-noble-health/",
        "https://missouriindependent.com/2022/08/16/collapse-of-private-equity-backed-missouri-hospitals-mired-employees-in-medical-bills/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "hospitalId": "0001365265",
      "peFirm": "Nueterra Capital",
      "formerOperator": "Noble Health (later Platinum Health)",
      "acquiredDate": "2020/2021",
      "closureDate": "2022-03",
      "closureSource": "PESP — rural hospitals and private-equity ownership",
      "closureSourceUrl": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
      "historicalPeOwnership": true,
      "closureYear": 2022,
      "closureStatusLabel": "Full closure (abrupt suspension)",
      "closureSummary": "Audrain Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Noble Health (later Platinum Health). Historical PE sponsor/context: Nueterra Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "OR supply shortages (anesthesia meds, bandages, catheters); vendors unpaid; inspectors found patients at risk; employee insurance dropped without notice",
      "acquisitionSourceId": "pe-acquisition-0001365265",
      "closureSourceId": "closure-0001365265",
      "expandedClosureResearch": {
        "sourceRow": 25,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (abrupt suspension)",
        "closureDate": "2022-03",
        "careLevel": "Secondary (rural community)",
        "hospitalType": "Acute care rural hospital with cancer center",
        "traumaLevel": "None",
        "licensedBeds": "~70 (needs verification)",
        "patientsServedNote": "~500 cancer patients on its roster now travel 40+ miles to Columbia",
        "ruralUrban": "Rural",
        "ownershipCategory": "PE-backed startup operator (Nueterra Capital / Noble Health)",
        "historicalSponsorOrOwner": "Nueterra Capital",
        "parentCompany": "Noble Health (later Platinum Health)",
        "acquiredYear": "2020/2021",
        "acquisitionDealNote": "Noble acquired in early 2020s promising rescue; took millions in federal COVID relief and big administrative fees, then padlocked the doors within ~2 years",
        "yearsPeToClosure": "2",
        "extractionMoneyTrail": "Millions in federal COVID relief and administrative fees extracted; vendors and payroll unpaid; employee health insurance premiums deducted but coverage unfunded",
        "degradationRecord": "OR supply shortages (anesthesia meds, bandages, catheters); vendors unpaid; inspectors found patients at risk; employee insurance dropped without notice",
        "communityImpact": "Emergency patients now stabilized and rushed to Columbia with hourslong ER waits; employees stuck with medical bills; DOL and state AG investigations",
        "buildingFate": "Padlocked; still closed years later",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://kffhealthnews.org/aging/private-equity-rural-hospitals-closure-missouri-noble-health/",
          "https://missouriindependent.com/2022/08/16/collapse-of-private-equity-backed-missouri-hospitals-mired-employees-in-medical-bills/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Noble Health (later Platinum Health)",
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-noble-health-later-platinum-health",
      "siblingGroupId": "siblings-mo-noble-health-later-platinum-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001365265",
        "external-resolution-0001365265"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://downloads.regulations.gov/FTC-2024-0022-2047/attachment_1.pdf"
      ],
      "ownershipProofNotes": "Noble Health (later Platinum Health) official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Noble Health (later Platinum Health) official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001366030",
      "name": "MEADOWBROOK REHABILITATION HOSPITAL",
      "address": "427 WEST MAIN STREET",
      "city": "GARDNER",
      "state": "KS",
      "zip": "66030",
      "county": "JOHNSON",
      "latitude": 38.8099679301442,
      "longitude": -94.9378641097646,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "website": "www.meadowbrookrehab.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MIDWEST SNF HOLDINGS LLC",
      "parentSystemId": "entity-midwest-snf-holdings-llc",
      "siblingGroupId": "siblings-ks-midwest-snf-holdings-llc",
      "campusFamilyId": "campus-ks-173033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: MIDWEST SNF HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99.9%). CMS lists MATTHEW TAIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDWEST SNF HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MIDWEST SNF HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99.9%). CMS lists MATTHEW TAIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDWEST SNF HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001368371",
      "name": "HENDERSON HEALTH CARE SERVICES, INC",
      "address": "1621 FRONT STREET",
      "city": "HENDERSON",
      "state": "NE",
      "zip": "68371",
      "county": "YORK",
      "latitude": 40.783347939765,
      "longitude": -97.8075452601504,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 13,
      "rating": null,
      "website": "http://www.hendersonhealthcare.org/getpage.php?name=message",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-henderson-health-care-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HENDERSON HEALTH CARE SERVICES INC",
      "parentSystemId": "entity-henderson-health-care-services-inc",
      "siblingGroupId": "siblings-ne-henderson-health-care-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-henderson-health-care-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to HENDERSON HEALTH CARE SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDERSON HEALTH CARE SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to HENDERSON HEALTH CARE SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDERSON HEALTH CARE SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001374010",
      "name": "BRISTOW MEDICAL CENTER",
      "address": "700 WEST 7TH AVENUE, SUITE 6",
      "city": "BRISTOW",
      "state": "OK",
      "zip": "74010",
      "county": "CREEK",
      "latitude": 35.8340258896408,
      "longitude": -96.4014378697503,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 55,
      "rating": null,
      "website": "http://www.bristowmedcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bristow-bristow-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BRISTOW MEDICAL CENTER",
      "parentSystemId": "entity-bristow-medical-center",
      "siblingGroupId": "siblings-ok-bristow-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0001374010",
        "external-resolution-0001374010"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 370041; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 370041; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001376015",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ARLINGTON",
      "address": "3200 MATLOCK ROAD",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76015",
      "county": "TARRANT",
      "latitude": 32.6937714797447,
      "longitude": -97.1182562402923,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 85,
      "rating": null,
      "website": "http://www.healthsoutharlington.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-encompass-health-rehabilitation-hospital-of-arlington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001380113",
      "name": "CRAIG HOSPITAL",
      "address": "3425 S CLARKSON ST",
      "city": "ENGLEWOOD",
      "state": "CO",
      "zip": "80113",
      "county": "ARAPAHOE",
      "latitude": 39.6542872701904,
      "longitude": -104.978589320013,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 93,
      "rating": null,
      "website": "http://www.craighospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-englewood-craig-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CRAIG HOSPITAL",
      "parentSystemId": "entity-craig-hospital",
      "siblingGroupId": "siblings-co-craig-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-craig-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CRAIG HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRAIG HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CRAIG HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRAIG HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001385344",
      "name": "PARKER IHS INDIAN HOSPITAL",
      "address": "12033 AGENCY ROAD",
      "city": "PARKER",
      "state": "AZ",
      "zip": "85344",
      "county": "LA PAZ",
      "latitude": 34.1473521502976,
      "longitude": -114.302032770068,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_coloradoriver",
      "status": "corporate_chain",
      "parentSystem": "Tribal / IHS authority",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parker-parker-ihs-indian-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-tribal-ihs-authority",
      "siblingGroupId": "siblings-az-tribal-ihs-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: DHHS IHS PHOENIX AREA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DHHS IHS PHOENIX AREA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001392120",
      "name": "ALVARADO HOSPITAL MEDICAL CENTER",
      "address": "6655 ALVARADO RD",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92120",
      "county": "SAN DIEGO",
      "latitude": 32.7765863901113,
      "longitude": -117.057064599754,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 222,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALVARADO HOSPITAL MEDICAL CENTER",
      "parentSystemId": "entity-alvarado-hospital-medical-center",
      "siblingGroupId": "siblings-ca-alvarado-hospital-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0001392120",
        "external-resolution-0001392120"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050757; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050757; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001401420",
      "name": "HEALTH ALLIANCE HOSPITAL - BURBANK CAMPUS",
      "address": "275 NICHOLS ROAD",
      "city": "FITCHBURG",
      "state": "MA",
      "zip": "01420",
      "county": "WORCESTER",
      "latitude": 42.5976020201547,
      "longitude": -71.8053915396008,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 110,
      "rating": null,
      "website": "http://www.umassmemorial.org/healthalliance-hospital/for-patients-and-visitors/directions",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fitchburg-health-alliance-hospital---burbank-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UMass Memorial Health",
      "parentSystemId": "entity-umass-memorial-health",
      "siblingGroupId": "siblings-ma-umass-memorial-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001401420",
        "external-resolution-0001401420"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ummhealth.org/locations"
      ],
      "ownershipProofNotes": "UMass Memorial Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UMass Memorial Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001405201",
      "name": "SOUTHWESTERN VT MEDICAL CENTER",
      "address": "100 HOSPITAL DRIVE",
      "city": "BENNINGTON",
      "state": "VT",
      "zip": "05201",
      "county": "BENNINGTON",
      "latitude": 42.8741823798456,
      "longitude": -73.2076706399418,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Dartmouth Health",
      "parentSystemId": "entity-dartmouth-health",
      "siblingGroupId": "siblings-vt-dartmouth-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "vt-verified-parent-dartmouth-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dartmouth-health.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: DARTMOUTH HITCHCOCK HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Dartmouth Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DARTMOUTH HITCHCOCK HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Dartmouth Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001419805",
      "name": "SELECT SPECIALTY HOSPITAL OF WILMINGTON",
      "address": "701 N CLAYTON ST, FIFTH FLOOR",
      "city": "WILMINGTON",
      "state": "DE",
      "zip": "19805",
      "county": "NEW CASTLE",
      "latitude": 39.7500297400752,
      "longitude": -75.5667404095626,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://wilmington.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilmington-select-specialty-hospital-of-wilmington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-de-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001421620",
      "name": "UMD SHORE MEDICAL CTR AT CHESTERTOWN",
      "address": "100 BROWN STREET",
      "city": "CHESTERTOWN",
      "state": "MD",
      "zip": "21620",
      "county": "KENT",
      "latitude": 39.2174794299133,
      "longitude": -76.0649393197875,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
      "parentSystemId": "entity-university-of-maryland-medical-system-corporation",
      "siblingGroupId": "siblings-md-university-of-maryland-medical-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001438551",
      "name": "CUMBERLAND RIVER HOSPITAL",
      "address": "100 OLD JEFFERSON STREET",
      "city": "CELINA",
      "state": "TN",
      "zip": "38551",
      "county": "CLAY",
      "latitude": 36.5441261500858,
      "longitude": -85.5004989303734,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "website": "http://www.cumberlandriverhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-celina-cumberland-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CUMBERLAND RIVER HOSPITAL",
      "parentSystemId": "entity-cumberland-river-hospital",
      "siblingGroupId": "siblings-tn-cumberland-river-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-06-30",
      "ownershipSourceIds": [
        "hifld-location-0001438551",
        "external-resolution-0001438551"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 441319; Type of Control 12 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 441319; Type of Control 12 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001439350",
      "name": "MS BAND OF CHOCTAW HOSPITAL",
      "address": "210 HOSPITAL CIRCLE",
      "city": "CHOCTAW",
      "state": "MS",
      "zip": "39350",
      "county": "NESHOBA",
      "latitude": 32.7823732003669,
      "longitude": -89.2307518603939,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 20,
      "rating": null,
      "website": "https://www.choctawhealthcenter.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-choctaw-ms-band-of-choctaw-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MS BAND OF CHOCTAW HOSPITAL",
      "parentSystemId": "entity-ms-band-of-choctaw-hospital",
      "siblingGroupId": "siblings-ms-ms-band-of-choctaw-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001439350",
        "external-resolution-0001439350"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.choctawhealthcenter.org/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0001450401",
      "name": "NORTH IOWA MEDICAL CENTER WEST CAMPUS",
      "address": "910 NORTH EISENHOWER AVENUE",
      "city": "MASON CITY",
      "state": "IA",
      "zip": "50401",
      "county": "CERRO GORDO",
      "latitude": 43.1555603198633,
      "longitude": -93.2643765401354,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 240,
      "rating": null,
      "website": "http://www.mercynorthiowa.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mason-city-north-iowa-medical-center-west-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001450401",
        "external-resolution-0001450401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mercyone.org/location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to MercyOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to MercyOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0001453715",
      "name": "SELECT SPECIALTY HOSPITAL MADISON",
      "address": "801 BRAXTON PLACE",
      "city": "MADISON",
      "state": "WI",
      "zip": "53715",
      "county": "DANE",
      "latitude": 43.0659334403056,
      "longitude": -89.3993833899332,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/madison .aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-select-specialty-hospital-madison/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-wi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARC TRZNADEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARC TRZNADEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001455404",
      "name": "CHILDRENS HOSP AND CLINICS MPLS",
      "address": "2525 CHICAGO AVENUE SOUTH",
      "city": "MINNEAPOLIS",
      "state": "MN",
      "zip": "55404",
      "county": "HENNEPIN",
      "latitude": 44.9566524798546,
      "longitude": -93.2619932998051,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 279,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITALS & CLINICS OF MN",
      "parentSystemId": "entity-children-s-hospitals-and-clinics-of-mn",
      "siblingGroupId": "siblings-mn-children-s-hospitals-and-clinics-of-mn",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITALS & CLINICS OF MN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITALS & CLINICS OF MN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001460187",
      "name": "MARIANJOY REHABILITATION CENTER",
      "address": "26W171 ROOSEVELT RD",
      "city": "WHEATON",
      "state": "IL",
      "zip": "60187",
      "county": "DUPAGE",
      "latitude": 41.8525170197185,
      "longitude": -88.1376005898228,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 128,
      "rating": null,
      "website": "https://www.marianjoy.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wheaton-marianjoy-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001467003",
      "name": "ANTHONY MEDICAL CENTER",
      "address": "1101 E SPRING STREET",
      "city": "ANTHONY",
      "state": "KS",
      "zip": "67003",
      "county": "HARPER",
      "latitude": 37.1549925898818,
      "longitude": -98.017349089952,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 25,
      "rating": null,
      "website": "http://amcks.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anthony-anthony-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS",
      "parentSystemId": "entity-hospital-district-no-6-of-harper-county-kansas",
      "siblingGroupId": "siblings-ks-hospital-district-no-6-of-harper-county-kansas",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-12-31",
      "ownershipSourceIds": [
        "hifld-location-0001467003",
        "external-resolution-0001467003"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 171346; Type of Control 11 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 171346; Type of Control 11 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001473103",
      "name": "CURAHEALTH OKLAHOMA CITY",
      "address": "1407 NORTH ROBINSON AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73103",
      "county": "OKLAHOMA",
      "latitude": 35.4828059599042,
      "longitude": -97.5162731300953,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "website": "http://curahealth.com/our-hospitals/oklahomacity-2/",
      "status": "corporate_chain",
      "parentSystem": "CURAHEALTH OKLAHOMA HOLDCO LLC",
      "affiliatedSystem": "Curahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Curahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-curahealth-oklahoma-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-curahealth-oklahoma-holdco-llc",
      "siblingGroupId": "siblings-ok-curahealth-oklahoma-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CURAHEALTH OKLAHOMA HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH OKLAHOMA HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CURAHEALTH OKLAHOMA HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH OKLAHOMA HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001476011",
      "name": "KINDRED HOSPITAL - TARRANT COUNTY",
      "address": "1000 NORTH COOPER STREET",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76011",
      "county": "TARRANT",
      "latitude": 32.7505598703754,
      "longitude": -97.1140678102458,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 68,
      "rating": null,
      "website": "http://www.kindredhospitalarl.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "452028",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001484088",
      "name": "JORDAN VALLEY MEDICAL CENTER",
      "address": "3580 WEST 9000 SOUTH",
      "city": "WEST JORDAN",
      "state": "UT",
      "zip": "84088",
      "county": "SALT LAKE",
      "latitude": 40.5903623603319,
      "longitude": -111.974970399821,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 172,
      "rating": null,
      "website": "http://www.jordanvalleymc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ut-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TADD RICHERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TADD RICHERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001487505",
      "name": "SANTA FE HOSPITAL",
      "address": "1700 CERRILLOS ROAD",
      "city": "SANTA FE",
      "state": "NM",
      "zip": "87501",
      "county": "SANTA FE",
      "latitude": 35.6683388802009,
      "longitude": -105.970440379636,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 30,
      "rating": null,
      "website": "http://www.ihs.gov/albuquerque/healthcarefacilities/santafe",
      "status": "corporate_chain",
      "parentSystem": "SANTA FE PHS INDIAN HOSPITAL",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-fe-santa-fe-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-santa-fe-phs-indian-hospital",
      "siblingGroupId": "siblings-nm-santa-fe-phs-indian-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-government-federal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANTA FE PHS INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANTA FE PHS INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001500681",
      "name": "HOSP BELLA VISTA",
      "address": "STATE ROAD 349",
      "city": "MAYAGUEZ",
      "state": "PR",
      "zip": "00681",
      "county": "MAYAGÜEZ",
      "latitude": 18.1867640101933,
      "longitude": -67.1191967700904,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 157,
      "rating": null,
      "website": "http://www.bvhpr.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0001501040",
      "name": "PROVIDENCE BEHAVIOR HLTH HOSP CAMPU",
      "address": "1233 MAIN STREET",
      "city": "HOLYOKE",
      "state": "MA",
      "zip": "01040",
      "county": "HAMPDEN",
      "latitude": 42.1658999997813,
      "longitude": -72.6340000001919,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 57,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "TPG HOLDINGS LLC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-tpg-holdings-llc",
      "siblingGroupId": "siblings-ma-tpg-holdings-llc",
      "campusFamilyId": "campus-ma-224046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-224046"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.miravistabhc.care/"
      ],
      "ownershipProofNotes": "CMS owner candidate: TPG HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists DEBRA L HARRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: MiraVista official facility site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TPG HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TPG HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists DEBRA L HARRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: MiraVista official facility site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TPG HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001502903",
      "name": "HASBRO CHILDRENS HOSPITAL",
      "address": "593 EDDY STREET",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02903",
      "county": "PROVIDENCE",
      "latitude": 41.8111498900579,
      "longitude": -71.4089064498337,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.hasbrochildrenshospital.org/",
      "status": "corporate_chain",
      "parentSystem": "LIFESPAN CORPORATION",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-providence-hasbro-childrens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lifespan-corporation",
      "siblingGroupId": "siblings-ri-lifespan-corporation",
      "campusFamilyId": "campus-ri-410007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-lifespan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifespan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001503301",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CONCORD, INC",
      "address": "254 PLEASANT STREET",
      "city": "CONCORD",
      "state": "NH",
      "zip": "03301",
      "county": "MERRIMACK",
      "latitude": 43.1997747401863,
      "longitude": -71.5628348596557,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.healthsouthrehabconcordnh.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nh-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NH resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NH resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001504915",
      "name": "WALDO COUNTY GENERAL HOSPITAL",
      "address": "118 NORTHPORT AVE",
      "city": "BELFAST",
      "state": "ME",
      "zip": "04915",
      "county": "WALDO",
      "latitude": 44.4124914698798,
      "longitude": -68.9939504202626,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belfast-waldo-county-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001508103",
      "name": "SOUTH JERSEY HEALTH CARE CENTER",
      "address": "2 COOPER PLAZA",
      "city": "CAMDEN",
      "state": "NJ",
      "zip": "08103",
      "county": "CAMDEN",
      "latitude": 39.9419716399945,
      "longitude": -75.1143076698771,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "http://care-one.com/locations/south-jersey-health-care-center/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CareOne",
      "parentSystemId": "entity-careone",
      "siblingGroupId": "siblings-nj-careone",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001508103",
        "external-resolution-0001508103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://care-one.com/locations/south-jersey-health-care-center/"
      ],
      "ownershipProofNotes": "The facility-specific CareOne listing and the matching Cooper Plaza operating-company record establish the CareOne operator family for the Camden location.",
      "parentSystemEvidence": "The facility-specific CareOne listing and the matching Cooper Plaza operating-company record establish the CareOne operator family for the Camden location."
    },
    {
      "id": "0001520032",
      "name": "SAINT ELIZABETH'S HOSPITAL",
      "address": "1100 ALABAMA AVE SE",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20032",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.8479278701331,
      "longitude": -76.9882552698297,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 292,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-saint-elizabeths-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-094001",
        "official-dc-094001"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dbh.dc.gov/page/saint-elizabeths-hospital"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "0001520850",
      "name": "ADVENTIST HEALTHCARE BEHAVIORAL HEALTH AND WELLNESS",
      "address": "14901 BROSCHART ROAD",
      "city": "ROCKVILLE",
      "state": "MD",
      "zip": "20850",
      "county": "MONTGOMERY",
      "latitude": 39.099862849715,
      "longitude": -77.1989580697873,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 107,
      "rating": null,
      "website": "http://www.adventistbehavioralhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rockville-adventist-healthcare-behavioral-health-&-wellness/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist HealthCare",
      "parentSystemId": "entity-adventist-healthcare",
      "siblingGroupId": "siblings-md-adventist-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001520850",
        "external-resolution-0001520850"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventisthealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Adventist HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Adventist HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001539301",
      "name": "REGENCY HOSPITAL OF MERIDIAN",
      "address": "ND 1102 CONSTITUTION AVE, 2FLOOR",
      "city": "MERIDIAN",
      "state": "MS",
      "zip": "39301",
      "county": "LAUDERDALE",
      "latitude": 32.3680682600073,
      "longitude": -88.6990639396334,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meridian-regency-hospital-of-meridian/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ms-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELIZA GAVIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELIZA GAVIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001555432",
      "name": "MERCY HOSPITAL - UNITY CAMPUS",
      "address": "550 OSBORNE RD",
      "city": "FRIDLEY",
      "state": "MN",
      "zip": "55432",
      "county": "ANOKA",
      "latitude": 45.1064806199278,
      "longitude": -93.2567304397631,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 275,
      "rating": null,
      "website": "https://www.allinahealth.org/unity-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Allina Health",
      "affiliatedSystem": "Allinahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Allinahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fridley-mercy-hospital--unity-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allina-health",
      "siblingGroupId": "siblings-mn-allina-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001555432",
        "external-resolution-0001555432"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "Allina Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Allina Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001559425",
      "name": "LOGAN HEALTH - CONRAD",
      "address": "805 SUNSET BLVD",
      "city": "CONRAD",
      "state": "MT",
      "zip": "59425",
      "county": "PONDERA",
      "latitude": 48.1744874398856,
      "longitude": -111.958925209646,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MTWY HEALTH",
      "parentSystemId": "entity-mtwy-health",
      "siblingGroupId": "siblings-mt-mtwy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001567530",
      "name": "THE UNIVERSITY OF KANSAS HEALTH SYSTEM GREAT BEND CAMPUS",
      "address": "514 CLEVELAND STREET",
      "city": "GREAT BEND",
      "state": "KS",
      "zip": "67530",
      "county": "BARTON",
      "latitude": 38.3561656903061,
      "longitude": -98.7907126904008,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "website": "www.gbregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-great-bend-the-university-of-kansas-health-system-great-bend-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
      "parentSystemId": "entity-university-of-kansas-hospital-authority",
      "siblingGroupId": "siblings-ks-university-of-kansas-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-university-of-kansas-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 99.9%). CMS lists JOHN WORDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 99.9%). CMS lists JOHN WORDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001568506",
      "name": "LINCOLN SURGERY CENTER, LLC",
      "address": "1710 SOUTH 70TH STREET",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68506",
      "county": "LANCASTER",
      "latitude": 40.794733010104,
      "longitude": -96.6235050102289,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PHYSICIANS SURGICAL SERVICES LLC",
      "parentSystemId": "entity-physicians-surgical-services-llc",
      "siblingGroupId": "siblings-ne-physicians-surgical-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-physicians-surgical-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHYSICIANS SURGICAL SERVICES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GREGORY E SUTTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PHYSICIANS SURGICAL SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIANS SURGICAL SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHYSICIANS SURGICAL SERVICES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GREGORY E SUTTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PHYSICIANS SURGICAL SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIANS SURGICAL SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001572042",
      "name": "DEWITT HOSPITAL AND NURSING HOME, INC",
      "address": "1641 SOUTH WHITEHEAD DRIVE",
      "city": "DEWITT",
      "state": "AR",
      "zip": "72042",
      "county": "ARKANSAS",
      "latitude": 34.2797948702726,
      "longitude": -91.3382311897386,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEWITT HOSPITAL & NURSING HOME INC",
      "parentSystemId": "entity-dewitt-hospital-and-nursing-home-inc",
      "siblingGroupId": "siblings-ar-dewitt-hospital-and-nursing-home-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DEWITT HOSPITAL & NURSING HOME INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEWITT HOSPITAL & NURSING HOME INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DEWITT HOSPITAL & NURSING HOME INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEWITT HOSPITAL & NURSING HOME INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001587102",
      "name": "KINDRED HOSPITAL ALBUQUERQUE",
      "address": "700 HIGH STREET NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "BERNALILLO",
      "latitude": 35.088870480125,
      "longitude": -106.637883340168,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 61,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "322002",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-kindred-hospital---albuquerque/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-nm-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DEANNA SCHIAVONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DEANNA SCHIAVONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001601760",
      "name": "METROWEST MED CTR - L MORSE CAMPUS",
      "address": "67 UNION STREET",
      "city": "NATICK",
      "state": "MA",
      "zip": "01760",
      "county": "MIDDLESEX",
      "latitude": 42.2800000001465,
      "longitude": -71.3355999997067,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ma-tenet-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001601760",
        "external-resolution-0001601760"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0001606460",
      "name": "MILFORD HOSPITAL",
      "address": "300 SEASIDE AVENUE",
      "city": "MILFORD",
      "state": "CT",
      "zip": "06460",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.2162705402027,
      "longitude": -73.0650673304326,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 87,
      "rating": null,
      "website": "http://www.milfordhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MILFORD HOSPITAL  INC",
      "parentSystemId": "entity-milford-hospital-inc",
      "siblingGroupId": "siblings-ct-milford-hospital-inc",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-09-30",
      "ownershipSourceIds": [
        "hifld-location-0001606460",
        "external-resolution-0001606460"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 070019; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 070019; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001608104",
      "name": "VIRTUA WEST JERSEY HOSPITAL - CAMDEN",
      "address": "1000 ATLANTIC AVENUE",
      "city": "CAMDEN",
      "state": "NJ",
      "zip": "08104",
      "county": "CAMDEN",
      "latitude": 39.9286482503091,
      "longitude": -75.1083680496427,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "http://www.virtua.org/locations/outpatient-centers-camden/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Virtua Health",
      "affiliatedSystem": "Virtua",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Virtua",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-virtua-health",
      "siblingGroupId": "siblings-nj-virtua-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001608104",
        "external-resolution-0001608104"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.virtua.org/locations"
      ],
      "ownershipProofNotes": "Virtua Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Virtua Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001618501",
      "name": "ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE",
      "address": "475 MORGAN HIGHWAY, SUITE A",
      "city": "SCRANTON",
      "state": "PA",
      "zip": "18508",
      "county": "LACKAWANNA",
      "latitude": 41.454511199851,
      "longitude": -75.6777200197994,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALLIED HEALTH CARE SERVICES",
      "parentSystemId": "entity-allied-health-care-services",
      "siblingGroupId": "siblings-pa-allied-health-care-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-allied-health-care-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLIED HEALTH CARE SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLIED HEALTH CARE SERVICES; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLIED HEALTH CARE SERVICES, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLIED HEALTH CARE SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLIED HEALTH CARE SERVICES; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLIED HEALTH CARE SERVICES, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001619709",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MIDDLETOWN",
      "address": "250 EAST HAMPDEN RD",
      "city": "MIDDLETOWN",
      "state": "DE",
      "zip": "19709",
      "county": "NEW CASTLE",
      "latitude": 39.4534342097706,
      "longitude": -75.6775222601812,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://healthsouthmiddletown.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middletown-encompass-health-rehabilitation-hospital-of-middletown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-de-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001620002",
      "name": "BRIDGEPOINT HOSPITAL CAPITOL HILL",
      "address": "700 CONSTITUTION AVE NE",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20002",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.892921420222,
      "longitude": -76.9958634199745,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-bridgepoint-hospital-capitol-hill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BridgePoint Healthcare",
      "parentSystemId": "entity-bridgepoint-healthcare",
      "siblingGroupId": "siblings-dc-bridgepoint-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001620002",
        "external-resolution-0001620002"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bridgepointhealthcare.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to BridgePoint Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to BridgePoint Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0001622701",
      "name": "NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MEDICAL CENTER",
      "address": "501 SUNSET LANE",
      "city": "CULPEPER",
      "state": "VA",
      "zip": "22701",
      "county": "CULPEPER",
      "latitude": 38.455231170117,
      "longitude": -78.0133445698869,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "website": "www.novanthealthuva.org",
      "status": "corporate_chain",
      "parentSystem": "RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Novant Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-rector-and-visitors-of-the-university-of-virginia",
      "siblingGroupId": "siblings-va-rector-and-visitors-of-the-university-of-virginia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-rector-visitors-of-the-university-of-virginia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES CODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES CODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001636083",
      "name": "CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM EAST CAMPUS",
      "address": "2400 HOSPITAL ROAD",
      "city": "TUSKEGEE",
      "state": "AL",
      "zip": "36083",
      "county": "MACON",
      "latitude": 32.4452183203491,
      "longitude": -85.712148610336,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 143,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tuskegee-central-alabama-veterans-health-care-system-east-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-al-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001636083",
        "external-resolution-0001636083"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001654806",
      "name": "MEMORIAL MEDICAL CENTER",
      "address": "1615 MAPLE LANE",
      "city": "ASHLAND",
      "state": "WI",
      "zip": "54806",
      "county": "ASHLAND",
      "latitude": 46.5686384703016,
      "longitude": -90.8884172196676,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "REGIONAL ENTERPRISES INC",
      "parentSystemId": "entity-regional-enterprises-inc",
      "siblingGroupId": "siblings-wi-regional-enterprises-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-regional-enterprises-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGIONAL ENTERPRISES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to REGIONAL ENTERPRISES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL ENTERPRISES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGIONAL ENTERPRISES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to REGIONAL ENTERPRISES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL ENTERPRISES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001656002",
      "name": "MAYO CLINIC HEALTH SYS MANKATO",
      "address": "1025 MARSH STREET",
      "city": "MANKATO",
      "state": "MN",
      "zip": "56001",
      "county": "BLUE EARTH",
      "latitude": 44.164085549764,
      "longitude": -93.9839469004486,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 272,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mankato-mayo-clinic-health-sys-mankato/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001660085",
      "name": "V COVINGTON LLC",
      "address": "2615 WEST WASHINGTON STREET",
      "city": "WAUKEGAN",
      "state": "IL",
      "zip": "60085",
      "county": "LAKE",
      "latitude": 42.3584271103,
      "longitude": -87.8666537997767,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 146,
      "rating": null,
      "website": "https://www.lakebehavioralhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "US HEALTHVEST, LLC",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-il-us-healthvest-llc",
      "campusFamilyId": "campus-il-144042",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-us-healthvest"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001676012",
      "name": "TEXAS HEALTH HEART AND VASCULAR HOSPITAL ARLINGTON",
      "address": "811 WRIGHT ST",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76012",
      "county": "TARRANT",
      "latitude": 32.7488153198473,
      "longitude": -97.1156069800603,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-texas-health-heart-&-vascular-hospital-arlington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-texas-health-arlington-memorial-hospital",
      "siblingGroupId": "siblings-tx-texas-health-arlington-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-arlington-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55.44%). CMS lists SYED I SHAH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55.44%). CMS lists SYED I SHAH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001684041",
      "name": "DAVIS HOSPITAL AND MEDICAL CENTER",
      "address": "1600 WEST ANTELOPE DRIVE",
      "city": "LAYTON",
      "state": "UT",
      "zip": "84041",
      "county": "DAVIS",
      "latitude": 41.0910451599432,
      "longitude": -111.995673069979,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 220,
      "rating": null,
      "website": "http://www.davishospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ut-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TADD RICHERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TADD RICHERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001691768",
      "name": "AMERICAN RECOVERY CENTER",
      "address": "2180 VALLEY BLVD",
      "city": "POMONA",
      "state": "CA",
      "zip": "91768",
      "county": "LOS ANGELES",
      "latitude": 34.0609925698547,
      "longitude": -117.790635929609,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pomona-american-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001691768",
        "external-resolution-0001691768"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0001693721",
      "name": "PARKRIDGE VALLEY HOSPITAL - ADULT AND SENIOR",
      "address": "7351 COURAGE WAY",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37421",
      "county": "HAMILTON",
      "latitude": 35.0537206900082,
      "longitude": -85.143220880352,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 621,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001693721",
        "external-resolution-0001693721"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0001699615",
      "name": "PROVIDENCE KODIAK ISLAND MEDICAL CENTER",
      "address": "1915 E REZANOF DR",
      "city": "KODIAK",
      "state": "AK",
      "zip": "99615",
      "county": "KODIAK ISLAND",
      "latitude": 57.800899979796,
      "longitude": -152.375607729828,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kodiak-providence-kodiak-island-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ak-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Providence; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Providence; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001700683",
      "name": "HOSPITAL METROPOLITANO SAN GERMAN",
      "address": "CALLE JAVILLA NUMERO 8, AL COSTADO PARQUE DE BOMBAS",
      "city": "SAN GERMAN",
      "state": "PR",
      "zip": "00683",
      "county": "SAN GERMÁN",
      "latitude": 18.0826330600822,
      "longitude": -67.0400488999626,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0001702896",
      "name": "REHABILITATION HOSPITAL OF RHODE ISLAND",
      "address": "116 EDDIE DOWLING HIGHWAY",
      "city": "NORTH SMITHFIELD",
      "state": "RI",
      "zip": "02896",
      "county": "PROVIDENCE",
      "latitude": 41.9815782596871,
      "longitude": -71.5128439096402,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.rhri.net/home.aspx",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "413025",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-smithfield-rehabilitation-hospital-of-rhode-island/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ri-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.ri.gov/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES E RANSOM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES E RANSOM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001713045",
      "name": "GUTHRIE CORTLAND MEDICAL CENTER",
      "address": "134 HOMER AVENUE",
      "city": "CORTLAND",
      "state": "NY",
      "zip": "13045",
      "county": "CORTLAND",
      "latitude": 42.6088314700587,
      "longitude": -76.1873216995749,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 162,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE GUTHRIE CLINIC",
      "parentSystemId": "entity-the-guthrie-clinic",
      "siblingGroupId": "siblings-ny-the-guthrie-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-guthrie"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.guthrie.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE GUTHRIE CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Guthrie; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GUTHRIE CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE GUTHRIE CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Guthrie; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GUTHRIE CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001730309",
      "name": "SHEPHERD CENTER",
      "address": "2020 PEACHTREE RD NW",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30309",
      "county": "FULTON",
      "latitude": 33.8100610196307,
      "longitude": -84.3937618601438,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 152,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-shepherd-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHEPHERD CENTER, INC.",
      "parentSystemId": "entity-shepherd-center-inc",
      "siblingGroupId": "siblings-ga-shepherd-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-remediation-georgia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists PATRICIA STEWART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Georgia nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHEPHERD CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists PATRICIA STEWART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Georgia nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHEPHERD CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001744106",
      "name": "UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER",
      "address": "11100 EUCLID AVENUE",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44106",
      "county": "CUYAHOGA",
      "latitude": 41.5061420497804,
      "longitude": -81.6050954299632,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1113,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001748658",
      "name": "ASCENSION STANDISH HOSPITAL",
      "address": "805 W CEDAR ST",
      "city": "STANDISH",
      "state": "MI",
      "zip": "48658",
      "county": "ARENAC",
      "latitude": 43.9818656801778,
      "longitude": -83.9692167004128,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.stmarysofmichigan.org/standish",
      "status": "corporate_chain",
      "parentSystem": "MYMICHIGAN MEDICAL CENTER STANDISH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mymichigan-medical-center-standish",
      "siblingGroupId": "siblings-mi-mymichigan-medical-center-standish",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS lists AMANDA PEIRCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN MEDICAL CENTER STANDISH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AMANDA PEIRCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN MEDICAL CENTER STANDISH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001751245",
      "name": "MERCYONE PRIMGHAR MEDICAL CENTER",
      "address": "255 NORTH WELCH AVENUE",
      "city": "PRIMGHAR",
      "state": "IA",
      "zip": "51245",
      "county": "O'BRIEN",
      "latitude": 43.0888290497898,
      "longitude": -95.6236809299455,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 14,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001751245",
        "external-resolution-0001751245"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "Trinity Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Trinity Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001758318",
      "name": "ST ANDREWS HEALTH CENTER - CAH",
      "address": "316 OHMER STREET",
      "city": "BOTTINEAU",
      "state": "ND",
      "zip": "58318",
      "county": "BOTTINEAU",
      "latitude": 48.8291248098688,
      "longitude": -100.449981260386,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.standrewshealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bottineau-st-andrews-health-center---cah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST ANDREWS HOSPITAL",
      "parentSystemId": "entity-st-andrews-hospital",
      "siblingGroupId": "siblings-nd-st-andrews-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-st-andrews-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists CHRISTOPHER ALBERTSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to ST ANDREWS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ANDREWS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTOPHER ALBERTSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to ST ANDREWS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ANDREWS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001759725",
      "name": "BARRETT HOSPITAL AND HEALTHCARE",
      "address": "600 HWY 91 SOUTH",
      "city": "DILLON",
      "state": "MT",
      "zip": "59725",
      "county": "BEAVERHEAD",
      "latitude": 45.2016138599486,
      "longitude": -112.647248749881,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dillon-barrett-hospital-&-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BARRETT HOSPITAL DEVELOPMENT CORPORATION",
      "parentSystemId": "entity-barrett-hospital-development-corporation",
      "siblingGroupId": "siblings-mt-barrett-hospital-development-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-verified-parent-barrett-hospital-development-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHTECH MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 5%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARRETT HOSPITAL DEVELOPMENT CORPORATION, ownership class for_profit_private. Excluded HEALTHTECH MANAGEMENT SERVICES INC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHTECH MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 5%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARRETT HOSPITAL DEVELOPMENT CORPORATION, ownership class for_profit_private. Excluded HEALTHTECH MANAGEMENT SERVICES INC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001760611",
      "name": "REHABILITATION INSTITUTE OF CHICAGO",
      "address": "345 EAST SUPERIOR STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60611",
      "county": "COOK",
      "latitude": 41.895454539895,
      "longitude": -87.6183348000848,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 182,
      "rating": null,
      "website": "http://www.ric.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "REHABILITATION INSTITUTE OF CHICAGO",
      "parentSystemId": "entity-rehabilitation-institute-of-chicago",
      "siblingGroupId": "siblings-il-rehabilitation-institute-of-chicago",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001760611",
        "external-resolution-0001760611"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20180104000935 (143026). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20180104000935 (143026). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0001771730",
      "name": "MEDICAL CENTER OF SOUTH ARKANSAS",
      "address": "700 WEST GROVE STREET",
      "city": "EL DORADO",
      "state": "AR",
      "zip": "71730",
      "county": "UNION",
      "latitude": 33.2207269002811,
      "longitude": -92.6710937499486,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 166,
      "rating": null,
      "website": "http://www.themedcenter.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-dorado-medical-center-of-south-arkansas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SARH HOLDINGS, INC",
      "parentSystemId": "entity-sarh-holdings-inc",
      "siblingGroupId": "siblings-ar-sarh-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: SARH HOLDINGS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SARH HOLDINGS, INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARH HOLDINGS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SARH HOLDINGS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SARH HOLDINGS, INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARH HOLDINGS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001773505",
      "name": "COMANCHE COUNTY MEMORIAL HOSPITAL",
      "address": "3401 WEST GORE BOULEVARD",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73505",
      "county": "COMANCHE",
      "latitude": 34.6097854397478,
      "longitude": -98.434260709555,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 265,
      "rating": null,
      "website": "http://www.ccmhonline.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COMANCHE COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-comanche-county-hospital-authority",
      "siblingGroupId": "siblings-ok-comanche-county-hospital-authority",
      "campusFamilyId": "campus-ok-370056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-comanche-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMANCHE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEORGE W KRUGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMANCHE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEORGE W KRUGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001776227",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL AUBREY",
      "address": "26791 HIGHWAY 380",
      "city": "AUBREY",
      "state": "TX",
      "zip": "76227",
      "county": "DENTON",
      "latitude": 33.2206530503271,
      "longitude": -96.9135885200427,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "EMERUS MANAGEMENT COMPANY, LLC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-emerus-management-company-llc",
      "siblingGroupId": "siblings-tx-emerus-management-company-llc",
      "campusFamilyId": "campus-tx-670062",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMERUS MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White HealthEmerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White HealthEmerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS MANAGEMENT COMPANY, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EMERUS MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White HealthEmerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White HealthEmerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS MANAGEMENT COMPANY, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001780027",
      "name": "CENTURA HEALTH - AVISTA ADVENTIST HOSPITAL",
      "address": "100 HEALTH PARK DR",
      "city": "LOUISVILLE",
      "state": "CO",
      "zip": "80027",
      "county": "BOULDER",
      "latitude": 39.951909220112,
      "longitude": -105.151781650148,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 114,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-centura-health-avista-adventist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-co-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001783276",
      "name": "CARIBOU MEMORIAL HOSPITAL",
      "address": "300 S 3RD W",
      "city": "SODA SPRINGS",
      "state": "ID",
      "zip": "83276",
      "county": "CARIBOU",
      "latitude": 42.6514905200238,
      "longitude": -111.614735710332,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CARIBOU MEDICAL CENTER, INC",
      "parentSystemId": "entity-caribou-medical-center-inc",
      "siblingGroupId": "siblings-id-caribou-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-caribou-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARIBOU MEDICAL CENTER, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to CARIBOU MEDICAL CENTER, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARIBOU MEDICAL CENTER, INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARIBOU MEDICAL CENTER, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to CARIBOU MEDICAL CENTER, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARIBOU MEDICAL CENTER, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001784010",
      "name": "BENCHMARK BEHAVIORAL HEALTH SYSTEM",
      "address": "592 WEST 1350 SOUTH",
      "city": "WOODS CROSS",
      "state": "UT",
      "zip": "84087",
      "county": "DAVIS",
      "latitude": 40.8777639200551,
      "longitude": -111.89552036967,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 84,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ut-universal-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001784010",
        "external-resolution-0001784010"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001799835",
      "name": "SITKA - SEARHC MT. EDGECUMBE HOSPITAL",
      "address": "222 TONGASS DRIVE",
      "city": "SITKA",
      "state": "AK",
      "zip": "99835",
      "county": "SITKA",
      "latitude": 57.0515655600543,
      "longitude": -135.354876740152,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.searhc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
      "parentSystemId": "entity-southeast-alaska-regional-health-consortium",
      "siblingGroupId": "siblings-ak-southeast-alaska-regional-health-consortium",
      "campusFamilyId": "campus-ak-021314",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEGAN CARTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEGAN CARTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001801960",
      "name": "LAHEY MEDICAL CTR, PEADODY - INPT ST",
      "address": "1 ESSEX CENTER DRIVE, FLOORS 1, 2, 3, 4, AND 5",
      "city": "PEABODY",
      "state": "MA",
      "zip": "01960",
      "county": "ESSEX",
      "latitude": 42.537200000318,
      "longitude": -70.9463999998571,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 10,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Lahey hospital campus",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001801960"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0001808901",
      "name": "CANCER INSTITUTE OF NEW JERSEY",
      "address": "195 LITTLE ALBANY STREET",
      "city": "NEW BRUNSWICK",
      "state": "NJ",
      "zip": "08901",
      "county": "MIDDLESEX",
      "latitude": 40.4963571301042,
      "longitude": -74.449125800356,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "http://www.cinj.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-brunswick-cancer-institute-of-new-jersey/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CANCER INSTITUTE OF NEW JERSEY",
      "parentSystemId": "entity-cancer-institute-of-new-jersey",
      "siblingGroupId": "siblings-nj-cancer-institute-of-new-jersey",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001808901",
        "external-resolution-0001808901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.cinj.org/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0001829615",
      "name": "ST FRANCIS - EASTSIDE",
      "address": "125 COMMONWEALTH DR",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29615",
      "county": "GREENVILLE",
      "latitude": 34.8512858196994,
      "longitude": -82.322549179804,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 93,
      "rating": null,
      "website": "http://www.stfrancishealth.org/find-a-facility-st-francis-eastside.html",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-st-francis-eastside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Bon Secours Mercy Health",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-sc-bon-secours-mercy-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001829615",
        "external-resolution-0001829615"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Bon Secours Mercy Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Bon Secours Mercy Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0001836049",
      "name": "BEACONS CHILDREN'S HOSPITAL",
      "address": "150 HOSPITAL DRIVE",
      "city": "LUVERNE",
      "state": "AL",
      "zip": "36049",
      "county": "CRENSHAW",
      "latitude": 31.694588550283,
      "longitude": -86.2631915100374,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "status": "disputed",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "Perimeter Behavioral Health",
      "peFirm": "Ridgemont Equity Partners",
      "acquiredDate": "June 2017",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-al-perimeter-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-holdco-perimeter-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHANNON HUDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HOLDCO PERIMETER LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHANNON HUDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HOLDCO PERIMETER LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001838851",
      "name": "TRACE REGIONAL HOSPITAL",
      "address": "1002 EAST MADISON STREET",
      "city": "HOUSTON",
      "state": "MS",
      "zip": "38851",
      "county": "CHICKASAW",
      "latitude": 33.894226600014,
      "longitude": -88.9853275900769,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 84,
      "rating": null,
      "website": "http://www.traceregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-trace-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PROGRESSIVE HEALTH GROUP OF HOUSTON",
      "parentSystemId": "entity-progressive-health-group-of-houston",
      "siblingGroupId": "siblings-ms-progressive-health-group-of-houston",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSIVE HEALTH GROUP OF HOUSTON, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSIVE HEALTH GROUP OF HOUSTON, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001846901",
      "name": "COMMUNITY HOWARD SPECIALTY HOSPITAL",
      "address": "829 N DIXON RD",
      "city": "KOKOMO",
      "state": "IN",
      "zip": "46901",
      "county": "HOWARD",
      "latitude": 40.497256419918,
      "longitude": -86.1658040101239,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "website": "http://www.howardregional.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Community Health Network",
      "parentSystemId": "entity-community-health-network",
      "siblingGroupId": "siblings-in-community-health-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001846901",
        "external-resolution-0001846901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ecommunity.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Community Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Community Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0001860612",
      "name": "JESSE BROWN DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "820 SOUTH DAMEN AVENUE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60612",
      "county": "COOK",
      "latitude": 41.8707378198169,
      "longitude": -87.6770414798713,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 240,
      "rating": null,
      "website": "https://www.chicago.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-il-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001860612",
        "external-resolution-0001860612"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001874578",
      "name": "LATIMER COUNTY GENERAL HOSPITAL",
      "address": "806 HIGHWAY 2 NORTH",
      "city": "WILBURTON",
      "state": "OK",
      "zip": "74578",
      "county": "LATIMER",
      "latitude": 34.9194762798245,
      "longitude": -95.3208557296165,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 33,
      "rating": null,
      "website": "http://www.lcghok.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LATIMER COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-latimer-county-general-hospital",
      "siblingGroupId": "siblings-ok-latimer-county-general-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-06-30",
      "ownershipSourceIds": [
        "hifld-location-0001874578",
        "external-resolution-0001874578"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 370072; Type of Control 13 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 370072; Type of Control 13 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001896816",
      "name": "LEAHI HOSPITAL",
      "address": "3675 KILAUEA AVENUE",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96816",
      "county": "HONOLULU",
      "latitude": 21.2732550796036,
      "longitude": -157.801493450251,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 4,
      "rating": null,
      "website": "https://leahi.hhsc.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-leahi-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAWAII HEALTH SYSTEMS CORPORATION",
      "parentSystemId": "entity-hawaii-health-systems-corporation",
      "siblingGroupId": "siblings-hi-hawaii-health-systems-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001898433",
      "name": "VA PUGET SOUND HEALTH CARE SYSTEM - TACOMA",
      "address": "9900 VETERENS DRIVE SW",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98433",
      "county": "PIERCE",
      "latitude": 47.133300559744,
      "longitude": -122.578496040197,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 203,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=192",
      "status": "corporate_chain",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-wa-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001898433",
        "external-resolution-0001898433"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001899835",
      "name": "SITKA COMMUNITY HOSPITAL",
      "address": "209 MOLLER AVENUE",
      "city": "SITKA",
      "state": "AK",
      "zip": "99835",
      "county": "SITKA",
      "latitude": 57.0597613300364,
      "longitude": -135.346935030271,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 27,
      "rating": null,
      "website": "www.sitkahospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SITKA COMMUNITY HOSPITAL",
      "parentSystemId": "entity-sitka-community-hospital",
      "siblingGroupId": "siblings-ak-sitka-community-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-07-31",
      "ownershipSourceIds": [
        "hifld-location-0001899835",
        "external-resolution-0001899835"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 021303; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 021303; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001900714",
      "name": "LAFAYETTE HOSPITAL",
      "address": "PR-753 KM 0.1 SECTOR CUATRO CALLES",
      "city": "ARROYO",
      "state": "PR",
      "zip": "00714",
      "county": "ARROYO",
      "latitude": 17.9759612801639,
      "longitude": -66.0583675796363,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0001907740",
      "name": "SPECIALTY HOSPITAL AT MONMOUTH",
      "address": "300 2ND AVENUE",
      "city": "LONG BRANCH",
      "state": "NJ",
      "zip": "07740",
      "county": "MONMOUTH",
      "latitude": 40.2963811897008,
      "longitude": -73.9838491203164,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://spechospnjfdn.org/2011memberhospitals.html",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MONMOUTH MEDICAL CENTER, INC",
      "parentSystemId": "entity-monmouth-medical-center-inc",
      "siblingGroupId": "siblings-nj-monmouth-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001907740",
        "external-resolution-0001907740"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20210524001835 (31S075). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20210524001835 (31S075). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0001932207",
      "name": "BAPTIST MEDICAL CENTER JACKSONVILLE",
      "address": "800 PRUDENTIAL DR",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32207",
      "county": "DUVAL",
      "latitude": 30.3156511500218,
      "longitude": -81.6647073995537,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 489,
      "rating": null,
      "website": "www.baptistjax.com",
      "status": "corporate_chain",
      "parentSystem": "SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC",
      "affiliatedSystem": "Baptistjax",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistjax",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-baptist-medical-center-jacksonville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-southern-baptist-hospital-of-florida-inc",
      "siblingGroupId": "siblings-fl-southern-baptist-hospital-of-florida-inc",
      "campusFamilyId": "campus-fl-100088",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001945385",
      "name": "GREENE MEMORIAL HOSPITAL, INC",
      "address": "1141 NORTH MONROE DRIVE",
      "city": "XENIA",
      "state": "OH",
      "zip": "45385",
      "county": "GREENE",
      "latitude": 39.7001251699701,
      "longitude": -83.9277406096842,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 41,
      "rating": null,
      "website": "http://www.greenehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001947025",
      "name": "COMMUNITY MENTAL HEALTH CENTER INC",
      "address": "285 BIELBY RD",
      "city": "LAWRENCEBURG",
      "state": "IN",
      "zip": "47025",
      "county": "DEARBORN",
      "latitude": 39.1097984797827,
      "longitude": -84.8825339198457,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "http://www.cmhcinc.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrenceburg-community-mental-health-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MENTAL HEALTH CENTER INC.",
      "parentSystemId": "entity-community-mental-health-center-inc",
      "siblingGroupId": "siblings-in-community-mental-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-community-mental-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to COMMUNITY MENTAL HEALTH CENTER INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MENTAL HEALTH CENTER INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to COMMUNITY MENTAL HEALTH CENTER INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MENTAL HEALTH CENTER INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001955103",
      "name": "HEALTHEAST BETHESDA HOSPITAL",
      "address": "559 CAPITOL BOULEVARD",
      "city": "ST. PAUL",
      "state": "MN",
      "zip": "55103",
      "county": "RAMSEY",
      "latitude": 44.9584328603163,
      "longitude": -93.102843029949,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 254,
      "rating": null,
      "website": "https://www.fairview.org/locations/bethesda-hospital",
      "status": "corporate_chain",
      "parentSystem": "Fairview",
      "affiliatedSystem": "Fairview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Fairview",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-fairview",
      "siblingGroupId": "siblings-mn-fairview",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001955103",
        "external-resolution-0001955103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.fairview.org/locations/bethesda-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001958257",
      "name": "SANFORD MEDICAL CENTER MAYVILLE",
      "address": "42 6TH AVENUE SE",
      "city": "MAYVILLE",
      "state": "ND",
      "zip": "58257",
      "county": "TRAILL",
      "latitude": 47.5007432798281,
      "longitude": -97.3169078703205,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.unionhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-nd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001960521",
      "name": "RML HEALTH PROVIDERS LIMITED PARTNERSHIP",
      "address": "5601 S COUNTY LINE ROAD",
      "city": "HINSDALE",
      "state": "IL",
      "zip": "60521",
      "county": "COOK",
      "latitude": 41.7861853199778,
      "longitude": -87.9153076101868,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 87,
      "rating": null,
      "website": "https://www.rmlspecialtyhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "RML HEALTH PROVIDERS LIMITED PARTNERSHIP",
      "parentSystemId": "entity-rml-health-providers-limited-partnership",
      "siblingGroupId": "siblings-il-rml-health-providers-limited-partnership",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-rml-health-providers-limited-partnership"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists BETH ANNE BENSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to RML HEALTH PROVIDERS LIMITED PARTNERSHIP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RML HEALTH PROVIDERS LIMITED PARTNERSHIP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BETH ANNE BENSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to RML HEALTH PROVIDERS LIMITED PARTNERSHIP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RML HEALTH PROVIDERS LIMITED PARTNERSHIP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001961401",
      "name": "GALESBURG COTTAGE HOSPITAL",
      "address": "695 N KELLOGG ST",
      "city": "GALESBURG",
      "state": "IL",
      "zip": "61401",
      "county": "KNOX",
      "latitude": 40.9557990298875,
      "longitude": -90.3657602600877,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 133,
      "rating": null,
      "website": "http://www.cottagehospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GALESBURG COTTAGE HOSPITAL",
      "parentSystemId": "entity-galesburg-cottage-hospital",
      "siblingGroupId": "siblings-il-galesburg-cottage-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-04-30",
      "ownershipSourceIds": [
        "hifld-location-0001961401",
        "external-resolution-0001961401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 140040; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 140040; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0001967449",
      "name": "HERINGTON HOSPITAL INC DBA HERINGTON HOSPITAL",
      "address": "100 EAST HELEN STREET",
      "city": "HERINGTON",
      "state": "KS",
      "zip": "67449",
      "county": "DICKINSON",
      "latitude": 38.6801020096677,
      "longitude": -96.9422650804299,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "www.heringtonhospital.com",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001967449",
        "external-resolution-0001967449"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.heringtonhospital.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high, insufficient_structured_sources."
    },
    {
      "id": "0001978731",
      "name": "ASCENSION SETON SHOAL CREEK",
      "address": "3501 MILLS AVENUE",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78731",
      "county": "TRAVIS",
      "latitude": 30.3059214903666,
      "longitude": -97.7483999401972,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 147,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-tx-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001978731",
        "external-resolution-0001978731"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0001983101",
      "name": "SOUTH LINCOLN HOSPITAL DISTRICT DBA SOUTH LINCOLN MEDICAL CENTER",
      "address": "711 ONYX ST",
      "city": "KEMMERER",
      "state": "WY",
      "zip": "83101",
      "county": "LINCOLN",
      "latitude": 41.789708039755,
      "longitude": -110.541694399698,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SOUTH LINCOLN HOSPITAL DISTRICT",
      "parentSystemId": "entity-south-lincoln-hospital-district",
      "siblingGroupId": "siblings-wy-south-lincoln-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-verified-parent-south-lincoln-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to SOUTH LINCOLN HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH LINCOLN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to SOUTH LINCOLN HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH LINCOLN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0001999929",
      "name": "WRANGELL MEDICAL CENTER - SEARHC",
      "address": "310 BENNETT ST",
      "city": "WRANGELL",
      "state": "AK",
      "zip": "99929",
      "county": "WRANGELL",
      "latitude": 56.4717823898921,
      "longitude": -132.375803900016,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 8,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WRANGELL MEDICAL CENTER - SEARHC",
      "parentSystemId": "entity-wrangell-medical-center-searhc",
      "siblingGroupId": "siblings-ak-wrangell-medical-center-searhc",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0001999929",
        "external-resolution-0001999929"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ak.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0002000785",
      "name": "CLINICA SANTA ROSA",
      "address": "VETERANS AVENUE",
      "city": "GUAYAMA",
      "state": "PR",
      "zip": "00785",
      "county": "GUAYAMA",
      "latitude": 17.9807709203631,
      "longitude": -66.106166120234,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 86,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0002008330",
      "name": "LIGHTHOUSE AT MAYS LANDING",
      "address": "5034 ATLANTIC AVENUE",
      "city": "MAYS LANDING",
      "state": "NJ",
      "zip": "08330",
      "county": "ATLANTIC",
      "latitude": 39.4405119801851,
      "longitude": -74.6889823197286,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "website": "http://www.lhrecovery.com/",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mays-landing-lighthouse-at-mays-landing/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002008330",
        "external-resolution-0002008330"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.lhrecovery.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0002019111",
      "name": "HOSPITAL OF THE FOX CHASE CANCER CENTER",
      "address": "333 COTTMAN AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19111",
      "county": "PHILADELPHIA",
      "latitude": 40.0707761799276,
      "longitude": -75.0907162800739,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-hospital-of-fox-chase-cancer-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEMPLE UNIVERSITY HEALTH SYSTEM INC",
      "parentSystemId": "entity-temple-university-health-system-inc",
      "siblingGroupId": "siblings-pa-temple-university-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-temple-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.templehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002025526",
      "name": "CAMC - TEAYS VALLEY HOSPITAL",
      "address": "1400 HOSPITAL DRIVE",
      "city": "HURRICANE",
      "state": "WV",
      "zip": "25526",
      "county": "PUTNAM",
      "latitude": 38.4517963197634,
      "longitude": -81.9523853396143,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "website": "https://www.camc.org/locations/camc-teays-valley-hospital",
      "status": "corporate_chain",
      "parentSystem": "Camc",
      "affiliatedSystem": "Camc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Camc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hurricane-camc-teays-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-camc",
      "siblingGroupId": "siblings-wv-camc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002025526",
        "external-resolution-0002025526"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.camc.org/locations/camc-teays-valley-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002027835",
      "name": "VIDANT MEDICAL CENTER",
      "address": "2100 STANTONSBURG RD, PO BOX 6028",
      "city": "GREENVILLE",
      "state": "NC",
      "zip": "27834",
      "county": "PITT",
      "latitude": 35.6078616801018,
      "longitude": -77.4040310703672,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 974,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "VIDANT MEDICAL CENTER",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-vidant-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-vidant-medical-center",
      "siblingGroupId": "siblings-nc-vidant-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-vidant-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to VIDANT MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIDANT MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to VIDANT MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIDANT MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002043512",
      "name": "DEFIANCE REGIONAL MEDICAL CENTER",
      "address": "1200 RALSTON AVENUE",
      "city": "DEFIANCE",
      "state": "OH",
      "zip": "43512",
      "county": "DEFIANCE",
      "latitude": 41.2987038901908,
      "longitude": -84.3765627103242,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 51,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROMEDICA HEALTH SYSTEM INC",
      "parentSystemId": "entity-promedica-health-system-inc",
      "siblingGroupId": "siblings-oh-promedica-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-promedica"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.promedica.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002055109",
      "name": "HEALTHEAST ST. JOHNS HOSPITAL",
      "address": "1575 BEAM AVENUE",
      "city": "MAPLEWOOD",
      "state": "MN",
      "zip": "55109",
      "county": "RAMSEY",
      "latitude": 45.0291120501468,
      "longitude": -93.0339335304055,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 184,
      "rating": null,
      "website": "http://www.healtheast.org/st-johns-hospital/about/about.html",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHEAST ST JOHN'S HOSPITAL",
      "parentSystemId": "entity-healtheast-st-john-s-hospital",
      "siblingGroupId": "siblings-mn-healtheast-st-john-s-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-m-health-fairview"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "CMS lists MAUREEN VERONICA-REGER RING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHEAST ST JOHN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MAUREEN VERONICA-REGER RING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHEAST ST JOHN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002060624",
      "name": "RML HEALTH PROVIDERS LIMITED PARTNERSHIP",
      "address": "3435 W VAN BUREN ST",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60624",
      "county": "COOK",
      "latitude": 41.8749448897135,
      "longitude": -87.7122720497567,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 68,
      "rating": null,
      "website": "https://www.rmlspecialtyhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "RML HEALTH PROVIDERS LIMITED PARTNERSHIP",
      "parentSystemId": "entity-rml-health-providers-limited-partnership",
      "siblingGroupId": "siblings-il-rml-health-providers-limited-partnership",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002060624",
        "external-resolution-0002060624"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 142010. That CCN bridged to CMS enrollment O20071106000505 and 3 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 142010. That CCN bridged to CMS enrollment O20071106000505 and 3 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0002099559",
      "name": "YUKON - KUSKOKWIM - DELTA REGIONAL HOSPITAL",
      "address": "700 EDDIE HOFFMAN HIGHWAY",
      "city": "BETHEL",
      "state": "AK",
      "zip": "99559",
      "county": "BETHEL",
      "latitude": 60.7883423499622,
      "longitude": -161.78461278039,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 37,
      "rating": null,
      "website": "http://www.ykhc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethel-yukon---kuskokwim-delta-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "YUKON KUSKOKWIM DELTA REG HOSPITAL",
      "parentSystemId": "entity-yukon-kuskokwim-delta-reg-hospital",
      "siblingGroupId": "siblings-ak-yukon-kuskokwim-delta-reg-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YUKON KUSKOKWIM DELTA REG HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YUKON KUSKOKWIM DELTA REG HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002114203",
      "name": "BUFFALO GENERAL MEDICAL CENTER",
      "address": "100 HIGH STREET",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14203",
      "county": "ERIE",
      "latitude": 42.90086841001,
      "longitude": -78.8662097601913,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 484,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-buffalo-general-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KALEIDA HEALTH",
      "parentSystemId": "entity-kaleida-health",
      "siblingGroupId": "siblings-ny-kaleida-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-kaleida-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KALEIDA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to KALEIDA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KALEIDA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KALEIDA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to KALEIDA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KALEIDA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002115905",
      "name": "SELECT SPECIALTY HOSPITAL - JOHNSTOWN, INC",
      "address": "320 MAIN STREET",
      "city": "JOHNSTOWN",
      "state": "PA",
      "zip": "15901",
      "county": "CAMBRIA",
      "latitude": 40.3052834901224,
      "longitude": -78.9199242504157,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 39,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-johnstown-select-specialty-hospital-johnstown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KERRI TONONI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KERRI TONONI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002132258",
      "name": "BAPTIST MEDICAL CENTER SOUTH",
      "address": "14550 OLD ST AUGUSTINE RD",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32258",
      "county": "DUVAL",
      "latitude": 30.1387778603379,
      "longitude": -81.5353848901045,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 291,
      "rating": null,
      "website": "www.baptistjax.com",
      "status": "corporate_chain",
      "affiliatedSystem": "Baptistjax",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistjax",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-baptist-medical-center-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002132258",
        "external-resolution-0002132258"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.baptistjax.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0002137208",
      "name": "METROPOLITAN NASHVILLE GENERAL HOSPITAL",
      "address": "1818 ALBION STREET",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37208",
      "county": "DAVIDSON",
      "latitude": 36.166906970352,
      "longitude": -86.8065611200577,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 150,
      "rating": null,
      "website": "http://nashvillegeneral.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY",
      "parentSystemId": "entity-metropolitan-government-of-nashville-and-davidson-county",
      "siblingGroupId": "siblings-tn-metropolitan-government-of-nashville-and-davidson-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-metropolitan-government-of-nashville-davidson-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists VERONICA ELDERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists VERONICA ELDERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002139355",
      "name": "H. C. WATKINS MEMORIAL HOSPITAL",
      "address": "605 SOUTH ARCHUSA AVENUE",
      "city": "QUITMAN",
      "state": "MS",
      "zip": "39355",
      "county": "CLARKE",
      "latitude": 32.030533609968,
      "longitude": -88.7259589602507,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.watkinsmemorialhospital.com/hcwmh/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quitman-h.-c.-watkins-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-ms-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002150659",
      "name": "MERCYONE NEW HAMPTON MEDICAL CENTER",
      "address": "308 NORTH MAPLE AVENUE",
      "city": "NEW HAMPTON",
      "state": "IA",
      "zip": "50659",
      "county": "CHICKASAW",
      "latitude": 43.062713029983,
      "longitude": -92.3215442898971,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AARON FLUGUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AARON FLUGUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002155746",
      "name": "UNIVERSITY MEDICAL CTR MESABI",
      "address": "750 EAST 34TH STREET",
      "city": "HIBBING",
      "state": "MN",
      "zip": "55746",
      "county": "ST. LOUIS",
      "latitude": 47.4088370599958,
      "longitude": -92.9298983599473,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 175,
      "rating": null,
      "website": "http://www.range.fairview.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "RANGE REGIONAL HEALTH SERVICES",
      "parentSystemId": "entity-range-regional-health-services",
      "siblingGroupId": "siblings-mn-range-regional-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-range-regional-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RANGE REGIONAL HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RANGE REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RANGE REGIONAL HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RANGE REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002158054",
      "name": "CHI LISBON HEALTH",
      "address": "905 MAIN ST",
      "city": "LISBON",
      "state": "ND",
      "zip": "58054",
      "county": "RANSOM",
      "latitude": 46.4373259898871,
      "longitude": -97.6803164199979,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.lisbonhospital.com",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lisbon-chi-lisbon-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD H DEAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD H DEAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002167022",
      "name": "SUMNER COUNTY HOSPITAL DISTRICT NO. 1",
      "address": "601 SOUTH OSAGE STREET",
      "city": "CALDWELL",
      "state": "KS",
      "zip": "67022",
      "county": "SUMNER",
      "latitude": 37.0261341396749,
      "longitude": -97.6102642202938,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "www.schd1.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002167022",
        "external-resolution-0002167022"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.schd1.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0002171112",
      "name": "CORNERSTONE SPECIALTY HOSPITALS BOSSIER CITY",
      "address": "4900 MEDICAL DRIVE",
      "city": "BOSSIER CITY",
      "state": "LA",
      "zip": "71112",
      "county": "BOSSIER",
      "latitude": 32.4605595501802,
      "longitude": -93.6696169403432,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "website": "https://www.chghospitals.com/location/cornerstone-specialty-hospitals-bossier-city/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "TRIGON HEALTHCARE LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-trigon-healthcare-llc",
      "siblingGroupId": "siblings-la-trigon-healthcare-llc",
      "campusFamilyId": "campus-la-192006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIGON HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES MANNING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIGON HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIGON HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES MANNING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIGON HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002173112",
      "name": "INTEGRIS DEACONESS",
      "address": "5501 NORTH PORTLAND AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73112",
      "county": "OKLAHOMA",
      "latitude": 35.5269067398852,
      "longitude": -97.5841310599706,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 238,
      "rating": null,
      "website": "http://myalliancehealth.com/",
      "status": "corporate_chain",
      "parentSystem": "Myalliancehealth",
      "affiliatedSystem": "Myalliancehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Myalliancehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-myalliancehealth",
      "siblingGroupId": "siblings-ok-myalliancehealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002173112",
        "external-resolution-0002173112"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://myalliancehealth.com/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002180303",
      "name": "FOOTHILLS HOSPITAL",
      "address": "4747 ARAPAHOE AVE",
      "city": "BOULDER",
      "state": "CO",
      "zip": "80303",
      "county": "BOULDER",
      "latitude": 40.0162975302977,
      "longitude": -105.23625161972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 167,
      "rating": null,
      "website": "www.bch.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boulder-foothills-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-co-unity-health-arkansas",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-840175870"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/840175870"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Boulder Community Health. Resolved parent/control boundary: BOULDER COMMUNITY HEALTH. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Boulder Community Health. Resolved parent/control boundary: BOULDER COMMUNITY HEALTH. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002182601",
      "name": "WYOMING RECOVER LLC",
      "address": "231 SOUTH WILSON",
      "city": "CASPER",
      "state": "WY",
      "zip": "82601",
      "county": "NATRONA",
      "latitude": 42.84790427014,
      "longitude": -106.307122240403,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "http://www.wyomingrecovery.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-casper-wyoming-recover-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WYOMING RECOVER LLC",
      "parentSystemId": "entity-wyoming-recover-llc",
      "siblingGroupId": "siblings-wy-wyoming-recover-llc",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002182601",
        "external-resolution-0002182601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wyomingrecovery.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0002200733",
      "name": "HOSP ANDRES GRILLASCA INC (CENTRO DE ONCOLOGICA AVANZADA)",
      "address": "CENTRO MEDICO DE PONCE",
      "city": "PONCE",
      "state": "PR",
      "zip": "00733",
      "county": "PONCE",
      "latitude": 18.0332502101716,
      "longitude": -66.593130350071,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0002202115",
      "name": "DANA - FARBER CANCER INSTITUTE",
      "address": "450 BROOKLINE AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02215",
      "county": "SUFFOLK",
      "latitude": 42.3376150001636,
      "longitude": -71.1081830000457,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-dana-farber-cancer-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DANA-FARBER CANCER INSTITUTE, INC.",
      "parentSystemId": "entity-dana-farber-cancer-institute-inc",
      "siblingGroupId": "siblings-ma-dana-farber-cancer-institute-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220162"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dana-farber.org/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Dana-Farber official organization page. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DANA-FARBER CANCER INSTITUTE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Dana-Farber official organization page. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DANA-FARBER CANCER INSTITUTE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002203801",
      "name": "NORTHEAST REHAB HOSPITAL AT PEASE",
      "address": "105 CORPORATE DRIVE",
      "city": "PORTSMOUTH",
      "state": "NH",
      "zip": "03801",
      "county": "ROCKINGHAM",
      "latitude": 43.0855064398672,
      "longitude": -70.7994312400882,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Northeast Rehabilitation Hospital Network",
      "parentSystemId": "entity-northeast-rehabilitation-hospital-network",
      "siblingGroupId": "siblings-nh-northeast-rehabilitation-hospital-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002203801",
        "external-resolution-0002203801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northeastrehab.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Northeast Rehabilitation Hospital Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Northeast Rehabilitation Hospital Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002207102",
      "name": "MOUNT CARMEL GUILD BEHAVIORAL HEALTHCARE SYSTEM",
      "address": "1160 RAYMOND BOULEVARD",
      "city": "NEWARK",
      "state": "NJ",
      "zip": "07102",
      "county": "ESSEX",
      "latitude": 40.7371696601306,
      "longitude": -74.1707379602827,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "http://www.ccannj.com/mental_health_pro.php",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-mount-carmel-guild-behavioral-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Catholic Charities of the Archdiocese of Newark",
      "parentSystemId": "entity-catholic-charities-of-the-archdiocese-of-newark",
      "siblingGroupId": "siblings-nj-catholic-charities-of-the-archdiocese-of-newark",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002207102",
        "external-resolution-0002207102"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ccannj.org/behavioral-health-services/"
      ],
      "ownershipProofNotes": "Mount Carmel Guild behavioral services are operated by Catholic Charities of the Archdiocese of Newark, a nonprofit. The record is a behavioral-service location rather than an active acute-care hospital.",
      "parentSystemEvidence": "Mount Carmel Guild behavioral services are operated by Catholic Charities of the Archdiocese of Newark, a nonprofit. The record is a behavioral-service location rather than an active acute-care hospital."
    },
    {
      "id": "0002217822",
      "name": "GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL",
      "address": "64 REHAB LANE",
      "city": "DANVILLE",
      "state": "PA",
      "zip": "17821",
      "county": "MONTOUR",
      "latitude": 40.9615968702107,
      "longitude": -76.5727816095531,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-geisinger-encompass-health-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002236301",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN",
      "address": "1736 EAST MAIN STREET",
      "city": "DOTHAN",
      "state": "AL",
      "zip": "36301",
      "county": "HOUSTON",
      "latitude": 31.2179119103464,
      "longitude": -85.36581262977,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 51,
      "rating": null,
      "website": "http://www.healthsouthdothan.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-al-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002239773",
      "name": "NORTH MS MEDICAL CENTER - WEST POINT",
      "address": "150 MEDICAL CENTER DRIVE",
      "city": "WEST POINT",
      "state": "MS",
      "zip": "39773",
      "county": "CLAY",
      "latitude": 33.6193963898147,
      "longitude": -88.6623778402729,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-ms-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002254303",
      "name": "LIBERTAS GREEN BAY",
      "address": "1701 DOUSMAN ST",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54303",
      "county": "BROWN",
      "latitude": 44.5341578098845,
      "longitude": -88.0642770797902,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "website": "www.libertascenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-green-bay-libertas-green-bay/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Hospital Sisters Health System",
      "parentSystemId": "entity-hospital-sisters-health-system",
      "siblingGroupId": "siblings-wi-hospital-sisters-health-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002254303",
        "external-resolution-0002254303"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hshs.org/find-a-location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Hospital Sisters Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Hospital Sisters Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002259349",
      "name": "PRAIRIE COMMUNITY HOSPITAL",
      "address": "312 S ADAMS",
      "city": "TERRY",
      "state": "MT",
      "zip": "59349",
      "county": "PRAIRIE",
      "latitude": 46.7911340601123,
      "longitude": -105.315595939722,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 25,
      "rating": null,
      "website": "http://www.prairiecommunityhospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-terry-prairie-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PRAIRIE COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-prairie-county-hospital-district",
      "siblingGroupId": "siblings-mt-prairie-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-verified-parent-prairie-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRAIRIE COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRAIRIE COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002269153",
      "name": "BANNER HEALTH",
      "address": "2601 NORTH SPRUCE ST",
      "city": "OGALLALA",
      "state": "NE",
      "zip": "69153",
      "county": "KEITH",
      "latitude": 41.1512420100106,
      "longitude": -101.718718870426,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-ne-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BANNER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY GULLINGSRUD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BANNER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY GULLINGSRUD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002284107",
      "name": "THE ORTHOPEDIC SPECIALTY HOSPITAL",
      "address": "5848 SOUTH 300 EAST",
      "city": "MURRAY",
      "state": "UT",
      "zip": "84107",
      "county": "SALT LAKE",
      "latitude": 40.6443838502641,
      "longitude": -111.883580759719,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murray-the-orthopedic-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE ORTHOPEDIC SPECIALTY HOSPITAL",
      "parentSystemId": "entity-the-orthopedic-specialty-hospital",
      "siblingGroupId": "siblings-ut-the-orthopedic-specialty-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0002284107",
        "external-resolution-0002284107"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 460049; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 460049; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0002293423",
      "name": "DEPARTMENT OF STATE HOSPITALS - ATASCADERO",
      "address": "10333 EL CAMINO REAL",
      "city": "ATASCADERO",
      "state": "CA",
      "zip": "93422",
      "county": "SAN LUIS OBISPO",
      "latitude": 35.4627176101435,
      "longitude": -120.634890609933,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 311,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "California Department of State Hospitals",
      "parentSystemId": "entity-california-department-of-state-hospitals",
      "siblingGroupId": "siblings-ca-california-department-of-state-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002293423",
        "external-resolution-0002293423"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20090129000519 (05125E). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20090129000519 (05125E). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0002303060",
      "name": "SOUTHERN NEW HAMPSHIRE MEDICAL CENTER",
      "address": "8 PROSPECT STREET",
      "city": "NASHUA",
      "state": "NH",
      "zip": "03061",
      "county": "HILLSBOROUGH",
      "latitude": 42.7562798401546,
      "longitude": -71.461374700078,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 188,
      "rating": null,
      "website": "http://www.snhmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashua-southern-new-hampshire-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHERN NH MEDICAL CENTER",
      "parentSystemId": "entity-southern-nh-medical-center",
      "siblingGroupId": "siblings-nh-southern-nh-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN NH MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN NH MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002304268",
      "name": "STEPHENS MEMORIAL HOSPITAL",
      "address": "181 MAIN STREET",
      "city": "NORWAY",
      "state": "ME",
      "zip": "04268",
      "county": "OXFORD",
      "latitude": 44.2101653297149,
      "longitude": -70.5324098201357,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "http://wmhcc.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norway-stephens-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANA J MCLAUGHLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANA J MCLAUGHLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002307977",
      "name": "THE MATHENY SCHOOL AND HOSPITAL",
      "address": "65 HIGHLAND AVENUE",
      "city": "PEAPACK",
      "state": "NJ",
      "zip": "07977",
      "county": "SOMERSET",
      "latitude": 40.7121852197913,
      "longitude": -74.640898389755,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 101,
      "rating": null,
      "website": "http://www.matheny.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MATHENY SCHOOL AND HOSPITAL",
      "parentSystemId": "entity-matheny-school-and-hospital",
      "siblingGroupId": "siblings-nj-matheny-school-and-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-independent-new-jersey-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists WILLIAM KENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MATHENY SCHOOL AND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists WILLIAM KENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MATHENY SCHOOL AND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002312204",
      "name": "ALBANY MEDICAL CENTER - SOUTH CLINICAL CAMPUS",
      "address": "25 HACKETT BOULEVARD",
      "city": "ALBANY",
      "state": "NY",
      "zip": "12208",
      "county": "ALBANY",
      "latitude": 42.6458106699347,
      "longitude": -73.7801146400526,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albany-albany-medical-center---south-clinical-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Albany Med Health System",
      "parentSystemId": "entity-albany-med-health-system",
      "siblingGroupId": "siblings-ny-albany-med-health-system",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002312204",
        "external-resolution-0002312204"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.albanymed.org/location/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Albany Med Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Albany Med Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002315217",
      "name": "CHILDREN'S INSTITUTE OF PITTSBURGH, THE",
      "address": "6301 NORTHUMBERLAND STREET",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15217",
      "county": "ALLEGHENY",
      "latitude": 40.4426865898617,
      "longitude": -79.9191994402976,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "website": "http://www.amazingkids.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-children-s-institute-of-pittsburgh-the/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S INSTITUTE OF PITTSBURGH, THE",
      "parentSystemId": "entity-children-s-institute-of-pittsburgh-the",
      "siblingGroupId": "siblings-pa-children-s-institute-of-pittsburgh-the",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002315217",
        "external-resolution-0002315217"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.amazingkids.org"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0002322903",
      "name": "UVA ENCOMPASS HEALTH REHABILITATION HOSPITAL",
      "address": "515 RAY C HUNT DRIVE",
      "city": "CHARLOTTESVILLE",
      "state": "VA",
      "zip": "22903",
      "county": "ALBEMARLE",
      "latitude": 38.0249236502764,
      "longitude": -78.5250747897617,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "www.encompasshealth.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-va-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002328719",
      "name": "CIHA HOSPITAL",
      "address": "1 HOSPITAL ROAD",
      "city": "CHEROKEE",
      "state": "NC",
      "zip": "28719",
      "county": "SWAIN",
      "latitude": 35.4848549703215,
      "longitude": -83.3233844001779,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 18,
      "rating": null,
      "website": "https://cherokeehospital.org/",
      "status": "verified_independent",
      "parentSystem": "The Cherokee Indian Hospital Authority",
      "affiliatedSystem": "The Cherokee Indian Hospital Authority",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "The Cherokee Indian Hospital Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-cherokee-indian-hospital-authority",
      "siblingGroupId": "siblings-nc-the-cherokee-indian-hospital-authority",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002328719",
        "facility-site-0002328719"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://cherokeehospital.org/"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0002329020",
      "name": "MUSC HEALTH KERSHAW MEDICAL CENTER",
      "address": "1315 ROBERTS ST",
      "city": "CAMDEN",
      "state": "SC",
      "zip": "29020",
      "county": "KERSHAW",
      "latitude": 34.2528387000651,
      "longitude": -80.5904059996121,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 119,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-medical-university-hospital-authority",
      "siblingGroupId": "siblings-sc-medical-university-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-verified-parent-medical-university-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002336116",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MONTGOMERY",
      "address": "4465 NARROW LANE ROAD",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36116",
      "county": "MONTGOMERY",
      "latitude": 32.3191069798969,
      "longitude": -86.2807097998364,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 75,
      "rating": null,
      "website": "http://www.healthsouthmontgomery.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montgomery-encompass-health-rehabilitation-hospital-of-montgomery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-al-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002337205",
      "name": "SAINT THOMAS WEST HOSPITAL",
      "address": "4220 HARDING PIKE",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37205",
      "county": "DAVIDSON",
      "latitude": 36.1294019702659,
      "longitude": -86.8445164598629,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1224,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-saint-thomas-west-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ST THOMAS HOSPITAL TRANSPLANT",
      "parentSystemId": "entity-st-thomas-hospital-transplant",
      "siblingGroupId": "siblings-tn-st-thomas-hospital-transplant",
      "campusFamilyId": "siblings-tn-st-thomas-hospital-transplant",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-st-thomas-hospital-transplant"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to ST THOMAS HOSPITAL TRANSPLANT; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST THOMAS HOSPITAL TRANSPLANT, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to ST THOMAS HOSPITAL TRANSPLANT; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST THOMAS HOSPITAL TRANSPLANT, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002338614",
      "name": "NORTHWEST MS MEDICAL CENTER",
      "address": "1970 HOSPITAL DRIVE",
      "city": "CLARKSDALE",
      "state": "MS",
      "zip": "38614",
      "county": "COAHOMA",
      "latitude": 34.1959603197531,
      "longitude": -90.5522162800721,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 181,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "COAHOMA COUNTY",
      "parentSystemId": "entity-coahoma-county",
      "siblingGroupId": "siblings-ms-coahoma-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COAHOMA COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COAHOMA COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COAHOMA COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COAHOMA COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002360608",
      "name": "SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK",
      "address": "1401 S CALIFORNIA BOULEVARD",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60608",
      "county": "COOK",
      "latitude": 41.8622967601703,
      "longitude": -87.6953166595861,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 102,
      "rating": null,
      "website": "https://www.sinaichicago.org/en/find-a-location/results/schwab-rehabilitation/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SINAI HEALTH SYSTEM",
      "parentSystemId": "entity-sinai-health-system",
      "siblingGroupId": "siblings-il-sinai-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-sinai-chicago"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sinai.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: SINAI HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sinai Chicago; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SINAI HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sinai Chicago; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002365804",
      "name": "SELECT SPECIALTY HOSPITAL - SPRINGFIELD",
      "address": "1630 EAST PRIMROSE STREET",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65804",
      "county": "GREENE",
      "latitude": 37.1464393399118,
      "longitude": -93.2665185199298,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/springfield.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-select-specialty-hospital---springfield/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mo-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-select-medical-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DENISE M WAYNE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DENISE M WAYNE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002387110",
      "name": "PRESBYTERIAN KASEMAN HOSPITAL",
      "address": "8300 CONSTITUTION AVENUE NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87110",
      "county": "BERNALILLO",
      "latitude": 35.0929648498117,
      "longitude": -106.553190029654,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 85,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Presbyterian Healthcare Services",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002387110",
        "external-resolution-0002387110"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.phs.org/locations"
      ],
      "ownershipProofNotes": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002402135",
      "name": "ST ELIZABETH'S MEDICAL CENTER",
      "address": "736 CAMBRIDGE STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02135",
      "county": "SUFFOLK",
      "latitude": 42.348699999775,
      "longitude": -71.1484999999531,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 282,
      "rating": null,
      "website": "https://www.semc.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-st.-elizabeth-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ma-tenet-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002402135",
        "external-resolution-0002402135"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 220036. That CCN bridged to CMS enrollment O20241105003474 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 220036. That CCN bridged to CMS enrollment O20241105003474 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0002407922",
      "name": "CORNERSTONE BEHAVIORAL HEALTH HOSPITAL OF UNION COUNTY",
      "address": "40 WATCHUNG WAY",
      "city": "BERKELEY HEIGHTS",
      "state": "NJ",
      "zip": "07922",
      "county": "UNION",
      "latitude": 40.6651085200019,
      "longitude": -74.4218729996256,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 44,
      "rating": null,
      "website": "http://ucnj.org/cornerstone-behavioral-health-hospital-of-union-county/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berkeley-heights-cornerstone-behavioral-health-hospital-of-union-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RUNNELLS BH OPERATING LLC",
      "parentSystemId": "entity-runnells-bh-operating-llc",
      "siblingGroupId": "siblings-nj-runnells-bh-operating-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists AVRAHAM ROSENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUNNELLS BH OPERATING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AVRAHAM ROSENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUNNELLS BH OPERATING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002426554",
      "name": "FAIRMONT GENERAL HOSPITAL",
      "address": "1325 LOCUST AVENUE",
      "city": "FAIRMONT",
      "state": "WV",
      "zip": "26554",
      "county": "MARION",
      "latitude": 39.482335329801,
      "longitude": -80.1653727097288,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 207,
      "rating": null,
      "website": "http://www.fghi.com",
      "status": "closed",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/",
        "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "expandedClosureResearch": {
        "sourceRow": 31,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "Apr 2020 (announced Feb 18 2020, 60-day notice)",
        "careLevel": "Community/secondary",
        "hospitalType": "Acute care",
        "traumaLevel": "",
        "licensedBeds": "needs verification",
        "patientsServedNote": "",
        "ruralUrban": "Small city/rural region",
        "ownershipCategory": "Investor-owned for-profit chain (Alecto Healthcare Services)",
        "historicalSponsorOrOwner": "Alecto Healthcare Services",
        "parentCompany": "Alecto subsidiary",
        "acquiredYear": "2014",
        "acquisitionDealNote": "Purchased 2014 for $15.3M; certificate-of-need projected turning a $733K deficit into $8.2M profit by 2017",
        "yearsPeToClosure": "6",
        "extractionMoneyTrail": "Profit projections never materialized; third Alecto closure in 6 months",
        "degradationRecord": "60-day closure notice to staff; WV lawmakers called for probe of Alecto",
        "communityImpact": "600+ employees out of work",
        "buildingFate": "WVU Medicine later added replacement services in area (needs verification)",
        "peLinkConfidence": "Corporate chain (investor-owned, PE-style)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/",
          "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Alecto subsidiary",
      "formerOperator": "Alecto subsidiary",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2014",
      "closureDate": "Apr 2020 (announced Feb 18 2020, 60-day notice)",
      "closureYear": 2020,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Fairmont Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Alecto subsidiary. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-31",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/",
      "closureEvidenceNote": "60-day closure notice to staff; WV lawmakers called for probe of Alecto",
      "acquisitionSourceId": "expanded-ownership-row-31",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/",
      "acquisitionEvidenceNote": "Purchased 2014 for $15.3M; certificate-of-need projected turning a $733K deficit into $8.2M profit by 2017",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-alecto-subsidiary",
      "siblingGroupId": "siblings-wv-alecto-subsidiary",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002426554",
        "external-resolution-0002426554"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.fghi.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002430306",
      "name": "LAUREL HEIGHTS HOSPITAL",
      "address": "934 BRIARCLIFF ROAD",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30306",
      "county": "DEKALB",
      "latitude": 33.780089040207,
      "longitude": -84.3453322000584,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "website": "http://www.laurelheightshospital.com/index.htm",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-laurel-heights-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002430306",
        "external-resolution-0002430306"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002448706",
      "name": "MCLAREN BAY SPECIAL CARE",
      "address": "3250 E MIDLAND RD, SUITE 1",
      "city": "BAY CITY",
      "state": "MI",
      "zip": "48706",
      "county": "BAY",
      "latitude": 43.6004770297743,
      "longitude": -83.9244566402967,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 31,
      "rating": null,
      "website": "http://www.mclaren.org/bayspecialcare/bayspecialcare.aspx",
      "status": "corporate_chain",
      "parentSystem": "Mclaren",
      "affiliatedSystem": "Mclaren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mclaren",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mclaren",
      "siblingGroupId": "siblings-mi-mclaren",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002448706",
        "external-resolution-0002448706"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mclaren.org/bayspecialcare/bayspecialcare.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002454729",
      "name": "ST JOSEPHS HOSPITAL",
      "address": "2661 COUNTY HWY I",
      "city": "CHIPPEWA FALLS",
      "state": "WI",
      "zip": "54729",
      "county": "CHIPPEWA",
      "latitude": 44.9506246996924,
      "longitude": -91.3598254602735,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 193,
      "rating": null,
      "website": "http://www.stjoeschipfalls.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. JOSEPHS HOSPITAL",
      "parentSystemId": "entity-st-josephs-hospital",
      "siblingGroupId": "siblings-wi-st-josephs-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-06-30",
      "ownershipSourceIds": [
        "hifld-location-0002454729",
        "external-resolution-0002454729"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 520017; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 520017; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0002461832",
      "name": "VETERANS AFFAIRS ILLIANA HEALTH CARE SYSTEM",
      "address": "1900 E. MAIN",
      "city": "DANVILLE",
      "state": "IL",
      "zip": "61832",
      "county": "VERMILION",
      "latitude": 40.1232717099812,
      "longitude": -87.5869531303062,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 221,
      "rating": null,
      "website": "http://www.danville.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-veterans-affairs-illiana-health-care-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-il-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/illiana-health-care/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002465201",
      "name": "LANDMARK HOSPITAL OF COLUMBIA, LLC",
      "address": "604 OLD HWY 63 N",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65201",
      "county": "BOONE",
      "latitude": 38.9579899403182,
      "longitude": -92.3113123198092,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 23,
      "rating": null,
      "website": "http://www.landmarkhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "LANDMARK HOLDINGS OF FLORIDA, LLC",
      "affiliatedSystem": "Landmarkhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Landmarkhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-landmark-hospital-of-columbia-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-landmark-holdings-of-florida-llc",
      "siblingGroupId": "siblings-mo-landmark-holdings-of-florida-llc",
      "campusFamilyId": "campus-mo-262020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 97.5%). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 97.5%). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002496817",
      "name": "REHABILITATION HOSPITAL OF THE PACIFIC",
      "address": "226 NORTH KUAKINI STREET",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96817",
      "county": "HONOLULU",
      "latitude": 21.3214133803592,
      "longitude": -157.854493569618,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 82,
      "rating": null,
      "website": "https://www.rehabhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-rehabilitation-hospital-of-the-pacific/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REHABILITATION HOSPITAL OF THE PACIFIC",
      "parentSystemId": "entity-rehabilitation-hospital-of-the-pacific",
      "siblingGroupId": "siblings-hi-rehabilitation-hospital-of-the-pacific",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-rehabilitation-hospital-of-the-pacific"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rehabhospital.org/"
      ],
      "ownershipProofNotes": "CMS owner candidate: REHABILITATION HOSPITAL OF THE PACIFIC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Rehabilitation Hospital of the Pacific; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHABILITATION HOSPITAL OF THE PACIFIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REHABILITATION HOSPITAL OF THE PACIFIC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Rehabilitation Hospital of the Pacific; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHABILITATION HOSPITAL OF THE PACIFIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002499109",
      "name": "PROVIDENCE ST. JOSEPH'S HOSPITAL",
      "address": "500 WEBSTER AVE E",
      "city": "CHEWELAH",
      "state": "WA",
      "zip": "99109",
      "county": "STEVENS",
      "latitude": 48.277878630267,
      "longitude": -117.710894370097,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=22",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chewelah-providence-st.-joseph-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002500731",
      "name": "HOSP PSIQUIATRIA FORENSE DE PONCE",
      "address": "PR-14 KM 4.2",
      "city": "PONCE",
      "state": "PR",
      "zip": "00731",
      "county": "PONCE",
      "latitude": 18.0343936797489,
      "longitude": -66.5945415198391,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0002503576",
      "name": "UPPER CT VALLEY HOSPITAL",
      "address": "181 CORLISS LANE",
      "city": "COLEBROOK",
      "state": "NH",
      "zip": "03576",
      "county": "COOS",
      "latitude": 44.904447110211,
      "longitude": -71.480809429653,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH COUNTRY HEALTHCARE, INC.",
      "parentSystemId": "entity-north-country-healthcare-inc",
      "siblingGroupId": "siblings-nh-north-country-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH COUNTRY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH COUNTRY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002504538",
      "name": "SAINT ANDREWS HOSPITAL AND HEALTHCARE CENTER",
      "address": "6 SAINT ANDREWS LANE",
      "city": "BOOTHBAY HARBOR",
      "state": "ME",
      "zip": "04538",
      "county": "LINCOLN",
      "latitude": 43.8503439298719,
      "longitude": -69.6387692995845,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 52,
      "rating": null,
      "website": "http://www.lincolncountyhealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northern Light Health",
      "parentSystemId": "entity-northern-light-health",
      "siblingGroupId": "siblings-me-northern-light-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002504538",
        "external-resolution-0002504538"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://northernlighthealth.org/Our-System/Hospitals"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Northern Light Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Northern Light Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002508053",
      "name": "KESSLER INSTITUTE FOR REHABILITATION",
      "address": "92 BRICK ROAD",
      "city": "MARLTON",
      "state": "NJ",
      "zip": "08053",
      "county": "BURLINGTON",
      "latitude": 39.8824380701402,
      "longitude": -74.9181387299692,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "website": "http://www.marltonrehab.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nj-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH TURLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH TURLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002531021",
      "name": "CARL VINSON VA MEDICAL CENTER",
      "address": "1826 VETERANS BLVD",
      "city": "DUBLIN",
      "state": "GA",
      "zip": "31021",
      "county": "LAURENS",
      "latitude": 32.5364813697694,
      "longitude": -82.9432264000071,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 178,
      "rating": null,
      "website": "http://www.dublin.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dublin-carl-vinson-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ga-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002537115",
      "name": "TRISTAR SKYLINE MADISON CAMPUS",
      "address": "500 HOSPITAL DRIVE",
      "city": "MADISON",
      "state": "TN",
      "zip": "37115",
      "county": "DAVIDSON",
      "latitude": 36.2543611002628,
      "longitude": -86.6821046201108,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 407,
      "rating": null,
      "website": "http://tristarskylinemadison.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-tristar-skyline-madison-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002537115",
        "external-resolution-0002537115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002540202",
      "name": "UOFL HEALTH - FRAZIER REHABILITATION INSTITUTE",
      "address": "220 ABRAHAM FLEXNER WAY",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40202",
      "county": "JEFFERSON",
      "latitude": 38.2489557599445,
      "longitude": -85.7502184601871,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 135,
      "rating": null,
      "website": "http://www.frazierrehab.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002540202",
        "external-resolution-0002540202"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 18T040. That CCN bridged to CMS enrollment O20191210003415 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 18T040. That CCN bridged to CMS enrollment O20191210003415 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0002548915",
      "name": "SPARROW HEALTH SYSTEM - ST LAWRENCE CAMPUS",
      "address": "1210 W SAGINAW",
      "city": "LANSING",
      "state": "MI",
      "zip": "48915",
      "county": "INGHAM",
      "latitude": 42.7414641781675,
      "longitude": -84.5703217505991,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "http://www.sparrow.org/?id=528&sid=1",
      "status": "corporate_chain",
      "parentSystem": "Sparrow",
      "affiliatedSystem": "Sparrow",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sparrow",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lansing-sparrow-health-system-st-lawrence-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sparrow",
      "siblingGroupId": "siblings-mi-sparrow",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002548915",
        "external-resolution-0002548915"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.sparrow.org/?id=528&sid=1"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002554701",
      "name": "SACRED HEART HOSPITAL",
      "address": "900 W CLAIREMONT AVE",
      "city": "EAU CLAIRE",
      "state": "WI",
      "zip": "54701",
      "county": "EAU CLAIRE",
      "latitude": 44.7944657700054,
      "longitude": -91.5106667602143,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 344,
      "rating": null,
      "website": "http://www.sacredhearteauclaire.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eau-claire-sacred-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SACRED HEART HOSPITAL",
      "parentSystemId": "entity-sacred-heart-hospital",
      "siblingGroupId": "siblings-wi-sacred-heart-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-06-30",
      "ownershipSourceIds": [
        "hifld-location-0002554701",
        "external-resolution-0002554701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 520013; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 520013; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0002556201",
      "name": "CARRIS HEALTH LLC",
      "address": "301 BECKER AVENUE SW",
      "city": "WILLMAR",
      "state": "MN",
      "zip": "56201",
      "county": "KANDIYOHI",
      "latitude": 45.1201381897356,
      "longitude": -95.0460918200618,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 136,
      "rating": null,
      "website": "http://www.ricehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002560076",
      "name": "ENDEAVOR HEALTH SKOKIE HOSPITAL",
      "address": "9600 GROSS POINT RD",
      "city": "SKOKIE",
      "state": "IL",
      "zip": "60076",
      "county": "COOK",
      "latitude": 42.0564160600531,
      "longitude": -87.7407096097693,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 123,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "affiliationConfidence": "high",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "NorthShore acute care campus",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002560076"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0002565201",
      "name": "WOMEN'S AND CHILDREN'S HOSPITAL",
      "address": "404 KEENE STREET",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65201",
      "county": "BOONE",
      "latitude": 38.9574736299162,
      "longitude": -92.2882114101511,
      "hospitalType": "CHILDREN",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-women-s-and-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WOMEN'S AND CHILDREN'S HOSPITAL",
      "parentSystemId": "entity-women-s-and-children-s-hospital",
      "siblingGroupId": "siblings-mo-women-s-and-children-s-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002565201",
        "external-resolution-0002565201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mo.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0002574447",
      "name": "MUSCOGEE - CREEK - NATION LONG TERM ACUTE CARE HOSPITAL",
      "address": "900 EAST AIRPORT ROAD",
      "city": "OKMULGEE",
      "state": "OK",
      "zip": "74447",
      "county": "OKMULGEE",
      "latitude": 35.6672825101437,
      "longitude": -95.9603437095983,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 4,
      "rating": null,
      "website": "gnrc.ouhsc.edu/ltachunit.html",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-okmulgee-muscogee-creek-nation-long-term-acute-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MUSCOGEE (CREEK) NATION LONG TERM ACUTE CARE HOSPI",
      "parentSystemId": "entity-muscogee-creek-nation-long-term-acute-care-hospi",
      "siblingGroupId": "siblings-ok-muscogee-creek-nation-long-term-acute-care-hospi",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-muscogee-creek-nation-long-term-acute-care-hospi"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to MUSCOGEE (CREEK) NATION LONG TERM ACUTE CARE HOSPI; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCOGEE (CREEK) NATION LONG TERM ACUTE CARE HOSPI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to MUSCOGEE (CREEK) NATION LONG TERM ACUTE CARE HOSPI; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCOGEE (CREEK) NATION LONG TERM ACUTE CARE HOSPI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002582729",
      "name": "CROOK COUNTY MEDICAL SERVICES DISTRICT",
      "address": "713 OAK ST",
      "city": "SUNDANCE",
      "state": "WY",
      "zip": "82729",
      "county": "CROOK",
      "latitude": 44.4090258399732,
      "longitude": -104.373691950108,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sundance-crook-county-medical-services-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CROOK COUNTY MEDICAL SERVICES DISTRICT",
      "parentSystemId": "entity-crook-county-medical-services-district",
      "siblingGroupId": "siblings-wy-crook-county-medical-services-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-crook-county-medical-services-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CROOK COUNTY MEDICAL SERVICES DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICKI D LYONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to CROOK COUNTY MEDICAL SERVICES DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROOK COUNTY MEDICAL SERVICES DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CROOK COUNTY MEDICAL SERVICES DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICKI D LYONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to CROOK COUNTY MEDICAL SERVICES DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROOK COUNTY MEDICAL SERVICES DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002589502",
      "name": "WILLOW SPRINGS CENTER",
      "address": "690 EDISON WAY",
      "city": "RENO",
      "state": "NV",
      "zip": "89502",
      "county": "WASHOE",
      "latitude": 39.5020476200302,
      "longitude": -119.757199689828,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 116,
      "rating": null,
      "website": "www.willowspringscenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reno-willow-springs-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002589502",
        "external-resolution-0002589502"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002600731",
      "name": "HOSPITAL SAN CRISTOBAL",
      "address": "CARR 506, KM 1 0",
      "city": "COTO LAUREL",
      "state": "PR",
      "zip": "00780",
      "county": "PONCE",
      "latitude": 18.0396748503443,
      "longitude": -66.5474067300317,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0002604856",
      "name": "PENOBSCOT BAY MEDICAL CENTER",
      "address": "6 GLEN COVE DRIVE",
      "city": "ROCKPORT",
      "state": "ME",
      "zip": "04856",
      "county": "KNOX",
      "latitude": 44.1441014300077,
      "longitude": -69.0845463296414,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "website": "http://www.penbayhealthcare.org/penbaymedicalcenter/page/about_our_facility/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rockport-penobscot-bay-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002608240",
      "name": "BACHARACH INSTITUTE FOR REHABILITATION",
      "address": "61 W JIMMIE LEEDS ROAD",
      "city": "POMONA",
      "state": "NJ",
      "zip": "08240",
      "county": "ATLANTIC",
      "latitude": 39.4783156202699,
      "longitude": -74.5389870001218,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pomona-bacharach-institute-for-rehabilitation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Bacharach Institute for Rehabilitation, Inc.",
      "parentSystemId": "entity-bacharach-institute-for-rehabilitation-inc",
      "siblingGroupId": "siblings-nj-bacharach-institute-for-rehabilitation-inc",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0002608240",
        "external-resolution-0002608240"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/210634964"
      ],
      "ownershipProofNotes": "The IRS Form 990 confirms the exact legal organization as a 501(c)(3) specialty hospital and corrects the proprietary baseline. Later asset transfers were split between organizations, so no unsupported single successor owner is assigned.",
      "parentSystemEvidence": "The IRS Form 990 confirms the exact legal organization as a 501(c)(3) specialty hospital and corrects the proprietary baseline. Later asset transfers were split between organizations, so no unsupported single successor owner is assigned."
    },
    {
      "id": "0002612455",
      "name": "MARGARETVILLE HOSPITAL",
      "address": "42084 STATE HIGHWAY 28",
      "city": "MARGARETVILLE",
      "state": "NY",
      "zip": "12455",
      "county": "DELAWARE",
      "latitude": 42.1466535597891,
      "longitude": -74.642069270066,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTH ALLIANCE",
      "parentSystemId": "entity-health-alliance",
      "siblingGroupId": "siblings-ny-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-health-alliance"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH ALLIANCE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH ALLIANCE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH ALLIANCE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH ALLIANCE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH ALLIANCE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH ALLIANCE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002618702",
      "name": "JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE",
      "address": "150 MUNDY STREET",
      "city": "WILKES-BARRE",
      "state": "PA",
      "zip": "18702",
      "county": "LUZERNE",
      "latitude": 41.246152500296,
      "longitude": -75.8543789998205,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 47,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE",
      "parentSystemId": "entity-john-heinz-institute-of-rehabilitation-medicine",
      "siblingGroupId": "siblings-pa-john-heinz-institute-of-rehabilitation-medicine",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-john-heinz-institute-of-rehabilitation-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL E AVVISATO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL E AVVISATO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002637148",
      "name": "TRISTAR PORTLAND MEDICAL PARK",
      "address": "105 RED BUD DRIVE",
      "city": "PORTLAND",
      "state": "TN",
      "zip": "37148",
      "county": "SUMNER",
      "latitude": 36.5570688479363,
      "longitude": -86.5116329276446,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 159,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-tristar-portland-medical-park/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002637148",
        "external-resolution-0002637148"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002644024",
      "name": "UHHS - GEAUGA REGIONAL HOSPITAL",
      "address": "13207 RAVENNA ROAD",
      "city": "CHARDON",
      "state": "OH",
      "zip": "44024",
      "county": "GEAUGA",
      "latitude": 41.5092579998705,
      "longitude": -81.1890927904434,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 215,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN C SAGUE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN C SAGUE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002661008",
      "name": "SWEDISHAMERICAN MEDICAL CENTER BELVIDERE",
      "address": "1625 SOUTH STATE STREET",
      "city": "BELVIDERE",
      "state": "IL",
      "zip": "61008",
      "county": "BOONE",
      "latitude": 42.2430122603229,
      "longitude": -88.8397450996746,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 373,
      "rating": null,
      "website": "www.swedishamerican.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belvidere-swedishamerican-medical-center-belvidere/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UW Health",
      "parentSystemId": "entity-uw-health",
      "siblingGroupId": "siblings-il-uw-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002661008",
        "external-resolution-0002661008"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uwhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to UW Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to UW Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002678745",
      "name": "TEXAS NEUROREHAB CENTER",
      "address": "1106 WEST DITTMAR, BUILDING 9",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78745",
      "county": "TRAVIS",
      "latitude": 30.1893011802319,
      "longitude": -97.8073763696905,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "campusFamilyId": "campus-tx-452038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002701510",
      "name": "HEALTH ALLIANCE - CLINTON - CLINTON CMP",
      "address": "201 HIGHLAND STREET",
      "city": "CLINTON",
      "state": "MA",
      "zip": "01510",
      "county": "WORCESTER",
      "latitude": 42.4274999999144,
      "longitude": -71.6929000000621,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 41,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UMass Memorial Health",
      "parentSystemId": "entity-umass-memorial-health",
      "siblingGroupId": "siblings-ma-umass-memorial-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002701510",
        "external-resolution-0002701510"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20180309001041 (22S001). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20180309001041 (22S001). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0002708648",
      "name": "ST LAWRENCE REHABILITATION CENTER",
      "address": "2381 LAWRENCEVILLE ROAD",
      "city": "LAWRENCEVILLE",
      "state": "NJ",
      "zip": "08648",
      "county": "MERCER",
      "latitude": 40.2882778300147,
      "longitude": -74.7350899695519,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrenceville-saint-lawrence-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "QUINTO NEXGEN LLC",
      "parentSystemId": "entity-quinto-nexgen-llc",
      "siblingGroupId": "siblings-nj-quinto-nexgen-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUINTO NEXGEN LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 78.6%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINTO NEXGEN LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QUINTO NEXGEN LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 78.6%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINTO NEXGEN LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002718069",
      "name": "KIDSPEACE ORCHARD HILLS CAMPUS",
      "address": "5300 KIDS PEACE DRIVE",
      "city": "OREFIELD",
      "state": "PA",
      "zip": "18069",
      "county": "LEHIGH",
      "latitude": 40.6487750699063,
      "longitude": -75.6134658900956,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 110,
      "rating": null,
      "website": "https://www.kidspeace.org/pa-psychiatric-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orefield-kidspeace-orchard-hills-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KIDSPEACE CHILDRENS HOSPITAL INC",
      "parentSystemId": "entity-kidspeace-childrens-hospital-inc",
      "siblingGroupId": "siblings-pa-kidspeace-childrens-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-kidspeace-childrens-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS lists MICHAEL CALLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to KIDSPEACE CHILDRENS HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIDSPEACE CHILDRENS HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MICHAEL CALLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to KIDSPEACE CHILDRENS HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIDSPEACE CHILDRENS HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002720707",
      "name": "LAUREL REGIONAL MEDICAL CENTER",
      "address": "7300 VAN DUSEN ROAD",
      "city": "LAUREL",
      "state": "MD",
      "zip": "20707",
      "county": "PRINCE GEORGE'S",
      "latitude": 39.0867962800857,
      "longitude": -76.88120723974,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 137,
      "rating": null,
      "website": "http://www.laurelregionalhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "University of Maryland Medical System",
      "parentSystemId": "entity-university-of-maryland-medical-system",
      "siblingGroupId": "siblings-md-university-of-maryland-medical-system",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002720707",
        "external-resolution-0002720707"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.umms.org/locations/um-laurel-medical-center"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to University of Maryland Medical System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to University of Maryland Medical System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0002726504",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF MORGANTOWN",
      "address": "1160 VAN VOORHIS ROAD",
      "city": "MORGANTOWN",
      "state": "WV",
      "zip": "26504",
      "county": "MONONGALIA",
      "latitude": 39.6564860200121,
      "longitude": -79.961983649658,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 96,
      "rating": null,
      "website": "http://www.healthsouthmountainview.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morgantown-encompass-health-rehab-hospital-of-morgantown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-wv-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002727320",
      "name": "ANNIE PENN HOSPITAL",
      "address": "618 SOUTH MAIN ST",
      "city": "REIDSVILLE",
      "state": "NC",
      "zip": "27320",
      "county": "ROCKINGHAM",
      "latitude": 36.353244870104,
      "longitude": -79.667521590351,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 110,
      "rating": null,
      "website": "www.conehealth.com/locations/annie-penn-hospital",
      "status": "corporate_chain",
      "affiliatedSystem": "Cone Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Cone Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reidsville-annie-penn-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002727320",
        "facility-site-0002727320"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.conehealth.com/locations/annie-penn-hospital"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0002733744",
      "name": "C.W. BILL YOUNG DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "10000 BAY PINES BOULEVARD",
      "city": "BAY PINES",
      "state": "FL",
      "zip": "33744",
      "county": "PINELLAS",
      "latitude": 27.8102163797501,
      "longitude": -82.7785459997523,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.baypines.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "BAY PINES VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-bay-pines-va-medical-center",
      "siblingGroupId": "siblings-fl-bay-pines-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/bay-pines-health-care/locations/c-w-bill-young-department-of-veterans-affairs-medical-center/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Bay Pines VA official facility page. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAY PINES VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Bay Pines VA official facility page. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAY PINES VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002739452",
      "name": "GEORGE REGIONAL HOSPITAL",
      "address": "859 WINTER STREET",
      "city": "LUCEDALE",
      "state": "MS",
      "zip": "39452",
      "county": "GEORGE",
      "latitude": 30.9219244697861,
      "longitude": -88.5939383698288,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 48,
      "rating": null,
      "website": "http://www.georgeregional.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lucedale-george-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GEORGE COUNTY HOSPITAL",
      "parentSystemId": "entity-george-county-hospital",
      "siblingGroupId": "siblings-ms-george-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists GREG HAVARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists GREG HAVARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002741042",
      "name": "GATEWAY REHABILITATION HOSPITAL",
      "address": "5940 MERCHANTS STREET",
      "city": "FLORENCE",
      "state": "KY",
      "zip": "41042",
      "county": "BOONE",
      "latitude": 39.0080403997279,
      "longitude": -84.6551392199633,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VIBRA IRFM COMPANY LLC",
      "parentSystemId": "entity-vibra-irfm-company-llc",
      "siblingGroupId": "siblings-ky-vibra-irfm-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIBRA IRFM COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA IRFM COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIBRA IRFM COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA IRFM COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002753925",
      "name": "PRAIRIE RIDGE HEALTH",
      "address": "1515 PARK AVE",
      "city": "COLUMBUS",
      "state": "WI",
      "zip": "53925",
      "county": "COLUMBIA",
      "latitude": 43.3226073500354,
      "longitude": -89.0353706801082,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "https://www.prairieridge.health/en/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRAIRIE RIDGE HEALTH INC",
      "parentSystemId": "entity-prairie-ridge-health-inc",
      "siblingGroupId": "siblings-wi-prairie-ridge-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-prairie-ridge-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to PRAIRIE RIDGE HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE RIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to PRAIRIE RIDGE HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE RIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002758538",
      "name": "STANDING ROCK INDIAN HEALTH SERVICE HOSPITAL",
      "address": "10 NORTH RIVER ROAD",
      "city": "FORT YATES",
      "state": "ND",
      "zip": "58538",
      "county": "SIOUX",
      "latitude": 46.0951615800964,
      "longitude": -100.628125789782,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Tribal / IHS authority",
      "parentSystemId": "entity-tribal-ihs-authority",
      "siblingGroupId": "siblings-nd-tribal-ihs-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-fort-yates-indian-health-service-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: FORT YATES INDIAN HEALTH SERVICE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to FORT YATES INDIAN HEALTH SERVICE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FORT YATES INDIAN HEALTH SERVICE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to FORT YATES INDIAN HEALTH SERVICE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002759644",
      "name": "BROADWATER HEALTH CENTER",
      "address": "110 N OAK",
      "city": "TOWNSEND",
      "state": "MT",
      "zip": "59644",
      "county": "BROADWATER",
      "latitude": 46.3218649201042,
      "longitude": -111.516003310268,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.broadwaterhealthcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-townsend-broadwater-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TOWNSEND HEALTH SYSTEMS INC",
      "parentSystemId": "entity-townsend-health-systems-inc",
      "siblingGroupId": "siblings-mt-townsend-health-systems-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-06-30",
      "ownershipSourceIds": [
        "hifld-location-0002759644",
        "external-resolution-0002759644"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 271333; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20061104000088 and 2 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 271333; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20061104000088 and 2 owner/control organization row(s)."
    },
    {
      "id": "0002770809",
      "name": "CRESCENT CITY SURGICAL CENTRE",
      "address": "3017 GALLERIA DRIVE",
      "city": "METAIRIE",
      "state": "LA",
      "zip": "70001",
      "county": "JEFFERSON",
      "latitude": 29.9935266098915,
      "longitude": -90.1531214999629,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "http://www.ccsurg.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-metairie-crescent-city-surgical-centre/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CRESCENT CITY SURGICAL CENTRE",
      "parentSystemId": "entity-crescent-city-surgical-centre",
      "siblingGroupId": "siblings-la-crescent-city-surgical-centre",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002770809",
        "external-resolution-0002770809"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ccsurg.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0002772703",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL - A PARTNER OF WASHINGTON REGIONAL",
      "address": "153 EAST MONTE PAINTER DRIVE",
      "city": "FAYETTEVILLE",
      "state": "AR",
      "zip": "72703",
      "county": "WASHINGTON",
      "latitude": 36.1090993799804,
      "longitude": -94.1548450402481,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "http://www.healthsouthfayetteville.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ar-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002780204",
      "name": "DENVER HEALTH MEDICAL CENTER",
      "address": "777 BANNOCK ST",
      "city": "DENVER",
      "state": "CO",
      "zip": "80204",
      "county": "DENVER",
      "latitude": 39.7282011399053,
      "longitude": -104.99097510969,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 555,
      "rating": null,
      "website": "http://www.denverhealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-denver-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DENVER HEALTH AND HOSPITAL AUTHORITY",
      "parentSystemId": "entity-denver-health-and-hospital-authority",
      "siblingGroupId": "siblings-co-denver-health-and-hospital-authority",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-denver-health-and-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is identified as POLITICAL SUBDIVISION OF STATE. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DENVER HEALTH AND HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is identified as POLITICAL SUBDIVISION OF STATE. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DENVER HEALTH AND HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002782201",
      "name": "PLATTE COUNTY MEMORIAL HOSPITAL",
      "address": "201 14TH ST",
      "city": "WHEATLAND",
      "state": "WY",
      "zip": "82201",
      "county": "PLATTE",
      "latitude": 42.0501086902949,
      "longitude": -104.96075764035,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wheatland-platte-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Banner Health",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-wy-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002795655",
      "name": "SACRAMENTO VA MEDICAL CENTER",
      "address": "10535 HOSPITAL WAY",
      "city": "MATHER",
      "state": "CA",
      "zip": "95655",
      "county": "SACRAMENTO",
      "latitude": 38.572966249705,
      "longitude": -121.296458799611,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 50,
      "rating": null,
      "website": "https://www.va.gov/northern-california-health-care/locations/sacramento-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "VA N CALIFORNIA HEALTHCARE SYSTEM",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-va-n-california-healthcare-system",
      "siblingGroupId": "siblings-ca-va-n-california-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA N CALIFORNIA HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA N CALIFORNIA HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002798807",
      "name": "CONFLUENCE HEALTH - CENTRAL WASHINGTON HOSPITAL",
      "address": "1201 SOUTH MILLER STREET",
      "city": "WENATCHEE",
      "state": "WA",
      "zip": "98807",
      "county": "CHELAN",
      "latitude": 47.40660465005,
      "longitude": -120.321030510044,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 176,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=108",
      "status": "corporate_chain",
      "parentSystem": "CONFLUENCE HEALTH",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-confluence-health",
      "siblingGroupId": "siblings-wa-confluence-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-confluence-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CONFLUENCE HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CONFLUENCE HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONFLUENCE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CONFLUENCE HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CONFLUENCE HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONFLUENCE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002800733",
      "name": "SAN LUKE'S MEMORIAL HOSPITAL INC",
      "address": "TITO CASTRO AVE, SUITE 917",
      "city": "PONCE",
      "state": "PR",
      "zip": "00733",
      "county": "PONCE",
      "latitude": 18.03120340988,
      "longitude": -66.594748370408,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 315,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0002804901",
      "name": "NORTHERN LIGHT INLAND HOSPITAL",
      "address": "200 KENNEDY MEMORIAL DRIVE",
      "city": "WATERVILLE",
      "state": "ME",
      "zip": "04901",
      "county": "KENNEBEC",
      "latitude": 44.541826479822,
      "longitude": -69.661491069887,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "http://www.inlandhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waterville-northern-light-inland-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northern Light Health",
      "parentSystemId": "entity-northern-light-health",
      "siblingGroupId": "siblings-me-northern-light-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002804901",
        "external-resolution-0002804901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://northernlighthealth.org/Our-System/Hospitals"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 200041. The tracker parent candidate was corroborated against Northern Light Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 200041. The tracker parent candidate was corroborated against Northern Light Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0002808724",
      "name": "SHORE REHABILITATION INSTITUTE",
      "address": "425 JACK MARTIN BOULEVARD, 2ND FLOOR, EAST WING",
      "city": "BRICK",
      "state": "NJ",
      "zip": "08724",
      "county": "OCEAN",
      "latitude": 40.0776885601051,
      "longitude": -74.1313903898906,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brick-shore-rehabilitation-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHORE REHABILITATION INSTITUTE",
      "parentSystemId": "entity-shore-rehabilitation-institute",
      "siblingGroupId": "siblings-nj-shore-rehabilitation-institute",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-05-31",
      "ownershipSourceIds": [
        "hifld-location-0002808724",
        "external-resolution-0002808724"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 313033; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 313033; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0002820785",
      "name": "UMD PRINCE GEORGE'S HOSPITAL CTR",
      "address": "3001 HOSPITAL DRIVE",
      "city": "CHEVERLY",
      "state": "MD",
      "zip": "20785",
      "county": "PRINCE GEORGE'S",
      "latitude": 38.9310253797937,
      "longitude": -76.9206679798916,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 233,
      "rating": null,
      "website": "https://www.umms.org/capital/locations/um-prince-georges-hospital-center",
      "status": "corporate_chain",
      "parentSystem": "Umms",
      "affiliatedSystem": "Umms",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umms",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-umms",
      "siblingGroupId": "siblings-md-umms",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002820785",
        "external-resolution-0002820785"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.umms.org/capital/locations/um-prince-georges-hospital-center"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002829526",
      "name": "CONWAY HOSPITAL",
      "address": "300 SINGLETON RIDGE RD",
      "city": "CONWAY",
      "state": "SC",
      "zip": "29526",
      "county": "HORRY",
      "latitude": 33.7855218398887,
      "longitude": -79.0018278095771,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 222,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CONWAY HOSPITAL INC",
      "parentSystemId": "entity-conway-hospital-inc",
      "siblingGroupId": "siblings-sc-conway-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-conway-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS lists BRIAN J ARGO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to CONWAY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONWAY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRIAN J ARGO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to CONWAY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONWAY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002834698",
      "name": "BAYCARE ALLIANT HOSPITAL",
      "address": "601 MAIN ST",
      "city": "DUNEDIN",
      "state": "FL",
      "zip": "34698",
      "county": "PINELLAS",
      "latitude": 28.0133363377917,
      "longitude": -82.7826797727037,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "https://baycare.org/hospitals/baycare-alliant-hospital/patients-and-visitors",
      "status": "corporate_chain",
      "parentSystem": "BayCare Health System",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dunedin-baycare-alliant-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-baycare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://baycare.org/about-us"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus BayCare official about page. Resolved parent/control boundary: BayCare Health System. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus BayCare official about page. Resolved parent/control boundary: BayCare Health System. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002836904",
      "name": "CHOCTAW GENERAL HOSPITAL",
      "address": "401 VANITY FAIR DRIVE",
      "city": "BUTLER",
      "state": "AL",
      "zip": "36904",
      "county": "CHOCTAW",
      "latitude": 32.0931053397262,
      "longitude": -88.209492440414,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.choctawgeneral.com/cgh/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-butler-choctaw-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RUSH HOSPITAL/BUTLER, INC",
      "parentSystemId": "entity-rush-hospital-butler-inc",
      "siblingGroupId": "siblings-al-rush-hospital-butler-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0002836904",
        "external-resolution-0002836904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 011304; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20120510000104 and 5 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 011304; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20120510000104 and 5 owner/control organization row(s)."
    },
    {
      "id": "0002838104",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MEMPHIS - A PARTNER OF METHODIST HEALTHCARE",
      "address": "1282 UNION AVENUE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38104",
      "county": "SHELBY",
      "latitude": 35.1378002200267,
      "longitude": -90.0191808998601,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "http://www.healthsouthmemphis.com",
      "status": "corporate_chain",
      "parentSystem": "VANGUARD GROUP INC",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-vanguard-group-inc",
      "siblingGroupId": "siblings-tn-vanguard-group-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5.05%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANGUARD GROUP INC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5.05%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANGUARD GROUP INC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002843725",
      "name": "SOUTHEASTERN OH REGIONAL MED CTR",
      "address": "1341 CLARK STREET",
      "city": "CAMBRIDGE",
      "state": "OH",
      "zip": "43725",
      "county": "GUERNSEY",
      "latitude": 40.0414731901559,
      "longitude": -81.5773923397135,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 195,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002878705",
      "name": "AUSTIN LAKES HOSPITAL",
      "address": "1025 EAST 32ND STREET",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78705",
      "county": "TRAVIS",
      "latitude": 30.2885210403544,
      "longitude": -97.7243461695509,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "website": "http://www.austinlakeshospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0002878705",
        "external-resolution-0002878705"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 454069; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 454069; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0002887901",
      "name": "SIERRA VISTA HOSPITAL",
      "address": "800 EAST 9TH AVENUE",
      "city": "TRUTH OR CONSEQUENCES",
      "state": "NM",
      "zip": "87901",
      "county": "SIERRA",
      "latitude": 33.1401890801569,
      "longitude": -107.2419369899,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-truth-or-consequences-sierra-vista-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SIERRA VISTA HOSPITAL",
      "parentSystemId": "entity-sierra-vista-hospital",
      "siblingGroupId": "siblings-nm-sierra-vista-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIERRA VISTA HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIERRA VISTA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SIERRA VISTA HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIERRA VISTA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002889146",
      "name": "DESERT WILLOW TREATMENT CENTER",
      "address": "6171 W CHARLESTON BLVD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89146",
      "county": "CLARK",
      "latitude": 36.1566190699869,
      "longitude": -115.228960589847,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 32,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-desert-willow-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DESERT WILLOW TREATMENT CENTER",
      "parentSystemId": "entity-desert-willow-treatment-center",
      "siblingGroupId": "siblings-nv-desert-willow-treatment-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002889146",
        "external-resolution-0002889146"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nv.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0002893308",
      "name": "BAKERSFIELD HEART HOSPITAL",
      "address": "3001 SILLECT AVE",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93308",
      "county": "KERN",
      "latitude": 35.3848296097392,
      "longitude": -119.03999640017,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Surgery Partners",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bakersfield-bakersfield-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-surgery-partners",
      "siblingGroupId": "siblings-ca-surgery-partners",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002893308",
        "external-resolution-0002893308"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ir.surgerypartners.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "Surgery Partners primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Surgery Partners primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002896786",
      "name": "WAHIAWA GENERAL HOSPITAL",
      "address": "128 LEHUA STREET",
      "city": "WAHIAWA",
      "state": "HI",
      "zip": "96786",
      "county": "HONOLULU",
      "latitude": 21.4989011103564,
      "longitude": -158.025913730311,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 42,
      "rating": null,
      "website": "https://wahiawageneral.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wahiawa-wahiawa-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WAHIAWA GENERAL HOSPITAL",
      "parentSystemId": "entity-wahiawa-general-hospital",
      "siblingGroupId": "siblings-hi-wahiawa-general-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-06-30",
      "ownershipSourceIds": [
        "hifld-location-0002896786",
        "external-resolution-0002896786"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 120004; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 120004; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0002899169",
      "name": "EAST ADAMS RURAL HEALTHCARE",
      "address": "903 SOUTH ADAMS ST",
      "city": "RITZVILLE",
      "state": "WA",
      "zip": "99169",
      "county": "ADAMS",
      "latitude": 47.1212188202674,
      "longitude": -118.371886560015,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 16,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=71",
      "status": "corporate_chain",
      "parentSystem": "Adams County Public Hospital District 2",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ritzville-east-adams-rural-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-adams-county-public-hospital-district-2",
      "siblingGroupId": "siblings-wa-adams-county-public-hospital-district-2",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002899169",
        "external-resolution-0002899169"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wsha.org/hospitaldetail.cfm?hid=71"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002900960",
      "name": "HIMA SAN PABLO BAYAMON",
      "address": "70 CALLE SANTA CRUZ",
      "city": "BAYAMON",
      "state": "PR",
      "zip": "00961",
      "county": "BAYAMÓN",
      "latitude": 18.3974253796277,
      "longitude": -66.1475230602199,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 410,
      "rating": null,
      "website": "http://himasanpablo.com/hospitales/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0002901701",
      "name": "METROWEST MED CTR - FRAM UNION CAMPUS",
      "address": "115 LINCOLN ST",
      "city": "FRAMINGHAM",
      "state": "MA",
      "zip": "01701",
      "county": "MIDDLESEX",
      "latitude": 42.2851999997632,
      "longitude": -71.4186000002831,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 126,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ma-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-tenet-healthcare-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate TENET HEALTHCARE CORPORATION was cross-checked once against cached Tenet Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate TENET HEALTHCARE CORPORATION was cross-checked once against cached Tenet Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002904901",
      "name": "MAINEGENERAL MEDICAL CENTER-THAYER",
      "address": "149 NORTH STREET",
      "city": "WATERVILLE",
      "state": "ME",
      "zip": "04901",
      "county": "KENNEBEC",
      "latitude": 44.5651286702761,
      "longitude": -69.6464188000802,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 127,
      "rating": null,
      "website": "https://www.mainegeneral.org/pages/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "Mainegeneral",
      "affiliatedSystem": "Mainegeneral",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mainegeneral",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mainegeneral",
      "siblingGroupId": "siblings-me-mainegeneral",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0002904901",
        "external-resolution-0002904901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mainegeneral.org/pages/home.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0002908755",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER",
      "address": "14 HOSPITAL DRIVE",
      "city": "TOMS RIVER",
      "state": "NJ",
      "zip": "08755",
      "county": "OCEAN",
      "latitude": 39.9626114198585,
      "longitude": -74.2174097296465,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 92,
      "rating": null,
      "website": "http://www.rehabnjtomsriver.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-toms-river-encompass-health-rehabilitation-hospital-of-toms-river/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nj-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002924740",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF PRINCETON",
      "address": "120 12TH ST",
      "city": "PRINCETON",
      "state": "WV",
      "zip": "24740",
      "county": "MERCER",
      "latitude": 37.3639661902227,
      "longitude": -81.1135290698402,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-wv-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002937203",
      "name": "SELECT SPECIALTY HOSPITAL - NASHVILLE",
      "address": "2000 HAYES STREET, SUITE 500",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37203",
      "county": "DAVIDSON",
      "latitude": 36.152765460047,
      "longitude": -86.8011632602964,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "website": "http://nashville.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-select-specialty-hospital---nashville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TRAE WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TRAE WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002939521",
      "name": "OCHSNER MEDICAL CENTER - HANCOCK",
      "address": "149 DRINKWATER BOULEVARD",
      "city": "BAY ST. LOUIS",
      "state": "MS",
      "zip": "39520",
      "county": "HANCOCK",
      "latitude": 30.316774490332,
      "longitude": -89.3543379503227,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 102,
      "rating": null,
      "website": "http://www.hmc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bay-saint-louis-ochsner-medical-center-hancock/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-ms-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFFERY EDGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFFERY EDGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002959301",
      "name": "HOLY ROSARY HEALTHCARE",
      "address": "2600 WILSON",
      "city": "MILES CITY",
      "state": "MT",
      "zip": "59301",
      "county": "CUSTER",
      "latitude": 46.3953215701846,
      "longitude": -105.828060449697,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.holyrosaryhealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miles-city-holy-rosary-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTERMOUNTAIN HEALTH CARE, INC",
      "parentSystemId": "entity-intermountain-health-care-inc",
      "siblingGroupId": "siblings-mt-intermountain-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTERMOUNTAIN HEALTH CARE, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BENJAMIN UHLICH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN HEALTH CARE, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTERMOUNTAIN HEALTH CARE, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BENJAMIN UHLICH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN HEALTH CARE, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002960164",
      "name": "KINDRED CHICAGO NORTHLAKE, LLC",
      "address": "365 E NORTH AVE",
      "city": "NORTHLAKE",
      "state": "IL",
      "zip": "60164",
      "county": "COOK",
      "latitude": 41.9069037899281,
      "longitude": -87.8905897698482,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 94,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/ltac/kindred-hospital-chicago-northlake-campus",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "142008",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-il-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-kentucky-hospital-holdings-jv-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NANCIE TRUEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NANCIE TRUEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002962650",
      "name": "PASSAVANT AREA HOSPITAL",
      "address": "1600 WEST WALNUT ST",
      "city": "JACKSONVILLE",
      "state": "IL",
      "zip": "62650",
      "county": "MORGAN",
      "latitude": 39.7460849901518,
      "longitude": -90.2604866398394,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 121,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-passavant-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SYSTEM",
      "parentSystemId": "entity-memorial-health-system",
      "siblingGroupId": "siblings-il-memorial-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-memorial-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.choosememorial.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002970506",
      "name": "LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE",
      "address": "2810 AMBASSADOR CAFFERY PARKWAY, 6TH FLOOR",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70506",
      "county": "LAFAYETTE",
      "latitude": 30.1977478199047,
      "longitude": -92.0771253897916,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 142,
      "rating": null,
      "website": "https://lhcgroup.com/locations/louisiana-extended-care-hospital-of-lafayette/",
      "status": "corporate_chain",
      "parentSystem": "PRIORITY HOSPITAL GROUP LLC",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-louisiana-extended-care-hospital-of-lafayette/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-priority-hospital-group-llc",
      "siblingGroupId": "siblings-la-priority-hospital-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT CHRISTOPHER FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT CHRISTOPHER FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002973110",
      "name": "ALLIANCEHEALTH MIDWEST",
      "address": "2825 PARKLAWN DRIVE",
      "city": "MIDWEST CITY",
      "state": "OK",
      "zip": "73110",
      "county": "OKLAHOMA",
      "latitude": 35.4667462216689,
      "longitude": -97.3938005369956,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "http://myalliancehealth.com/",
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "affiliatedSystem": "Myalliancehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Myalliancehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-ok-ssm-health-care-corporation",
      "campusFamilyId": "campus-ok-370094",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002983854",
      "name": "NORTHERN IDAHO ADVANCED CARE HOSPITAL",
      "address": "600 N CECIL RD",
      "city": "POST FALLS",
      "state": "ID",
      "zip": "83854",
      "county": "KOOTENAI",
      "latitude": 47.713456930013,
      "longitude": -116.903865700097,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-post-falls-northern-idaho-advanced-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-id-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-ernest-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ernesthealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 75%). CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 75%). CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002984102",
      "name": "SALT LAKE REGIONAL MEDICAL CENTER",
      "address": "1050 EAST SOUTH TEMPLE",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84102",
      "county": "SALT LAKE",
      "latitude": 40.7678912198444,
      "longitude": -111.861423329942,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 158,
      "rating": null,
      "website": "http://www.saltlakeregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ut-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TADD RICHERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TADD RICHERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002988203",
      "name": "NEW MEXICO REHABILITATION CENTER",
      "address": "72 GAIL HARRIS AVENUE",
      "city": "ROSWELL",
      "state": "NM",
      "zip": "88203",
      "county": "CHAVES",
      "latitude": 33.3092893701007,
      "longitude": -104.52326726959,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 43,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roswell-new-mexico-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF NEW MEXICO",
      "parentSystemId": "entity-state-of-new-mexico",
      "siblingGroupId": "siblings-nm-state-of-new-mexico",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-state-of-new-mexico"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS lists JEFF WILLIAM LAMURE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to STATE OF NEW MEXICO; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW MEXICO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFF WILLIAM LAMURE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to STATE OF NEW MEXICO; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW MEXICO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0002989431",
      "name": "DINI - TOWNSEND HOSPITAL AT NORTHERN NEVADA ADULT MENTAL HEALTH SERVICES",
      "address": "480 GALLETTI WAY",
      "city": "SPARKS",
      "state": "NV",
      "zip": "89431",
      "county": "WASHOE",
      "latitude": 39.5315412299695,
      "longitude": -119.774830930197,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sparks-dini-townsend-hospital-at-northern-nevada-adult-mental-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF NEVADA",
      "parentSystemId": "entity-state-of-nevada",
      "siblingGroupId": "siblings-nv-state-of-nevada",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-state-of-nevada"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to STATE OF NEVADA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEVADA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to STATE OF NEVADA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEVADA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003028801",
      "name": "ASHEVILLE SPECIALTY HOSPITAL",
      "address": "428 BILTMORE AVE",
      "city": "ASHEVILLE",
      "state": "NC",
      "zip": "28801",
      "county": "BUNCOMBE",
      "latitude": 35.5805566902627,
      "longitude": -82.5499905498604,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://www.missionhospitals.org/acute-care",
      "status": "closed",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "ccn": "342017",
      "reviewedAt": "2026-07-10",
      "evidenceAsOf": "2026-07-10",
      "parentSystem": "HCA Healthcare",
      "evidenceSource": "North Carolina Health News / Asheville Watchdog",
      "evidenceSourceUrl": "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/",
      "signalSummary": "ASHEVILLE SPECIALTY HOSPITAL is treated as a closed/historical Mission Health facility; no current PE-backed contract signal was documented in this review.",
      "controlCategory": "historical",
      "classificationDepth": "full_research",
      "classificationReason": "Mission Health permanently closed Asheville Specialty Hospital in 2024 after suspending services following Tropical Storm Helene.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "Mission Health facility list and 2024 closure reporting",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
        "North Carolina Health News / Asheville Watchdog",
        "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / shut down in 2024",
      "closureDate": "2024",
      "closureYear": 2024,
      "closureStatusLabel": "Closed / shut down in 2024",
      "closureSummary": "Mission Health permanently closed Asheville Specialty Hospital in 2024 after suspending services following Tropical Storm Helene.",
      "closureSource": "North Carolina Health News / Asheville Watchdog",
      "closureSourceUrl": "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-asheville-asheville-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "acquisitionSource": null,
      "acquisitionSourceUrl": null,
      "acquisitionEvidenceNote": null,
      "closureSourceId": "closure-0003028801",
      "acquisitionSourceId": null,
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003028801",
        "facility-site-0003028801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.missionhospitals.org/acute-care"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0003030428",
      "name": "LOWER OCONEE COMMUNITY HOSPITAL, INC",
      "address": "111 NORTH 3RD STREET",
      "city": "GLENWOOD",
      "state": "GA",
      "zip": "30428",
      "county": "WHEELER",
      "latitude": 32.1800679502323,
      "longitude": -82.672086369767,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003030428",
        "external-resolution-0003030428"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0003037421",
      "name": "ERLANGER EAST HOSPITAL - SATELLITE",
      "address": "1755 GUNBARREL ROAD",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37421",
      "county": "HAMILTON",
      "latitude": 35.0225586196471,
      "longitude": -85.1606241103362,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 848,
      "rating": null,
      "website": "http://www.erlanger.org/east-hospital",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ERLANGER EAST HOSPITAL - SATELLITE",
      "parentSystemId": "entity-erlanger-east-hospital-satellite",
      "siblingGroupId": "siblings-tn-erlanger-east-hospital-satellite",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003037421",
        "external-resolution-0003037421"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.erlanger.org/east-hospital"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003039501",
      "name": "MEMORIAL HOSPITAL OF GULFPORT",
      "address": "4500 13TH STREET",
      "city": "GULFPORT",
      "state": "MS",
      "zip": "39501",
      "county": "HARRISON",
      "latitude": 30.3676754097412,
      "longitude": -89.1155696096611,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 303,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CITY OF GULFPORT",
      "parentSystemId": "entity-city-of-gulfport",
      "siblingGroupId": "siblings-ms-city-of-gulfport",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF GULFPORT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF GULFPORT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF GULFPORT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF GULFPORT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003045817",
      "name": "BLANCHARD VALLEY REG. HLTH CTR - BLUF",
      "address": "139 GARAU STREET",
      "city": "BLUFFTON",
      "state": "OH",
      "zip": "45817",
      "county": "ALLEN",
      "latitude": 40.8874466303012,
      "longitude": -83.8971840802233,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLANCHARD VALLEY HEALTH SYSTEM",
      "parentSystemId": "entity-blanchard-valley-health-system",
      "siblingGroupId": "siblings-oh-blanchard-valley-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-blanchard-valley-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bvhs.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BLANCHARD VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Blanchard Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLANCHARD VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BLANCHARD VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Blanchard Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLANCHARD VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003047715",
      "name": "EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER",
      "address": "3300 E MORGAN AVE",
      "city": "EVANSVILLE",
      "state": "IN",
      "zip": "47715",
      "county": "VANDERBURGH",
      "latitude": 37.9939080203317,
      "longitude": -87.5090659199155,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "website": "http://www.khrh.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-evansville-evansville-psychiatric-children-s-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER",
      "parentSystemId": "entity-evansville-psychiatric-children-s-center",
      "siblingGroupId": "siblings-in-evansville-psychiatric-children-s-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-evansville-psychiatric-children-s-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003049098",
      "name": "LAKELAND HOSPITAL WATERVLIET",
      "address": "400 MEDICAL PARK DR",
      "city": "WATERVLIET",
      "state": "MI",
      "zip": "49098",
      "county": "BERRIEN",
      "latitude": 42.1848804599152,
      "longitude": -86.2499258304203,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 44,
      "rating": null,
      "website": "http://www.lakelandhealth.org/watervliet",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Lakelandhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Lakelandhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003059526",
      "name": "FORT BELKNAP HOSPITAL",
      "address": "669 MAIN STREET",
      "city": "HARLEM",
      "state": "MT",
      "zip": "59526",
      "county": "BLAINE",
      "latitude": 48.4824410998542,
      "longitude": -108.762951740268,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/billings/index.cfm?module=bao_su_ftbelknap",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-mt-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003059526",
        "external-resolution-0003059526"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003060178",
      "name": "KINDRED SYCAMORE, LLC",
      "address": "225 EDWARD STREET",
      "city": "SYCAMORE",
      "state": "IL",
      "zip": "60178",
      "county": "DEKALB",
      "latitude": 41.9829477002388,
      "longitude": -88.688958790104,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 69,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/ltac/kindred-hospital-sycamore",
      "status": "closed",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "2021-12",
      "evidenceSource": "PESP — Apollo-owned hospitals close",
      "evidenceSourceUrl": "https://pestakeholder.org/news/apollo-owned-hospitals-close-amid-declining-financial-condition/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "historical",
      "classificationDepth": "baseline",
      "classificationReason": "KINDRED SYCAMORE, LLC closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "PESP — Apollo-owned hospitals close",
        "https://pestakeholder.org/news/apollo-owned-hospitals-close-amid-declining-financial-condition/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "hospitalId": "0003060178",
      "formerOperator": "ScionHealth / Kindred Hospitals",
      "closureDate": "2025-03-19",
      "closureSource": "PESP — Apollo-owned hospitals close",
      "closureSourceUrl": "https://pestakeholder.org/news/apollo-owned-hospitals-close-amid-declining-financial-condition/",
      "historicalPeOwnership": true,
      "closureYear": 2025,
      "closureStatusLabel": "Closed / shut down in 2025",
      "closureSummary": "KINDRED SYCAMORE, LLC closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "The closure source documents cessation of hospital operations in 2025; it does not establish that private equity caused the closure.",
      "acquisitionSourceId": "pe-acquisition-0003060178",
      "closureSourceId": "closure-0003060178",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-il-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003060178",
        "external-resolution-0003060178"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003065251",
      "name": "NOBLE HEALTH CALLAWAY COMMUNITY HOS",
      "address": "10 SOUTH HOSPITAL DRIVE",
      "city": "FULTON",
      "state": "MO",
      "zip": "65251",
      "county": "CALLAWAY",
      "latitude": 38.8434442399918,
      "longitude": -91.9658973603444,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 37,
      "rating": null,
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP — rural hospitals and private-equity ownership",
      "evidenceSourceUrl": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "NOBLE HEALTH CALLAWAY COMMUNITY HOS closed or ceased hospital operations in 2022 after a documented private-equity acquisition. Former PE sponsor: Nueterra Capital; operating platform: Noble Health. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "PESP — rural hospitals and private-equity ownership",
        "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
        "https://www.kcur.org/health/2023-03-27/after-closing-rural-missouri-hospitals-noble-health-faces-investigations-and-lawsuits",
        "https://kffhealthnews.org/courts/noble-health-missouri-hospital-closures-legal-questions-private-equity/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "hospitalId": "0003065251",
      "peFirm": "Nueterra Capital",
      "formerOperator": "Noble Health (later Platinum Health)",
      "acquiredDate": "2019/2020",
      "closureDate": "2022-03",
      "closureSource": "PESP — rural hospitals and private-equity ownership",
      "closureSourceUrl": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/",
      "historicalPeOwnership": true,
      "closureYear": 2022,
      "closureStatusLabel": "Full closure (abrupt suspension)",
      "closureSummary": "Callaway Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Noble Health (later Platinum Health). Historical PE sponsor/context: Nueterra Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "Unpaid wages/benefits; patients put at risk per inspectors",
      "acquisitionSourceId": "pe-acquisition-0003065251",
      "closureSourceId": "closure-0003065251",
      "expandedClosureResearch": {
        "sourceRow": 26,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (abrupt suspension)",
        "closureDate": "2022-03",
        "careLevel": "Secondary (rural community)",
        "hospitalType": "Acute care rural hospital",
        "traumaLevel": "None",
        "licensedBeds": "~49 (needs verification)",
        "patientsServedNote": "Served Callaway County (~45k residents)",
        "ruralUrban": "Rural",
        "ownershipCategory": "PE-backed startup operator (Nueterra Capital / Noble Health)",
        "historicalSponsorOrOwner": "Nueterra Capital",
        "parentCompany": "Noble Health (later Platinum Health)",
        "acquiredYear": "2019/2020",
        "acquisitionDealNote": "Same Noble Health buy-and-bust pattern as Audrain, 30 miles away",
        "yearsPeToClosure": "2-3",
        "extractionMoneyTrail": "Same as Audrain: COVID relief and fees taken while bills went unpaid",
        "degradationRecord": "Unpaid wages/benefits; patients put at risk per inspectors",
        "communityImpact": "Thousands in mid-Missouri lost nearby care; lawsuits and federal investigations",
        "buildingFate": "Still closed; Boone Health exploring regional service restoration",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.kcur.org/health/2023-03-27/after-closing-rural-missouri-hospitals-noble-health-faces-investigations-and-lawsuits",
          "https://kffhealthnews.org/courts/noble-health-missouri-hospital-closures-legal-questions-private-equity/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Noble Health (later Platinum Health)",
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-noble-health-later-platinum-health",
      "siblingGroupId": "siblings-mo-noble-health-later-platinum-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003065251",
        "external-resolution-0003065251"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://downloads.regulations.gov/FTC-2024-0022-2047/attachment_1.pdf"
      ],
      "ownershipProofNotes": "Noble Health (later Platinum Health) official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Noble Health (later Platinum Health) official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003067801",
      "name": "WESTERN PLAINS MEDICAL COMPLEX",
      "address": "3001 AVENUE A, PO BOX 1478",
      "city": "DODGE CITY",
      "state": "KS",
      "zip": "67801",
      "county": "FORD",
      "latitude": 37.7862762502554,
      "longitude": -100.017405480018,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 99,
      "rating": null,
      "website": "www.lpnt.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ks-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-04-30",
      "ownershipSourceIds": [
        "hifld-location-0003067801",
        "external-resolution-0003067801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 170175; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20220624001647 and 3 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 170175; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20220624001647 and 3 owner/control organization row(s)."
    },
    {
      "id": "0003070737",
      "name": "UNITED MEDICAL REHABILITATION HOSPITAL",
      "address": "333 EAST WORTHEY RD",
      "city": "GONZALES",
      "state": "LA",
      "zip": "70737",
      "county": "ASCENSION",
      "latitude": 30.2251074998888,
      "longitude": -90.9177852402784,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "http://www.agrehab.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gonzales-united-medical-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ROSEMILL LLC",
      "parentSystemId": "entity-rosemill-llc",
      "siblingGroupId": "siblings-la-rosemill-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003070737",
        "external-resolution-0003070737"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 193079. That CCN bridged to CMS enrollment O20240415001508 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 193079. That CCN bridged to CMS enrollment O20240415001508 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0003072205",
      "name": "UAMS MEDICAL CENTER",
      "address": "4301 WEST MARKHAM STREET",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.7490251503602,
      "longitude": -92.3201373098716,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 450,
      "rating": null,
      "website": "http://www.uamshealth.com/?id=1&sid=1",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-uams-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "University of Arkansas for Medical Sciences",
      "parentSystemId": "entity-university-of-arkansas-for-medical-sciences",
      "siblingGroupId": "siblings-ar-university-of-arkansas-for-medical-sciences",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003072205",
        "external-resolution-0003072205"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20070213000396 (040016). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20070213000396 (040016). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0003080218",
      "name": "PRESBYTERIAN ST LUKE'S MEDICAL CENTER",
      "address": "1719 E 19TH AVE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7472209901689,
      "longitude": -104.966788509655,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 680,
      "rating": null,
      "website": "http://www.pslmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "campusFamilyId": "campus-co-060014",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus HCA HealthONE official hospital page. Resolved parent/control boundary: HCA Healthcare. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus HCA HealthONE official hospital page. Resolved parent/control boundary: HCA Healthcare. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003092411",
      "name": "BALLARD REHABILITATION HOSPITAL",
      "address": "1760 W 16TH ST",
      "city": "SAN BERNARDINO",
      "state": "CA",
      "zip": "92411",
      "county": "SAN BERNARDINO",
      "latitude": 34.1293719101408,
      "longitude": -117.32545958959,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-bernardino-ballard-rehabilitation-hosp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-ca-vibra-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003098926",
      "name": "KITTITAS VALLEY HEALTHCARE",
      "address": "603 CHESTNUT ST S",
      "city": "ELLENSBURG",
      "state": "WA",
      "zip": "98926",
      "county": "KITTITAS",
      "latitude": 46.9870939699019,
      "longitude": -120.537896340349,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 25,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=31",
      "status": "corporate_chain",
      "parentSystem": "KITTITAS COUNTY PUBLIC HOSPITAL DIST 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ellensburg-kittitas-valley-healthcare-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-kittitas-county-public-hospital-dist-1",
      "siblingGroupId": "siblings-wa-kittitas-county-public-hospital-dist-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-kittitas-county-public-hospital-dist-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to KITTITAS COUNTY PUBLIC HOSPITAL DIST 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KITTITAS COUNTY PUBLIC HOSPITAL DIST 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to KITTITAS COUNTY PUBLIC HOSPITAL DIST 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KITTITAS COUNTY PUBLIC HOSPITAL DIST 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003108037",
      "name": "ANCORA PSYCHIATRIC HOSPITAL",
      "address": "301 SPRING GARDEN ROAD",
      "city": "ANCORA",
      "state": "NJ",
      "zip": "08037",
      "county": "CAMDEN",
      "latitude": 39.6810739201835,
      "longitude": -74.862487519603,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 600,
      "rating": null,
      "website": "http://www.state.nj.us/humanservices/dmhs/oshm/aph/",
      "status": "corporate_chain",
      "parentSystem": "State Nj",
      "affiliatedSystem": "State Nj",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "State Nj",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ancora-ancora-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-nj",
      "siblingGroupId": "siblings-nj-state-nj",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003108037",
        "external-resolution-0003108037"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.state.nj.us/humanservices/dmhs/oshm/aph/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003127889",
      "name": "VIDANT BEAUFORT HOSPITAL",
      "address": "628 EAST TWELFTH ST",
      "city": "WASHINGTON",
      "state": "NC",
      "zip": "27889",
      "county": "BEAUFORT",
      "latitude": 35.5492219096957,
      "longitude": -77.0378380496346,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 142,
      "rating": null,
      "website": "https://www.vidanthealth.com/beaufort/",
      "status": "corporate_chain",
      "parentSystem": "ECU Health",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-vidant-beaufort-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ecu-health",
      "siblingGroupId": "siblings-nc-ecu-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003127889",
        "facility-site-0003127889"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vidanthealth.com/beaufort/"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0003133701",
      "name": "BAYFRONT HEALTH ST PETERSBURG",
      "address": "701 6TH ST S",
      "city": "SAINT PETERSBURG",
      "state": "FL",
      "zip": "33701",
      "county": "PINELLAS",
      "latitude": 27.7634206098054,
      "longitude": -82.6420818703196,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 480,
      "rating": null,
      "website": "https://www.bayfrontstpete.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-petersburg-bayfront-health-st-petersburg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Orlando Health",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003136607",
      "name": "INFIRMARY LTAC HOSPITAL",
      "address": "5 MOBILE INFIRMARY CIRCLE",
      "city": "MOBILE",
      "state": "AL",
      "zip": "36607",
      "county": "MOBILE",
      "latitude": 30.6969006897976,
      "longitude": -88.0802905702158,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "https://www.infirmaryhealth.org/affiliates/infirmary-ltac",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mobile-infirmary-ltac-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INFIRMARY HEALTH HOSPITALS, INC.",
      "parentSystemId": "entity-infirmary-health-hospitals-inc",
      "siblingGroupId": "siblings-al-infirmary-health-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-infirmary-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.infirmaryhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: INFIRMARY HEALTH HOSPITALS, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Infirmary Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INFIRMARY HEALTH HOSPITALS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INFIRMARY HEALTH HOSPITALS, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Infirmary Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INFIRMARY HEALTH HOSPITALS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003139501",
      "name": "SELECT SPECIALTY HOSPITAL GULF COAST",
      "address": "13TH STREET, 3RD FLOOR",
      "city": "GULFPORT",
      "state": "MS",
      "zip": "39501",
      "county": "HARRISON",
      "latitude": 30.3699690102903,
      "longitude": -89.1161176197136,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 61,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gulfport-select-specialty-hospital-gulf-coast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ms-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-select-medical-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003149120",
      "name": "LAKELAND HOSPITAL - NILES",
      "address": "31 NORTH ST JOSEPH AVE",
      "city": "NILES",
      "state": "MI",
      "zip": "49120",
      "county": "BERRIEN",
      "latitude": 41.8279252002742,
      "longitude": -86.2604885296531,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 76,
      "rating": null,
      "website": "http://www.lakelandhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "Lakelandhealth",
      "affiliatedSystem": "Lakelandhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Lakelandhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lakelandhealth",
      "siblingGroupId": "siblings-mi-lakelandhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003149120",
        "external-resolution-0003149120"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.lakelandhealth.org/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003155021",
      "name": "DISTRICT ONE HOSPITAL",
      "address": "200 STATE AVENUE",
      "city": "FARIBAULT",
      "state": "MN",
      "zip": "55021",
      "county": "RICE",
      "latitude": 44.2887133203203,
      "longitude": -93.2578532997322,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "website": "https://www.allinahealth.org/district-one-hospital/",
      "status": "corporate_chain",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "affiliatedSystem": "Allinahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Allinahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-faribault-district-one-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003160641",
      "name": "KINDRED CHICAGO CENTRAL HOSPITAL",
      "address": "4058 WEST MELROSE STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60641",
      "county": "COOK",
      "latitude": 41.9402465801559,
      "longitude": -87.7286436904013,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "website": "http://www.khchicagocentral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ScionHealth",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-il-scionhealth",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003160641",
        "external-resolution-0003160641"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.khchicagocentral.com"
      ],
      "ownershipProofNotes": "The cached exact facility page identifies or redirects into ScionHealth. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page identifies or redirects into ScionHealth. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0003165251",
      "name": "FULTON STATE HOSPITAL",
      "address": "600 EAST 5TH STREET",
      "city": "FULTON",
      "state": "MO",
      "zip": "65251",
      "county": "CALLAWAY",
      "latitude": 38.8471352500089,
      "longitude": -91.9378654597512,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 38,
      "rating": null,
      "website": "https://dmh.mo.gov/fulton/",
      "status": "corporate_chain",
      "parentSystem": "STATE OF MISSOURI",
      "affiliatedSystem": "Dmh Mo",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dmh Mo",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fulton-fulton-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-missouri",
      "siblingGroupId": "siblings-mo-state-of-missouri",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003174571",
      "name": "CHOCTAW NATION INDIAN HOSPITAL - TALIHINA",
      "address": "1 CHOCTAW WAY",
      "city": "TALIHINA",
      "state": "OK",
      "zip": "74571",
      "county": "LATIMER",
      "latitude": 34.7559837797012,
      "longitude": -95.0843884298434,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://choctawnationhealth.com/1choctaw-nation-health-care-center.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-talihina-choctaw-nation-indian-hospital-talihina/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHOCTAW NATION HEALTH SERVICES AUTHORITY",
      "parentSystemId": "entity-choctaw-nation-health-services-authority",
      "siblingGroupId": "siblings-ok-choctaw-nation-health-services-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-tribal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHOCTAW NATION HEALTH SERVICES AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHOCTAW NATION HEALTH SERVICES AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003178756",
      "name": "CORNERSTONE SPECIALTY HOSPITALS AUSTIN",
      "address": "4207 BURNET ROAD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78756",
      "county": "TRAVIS",
      "latitude": 30.3118262500936,
      "longitude": -97.7432914996541,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "website": "http://www.chghospitals.com/austin/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-cornerstone-specialty-hospitals-austin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-tx-chg-hospital-operations-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003180220",
      "name": "ROSE MEDICAL CENTER",
      "address": "4567 E 9TH AVE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80220",
      "county": "DENVER",
      "latitude": 39.7319779501698,
      "longitude": -104.934509139938,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 422,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-rose-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003185710",
      "name": "CORNERSTONE SPECIALTY HOSPITALS TUCSON",
      "address": "7220 EAST ROSEWOOD STREET",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85710",
      "county": "PIMA",
      "latitude": 32.2312412002919,
      "longitude": -110.838082819775,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-az-chg-hospital-operations-company-llc",
      "campusFamilyId": "campus-az-032004",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SASSAN MOMTAZBAKHSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SASSAN MOMTAZBAKHSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003187701",
      "name": "THE NM BEHAVIORAL HEALTH INSTITUTE",
      "address": "3695 HOT SPRINGS BLVD",
      "city": "LAS VEGAS",
      "state": "NM",
      "zip": "87701",
      "county": "SAN MIGUEL",
      "latitude": 35.6083649803298,
      "longitude": -105.242245090362,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 116,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE NM BEHAVIORAL HEALTH INSTITUTE",
      "parentSystemId": "entity-the-nm-behavioral-health-institute",
      "siblingGroupId": "siblings-nm-the-nm-behavioral-health-institute",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003187701",
        "external-resolution-0003187701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nm.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003189123",
      "name": "HORIZON SPECIALTY HOSPITAL OF HENDERSON",
      "address": "8550 S EASTERN AVE",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89123",
      "county": "CLARK",
      "latitude": 36.0336452101997,
      "longitude": -115.116711030395,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 39,
      "rating": null,
      "website": "www.horizonspecialtyhosp.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-horizon-specialty-hospital-of-henderson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003189123",
        "external-resolution-0003189123"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.horizonspecialtyhosp.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0003190073",
      "name": "WEST LOS ANGELES VA MEDICAL CENTER",
      "address": "11301 WILSHIRE BOULEVARD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90073",
      "county": "LOS ANGELES",
      "latitude": 34.0527212701898,
      "longitude": -118.452752239833,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 500,
      "rating": null,
      "website": "https://www.losangeles.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "VA GREATER LOS ANGELES HEALTHCARE SYSTEM",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-va-greater-los-angeles-healthcare-system",
      "siblingGroupId": "siblings-ca-va-greater-los-angeles-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA GREATER LOS ANGELES HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA GREATER LOS ANGELES HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003200956",
      "name": "HOSPITAL REGIONAL BAYAMON",
      "address": "LAUREL AVE SANTA JUANITA",
      "city": "BAYAMON",
      "state": "PR",
      "zip": "00956",
      "county": "BAYAMÓN",
      "latitude": 18.3676591503843,
      "longitude": -66.1536744403162,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 102,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0003201904",
      "name": "NORTH SHORE MEDICAL CENTER - UNION CAMPUS",
      "address": "500 LYNNFIELD STREET",
      "city": "LYNN",
      "state": "MA",
      "zip": "01904",
      "county": "ESSEX",
      "latitude": 42.5017999998992,
      "longitude": -70.979900000382,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://nsmc.partners.org/locations/union_hospital",
      "status": "corporate_chain",
      "parentSystem": "Mass General Brigham",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mass General Brigham",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003201904",
        "external-resolution-0003201904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/locations"
      ],
      "ownershipProofNotes": "Mass General Brigham official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mass General Brigham official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003206117",
      "name": "HEBREW SENIOR CARE",
      "address": "1 ABRAHMS BLVD",
      "city": "WEST HARTFORD",
      "state": "CT",
      "zip": "06117",
      "county": "CAPITOL",
      "latitude": 41.8029255197484,
      "longitude": -72.7292715696577,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 38,
      "rating": null,
      "website": "http://www.hebrewhealthcare.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEBREW HOME AND HOSPITAL INC",
      "parentSystemId": "entity-hebrew-home-and-hospital-inc",
      "siblingGroupId": "siblings-ct-hebrew-home-and-hospital-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-060646672"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/060646672"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Hebrew Home And Hospital Inc. Resolved parent/control boundary: HEBREW HOME AND HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEBREW HOME AND HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Hebrew Home And Hospital Inc. Resolved parent/control boundary: HEBREW HOME AND HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEBREW HOME AND HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003219320",
      "name": "BRANDYWINE HOSPITAL",
      "address": "201 REECEVILLE ROAD",
      "city": "COATESVILLE",
      "state": "PA",
      "zip": "19320",
      "county": "CHESTER",
      "latitude": 40.0101257897819,
      "longitude": -75.7861301303201,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 171,
      "rating": null,
      "website": "https://brandywine.towerhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Tower Health",
      "parentSystemId": "entity-tower-health",
      "siblingGroupId": "siblings-pa-tower-health",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-06-30",
      "ownershipSourceIds": [
        "hifld-location-0003219320",
        "external-resolution-0003219320"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 390076; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 390076; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0003227983",
      "name": "VIDANT BERTIE HOSPITAL",
      "address": "1403 S KING ST, PO BOX 40",
      "city": "WINDSOR",
      "state": "NC",
      "zip": "27983",
      "county": "BERTIE",
      "latitude": 35.9886475496696,
      "longitude": -76.9282494895984,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 6,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-windsor-vidant-bertie-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003227983"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0003239216",
      "name": "MISSISSIPPI METHODIST REHABILITATION CENTER",
      "address": "1350 EAST WOODROW WILSON DRIVE",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39216",
      "county": "HINDS",
      "latitude": 32.3283532100289,
      "longitude": -90.1722383903191,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 124,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC.",
      "parentSystemId": "entity-mississippi-methodist-hospital-and-rehabilitation-center-inc",
      "siblingGroupId": "siblings-ms-mississippi-methodist-hospital-and-rehabilitation-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-mississippi-methodist-hospital-rehabilitation-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003273069",
      "name": "SELECT SPECIALTY HOSPITAL - TULSA - MIDTOWN, LLC",
      "address": "744 WEST 9TH STREET, 5 EAST A AND 5B",
      "city": "TULSA",
      "state": "OK",
      "zip": "74127",
      "county": "CLEVELAND",
      "latitude": 35.2323598999098,
      "longitude": -97.4601523397874,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ok-select-medical",
      "campusFamilyId": "campus-ok-372007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAYTIE WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAYTIE WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003280236",
      "name": "COLORADO MENTAL HEALTH INSTITUTE AT FT LOGAN",
      "address": "3520 W OXFORD AVE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80236",
      "county": "DENVER",
      "latitude": 39.64106737979,
      "longitude": -105.032427379793,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 94,
      "rating": null,
      "website": "http://www.cdhs.state.co.us/cmhifl",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-colorado-mental-health-institute-at-ft-logan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF COLORADO",
      "parentSystemId": "entity-state-of-colorado",
      "siblingGroupId": "siblings-co-state-of-colorado",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE GOVERNMENT ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF COLORADO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE GOVERNMENT ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF COLORADO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003284094",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF UTAH",
      "address": "8074 SOUTH 1300 EAST",
      "city": "SANDY",
      "state": "UT",
      "zip": "84094",
      "county": "SALT LAKE",
      "latitude": 40.6048200500185,
      "longitude": -111.854787260241,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 84,
      "rating": null,
      "website": "https://encompasshealth.com/locations/utahrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ut-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003289431",
      "name": "LAKES CROSSING CENTER",
      "address": "500 GALLETTI WAY",
      "city": "SPARKS",
      "state": "NV",
      "zip": "89431",
      "county": "WASHOE",
      "latitude": 39.5290438197121,
      "longitude": -119.777135039731,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 86,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sparks-lake-s-crossing-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LAKES CROSSING CENTER",
      "parentSystemId": "entity-lakes-crossing-center",
      "siblingGroupId": "siblings-nv-lakes-crossing-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003289431",
        "external-resolution-0003289431"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nv.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003290026",
      "name": "BARLOW RESPIRATORY HOSPITAL",
      "address": "2000 STADIUM WAY",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90026",
      "county": "LOS ANGELES",
      "latitude": 34.0760965802478,
      "longitude": -118.24836125998,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 105,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-barlow-respiratory-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BARLOW RESPIRATORY HOSPITAL",
      "parentSystemId": "entity-barlow-respiratory-hospital",
      "siblingGroupId": "siblings-ca-barlow-respiratory-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-951647809"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/951647809"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Barlow Respiratory Hospital. Resolved parent/control boundary: BARLOW RESPIRATORY HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARLOW RESPIRATORY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Barlow Respiratory Hospital. Resolved parent/control boundary: BARLOW RESPIRATORY HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARLOW RESPIRATORY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003300000",
      "name": "NEA BAPTIST MEMORIAL HOSPITAL",
      "address": "4800 EAST JOHNSON AVENUE",
      "city": "JONESBORO",
      "state": "AR",
      "zip": "72405",
      "county": "CRAIGHEAD",
      "latitude": 35.866829370019,
      "longitude": -90.6365143103014,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 228,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ar-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BAPTIST MEMORIAL HEALTH CARE CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BAPTIST MEMORIAL HEALTH CARE CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003300720",
      "name": "HOSPITAL DEL CENTRO COMPRENSIVO DE CANCER",
      "address": "PR 21 INT PR 18 BO MONACILLOS URBANO",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00927",
      "county": "OROCOVIS",
      "latitude": 18.2266510003047,
      "longitude": -66.3943451396617,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0003302155",
      "name": "MELROSEWKFLD HTLTHCRE LAWRENCE MEM",
      "address": "170 GOVERNORS AVENUE",
      "city": "MEDFORD",
      "state": "MA",
      "zip": "02155",
      "county": "MIDDLESEX",
      "latitude": 42.4259000002927,
      "longitude": -71.1114000000288,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 34,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Tufts Medicine",
      "parentSystemId": "entity-tufts-medicine",
      "siblingGroupId": "siblings-ma-tufts-medicine",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003302155",
        "external-resolution-0003302155"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.tuftsmedicine.org/get-care/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tufts Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tufts Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003307481",
      "name": "RAMAPO RIDGE PSYCHIATRIC HOSPITAL",
      "address": "301 SICOMAC AVE",
      "city": "WYCKOFF",
      "state": "NJ",
      "zip": "07481",
      "county": "BERGEN",
      "latitude": 40.9806241898045,
      "longitude": -74.1719183097351,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wyckoff-ramapo-ridge-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTIAN HEALTH CARE CENTER",
      "parentSystemId": "entity-christian-health-care-center",
      "siblingGroupId": "siblings-nj-christian-health-care-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-independent-new-jersey-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists KEVIN STAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN HEALTH CARE CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KEVIN STAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN HEALTH CARE CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003314225",
      "name": "SISTERS OF CHARITY HOSPITAL - ST. JOSEPH CAMPUS",
      "address": "2605 HARLEM ROAD",
      "city": "CHEEKTOWAGA",
      "state": "NY",
      "zip": "14225",
      "county": "ERIE",
      "latitude": 42.9143043599187,
      "longitude": -78.782401539964,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 103,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cheektowaga-sisters-of-charity-hospital---st-joseph-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Catholic Health Buffalo",
      "parentSystemId": "entity-catholic-health-buffalo",
      "siblingGroupId": "siblings-ny-catholic-health-buffalo",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003314225",
        "external-resolution-0003314225"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.chsbuffalo.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Catholic Health Buffalo and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Catholic Health Buffalo and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003321601",
      "name": "UMD SHORE MEDICAL CENTER AT EASTON",
      "address": "219 SOUTH WASHINGTON STREET",
      "city": "EASTON",
      "state": "MD",
      "zip": "21601",
      "county": "TALBOT",
      "latitude": 38.7696510600557,
      "longitude": -76.0768560604279,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 117,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
      "parentSystemId": "entity-university-of-maryland-medical-system-corporation",
      "siblingGroupId": "siblings-md-university-of-maryland-medical-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003328335",
      "name": "BETSY JOHNSON HOSPITAL",
      "address": "800 TILGHMAN DR, PO DRAWER 1706",
      "city": "DUNN",
      "state": "NC",
      "zip": "28334",
      "county": "HARNETT",
      "latitude": 35.3070327398977,
      "longitude": -78.6346661803894,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 131,
      "rating": null,
      "website": "http://www.bjrh.org/",
      "status": "corporate_chain",
      "parentSystem": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
      "affiliatedSystem": "Cape Fear Valley Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Cape Fear Valley Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dunn-betsy-johnson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-cumberland-county-hospital-system-inc",
      "siblingGroupId": "siblings-nc-cumberland-county-hospital-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-cumberland-county-hospital-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003339216",
      "name": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
      "address": "2500 NORTH STATE STREET",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39216",
      "county": "HINDS",
      "latitude": 32.3294722800892,
      "longitude": -90.1731460804216,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 697,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-university-of-mississippi-med-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
      "parentSystemId": "entity-state-of-mississippi-university-of-mississippi-medical-center",
      "siblingGroupId": "siblings-ms-state-of-mississippi-university-of-mississippi-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003347331",
      "name": "FAYETTE REGIONAL HEALTH SYSTEM",
      "address": "1941 VIRGINIA AVE",
      "city": "CONNERSVILLE",
      "state": "IN",
      "zip": "47331",
      "county": "FAYETTE",
      "latitude": 39.6562381802352,
      "longitude": -85.1326610000325,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "website": "http://www.fayetteregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FAYETTE REGIONAL HEALTH SYSTEM",
      "parentSystemId": "entity-fayette-regional-health-system",
      "siblingGroupId": "siblings-in-fayette-regional-health-system",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-09-30",
      "ownershipSourceIds": [
        "hifld-location-0003347331",
        "external-resolution-0003347331"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 150064; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 150064; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0003349036",
      "name": "PROMEDICA COLDWATER REGIONAL HOSPITAL",
      "address": "274 E CHICAGO ST",
      "city": "COLDWATER",
      "state": "MI",
      "zip": "49036",
      "county": "BRANCH",
      "latitude": 41.937610059878,
      "longitude": -84.9896885601967,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 71,
      "rating": null,
      "website": "https://www.promedica.org/location/promedica-coldwater-regional-hospital",
      "status": "corporate_chain",
      "parentSystem": "FIRDAUS FOUNDATION",
      "affiliatedSystem": "Promedica",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Promedica",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-firdaus-foundation",
      "siblingGroupId": "siblings-mi-firdaus-foundation",
      "campusFamilyId": "campus-mi-230022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-firdaus-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003368788",
      "name": "FRANCISCAN CARE SERVICES, INC",
      "address": "430 NORTH MONITOR ST",
      "city": "WEST POINT",
      "state": "NE",
      "zip": "68788",
      "county": "CUMING",
      "latitude": 41.8434516799341,
      "longitude": -96.7060600402107,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC",
      "parentSystemId": "entity-franciscan-sisters-of-christian-charity-sponsored-ministries-inc",
      "siblingGroupId": "siblings-ne-franciscan-sisters-of-christian-charity-sponsored-ministries-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-franciscan-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALISA A BRUNSING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Franciscan Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALISA A BRUNSING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Franciscan Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003374017",
      "name": "CLAREMORE HOSPITAL",
      "address": "101 S MOORE AVENUE, SOUTH MOORE AND WILL ROGERS BLVD",
      "city": "CLAREMORE",
      "state": "OK",
      "zip": "74017",
      "county": "ROGERS",
      "latitude": 36.316102060357,
      "longitude": -95.6292858998888,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/oklahoma/index.cfm?module=dsp_okao_su_claremore",
      "status": "corporate_chain",
      "parentSystem": "CLAREMORE INDIAN HOSPITAL",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-claremore-claremore-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-claremore-indian-hospital",
      "siblingGroupId": "siblings-ok-claremore-indian-hospital",
      "campusFamilyId": "campus-ok-370173",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-government-federal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAREMORE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAREMORE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003380204",
      "name": "PAM SPECIALTY HOSPITAL OF DENVER",
      "address": "1690 N MEADE ST",
      "city": "DENVER",
      "state": "CO",
      "zip": "80204",
      "county": "DENVER",
      "latitude": 39.7435991101893,
      "longitude": -105.034982299852,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 63,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM CUBED LLC",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-co-pam-cubed-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003380649",
      "name": "GAYLORD HOSPITAL",
      "address": "50 GAYLORD FARM RD",
      "city": "WALLINGFORD",
      "state": "CT",
      "zip": "06492",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.472884779671,
      "longitude": -72.856761250026,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "NON-PROFIT",
      "beds": 137,
      "rating": null,
      "website": "http://www.gaylord.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wallingford-gaylord-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GAYLORD HOSPITAL, INC.",
      "parentSystemId": "entity-gaylord-hospital-inc",
      "siblingGroupId": "siblings-ct-gaylord-hospital-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-060646649"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/060646649"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Gaylord Hospital Inc. Resolved parent/control boundary: GAYLORD HOSPITAL, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GAYLORD HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Gaylord Hospital Inc. Resolved parent/control boundary: GAYLORD HOSPITAL, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GAYLORD HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003382609",
      "name": "ELKHORN VALLEY REHABILITATION HOSPITAL LLC",
      "address": "5715 EAST 2ND ST",
      "city": "CASPER",
      "state": "WY",
      "zip": "82609",
      "county": "NATRONA",
      "latitude": 42.8442255301376,
      "longitude": -106.242370129622,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ELKHORN VALLEY REHABILITATION HOSPITAL HOLDINGS INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "533027",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-casper-elkhorn-valley-rehabilitation-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-elkhorn-valley-rehabilitation-hospital-holdings-inc",
      "siblingGroupId": "siblings-wy-elkhorn-valley-rehabilitation-hospital-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ELKHORN VALLEY REHABILITATION HOSPITAL HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 75%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WY resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELKHORN VALLEY REHABILITATION HOSPITAL HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ELKHORN VALLEY REHABILITATION HOSPITAL HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 75%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WY resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELKHORN VALLEY REHABILITATION HOSPITAL HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003384112",
      "name": "UNIVERSITY OF UTAH HOSPITALS AND CLINICS",
      "address": "50 NORTH MEDICAL DRIVE",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84132",
      "county": "SALT LAKE",
      "latitude": 40.7712730898043,
      "longitude": -111.836113020131,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 977,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF UTAH",
      "parentSystemId": "entity-university-of-utah",
      "siblingGroupId": "siblings-ut-university-of-utah",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-university-of-utah"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF UTAH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists CHARLTON PARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to UNIVERSITY OF UTAH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF UTAH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF UTAH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists CHARLTON PARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to UNIVERSITY OF UTAH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF UTAH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003400705",
      "name": "MENNONITE GENERAL HOSPITAL INC",
      "address": "CALLE JOSE C VASQUEZ BO CAONILLAS",
      "city": "AIBONITO",
      "state": "PR",
      "zip": "00705",
      "county": "AIBONITO",
      "latitude": 18.1437944600612,
      "longitude": -66.2617073698086,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 150,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0003404938",
      "name": "FRANKLIN MEMORIAL HOSPITAL",
      "address": "111 FRANKLIN HEALTH COMMONS",
      "city": "FARMINGTON",
      "state": "ME",
      "zip": "04938",
      "county": "FRANKLIN",
      "latitude": 44.6266325999905,
      "longitude": -70.1628671802364,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "website": "http://www.fchn.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-farmington-franklin-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANA J MCLAUGHLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANA J MCLAUGHLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003414263",
      "name": "ROSWELL PARK CANCER INSTITUTE",
      "address": "ELM AND CARLTON STREETS",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14263",
      "county": "ERIE",
      "latitude": 42.8992050999893,
      "longitude": -78.864886949613,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 133,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-roswell-park-cancer-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ROSWELL PARK CANCER INSTITUTE",
      "parentSystemId": "entity-roswell-park-cancer-institute",
      "siblingGroupId": "siblings-ny-roswell-park-cancer-institute",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-roswell-park-cancer-institute"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROSWELL PARK CANCER INSTITUTE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to ROSWELL PARK CANCER INSTITUTE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROSWELL PARK CANCER INSTITUTE, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROSWELL PARK CANCER INSTITUTE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to ROSWELL PARK CANCER INSTITUTE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROSWELL PARK CANCER INSTITUTE, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003429302",
      "name": "CHILDREN'S HABILITATION CENTER",
      "address": "355 CEDAR SPRINGS RD",
      "city": "SPARTANBURG",
      "state": "SC",
      "zip": "29302",
      "county": "SPARTANBURG",
      "latitude": 34.9101138003406,
      "longitude": -81.8804473299905,
      "hospitalType": "CHILDREN",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 3,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHILDREN'S HABILITATION CENTER",
      "parentSystemId": "entity-children-s-habilitation-center",
      "siblingGroupId": "siblings-sc-children-s-habilitation-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003429302",
        "external-resolution-0003429302"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://scdhec.gov/healthcare-quality/health-facility-regulations-licensing-con/hospitals"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003434209",
      "name": "HCA FLORIDA BLAKE HOSPITAL",
      "address": "2020 59TH ST W",
      "city": "BRADENTON",
      "state": "FL",
      "zip": "34209",
      "county": "MANATEE",
      "latitude": 27.4822005901633,
      "longitude": -82.6237417495963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 383,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/blake-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100213",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bradenton-hca-florida-blake-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003442701",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKEVIEW",
      "address": "134 HEARTLAND DRIVE",
      "city": "ELIZABETHTOWN",
      "state": "KY",
      "zip": "42701",
      "county": "HARDIN",
      "latitude": 37.7146355596823,
      "longitude": -85.8750721699998,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.healthsouthlakeview.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elizabethtown-encompass-health-rehabilitation-hospital-of-lakeview/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ky-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003455379",
      "name": "ST. FRANCIS REGIONAL MED CTR",
      "address": "1455 ST FRANCIS AVENUE",
      "city": "SHAKOPEE",
      "state": "MN",
      "zip": "55379",
      "county": "SCOTT",
      "latitude": 44.7712630001859,
      "longitude": -93.5028972799518,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 93,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shakopee-st-francis-regional-med-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLINA HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 47.5%). CMS lists AMY LYNN JERDEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLINA HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 47.5%). CMS lists AMY LYNN JERDEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003460525",
      "name": "ADVENTIST MIDWEST HEALTH",
      "address": "5101 SOUTH WILLOW SPRINGS ROAD",
      "city": "LA GRANGE",
      "state": "IL",
      "zip": "60525",
      "county": "COOK",
      "latitude": 41.7970605502676,
      "longitude": -87.8863949303221,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 186,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST MIDWEST HEALTH",
      "parentSystemId": "entity-adventist-midwest-health",
      "siblingGroupId": "siblings-il-adventist-midwest-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUSTIN RODGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUSTIN RODGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003480218",
      "name": "KINDRED HOSPITAL - DENVER",
      "address": "1920 N HIGH ST",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7463360003321,
      "longitude": -104.964522000006,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 81,
      "rating": null,
      "website": "http://www.kh-denver.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-kindred-hospital-denver/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-co-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003484103",
      "name": "SHRINERS HOSPITALS FOR CHILDREN - SALT LAKE CITY",
      "address": "1275 EAST FAIRFAX ROAD",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84103",
      "county": "SALT LAKE",
      "latitude": 40.7774365099022,
      "longitude": -111.850430399672,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 45,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Shriners Children's",
      "parentSystemId": "entity-shriners-children-s",
      "siblingGroupId": "siblings-ut-shriners-children-s",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003484103",
        "external-resolution-0003484103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.shrinerschildrens.org/en/locations"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 463302. The tracker parent candidate was corroborated against Shriners Children's's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 463302. The tracker parent candidate was corroborated against Shriners Children's's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0003489121",
      "name": "LAS VEGAS - AMG SPECIALTY HOSPITAL",
      "address": "4015 S MCLEOD DR",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89121",
      "county": "CLARK",
      "latitude": 36.1165861601415,
      "longitude": -115.110384600091,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 HOLDCO INC",
      "parentSystemId": "entity-amg-2-0-holdco-inc",
      "siblingGroupId": "siblings-nv-amg-2-0-holdco-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003500726",
      "name": "HIMA SAN PABLO - CAGUAS",
      "address": "100 AVE LUIS MUNOZ MARIN",
      "city": "CAGUAS",
      "state": "PR",
      "zip": "00725",
      "county": "CAGUAS",
      "latitude": 18.2179394103761,
      "longitude": -66.031945869664,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 300,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0003504092",
      "name": "MERCY WESTBROOK",
      "address": "40 PARK ROAD",
      "city": "WESTBROOK",
      "state": "ME",
      "zip": "04092",
      "county": "CUMBERLAND",
      "latitude": 43.6878854501696,
      "longitude": -70.3569291000858,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://www.mercyhospitalstories.org/cms/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northern Light Health",
      "parentSystemId": "entity-northern-light-health",
      "siblingGroupId": "siblings-me-northern-light-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003504092",
        "external-resolution-0003504092"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://northernlighthealth.org/Our-System/Hospitals"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Northern Light Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Northern Light Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003526003",
      "name": "OHIO VALLEY MEDICAL CENTER",
      "address": "2000 EOFF STREET",
      "city": "WHEELING",
      "state": "WV",
      "zip": "26003",
      "county": "OHIO",
      "latitude": 40.060074580306,
      "longitude": -80.7216806398019,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 218,
      "rating": null,
      "website": "http://www.ovmc-eorh.com",
      "status": "closed",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://governorjustice.wv.gov/News/press-releases/2019/Pages/Gov.-Justice-issues-statement-on-Alecto-Healthcare%E2%80%99s-decision-to-abruptly-close-OVMC-in-Wheeling.aspx",
        "https://www.classaction.org/news/operator-of-ohio-valley-medical-center-facing-warn-act-class-action-over-sept.-2019-shutdown",
        "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "expandedClosureResearch": {
        "sourceRow": 29,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "Sep-Oct 2019",
        "careLevel": "Community/secondary (regional)",
        "hospitalType": "Acute care",
        "traumaLevel": "",
        "licensedBeds": "~200 (needs verification)",
        "patientsServedNote": "",
        "ruralUrban": "Small urban/regional",
        "ownershipCategory": "Investor-owned for-profit chain (Alecto Healthcare Services)",
        "historicalSponsorOrOwner": "Alecto Healthcare Services (privately held, CA-based)",
        "parentCompany": "Alecto Wheeling LLC",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Acquired with East Ohio Regional for $40M total in 2017; City of Wheeling contributed $3M for capital repairs/demolition; building leased from third-party landlord holding company",
        "yearsPeToClosure": "2",
        "extractionMoneyTrail": "Real estate held by separate landlord entity; company claimed $37M losses across OVMC/EORH in 2 years; abruptly ended rescue talks with WVU Medicine the day of closure announcement",
        "degradationRecord": "Abrupt closure announcement Sept 3 2019 with services suspended within 30 days; state officials said they were caught off guard",
        "communityImpact": "736 employees lost jobs; WARN Act class action (Lucas v. Alecto) over lack of 60-day notice",
        "buildingFate": "Landlord transferred building to City of Wheeling in summer 2020 for repurposing/sale",
        "peLinkConfidence": "Corporate chain (investor-owned, PE-style)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://governorjustice.wv.gov/News/press-releases/2019/Pages/Gov.-Justice-issues-statement-on-Alecto-Healthcare%E2%80%99s-decision-to-abruptly-close-OVMC-in-Wheeling.aspx",
          "https://www.classaction.org/news/operator-of-ohio-valley-medical-center-facing-warn-act-class-action-over-sept.-2019-shutdown",
          "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Alecto Wheeling LLC",
      "formerOperator": "Alecto Wheeling LLC",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2017",
      "closureDate": "Sep-Oct 2019",
      "closureYear": 2019,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Ohio Valley Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Alecto Wheeling LLC. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-29",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://governorjustice.wv.gov/News/press-releases/2019/Pages/Gov.-Justice-issues-statement-on-Alecto-Healthcare%E2%80%99s-decision-to-abruptly-close-OVMC-in-Wheeling.aspx",
      "closureEvidenceNote": "Abrupt closure announcement Sept 3 2019 with services suspended within 30 days; state officials said they were caught off guard",
      "acquisitionSourceId": "expanded-ownership-row-29",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.classaction.org/news/operator-of-ohio-valley-medical-center-facing-warn-act-class-action-over-sept.-2019-shutdown",
      "acquisitionEvidenceNote": "Acquired with East Ohio Regional for $40M total in 2017; City of Wheeling contributed $3M for capital repairs/demolition; building leased from third-party landlord holding company",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-alecto-wheeling-llc",
      "siblingGroupId": "siblings-wv-alecto-wheeling-llc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003526003",
        "external-resolution-0003526003"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ovmc-eorh.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003529203",
      "name": "CORRECT CARE OF SOUTH CAROLINA",
      "address": "7901 FARROW RD",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29203",
      "county": "RICHLAND",
      "latitude": 34.0756098697262,
      "longitude": -80.9796001397511,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 145,
      "rating": null,
      "website": "http://www.correctcaresolutions.com/our-services/crcc/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-correct-care-of-south-carolina/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Wellpath",
      "parentSystemId": "entity-wellpath",
      "siblingGroupId": "siblings-sc-wellpath",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003529203",
        "external-resolution-0003529203"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://wellpathcare.com/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Wellpath and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Wellpath and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003531513",
      "name": "APPLING HOSPITAL",
      "address": "163 E TOLLISON STREET",
      "city": "BAXLEY",
      "state": "GA",
      "zip": "31513",
      "county": "APPLING",
      "latitude": 31.7693107301458,
      "longitude": -82.3488493198705,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-the-baxley-and-appling-county-hospital-authority",
      "siblingGroupId": "siblings-ga-the-baxley-and-appling-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-the-baxley-and-appling-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREA PIERCE GRAHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREA PIERCE GRAHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003539564",
      "name": "OCEAN SPRINGS HOSPITAL",
      "address": "3109 BIENVILLE BOULEVARD",
      "city": "OCEAN SPRINGS",
      "state": "MS",
      "zip": "39564",
      "county": "JACKSON",
      "latitude": 30.4141352202475,
      "longitude": -88.7807144397859,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 136,
      "rating": null,
      "website": "http://srhshealth.com/osh_hospital.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ocean-springs-ocean-springs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "OCEAN SPRINGS HOSPITAL",
      "parentSystemId": "entity-ocean-springs-hospital",
      "siblingGroupId": "siblings-ms-ocean-springs-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003539564",
        "external-resolution-0003539564"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://srhshealth.com/osh_hospital.htm"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003541017",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTHERN KENTUCKY",
      "address": "201 MEDICAL VILLAGE DRIVE",
      "city": "EDGEWOOD",
      "state": "KY",
      "zip": "41017",
      "county": "KENTON",
      "latitude": 39.0126122700654,
      "longitude": -84.5666151903457,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 51,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edgewood-encompass-health-rehabilitation-hospital-of-northern-kentucky/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ky-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003546947",
      "name": "FOUR COUNTY COUNSELING CENTER",
      "address": "1015 MICHIGAN AVE",
      "city": "LOGANSPORT",
      "state": "IN",
      "zip": "46947",
      "county": "CASS",
      "latitude": 40.76329038032,
      "longitude": -86.3624682298754,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 15,
      "rating": null,
      "website": "http://www.fourcounty.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-logansport-four-county-counseling-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "4C HEALTH",
      "parentSystemId": "entity-4c-health",
      "siblingGroupId": "siblings-in-4c-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent 4C HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent 4C HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003553098",
      "name": "WATERTOWN REGIONAL MEDICAL CENTER",
      "address": "125 HOSPITAL DRIVE",
      "city": "WATERTOWN",
      "state": "WI",
      "zip": "53098",
      "county": "DODGE",
      "latitude": 43.199090650087,
      "longitude": -88.6968524598804,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 95,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-watertown-watertown-regional-medical-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ScionHealth",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-wi-scionhealth",
      "campusFamilyId": "campus-wi-520116",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003555422",
      "name": "REGENCY HOSPITAL OF MPLS LLC",
      "address": "1300 HIDDEN LAKES PARKWAY",
      "city": "GOLDEN VALLEY",
      "state": "MN",
      "zip": "55422",
      "county": "HENNEPIN",
      "latitude": 44.9923032099522,
      "longitude": -93.3336757396289,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 92,
      "rating": null,
      "website": "http://www.regencyhospital.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Regencyhospital",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Regencyhospital",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-golden-valley-regency-hospital-of-mpls-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mn-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SEAN STRICKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SEAN STRICKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003561108",
      "name": "VAN MATRE ENCOMPASS HEALTH REHABILITATION HOSPITAL LLC",
      "address": "950 S MULFORD ROAD",
      "city": "ROCKFORD",
      "state": "IL",
      "zip": "61108",
      "county": "WINNEBAGO",
      "latitude": 42.2585485402192,
      "longitude": -88.9971555996251,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 65,
      "rating": null,
      "website": "https://encompasshealth.com/locations/vanmatrerehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-il-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003572519",
      "name": "IZARD COUNTY MEDICAL CENTER, LLC",
      "address": "61 GRASSE STREET",
      "city": "CALICO ROCK",
      "state": "AR",
      "zip": "72519",
      "county": "IZARD",
      "latitude": 36.1267768496924,
      "longitude": -92.1280871697959,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-calico-rock-izard-county-medical-center-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "IZARD REGIONAL HOSPITAL LLC",
      "parentSystemId": "entity-izard-regional-hospital-llc",
      "siblingGroupId": "siblings-ar-izard-regional-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: IZARD REGIONAL HOSPITAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to IZARD REGIONAL HOSPITAL LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IZARD REGIONAL HOSPITAL LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IZARD REGIONAL HOSPITAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to IZARD REGIONAL HOSPITAL LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IZARD REGIONAL HOSPITAL LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003580218",
      "name": "SPALDING REHABILITATION HOSPITAL AT PSLMC",
      "address": "1719 E 19TH AVE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7466499202861,
      "longitude": -104.967980619851,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "campusFamilyId": "campus-co-060014",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003584108",
      "name": "UNIVERSITY OF UTAH NEUROPSYCHIATRIC INSTITUTE (UNI)",
      "address": "501 CHIPETA WAY",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84108",
      "county": "SALT LAKE",
      "latitude": 40.757913739708,
      "longitude": -111.822731759676,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 94,
      "rating": null,
      "website": "http://www.med.utah.edu/uni",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "University of Utah Health",
      "parentSystemId": "entity-university-of-utah-health",
      "siblingGroupId": "siblings-ut-university-of-utah-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003584108",
        "external-resolution-0003584108"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.med.utah.edu/uni"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003588030",
      "name": "MIMBRES MEMORIAL HOSPITAL",
      "address": "900 W ASH",
      "city": "DEMING",
      "state": "NM",
      "zip": "88030",
      "county": "LUNA",
      "latitude": 32.2603361103082,
      "longitude": -107.767727709772,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Quorum Health Corporation",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-deming-mimbres-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quorum-health-corporation",
      "siblingGroupId": "siblings-nm-quorum-health-corporation",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003588030",
        "external-resolution-0003588030"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.quorumhealth.com/locations/"
      ],
      "ownershipProofNotes": "Quorum Health Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Quorum Health Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003589502",
      "name": "RENOWN REHABILITATION HOSPITAL",
      "address": "1495 MILL ST",
      "city": "RENO",
      "state": "NV",
      "zip": "89502",
      "county": "WASHOE",
      "latitude": 39.5239952998356,
      "longitude": -119.79234853009,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 62,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reno-renown-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RENOWN HEALTH",
      "parentSystemId": "entity-renown-health",
      "siblingGroupId": "siblings-nv-renown-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003589502",
        "external-resolution-0003589502"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070221000394 (29T049). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070221000394 (29T049). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0003592161",
      "name": "SAN DIEGO VA MEDICAL CENTER",
      "address": "3350 LA JOLLA VILLAGE DRIVE",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92161",
      "county": "SAN DIEGO",
      "latitude": 32.8755580501025,
      "longitude": -117.232419260119,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 256,
      "rating": null,
      "website": "https://www.sandiego.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "VA SAN DIEGO HEALTHCARE SYSTEM",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-va-san-diego-healthcare-system",
      "siblingGroupId": "siblings-ca-va-san-diego-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA SAN DIEGO HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA SAN DIEGO HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003599210",
      "name": "MULTICARE DEACONESS HOSPITAL",
      "address": "800 WEST FIFTH AVENUE",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99210",
      "county": "SPOKANE",
      "latitude": 47.6518002401438,
      "longitude": -117.423436110344,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 262,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=85",
      "status": "corporate_chain",
      "parentSystem": "MultiCare Health System",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003599210",
        "external-resolution-0003599210"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.multicare.org/find-a-location/"
      ],
      "ownershipProofNotes": "MultiCare Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "MultiCare Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003602740",
      "name": "SOUTHCOAST HOSPS GRP INC - ST LUKES",
      "address": "101 PAGE STREET, BOX 3003",
      "city": "NEW BEDFORD",
      "state": "MA",
      "zip": "02740",
      "county": "BRISTOL",
      "latitude": 41.6263999999056,
      "longitude": -70.9384000000938,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 391,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Southcoast Health",
      "parentSystemId": "entity-southcoast-health",
      "siblingGroupId": "siblings-ma-southcoast-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003602740",
        "external-resolution-0003602740"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.southcoast.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Southcoast Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Southcoast Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003604102",
      "name": "HEALTHSOUTH - MAINE MEDICAL CENTER, LLC",
      "address": "335 BRIGHTON AVENUE, UNIT 201",
      "city": "PORTLAND",
      "state": "ME",
      "zip": "04102",
      "county": "CUMBERLAND",
      "latitude": 43.6663219898031,
      "longitude": -70.2918614497724,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "website": "http://www.nerhp.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-me-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003606111",
      "name": "VA MEDICAL CENTER - NEWINGTON CAMPUS",
      "address": "555 WILLARD AVE",
      "city": "NEWINGTON",
      "state": "CT",
      "zip": "06111",
      "county": "CAPITOL",
      "latitude": 41.7016855900148,
      "longitude": -72.7406164903989,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.connecticut.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newington-va-medical-center---newington-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ct-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003606111",
        "external-resolution-0003606111"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003606112",
      "name": "MOUNT SINAI REHABILITATION HOSPITAL, INC",
      "address": "490 BLUE HILLS AVE",
      "city": "HARTFORD",
      "state": "CT",
      "zip": "06112",
      "county": "CAPITOL",
      "latitude": 41.8000211098147,
      "longitude": -72.6939360199532,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "http://www.stfranciscare.org/",
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hartford-mount-sinai-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ct-trinity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 01; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 01; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003629203",
      "name": "MORRIS VILLAGE",
      "address": "610 FAISON DR",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29203",
      "county": "RICHLAND",
      "latitude": 34.0892990102495,
      "longitude": -80.9869571703499,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 174,
      "rating": null,
      "website": "http://www.state.sc.us/dmh/dir_facilities.htm#mv",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "South Carolina Department of Mental Health",
      "parentSystemId": "entity-south-carolina-department-of-mental-health",
      "siblingGroupId": "siblings-sc-south-carolina-department-of-mental-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003629203",
        "external-resolution-0003629203"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.state.sc.us/dmh/dir_facilities.htm#mv"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003649783",
      "name": "CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL",
      "address": "500 OSBORN BLVD",
      "city": "SAULT SAINTE MARIE",
      "state": "MI",
      "zip": "49783",
      "county": "CHIPPEWA",
      "latitude": 46.4980808700118,
      "longitude": -84.3505511800938,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 82,
      "rating": null,
      "website": "http://www.warmemorialhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003658341",
      "name": "ST ALOISIUS MEDICAL CENTER",
      "address": "325 E BREWSTER ST",
      "city": "HARVEY",
      "state": "ND",
      "zip": "58341",
      "county": "WELLS",
      "latitude": 47.7670968900497,
      "longitude": -99.9320512600852,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.staloisius.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harvey-st-aloisius-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SISTERS OF MARY OF THE PRESENTATION HEALTH SYSTEM",
      "parentSystemId": "entity-sisters-of-mary-of-the-presentation-health-system",
      "siblingGroupId": "siblings-nd-sisters-of-mary-of-the-presentation-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SISTERS OF MARY OF THE PRESENTATION HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF MARY OF THE PRESENTATION HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SISTERS OF MARY OF THE PRESENTATION HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF MARY OF THE PRESENTATION HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003669145",
      "name": "KIMBALL COUNTY",
      "address": "505 SOUTH BURG ST",
      "city": "KIMBALL",
      "state": "NE",
      "zip": "69145",
      "county": "KIMBALL",
      "latitude": 41.2325577698534,
      "longitude": -103.666848549736,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "KIMBALL COUNTY public health authority",
      "parentSystemId": "entity-kimball-county-public-health-authority",
      "siblingGroupId": "siblings-ne-kimball-county-public-health-authority",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003669145",
        "external-resolution-0003669145"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 281305. That CCN bridged to CMS enrollment O20070222000526 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 281305. That CCN bridged to CMS enrollment O20070222000526 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0003683301",
      "name": "ST LUKE'S MAGIC VALLEY RMC",
      "address": "801 POLE LINE RD W",
      "city": "TWIN FALLS",
      "state": "ID",
      "zip": "83301",
      "county": "TWIN FALLS",
      "latitude": 42.5903154097409,
      "longitude": -114.496333630105,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 224,
      "rating": null,
      "website": "http://www.stlukesonline.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HEALTH SYSTEM LTD",
      "parentSystemId": "entity-st-lukes-health-system-ltd",
      "siblingGroupId": "siblings-id-st-lukes-health-system-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-st-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stlukesonline.org/en/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003688011",
      "name": "ADVANCED CARE HOSPITAL OF SOUTHERN NEW MEXICO LLC",
      "address": "4451 EAST LOHMAN AVENUE",
      "city": "LAS CRUCES",
      "state": "NM",
      "zip": "88011",
      "county": "DOÑA ANA",
      "latitude": 32.3260374900882,
      "longitude": -106.724994339606,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "http://www.achsnm.ernesthealth.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "322004",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-cruces-advanced-care-hospital-of-southern-new-mexico/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-nm-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003689052",
      "name": "SEVEN HILLS BEHAVIORAL INSTITUTE",
      "address": "3021 W HORIZON RIDGE PKWY",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89052",
      "county": "CLARK",
      "latitude": 35.9963042197738,
      "longitude": -115.120331240092,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 134,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-nv-acadia-healthcare",
      "campusFamilyId": "campus-nv-294012",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003690706",
      "name": "LOS ANGELES COMMUNITY HOSPITAL AT BELLFLOWER",
      "address": "9542 ARTESIA BLVD",
      "city": "BELLFLOWER",
      "state": "CA",
      "zip": "90706",
      "county": "LOS ANGELES",
      "latitude": 33.8744084796539,
      "longitude": -118.129607809836,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 112,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Pipeline Health",
      "parentSystemId": "entity-pipeline-health",
      "siblingGroupId": "siblings-ca-pipeline-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003690706",
        "external-resolution-0003690706"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pipelinehealth.us/our-hospitals/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Pipeline Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Pipeline Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003706053",
      "name": "HOSPITAL FOR SPECIAL CARE",
      "address": "2150 CORBIN AVE",
      "city": "NEW BRITAIN",
      "state": "CT",
      "zip": "06053",
      "county": "CAPITOL",
      "latitude": 41.6891819198297,
      "longitude": -72.8019935695726,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "NON-PROFIT",
      "beds": 228,
      "rating": null,
      "website": "http://hfsc.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-britain-hospital-for-special-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTER OF SPECIAL CARE, INC.",
      "parentSystemId": "entity-center-of-special-care-inc",
      "siblingGroupId": "siblings-ct-center-of-special-care-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTER OF SPECIAL CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTER OF SPECIAL CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003712883",
      "name": "THE UNIVERSITY OF VERMONT HEALTH NETWORK - ELIZABETHTOWN COMMUNITY HOSPITAL MOSES LUDINGTON",
      "address": "101 ADIRONDACK DRIVE, SUITE 1",
      "city": "TICONDEROGA",
      "state": "NY",
      "zip": "12883",
      "county": "ESSEX",
      "latitude": 43.8495251301324,
      "longitude": -73.4370239896387,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "University of Vermont Health Network",
      "parentSystemId": "entity-university-of-vermont-health-network",
      "siblingGroupId": "siblings-ny-university-of-vermont-health-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003712883",
        "external-resolution-0003712883"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uvmhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to University of Vermont Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to University of Vermont Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003715317",
      "name": "CANONSBURG HOSPITAL",
      "address": "100 MEDICAL BOULEVARD",
      "city": "CANONSBURG",
      "state": "PA",
      "zip": "15317",
      "county": "WASHINGTON",
      "latitude": 40.2459699999091,
      "longitude": -80.1906739995562,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 104,
      "rating": null,
      "website": "http://www.ahn.org",
      "status": "corporate_chain",
      "parentSystem": "CANONSBURG GENERAL HOSPITAL",
      "affiliatedSystem": "Ahn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ahn",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-canonsburg-general-hospital",
      "siblingGroupId": "siblings-pa-canonsburg-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-canonsburg-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CANONSBURG GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANONSBURG GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CANONSBURG GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANONSBURG GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003725550",
      "name": "PLEASANT VALLEY HOSPITAL",
      "address": "2520 VALLEY DRIVE",
      "city": "GLEN WASHINGTON",
      "state": "WV",
      "zip": "25550",
      "county": "MASON",
      "latitude": 38.8690654097421,
      "longitude": -82.1232238699065,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 201,
      "rating": null,
      "website": "http://www.pvalley.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHALL HEALTH NETWORK INC",
      "parentSystemId": "entity-marshall-health-network-inc",
      "siblingGroupId": "siblings-wv-marshall-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-marshall-health-network-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHALL HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MARSHALL HEALTH NETWORK INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHALL HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MARSHALL HEALTH NETWORK INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003729203",
      "name": "G WERBER BRYAN PSYCHIATRIC HOSPITAL",
      "address": "220 FAISON DR",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29203",
      "county": "RICHLAND",
      "latitude": 34.0858631603333,
      "longitude": -80.9828722001729,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 530,
      "rating": null,
      "website": "http://www.scdmh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-g-werber-bryan-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
      "parentSystemId": "entity-south-carolina-dept-of-mental-health-accounting-office",
      "siblingGroupId": "siblings-sc-south-carolina-dept-of-mental-health-accounting-office",
      "campusFamilyId": "campus-sc-424005",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-south-carolina-dept-of-mental-health-accounting-office"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003730680",
      "name": "NORTHEAST GEORGIA MEDICAL CENTER BARROW",
      "address": "316 NORTH BROAD STREET",
      "city": "WINDER",
      "state": "GA",
      "zip": "30680",
      "county": "BARROW",
      "latitude": 34.0080529996642,
      "longitude": -83.7072540001508,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "website": "http://www.barrowregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winder-northeast-georgia-medical-center-barrow/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEAST GEORGIA HEALTH SYSTEM",
      "parentSystemId": "entity-northeast-georgia-health-system",
      "siblingGroupId": "siblings-ga-northeast-georgia-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northeast-georgia-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nghs.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEAST GEORGIA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEAST GEORGIA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003744203",
      "name": "SUMMA HEALTH SYSTEM BARBERTON HOSPITAL",
      "address": "155 FIFTH STREET NE",
      "city": "BARBERTON",
      "state": "OH",
      "zip": "44203",
      "county": "SUMMIT",
      "latitude": 41.015071329966,
      "longitude": -81.5889978203961,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 220,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-barberton-summa-health-system-barberton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Summa Health",
      "parentSystemId": "entity-summa-health",
      "siblingGroupId": "siblings-oh-summa-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003744203",
        "external-resolution-0003744203"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.summahealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Summa Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Summa Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003749202",
      "name": "HENRY FORD ALLEGIANCE SPECIALTY HOSPITAL",
      "address": "110 N ELM AVENUE",
      "city": "JACKSON",
      "state": "MI",
      "zip": "49202",
      "county": "JACKSON",
      "latitude": 42.2518805900548,
      "longitude": -84.385560099666,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 64,
      "rating": null,
      "website": "http://www.allegiancehealth.org/services/carelink-long-term-acute-care",
      "status": "corporate_chain",
      "parentSystem": "Henry Ford Health",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health",
      "siblingGroupId": "siblings-mi-henry-ford-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003749202",
        "external-resolution-0003749202"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.henryford.com/locations"
      ],
      "ownershipProofNotes": "Henry Ford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Henry Ford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003754703",
      "name": "MAYO CLINIC HEALTH SYSTEM IN EAU CLAIRE",
      "address": "1221 WHIPPLE ST",
      "city": "EAU CLAIRE",
      "state": "WI",
      "zip": "54703",
      "county": "EAU CLAIRE",
      "latitude": 44.8128046903028,
      "longitude": -91.5123146603142,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 304,
      "rating": null,
      "website": "http://www.mhs.mayo.edu",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-wi-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003766701",
      "name": "MERCY HOSPITAL FORT SCOTT",
      "address": "401 WOODLAND HILLS BLVD",
      "city": "FORT SCOTT",
      "state": "KS",
      "zip": "66701",
      "county": "BOURBON",
      "latitude": 37.8061930302757,
      "longitude": -94.7109673900616,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 61,
      "rating": null,
      "website": "http://www.mercykansas.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FREEMAN-OAK HILL HEALTH SYSTEM",
      "parentSystemId": "entity-freeman-oak-hill-health-system",
      "siblingGroupId": "siblings-ks-freeman-oak-hill-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003766701",
        "external-resolution-0003766701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20250812002603 (170210). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20250812002603 (170210). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0003773601",
      "name": "ALLIANCEHEALTH CLINTON",
      "address": "100 NORTH 30TH STREET",
      "city": "CLINTON",
      "state": "OK",
      "zip": "73601",
      "county": "CUSTER",
      "latitude": 35.5149082849838,
      "longitude": -98.9979669280512,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "website": "http://myalliancehealth.com/",
      "status": "corporate_chain",
      "parentSystem": "CLINTON REGIONAL HOSPITAL",
      "affiliatedSystem": "Myalliancehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Myalliancehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-clinton-regional-hospital",
      "siblingGroupId": "siblings-ok-clinton-regional-hospital",
      "campusFamilyId": "campus-ok-370245",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-government-local"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Local; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINTON REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Local; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINTON REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003780218",
      "name": "EATING RECOVERY CENTER A BEHAVIORAL HOSPITAL",
      "address": "1830 N FRANKLIN ST, SUITE 500",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7455849196756,
      "longitude": -104.968031050373,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-eating-recovery-center-a-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Eating Recovery Center",
      "parentSystemId": "entity-eating-recovery-center",
      "siblingGroupId": "siblings-co-eating-recovery-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003780218",
        "external-resolution-0003780218"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.eatingrecoverycenter.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Eating Recovery Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Eating Recovery Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003789703",
      "name": "SIERRA SURGERY HOSPITAL",
      "address": "1400 MEDICAL PKWY",
      "city": "CARSON CITY",
      "state": "NV",
      "zip": "89703",
      "county": "CARSON CITY",
      "latitude": 39.2002015501293,
      "longitude": -119.784193940148,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "http://www.carsontahoe.com/sierra-surgery",
      "status": "corporate_chain",
      "parentSystem": "Carson Tahoe Health",
      "affiliatedSystem": "Carsontahoe",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carsontahoe",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carson-city-sierra-surgery-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carson-tahoe-health",
      "siblingGroupId": "siblings-nv-carson-tahoe-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003789703",
        "external-resolution-0003789703"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.carsontahoe.com/sierra-surgery"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003804011",
      "name": "PARKVIEW ADVENTIST MEDICAL CENTER: PARKVIEW MEMORIAL HOSPITAL",
      "address": "329 MAINE STREET",
      "city": "BRUNSWICK",
      "state": "ME",
      "zip": "04011",
      "county": "CUMBERLAND",
      "latitude": 43.8955911703056,
      "longitude": -69.9681200596242,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 55,
      "rating": null,
      "website": "http://www.parkviewamc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PARKVIEW ADVENTIST MEDICAL CENTER: PARKVIEW MEMORIAL HOSPITAL",
      "parentSystemId": "entity-parkview-adventist-medical-center-parkview-memorial-hospital",
      "siblingGroupId": "siblings-me-parkview-adventist-medical-center-parkview-memorial-hospital",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003804011",
        "external-resolution-0003804011"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.parkviewamc.org"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0003806067",
      "name": "SGT. JOHN L. LEVITOW VETERAN'S HEALTH CENTER",
      "address": "287 WEST ST",
      "city": "ROCKY HILL",
      "state": "CT",
      "zip": "06067",
      "county": "CAPITOL",
      "latitude": 41.6567405896842,
      "longitude": -72.6565121396398,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 125,
      "rating": null,
      "website": "http://www.ct.gov/ctva/cwp/view.asp?a=2005&q=482380",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rocky-hill-sgt.-john-l.-levitow-veteran-s-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ct-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003806067",
        "external-resolution-0003806067"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0003808540",
      "name": "PRINCETON HOUSE BEHAVIORAL HEALTH",
      "address": "905 HERRONTOWN ROAD",
      "city": "PRINCETON",
      "state": "NJ",
      "zip": "08540",
      "county": "MERCER",
      "latitude": 40.3885653499354,
      "longitude": -74.6534445700335,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.princetonhcs.org/phcs-home/what-we-do/princeton-house-behavioral-health/locations/inpatient---princeton.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-princeton-princeton-house-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Penn Medicine",
      "parentSystemId": "entity-penn-medicine",
      "siblingGroupId": "siblings-nj-penn-medicine",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003808540",
        "external-resolution-0003808540"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pennmedicine.org/for-patients-and-visitors/find-a-program-or-service/location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Penn Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Penn Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0003821742",
      "name": "WESTERN MARYLAND CENTER",
      "address": "1500 PENNSYLVANIA AVENUE",
      "city": "HAGERSTOWN",
      "state": "MD",
      "zip": "21742",
      "county": "WASHINGTON",
      "latitude": 39.665596780154,
      "longitude": -77.7174826200585,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hagerstown-western-maryland-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
      "parentSystemId": "entity-state-of-maryland-central-payroll-bureau",
      "siblingGroupId": "siblings-md-state-of-maryland-central-payroll-bureau",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003829406",
      "name": "MUSC HEALTH REHABILITATION HOSPITAL AN AFFILIATE OF ENCOMPASS HEALTH",
      "address": "9181 MEDCOM ST",
      "city": "NORTH CHARLESTON",
      "state": "SC",
      "zip": "29406",
      "county": "CHARLESTON",
      "latitude": 32.9757993202375,
      "longitude": -80.0699784303953,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-medical-university-of-south-carolina"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CHARLESTON HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CHARLESTON HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003839474",
      "name": "JEFFERSON DAVIS GENERAL HOSPITAL",
      "address": "1102 ROSE STREET",
      "city": "PRENTISS",
      "state": "MS",
      "zip": "39474",
      "county": "JEFFERSON DAVIS",
      "latitude": 31.5946381899143,
      "longitude": -89.8722648999444,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FORREST COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-forrest-county-general-hospital",
      "siblingGroupId": "siblings-ms-forrest-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003844030",
      "name": "UH CONNEAUT MEDICAL CENTER",
      "address": "158 W MAIN ROAD",
      "city": "CONNEAUT",
      "state": "OH",
      "zip": "44030",
      "county": "ASHTABULA",
      "latitude": 41.9375686902592,
      "longitude": -80.5868288201159,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conneaut-uh-conneaut-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003848617",
      "name": "MIDMICHIGAN MEDICAL CENTER - CLARE",
      "address": "703 N MC EWAN",
      "city": "CLARE",
      "state": "MI",
      "zip": "48617",
      "county": "CLARE",
      "latitude": 43.8209649801067,
      "longitude": -84.7690474601973,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clare-midmichigan-medical-center-clare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003858045",
      "name": "SANFORD MEDICAL CENTER HILLSBORO",
      "address": "12 THIRD STREET SE",
      "city": "HILLSBORO",
      "state": "ND",
      "zip": "58045",
      "county": "TRAILL",
      "latitude": 47.4032508601816,
      "longitude": -97.0558379301609,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-nd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003860141",
      "name": "EDWARD HINES JUNIOR HOSPITAL",
      "address": "5000 SOUTH 5TH AVENUE",
      "city": "HINES",
      "state": "IL",
      "zip": "60141",
      "county": "COOK",
      "latitude": 41.8610985997781,
      "longitude": -87.8412959097982,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 450,
      "rating": null,
      "website": "https://www.hines.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-il-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/illiana-health-care/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003868045",
      "name": "OAKLAND MERCY HOSPITAL",
      "address": "601 EAST SECOND ST",
      "city": "OAKLAND",
      "state": "NE",
      "zip": "68045",
      "county": "BURT",
      "latitude": 41.8348535502309,
      "longitude": -96.4591837097123,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "website": "http://www.oaklandhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakland-oakland-mercy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ne-trinity-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003868045",
        "external-resolution-0003868045"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 281321. The tracker parent candidate was corroborated against Trinity Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 281321. The tracker parent candidate was corroborated against Trinity Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0003888310",
      "name": "GERALD CHAMPION REGIONAL MEDICAL CENTER",
      "address": "2669 SCENIC DRIVE",
      "city": "ALAMOGORDO",
      "state": "NM",
      "zip": "88310",
      "county": "OTERO",
      "latitude": 32.9245421500835,
      "longitude": -105.934675799941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 98,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alamogordo-gerald-champion-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Christus Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-nm-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003892270",
      "name": "THE BETTY FORD CENTER",
      "address": "39000 BOB HOPE DR",
      "city": "RANCHO MIRAGE",
      "state": "CA",
      "zip": "92270",
      "county": "RIVERSIDE",
      "latitude": 33.7623005096451,
      "longitude": -116.400705760172,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rancho-mirage-the-betty-ford-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EISENHOWER MEDICAL CENTER",
      "parentSystemId": "entity-eisenhower-medical-center",
      "siblingGroupId": "siblings-ca-eisenhower-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003892270",
        "external-resolution-0003892270"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20071212000757 (050573). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20071212000757 (050573). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0003900792",
      "name": "HIMA SAN PABLO HUMACAO",
      "address": "CALLE FONT MARTELO, SUITE 3",
      "city": "HUMACAO",
      "state": "PR",
      "zip": "00791",
      "county": "HUMACAO",
      "latitude": 18.1507030502567,
      "longitude": -65.8267029599347,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0003921802",
      "name": "DEER'S HEAD CENTER",
      "address": "315 DEER'S HEAD HOSPITAL ROAD",
      "city": "SALISBURY",
      "state": "MD",
      "zip": "21801",
      "county": "WICOMICO",
      "latitude": 38.3822985598717,
      "longitude": -75.5957198001169,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 66,
      "rating": null,
      "website": "http://www.deershead.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salisbury-deer-s-head-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
      "parentSystemId": "entity-state-of-maryland-central-payroll-bureau",
      "siblingGroupId": "siblings-md-state-of-maryland-central-payroll-bureau",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS lists KENNETH WALLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KENNETH WALLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003929732",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ROCK HILL",
      "address": "1795 DR FRANK GASTON BLVD",
      "city": "ROCK HILL",
      "state": "SC",
      "zip": "29732",
      "county": "YORK",
      "latitude": 34.9586897299505,
      "longitude": -81.0525909497351,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.healthsouthrockhill.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rock-hill-encompass-health-rehabilitation-hospital-of-rock-hill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003931643",
      "name": "BROOKS COUNTY HOSPITAL",
      "address": "903 N COURT STREET",
      "city": "QUITMAN",
      "state": "GA",
      "zip": "31643",
      "county": "BROOKS",
      "latitude": 30.7950149999044,
      "longitude": -83.5590695700708,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quitman-brooks-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JOHN D ARCHBOLD MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-john-d-archbold-memorial-hospital-inc",
      "siblingGroupId": "siblings-ga-john-d-archbold-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-archbold-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.archbold.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JOHN D ARCHBOLD MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Archbold Medical Center; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN D ARCHBOLD MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JOHN D ARCHBOLD MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Archbold Medical Center; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN D ARCHBOLD MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003939441",
      "name": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
      "address": "1220 JEFFERSON STREET",
      "city": "LAUREL",
      "state": "MS",
      "zip": "39440",
      "county": "JONES",
      "latitude": 31.6849522297451,
      "longitude": -89.1407940998199,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 285,
      "rating": null,
      "website": "http://www.scrmc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laurel-south-central-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-south-central-regional-medical-center",
      "siblingGroupId": "siblings-ms-south-central-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-south-central-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SOUTH CENTRAL REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CENTRAL REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SOUTH CENTRAL REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CENTRAL REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003955125",
      "name": "HEALTHEAST WOODWINDS HOSPITAL",
      "address": "1925 WOODWINDS DRIVE",
      "city": "WOODBURY",
      "state": "MN",
      "zip": "55125",
      "county": "WASHINGTON",
      "latitude": 44.9219088697089,
      "longitude": -92.9764766497243,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 86,
      "rating": null,
      "website": "https://www.healtheast.org/woodwinds-health-campus/about/about.html",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHEAST WOODWINDS HOSPITAL",
      "parentSystemId": "entity-healtheast-woodwinds-hospital",
      "siblingGroupId": "siblings-mn-healtheast-woodwinds-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-m-health-fairview"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHEAST WOODWINDS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHEAST WOODWINDS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003959645",
      "name": "MOUNTAINVIEW MEDICAL CENTER",
      "address": "16 W MAIN",
      "city": "WHITE SULPHUR SPRINGS",
      "state": "MT",
      "zip": "59645",
      "county": "MEAGHER",
      "latitude": 46.5478759699843,
      "longitude": -110.904416860178,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.mvmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOUNTAINVIEW MEDICAL CENTER",
      "parentSystemId": "entity-mountainview-medical-center",
      "siblingGroupId": "siblings-mt-mountainview-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mountainview-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOUNTAINVIEW MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MOUNTAINVIEW MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTAINVIEW MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOUNTAINVIEW MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MOUNTAINVIEW MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTAINVIEW MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003960202",
      "name": "PRESENCE CHICAGO HOSPITALS NETWORK",
      "address": "355 RIDGE AVENUE",
      "city": "EVANSTON",
      "state": "IL",
      "zip": "60202",
      "county": "COOK",
      "latitude": 42.0243893398303,
      "longitude": -87.6845680504119,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 197,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003964118",
      "name": "KINDRED HOSPITAL NORTHLAND",
      "address": "500 NW 68TH STREET",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64118",
      "county": "CLAY",
      "latitude": 39.2192877598251,
      "longitude": -94.5872691598427,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "262018",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-kindred-hospital-northland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-mo-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003971603",
      "name": "ARKANSAS DEPT. OF CORRECTION-DIAGNOSTIC UNIT",
      "address": "7500 CORRECTIONS CIRCLE",
      "city": "PINE BLUFF",
      "state": "AR",
      "zip": "71603",
      "county": "JEFFERSON",
      "latitude": 34.2221914300975,
      "longitude": -92.0826860503335,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 27,
      "rating": null,
      "website": "http://adc.arkansas.gov/pages/default.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pine-bluff-arkansas-dept.-of-correction-diagnostic-unit/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ARKANSAS DEPT. OF CORRECTION-DIAGNOSTIC UNIT",
      "parentSystemId": "entity-arkansas-dept-of-correction-diagnostic-unit",
      "siblingGroupId": "siblings-ar-arkansas-dept-of-correction-diagnostic-unit",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003971603",
        "external-resolution-0003971603"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://adc.arkansas.gov/pages/default.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0003980138",
      "name": "PARKER ADVENTIST HOSPITAL",
      "address": "9395 CROWN CREST BLVD",
      "city": "PARKER",
      "state": "CO",
      "zip": "80138",
      "county": "DOUGLAS",
      "latitude": 39.5482008099311,
      "longitude": -104.771024070339,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 170,
      "rating": null,
      "website": "http://www.parkerhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parker-parker-adventist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-co-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003982240",
      "name": "ST JOSEPH'S CHILDREN'S HOME",
      "address": "SOUTH 82240, 1419 MAIN ST",
      "city": "TORRINGTON",
      "state": "WY",
      "zip": "82240",
      "county": "GOSHEN",
      "latitude": 42.0590686299979,
      "longitude": -104.182849629966,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.stjoseph-wy.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-torrington-st-joseph-s-children-s-home/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOSEPH'S CHILDREN'S HOME",
      "parentSystemId": "entity-st-joseph-s-children-s-home",
      "siblingGroupId": "siblings-wy-st-joseph-s-children-s-home",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0003982240",
        "external-resolution-0003982240"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.stjoseph-wy.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0003985206",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF EAST VALLEY",
      "address": "5652 EAST BASELINE ROAD",
      "city": "MESA",
      "state": "AZ",
      "zip": "85206",
      "county": "MARICOPA",
      "latitude": 33.3799529698752,
      "longitude": -111.709874959753,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-az-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003988011",
      "name": "REHABILITATION HOSPITAL OF SOUTHERN NEW MEXICO, INC",
      "address": "4441 E LOHMAN AVE",
      "city": "LAS CRUCES",
      "state": "NM",
      "zip": "88011",
      "county": "DOÑA ANA",
      "latitude": 32.3254207101718,
      "longitude": -106.724487229849,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "323032",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-cruces-rehabilitation-hospital-of-southern-new-mexico/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-nm-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0003990640",
      "name": "BEVERLY HOSPITAL",
      "address": "309 W BEVERLY BLVD",
      "city": "MONTEBELLO",
      "state": "CA",
      "zip": "90640",
      "county": "LOS ANGELES",
      "latitude": 34.0145595100778,
      "longitude": -118.100446879644,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 202,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montebello-beverly-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEVERLY COMMUNITY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-beverly-community-hospital-association",
      "siblingGroupId": "siblings-ca-beverly-community-hospital-association",
      "campusFamilyId": "campus-ca-050350",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEVERLY COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEVERLY COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004021801",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF SALISBURY",
      "address": "220 TILGHMAN ROAD",
      "city": "SALISBURY",
      "state": "MD",
      "zip": "21804",
      "county": "WICOMICO",
      "latitude": 38.3692413400755,
      "longitude": -75.5486239900064,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "http://www.healthsouthchesapeake.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salisbury-encompass-health-rehab-hospital-of-salisbury/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-md-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004028813",
      "name": "CAREPARTNERS REHABILITATION HOSPITAL",
      "address": "68 SWEETEN CREEK RD",
      "city": "ASHEVILLE",
      "state": "NC",
      "zip": "28813",
      "county": "BUNCOMBE",
      "latitude": 35.5622710898211,
      "longitude": -82.5313198095867,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "ccn": "343025",
      "reviewedAt": "2026-06-23",
      "evidenceAsOf": "2026-06-23",
      "parentSystem": "HCA Healthcare",
      "evidenceSource": "CMS/HCA/Mission ownership sources",
      "evidenceSourceUrl": "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx",
      "signalSummary": "CAREPARTNERS REHABILITATION HOSPITAL is owned/operated through HCA Healthcare's Mission Health system. This is a corporate-chain warning, not a private-equity ownership claim.",
      "statusLabel": "Corporate-chain backed hospital branch",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital under broad corporate or chain control.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS/HCA/Mission ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "campusFamilyId": "campus-nc-343025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004029485",
      "name": "SUMMERVILLE MEDICAL CENTER",
      "address": "295 MIDLAND PKWY",
      "city": "SUMMERVILLE",
      "state": "SC",
      "zip": "29485",
      "county": "DORCHESTER",
      "latitude": 32.9658778799992,
      "longitude": -80.1576070903046,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 124,
      "rating": null,
      "website": "http://tridenthealthsystem.com/about/summerville-medical-center/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-summerville-summerville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-sc-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004029485",
        "external-resolution-0004029485"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004032216",
      "name": "BROOKS REHABILITATION HOSPITAL UNIVERSITY CAMPUS",
      "address": "3599 UNIVERSITY BLVD S",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32216",
      "county": "DUVAL",
      "latitude": 30.2902137397289,
      "longitude": -81.6011747499737,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 160,
      "rating": null,
      "website": "http://www.brookshealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-brooks-rehabilitation-hospital---university-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GENESIS HEALTH INC",
      "parentSystemId": "entity-genesis-health-inc",
      "siblingGroupId": "siblings-fl-genesis-health-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004036037",
      "name": "REGIONAL MEDICAL CENTER OF CENTRAL ALABAMA",
      "address": "29 LV STABLER DRIVE",
      "city": "GREENVILLE",
      "state": "AL",
      "zip": "36037",
      "county": "BUTLER",
      "latitude": 31.8290343998487,
      "longitude": -86.6463641997078,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-regional-medical-center-of-central-alabama/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-greenville-lv-stabler-hospi",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-greenville-lv-stabler-hospi",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-11-01",
      "ownershipSourceIds": [
        "hifld-location-0004036037",
        "external-resolution-0004036037"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in AL. The latest transaction effective 11/01/2017 identifies THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI as buyer/current legal organization; the seller was GREENVILLE HOSPITAL CORPORATION.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in AL. The latest transaction effective 11/01/2017 identifies THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI as buyer/current legal organization; the seller was GREENVILLE HOSPITAL CORPORATION."
    },
    {
      "id": "0004047904",
      "name": "FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE CENTRAL",
      "address": "1501 HARTFORD ST",
      "city": "LAFAYETTE",
      "state": "IN",
      "zip": "47904",
      "county": "TIPPECANOE",
      "latitude": 40.4271739260776,
      "longitude": -86.8806572171672,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 302,
      "rating": null,
      "website": "http://www.ste.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-franciscan-st-elizabeth-health---lafayette-central/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Franciscan Health",
      "parentSystemId": "entity-franciscan-health",
      "siblingGroupId": "siblings-in-franciscan-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004047904",
        "external-resolution-0004047904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 15T109. That CCN bridged to CMS enrollment O20030912000012 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 15T109. That CCN bridged to CMS enrollment O20030912000012 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0004057770",
      "name": "PINE RIDGE HOSPITAL",
      "address": "HWY 18 EAST",
      "city": "PINE RIDGE",
      "state": "SD",
      "zip": "57770",
      "county": "OGLALA LAKOTA",
      "latitude": 43.0236785102283,
      "longitude": -102.541290199557,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 45,
      "rating": null,
      "website": "http://www.ihs.gov/greatplains/healthcarefacilities/pineridge",
      "status": "corporate_chain",
      "parentSystem": "Tribal / IHS authority",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pine-ridge-pine-ridge-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-tribal-ihs-authority",
      "siblingGroupId": "siblings-sd-tribal-ihs-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-pine-ridge-indian-health-service-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists RHONDA AKERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RHONDA AKERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tribal / IHS authority, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004060640",
      "name": "PIPELINE - WEISS MEMORIAL HOSPITAL, LLC",
      "address": "4646 N MARINE DRIVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60640",
      "county": "COOK",
      "latitude": 41.966468350318,
      "longitude": -87.6496268099132,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 236,
      "rating": null,
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.weisshospital.com/",
        "https://abc7chicago.com/post/federal-court-cases-lodged-resilience-healthcare-before-west-suburban-medical-center-weiss-memorial-hospital-closed/18862848/",
        "https://www.cms.gov/files/document/illinois-weiss-memorial-hospital-07242025.pdf"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "expandedClosureResearch": {
        "sourceRow": 19,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (inpatient evacuated Jun 2025; ER closed Aug 8 2025)",
        "closureDate": "2025-08-08",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care safety-net hospital",
        "traumaLevel": "None",
        "licensedBeds": "236 (licensed, approx)",
        "patientsServedNote": "Safety-net hospital for Uptown/North Side Chicago",
        "ruralUrban": "Urban",
        "ownershipCategory": "Direct PE (Pipeline), then investor-owned successor (Resilience)",
        "historicalSponsorOrOwner": "Pipeline Health",
        "parentCompany": "Resilience Healthcare",
        "acquiredYear": "2019 (Pipeline); 2022 (Resilience)",
        "acquisitionDealNote": "Pipeline bought from Tenet 2019; sold operations to Resilience in Pipeline's Chapter 11 with valuable real estate split off",
        "yearsPeToClosure": "6",
        "extractionMoneyTrail": "Pipeline Health (PE-backed, incl. TWG/Deerfield-linked investors) bought 3 Chicago safety-net hospitals from Tenet (2019); monetized real estate; rapid expansion then Chapter 11 (Oct 2022); sold Weiss & West Suburban to thinly capitalized Resilience Healthcare with real estate separated from operations",
        "degradationRecord": "Catastrophic HVAC failure forced inpatient evacuation Jun 18 2025; unpaid bills and federal court judgments against owner; closure appealed by CEO",
        "communityImpact": "Uptown lost its ER and inpatient care; thousands of safety-net patients displaced",
        "buildingFate": "Shuttered; dueling lawsuits over control; reopening unclear (2026)",
        "peLinkConfidence": "Direct PE origin; PE-linked successor (documented)",
        "statusEvidenceUrl": "https://www.cms.gov/files/document/illinois-weiss-memorial-hospital-07242025.pdf",
        "statusEvidenceNote": "CMS ended payment for inpatient admissions on or after August 9, 2025.",
        "sourceUrls": [
          "https://www.weisshospital.com/",
          "https://abc7chicago.com/post/federal-court-cases-lodged-resilience-healthcare-before-west-suburban-medical-center-weiss-memorial-hospital-closed/18862848/",
          "https://www.cms.gov/files/document/illinois-weiss-memorial-hospital-07242025.pdf"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "LOUIS A WEISS MEMORIAL HOSPITAL",
      "formerOperator": "Resilience Healthcare",
      "peFirm": "Pipeline Health",
      "historicalPeOwnership": true,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2019 (Pipeline); 2022 (Resilience)",
      "closureDate": "2025-08-08",
      "closureYear": 2025,
      "closureStatusLabel": "Full closure (inpatient evacuated Jun 2025; ER closed Aug 8 2025)",
      "closureSummary": "Weiss Memorial Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Resilience Healthcare. Historical PE sponsor/context: Pipeline Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-19",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.cms.gov/files/document/illinois-weiss-memorial-hospital-07242025.pdf",
      "closureEvidenceNote": "CMS ended payment for inpatient admissions on or after August 9, 2025.",
      "acquisitionSourceId": "expanded-ownership-row-19",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://abc7chicago.com/post/federal-court-cases-lodged-resilience-healthcare-before-west-suburban-medical-center-weiss-memorial-hospital-closed/18862848/",
      "acquisitionEvidenceNote": "Pipeline bought from Tenet 2019; sold operations to Resilience in Pipeline's Chapter 11 with valuable real estate split off",
      "historicalSponsorPrecededOperator": true,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-louis-a-weiss-memorial-hospital",
      "siblingGroupId": "siblings-il-louis-a-weiss-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-proprietary"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUIS A WEISS MEMORIAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUIS A WEISS MEMORIAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004064134",
      "name": "CRITTENTON CHILDREN'S CENTER",
      "address": "10918 ELM AVENUE",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64134",
      "county": "JACKSON",
      "latitude": 38.9243011001442,
      "longitude": -94.48118890008,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "https://www.saintlukeskc.org/locations/crittenton-childrens-center?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link",
      "status": "corporate_chain",
      "parentSystem": "Saintlukeskc",
      "affiliatedSystem": "Saintlukeskc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintlukeskc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-crittenton-children-s-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saintlukeskc",
      "siblingGroupId": "siblings-mo-saintlukeskc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004064134",
        "external-resolution-0004064134"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.saintlukeskc.org/locations/crittenton-childrens-center?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004069101",
      "name": "NORTH PLATTE NE HOSPITAL CORPORATION",
      "address": "601 WEST LEOTA ST",
      "city": "NORTH PLATTE",
      "state": "NE",
      "zip": "69101",
      "county": "LINCOLN",
      "latitude": 41.1217339498589,
      "longitude": -100.769974340179,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 116,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH PLATTE NEBRASKA HOSPITAL CORPORATION",
      "parentSystemId": "entity-north-platte-nebraska-hospital-corporation",
      "siblingGroupId": "siblings-ne-north-platte-nebraska-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-north-platte-nebraska-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists IVAN J MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to NORTH PLATTE NEBRASKA HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH PLATTE NEBRASKA HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists IVAN J MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to NORTH PLATTE NEBRASKA HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH PLATTE NEBRASKA HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004133637",
      "name": "JAMES A. HALEY VETERANS' HOSPITAL PRIMARY CARE ANNEX",
      "address": "13515 LAKE TERRACE LANE",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33637",
      "county": "HILLSBOROUGH",
      "latitude": 28.0703960901978,
      "longitude": -82.3573376501105,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 53,
      "rating": null,
      "website": "http://www.va.gov/directory/guide/facility.asp?id=6374&dnum=1",
      "status": "corporate_chain",
      "parentSystem": "Va",
      "affiliatedSystem": "Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Va",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-james-a.-haley-veterans--hospital-primary-care-annex/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-va",
      "siblingGroupId": "siblings-fl-va",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004133637",
        "external-resolution-0004133637"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.va.gov/directory/guide/facility.asp?id=6374&dnum=1"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004134601",
      "name": "BAYFRONT HEALTH BROOKSVILLE",
      "address": "17240 CORTEZ BLVD",
      "city": "BROOKSVILLE",
      "state": "FL",
      "zip": "34601",
      "county": "HERNANDO",
      "latitude": 28.5388338203469,
      "longitude": -82.4434915997168,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 120,
      "rating": null,
      "website": "www.bayfrontbrooksville.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "FLORIDA HEALTH SCIENCES CENTER INC",
      "parentSystemId": "entity-florida-health-sciences-center-inc",
      "siblingGroupId": "siblings-fl-florida-health-sciences-center-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004137920",
      "name": "THE UNIVERSITY OF TENNESSEE MEDICAL CENTER",
      "address": "1924 ALCOA HIGHWAY",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37920",
      "county": "KNOX",
      "latitude": 35.9404473402502,
      "longitude": -83.9438841303489,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 710,
      "rating": null,
      "website": "http://www.utmedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-knoxville-the-university-of-tennessee-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-university-health-system-inc",
      "siblingGroupId": "siblings-tn-university-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-university-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to UNIVERSITY HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to UNIVERSITY HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004149048",
      "name": "ASCENSION BORGESS HOSPITAL",
      "address": "1521 GULL ROAD",
      "city": "KALAMAZOO",
      "state": "MI",
      "zip": "49048",
      "county": "KALAMAZOO",
      "latitude": 42.3068872402032,
      "longitude": -85.5613549300885,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 372,
      "rating": null,
      "website": "http://www.borgess.com",
      "status": "corporate_chain",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-mi-beacon-health-system-inc",
      "campusFamilyId": "campus-mi-230117",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-ascension-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004155912",
      "name": "MAYO CLINIC HEALTH SYS AUSTIN",
      "address": "1000 FIRST DRIVE NORTHWEST",
      "city": "AUSTIN",
      "state": "MN",
      "zip": "55912",
      "county": "MOWER",
      "latitude": 43.6744847597719,
      "longitude": -92.9776497596538,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 82,
      "rating": null,
      "website": "http://mayoclinichealthsystem.org/locations/austin",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-mayo-clinic-health-sys-austin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004155912",
        "external-resolution-0004155912"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "Mayo Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mayo Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004157570",
      "name": "ROSEBUD HOSPITAL",
      "address": "BIA ROUTE 1, SOLDER CREEK ROAD",
      "city": "ROSEBUD",
      "state": "SD",
      "zip": "57570",
      "county": "TODD",
      "latitude": 43.2567429701604,
      "longitude": -100.850609719806,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 35,
      "rating": null,
      "website": "http://www.ihs.gov/greatplains/healthcarefacilities/rosebud",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-sd-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004157570",
        "external-resolution-0004157570"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004182901",
      "name": "ASPEN MOUNTAIN MEDICAL CENTER LLC",
      "address": "4401 COLLEGE DR",
      "city": "ROCK SPRINGS",
      "state": "WY",
      "zip": "82901",
      "county": "SWEETWATER",
      "latitude": 41.6027609402891,
      "longitude": -109.246393000343,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://aspenmountainmc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rock-springs-aspen-mountain-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPEN MOUNTAIN MEDICAL CENTER",
      "parentSystemId": "entity-aspen-mountain-medical-center",
      "siblingGroupId": "siblings-wy-aspen-mountain-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0004182901",
        "external-resolution-0004182901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 530035; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 530035; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0004185712",
      "name": "ENCOMPASS HEALTH REHABILITATION INSTITUTE OF TUCSON",
      "address": "2650 NORTH WYATT DRIVE",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85712",
      "county": "PIMA",
      "latitude": 32.2559568499413,
      "longitude": -110.882963810196,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "www.rehabinstituteoftucson.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-encompass-health-rehabilitation-institute-of-tucson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-az-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004201201",
      "name": "BERKSHIRE MED CTR INC - BERKSHIRE CAM",
      "address": "725 NORTH STREET",
      "city": "PITTSFIELD",
      "state": "MA",
      "zip": "01201",
      "county": "BERKSHIRE",
      "latitude": 42.460000000126,
      "longitude": -73.2491999998684,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 298,
      "rating": null,
      "website": "http://www.berkshirehealthsystems.org/bmc",
      "status": "corporate_chain",
      "parentSystem": "BHS MANAGEMENT SERVICES INC",
      "affiliatedSystem": "Berkshirehealthsystems",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Berkshirehealthsystems",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bhs-management-services-inc",
      "siblingGroupId": "siblings-ma-bhs-management-services-inc",
      "campusFamilyId": "campus-ma-220046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42442944-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42442944.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Berkshirehealthsystems; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Berkshirehealthsystems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Berkshirehealthsystems; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Berkshirehealthsystems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004218218",
      "name": "ST. LUKE'S HOSPITAL - MINERS CAMPUS",
      "address": "360 W RUDDLE STREET",
      "city": "COALDALE",
      "state": "PA",
      "zip": "18218",
      "county": "SCHUYLKILL",
      "latitude": 40.8213881500687,
      "longitude": -75.9140302096192,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004220110",
      "name": "NOVANT HEALTH UVA HEALTH SYSTEM PRINCE WILLIAM MEDICAL CENTER",
      "address": "8700 SUDLEY ROAD",
      "city": "MANASSAS",
      "state": "VA",
      "zip": "20110",
      "county": "MANASSAS",
      "latitude": 38.7673136098759,
      "longitude": -77.4875262196332,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 150,
      "rating": null,
      "website": "www.pwhs.org",
      "status": "corporate_chain",
      "parentSystem": "RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Novant Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-rector-and-visitors-of-the-university-of-virginia",
      "siblingGroupId": "siblings-va-rector-and-visitors-of-the-university-of-virginia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-rector-visitors-of-the-university-of-virginia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES CODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES CODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004228207",
      "name": "CAROLINAS MEDICAL CENTER-MERCY",
      "address": "2001 VAIL AVE",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28207",
      "county": "MECKLENBURG",
      "latitude": 35.2101551699263,
      "longitude": -80.8210290901154,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 305,
      "rating": null,
      "website": "https://atriumhealth.org/locations/detail/atrium-health-mercy",
      "status": "corporate_chain",
      "parentSystem": "CAROLINAS MEDICAL CENTER",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-carolinas-medical-center",
      "siblingGroupId": "siblings-nc-carolinas-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-carolinas-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CAROLINAS MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAROLINAS MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CAROLINAS MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAROLINAS MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004236301",
      "name": "LAUREL OAKS BEHAVIORAL HEALTH CENTER",
      "address": "700 EAST COTTONWOOD ROAD",
      "city": "DOTHAN",
      "state": "AL",
      "zip": "36301",
      "county": "HOUSTON",
      "latitude": 31.203815639765,
      "longitude": -85.3846011203128,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "website": "http://www.laureloaksbhc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dothan-laurel-oaks-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-al-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Universal Health Services; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Universal Health Services; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004240031",
      "name": "KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER",
      "address": "1612 DAWKINS ROAD",
      "city": "LA GRANGE",
      "state": "KY",
      "zip": "40031",
      "county": "OLDHAM",
      "latitude": 38.4120767899994,
      "longitude": -85.4221267303406,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 97,
      "rating": null,
      "website": "http://kentucky.gov/pages/home.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER",
      "parentSystemId": "entity-kentucky-correctional-psychiatric-center",
      "siblingGroupId": "siblings-ky-kentucky-correctional-psychiatric-center",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004240031",
        "external-resolution-0004240031"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://kentucky.gov/pages/home.aspx"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0004246805",
      "name": "FORT WAYNE VA MEDICAL CENTER",
      "address": "2121 LAKE AVENUE",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46805",
      "county": "ALLEN",
      "latitude": 41.0907864602542,
      "longitude": -85.1095178803359,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 26,
      "rating": null,
      "website": "https://www.northernindiana.va.gov/locations/fortwayne.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-in-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004246805",
        "external-resolution-0004246805"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004253818",
      "name": "SOUTHWEST BEHAVIORAL SERVICES",
      "address": "1185 NORTH ELM STREET",
      "city": "PLATTEVILLE",
      "state": "WI",
      "zip": "53818",
      "county": "GRANT",
      "latitude": 42.7449336700067,
      "longitude": -90.4791306403335,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004253818",
        "external-resolution-0004253818"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.wi.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0004256007",
      "name": "MAYO CLINIC ALBERT LEA AUSTIN",
      "address": "404 WEST FOUNTAIN STREET",
      "city": "ALBERT LEA",
      "state": "MN",
      "zip": "56007",
      "county": "FREEBORN",
      "latitude": 43.6523607000882,
      "longitude": -93.3727522999779,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 159,
      "rating": null,
      "website": "http://mayoclinichealthsystem.org/locations/albert-lea",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004259522",
      "name": "LIBERTY MEDICAL CENTER",
      "address": "315 WEST MADISON AVENUE",
      "city": "CHESTER",
      "state": "MT",
      "zip": "59522",
      "county": "LIBERTY",
      "latitude": 48.5100721697602,
      "longitude": -110.972042079683,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chester-liberty-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MTWY HEALTH",
      "parentSystemId": "entity-mtwy-health",
      "siblingGroupId": "siblings-mt-mtwy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004282410",
      "name": "SOUTH BIG HORN COUNTY CRITICAL ACCESS HOSPITAL",
      "address": "388 SOUTH US HWY 20",
      "city": "BASIN",
      "state": "WY",
      "zip": "82410",
      "county": "BIG HORN",
      "latitude": 44.4338876097844,
      "longitude": -108.050912300138,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 10,
      "rating": null,
      "website": "http://www.midwayclinic.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-basin-south-big-horn-county-critical-access-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH BIG HORN COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-south-big-horn-county-hospital-district",
      "siblingGroupId": "siblings-wy-south-big-horn-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-verified-parent-south-big-horn-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH BIG HORN COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to SOUTH BIG HORN COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BIG HORN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH BIG HORN COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to SOUTH BIG HORN COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BIG HORN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004285260",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SCOTTSDALE",
      "address": "9630 EAST SHEA BOULEVARD",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85260",
      "county": "MARICOPA",
      "latitude": 33.5830879002886,
      "longitude": -111.872811819873,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-az-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004299205",
      "name": "VETERANS AFFAIRS MEDICAL CENTER",
      "address": "N 4815 ASSEMBLY ST",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99205",
      "county": "SPOKANE",
      "latitude": 47.702472919743,
      "longitude": -117.477695959693,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 132,
      "rating": null,
      "website": "http://www.spokane.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-wa-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004299205",
        "external-resolution-0004299205"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004300922",
      "name": "ADMIN DE SERVICIOS MEDICOS PUERTO RIC",
      "address": "BO MONACILLO CARR NUM 22",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00935",
      "county": "SAN JUAN",
      "latitude": 18.3955074001022,
      "longitude": -66.0728407899296,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 68,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0004325301",
      "name": "SELECT SPECIALTY HOSPITAL",
      "address": "333 LAIDLEY STREET",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25301",
      "county": "KANAWHA",
      "latitude": 38.3538829296948,
      "longitude": -81.6325268795525,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://charleston.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-select-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-wv-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004325301",
        "external-resolution-0004325301"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004328025",
      "name": "ATRIUM HEALTH CABARRUS",
      "address": "920 CHURCH ST N",
      "city": "CONCORD",
      "state": "NC",
      "zip": "28025",
      "county": "CABARRUS",
      "latitude": 35.4361064202164,
      "longitude": -80.6025080402377,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 457,
      "rating": null,
      "website": "http://www.carolinashealthcare.org/northeast",
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-concord-atrium-health-cabarrus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004338556",
      "name": "JAMESTOWN TN MEDICAL CENTER, INC",
      "address": "436 CENTRAL AVENUE WEST",
      "city": "JAMESTOWN",
      "state": "TN",
      "zip": "38556",
      "county": "FENTRESS",
      "latitude": 36.4323619300686,
      "longitude": -84.9431759498433,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 85,
      "rating": null,
      "website": "http://www.tennovaeast.com/locations/tennova-healthcare-jamestown",
      "status": "corporate_chain",
      "parentSystem": "Tennovaeast",
      "affiliatedSystem": "Tennovaeast",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tennovaeast",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-tennovaeast",
      "siblingGroupId": "siblings-tn-tennovaeast",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004338556",
        "external-resolution-0004338556"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.tennovaeast.com/locations/tennova-healthcare-jamestown"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004350613",
      "name": "MERCYONE CEDAR FALLS MEDICAL CENTER",
      "address": "515 COLLEGE STREET",
      "city": "CEDAR FALLS",
      "state": "IA",
      "zip": "50613",
      "county": "BLACK HAWK",
      "latitude": 42.5335388801711,
      "longitude": -92.4579373095903,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 101,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004357105",
      "name": "ROYAL C. JOHNSON VETERANS' MEMORIAL HOSPITAL",
      "address": "2501 WEST 22ND STREET",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57105",
      "county": "MINNEHAHA",
      "latitude": 43.5311018401453,
      "longitude": -96.7550585701279,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.va.gov/sioux-falls-health-care/locations/royal-c-johnson-veterans-memorial-hospital",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Va",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-sd-veterans-health-administration",
      "campusFamilyId": "campus-sd-43005f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SD resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SD resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004359019",
      "name": "STILLWATER HOSPITAL ASSOCIATION INC",
      "address": "710 NORTH 11TH ST",
      "city": "COLUMBUS",
      "state": "MT",
      "zip": "59019",
      "county": "STILLWATER",
      "latitude": 45.6431276800365,
      "longitude": -109.259145810205,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "website": "http://www.billingsclinic.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-stillwater-hospital-association-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BILLINGS CLINIC",
      "parentSystemId": "entity-billings-clinic",
      "siblingGroupId": "siblings-mt-billings-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BILLINGS CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILLINGS CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BILLINGS CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILLINGS CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004382931",
      "name": "WYOMING STATE HOSPITAL",
      "address": "831 HIGHWAY 150 SO",
      "city": "EVANSTON",
      "state": "WY",
      "zip": "82931",
      "county": "UINTA",
      "latitude": 41.2638287201939,
      "longitude": -110.947098230405,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 238,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-evanston-wyoming-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF WYOMING",
      "parentSystemId": "entity-state-of-wyoming",
      "siblingGroupId": "siblings-wy-state-of-wyoming",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-parent-state-of-wyoming"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WY resolution: normalized CMS owner/operator to STATE OF WYOMING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WYOMING, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WY resolution: normalized CMS owner/operator to STATE OF WYOMING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WYOMING, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004384066",
      "name": "UINTAH BASIN CARE AND REHABILITATION",
      "address": "187 WEST LAGOON STREET",
      "city": "ROOSEVELT",
      "state": "UT",
      "zip": "84066",
      "county": "DUCHESNE",
      "latitude": 40.2989073801645,
      "longitude": -109.99461105997,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roosevelt-uintah-basin-care-and-rehabilitation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Uintah Basin Healthcare",
      "parentSystemId": "entity-uintah-basin-healthcare",
      "siblingGroupId": "siblings-ut-uintah-basin-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004384066",
        "external-resolution-0004384066"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ubh.org/locations/"
      ],
      "ownershipProofNotes": "Uintah Basin Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Uintah Basin Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004397401",
      "name": "SACRED HEART UNIVERSITY DISTRICT",
      "address": "1255 HILYARD STREET",
      "city": "EUGENE",
      "state": "OR",
      "zip": "97401",
      "county": "LANE",
      "latitude": 44.0460212897719,
      "longitude": -123.081707750031,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 104,
      "rating": null,
      "website": "http://www.peacehealth.org/sacred-heart-university-district/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Peacehealth",
      "affiliatedSystem": "Peacehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Peacehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eugene-sacred-heart-university-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-or-peacehealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004397401",
        "external-resolution-0004397401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.peacehealth.org/sacred-heart-university-district/pages/default.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004399202",
      "name": "ST. LUKE'S REHABILITATION INSTITUTE",
      "address": "711 COWLEY ST S",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99202",
      "county": "SPOKANE",
      "latitude": 47.6490353597746,
      "longitude": -117.40904804956,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=145",
      "status": "corporate_chain",
      "parentSystem": "ST. LUKE'S REHABILITATION INSTITUTE",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spokane-st.-luke-s-rehabilitation-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-luke-s-rehabilitation-institute-wa-spokane-0004399202",
      "siblingGroupId": "siblings-wa-st-luke-s-rehabilitation-institute-wa-spokane-0004399202",
      "ownershipRelationship": "self_operated_or_independent_candidate",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004399202",
        "external-resolution-0004399202"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wsha.org/hospitaldetail.cfm?hid=145"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004425301",
      "name": "ST FRANCIS HOSPITAL",
      "address": "333 LAIDLEY ST",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25301",
      "county": "KANAWHA",
      "latitude": 38.3534617700126,
      "longitude": -81.6332407204031,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 142,
      "rating": null,
      "website": "http://www.stfrancishospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-st-francis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST FRANCIS HOSPITAL",
      "parentSystemId": "entity-st-francis-hospital",
      "siblingGroupId": "siblings-wv-st-francis-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0004425301",
        "external-resolution-0004425301"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 510031; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 510031; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0004429560",
      "name": "LAKE CITY COMMUNITY HOSPITAL",
      "address": "258 N RON MCNAIR BLVD",
      "city": "LAKE CITY",
      "state": "SC",
      "zip": "29560",
      "county": "FLORENCE",
      "latitude": 33.8806915899221,
      "longitude": -79.7604378103794,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 48,
      "rating": null,
      "website": "http://www.lcchospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LAKE CITY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-lake-city-community-hospital",
      "siblingGroupId": "siblings-sc-lake-city-community-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-06-30",
      "ownershipSourceIds": [
        "hifld-location-0004429560",
        "external-resolution-0004429560"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 420066; Type of Control 11 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 420066; Type of Control 11 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0004430134",
      "name": "WELLSTAR DOUGLAS HOSPITAL",
      "address": "8954 HOSPITAL DRIVE",
      "city": "DOUGLASVILLE",
      "state": "GA",
      "zip": "30134",
      "county": "DOUGLAS",
      "latitude": 33.7391179299368,
      "longitude": -84.7315239100064,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 108,
      "rating": null,
      "website": "http://www.wellstar.org",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-douglasville-wellstar-douglas-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004440204",
      "name": "KINDRED HOSPITAL - LOUISVILLE",
      "address": "1313 SAINT ANTHONY PLACE",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40204",
      "county": "JEFFERSON",
      "latitude": 38.242656519913,
      "longitude": -85.7312377301735,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 337,
      "rating": null,
      "website": "http://www.kindredlouisville.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "182001",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-kindred-hospital-louisville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ky-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-kentucky-hospital-holdings-jv-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY PHOENIX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY PHOENIX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004448813",
      "name": "SPARROW EATON HOSPITAL",
      "address": "321 E HARRIS STREET",
      "city": "CHARLOTTE",
      "state": "MI",
      "zip": "48813",
      "county": "EATON",
      "latitude": 42.5653255001533,
      "longitude": -84.83195196012,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlotte-sparrow-eaton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004450703",
      "name": "ALLEN MEMORIAL HOSPITAL",
      "address": "1825 LOGAN AVENUE",
      "city": "WATERLOO",
      "state": "IA",
      "zip": "50703",
      "county": "BLACK HAWK",
      "latitude": 42.5267548196697,
      "longitude": -92.3389374704282,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 228,
      "rating": null,
      "website": "http://www.allenhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLEN MEMORIAL HOSPITAL CORPORATION",
      "parentSystemId": "entity-allen-memorial-hospital-corporation",
      "siblingGroupId": "siblings-ia-allen-memorial-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-allen-memorial-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to ALLEN MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to ALLEN MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004468071",
      "name": "WINNEBAGO HOSPITAL",
      "address": "US HIGHWAY 77-75",
      "city": "WINNEBAGO",
      "state": "NE",
      "zip": "68071",
      "county": "THURSTON",
      "latitude": 42.2325135999287,
      "longitude": -96.4706329401293,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/winnebago",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winnebago-winnebago-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-ne-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004468071",
        "external-resolution-0004468071"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004468901",
      "name": "THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION",
      "address": "715 N ST JOSEPH AVE",
      "city": "HASTINGS",
      "state": "NE",
      "zip": "68901",
      "county": "ADAMS",
      "latitude": 40.5909137998059,
      "longitude": -98.3880658297244,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 170,
      "rating": null,
      "website": "http://www.marylanning.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-the-mary-lanning-memorial-hospital-association",
      "siblingGroupId": "siblings-ne-the-mary-lanning-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-the-mary-lanning-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists ERIC A BARBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ERIC A BARBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004501970",
      "name": "NORTH SHORE MED CTR - SALEM HOSPITAL",
      "address": "81 HIGHLAND AVENUE",
      "city": "SALEM",
      "state": "MA",
      "zip": "01970",
      "county": "ESSEX",
      "latitude": 42.5111000001122,
      "longitude": -70.9068000001753,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 244,
      "rating": null,
      "website": "http://www.nsmc.partners.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mass General Brigham",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "0004507092",
      "name": "CHILDRENS SPECIALIZED HOSPITAL",
      "address": "150 NEW PROVIDENCE ROAD",
      "city": "MOUNTAINSIDE",
      "state": "NJ",
      "zip": "07092",
      "county": "UNION",
      "latitude": 40.6697667999613,
      "longitude": -74.3539099003868,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "http://www.childrens-specialized.org/locations/mountainside.aspx",
      "status": "corporate_chain",
      "parentSystem": "Childrens Specialized",
      "affiliatedSystem": "Childrens Specialized",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Childrens Specialized",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mountainside-childrens-specialized-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-childrens-specialized",
      "siblingGroupId": "siblings-nj-childrens-specialized",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004507092",
        "external-resolution-0004507092"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.childrens-specialized.org/locations/mountainside.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004521502",
      "name": "UPMC WESTERN MARYLAND",
      "address": "12500 WILLOWBROOK ROAD",
      "city": "CUMBERLAND",
      "state": "MD",
      "zip": "21502",
      "county": "ALLEGANY",
      "latitude": 39.6478306703224,
      "longitude": -78.7332415001452,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 204,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cumberland-upmc-western-maryland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-md-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004529203",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF COLUMBIA",
      "address": "2935 COLONIAL DR",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29203",
      "county": "RICHLAND",
      "latitude": 34.0277480497558,
      "longitude": -81.0285728098662,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 96,
      "rating": null,
      "website": "http://www.healthsouthcolumbia.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-encompass-health-rehabilitation-hospital-of-columbia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004539304",
      "name": "EAST MISSISSIPPI STATE HOSPITAL",
      "address": "1818 COLLEGE DRIVE",
      "city": "MERIDIAN",
      "state": "MS",
      "zip": "39307",
      "county": "LAUDERDALE",
      "latitude": 32.3760572899537,
      "longitude": -88.7264619700974,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 120,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Mississippi state health authority",
      "parentSystemId": "entity-mississippi-state-health-authority",
      "siblingGroupId": "siblings-ms-mississippi-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004539304",
        "external-resolution-0004539304"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ms.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0004544130",
      "name": "SOUTHWEST GEN. HEALTH CENTER",
      "address": "18697 BAGLEY ROAD",
      "city": "MIDDLEBURG HTS",
      "state": "OH",
      "zip": "44130",
      "county": "CUYAHOGA",
      "latitude": 41.3709924396914,
      "longitude": -81.8320779899798,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 352,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-oh-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-southwest-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHWEST COMMUNITY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SOUTHWEST COMMUNITY HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHWEST COMMUNITY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SOUTHWEST COMMUNITY HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004546320",
      "name": "FRANCISCAN HEALTH HAMMOND",
      "address": "5454 HOHMAN AVE",
      "city": "HAMMOND",
      "state": "IN",
      "zip": "46320",
      "county": "LAKE",
      "latitude": 41.6151121097001,
      "longitude": -87.5239894996782,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 215,
      "rating": null,
      "website": "http://www.smmhc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Franciscan Health",
      "parentSystemId": "entity-franciscan-health",
      "siblingGroupId": "siblings-in-franciscan-health",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0004546320",
        "external-resolution-0004546320"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 150004; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 150004; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0004562959",
      "name": "MARION VA MEDICAL CENTER",
      "address": "2401 WEST MAIN STREET",
      "city": "MARION",
      "state": "IL",
      "zip": "62959",
      "county": "WILLIAMSON",
      "latitude": 37.724314269923,
      "longitude": -88.9548159997364,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 225,
      "rating": null,
      "website": "https://www.marion.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-il-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/illiana-health-care/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004572034",
      "name": "CONWAY REGIONAL REHABILITATION HOSPITAL",
      "address": "2210 ROBINSON AVENUE",
      "city": "CONWAY",
      "state": "AR",
      "zip": "72034",
      "county": "FAULKNER",
      "latitude": 35.0892911299479,
      "longitude": -92.4556860497416,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conway-conway-regional-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "REHAB MANAGEMENT PROFESSIONALS, LLC",
      "parentSystemId": "entity-rehab-management-professionals-llc",
      "siblingGroupId": "siblings-ar-rehab-management-professionals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: REHAB MANAGEMENT PROFESSIONALS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to REHAB MANAGEMENT PROFESSIONALS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHAB MANAGEMENT PROFESSIONALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REHAB MANAGEMENT PROFESSIONALS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to REHAB MANAGEMENT PROFESSIONALS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHAB MANAGEMENT PROFESSIONALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004580906",
      "name": "CEDAR SPRINGS BEHAVIORAL HEALTH SYSTEM",
      "address": "2135 SOUTHGATE RD",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80906",
      "county": "EL PASO",
      "latitude": 38.8023163401514,
      "longitude": -104.816235199713,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 76,
      "rating": null,
      "website": "http://www.cedarspringsbhs.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colorado-springs-cedar-springs-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-co-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004584647",
      "name": "SANPETE VALLEY HOSPITAL - CAH",
      "address": "1100 SOUTH MEDICAL DRIVE",
      "city": "MOUNT PLEASANT",
      "state": "UT",
      "zip": "84647",
      "county": "SANPETE",
      "latitude": 39.5312366902625,
      "longitude": -111.461095080303,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "website": "http://www.intermountainhealthcare.com",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004587102",
      "name": "ALBUQUERQUE - AMG SPECIALTY HOSPITAL LLC",
      "address": "235 ELM STREET NORTHEAST",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "BERNALILLO",
      "latitude": 35.0850303402333,
      "longitude": -106.639084560179,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://www.amgalbuquerque.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 LLC",
      "parentSystemId": "entity-amg-2-0-llc",
      "siblingGroupId": "siblings-nm-amg-2-0-llc",
      "campusFamilyId": "campus-nm-322003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004595926",
      "name": "BUTTE COUNTY MENTAL HEALTH SERVICES",
      "address": "592 RIO LINDO AVENUE",
      "city": "CHICO",
      "state": "CA",
      "zip": "95926",
      "county": "BUTTE",
      "latitude": 39.754563969676,
      "longitude": -121.847648769694,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "website": "http://www.buttecounty.net/behavioral%20health/psychiatric%20health%20facility.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BUTTE COUNTY public health authority",
      "parentSystemId": "entity-butte-county-public-health-authority",
      "siblingGroupId": "siblings-ca-butte-county-public-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004595926",
        "external-resolution-0004595926"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.buttecounty.net/behavioral%20health/psychiatric%20health%20facility.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0004600936",
      "name": "CENTRO CARDIOVASCULAR",
      "address": "AVENIDA AMERICO MIRANDA, ENTRADA PRINCIPAL CM",
      "city": "RIO PIEDRAS",
      "state": "PR",
      "zip": "00936",
      "county": "VEGA BAJA",
      "latitude": 18.4455652796153,
      "longitude": -66.3990695001151,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 164,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0004601550",
      "name": "UMASS MEMORIAL HEALH - HARRINGTON HOSPITAL",
      "address": "100 SOUTH STREET",
      "city": "SOUTHBRIDGE",
      "state": "MA",
      "zip": "01550",
      "county": "WORCESTER",
      "latitude": 42.078599999914,
      "longitude": -72.0421000001968,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 105,
      "rating": null,
      "website": "http://www.harringtonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UMASS MEMORIAL COMMUNITY HOSPITALS",
      "parentSystemId": "entity-umass-memorial-community-hospitals",
      "siblingGroupId": "siblings-ma-umass-memorial-community-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43358566-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43358566.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: UMASS MEMORIAL COMMUNITY HOSPITALS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate UMASS MEMORIAL COMMUNITY HOSPITALS was mapped through the reviewed alias registry to exact nonprofit filer Umass Memorial Health Care Inc (EIN 43358566); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UMASS MEMORIAL COMMUNITY HOSPITALS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate UMASS MEMORIAL COMMUNITY HOSPITALS was mapped through the reviewed alias registry to exact nonprofit filer Umass Memorial Health Care Inc (EIN 43358566); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004608755",
      "name": "CHILDRENS SPECIALIZED HOSPITAL AT TOMS RIVER",
      "address": "94 STEVENS ROAD",
      "city": "TOMS RIVER",
      "state": "NJ",
      "zip": "08755",
      "county": "OCEAN",
      "latitude": 40.0099076598388,
      "longitude": -74.2217111201451,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://www.childrens-specialized.org/",
      "status": "corporate_chain",
      "parentSystem": "Childrens Specialized",
      "affiliatedSystem": "Childrens Specialized",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Childrens Specialized",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-toms-river-childrens-specialized-hospital-at-toms-river/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-childrens-specialized",
      "siblingGroupId": "siblings-nj-childrens-specialized",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004608755",
        "external-resolution-0004608755"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.childrens-specialized.org/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004617701",
      "name": "DIVINE PROVIDENCE HOSPITAL",
      "address": "1100 GRAMPIAN BOULEVARD",
      "city": "WILLIAMSPORT",
      "state": "PA",
      "zip": "17701",
      "county": "LYCOMING",
      "latitude": 41.2600409996994,
      "longitude": -76.9847689998402,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 31,
      "rating": null,
      "website": "http://susquehannahealth.org",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-pa-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004617701",
        "external-resolution-0004617701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004629506",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FLORENCE",
      "address": "900 E CHEVES ST",
      "city": "FLORENCE",
      "state": "SC",
      "zip": "29506",
      "county": "FLORENCE",
      "latitude": 34.1953881102878,
      "longitude": -79.7549755800398,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 88,
      "rating": null,
      "website": "http://www.healthsouthflorence.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-florence-encompass-health-rehabilitation-hospital-of-florence/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004640906",
      "name": "BARBOURVILLE ARH HOSPITAL",
      "address": "80 HOSPITAL DRIVE",
      "city": "BARBOURVILLE",
      "state": "KY",
      "zip": "40906",
      "county": "KNOX",
      "latitude": 36.851051020204,
      "longitude": -83.8701656499506,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.arh.org/locations/barbourville.aspx",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-barbourville-barbourville-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004646202",
      "name": "RICHARD L. ROUDEBUSH VETERANS' ADMINISTRATION MEDICAL CENTER",
      "address": "1481 WEST TENTH STREET",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46202",
      "county": "MARION",
      "latitude": 39.7784630600408,
      "longitude": -86.1871644204443,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 197,
      "rating": null,
      "website": "https://www.indianapolis.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-in-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/indiana-health-care/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004647670",
      "name": "DEACONESS GIBSON HOSPITAL",
      "address": "1808 SHERMAN DR",
      "city": "PRINCETON",
      "state": "IN",
      "zip": "47670",
      "county": "GIBSON",
      "latitude": 38.3609172702756,
      "longitude": -87.5898322101305,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-princeton-deaconess-gibson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GIBSON GENERAL HOSPITAL INC",
      "parentSystemId": "entity-gibson-general-hospital-inc",
      "siblingGroupId": "siblings-in-gibson-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-gibson-general-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: GIBSON GENERAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GIBSON GENERAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GIBSON GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GIBSON GENERAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GIBSON GENERAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GIBSON GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004648624",
      "name": "MIDMICHIGAN MEDICAL CENTER - GLADWIN",
      "address": "515 QUARTER STREET",
      "city": "GLADWIN",
      "state": "MI",
      "zip": "48624",
      "county": "GLADWIN",
      "latitude": 43.9759436696826,
      "longitude": -84.4938875597906,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.midmichigan.org",
      "status": "corporate_chain",
      "parentSystem": "MYMICHIGAN HEALTH",
      "affiliatedSystem": "Midmichigan",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Midmichigan",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gladwin-midmichigan-medical-center-gladwin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004658103",
      "name": "VIBRA HOSPITAL OF FARGO",
      "address": "5225 23RD AVE S",
      "city": "FARGO",
      "state": "ND",
      "zip": "58104",
      "county": "CASS",
      "latitude": 46.8531477499896,
      "longitude": -96.7974417598675,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fargo-vibra-hospital-of-fargo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-nd-vibra-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIBRA HEALTHCARE II, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIBRA HEALTHCARE II, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004659417",
      "name": "BLACKFEET COMMUNITY HOSPITAL",
      "address": "760 HOSPITAL CIRCLE",
      "city": "BROWNING",
      "state": "MT",
      "zip": "59417",
      "county": "GLACIER",
      "latitude": 48.5656912001076,
      "longitude": -113.019730169842,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 26,
      "rating": null,
      "website": "http://www.ihs.gov/billings/index.cfm?module=bao_su_blackfeet",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-mt-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004659417",
        "external-resolution-0004659417"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004667005",
      "name": "SOUTH CENTRAL KANSAS MEDICAL CENTER",
      "address": "6401 PATTERSON PARKWAY, PO BOX 1107",
      "city": "ARKANSAS CITY",
      "state": "KS",
      "zip": "67005",
      "county": "COWLEY",
      "latitude": 37.1329968202832,
      "longitude": -97.0385032901419,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 32,
      "rating": null,
      "website": "www.sckmc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-south-central-kansas-regional-medical-center",
      "siblingGroupId": "siblings-ks-south-central-kansas-regional-medical-center",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-08-26",
      "ownershipSourceIds": [
        "hifld-location-0004667005",
        "external-resolution-0004667005"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in KS. The latest transaction effective 08/26/2023 identifies SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER as buyer/current legal organization; the seller was SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in KS. The latest transaction effective 08/26/2023 identifies SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER as buyer/current legal organization; the seller was SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER."
    },
    {
      "id": "0004685711",
      "name": "SELECT SPECIALTY HOSPITAL - TUCSON, LLC",
      "address": "355 NORTH WILMOT ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85711",
      "county": "PIMA",
      "latitude": 32.225646840126,
      "longitude": -110.858516270231,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 51,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-az-select-medical",
      "campusFamilyId": "campus-az-032002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWN TSCHABRUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWN TSCHABRUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004690015",
      "name": "CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES",
      "address": "1401 S GRAND AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90015",
      "county": "LOS ANGELES",
      "latitude": 34.0373537699999,
      "longitude": -118.265976070163,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 318,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-california-hospital-medical-center---los-angeles/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004704441",
      "name": "CHARLES A DEAN MEMORIAL HOSPITAL",
      "address": "364 PRITHAM AVE, PO BOX 1129",
      "city": "GREENVILLE",
      "state": "ME",
      "zip": "04441",
      "county": "PISCATAQUIS",
      "latitude": 45.4588759497893,
      "longitude": -69.6113312797172,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-charles-a-dean-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northern Light Health",
      "parentSystemId": "entity-northern-light-health",
      "siblingGroupId": "siblings-me-northern-light-health",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0004704441",
        "external-resolution-0004704441"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 201301; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 201301; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0004707960",
      "name": "GORYEB CHILDRENS CENTER",
      "address": "100 MADISON AVENUE",
      "city": "MORRISTOWN",
      "state": "NJ",
      "zip": "07960",
      "county": "MORRIS",
      "latitude": 40.7889371697028,
      "longitude": -74.4662033497272,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 657,
      "rating": null,
      "website": "http://www.atlantichealth.org/goryeb/",
      "status": "corporate_chain",
      "parentSystem": "AHS HOSPITAL CORP",
      "affiliatedSystem": "Atlantichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Atlantichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morristown-goryeb-childrens-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-hospital-corp",
      "siblingGroupId": "siblings-nj-ahs-hospital-corp",
      "campusFamilyId": "campus-nj-310015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS HOSPITAL CORP (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS HOSPITAL CORP (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004728203",
      "name": "CAROLINAS REHABILITATION",
      "address": "1100 BLYTHE BLVD",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28203",
      "county": "MECKLENBURG",
      "latitude": 35.2018849498126,
      "longitude": -80.8387178199683,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "website": "http://www.carolinashealthcare.org/carolinas-rehab",
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlotte-carolinas-rehabilitation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004735570",
      "name": "NORTH MISSISSIPPI MEDICAL CENTER - HAMILTON",
      "address": "1256 MILITARY STREET SOUTH",
      "city": "HAMILTON",
      "state": "AL",
      "zip": "35570",
      "county": "MARION",
      "latitude": 34.1259771800796,
      "longitude": -87.9907687800155,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "website": "http://www.nmhs.net/hamilton/",
      "status": "corporate_chain",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "affiliatedSystem": "Nmhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nmhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hamilton-north-mississippi-medical-center---hamilton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-al-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to North Mississippi Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to North Mississippi Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004739301",
      "name": "RUSH FOUNDATION HOSPITAL",
      "address": "1314 19TH AVENUE",
      "city": "MERIDIAN",
      "state": "MS",
      "zip": "39301",
      "county": "LAUDERDALE",
      "latitude": 32.3700378902645,
      "longitude": -88.6975301103032,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 215,
      "rating": null,
      "website": "http://www.rushhealthsystems.org/rfh/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meridian-rush-foundation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-ms-ochsner-health",
      "campusFamilyId": "campus-ms-250069",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004758122",
      "name": "SANFORD SOUTH UNIVERSITY",
      "address": "1720 S UNIVERSITY DR",
      "city": "FARGO",
      "state": "ND",
      "zip": "58103",
      "county": "CASS",
      "latitude": 46.8538830001545,
      "longitude": -96.7975375301582,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 170,
      "rating": null,
      "website": "www.sanfordhealth.org",
      "status": "corporate_chain",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004758122",
        "external-resolution-0004758122"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.sanfordhealth.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0004759022",
      "name": "CROW HOSPITAL",
      "address": "10110 SOUTH 7650 EAST",
      "city": "CROW AGENCY",
      "state": "MT",
      "zip": "59022",
      "county": "BIG HORN",
      "latitude": 45.5820798202779,
      "longitude": -107.448850219882,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/billings/index.cfm?module=bao_su_crow",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-mt-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004759022",
        "external-resolution-0004759022"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004759102",
      "name": "ADVANCED CARE HOSPITAL OF MONTANA",
      "address": "3528 GABEL ROAD",
      "city": "BILLINGS",
      "state": "MT",
      "zip": "59102",
      "county": "YELLOWSTONE",
      "latitude": 45.7431339698527,
      "longitude": -108.604634569803,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.achm.ernesthealth.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-billings-advanced-care-hospital-of-montana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-mt-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-epoch-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists EUDORA CANNON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Montana resolution: normalized CMS owner/operator to EPOCH ACQUISITION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists EUDORA CANNON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Montana resolution: normalized CMS owner/operator to EPOCH ACQUISITION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004761832",
      "name": "OSF HEALTHCARE SYSTEM",
      "address": "812 NORTH LOGAN AVE",
      "city": "DANVILLE",
      "state": "IL",
      "zip": "61832",
      "county": "VERMILION",
      "latitude": 40.1378324502681,
      "longitude": -87.6454332397067,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 174,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN T BARNHART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN T BARNHART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004771913",
      "name": "CHI ST. VINCENT HOT SPRINGS REHABILITATION HOSPITAL - A PARTNER OF ENCOMPASS HEALTH",
      "address": "1636 HIGDON FERRY ROAD",
      "city": "HOT SPRINGS",
      "state": "AR",
      "zip": "71913",
      "county": "GARLAND",
      "latitude": 34.4642512303671,
      "longitude": -93.0749322303409,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ar-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN PATRICK DARBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN PATRICK DARBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004777707",
      "name": "PAM REHABILITATION HOSPITAL OF BEAUMONT",
      "address": "3340 PLAZA 10 BOULEVARD",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77707",
      "county": "JEFFERSON",
      "latitude": 30.0774179097485,
      "longitude": -94.1378890500028,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 61,
      "rating": null,
      "website": "http://www.warmsprings.org/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaumont-pam-rehabilitation-hospital-of-beaumont/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM SQUARED, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM SQUARED, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004780910",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL",
      "address": "325 PARKSIDE DR",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80910",
      "county": "EL PASO",
      "latitude": 38.8280758600886,
      "longitude": -104.791468749737,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-co-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004785381",
      "name": "BANNER REHABILITATION HOSPITAL - WEST",
      "address": "12740 NORTH PLAZA DEL RIO BOULEVARD",
      "city": "PEORIA",
      "state": "AZ",
      "zip": "85381",
      "county": "MARICOPA",
      "latitude": 33.6042069503251,
      "longitude": -112.261798880373,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-az-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BARLAS BUYUKTIMKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BARLAS BUYUKTIMKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004794118",
      "name": "CALIFORNIA PACIFIC MED CTR-CALIFORNIA EAST",
      "address": "3698 CALIFORNIA STREET",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94118",
      "county": "SAN FRANCISCO",
      "latitude": 37.7866595800429,
      "longitude": -122.454691649772,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 95,
      "rating": null,
      "website": "http://www.cpmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CALIFORNIA PACIFIC MED CTR-CALIFORNIA EAST",
      "parentSystemId": "entity-california-pacific-med-ctr-california-east",
      "siblingGroupId": "siblings-ca-california-pacific-med-ctr-california-east",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004794118",
        "external-resolution-0004794118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.cpmc.org"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0004798902",
      "name": "ASTRA REGIONAL MEDICAL AND CARDIAC CENTER",
      "address": "110 S 9TH AVE",
      "city": "YAKIMA",
      "state": "WA",
      "zip": "98902",
      "county": "YAKIMA",
      "latitude": 46.5969318000699,
      "longitude": -120.521026859662,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 214,
      "rating": null,
      "website": "www.yakimaregional.com",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004798902",
        "external-resolution-0004798902"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.yakimaregional.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high, insufficient_structured_sources."
    },
    {
      "id": "0004799503",
      "name": "ST. ELIAS SPECIALTY HOSPITAL",
      "address": "4800 CORDOVA ST",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99503",
      "county": "ANCHORAGE",
      "latitude": 61.1764109899908,
      "longitude": -149.880115609621,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anchorage-st.-elias-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Providence",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ak-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Providence; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Providence; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004800909",
      "name": "HOSPITAL PAVIA SANTURCE",
      "address": "CALLE PROFESOR AUGUSTO RODRIGUEZ, SUITE 1462",
      "city": "FERNANDEZ JUNCOS",
      "state": "PR",
      "zip": "00910",
      "county": "SAN JUAN",
      "latitude": 18.4446548702907,
      "longitude": -66.069560589873,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 215,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0004801102",
      "name": "MERCY MEDICAL CENTER CAMPUS",
      "address": "271 CAREW STREET",
      "city": "SPRINGFIELD",
      "state": "MA",
      "zip": "01102",
      "county": "HAMPDEN",
      "latitude": 42.1151379502486,
      "longitude": -72.5933056997804,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 251,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ma-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-450226558-202406"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/450226558.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SEAN FITZPATRICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate TRINITY HEALTH CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Trinity Health (EIN 450226558); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SEAN FITZPATRICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate TRINITY HEALTH CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Trinity Health (EIN 450226558); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004807801",
      "name": "SAINT CLARE'S HOSPITAL",
      "address": "400 WEST BLACKWELL STREET",
      "city": "DOVER",
      "state": "NJ",
      "zip": "07801",
      "county": "MORRIS",
      "latitude": 40.8848576797832,
      "longitude": -74.5762380697274,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 109,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-nj-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-nj-312020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-kentucky-hospital-holdings-jv-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANDREW DONET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANDREW DONET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004819026",
      "name": "DELAWARE COUNTY MEMORIAL HOSPITAL",
      "address": "501 NORTH LANSDOWNE AVENUE",
      "city": "DREXEL HILL",
      "state": "PA",
      "zip": "19026",
      "county": "DELAWARE",
      "latitude": 39.9547579997579,
      "longitude": -75.2836040003373,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 133,
      "rating": null,
      "website": "http://www.crozerkeystone.org",
      "status": "closed",
      "parentSystem": "Prospect Medical Holdings (Crozer Health)",
      "affiliatedSystem": "Crozer Health",
      "affiliatedSystemEvidence": "Delaware County Prospect Medical bankruptcy update",
      "affiliationConfidence": "low",
      "evidenceSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "evidenceSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "DELAWARE COUNTY MEMORIAL HOSPITAL closed or ceased hospital operations in 2022 after a documented private-equity acquisition. Former PE sponsor: Leonard Green & Partners; operating platform: Prospect Medical Holdings / Crozer Health. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule",
        "Delaware County Health Department — Prospect Medical Update",
        "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Delaware County Health Department — Prospect Medical bankruptcy update",
        "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/",
        "https://www.chiefhealthcareexecutive.com/view/as-crozer-health-closes-pennsylvania-officials-look-at-private-equity-in-hospitals"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "closureDate": "2022-11",
      "closureYear": 2022,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Delaware County Memorial Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Prospect Medical Holdings (Crozer Health). Historical PE sponsor/context: Leonard Green & Partners. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "closureSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "peFirm": "Leonard Green & Partners",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-drexel-hill-delaware-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "formerOperator": "Prospect Medical Holdings (Crozer Health)",
      "hospitalId": "0004819026",
      "acquiredDate": "2016",
      "historicalPeOwnership": true,
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "Services stripped before closure; closure prompted PA Attorney General lawsuit (2022/2024)",
      "acquisitionSourceId": "pe-acquisition-0004819026",
      "closureSourceId": "closure-0004819026",
      "expandedClosureResearch": {
        "sourceRow": 13,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2022-11",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "168 (approx, needs verification)",
        "patientsServedNote": "Community hospital for eastern Delaware County",
        "ruralUrban": "Suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Leonard Green & Partners",
        "parentCompany": "Prospect Medical Holdings (Crozer Health)",
        "acquiredYear": "2016",
        "acquisitionDealNote": "Part of $300M Crozer Health purchase with 10-year keep-open pledge",
        "yearsPeToClosure": "6",
        "extractionMoneyTrail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025",
        "degradationRecord": "Services stripped before closure; closure prompted PA Attorney General lawsuit (2022/2024)",
        "communityImpact": "Eastern Delco lost inpatient care; AG sued Prospect and Leonard Green",
        "buildingFate": "Sold for part of a $13M two-hospital deal (2025)",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.healthcaredive.com/news/prospect-sell-two-crozer-hospitals-13-million/802809/",
          "https://www.chiefhealthcareexecutive.com/view/as-crozer-health-closes-pennsylvania-officials-look-at-private-equity-in-hospitals"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prospect-medical-holdings-crozer-health",
      "siblingGroupId": "siblings-pa-prospect-medical-holdings-crozer-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004819026",
        "external-resolution-0004819026"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.crozerkeystone.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004828012",
      "name": "CAROLINAS REHABILITATION MT. HOLLY",
      "address": "275 BEATTY DRIVE",
      "city": "BELMONT",
      "state": "NC",
      "zip": "28012",
      "county": "GASTON",
      "latitude": 35.2631579600084,
      "longitude": -81.0301287099046,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 40,
      "rating": null,
      "website": "http://www.carolinashealthcare.org/carolinas-rehab",
      "status": "corporate_chain",
      "parentSystem": "Atrium Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health",
      "siblingGroupId": "siblings-nc-atrium-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004828012",
        "facility-site-0004828012"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.carolinashealthcare.org/carolinas-rehab"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0004829690",
      "name": "PRISMA HEALTH NORTH GREENVILLE LONG TERM ACUTE CARE HOSPITAL",
      "address": "807 N MAIN ST",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29690",
      "county": "GREENVILLE",
      "latitude": 34.9754693396872,
      "longitude": -82.4559610198525,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "website": "http://www.ghs.org/ngh",
      "status": "corporate_chain",
      "parentSystem": "Prisma Health",
      "affiliatedSystem": "Ghs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ghs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004833064",
      "name": "BROWARD HEALTH NORTH",
      "address": "201 E SAMPLE RD",
      "city": "POMPANO BEACH",
      "state": "FL",
      "zip": "33064",
      "county": "BROWARD",
      "latitude": 26.2770037396938,
      "longitude": -80.120963780396,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 409,
      "rating": null,
      "website": "http://www.browardhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "NORTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Browardhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Browardhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pompano-beach-broward-health-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-north-broward-hospital-district",
      "siblingGroupId": "siblings-fl-north-broward-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-north-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004839301",
      "name": "THE SPECIALTY HOSPITAL OF MERIDIAN",
      "address": "1314 19TH AVENUE",
      "city": "MERIDIAN",
      "state": "MS",
      "zip": "39301",
      "county": "LAUDERDALE",
      "latitude": 32.3696123101874,
      "longitude": -88.6972544002745,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "website": "http://www.specialtyhospitalofmeridian.com/shm/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meridian-the-specialty-hospital-of-meridian/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-ms-ochsner-health",
      "campusFamilyId": "campus-ms-250069",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004845840",
      "name": "BLANCHARD VALLEY REGIONAL HLTH CTR",
      "address": "1900 S MAIN ST",
      "city": "FINDLAY",
      "state": "OH",
      "zip": "45840",
      "county": "HANCOCK",
      "latitude": 41.0176526698471,
      "longitude": -83.6513641900586,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 196,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLANCHARD VALLEY HEALTH SYSTEM",
      "parentSystemId": "entity-blanchard-valley-health-system",
      "siblingGroupId": "siblings-oh-blanchard-valley-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-blanchard-valley-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bvhs.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BLANCHARD VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Blanchard Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLANCHARD VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BLANCHARD VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Blanchard Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLANCHARD VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004848801",
      "name": "MIDMICHIGAN MEDICAL CENTER - GRATIOT",
      "address": "300 E WARWICK DR",
      "city": "ALMA",
      "state": "MI",
      "zip": "48801",
      "county": "GRATIOT",
      "latitude": 43.390729269895,
      "longitude": -84.6633098502233,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 67,
      "rating": null,
      "website": "http://www.midmichigan.org/gratiot",
      "status": "corporate_chain",
      "parentSystem": "MYMICHIGAN HEALTH",
      "affiliatedSystem": "Midmichigan",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Midmichigan",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004855092",
      "name": "FAIRVIEW LAKES MEDICAL CENTER",
      "address": "5200 FAIRVIEW BOULEVARD",
      "city": "WYOMING",
      "state": "MN",
      "zip": "55092",
      "county": "CHISAGO",
      "latitude": 45.3217205198771,
      "longitude": -93.0004675400973,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 61,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wyoming-fairview-lakes-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FAIRVIEW LAKES HEALTH SERVICES",
      "parentSystemId": "entity-fairview-lakes-health-services",
      "siblingGroupId": "siblings-mn-fairview-lakes-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-m-health-fairview"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW LAKES HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW LAKES HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004858208",
      "name": "RED RIVER BEHAVIORAL HEALTH SYSTEM",
      "address": "1451 44TH AVE S",
      "city": "GRAND FORKS",
      "state": "ND",
      "zip": "58208",
      "county": "GRAND FORKS",
      "latitude": 47.8778602500334,
      "longitude": -97.0469728599655,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "website": "http://www.stadtercenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-forks-red-river-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RED RIVER BEHAVIORAL HEALTH SYSTEM",
      "parentSystemId": "entity-red-river-behavioral-health-system",
      "siblingGroupId": "siblings-nd-red-river-behavioral-health-system",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-12-31",
      "ownershipSourceIds": [
        "hifld-location-0004858208",
        "external-resolution-0004858208"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 354005; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 354005; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0004871301",
      "name": "HEART HOSPITAL OF LAFAYETTE",
      "address": "1105 KALISTE SALOOM ROAD",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "71301",
      "county": "LAFAYETTE",
      "latitude": 30.1738107302207,
      "longitude": -92.0260564201126,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://www.hearthospitallaf.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Lafayette General",
      "parentSystemId": "entity-ochsner-lafayette-general",
      "siblingGroupId": "siblings-la-ochsner-lafayette-general",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004871301",
        "external-resolution-0004871301"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Ochsner Lafayette General and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Ochsner Lafayette General and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0004887401",
      "name": "SAN JUAN REGIONAL REHABILITATION UNIT",
      "address": "525 S SCHWARTZ AVE",
      "city": "FARMINGTON",
      "state": "NM",
      "zip": "87401",
      "county": "SAN JUAN",
      "latitude": 36.7255799899941,
      "longitude": -108.21612082983,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAN JUAN REGIONAL MEDICAL CENTER, INC.",
      "parentSystemId": "entity-san-juan-regional-medical-center-inc",
      "siblingGroupId": "siblings-nm-san-juan-regional-medical-center-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004887401",
        "external-resolution-0004887401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20201130002631 (32T005). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20201130002631 (32T005). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0004889820",
      "name": "BATTLE MOUNTAIN GENERAL HOSPITAL",
      "address": "535 S HUMBOLDT ST",
      "city": "BATTLE MOUNTAIN",
      "state": "NV",
      "zip": "89820",
      "county": "LANDER",
      "latitude": 40.6395506198064,
      "longitude": -116.94028621973,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BATTLE MOUNTAIN GENERAL HOSPITAL",
      "parentSystemId": "entity-battle-mountain-general-hospital",
      "siblingGroupId": "siblings-nv-battle-mountain-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-battle-mountain-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: BATTLE MOUNTAIN GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CYNTHEA J FAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to BATTLE MOUNTAIN GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATTLE MOUNTAIN GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BATTLE MOUNTAIN GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CYNTHEA J FAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to BATTLE MOUNTAIN GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATTLE MOUNTAIN GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004894118",
      "name": "CALIFORNIA PACIFIC MED CTR-CALIFORNIA WEST",
      "address": "3700 CALIFORNIA STREET",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94118",
      "county": "SAN FRANCISCO",
      "latitude": 37.7865091997206,
      "longitude": -122.456030630026,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 299,
      "rating": null,
      "website": "http://www.cpmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-california-pacific-med-ctr-california-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CALIFORNIA PACIFIC MED CTR-CALIFORNIA WEST",
      "parentSystemId": "entity-california-pacific-med-ctr-california-west",
      "siblingGroupId": "siblings-ca-california-pacific-med-ctr-california-west",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004894118",
        "external-resolution-0004894118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.cpmc.org"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0004898195",
      "name": "UW MEDICINE - UNIVERSITY OF WASHINGTON MEDICAL CENTER",
      "address": "1959 PACIFIC ST NE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98195",
      "county": "KING",
      "latitude": 47.6508581399473,
      "longitude": -122.3092606297,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 419,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=80",
      "status": "corporate_chain",
      "parentSystem": "University of Washington Medicine",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-washington-medicine",
      "siblingGroupId": "siblings-wa-university-of-washington-medicine",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004898195",
        "external-resolution-0004898195"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uwmedicine.org/locations"
      ],
      "ownershipProofNotes": "University of Washington Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "University of Washington Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004938916",
      "name": "BAPTIST MEMORIAL HOSPITAL - CALHOUN",
      "address": "140 BURKE-CALHOUN CITY ROAD",
      "city": "CALHOUN CITY",
      "state": "MS",
      "zip": "38916",
      "county": "CALHOUN",
      "latitude": 33.8708532002185,
      "longitude": -89.3183732897635,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.nmhs.net/calhoun_city",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Nmhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nmhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-calhoun-city-baptist-memorial-hospital---calhoun/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004955101",
      "name": "GILLETTE CHILDREN'S SPEC HOSPITAL",
      "address": "200 UNIVERSITY AVENUE EAST",
      "city": "ST. PAUL",
      "state": "MN",
      "zip": "55101",
      "county": "RAMSEY",
      "latitude": 44.9567324896829,
      "longitude": -93.096549440255,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-paul-gillette-childrens-spec-hosp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GILLETTE CHILDRENS SPECIALTY HEALTHCARE",
      "parentSystemId": "entity-gillette-childrens-specialty-healthcare",
      "siblingGroupId": "siblings-mn-gillette-childrens-specialty-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-gillette-childrens-specialty-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to GILLETTE CHILDRENS SPECIALTY HEALTHCARE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILLETTE CHILDRENS SPECIALTY HEALTHCARE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to GILLETTE CHILDRENS SPECIALTY HEALTHCARE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILLETTE CHILDRENS SPECIALTY HEALTHCARE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004958206",
      "name": "ALTRU REHABILITATION CENTER",
      "address": "1300 S COLUMBIA RD",
      "city": "GRAND FORKS",
      "state": "ND",
      "zip": "58206",
      "county": "GRAND FORKS",
      "latitude": 47.9095437701628,
      "longitude": -97.0697333898776,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 257,
      "rating": null,
      "website": "www.altru.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-forks-altru-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nd-encompass-health",
      "campusFamilyId": "campus-nd-353027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-altru-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.altru.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Altru Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Altru Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004959107",
      "name": "ST VINCENT HEALTH CARE",
      "address": "1233 NORTH 30TH STREET",
      "city": "BILLINGS",
      "state": "MT",
      "zip": "59107",
      "county": "YELLOWSTONE",
      "latitude": 45.7934038602007,
      "longitude": -108.519473810151,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 286,
      "rating": null,
      "website": "http://www.svh-mt.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-billings-st-vincent-health-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTERMOUNTAIN HEALTH CARE, INC",
      "parentSystemId": "entity-intermountain-health-care-inc",
      "siblingGroupId": "siblings-mt-intermountain-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTERMOUNTAIN HEALTH CARE, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LEE BOYLES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN HEALTH CARE, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTERMOUNTAIN HEALTH CARE, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LEE BOYLES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN HEALTH CARE, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004960064",
      "name": "CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER",
      "address": "3001 GREEN BAY ROAD",
      "city": "NORTH CHICAGO",
      "state": "IL",
      "zip": "60064",
      "county": "LAKE",
      "latitude": 42.3070482297554,
      "longitude": -87.8605107102321,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 100,
      "rating": null,
      "website": "https://www.lovell.fhcc.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-chicago-captain-james-a.-lovell-federal-health-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER",
      "parentSystemId": "entity-captain-james-a-lovell-federal-health-care-center",
      "siblingGroupId": "siblings-il-captain-james-a-lovell-federal-health-care-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004960064",
        "external-resolution-0004960064"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lovell.fhcc.va.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0004960099",
      "name": "MIDWESTERN REGIONAL MEDICAL CENTER",
      "address": "2520 ELISHA AVE",
      "city": "ZION",
      "state": "IL",
      "zip": "60099",
      "county": "LAKE",
      "latitude": 42.4492578298792,
      "longitude": -87.8278328397705,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 69,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-zion-midwestern-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC",
      "parentSystemId": "entity-cancer-treatment-centers-of-america-global-inc",
      "siblingGroupId": "siblings-il-cancer-treatment-centers-of-america-global-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-city-of-hope"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cancercenter.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to City of Hope; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to City of Hope; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004971105",
      "name": "CHRISTUS HEALTH SHREVEPORT - BOSSIER",
      "address": "1453 E BERT KOUNS INDUSTRIAL LOOP",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71105",
      "county": "CADDO",
      "latitude": 32.425220279927,
      "longitude": -93.7177916702291,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 160,
      "rating": null,
      "website": "https://www.christushealth.org/shreveport-bossier",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "Christushealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christushealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-la-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0004977702",
      "name": "CHRISTUS DUBUIS HOSPITAL OF BEAUMONT",
      "address": "2830 CALDER STREET, 4TH FLOOR",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77702",
      "county": "JEFFERSON",
      "latitude": 30.0872567697889,
      "longitude": -94.1329278604029,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004977702",
        "external-resolution-0004977702"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0004980923",
      "name": "CENTURA HEALTH - ST FRANCIS MEDICAL CENTER",
      "address": "6001 E WOODMEN RD",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80923",
      "county": "EL PASO",
      "latitude": 38.938639110248,
      "longitude": -104.717482000056,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 222,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colorado-springs-centura-health-st-francis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004980923",
        "external-resolution-0004980923"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070108000008 (06T031). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070108000008 (06T031). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0004985941",
      "name": "WHITERIVER HOSPITAL",
      "address": "HWY 73 MILE POST 342",
      "city": "WHITERIVER",
      "state": "AZ",
      "zip": "85941",
      "county": "NAVAJO",
      "latitude": 33.876663240207,
      "longitude": -109.960237190015,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 40,
      "rating": null,
      "website": "http://www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_whiteriver",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-az-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0004985941",
        "external-resolution-0004985941"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005000914",
      "name": "SAN JORGE CHILDRENS HOSPITAL INC",
      "address": "258 SAN JORGE STREET",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00912",
      "county": "SAN JUAN",
      "latitude": 18.4471351000916,
      "longitude": -66.0629360204041,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 125,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0005001082",
      "name": "BAYSTATE MARY LANE HOSPITAL",
      "address": "85 SOUTH STREET",
      "city": "WARE",
      "state": "MA",
      "zip": "01082",
      "county": "HAMPSHIRE",
      "latitude": 42.2536000003234,
      "longitude": -72.2428000001769,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.baystatehealth.com/baystate/main+nav/about+us/locations/baystate+mary+lane+hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baystate Health",
      "parentSystemId": "entity-baystate-health",
      "siblingGroupId": "siblings-ma-baystate-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005001082",
        "external-resolution-0005001082"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.baystatehealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Baystate Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Baystate Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0005021237",
      "name": "MEDSTAR FRANKLIN SQUARE MEDICAL CENTER",
      "address": "9000 FRANKLIN SQUARE DRIVE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21237",
      "county": "BALTIMORE",
      "latitude": 39.3507893999554,
      "longitude": -76.4799067102312,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 338,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-medstar-franklin-square-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEDSTAR HEALTH, INC.",
      "parentSystemId": "entity-medstar-health-inc",
      "siblingGroupId": "siblings-md-medstar-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-medstar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/m/about-medstar/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDSTAR HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists STUART M LEVINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDSTAR HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists STUART M LEVINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005029210",
      "name": "GILLIAM PSYCHIATRIC HOSPITAL",
      "address": "4344 BROAD RIVER RD",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29210",
      "county": "RICHLAND",
      "latitude": 34.0701263402381,
      "longitude": -81.098572229954,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 82,
      "rating": null,
      "website": "http://www.doc.sc.gov/institutions/brci.jsp",
      "status": "corporate_chain",
      "parentSystem": "Doc Sc",
      "affiliatedSystem": "Doc Sc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Doc Sc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-gilliam-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-doc-sc",
      "siblingGroupId": "siblings-sc-doc-sc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005029210",
        "external-resolution-0005029210"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.doc.sc.gov/institutions/brci.jsp"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005042276",
      "name": "LOGAN MEMORIAL HOSPITAL",
      "address": "1625 NASHVILLE STREET",
      "city": "RUSSELLVILLE",
      "state": "KY",
      "zip": "42276",
      "county": "LOGAN",
      "latitude": 36.8157100097911,
      "longitude": -86.881501629941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 75,
      "rating": null,
      "website": "http://www.loganmemorial.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-russellville-logan-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "parentSystemId": "entity-commonwealth-health-corporation-inc",
      "siblingGroupId": "siblings-ky-commonwealth-health-corporation-inc",
      "campusFamilyId": "campus-ky-180066",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-med-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medcenterhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005060450",
      "name": "MORRIS HOSPITAL AND HEALTH CARE CENTERS",
      "address": "150 W HIGH ST",
      "city": "MORRIS",
      "state": "IL",
      "zip": "60450",
      "county": "GRUNDY",
      "latitude": 41.3693258999842,
      "longitude": -88.426753310255,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 89,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MORRIS HOSPITAL",
      "parentSystemId": "entity-morris-hospital",
      "siblingGroupId": "siblings-il-morris-hospital",
      "campusFamilyId": "campus-il-140101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-morris-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MORRIS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRIS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MORRIS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRIS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005068114",
      "name": "CHILDREN'S HOSPITAL AND MEDICAL CENTER",
      "address": "8200 DODGE ST",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68114",
      "county": "DOUGLAS",
      "latitude": 41.2609364800489,
      "longitude": -96.0422559096544,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 225,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-omaha-children-s-hospital-&-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDRENS HOSPITAL & MEDICAL CENTER",
      "parentSystemId": "entity-childrens-hospital-and-medical-center",
      "siblingGroupId": "siblings-ne-childrens-hospital-and-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-childrens-hospital-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists CHANDA C CHACON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL & MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL & MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHANDA C CHACON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL & MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL & MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005073036",
      "name": "MERCY HOSPITAL EL RENO",
      "address": "2115 PARKVIEW DRIVE",
      "city": "EL RENO",
      "state": "OK",
      "zip": "73036",
      "county": "CANADIAN",
      "latitude": 35.529931640157,
      "longitude": -97.9805575301739,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "http://www.mercyok.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-reno-mercy-hospital-el-reno/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HOSPITAL EL RENO",
      "parentSystemId": "entity-mercy-hospital-el-reno",
      "siblingGroupId": "siblings-ok-mercy-hospital-el-reno",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-06-30",
      "ownershipSourceIds": [
        "hifld-location-0005073036",
        "external-resolution-0005073036"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 370011; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 370011; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0005080920",
      "name": "UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL NORTH",
      "address": "4050 BRIARGATE PKWY",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80920",
      "county": "EL PASO",
      "latitude": 38.9668459498032,
      "longitude": -104.754732689674,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 130,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL NORTH",
      "parentSystemId": "entity-university-colo-health-memorial-hospital-north",
      "siblingGroupId": "siblings-co-university-colo-health-memorial-hospital-north",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005080920",
        "external-resolution-0005080920"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.co.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0005098034",
      "name": "LAKESIDE MILAM RECOVERY CENTER",
      "address": "10322 NE 132ND ST.",
      "city": "KIRKLAND",
      "state": "WA",
      "zip": "98034",
      "county": "KING",
      "latitude": 47.7193872401902,
      "longitude": -122.20213964024,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "www.lakesidemilam.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kirkland-lakeside-milam-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005098034",
        "external-resolution-0005098034"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.lakesidemilam.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0005100919",
      "name": "HOSP PEDIATRICO UNIVERSITARIO DR ANTONIO ORTIZ",
      "address": "CENTRO MEDICO",
      "city": "MONACILLO URBANO",
      "state": "PR",
      "zip": "00919",
      "county": "SAN JUAN",
      "latitude": 18.39721599022,
      "longitude": -66.0723078203699,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0005102571",
      "name": "SOUTHCOAST HOSPS GRP INC - TOBEY",
      "address": "43 HIGH STREET",
      "city": "WAREHAM",
      "state": "MA",
      "zip": "02571",
      "county": "PLYMOUTH",
      "latitude": 41.7560999998859,
      "longitude": -70.7144000004324,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 68,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Southcoast Health",
      "parentSystemId": "entity-southcoast-health",
      "siblingGroupId": "siblings-ma-southcoast-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005102571",
        "external-resolution-0005102571"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070215000406 (220074). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070215000406 (220074). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0005104064",
      "name": "MILESTONE FOUNDATION - EXTENDED CARE",
      "address": "28 PORTLAND AVENUE",
      "city": "OLD ORCHARD BEACH",
      "state": "ME",
      "zip": "04064",
      "county": "YORK",
      "latitude": 43.5192952398327,
      "longitude": -70.378521730297,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "website": "www.milestonefoundation.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-old-orchard-beach-milestone-foundation---extended-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005104064",
        "external-resolution-0005104064"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.milestonefoundation.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0005108401",
      "name": "JOHN BROOKS RECOVERY CENTER - RESIDENT DRUG TREATMENT (MEN)",
      "address": "1315 PACIFIC AVENUE",
      "city": "ATLANTIC CITY",
      "state": "NJ",
      "zip": "08401",
      "county": "ATLANTIC",
      "latitude": 39.3610285300139,
      "longitude": -74.4264060898904,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 29,
      "rating": null,
      "website": "http://jbrcnj.org/",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlantic-city-john-brooks-recovery-center---resident-drug-treatment-men/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005108401",
        "external-resolution-0005108401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://jbrcnj.org/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0005116117",
      "name": "ELLWOOD CITY HOSPITAL",
      "address": "724 PERSHING STREET",
      "city": "ELLWOOD CITY",
      "state": "PA",
      "zip": "16117",
      "county": "LAWRENCE",
      "latitude": 40.8699700002772,
      "longitude": -80.2756559998563,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 62,
      "rating": null,
      "website": "http://www.theellwoodcityhospital.org",
      "status": "closed",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.pahealthaccess.org/resource/promises-made-promises-broken-what-really-happens-when-local-hospitals-are-acquired/",
        "https://www.timesonline.com/story/news/local/2025/09/19/ellwood-city-medical-center-files-second-bankruptcy/86185298007/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "expandedClosureResearch": {
        "sourceRow": 27,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (ER/inpatient suspended Nov 2019 after violations; closed Jan 2020)",
        "closureDate": "2020-01",
        "careLevel": "Secondary (rural community)",
        "hospitalType": "Acute care rural hospital",
        "traumaLevel": "None",
        "licensedBeds": "~54 (needs verification)",
        "patientsServedNote": "Only hospital in Ellwood City (Lawrence County)",
        "ruralUrban": "Rural/small town",
        "ownershipCategory": "Investor-owned (PE-style)",
        "historicalSponsorOrOwner": "Americore Holdings (private investment group, Grant White)",
        "parentCompany": "Americore Health",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Bought 2017 in distressed-asset roll-up; Americore filed Chapter 11 Dec 31 2019; case tied to investor litigation incl. James Biden",
        "yearsPeToClosure": "2-3",
        "extractionMoneyTrail": "Payroll repeatedly missed; hospital used as collateral in investor dealings under litigation",
        "degradationRecord": "State suspended ER and inpatient services Nov 2019 after inspection violations",
        "communityImpact": "Town lost its only hospital; property cycled through a second bankruptcy (2025) and sits shuttered",
        "buildingFate": "Vacant; second owner bankruptcy (Chapter 7, 2025)",
        "peLinkConfidence": "Direct PE-style investor (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.pahealthaccess.org/resource/promises-made-promises-broken-what-really-happens-when-local-hospitals-are-acquired/",
          "https://www.timesonline.com/story/news/local/2025/09/19/ellwood-city-medical-center-files-second-bankruptcy/86185298007/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Americore Health",
      "formerOperator": "Americore Health",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2017",
      "closureDate": "2020-01",
      "closureYear": 2020,
      "closureStatusLabel": "Full closure (ER/inpatient suspended Nov 2019 after violations; closed Jan 2020)",
      "closureSummary": "Ellwood City Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Americore Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-27",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.pahealthaccess.org/resource/promises-made-promises-broken-what-really-happens-when-local-hospitals-are-acquired/",
      "closureEvidenceNote": "State suspended ER and inpatient services Nov 2019 after inspection violations",
      "acquisitionSourceId": "expanded-ownership-row-27",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.timesonline.com/story/news/local/2025/09/19/ellwood-city-medical-center-files-second-bankruptcy/86185298007/",
      "acquisitionEvidenceNote": "Bought 2017 in distressed-asset roll-up; Americore filed Chapter 11 Dec 31 2019; case tied to investor litigation incl. James Biden",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-americore-health",
      "siblingGroupId": "siblings-pa-americore-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005116117",
        "external-resolution-0005116117"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.theellwoodcityhospital.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005129010",
      "name": "LEE CORRECTIONAL INSTITUTION INFIRMARY",
      "address": "1204 E CHURCH ST",
      "city": "BISHOPVILLE",
      "state": "SC",
      "zip": "29010",
      "county": "LEE",
      "latitude": 34.1989012403496,
      "longitude": -80.2259739301613,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 20,
      "rating": null,
      "website": "http://www.doc.sc.gov/institutions/lee.jsp",
      "status": "corporate_chain",
      "parentSystem": "Doc Sc",
      "affiliatedSystem": "Doc Sc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Doc Sc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bishopville-lee-correctional-institution-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-doc-sc",
      "siblingGroupId": "siblings-sc-doc-sc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005129010",
        "external-resolution-0005129010"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.doc.sc.gov/institutions/lee.jsp"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005144875",
      "name": "MEDCENTRAL HLTH SYST - SHELBY HOSP",
      "address": "199 WEST MAIN STREET",
      "city": "SHELBY",
      "state": "OH",
      "zip": "44875",
      "county": "RICHLAND",
      "latitude": 40.8824067302709,
      "longitude": -82.6741750803634,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 41,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005148910",
      "name": "MCLAREN ORTHOPEDIC HOSPITAL",
      "address": "2727 S PENNSYLVANIA AVE",
      "city": "LANSING",
      "state": "MI",
      "zip": "48910",
      "county": "INGHAM",
      "latitude": 42.7033044702267,
      "longitude": -84.5350301895975,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 53,
      "rating": null,
      "website": "http://www.mclaren.org/orthopedichospital/orthopedichospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "Mclaren",
      "affiliatedSystem": "Mclaren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mclaren",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mclaren",
      "siblingGroupId": "siblings-mi-mclaren",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005148910",
        "external-resolution-0005148910"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mclaren.org/orthopedichospital/orthopedichospital.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005153142",
      "name": "AURORA MEDICAL CTR KENOSHA",
      "address": "10400 75TH ST",
      "city": "KENOSHA",
      "state": "WI",
      "zip": "53142",
      "county": "KENOSHA",
      "latitude": 42.5693968197356,
      "longitude": -87.9354650200349,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 74,
      "rating": null,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kenosha-aurora-med-ctr-kenosha/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005155033",
      "name": "REGINA HOSPITAL",
      "address": "1175 NININGER ROAD",
      "city": "HASTINGS",
      "state": "MN",
      "zip": "55033",
      "county": "DAKOTA",
      "latitude": 44.7472517298218,
      "longitude": -92.8732831198389,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 57,
      "rating": null,
      "website": "https://www.allinahealth.org/regina-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Allina Health",
      "affiliatedSystem": "Allinahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Allinahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allina-health",
      "siblingGroupId": "siblings-mn-allina-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005155033",
        "external-resolution-0005155033"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "Allina Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Allina Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005158554",
      "name": "VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC",
      "address": "1000 18TH STREET NW",
      "city": "MANDAN",
      "state": "ND",
      "zip": "58554",
      "county": "MORTON",
      "latitude": 46.8418692998771,
      "longitude": -100.907697710011,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mandan-vibra-hospital-of-central-dakotas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC",
      "parentSystemId": "entity-vibra-hospital-of-central-dakotas-llc",
      "siblingGroupId": "siblings-nd-vibra-hospital-of-central-dakotas-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005166048",
      "name": "DWIGHT D. EISENHOWER DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "4101 4TH STREET TRAFFICWAY",
      "city": "LEAVENWORTH",
      "state": "KS",
      "zip": "66048",
      "county": "LEAVENWORTH",
      "latitude": 39.2793962398044,
      "longitude": -94.8938356897182,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 204,
      "rating": null,
      "website": "https://www.topeka.va.gov/locations/leavenworthdirections.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ks-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005166048",
        "external-resolution-0005166048"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005166434",
      "name": "AMBERWELL HIAWATHA",
      "address": "300 UTAH STREET",
      "city": "HIAWATHA",
      "state": "KS",
      "zip": "66434",
      "county": "BROWN",
      "latitude": 39.8523370001975,
      "longitude": -95.5307862596025,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "www.amberwellhealth.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hiawatha-amberwell-hiawatha/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AMBERWELL HEALTH INC",
      "parentSystemId": "entity-amberwell-health-inc",
      "siblingGroupId": "siblings-ks-amberwell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-amberwell-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMBERWELL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AMBERWELL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMBERWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMBERWELL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AMBERWELL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMBERWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005169337",
      "name": "CHADRON COMMUNITY HOSPITAL, INC",
      "address": "825 CENTENNIAL DRIVE",
      "city": "CHADRON",
      "state": "NE",
      "zip": "69337",
      "county": "DAWES",
      "latitude": 42.8229261598623,
      "longitude": -103.014453939569,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHADRON COMMUNITY HOSPITAL CORP",
      "parentSystemId": "entity-chadron-community-hospital-corp",
      "siblingGroupId": "siblings-ne-chadron-community-hospital-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-chadron-community-hospital-corp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHADRON COMMUNITY HOSPITAL CORP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHADRON COMMUNITY HOSPITAL CORP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHADRON COMMUNITY HOSPITAL CORP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHADRON COMMUNITY HOSPITAL CORP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005173120",
      "name": "OKC - AMG SPECIALTY HOSPITAL",
      "address": "4300 WEST MEMORIAL RD, 2ND FLOOR",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73120",
      "county": "OKLAHOMA",
      "latitude": 35.6067759401718,
      "longitude": -97.5994278897339,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OKC-AMG SPECIALTY HOSPITAL",
      "parentSystemId": "entity-okc-amg-specialty-hospital",
      "siblingGroupId": "siblings-ok-okc-amg-specialty-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-okc-amg-specialty-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to OKC-AMG SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKC-AMG SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to OKC-AMG SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKC-AMG SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005176021",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF THE MID - CITIES",
      "address": "2304 STATE HIGHWAY 121",
      "city": "BEDFORD",
      "state": "TX",
      "zip": "76021",
      "county": "TARRANT",
      "latitude": 32.8453396502364,
      "longitude": -97.1132573996038,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.healthsouthmidcities.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bedford-encompass-health-rehabilitation-hospital-of-the-mid-cities/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005200922",
      "name": "HOSP PSIQUIATRICO DR RAMON FERNANDEZ MARINA",
      "address": "CENTRO MEDICO",
      "city": "MONACILLO URBANO",
      "state": "PR",
      "zip": "00922",
      "county": "SAN JUAN",
      "latitude": 18.3905246701686,
      "longitude": -66.075878269688,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0005226416",
      "name": "BROADDUS HOSPITAL ASSOCIATION, INC",
      "address": "1 HEALTHCARE DRIVE MANSFIELD HILL, PO BOX 930",
      "city": "PHILIPPI",
      "state": "WV",
      "zip": "26416",
      "county": "BARBOUR",
      "latitude": 39.1432489997295,
      "longitude": -80.061793000391,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "website": "http://www.davishealthsystem.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philippi-broaddus-hospital-association/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BROADDUS HOSPITAL ASSOCIATION INC.",
      "parentSystemId": "entity-broaddus-hospital-association-inc",
      "siblingGroupId": "siblings-wv-broaddus-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0005226416",
        "external-resolution-0005226416"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 511300; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20230213001525 and 2 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 511300; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20230213001525 and 2 owner/control organization row(s)."
    },
    {
      "id": "0005229210",
      "name": "KIRKLAND CORRECTIONAL INSTITUTION INFIRMARY",
      "address": "4344 BROAD RIVER RD",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29210",
      "county": "RICHLAND",
      "latitude": 34.0737441196559,
      "longitude": -81.0982224502369,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 24,
      "rating": null,
      "website": "http://www.doc.sc.gov/institutions/brci.jsp",
      "status": "corporate_chain",
      "parentSystem": "Doc Sc",
      "affiliatedSystem": "Doc Sc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Doc Sc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-kirkland-correctional-institution-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-doc-sc",
      "siblingGroupId": "siblings-sc-doc-sc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005229210",
        "external-resolution-0005229210"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.doc.sc.gov/institutions/brci.jsp"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005232440",
      "name": "CAMPBELLTON - GRACEVILLE HOSPITAL",
      "address": "5429 COLLEGE DR",
      "city": "GRACEVILLE",
      "state": "FL",
      "zip": "32440",
      "county": "JACKSON",
      "latitude": 30.9630351603149,
      "longitude": -85.5067445500313,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "www.nfch.org/c-ghospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-graceville-campbellton-graceville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CAMPBELLTON-GRACEVILLE HOSPITAL",
      "parentSystemId": "entity-campbellton-graceville-hospital",
      "siblingGroupId": "siblings-fl-campbellton-graceville-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2015-09-30",
      "ownershipSourceIds": [
        "hifld-location-0005232440",
        "external-resolution-0005232440"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 101302; Type of Control 9 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 101302; Type of Control 9 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0005235462",
      "name": "GREENE COUNTY HEALTH SYSTEM",
      "address": "509 WILSON AVENUE",
      "city": "EUTAW",
      "state": "AL",
      "zip": "35462",
      "county": "GREENE",
      "latitude": 32.8432489396391,
      "longitude": -87.8904834802855,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GREENE COUNTY HOSPITAL & NURSING HOME",
      "parentSystemId": "entity-greene-county-hospital-and-nursing-home",
      "siblingGroupId": "siblings-al-greene-county-hospital-and-nursing-home",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-greene-county-hospital-nursing-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREENE COUNTY HOSPITAL & NURSING HOME (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GREENE COUNTY HOSPITAL & NURSING HOME; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENE COUNTY HOSPITAL & NURSING HOME, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREENE COUNTY HOSPITAL & NURSING HOME (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GREENE COUNTY HOSPITAL & NURSING HOME; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENE COUNTY HOSPITAL & NURSING HOME, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005253158",
      "name": "FROEDTERT SOUTH - FROEDTERT PLEASANT PRAIRIE HOSPITAL",
      "address": "9555 76TH ST",
      "city": "PLEASANT PRAIRIE",
      "state": "WI",
      "zip": "53158",
      "county": "KENOSHA",
      "latitude": 42.5645159002911,
      "longitude": -87.9243211395593,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 128,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Froedtert & Medical College of Wisconsin",
      "parentSystemId": "entity-froedtert-and-medical-college-of-wisconsin",
      "siblingGroupId": "siblings-wi-froedtert-and-medical-college-of-wisconsin",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005253158",
        "external-resolution-0005253158"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005255371",
      "name": "FAIRVIEW NORTHLAND REG HOSP",
      "address": "911 NORTHLAND DRIVE",
      "city": "PRINCETON",
      "state": "MN",
      "zip": "55371",
      "county": "SHERBURNE",
      "latitude": 45.558520399743,
      "longitude": -93.5900221996841,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "website": "www.fairview.org",
      "status": "corporate_chain",
      "parentSystem": "FAIRVIEW HEALTH SERVICES",
      "affiliatedSystem": "Fairview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Fairview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-princeton-fairview-northland-reg-hosp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-fairview-health-services",
      "siblingGroupId": "siblings-mn-fairview-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-m-health-fairview"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "CMS lists MAUREEN VERONICA-REGER RING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MAUREEN VERONICA-REGER RING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005261350",
      "name": "OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER",
      "address": "1100 E NORRIS DRIVE",
      "city": "OTTAWA",
      "state": "IL",
      "zip": "61350",
      "county": "LASALLE",
      "latitude": 41.3577016501185,
      "longitude": -88.8244132697512,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 97,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE SYSTEM",
      "parentSystemId": "entity-osf-healthcare-system",
      "siblingGroupId": "siblings-il-osf-healthcare-system",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005261350",
        "external-resolution-0005261350"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 140110. That CCN bridged to CMS enrollment O20080813000168 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 140110. That CCN bridged to CMS enrollment O20080813000168 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0005263703",
      "name": "LANDMARK HOSPITAL OF CAPE GIRARDEAU, LLC.",
      "address": "3255 INDEPENDENCE STREET",
      "city": "CAPE GIRARDEAU",
      "state": "MO",
      "zip": "63701",
      "county": "CAPE GIRARDEAU",
      "latitude": 37.307879460314,
      "longitude": -89.5758391701386,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://www.landmarkhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "Landmarkhospitals",
      "affiliatedSystem": "Landmarkhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Landmarkhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cape-girardeau-landmark-hospital-of-cape-girardeau/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-landmarkhospitals",
      "siblingGroupId": "siblings-mo-landmarkhospitals",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005263703",
        "external-resolution-0005263703"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.landmarkhospitals.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005277707",
      "name": "CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER",
      "address": "3650 LAUREL AVENUE",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77707",
      "county": "JEFFERSON",
      "latitude": 30.0833827800585,
      "longitude": -94.1398084003203,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 6,
      "rating": null,
      "website": "http://beaumontbone.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaumont-christus-southeast-texas-orthopedic-specialty-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005277707",
        "external-resolution-0005277707"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005284047",
      "name": "HIGHLAND RIDGE HOSPITAL",
      "address": "7309 SOUTH 180 WEST",
      "city": "MIDVALE",
      "state": "UT",
      "zip": "84047",
      "county": "SALT LAKE",
      "latitude": 40.6177431403282,
      "longitude": -111.896709480391,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 83,
      "rating": null,
      "website": "www.highlandridgehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midvale-highland-ridge-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ut-universal-health-services",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0005284047",
        "external-resolution-0005284047"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 464015; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 464015; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0005300000",
      "name": "ARKANSAS SURGICAL HOSPITAL",
      "address": "5201 NORTH SHORE DRIVE",
      "city": "NORTH LITTLE ROCK",
      "state": "AR",
      "zip": "72118",
      "county": "PULASKI",
      "latitude": 34.800210390323,
      "longitude": -92.348887150328,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "website": "http://www.arksurgicalhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-little-rock-arkansas-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MEDICAL FACILITIES USA HOLDINGS INC",
      "parentSystemId": "entity-medical-facilities-usa-holdings-inc",
      "siblingGroupId": "siblings-ar-medical-facilities-usa-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDICAL FACILITIES USA HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists JAMES Z MASON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MEDICAL FACILITIES USA HOLDINGS INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL FACILITIES USA HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDICAL FACILITIES USA HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists JAMES Z MASON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MEDICAL FACILITIES USA HOLDINGS INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL FACILITIES USA HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005301605",
      "name": "UMASS MEMORIAL MED CTR - MEM CAMPUS",
      "address": "119 BELMONT STREET",
      "city": "WORCESTER",
      "state": "MA",
      "zip": "01605",
      "county": "WORCESTER",
      "latitude": 42.2729000000398,
      "longitude": -71.7923000001982,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 302,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UMass Memorial Health",
      "parentSystemId": "entity-umass-memorial-health",
      "siblingGroupId": "siblings-ma-umass-memorial-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005301605",
        "external-resolution-0005301605"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ummhealth.org/locations"
      ],
      "ownershipProofNotes": "UMass Memorial Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UMass Memorial Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005304605",
      "name": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND",
      "address": "16 KIDSPEACE WAY",
      "city": "ELLSWORTH",
      "state": "ME",
      "zip": "04605",
      "county": "HANCOCK",
      "latitude": 44.59020244016,
      "longitude": -68.4335906399988,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.kidspeace.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND",
      "parentSystemId": "entity-kidspeace-national-centers-of-new-england",
      "siblingGroupId": "siblings-me-kidspeace-national-centers-of-new-england",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005304605",
        "external-resolution-0005304605"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.kidspeace.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0005307052",
      "name": "KESSLER INSTITUTE FOR REHABILITATION, INC WEST FACILITY",
      "address": "1199 PLEASANT VALLEY WAY",
      "city": "WEST ORANGE",
      "state": "NJ",
      "zip": "07052",
      "county": "ESSEX",
      "latitude": 40.7854995402112,
      "longitude": -74.2770047399428,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 152,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nj-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAITLIN DENZER-WEILER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAITLIN DENZER-WEILER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005316507",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ERIE, LLC",
      "address": "143 EAST SECOND STREET",
      "city": "ERIE",
      "state": "PA",
      "zip": "16507",
      "county": "ERIE",
      "latitude": 42.1339619999001,
      "longitude": -80.0844190004028,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 108,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erie-encompass-health-rehabilitation-hospital-of-erie/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005329170",
      "name": "SOUTH CAROLINA VOCATIONAL REHABILITATION EVALUATION CENTER",
      "address": "1400 BOSTON AVE",
      "city": "WEST COLUMBIA",
      "state": "SC",
      "zip": "29170",
      "county": "LEXINGTON",
      "latitude": 33.9518686602035,
      "longitude": -81.1078839200508,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 30,
      "rating": null,
      "website": "http://scvrd.net/individuals/evaluation_center.php",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-columbia-south-carolina-vocational-rehabilitation-evaluation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "South Carolina Department of Mental Health",
      "parentSystemId": "entity-south-carolina-department-of-mental-health",
      "siblingGroupId": "siblings-sc-south-carolina-department-of-mental-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005329170",
        "external-resolution-0005329170"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://scvrd.net/individuals/evaluation_center.php"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0005339042",
      "name": "MERIT HEALTH RANKIN",
      "address": "350 CROSSGATES BOULEVARD",
      "city": "BRANDON",
      "state": "MS",
      "zip": "39042",
      "county": "RANKIN",
      "latitude": 32.286642989821,
      "longitude": -90.0347478000287,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 134,
      "rating": null,
      "website": "http://www.merithealthrankin.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brandon-merit-health-rankin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ms-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005348764",
      "name": "ASCENSION ST JOSEPH HOSPITAL",
      "address": "200 HEMLOCK",
      "city": "TAWAS CITY",
      "state": "MI",
      "zip": "48764",
      "county": "IOSCO",
      "latitude": 44.275218110058,
      "longitude": -83.509720489682,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 47,
      "rating": null,
      "website": "http://www.sjhsys.org/",
      "status": "corporate_chain",
      "parentSystem": "MYMICHIGAN HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tawas-city-ascension-st-joseph-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005356267",
      "name": "STEVENS COMMUNITY MEDICAL CTR",
      "address": "400 EAST 1ST STREET",
      "city": "MORRIS",
      "state": "MN",
      "zip": "56267",
      "county": "STEVENS",
      "latitude": 45.5848985400264,
      "longitude": -95.9050304499336,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "website": "http://www.scmcinc.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morris-stevens-community-med-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "STEVENS COMMUNITY MEDICAL CENTER INC",
      "parentSystemId": "entity-stevens-community-medical-center-inc",
      "siblingGroupId": "siblings-mn-stevens-community-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-stevens-community-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS lists BRENT B BARNSTUBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STEVENS COMMUNITY MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STEVENS COMMUNITY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRENT B BARNSTUBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STEVENS COMMUNITY MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STEVENS COMMUNITY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005361801",
      "name": "OSF HEALTHCARE SYSTEM",
      "address": "1400 WEST PARK AVENUE",
      "city": "URBANA",
      "state": "IL",
      "zip": "61801",
      "county": "CHAMPAIGN",
      "latitude": 40.1179711103377,
      "longitude": -88.2271072595802,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 210,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005367218",
      "name": "ROBERT J. DOLE DEPARTMENT OF VETERANS AFFAIRS MEDICAL AND REGIONAL OFFICE CENTER",
      "address": "5500 EAST KELLOGG DRIVE",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67218",
      "county": "SEDGWICK",
      "latitude": 37.6812337997428,
      "longitude": -97.2746412603453,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 81,
      "rating": null,
      "website": "https://www.wichita.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ks-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005367218",
        "external-resolution-0005367218"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005369140",
      "name": "PERKINS COUNTY HOSPITAL DISTRICT",
      "address": "900 LINCOLN AVE",
      "city": "GRANT",
      "state": "NE",
      "zip": "69140",
      "county": "PERKINS",
      "latitude": 40.8487945102701,
      "longitude": -101.727019500383,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PERKINS COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-perkins-county-hospital-district",
      "siblingGroupId": "siblings-ne-perkins-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-verified-parent-perkins-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PERKINS COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERKINS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PERKINS COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERKINS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005377702",
      "name": "KATE DISHMAN REHABILITATION HOSPITAL",
      "address": "2830 CALDER ST, 6TH FLOOR SOUTH",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77702",
      "county": "JEFFERSON",
      "latitude": 30.0869090301323,
      "longitude": -94.1322162500691,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 27,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaumont-kate-dishman-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MILESTONE HEALTHCARE, INC.",
      "parentSystemId": "entity-milestone-healthcare-inc",
      "siblingGroupId": "siblings-tx-milestone-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: MILESTONE HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILESTONE HEALTHCARE, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MILESTONE HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILESTONE HEALTHCARE, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005381650",
      "name": "GRAND RIVER MEDICAL CENTER",
      "address": "501 AIRPORT RD",
      "city": "RIFLE",
      "state": "CO",
      "zip": "81650",
      "county": "GARFIELD",
      "latitude": 39.521233179808,
      "longitude": -107.770178770211,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "GRAND RIVER HOSPITAL DISTRICT",
      "parentSystemId": "entity-grand-river-hospital-district",
      "siblingGroupId": "siblings-co-grand-river-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-grand-river-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND RIVER HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND RIVER HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005397411",
      "name": "SOUTHERN COOS HOSPITAL AND HEALTH CENTER",
      "address": "900 11TH STREET SE",
      "city": "BANDON",
      "state": "OR",
      "zip": "97411",
      "county": "COOS",
      "latitude": 43.1124250599937,
      "longitude": -124.40205838003,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 21,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bandon-southern-coos-hospital-&-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTHERN COOS HEALTH DISTRICT",
      "parentSystemId": "entity-southern-coos-health-district",
      "siblingGroupId": "siblings-or-southern-coos-health-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-southern-coos-health-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHERN COOS HEALTH DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEREMIAH D DODRILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to SOUTHERN COOS HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN COOS HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHERN COOS HEALTH DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEREMIAH D DODRILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to SOUTHERN COOS HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN COOS HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005400926",
      "name": "HIMA SAN PABLO CUPEY",
      "address": "CARR 844, KM 5, CUPEY BAJO",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00928",
      "county": "SAN JUAN",
      "latitude": 18.3725923504102,
      "longitude": -66.0462254301316,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0005401655",
      "name": "UMASS MEMORIAL MED CTR - UNIV CAMPUS",
      "address": "55 LAKE AVENUE NORTH",
      "city": "WORCESTER",
      "state": "MA",
      "zip": "01655",
      "county": "WORCESTER",
      "latitude": 42.2778000002112,
      "longitude": -71.7617000003624,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 421,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UMASS MEMORIAL MEDICAL CENTER INC",
      "parentSystemId": "entity-umass-memorial-medical-center-inc",
      "siblingGroupId": "siblings-ma-umass-memorial-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220163"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ummhealth.org/locations/umass-memorial-medical-center"
      ],
      "ownershipProofNotes": "CMS lists EVAN M BENJAMIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: UMass Memorial Health official medical-center directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists EVAN M BENJAMIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: UMass Memorial Health official medical-center directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005407930",
      "name": "KESSLER INSTITUTE FOR REHABILITATION WELKIND FACILITY",
      "address": "201 PLEASANT HILL ROAD",
      "city": "CHESTER",
      "state": "NJ",
      "zip": "07930",
      "county": "MORRIS",
      "latitude": 40.8195339497496,
      "longitude": -74.6856444101015,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nj-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005407930",
        "external-resolution-0005407930"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005435021",
      "name": "MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM",
      "address": "995 NINTH AVENUE SOUTHWEST",
      "city": "BESSEMER",
      "state": "AL",
      "zip": "35022",
      "county": "JEFFERSON",
      "latitude": 33.3718483101403,
      "longitude": -86.9907484897078,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 310,
      "rating": null,
      "website": "http://www.medicalwesthospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM",
      "parentSystemId": "entity-medical-west-hospital-authority-an-affiliate-of-uab-health-system",
      "siblingGroupId": "siblings-al-medical-west-hospital-authority-an-affiliate-of-uab-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-verified-parent-medical-west-hospital-authority-an-affiliate-of-uab-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.uabmedicine.org/about-uab-medicine/community-networks/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005445885",
      "name": "JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL",
      "address": "200 SAINT CLAIR AVE",
      "city": "SAINT MARYS",
      "state": "OH",
      "zip": "45885",
      "county": "AUGLAIZE",
      "latitude": 40.5443508500113,
      "longitude": -84.3707135702018,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 140,
      "rating": null,
      "website": "http://www.grandlakehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-marys-joint-township-district-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Joint Township District Memorial Hospital",
      "parentSystemId": "entity-joint-township-district-memorial-hospital",
      "siblingGroupId": "siblings-oh-joint-township-district-memorial-hospital",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005445885",
        "external-resolution-0005445885"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/341623770"
      ],
      "ownershipProofNotes": "The normalized facility name exactly matches the IRS-recognized organization Joint Township District Memorial Hospital (EIN 341623770) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented.",
      "parentSystemEvidence": "The normalized facility name exactly matches the IRS-recognized organization Joint Township District Memorial Hospital (EIN 341623770) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented."
    },
    {
      "id": "0005454601",
      "name": "MAYO CLINIC HEALTH SYSTEM - FRANCISCAN HEALTHCARE",
      "address": "700 WEST AVENUE SOUTH",
      "city": "LA CROSSE",
      "state": "WI",
      "zip": "54601",
      "county": "LA CROSSE",
      "latitude": 43.8039479298097,
      "longitude": -91.2403040296131,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 331,
      "rating": null,
      "website": "http://www.franciscanskemp.org",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-wi-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005456470",
      "name": "ST. JOSEPHS AREA HLTH SERVICES",
      "address": "600 PLEASANT AVENUE",
      "city": "PARK RAPIDS",
      "state": "MN",
      "zip": "56470",
      "county": "HUBBARD",
      "latitude": 46.915957089804,
      "longitude": -95.0622736098558,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-park-rapids-st-josephs-area-hlth-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-mn-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005460625",
      "name": "ENDEAVOR HEALTH SWEDISH HOSPITAL",
      "address": "5145 N CALIFORNIA AVENUE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60625",
      "county": "COOK",
      "latitude": 41.9753515501881,
      "longitude": -87.6994658700856,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 292,
      "rating": 3,
      "status": "corporate_chain",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "ccn": "140114",
      "parentSystem": "ENDEAVOR HEALTH",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "affiliationConfidence": "high",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "Chicago acute care hospital",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-endeavor-health",
      "siblingGroupId": "siblings-il-endeavor-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-endeavor-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.endeavorhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005468359",
      "name": "CITY OF FRIEND",
      "address": "905 SECOND ST",
      "city": "FRIEND",
      "state": "NE",
      "zip": "68359",
      "county": "SALINE",
      "latitude": 40.653456239868,
      "longitude": -97.2816502701283,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WARREN MEMORIAL HOSPITAL",
      "parentSystemId": "entity-warren-memorial-hospital",
      "siblingGroupId": "siblings-ne-warren-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-warren-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to WARREN MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARREN MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to WARREN MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARREN MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005483854",
      "name": "REHABILITATION HOSPITAL OF THE NORTHWEST",
      "address": "3372 E JENALAN AVE",
      "city": "POST FALLS",
      "state": "ID",
      "zip": "83854",
      "county": "KOOTENAI",
      "latitude": 47.7129429698639,
      "longitude": -116.902009719634,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://rhn.ernesthealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "133027",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-post-falls-rehabilitation-hospital-of-the-northwest/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-id-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-ernest-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ernesthealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 75%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 75%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005497814",
      "name": "SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY, INC",
      "address": "3325 POCAHONTAS ROAD",
      "city": "BAKER CITY",
      "state": "OR",
      "zip": "97814",
      "county": "BAKER",
      "latitude": 44.7951514502222,
      "longitude": -117.847123290046,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.saintalphonsus.org/bakercity",
      "status": "corporate_chain",
      "parentSystem": "SAINT ALPHONSUS HEALTH SYSTEM INC",
      "affiliatedSystem": "Saintalphonsus",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintalphonsus",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baker-city-saint-alphonsus-medical-center---baker-city-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saint-alphonsus-health-system-inc",
      "siblingGroupId": "siblings-or-saint-alphonsus-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-saint-alphonsus-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintalphonsus.org/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN L CHECKETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN L CHECKETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005502601",
      "name": "CAPE COD HOSPITAL",
      "address": "27 PARK STREET, PO BOX 640",
      "city": "BARNSTABLE",
      "state": "MA",
      "zip": "02601",
      "county": "BARNSTABLE",
      "latitude": 41.6533999997725,
      "longitude": -70.2729000002997,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 259,
      "rating": null,
      "website": "http://www.capecodhealth.org/hospitals-facilities/cape-cod-hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-barnstable-cape-cod-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAPE COD HEALTHCARE INC",
      "parentSystemId": "entity-cape-cod-healthcare-inc",
      "siblingGroupId": "siblings-ma-cape-cod-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-222600704-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/222600704.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAPE COD HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate CAPE COD HEALTHCARE INC was mapped through the reviewed alias registry to exact nonprofit filer Cape Cod Healthcare Inc (EIN 222600704); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPE COD HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAPE COD HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate CAPE COD HEALTHCARE INC was mapped through the reviewed alias registry to exact nonprofit filer Cape Cod Healthcare Inc (EIN 222600704); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPE COD HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005507801",
      "name": "KINDRED HOSPITAL NEW JERSEY - MORRIS COUNTY",
      "address": "400 WEST BLACKWELL STREET",
      "city": "DOVER",
      "state": "NJ",
      "zip": "07801",
      "county": "MORRIS",
      "latitude": 40.8850912798538,
      "longitude": -74.5755226496385,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "website": "http://www.khmorriscounty.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "312020",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dover-kindred-hospital-new-jersey---morris-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-nj-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-nj-312020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-kentucky-hospital-holdings-jv-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANDREW DONET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANDREW DONET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to KENTUCKY HOSPITAL HOLDINGS JV LP; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005519114",
      "name": "ARIA HEALTH BUCKS COUNTY",
      "address": "380 NORTH OXFORD VALLEY ROAD",
      "city": "LANGHORNE",
      "state": "PA",
      "zip": "19114",
      "county": "BUCKS",
      "latitude": 40.1830520001347,
      "longitude": -74.8674430004093,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 112,
      "rating": null,
      "website": "http://www.ariahealth.org/campus-information--1--2",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Jefferson Health",
      "parentSystemId": "entity-jefferson-health",
      "siblingGroupId": "siblings-pa-jefferson-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005519114",
        "external-resolution-0005519114"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0005529472",
      "name": "LIEBER CORRECTIONAL INSTITUTE INFIRMARY",
      "address": "136 WILBORN AVE",
      "city": "RIDGELAND",
      "state": "SC",
      "zip": "29472",
      "county": "DORCHESTER",
      "latitude": 33.0853394601357,
      "longitude": -80.2907313598677,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "South Carolina state health authority",
      "parentSystemId": "entity-south-carolina-state-health-authority",
      "siblingGroupId": "siblings-sc-south-carolina-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005529472",
        "external-resolution-0005529472"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://scdhec.gov/healthcare-quality/health-facility-regulations-licensing-con/hospitals"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0005537096",
      "name": "PERRY COMMUNITY HOSPITAL",
      "address": "2718 SQUIRRELL HOLLOW DRIVE",
      "city": "LINDEN",
      "state": "TN",
      "zip": "37096",
      "county": "PERRY",
      "latitude": 35.592323329972,
      "longitude": -87.8637552696298,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-linden-perry-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PERRY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-perry-community-hospital",
      "siblingGroupId": "siblings-tn-perry-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-perry-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to PERRY COMMUNITY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERRY COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to PERRY COMMUNITY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERRY COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005544074",
      "name": "MERCY HEALTH - ALLEN HOSPITAL, LLC",
      "address": "200 WEST LORAIN STREET",
      "city": "OBERLIN",
      "state": "OH",
      "zip": "44074",
      "county": "LORAIN",
      "latitude": 41.2950647596753,
      "longitude": -82.2247129696094,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.mercyonline.org/mercy_allen_hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH LORAIN LLC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-lorain-llc",
      "siblingGroupId": "siblings-oh-mercy-health-lorain-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH LORAIN LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH LORAIN LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH LORAIN LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH LORAIN LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005549935",
      "name": "ASPIRUS IRON RIVER HOSPITAL AND CLINICS, INC",
      "address": "1400 W ICE LAKE ROAD",
      "city": "IRON RIVER",
      "state": "MI",
      "zip": "49935",
      "county": "IRON",
      "latitude": 46.0998841001807,
      "longitude": -88.6192744801532,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-iron-river-aspirus-iron-river-hospital-&-clinics/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-mi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-aspirus-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ASPIRUS, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ASPIRUS, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005555066",
      "name": "MAYO CLINIC HEALTH SYS RED WIN",
      "address": "701 HEWITT BOULEVARD",
      "city": "RED WING",
      "state": "MN",
      "zip": "55066",
      "county": "GOODHUE",
      "latitude": 44.5602295900771,
      "longitude": -92.5719458098948,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005559701",
      "name": "ST JAMES HEALTHCARE",
      "address": "400 S CLARK ST",
      "city": "BUTTE",
      "state": "MT",
      "zip": "59701",
      "county": "SILVER BOW",
      "latitude": 46.0085166597158,
      "longitude": -112.545513539638,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 98,
      "rating": null,
      "website": "http://www.stjameshealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-butte-st-james-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTERMOUNTAIN HEALTH CARE, INC",
      "parentSystemId": "entity-intermountain-health-care-inc",
      "siblingGroupId": "siblings-mt-intermountain-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTERMOUNTAIN HEALTH CARE, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAMELA CHARLENE PALAGI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN HEALTH CARE, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTERMOUNTAIN HEALTH CARE, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAMELA CHARLENE PALAGI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN HEALTH CARE, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005569138",
      "name": "GOTHENBURG MEMORIAL HOSPITAL DISTRICT",
      "address": "910 20TH ST, PO BOX 469",
      "city": "GOTHENBURG",
      "state": "NE",
      "zip": "69138",
      "county": "DAWSON",
      "latitude": 40.9389198801261,
      "longitude": -100.153229810441,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 14,
      "rating": null,
      "website": "http://www.ghospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "GOTHENBURG MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-gothenburg-memorial-hospital-district",
      "siblingGroupId": "siblings-ne-gothenburg-memorial-hospital-district",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005569138",
        "external-resolution-0005569138"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ghospital.org"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0005570501",
      "name": "COMMUNITY SPECIALTY HOSPITAL",
      "address": "408 SE EVANGELINE TRWY",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70501",
      "county": "LAFAYETTE",
      "latitude": 30.2261206596228,
      "longitude": -92.0106280096181,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-community-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005570501",
        "external-resolution-0005570501"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.la.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0005574601",
      "name": "ALLIANCEHEALTH PONCA CITY",
      "address": "1900 NORTH 14TH STREET",
      "city": "PONCA CITY",
      "state": "OK",
      "zip": "74601",
      "county": "KAY",
      "latitude": 36.724659089761,
      "longitude": -97.0683568402823,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 140,
      "rating": null,
      "website": "http://myalliancehealth.com/",
      "status": "corporate_chain",
      "parentSystem": "INTEGRIS HEALTH INC",
      "affiliatedSystem": "Myalliancehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Myalliancehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ponca-city-alliancehealth-ponca-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL L WEED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL L WEED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005577701",
      "name": "MID - JEFFERSON EXTENDED CARE HOSPITAL OF BEAUMONT",
      "address": "860 SOUTH EIGHTH STREET",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77701",
      "county": "JEFFERSON",
      "latitude": 30.0695353301298,
      "longitude": -94.1253149303224,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaumont-mid---jefferson-extended-care-hospital-of-beaumont/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PRIORITY HOSPITAL GROUP LLC",
      "parentSystemId": "entity-priority-hospital-group-llc",
      "siblingGroupId": "siblings-tx-priority-hospital-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DOUGLAS B BOULWARE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DOUGLAS B BOULWARE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005580446",
      "name": "MIDDLE PARK MEDICAL CENTER - GRANBY",
      "address": "1000 GRANBY PARK DR S",
      "city": "GRANBY",
      "state": "CO",
      "zip": "80446",
      "county": "GRAND",
      "latitude": 40.0757280001827,
      "longitude": -105.925791999872,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 7,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-granby-middle-park-medical-center-granby/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Middle Park Health",
      "parentSystemId": "entity-middle-park-health",
      "siblingGroupId": "siblings-co-middle-park-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005580446",
        "external-resolution-0005580446"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.middleparkhealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Middle Park Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Middle Park Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0005585031",
      "name": "ABRAZO MARYVALE CAMPUS",
      "address": "5102 WEST CAMPBELL AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85031",
      "county": "MARICOPA",
      "latitude": 33.5026156498968,
      "longitude": -112.170791619849,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 232,
      "rating": null,
      "website": "https://www.abrazohealth.com",
      "status": "corporate_chain",
      "parentSystem": "Abrazohealth",
      "affiliatedSystem": "Abrazohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Abrazohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-abrazohealth",
      "siblingGroupId": "siblings-az-abrazohealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005585031",
        "external-resolution-0005585031"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.abrazohealth.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005587049",
      "name": "ACOMA CANONCITO LAGUNA INDIAN HOSPITAL",
      "address": "80 VETERANS BLVD, EXIT 102 OFF I-40 1/2 MILE SOUTH",
      "city": "SAN FIDEL",
      "state": "NM",
      "zip": "87049",
      "county": "CIBOLA",
      "latitude": 35.0685634098203,
      "longitude": -107.571008719738,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Indian Health Service",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-nm-indian-health-service",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005587049",
        "external-resolution-0005587049"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005590048",
      "name": "CEDAR SINAI MEDICAL CENTER",
      "address": "8700 BEVERLY BLVD",
      "city": "WEST HOLLYWOOD",
      "state": "CA",
      "zip": "90048",
      "county": "LOS ANGELES",
      "latitude": 34.076294450366,
      "longitude": -118.380712119609,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 889,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CEDARS-SINAI MEDICAL CENTER",
      "parentSystemId": "entity-cedars-sinai-medical-center",
      "siblingGroupId": "siblings-ca-cedars-sinai-medical-center",
      "campusFamilyId": "campus-ca-050625",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005601915",
      "name": "BEVERLY HOSP - BEVERLY CAMPUS",
      "address": "85 HERRICK STREET",
      "city": "BEVERLY",
      "state": "MA",
      "zip": "01915",
      "county": "ESSEX",
      "latitude": 42.5641000002558,
      "longitude": -70.8756999998489,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 223,
      "rating": null,
      "website": "http://www.beverlyhospital.org/locations--services/locations/beverly-hospital",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Community hospital campus",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005607005",
      "name": "SAINT CLARE'S HOSPITAL - BOONTON",
      "address": "130 POWERVILLE ROAD",
      "city": "BOONTON TOWNSHIP",
      "state": "NJ",
      "zip": "07005",
      "county": "MORRIS",
      "latitude": 40.9098147999519,
      "longitude": -74.4253929797945,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 120,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-nj-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005607005",
        "external-resolution-0005607005"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20151211001869 (31S050). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20151211001869 (31S050). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0005619114",
      "name": "ARIA HEALTH FRANKFORD",
      "address": "4900 FRANKFORD AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19114",
      "county": "PHILADELPHIA",
      "latitude": 40.0195431400515,
      "longitude": -75.0818749999621,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 115,
      "rating": null,
      "website": "http://www.ariahealth.org/campus-information",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Jefferson Health",
      "parentSystemId": "entity-jefferson-health",
      "siblingGroupId": "siblings-pa-jefferson-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005619114",
        "external-resolution-0005619114"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0005624503",
      "name": "VIRGINIA BAPTIST HOSPITAL",
      "address": "3300 RIVERMONT AVENUE",
      "city": "LYNCHBURG",
      "state": "VA",
      "zip": "24503",
      "county": "LYNCHBURG",
      "latitude": 37.4378954599232,
      "longitude": -79.1878423300572,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 561,
      "rating": null,
      "website": "www.centrahealth.com",
      "status": "corporate_chain",
      "affiliatedSystem": "Centrahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Centrahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005624503",
        "external-resolution-0005624503"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.centrahealth.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0005626105",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF PARKERSBURG",
      "address": "3 WESTERN HILLS DRIVE",
      "city": "PARKERSBURG",
      "state": "WV",
      "zip": "26105",
      "county": "WOOD",
      "latitude": 39.3055909599845,
      "longitude": -81.5343512202666,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.healthsouthwesternhills.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parkersburg-encompass-health-rehab-hospital-of-parkersburg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-wv-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005629210",
      "name": "WILLOW LANE INFIRMARY",
      "address": "4650 BROAD RIVER RD",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29210",
      "county": "RICHLAND",
      "latitude": 34.0726165598859,
      "longitude": -81.1114011199339,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 8,
      "rating": null,
      "website": "http://www.doc.sc.gov/institutions/brci.jsp",
      "status": "corporate_chain",
      "parentSystem": "Doc Sc",
      "affiliatedSystem": "Doc Sc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Doc Sc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-willow-lane-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-doc-sc",
      "siblingGroupId": "siblings-sc-doc-sc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005629210",
        "external-resolution-0005629210"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.doc.sc.gov/institutions/brci.jsp"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005632308",
      "name": "HCA FLORIDA CAPITAL HOSPITAL",
      "address": "2626 CAPITAL MEDICAL BLVD",
      "city": "TALLAHASSEE",
      "state": "FL",
      "zip": "32308",
      "county": "LEON",
      "latitude": 30.4757134600078,
      "longitude": -84.2315453401856,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 266,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/capital-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100254",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tallahassee-hca-florida-capital-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005646953",
      "name": "VA MEDICAL CENTER - MARION, IN",
      "address": "1700 E 38TH ST",
      "city": "MARION",
      "state": "IN",
      "zip": "46953",
      "county": "GRANT",
      "latitude": 40.5204615001671,
      "longitude": -85.6382684098303,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 225,
      "rating": null,
      "website": "http://www.northernindiana.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-va-medical-center---marion-in/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-in-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/indiana-health-care/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005659403",
      "name": "BENEFIS HEALTH CARE (WEST CAMPUS)",
      "address": "500 15TH AVE S",
      "city": "GREAT FALLS",
      "state": "MT",
      "zip": "59403",
      "county": "CASCADE",
      "latitude": 47.4888104701702,
      "longitude": -111.298499870147,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 85,
      "rating": null,
      "website": "www.benefis.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-great-falls-benefis-health-care-west-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BENEFIS HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-benefis-health-system-inc",
      "siblingGroupId": "siblings-mt-benefis-health-system-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005659403",
        "external-resolution-0005659403"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070925000209 (27T012). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070925000209 (27T012). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0005671291",
      "name": "CORNERSTONE SPECIALTY HOSPITALS WEST MONROE",
      "address": "6198 CYPRESS STREET",
      "city": "WEST MONROE",
      "state": "LA",
      "zip": "71291",
      "county": "OUACHITA",
      "latitude": 32.516066860061,
      "longitude": -92.2044453999623,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "website": "https://www.chghospitals.com/location/cornerstone-specialty-hospitals-west-monroe/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SPECIALTY HEALTHCARE HOLDINGS LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "192031",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-specialty-healthcare-holdings-llc",
      "siblingGroupId": "siblings-la-specialty-healthcare-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPECIALTY HEALTHCARE HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SWENDA M BEITPOULICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPECIALTY HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPECIALTY HEALTHCARE HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SWENDA M BEITPOULICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPECIALTY HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005673139",
      "name": "OKLAHOMA CENTER FOR ORTHOPAEDIC AND MULTI - SPECIALTY SURGERY, LLC",
      "address": "8100 SOUTH WALKER BUILDING C",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73139",
      "county": "OKLAHOMA",
      "latitude": 35.3852266302318,
      "longitude": -97.5189760996998,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 9,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "USP OKC, INC.",
      "parentSystemId": "entity-usp-okc-inc",
      "siblingGroupId": "siblings-ok-usp-okc-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: USP OKC, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP OKC, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: USP OKC, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP OKC, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005676022",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST - EULESS - BEDFORD",
      "address": "1600 HOSPITAL PKWY",
      "city": "BEDFORD",
      "state": "TX",
      "zip": "76022",
      "county": "TARRANT",
      "latitude": 32.8351549696798,
      "longitude": -97.1231367000943,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 252,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bedford-texas-health-harris-methodist-hospital-hurst-euless-bedford/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005702720",
      "name": "SOUTHCOAST HOSPS GRP INC - CHARLTON",
      "address": "363 HIGHLAND AVENUE",
      "city": "FALL RIVER",
      "state": "MA",
      "zip": "02720",
      "county": "BRISTOL",
      "latitude": 41.7093999997094,
      "longitude": -71.1460000001955,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 328,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHCOAST HOSPITALS GROUP INC",
      "parentSystemId": "entity-southcoast-hospitals-group-inc",
      "siblingGroupId": "siblings-ma-southcoast-hospitals-group-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220074"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Southcoast official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHCOAST HOSPITALS GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Southcoast official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHCOAST HOSPITALS GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005726003",
      "name": "PETERSON HEALTHCARE AND REHABILITATION HOSPITAL",
      "address": "20 HOMESTEAD AVENUE",
      "city": "WHEELING",
      "state": "WV",
      "zip": "26003",
      "county": "OHIO",
      "latitude": 40.0798862202431,
      "longitude": -80.6939983698055,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 172,
      "rating": null,
      "website": "http://weat.com/site6/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GOTTS CONSULTING WV LLC",
      "parentSystemId": "entity-gotts-consulting-wv-llc",
      "siblingGroupId": "siblings-wv-gotts-consulting-wv-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: GOTTS CONSULTING WV LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOTTS CONSULTING WV LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GOTTS CONSULTING WV LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOTTS CONSULTING WV LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005732353",
      "name": "CAPITAL REGIONAL MEDICAL CENTER GADSDEN MEMORIAL CAMPUS",
      "address": "23186 BLUE STAR HWY",
      "city": "QUINCY",
      "state": "FL",
      "zip": "32353",
      "county": "GADSDEN",
      "latitude": 30.5688832400976,
      "longitude": -84.5486698603252,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "website": "https://capitalregionalmedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005732353",
        "external-resolution-0005732353"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0005756258",
      "name": "AVERA MARSHALL REG MED CENTER",
      "address": "300 SOUTH BRUCE STREET",
      "city": "MARSHALL",
      "state": "MN",
      "zip": "56258",
      "county": "LYON",
      "latitude": 44.4477522899966,
      "longitude": -95.7772350701791,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "website": "https://www.avera.org/locations/marshall/",
      "status": "corporate_chain",
      "parentSystem": "AVERA HEALTH",
      "affiliatedSystem": "Avera",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Avera",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marshall-avera-marshall-reg-med-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-mn-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005766439",
      "name": "HORTON COMMUNITY HOSPITAL",
      "address": "240 WEST 18TH STREET",
      "city": "HORTON",
      "state": "KS",
      "zip": "66439",
      "county": "BROWN",
      "latitude": 39.6732742200258,
      "longitude": -95.5304938103668,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://www.horton-hospital.com",
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.kcur.org/health/2019-03-13/third-hospital-once-run-by-north-kansas-city-company-closes-its-doors",
        "https://www.kansascommerce.gov/2019/03/governor-comments-on-horton-community-hospital-closure-sends-agency-assistance/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "expandedClosureResearch": {
        "sourceRow": 40,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "Mar 12 2019",
        "careLevel": "Critical access (CAH)",
        "hospitalType": "Rural critical access",
        "traumaLevel": "",
        "licensedBeds": "15",
        "patientsServedNote": "",
        "ruralUrban": "Rural",
        "ownershipCategory": "Management-company control (EmpowerHMS) - contract-driven collapse",
        "historicalSponsorOrOwner": "EmpowerHMS / Jorge Perez network",
        "parentCompany": "EmpowerHMS",
        "acquiredYear": "needs verification",
        "acquisitionDealNote": "Third EmpowerHMS hospital to close in weeks",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Same billing-fraud network; staff unpaid since Feb 15 2019, unpaid utility bills",
        "degradationRecord": "Voluntary shutdown for lack of personnel after wages stopped; KDHE and AG on site",
        "communityImpact": "78 miles NW of Kansas City; loss of major town employer",
        "buildingFate": "Permanently closed; no services remaining",
        "peLinkConfidence": "PE-backed contractor/management",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.kcur.org/health/2019-03-13/third-hospital-once-run-by-north-kansas-city-company-closes-its-doors",
          "https://www.kansascommerce.gov/2019/03/governor-comments-on-horton-community-hospital-closure-sends-agency-assistance/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "EmpowerHMS",
      "formerOperator": "EmpowerHMS",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "EmpowerHMS / Jorge Perez network",
      "historicalPeRelationshipType": "management or contract exposure; not hospital ownership",
      "acquiredDate": "needs verification",
      "closureDate": "Mar 12 2019",
      "closureYear": 2019,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Horton Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-40",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.kcur.org/health/2019-03-13/third-hospital-once-run-by-north-kansas-city-company-closes-its-doors",
      "closureEvidenceNote": "Voluntary shutdown for lack of personnel after wages stopped; KDHE and AG on site",
      "acquisitionSourceId": "expanded-ownership-row-40",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.kansascommerce.gov/2019/03/governor-comments-on-horton-community-hospital-closure-sends-agency-assistance/",
      "acquisitionEvidenceNote": "Third EmpowerHMS hospital to close in weeks",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-empowerhms",
      "siblingGroupId": "siblings-ks-empowerhms",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005766439",
        "external-resolution-0005766439"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kslegislature.gov/li_2020/b2019_20/committees/ctte_h_hhs_1/documents/testimony/20190321_09.pdf"
      ],
      "ownershipProofNotes": "EmpowerHMS official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "EmpowerHMS official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0005766622",
      "name": "COLMERY - O'NEIL VETERANS' ADMINISTRATION MEDICAL CENTER",
      "address": "2200 SOUTHWEST GAGE BOULEVARD",
      "city": "TOPEKA",
      "state": "KS",
      "zip": "66622",
      "county": "SHAWNEE",
      "latitude": 39.0262321797208,
      "longitude": -95.7227954499759,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 196,
      "rating": null,
      "website": "https://www.topeka.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ks-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005789502",
      "name": "IOANNIS A. LOUGARIS VETERANS' ADMINISTRATION MEDICAL CENTER",
      "address": "975 KIRMAN AVENUE",
      "city": "RENO",
      "state": "NV",
      "zip": "89502",
      "county": "WASHOE",
      "latitude": 39.5163632498791,
      "longitude": -119.79960450022,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 124,
      "rating": null,
      "website": "https://www.va.gov/sierra-nevada-health-care/locations/ioannis-a-lougaris-veterans-administration-medical-center/",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Va",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nv-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005797701",
      "name": "ST CHARLES BEND",
      "address": "2500 NE NEFF ROAD",
      "city": "BEND",
      "state": "OR",
      "zip": "97701",
      "county": "DESCHUTES",
      "latitude": 44.0679150401051,
      "longitude": -121.269134309728,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 292,
      "rating": null,
      "website": "www.stcharleshealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bend-st-charles-bend/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST CHARLES HEALTH SYSTEM INC",
      "parentSystemId": "entity-st-charles-health-system-inc",
      "siblingGroupId": "siblings-or-st-charles-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-st-charles-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stcharleshealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST CHARLES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to St. Charles Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST CHARLES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST CHARLES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to St. Charles Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST CHARLES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005829605",
      "name": "SHRINERS HOSPITAL FOR CHILDREN",
      "address": "950 W FARIS RD",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29605",
      "county": "GREENVILLE",
      "latitude": 34.8172494900391,
      "longitude": -82.4131780995745,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-sc-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.shrinerschildrens.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Shriners Hospitals for Children; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Shriners Hospitals for Children; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005834474",
      "name": "THE CENTERS INC",
      "address": "5664 SW 60TH AVE",
      "city": "OCALA",
      "state": "FL",
      "zip": "34474",
      "county": "MARION",
      "latitude": 29.1310658302081,
      "longitude": -82.219020890033,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 15,
      "rating": null,
      "website": "http://www.thecenters.us",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ocala-the-centers-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CENTERS",
      "parentSystemId": "entity-the-centers",
      "siblingGroupId": "siblings-fl-the-centers",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-10-28",
      "ownershipSourceIds": [
        "hifld-location-0005834474",
        "external-resolution-0005834474"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 104068; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 104068; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0005835209",
      "name": "ENCOMPASS HEALTH LAKESHORE REHABILITATION HOSPITAL",
      "address": "3800 RIDGEWAY DRIVE",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35209",
      "county": "JEFFERSON",
      "latitude": 33.469115849756,
      "longitude": -86.7883349901541,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "website": "http://www.healthsouthlakeshorerehab.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-encompass-health-lakeshore-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-al-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005846250",
      "name": "COMMUNITY HEART AND VASCULAR HOSPITAL",
      "address": "8075 N SHADELAND AVE",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46250",
      "county": "MARION",
      "latitude": 39.9018288397761,
      "longitude": -86.0446818400177,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "website": "heart.ecommunity.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-community-heart-and-vascular-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Community Health Network",
      "parentSystemId": "entity-community-health-network",
      "siblingGroupId": "siblings-in-community-health-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005846250",
        "external-resolution-0005846250"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ecommunity.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Community Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Community Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0005848843",
      "name": "SAINT JOSEPH MERCY LIVINGSTON HOSPITAL",
      "address": "620 BYRON RD",
      "city": "HOWELL",
      "state": "MI",
      "zip": "48843",
      "county": "LIVINGSTON",
      "latitude": 42.615587559838,
      "longitude": -83.9409903999006,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 66,
      "rating": null,
      "website": "http://www.stjoeslivingston.org/livingston",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005864089",
      "name": "SAINT LUKE'S NORTH HOSPITAL",
      "address": "601 SOUTH 169 HIGHWAY",
      "city": "SMITHVILLE",
      "state": "MO",
      "zip": "64089",
      "county": "CLAY",
      "latitude": 39.3765090901414,
      "longitude": -94.5814208497637,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 64,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT LUKES NORTH HOSPITAL",
      "parentSystemId": "entity-saint-lukes-north-hospital",
      "siblingGroupId": "siblings-mo-saint-lukes-north-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005864089",
        "external-resolution-0005864089"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20090211000773 (26T062). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20090211000773 (26T062). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0005866044",
      "name": "LAWRENCE MEMORIAL HOSPITAL",
      "address": "325 MAINE STREET",
      "city": "LAWRENCE",
      "state": "KS",
      "zip": "66044",
      "county": "DOUGLAS",
      "latitude": 38.9789308003457,
      "longitude": -95.2485837003189,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 157,
      "rating": null,
      "website": "www.lmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrence-lawrence-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LAWRENCE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-lawrence-memorial-hospital",
      "siblingGroupId": "siblings-ks-lawrence-memorial-hospital",
      "campusFamilyId": "campus-ks-170137",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-lawrence-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LAWRENCE MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LAWRENCE MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005870563",
      "name": "DAUTERIVE HOSPITAL",
      "address": "600 N LEWIS AVE.",
      "city": "NEW IBERIA",
      "state": "LA",
      "zip": "70563",
      "county": "IBERIA",
      "latitude": 30.0069069801397,
      "longitude": -91.7945238500628,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "website": "http://www.dauterivehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-iberia-dauterive-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DAUTERIVE HOSPITAL",
      "parentSystemId": "entity-dauterive-hospital",
      "siblingGroupId": "siblings-la-dauterive-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2015-12-31",
      "ownershipSourceIds": [
        "hifld-location-0005870563",
        "external-resolution-0005870563"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 190003; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 190003; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0005889086",
      "name": "VA SOUTHERN NEVADA HEALTHCARE SYSTEM",
      "address": "6900 PECOS RD",
      "city": "NORTH LAS VEGAS",
      "state": "NV",
      "zip": "89086",
      "county": "CLARK",
      "latitude": 36.2847256700596,
      "longitude": -115.094471020291,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 190,
      "rating": null,
      "website": "http://www.mhds.state.nv.us",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-las-vegas-va-southern-nevada-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nv-veterans-health-administration",
      "campusFamilyId": "campus-nv-29004f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005897756",
      "name": "ST CHARLES REDMOND",
      "address": "1253 NW CANAL BLVD",
      "city": "REDMOND",
      "state": "OR",
      "zip": "97756",
      "county": "DESCHUTES",
      "latitude": 44.2879667697056,
      "longitude": -121.169855009928,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redmond-st-charles-redmond/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "St. Charles Health System",
      "parentSystemId": "entity-st-charles-health-system",
      "siblingGroupId": "siblings-or-st-charles-health-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005897756",
        "external-resolution-0005897756"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://stcharleshealthcare.org/locations"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 380040. The tracker parent candidate was corroborated against St. Charles Health System's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 380040. The tracker parent candidate was corroborated against St. Charles Health System's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0005918960",
      "name": "GRAND VIEW HEALTH",
      "address": "700 LAWN AVENUE",
      "city": "SELLERSVILLE",
      "state": "PA",
      "zip": "18960",
      "county": "BUCKS",
      "latitude": 40.3629220002659,
      "longitude": -75.3260400002357,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 169,
      "rating": null,
      "website": "https://www.gvh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005920646",
      "name": "UMD CHARLES REGIONAL MEDICAL CENTER",
      "address": "5 GARRETT AVENUE",
      "city": "LA PLATA",
      "state": "MD",
      "zip": "20646",
      "county": "CHARLES",
      "latitude": 38.5293130400017,
      "longitude": -76.9723282799794,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "website": "https://www.umms.org/charles/locations/um-charles-regional-medical-center",
      "status": "corporate_chain",
      "parentSystem": "CIVISTA MEDICAL CENTER INC",
      "affiliatedSystem": "Umms",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umms",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-civista-medical-center-inc",
      "siblingGroupId": "siblings-md-civista-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CIVISTA MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIVISTA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CIVISTA MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIVISTA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005929650",
      "name": "CAROLINA CENTER FOR BEHAVIORAL HEALTH",
      "address": "2700 E PHILLIPS RD",
      "city": "GREER",
      "state": "SC",
      "zip": "29650",
      "county": "GREENVILLE",
      "latitude": 34.8648571201391,
      "longitude": -82.2291579800606,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 156,
      "rating": null,
      "website": "http://www.thecarolinacenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greer-carolina-center-for-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-sc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005935903",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF GADSDEN",
      "address": "801 GOODYEAR AVENUE",
      "city": "GADSDEN",
      "state": "AL",
      "zip": "35903",
      "county": "ETOWAH",
      "latitude": 34.0067412200046,
      "longitude": -85.9684884399261,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "http://www.healthsouthgadsden.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gadsden-encompass-health-rehabilitation-hospital-of-gadsden/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-al-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005942437",
      "name": "DEACONESS UNION COUNTY HOSPITAL",
      "address": "4604 US HIGHWAY 60 WEST",
      "city": "MORGANFIELD",
      "state": "KY",
      "zip": "42437",
      "county": "UNION",
      "latitude": 37.6287964597781,
      "longitude": -87.9476559803988,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morganfield-deaconess-union-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS HEALTH SYSTEM INC",
      "parentSystemId": "entity-deaconess-health-system-inc",
      "siblingGroupId": "siblings-ky-deaconess-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWN W MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWN W MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005943526",
      "name": "COMMUNITY MEMORIAL HOSPITAL",
      "address": "208 NORTH COLUMBUS STREET",
      "city": "HICKSVILLE",
      "state": "OH",
      "zip": "43526",
      "county": "DEFIANCE",
      "latitude": 41.3017860300798,
      "longitude": -84.7558964002205,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hicksville-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COMMUNITY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-community-memorial-hospital",
      "siblingGroupId": "siblings-oh-community-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-community-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005956482",
      "name": "TRI COUNTY HOSPITAL",
      "address": "415 JEFFERSON STREET NORTH",
      "city": "WADENA",
      "state": "MN",
      "zip": "56482",
      "county": "WADENA",
      "latitude": 46.4456534001709,
      "longitude": -95.1344014101429,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "website": "https://www.tchc.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wadena-tri-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASTERA HEALTH",
      "parentSystemId": "entity-astera-health",
      "siblingGroupId": "siblings-mn-astera-health",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0005956482",
        "external-resolution-0005956482"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 241354; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 241354; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0005968825",
      "name": "CALLAWAY HOSPITAL DISTRICT",
      "address": "211 E KIMBALL, PO BOX 100",
      "city": "CALLAWAY",
      "state": "NE",
      "zip": "68825",
      "county": "CUSTER",
      "latitude": 41.2911193198946,
      "longitude": -99.9231578004319,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CALLAWAY HOSPITAL DISTRICT",
      "parentSystemId": "entity-callaway-hospital-district",
      "siblingGroupId": "siblings-ne-callaway-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-verified-parent-callaway-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists CASSIE D PENN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CALLAWAY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALLAWAY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CASSIE D PENN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CALLAWAY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALLAWAY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005985209",
      "name": "MOUNTAIN VISTA MEDICAL CENTER, LP",
      "address": "1301 SOUTH CRISMON ROAD",
      "city": "MESA",
      "state": "AZ",
      "zip": "85209",
      "county": "MARICOPA",
      "latitude": 33.3914970696298,
      "longitude": -111.611163280229,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 178,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesa-mountain-vista-medical-center-lp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HONORHEALTH",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0005997415",
      "name": "SUTTER COAST HOSPITAL",
      "address": "555 5TH STREET",
      "city": "BROOKINGS",
      "state": "OR",
      "zip": "97415",
      "county": "CURRY",
      "latitude": 42.057873220028,
      "longitude": -124.288500330043,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-or-sutter-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0005997415",
        "external-resolution-0005997415"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sutterhealth.org/find-location"
      ],
      "ownershipProofNotes": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006000919",
      "name": "AUXILIO MUTUO HOSPITAL",
      "address": "PONCE DE LEON AVENUE, STOP 37 1/2",
      "city": "HATO REY",
      "state": "PR",
      "zip": "00918",
      "county": "SAN JUAN",
      "latitude": 18.4098626696379,
      "longitude": -66.0510959599564,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 483,
      "rating": null,
      "website": "http://www.auxiliomutuo.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0006001453",
      "name": "HEALTH ALLIANCE - CLNTN - LEOMINSTER CM",
      "address": "60 HOSPITAL ROAD",
      "city": "LEOMINSTER",
      "state": "MA",
      "zip": "01453",
      "county": "WORCESTER",
      "latitude": 42.5411000002635,
      "longitude": -71.7623999999711,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 111,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.",
      "parentSystemId": "entity-central-new-england-healthalliance-inc",
      "siblingGroupId": "siblings-ma-central-new-england-healthalliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43358566-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43358566.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MATTHEW R ZANGHI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. was mapped through the reviewed alias registry to exact nonprofit filer Umass Memorial Health Care Inc (EIN 43358566); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL NEW ENGLAND HEALTHALLIANCE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MATTHEW R ZANGHI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. was mapped through the reviewed alias registry to exact nonprofit filer Umass Memorial Health Care Inc (EIN 43358566); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL NEW ENGLAND HEALTHALLIANCE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006002401",
      "name": "VA MEDICAL CENTER - BROCKTON DIVISION",
      "address": "940 BELMONT ST",
      "city": "BROCKTON",
      "state": "MA",
      "zip": "02401",
      "county": "PLYMOUTH",
      "latitude": 42.0630224298554,
      "longitude": -71.0539355896689,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 448,
      "rating": null,
      "website": "http://www.boston.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brockton-va-medical-center---brockton-division/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ma-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006002401",
        "external-resolution-0006002401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006007470",
      "name": "ST JOSEPH'S WAYNE MEDICAL CENTER",
      "address": "224 HAMBURG TURNPIKE",
      "city": "WAYNE",
      "state": "NJ",
      "zip": "07470",
      "county": "PASSAIC",
      "latitude": 40.9471235602136,
      "longitude": -74.2027198304353,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 229,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. JOSEPH'S UNIVERSITY MEDICAL CENTER INC.",
      "parentSystemId": "entity-st-joseph-s-university-medical-center-inc",
      "siblingGroupId": "siblings-nj-st-joseph-s-university-medical-center-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006007470",
        "external-resolution-0006007470"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20101014000259 (31T019). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20101014000259 (31T019). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006021613",
      "name": "A H C BEHAVIORAL HEALTH AND WELLNESS SERVICES - ES",
      "address": "821 FIELDCREST DRIVE",
      "city": "CAMBRIDGE",
      "state": "MD",
      "zip": "21613",
      "county": "DORCHESTER",
      "latitude": 38.5494536301206,
      "longitude": -76.0579912301539,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006021613",
        "external-resolution-0006021613"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.md.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0006028687",
      "name": "DAVIS REGIONAL MEDICAL CENTER",
      "address": "218 OLD MOCKSVILLE RD, PO BOX 1823",
      "city": "STATESVILLE",
      "state": "NC",
      "zip": "28625",
      "county": "IREDELL",
      "latitude": 35.818428669931,
      "longitude": -80.8287147397164,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 144,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-statesville-davis-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006028687"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0006029556",
      "name": "WILLIAMSBURG REGIONAL HOSPITAL",
      "address": "500 NELSON BLVD",
      "city": "KINGSTREE",
      "state": "SC",
      "zip": "29556",
      "county": "WILLIAMSBURG",
      "latitude": 33.6600182899565,
      "longitude": -79.8186000904425,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.wmbgrh.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "WILLIAMSBURG REGIONAL HOSPITAL",
      "parentSystemId": "entity-williamsburg-regional-hospital",
      "siblingGroupId": "siblings-sc-williamsburg-regional-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-09-30",
      "ownershipSourceIds": [
        "hifld-location-0006029556",
        "external-resolution-0006029556"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 421303; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 421303; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0006035660",
      "name": "HELEN KELLER MEMORIAL HOSPITAL",
      "address": "1300 SMONTGOMERY AVENUE, PO BOX 610",
      "city": "SHEFFIELD",
      "state": "AL",
      "zip": "35660",
      "county": "COLBERT",
      "latitude": 34.7459501501452,
      "longitude": -87.700261460322,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 185,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sheffield-helen-keller-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HH HEALTH SYSTEM - SHOALS, LLC",
      "parentSystemId": "entity-hh-health-system-shoals-llc",
      "siblingGroupId": "siblings-al-hh-health-system-shoals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH HEALTH SYSTEM - SHOALS, LLC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH HEALTH SYSTEM - SHOALS, LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006040965",
      "name": "MIDDLESBORO APPALACHIAN REGIONAL HEALTHCARE HOSPITAL",
      "address": "3600 WEST CUMBERLAND AVENUE",
      "city": "MIDDLESBORO",
      "state": "KY",
      "zip": "40965",
      "county": "BELL",
      "latitude": 36.6058264697531,
      "longitude": -83.7401927296929,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 96,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Appalachian Regional Healthcare",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "campusFamilyId": "campus-ky-180020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006043140",
      "name": "MADISON COUNTY HOSPITAL",
      "address": "210 N MAIN STREET",
      "city": "LONDON",
      "state": "OH",
      "zip": "43140",
      "county": "MADISON",
      "latitude": 39.8924997200641,
      "longitude": -83.4537920996432,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 78,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MADISON COUNTY HOSPITAL, INC.",
      "parentSystemId": "entity-madison-county-hospital-inc",
      "siblingGroupId": "siblings-oh-madison-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-madison-county-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: MADISON COUNTY HOSPITAL, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MADISON COUNTY HOSPITAL, INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON COUNTY HOSPITAL, INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MADISON COUNTY HOSPITAL, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MADISON COUNTY HOSPITAL, INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON COUNTY HOSPITAL, INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006048093",
      "name": "ASCENSION MACOMB OAKLAND HOSP - WARREN CAMPUS",
      "address": "11800 EAST TWELVE MILE ROAD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48093",
      "county": "MACOMB",
      "latitude": 42.5058132502518,
      "longitude": -83.0049427099816,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 348,
      "rating": null,
      "website": "http://www.stjohnprovidence.org/macomb",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230195",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006061554",
      "name": "PEKIN MEMORIAL HOSPITAL",
      "address": "600 S 13TH STREET",
      "city": "PEKIN",
      "state": "IL",
      "zip": "61554",
      "county": "TAZEWELL",
      "latitude": 40.5631286002355,
      "longitude": -89.6324728499648,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 95,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CARLE FOUNDATION",
      "parentSystemId": "entity-the-carle-foundation",
      "siblingGroupId": "siblings-il-the-carle-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CARLE FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ARON T KLEIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CARLE FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ARON T KLEIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006069130",
      "name": "COZAD HOSPITAL DISTRICT NUMBER 2",
      "address": "300 EAST 12TH ST, PO BOX 108",
      "city": "COZAD",
      "state": "NE",
      "zip": "69130",
      "county": "DAWSON",
      "latitude": 40.8636084000619,
      "longitude": -99.9824987896237,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COZAD HOSPITAL DISTRICT",
      "parentSystemId": "entity-cozad-hospital-district",
      "siblingGroupId": "siblings-ne-cozad-hospital-district",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006069130",
        "external-resolution-0006069130"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ne.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0006071446",
      "name": "DOCTOR'S HOSPITAL AT DEER CREEK",
      "address": "815 S 10TH ST",
      "city": "LEESVILLE",
      "state": "LA",
      "zip": "71446",
      "county": "VERNON",
      "latitude": 31.1356353499516,
      "longitude": -93.2688227498375,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "website": "http://www.dhdc.md",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leesville-doctor-s-hospital-at-deer-creek/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006071446",
        "external-resolution-0006071446"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.dhdc.md"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0006073112",
      "name": "SELECT SPECIALTY HOSPITAL - OKLAHOMA CITY, INC",
      "address": "3524 NORTHWEST 56TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73112",
      "county": "OKLAHOMA",
      "latitude": 35.5277568503417,
      "longitude": -97.5806142903806,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-select-specialty-hospital--oklahoma-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ok-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TYLER GRANTHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TYLER GRANTHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006079106",
      "name": "VIBRA REHABILITATION HOSPITAL OF AMARILLO",
      "address": "7200 W 9TH STREET",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "POTTER",
      "latitude": 35.2067049498871,
      "longitude": -101.920864970266,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amarillo-vibra-rehabilitation-hospital-of-amarillo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-tx-vibra-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006079106",
        "external-resolution-0006079106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006098494",
      "name": "WESTERN STATE HOSPITAL",
      "address": "9601 STEILACOOM BOULEVARD SW",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98498",
      "county": "PIERCE",
      "latitude": 47.1783199903015,
      "longitude": -122.565734980207,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 857,
      "rating": null,
      "website": "https://www.dshs.wa.gov/bhsia/division-state-hospitals/western-state-hospital-general-information",
      "status": "corporate_chain",
      "parentSystem": "Dshs Wa",
      "affiliatedSystem": "Dshs Wa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs Wa",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-dshs-wa",
      "siblingGroupId": "siblings-wa-dshs-wa",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006098494",
        "external-resolution-0006098494"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.dshs.wa.gov/bhsia/division-state-hospitals/western-state-hospital-general-information"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006100936",
      "name": "SAN JUAN MUNICIPAL HOSPITAL",
      "address": "BARRIO MONACILLOS, CENTRO MEDICO",
      "city": "RIO PIEDRAS",
      "state": "PR",
      "zip": "00936",
      "county": "SAN JUAN",
      "latitude": 18.3950354802748,
      "longitude": -66.0746524304479,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0006111561",
      "name": "SOUTH NASSAU COMMUNITIES HOSPITAL OFF - CAMPUS EMERGENCY DEPARTMENT",
      "address": "325 EAST BAY DRIVE",
      "city": "LONG BEACH",
      "state": "NY",
      "zip": "11561",
      "county": "NASSAU",
      "latitude": 40.5945465900425,
      "longitude": -73.6522284900302,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "website": "https://www.southnassau.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mount Sinai South Nassau",
      "parentSystemId": "entity-mount-sinai-south-nassau",
      "siblingGroupId": "siblings-ny-mount-sinai-south-nassau",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006111561",
        "external-resolution-0006111561"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountsinai.org/locations/south-nassau"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Mount Sinai South Nassau and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Mount Sinai South Nassau and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0006118704",
      "name": "FIRST HOSPITAL OF WYOMING VALLEY",
      "address": "562 WYOMING AVENUE",
      "city": "KINGSTON",
      "state": "PA",
      "zip": "18704",
      "county": "LUZERNE",
      "latitude": 41.269707999861,
      "longitude": -75.8892280004075,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 149,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FIRST HOSPITAL PSY OPERATIONS HOLDING LLC",
      "parentSystemId": "entity-first-hospital-psy-operations-holding-llc",
      "siblingGroupId": "siblings-pa-first-hospital-psy-operations-holding-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRST HOSPITAL PSY OPERATIONS HOLDING LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ELIEZER FRIEDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRST HOSPITAL PSY OPERATIONS HOLDING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRST HOSPITAL PSY OPERATIONS HOLDING LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ELIEZER FRIEDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRST HOSPITAL PSY OPERATIONS HOLDING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006125411",
      "name": "WAR MEMORIAL HOSPITAL INC",
      "address": "1 HEALTHY WAY",
      "city": "BERKLEY SPRINGS",
      "state": "WV",
      "zip": "25411",
      "county": "MORGAN",
      "latitude": 39.6423826896859,
      "longitude": -78.2003783296681,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 41,
      "rating": null,
      "website": "http://www.valleyhealthlink.com/war",
      "status": "pe_contract",
      "caseId": "valley-health",
      "reviewedAt": "2026-06-22",
      "relationshipType": "contract",
      "parentSystem": "EAST MOUNTAIN HEALTH ADVANTAGE INC",
      "peFirm": "Onex Partners",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceAsOf": "2026-05-01",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "affiliatedSystem": "Valleyhealthlink",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "Valley Health contract dossier",
        "National baseline system/operator rule",
        "Valley Health featured case sources"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "PE-backed contractor",
      "operatorName": "SCP Health",
      "publicControlBadge": "PE-backed contract",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-east-mountain-health-advantage-inc",
      "siblingGroupId": "siblings-wv-east-mountain-health-advantage-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-east-mountain-health-advantage-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: EAST MOUNTAIN HEALTH ADVANTAGE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to EAST MOUNTAIN HEALTH ADVANTAGE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST MOUNTAIN HEALTH ADVANTAGE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EAST MOUNTAIN HEALTH ADVANTAGE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to EAST MOUNTAIN HEALTH ADVANTAGE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST MOUNTAIN HEALTH ADVANTAGE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006127611",
      "name": "DUKE RALEIGH HOSPITAL",
      "address": "3400 WAKE FOREST ROAD",
      "city": "RALEIGH",
      "state": "NC",
      "zip": "27611",
      "county": "WAKE",
      "latitude": 35.8285325697142,
      "longitude": -78.618125960102,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 186,
      "rating": null,
      "website": "http://www.dukehealthraleigh.org",
      "status": "corporate_chain",
      "parentSystem": "Duke Health",
      "affiliatedSystem": "Duke Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Duke Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raleigh-duke-raleigh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-duke-health",
      "siblingGroupId": "siblings-nc-duke-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006127611",
        "facility-site-0006127611"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.dukehealthraleigh.org"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0006139232",
      "name": "MERIT HEALTH WOMAN'S HOSPITAL",
      "address": "1026 NORTH FLOWOOD DRIVE",
      "city": "FLOWOOD",
      "state": "MS",
      "zip": "39232",
      "county": "RANKIN",
      "latitude": 32.3296511899225,
      "longitude": -90.1013341798906,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 109,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ms-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006157105",
      "name": "AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER",
      "address": "1325 S CLIFF AVE",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57117",
      "county": "MINNEHAHA",
      "latitude": 43.5342376200624,
      "longitude": -96.7143220803391,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 572,
      "rating": null,
      "website": "http://www.averamckennan.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006158201",
      "name": "ALTRU SPECIALITY HOSPITAL",
      "address": "4500 S WASHINGTON ST",
      "city": "GRAND FORKS",
      "state": "ND",
      "zip": "58201",
      "county": "GRAND FORKS",
      "latitude": 47.8769608099208,
      "longitude": -97.0474439903994,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nd-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006158201",
        "external-resolution-0006158201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20220505001227 (353027). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20220505001227 (353027). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006160521",
      "name": "ADVENTIST MIDWEST HEALTH",
      "address": "120 NORTH OAK STREET",
      "city": "HINSDALE",
      "state": "IL",
      "zip": "60521",
      "county": "DUPAGE",
      "latitude": 41.8059171601882,
      "longitude": -87.9212213203134,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 261,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST MIDWEST HEALTH",
      "parentSystemId": "entity-adventist-midwest-health",
      "siblingGroupId": "siblings-il-adventist-midwest-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CULLY L CHAPMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CULLY L CHAPMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006166211",
      "name": "DOCTORS HOSPITAL LLC",
      "address": "4901 COLLEGE BLVD",
      "city": "LEAWOOD",
      "state": "KS",
      "zip": "66211",
      "county": "JOHNSON",
      "latitude": 38.9271224498304,
      "longitude": -94.6436627801806,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "website": "http://www.dshospital.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leawood-doctors-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ASCENTIST PHYSICIANS GROUP LLC",
      "parentSystemId": "entity-ascentist-physicians-group-llc",
      "siblingGroupId": "siblings-ks-ascentist-physicians-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENTIST PHYSICIANS GROUP LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DOUGLAS H COWAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENTIST PHYSICIANS GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENTIST PHYSICIANS GROUP LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DOUGLAS H COWAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENTIST PHYSICIANS GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006177401",
      "name": "MEMORIAL HERMANN ORTHOPEDIC AND SPINE HOSPITAL",
      "address": "5410 WEST LOOP SOUTH",
      "city": "BELLAIRE",
      "state": "TX",
      "zip": "77401",
      "county": "HARRIS",
      "latitude": 29.7238054200457,
      "longitude": -95.4612190396591,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 64,
      "rating": null,
      "website": "http://www.memorialhermann.org/locations/orthopedic-and-spine-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Memorialhermann",
      "affiliatedSystem": "Memorialhermann",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bellaire-memorial-hermann-orthopedic-and-spine-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorialhermann",
      "siblingGroupId": "siblings-tx-memorialhermann",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006177401",
        "external-resolution-0006177401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.memorialhermann.org/locations/orthopedic-and-spine-hospital/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006180228",
      "name": "ORTHOCOLORADO HOSPITAL AT ST ANTHONY MED CAMPUS",
      "address": "11650 W 2ND PL",
      "city": "LAKEWOOD",
      "state": "CO",
      "zip": "80228",
      "county": "JEFFERSON",
      "latitude": 39.7162040403188,
      "longitude": -105.129867050265,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakewood-orthocolorado-hospital-at-st-anthony-med-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ORTHOPEDIC HOSPITAL PHYSICIAN GROUP LLC",
      "parentSystemId": "entity-orthopedic-hospital-physician-group-llc",
      "siblingGroupId": "siblings-co-orthopedic-hospital-physician-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-orthopedic-hospital-physician-group-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to ORTHOPEDIC HOSPITAL PHYSICIAN GROUP LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORTHOPEDIC HOSPITAL PHYSICIAN GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to ORTHOPEDIC HOSPITAL PHYSICIAN GROUP LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORTHOPEDIC HOSPITAL PHYSICIAN GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006200936",
      "name": "ENCOMPASS HEALTH REHABILITATION OF PR",
      "address": "3ER PISO HOSP UNIVERSITARIO DE ADULTOS - CENTRO MEDICO",
      "city": "MONACILLO URBANO",
      "state": "PR",
      "zip": "00936",
      "county": "SAN JUAN",
      "latitude": 18.3968188702679,
      "longitude": -66.073450869975,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0006201842",
      "name": "LAWRENCE GENERAL HOSPITAL",
      "address": "1 GENERAL STREET",
      "city": "LAWRENCE",
      "state": "MA",
      "zip": "01842",
      "county": "ESSEX",
      "latitude": 42.7100000001022,
      "longitude": -71.1501000000854,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 67,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrence-lawrence-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAWRENCE GENERAL HOSPITAL",
      "parentSystemId": "entity-lawrence-general-hospital",
      "siblingGroupId": "siblings-ma-lawrence-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006201842",
        "external-resolution-0006201842"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070718000045 (220010). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070718000045 (220010). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006215425",
      "name": "HIGHLANDS HOSPITAL",
      "address": "401 EAST MURPHY AVENUE",
      "city": "CONNELLSVILLE",
      "state": "PA",
      "zip": "15425",
      "county": "FAYETTE",
      "latitude": 40.02305999986,
      "longitude": -79.5864160001649,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 61,
      "rating": null,
      "website": "http://www.highlandshospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-connellsville-highlands-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN HIGHLANDS HEALTHCARE, INC.",
      "parentSystemId": "entity-penn-highlands-healthcare-inc",
      "siblingGroupId": "siblings-pa-penn-highlands-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-highlands-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006226288",
      "name": "WEBSTER COUNTY MEMORIAL HOSPITAL",
      "address": "324 MILLER MOUNTAIN DRIVE, PO BOX 312",
      "city": "WEBSTER SPRINGS",
      "state": "WV",
      "zip": "26288",
      "county": "WEBSTER",
      "latitude": 38.4822613300135,
      "longitude": -80.4106875203284,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "http://www.wcmhwv.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-webster-springs-webster-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DAVIS HEALTH SYSTEM",
      "parentSystemId": "entity-davis-health-system",
      "siblingGroupId": "siblings-wv-davis-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0006226288",
        "external-resolution-0006226288"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 511301; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20220202002062 and 2 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 511301; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20220202002062 and 2 owner/control organization row(s)."
    },
    {
      "id": "0006229303",
      "name": "SPARTANBURG HOSPITAL FOR RESTORATIVE CARE",
      "address": "389 SERPENTINE DR",
      "city": "SPARTANBURG",
      "state": "SC",
      "zip": "29303",
      "county": "SPARTANBURG",
      "latitude": 34.9661927803564,
      "longitude": -81.9360638599969,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 97,
      "rating": null,
      "website": "http://www.srhs.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spartanburg-spartanburg-hospital-for-restorative-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "APELLA HEALTH MANAGEMENT INC",
      "parentSystemId": "entity-apella-health-management-inc",
      "siblingGroupId": "siblings-sc-apella-health-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: APELLA HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRUCE A DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APELLA HEALTH MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APELLA HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRUCE A DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APELLA HEALTH MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006232771",
      "name": "CENTRAL FLORIDA REGIONAL HOSPITAL",
      "address": "1401 W SEMINOLE BLVD",
      "city": "SANFORD",
      "state": "FL",
      "zip": "32771",
      "county": "SEMINOLE",
      "latitude": 28.8145361696278,
      "longitude": -81.2836320703575,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 221,
      "rating": null,
      "website": "http://www.centralfloridaregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006249519",
      "name": "METRO HEALTH HOSPITAL",
      "address": "5900 BYRON CENTER AVENUE",
      "city": "WYOMING",
      "state": "MI",
      "zip": "49519",
      "county": "KENT",
      "latitude": 42.8578175900494,
      "longitude": -85.7177027904315,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 208,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wyoming-metro-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "University of Michigan Health",
      "parentSystemId": "entity-university-of-michigan-health",
      "siblingGroupId": "siblings-mi-university-of-michigan-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006249519",
        "external-resolution-0006249519"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uofmhealth.org/our-locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to University of Michigan Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to University of Michigan Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0006259756",
      "name": "MONTANA STATE HOSPITAL",
      "address": "300 GARNET WAY",
      "city": "WARM SPRINGS",
      "state": "MT",
      "zip": "59756",
      "county": "DEER LODGE",
      "latitude": 46.1808180297802,
      "longitude": -112.790867290409,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 174,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warm-springs-montana-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MONTANA STATE HOSPITAL",
      "parentSystemId": "entity-montana-state-hospital",
      "siblingGroupId": "siblings-mt-montana-state-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-06-30",
      "ownershipSourceIds": [
        "hifld-location-0006259756",
        "external-resolution-0006259756"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 274086; Type of Control 10 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 274086; Type of Control 10 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0006290027",
      "name": "CHILDREN'S HOSPITAL OF LOS ANGELES",
      "address": "4650 W SUNSET BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90027",
      "county": "LOS ANGELES",
      "latitude": 34.0976301400135,
      "longitude": -118.291037589759,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 413,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-children-s-hospital-of-los-angeles/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDRENS HOSPITAL LOS ANGELES",
      "parentSystemId": "entity-childrens-hospital-los-angeles",
      "siblingGroupId": "siblings-ca-childrens-hospital-los-angeles",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-951690977"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/951690977"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Childrens Hospital Los Angeles. Resolved parent/control boundary: CHILDRENS HOSPITAL LOS ANGELES. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Childrens Hospital Los Angeles. Resolved parent/control boundary: CHILDRENS HOSPITAL LOS ANGELES. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006297123",
      "name": "TUALITY COMMUNITY HOSPITAL",
      "address": "335 SE 8TH AVENUE",
      "city": "HILLSBORO",
      "state": "OR",
      "zip": "97123",
      "county": "WASHINGTON",
      "latitude": 45.5194891798226,
      "longitude": -122.978185649653,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 167,
      "rating": null,
      "website": "https://tuality.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hillsboro-tuality-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "OREGON HEALTH & SCIENCE UNIVERSITY",
      "parentSystemId": "entity-oregon-health-and-science-university",
      "siblingGroupId": "siblings-or-oregon-health-and-science-university",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-oregon-health-science-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohsu.edu/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OREGON HEALTH & SCIENCE UNIVERSITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Oregon Health & Science University; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OREGON HEALTH & SCIENCE UNIVERSITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OREGON HEALTH & SCIENCE UNIVERSITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Oregon Health & Science University; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OREGON HEALTH & SCIENCE UNIVERSITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006298383",
      "name": "ST. MICHAEL MEDICAL CENTER",
      "address": "1800 NW MYHRE RD",
      "city": "SILVERDALE",
      "state": "WA",
      "zip": "98383",
      "county": "KITSAP",
      "latitude": 47.6567295198263,
      "longitude": -122.675090219916,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 68,
      "rating": null,
      "website": "http://www.harrisonmedical.org/home/location/2",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-silverdale-st.-michael-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-wa-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006300936",
      "name": "HOSP PSIQUIATRICO CORRECCIONAL",
      "address": "C/TENIENTE CESAR GONZALEZ 1106",
      "city": "MONACILLO URBANO",
      "state": "PR",
      "zip": "00936",
      "county": "SAN JUAN",
      "latitude": 18.3919329503739,
      "longitude": -66.0724496400987,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0006319111",
      "name": "KINDRED HOSPITAL - PHILADELPHIA",
      "address": "6129 PALMETTO STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19111",
      "county": "PHILADELPHIA",
      "latitude": 40.0460634803377,
      "longitude": -75.0970203001066,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 109,
      "rating": null,
      "website": "https://www.kindredhealthcare.com",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-kindred-hospital-philadelphia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-pa-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-pa-392027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006321550",
      "name": "GARRETT COUNTY MEMORIAL HOSPITAL",
      "address": "251 NORTH FOURTH STREET",
      "city": "OAKLAND",
      "state": "MD",
      "zip": "21550",
      "county": "GARRETT",
      "latitude": 39.4134407400734,
      "longitude": -79.4009785196941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 26,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-md-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006333950",
      "name": "BAYFRONT HEALTH PUNTA GORDA",
      "address": "809 E MARION AVE",
      "city": "PUNTA GORDA",
      "state": "FL",
      "zip": "33950",
      "county": "CHARLOTTE",
      "latitude": 26.9409464202152,
      "longitude": -82.0402773999379,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 208,
      "rating": null,
      "website": "http://www.bayfrontcharlotte.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BAYFRONT HEALTH PUNTA GORDA",
      "parentSystemId": "entity-bayfront-health-punta-gorda",
      "siblingGroupId": "siblings-fl-bayfront-health-punta-gorda",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0006333950",
        "external-resolution-0006333950"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 100047; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 100047; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0006339705",
      "name": "BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE",
      "address": "2520 5TH STREET N",
      "city": "COLUMBUS",
      "state": "MS",
      "zip": "39705",
      "county": "LOWNDES",
      "latitude": 33.5252849097248,
      "longitude": -88.4278237903582,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 315,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-baptist-memorial-hospital---golden-triangle/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006343608",
      "name": "MERCY HEALTH ST. VINCENT MEDICAL CENTER",
      "address": "2213 CHERRY STREET",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43608",
      "county": "LUCAS",
      "latitude": 41.6686699498842,
      "longitude": -83.5427897597062,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 549,
      "rating": null,
      "website": "https://www.mercy.com/locations/hospitals/toledo/mercy-health-st-vincent-medical-center?utm_source=local-listings&utm_medium=organic&utm_content=website_link",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 4; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 4; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006356071",
      "name": "MCHS NEW PRAGUE",
      "address": "301 2ND STREET NE",
      "city": "NEW PRAGUE",
      "state": "MN",
      "zip": "56071",
      "county": "SCOTT",
      "latitude": 44.5462569500522,
      "longitude": -93.5743291697614,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-prague-mchs-new-prague/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mayo Clinic",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006365101",
      "name": "CAPITAL REGION MEDICAL CENTER",
      "address": "1125 MADISON, PO BOX 1128",
      "city": "JEFFERSON CITY",
      "state": "MO",
      "zip": "65101",
      "county": "COLE",
      "latitude": 38.5657923600861,
      "longitude": -92.1817925196623,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 114,
      "rating": null,
      "website": "http://www.crmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jefferson-city-capital-region-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CURATORS OF THE UNIVERSITY OF MISSOURI",
      "parentSystemId": "entity-curators-of-the-university-of-missouri",
      "siblingGroupId": "siblings-mo-curators-of-the-university-of-missouri",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006365101",
        "external-resolution-0006365101"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20240221002153 (26014100). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20240221002153 (26014100). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006371801",
      "name": "WADLEY REGIONAL MEDICAL CENTER AT HOPE",
      "address": "2001 SOUTH MAIN",
      "city": "HOPE",
      "state": "AR",
      "zip": "71801",
      "county": "HEMPSTEAD",
      "latitude": 33.648179080069,
      "longitude": -93.5844161302029,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hope-wadley-regional-medical-center-at-hope/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHWEST ARKANSAS REGIONAL MEDICAL CENTER LLC",
      "parentSystemId": "entity-southwest-arkansas-regional-medical-center-llc",
      "siblingGroupId": "siblings-ar-southwest-arkansas-regional-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST ARKANSAS REGIONAL MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST ARKANSAS REGIONAL MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006373702",
      "name": "INTEGRIS BASS BAPTIST HEALTH CENTER",
      "address": "600 SOUTH MONROE",
      "city": "ENID",
      "state": "OK",
      "zip": "73702",
      "county": "GARFIELD",
      "latitude": 36.3901652899948,
      "longitude": -97.8874255797299,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 183,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-enid-integris-bass-baptist-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTHCARE OF OKLAHOMA LLC",
      "parentSystemId": "entity-baptist-healthcare-of-oklahoma-llc",
      "siblingGroupId": "siblings-ok-baptist-healthcare-of-oklahoma-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTHCARE OF OKLAHOMA LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEATON FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE OF OKLAHOMA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTHCARE OF OKLAHOMA LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEATON FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE OF OKLAHOMA LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006385008",
      "name": "O.A.S.I.S. HOSPITAL",
      "address": "750 NORTH 40TH STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85008",
      "county": "MARICOPA",
      "latitude": 33.4566498297214,
      "longitude": -111.996614589737,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "http://www.oasishospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DIGNITY USP PHOENIX SURGERY CENTERS II LLC",
      "parentSystemId": "entity-dignity-usp-phoenix-surgery-centers-ii-llc",
      "siblingGroupId": "siblings-az-dignity-usp-phoenix-surgery-centers-ii-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: DIGNITY USP PHOENIX SURGERY CENTERS II LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DIGNITY USP PHOENIX SURGERY CENTERS II LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DIGNITY USP PHOENIX SURGERY CENTERS II LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DIGNITY USP PHOENIX SURGERY CENTERS II LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DIGNITY USP PHOENIX SURGERY CENTERS II LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DIGNITY USP PHOENIX SURGERY CENTERS II LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006415071",
      "name": "CURAHEALTH PITTSBURGH",
      "address": "7777 STEUBENSVILLE PIKE",
      "city": "OAKDALE",
      "state": "PA",
      "zip": "15071",
      "county": "ALLEGHENY",
      "latitude": 40.4385490001947,
      "longitude": -80.208799999645,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://curahealth.com",
      "status": "corporate_chain",
      "parentSystem": "Curahealth",
      "affiliatedSystem": "Curahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Curahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakdale-curahealth-pittsburgh/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-curahealth",
      "siblingGroupId": "siblings-pa-curahealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006415071",
        "external-resolution-0006415071"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://curahealth.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006424273",
      "name": "WELLMONT MT. VIEW REGIONAL MEDICAL CENTER",
      "address": "310 THIRD STREET NE",
      "city": "NORTON",
      "state": "VA",
      "zip": "24273",
      "county": "NORTON",
      "latitude": 36.9444600396885,
      "longitude": -82.625464250289,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 168,
      "rating": null,
      "website": "www.balladhealth.org",
      "status": "corporate_chain",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006424273",
        "external-resolution-0006424273"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.balladhealth.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0006447348",
      "name": "INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL",
      "address": "410 PILGRIM BLVD",
      "city": "HARTFORD CITY",
      "state": "IN",
      "zip": "47348",
      "county": "BLACKFORD",
      "latitude": 40.467946039921,
      "longitude": -85.3727225203428,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "http://www.iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "IU Health",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-iu-health",
      "siblingGroupId": "siblings-in-iu-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006447348",
        "external-resolution-0006447348"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://iuhealth.org/find-locations"
      ],
      "ownershipProofNotes": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006467855",
      "name": "STANTON COUNTY HOSPITAL",
      "address": "404 N CHESTNUT",
      "city": "JOHNSON CITY",
      "state": "KS",
      "zip": "67855",
      "county": "STANTON",
      "latitude": 37.574075569709,
      "longitude": -101.749896629822,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 18,
      "rating": null,
      "website": "http://www.stantoncountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "RURAL HEALTH DEVELOPMENT INC.",
      "parentSystemId": "entity-rural-health-development-inc",
      "siblingGroupId": "siblings-ks-rural-health-development-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-rural-health-development-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: RURAL HEALTH DEVELOPMENT INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to RURAL HEALTH DEVELOPMENT INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RURAL HEALTH DEVELOPMENT INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RURAL HEALTH DEVELOPMENT INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to RURAL HEALTH DEVELOPMENT INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RURAL HEALTH DEVELOPMENT INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006468729",
      "name": "SACRED HEART HEALTH SERVICES",
      "address": "1503 MAIN ST, PO BOX 186",
      "city": "CREIGHTON",
      "state": "NE",
      "zip": "68729",
      "county": "KNOX",
      "latitude": 42.4659881997231,
      "longitude": -97.9172553900923,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006468729",
        "external-resolution-0006468729"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ne.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0006497471",
      "name": "ROSEBURG VA MEDICAL CENTER",
      "address": "913 NORTHWEST GARDEN VALLEY BOULEVARD",
      "city": "ROSEBURG",
      "state": "OR",
      "zip": "97471",
      "county": "DOUGLAS",
      "latitude": 43.2241705599963,
      "longitude": -123.367182659892,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.roseburg.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roseburg-roseburg-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-or-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OR resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OR resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006500738",
      "name": "HIMA - SAN PABLO FAJARDO",
      "address": "GENERAL VALERO AVE, SUITE 404",
      "city": "FAJARDO",
      "state": "PR",
      "zip": "00738",
      "county": "FAJARDO",
      "latitude": 18.3367171101798,
      "longitude": -65.6544905803829,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 180,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0006524273",
      "name": "NORTON COMMUNITY HOSPITAL",
      "address": "100 FIFTEENTH STREET NW",
      "city": "NORTON",
      "state": "VA",
      "zip": "24273",
      "county": "NORTON",
      "latitude": 36.9329567900477,
      "longitude": -82.641975139684,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 129,
      "rating": null,
      "website": "www.balladhealth.org",
      "status": "corporate_chain",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norton-norton-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006524273",
        "external-resolution-0006524273"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.balladhealth.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0006538242",
      "name": "HENRY COUNTY MEDICAL CENTER",
      "address": "301 TYSON AVENUE",
      "city": "PARIS",
      "state": "TN",
      "zip": "38242",
      "county": "HENRY",
      "latitude": 36.2965426898455,
      "longitude": -88.3103045903801,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 142,
      "rating": null,
      "website": "http://www.hcmc-tn.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paris-henry-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WEST TENNESSEE HEALTHCARE HENRY COUNTY",
      "parentSystemId": "entity-west-tennessee-healthcare-henry-county",
      "siblingGroupId": "siblings-tn-west-tennessee-healthcare-henry-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST TENNESSEE HEALTHCARE HENRY COUNTY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST TENNESSEE HEALTHCARE HENRY COUNTY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST TENNESSEE HEALTHCARE HENRY COUNTY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST TENNESSEE HEALTHCARE HENRY COUNTY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006547403",
      "name": "IU HEALTH BLOOMINGTON HOSPITAL",
      "address": "601 W SECOND ST",
      "city": "BLOOMINGTON",
      "state": "IN",
      "zip": "47403",
      "county": "MONROE",
      "latitude": 39.1598929501566,
      "longitude": -86.5398936003946,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 297,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DENZIL ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DENZIL ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006548091",
      "name": "INSIGHT SURGICAL HOSPITAL",
      "address": "21230 DEQUINDRE ROAD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48091",
      "county": "MACOMB",
      "latitude": 42.4516564698379,
      "longitude": -83.0816037397724,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "IINN HOLDINGS INC",
      "parentSystemId": "entity-iinn-holdings-inc",
      "siblingGroupId": "siblings-mi-iinn-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: IINN HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS lists NADIR IJAZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IINN HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IINN HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS lists NADIR IJAZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IINN HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006556164",
      "name": "PIPESTONE COUNTY MEDICAL CTR",
      "address": "916 4TH AVENUE SW",
      "city": "PIPESTONE",
      "state": "MN",
      "zip": "56164",
      "county": "PIPESTONE",
      "latitude": 43.9909794,
      "longitude": -96.32323882987,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 44,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF PIPESTONE",
      "parentSystemId": "entity-county-of-pipestone",
      "siblingGroupId": "siblings-mn-county-of-pipestone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF PIPESTONE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF PIPESTONE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF PIPESTONE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF PIPESTONE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006568978",
      "name": "BRODSTONE MEMORIAL HOSPITAL",
      "address": "520 EAST 10TH ST, PO BOX 187",
      "city": "SUPERIOR",
      "state": "NE",
      "zip": "68978",
      "county": "NUCKOLLS",
      "latitude": 40.0264433798966,
      "longitude": -98.0659491200227,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-superior-brodstone-memorial-hosp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRODSTONE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-brodstone-memorial-hospital",
      "siblingGroupId": "siblings-ne-brodstone-memorial-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2024-04-30",
      "ownershipSourceIds": [
        "hifld-location-0006568978",
        "external-resolution-0006568978"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 281315; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 281315; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0006570535",
      "name": "EUNICE EXTENDED CARE HOSPITAL",
      "address": "3879 HIGHWAY 190",
      "city": "EUNICE",
      "state": "LA",
      "zip": "70535",
      "county": "ST. LANDRY",
      "latitude": 30.496155950323,
      "longitude": -92.3753338298719,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 18,
      "rating": null,
      "website": "http://lhcgroup.com/locations/eunice-extended-care-hospital",
      "status": "corporate_chain",
      "parentSystem": "UnitedHealth Group / Optum (LHC Group)",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eunice-eunice-extended-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-unitedhealth-group-optum-lhc-group",
      "siblingGroupId": "siblings-la-unitedhealth-group-optum-lhc-group",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006570535",
        "external-resolution-0006570535"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitedhealthgroup.com/investors/sec-filings.html"
      ],
      "ownershipProofNotes": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006575551",
      "name": "CHRISTUS ST MICHAEL HOSPITAL - ATLANTA",
      "address": "1007 SOUTH WILLIAM STREET",
      "city": "ATLANTA",
      "state": "TX",
      "zip": "75551",
      "county": "CASS",
      "latitude": 33.1054326796542,
      "longitude": -94.1631202101526,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 43,
      "rating": null,
      "website": "http://www.christusstmichael.org/atlanta",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-christus-st-michael-hospital---atlanta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006575551",
        "external-resolution-0006575551"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006595008",
      "name": "CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPITAL",
      "address": "3777 S BASCOM AVE",
      "city": "CAMPBELL",
      "state": "CA",
      "zip": "95008",
      "county": "SANTA CLARA",
      "latitude": 37.2597573902918,
      "longitude": -121.94755404972,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006595008",
        "external-resolution-0006595008"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0006597220",
      "name": "VIBRA SPECIALTY HOSPITAL OF PORTLAND",
      "address": "10300 NE HANCOCK STREET",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97220",
      "county": "MULTNOMAH",
      "latitude": 45.535098040296,
      "longitude": -122.556865640319,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 73,
      "rating": null,
      "website": "https://vshportland.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-vibra-specialty-hospital-of-portland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-or-vibra-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIBRA HEALTHCARE, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES A DIEBOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIBRA HEALTHCARE, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES A DIEBOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006599350",
      "name": "PROSSER MEMORIAL HEALTH",
      "address": "723 MEMORIAL ST",
      "city": "PROSSER",
      "state": "WA",
      "zip": "99350",
      "county": "BENTON",
      "latitude": 46.2080919598881,
      "longitude": -119.763911480321,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 25,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=63",
      "status": "corporate_chain",
      "parentSystem": "PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-prosser-public-hospital-district-of-benton-county",
      "siblingGroupId": "siblings-wa-prosser-public-hospital-district-of-benton-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-prosser-public-hospital-district-of-benton-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006600000",
      "name": "BAPTIST HEALTH MEDICAL CENTER - HOT SPRING COUNTY",
      "address": "1001 SCHNEIDER DRIVE",
      "city": "MALVERN",
      "state": "AR",
      "zip": "72104",
      "county": "HOT SPRING",
      "latitude": 34.3587740396644,
      "longitude": -92.7858884000942,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "http://www.hscmc.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-malvern-baptist-health-medical-center---hot-spring-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTH",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006621613",
      "name": "UMD SHORE MEDICAL CTR AT DORCHESTER",
      "address": "300 BRYN STREET",
      "city": "CAMBRIDGE",
      "state": "MD",
      "zip": "21613",
      "county": "DORCHESTER",
      "latitude": 38.5717055797708,
      "longitude": -76.0674582003358,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 34,
      "rating": null,
      "website": "https://www.umms.org/shore/locations/medical-center-dorchester",
      "status": "corporate_chain",
      "parentSystem": "Umms",
      "affiliatedSystem": "Umms",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umms",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-umms",
      "siblingGroupId": "siblings-md-umms",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006621613",
        "external-resolution-0006621613"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.umms.org/shore/locations/medical-center-dorchester"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006634452",
      "name": "CITRUS MEMORIAL HOSPITAL",
      "address": "502 HIGHLAND BLVD",
      "city": "INVERNESS",
      "state": "FL",
      "zip": "34452",
      "county": "CITRUS",
      "latitude": 28.8340343899229,
      "longitude": -82.3357957100341,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 204,
      "rating": null,
      "website": "http://www.citrusmh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006634452",
        "external-resolution-0006634452"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20141124000114 (100023). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20141124000114 (100023). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006636106",
      "name": "JACKSON HOSPITAL AND CLINIC, INC",
      "address": "1725 PINE STREET",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36106",
      "county": "MONTGOMERY",
      "latitude": 32.3669529997224,
      "longitude": -86.2853855398734,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 344,
      "rating": null,
      "website": "http://www.jackson.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montgomery-jackson-hospital-and-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JACKSON HOSPITAL AND CLINIC, INC",
      "parentSystemId": "entity-jackson-hospital-and-clinic-inc",
      "siblingGroupId": "siblings-al-jackson-hospital-and-clinic-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-jackson-hospital-and-clinic-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to JACKSON HOSPITAL AND CLINIC, INC; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON HOSPITAL AND CLINIC, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to JACKSON HOSPITAL AND CLINIC, INC; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON HOSPITAL AND CLINIC, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006646350",
      "name": "LA PORTE HOSPITAL",
      "address": "1007 LINCOLNWAY",
      "city": "LA PORTE",
      "state": "IN",
      "zip": "46350",
      "county": "LAPORTE",
      "latitude": 41.610652170128,
      "longitude": -86.7252902704021,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 227,
      "rating": null,
      "website": "http://www.iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "campusFamilyId": "campus-in-150006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006648043",
      "name": "HENRY FORD MACOMB HOSPITAL - MT CLEMENS CAMPUS",
      "address": "215 NORTH AVE",
      "city": "MOUNT CLEMENS",
      "state": "MI",
      "zip": "48043",
      "county": "MACOMB",
      "latitude": 42.6068644603005,
      "longitude": -82.8809067895727,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 5,
      "rating": null,
      "website": "https://www.henryford.com/locations/mt-clemens-campus",
      "status": "corporate_chain",
      "parentSystem": "Henry Ford Health",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-clemens-henry-ford-macomb-hospital-mt-clemens-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health",
      "siblingGroupId": "siblings-mi-henry-ford-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006648043",
        "external-resolution-0006648043"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.henryford.com/locations"
      ],
      "ownershipProofNotes": "Henry Ford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Henry Ford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006666441",
      "name": "GEARY COMMUNITY HOSPITAL",
      "address": "1102 ST MARYS RD, PO BOX 490",
      "city": "JUNCTION CITY",
      "state": "KS",
      "zip": "66441",
      "county": "GEARY",
      "latitude": 39.0139057797754,
      "longitude": -96.8508922001955,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 92,
      "rating": null,
      "website": "www.gchks.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-junction-city-geary-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STORMONT VAIL HEALTH FLINT HILLS LLC",
      "parentSystemId": "entity-stormont-vail-health-flint-hills-llc",
      "siblingGroupId": "siblings-ks-stormont-vail-health-flint-hills-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0006666441",
        "external-resolution-0006666441"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 170074; Type of Control 9 supports the ownership class. The CCN bridged to current CMS enrollment O20221222002186 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 170074; Type of Control 9 supports the ownership class. The CCN bridged to current CMS enrollment O20221222002186 and 1 owner/control organization row(s)."
    },
    {
      "id": "0006677401",
      "name": "FIRST SURGICAL HOSPITAL",
      "address": "4801 BISSONNET STREET",
      "city": "BELLAIRE",
      "state": "TX",
      "zip": "77401",
      "county": "HARRIS",
      "latitude": 29.7099774003344,
      "longitude": -95.4626713001648,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 19,
      "rating": null,
      "website": "https://www.firstsurgical.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FIRST SURGICAL HOSPITAL",
      "parentSystemId": "entity-first-surgical-hospital",
      "siblingGroupId": "siblings-tx-first-surgical-hospital",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006677401",
        "external-resolution-0006677401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.firstsurgical.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006700765",
      "name": "CENTRO DE SALUD SUSANA CENTENO - VIEQUES",
      "address": "PR-997 KM H .1 C/ANTONIO G MELLADO FINAL",
      "city": "VIEQUES",
      "state": "PR",
      "zip": "00765",
      "county": "VIEQUES",
      "latitude": 18.1421285197814,
      "longitude": -65.439634610152,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0006702143",
      "name": "CAMBRIDGE HEALTH ALLIANCE - SOMERVILLE CAMPUS",
      "address": "230 HIGHLAND AVENUE",
      "city": "SOMERVILLE",
      "state": "MA",
      "zip": "02143",
      "county": "MIDDLESEX",
      "latitude": 42.3899999998264,
      "longitude": -71.1093999998634,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 124,
      "rating": null,
      "website": "http://www.challiance.org/locations/somervillehospitalcampus.aspx",
      "status": "corporate_chain",
      "parentSystem": "Challiance",
      "affiliatedSystem": "Challiance",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Challiance",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-somerville-cambridge-health-alliance---somerville-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-challiance",
      "siblingGroupId": "siblings-ma-challiance",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006702143",
        "external-resolution-0006702143"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.challiance.org/locations/somervillehospitalcampus.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006728379",
      "name": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - RICHMOND",
      "address": "925 LONG DR",
      "city": "ROCKINGHAM",
      "state": "NC",
      "zip": "28379",
      "county": "RICHMOND",
      "latitude": 34.9285934998278,
      "longitude": -79.7499101795787,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "website": "https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-moore-regional-hospital-richmond",
      "status": "corporate_chain",
      "parentSystem": "FirstHealth of the Carolinas",
      "affiliatedSystem": "FirstHealth of the Carolinas",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "FirstHealth of the Carolinas",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-firsthealth-of-the-carolinas",
      "siblingGroupId": "siblings-nc-firsthealth-of-the-carolinas",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006728379",
        "facility-site-0006728379"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-moore-regional-hospital-richmond"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0006746151",
      "name": "INDIANA UNIVERSITY HEALTH MORGAN HOSPITAL INC",
      "address": "2209 JOHN R WOODEN DR",
      "city": "MARTINSVILLE",
      "state": "IN",
      "zip": "46151",
      "county": "MORGAN",
      "latitude": 39.4258957400827,
      "longitude": -86.4048390004062,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 92,
      "rating": null,
      "website": "http://www.iuhealth.org/morgan/",
      "status": "corporate_chain",
      "parentSystem": "IU Health",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-martinsville-indiana-university-health-morgan-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-iu-health",
      "siblingGroupId": "siblings-in-iu-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006746151",
        "external-resolution-0006746151"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://iuhealth.org/find-locations"
      ],
      "ownershipProofNotes": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006753132",
      "name": "ASCENSION SE WISCONSIN HOSPITAL - FRANKLIN CAMPUS",
      "address": "10101 S 27TH ST",
      "city": "FRANKLIN",
      "state": "WI",
      "zip": "53132",
      "county": "MILWAUKEE",
      "latitude": 42.8600125803195,
      "longitude": -87.9540681000997,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 52,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-ascension-se-wisconsin-hospital---franklin-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-wi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006753132",
        "external-resolution-0006753132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006757069",
      "name": "SANFORD VERMILLION HOSPITAL",
      "address": "20 S PLUM STREET",
      "city": "VERMILLION",
      "state": "SD",
      "zip": "57069",
      "county": "CLAY",
      "latitude": 42.7786582500604,
      "longitude": -96.9192985102293,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006766112",
      "name": "SELECT SPECIALTY HOSPITAL - KANSAS CITY",
      "address": "1731 NORTH 90TH STREET",
      "city": "KANSAS CITY",
      "state": "KS",
      "zip": "66112",
      "county": "WYANDOTTE",
      "latitude": 39.1243138901688,
      "longitude": -94.7868556396377,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "www.selectmedical.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ks-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENT HANSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENT HANSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006770503",
      "name": "LAFAYETTE GENERAL SURGICAL HOSPITAL",
      "address": "1000 W PINHOOK RD, STE 100",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70503",
      "county": "LAFAYETTE",
      "latitude": 30.2042360097348,
      "longitude": -92.0145877600343,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "website": "http://www.lgsh.us",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-lafayette-general-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAFAYETTE GENERAL SURGICAL HOSPITAL",
      "parentSystemId": "entity-lafayette-general-surgical-hospital",
      "siblingGroupId": "siblings-la-lafayette-general-surgical-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0006770503",
        "external-resolution-0006770503"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 190268; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 190268; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0006780538",
      "name": "MCKEE MEDICAL CENTER",
      "address": "2000 BOISE AVE",
      "city": "LOVELAND",
      "state": "CO",
      "zip": "80538",
      "county": "LARIMER",
      "latitude": 40.4129916800379,
      "longitude": -105.051478359858,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 118,
      "rating": null,
      "website": "http://www.mckeeloveland.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-loveland-mckee-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Banner Health",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-co-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Banner Health official locations directory. Resolved parent/control boundary: Banner Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Banner Health official locations directory. Resolved parent/control boundary: Banner Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006800910",
      "name": "DOCTOR'S CENTER DE SAN JUAN",
      "address": "PDA 20 C/ SAN RAFAEL, SUITE 1395",
      "city": "FERNANDEZ JUNCOS",
      "state": "PR",
      "zip": "00909",
      "county": "SAN JUAN",
      "latitude": 18.4460195199515,
      "longitude": -66.0737156502016,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 125,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0006802132",
      "name": "WEST ROXBURY VA MEDICAL CENTER",
      "address": "1400 VFW PARKWAY",
      "city": "WEST ROXBURY",
      "state": "MA",
      "zip": "02132",
      "county": "SUFFOLK",
      "latitude": 42.2746273000142,
      "longitude": -71.1716980201883,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 448,
      "rating": null,
      "website": "https://www.boston.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ma-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006802132",
        "external-resolution-0006802132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006802190",
      "name": "SOUTH SHORE HOSPITAL",
      "address": "55 FOGG ROAD",
      "city": "WEYMOUTH",
      "state": "MA",
      "zip": "02190",
      "county": "NORFOLK",
      "latitude": 42.1759999997986,
      "longitude": -70.9541000000448,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 354,
      "rating": null,
      "website": "http://www.southshorehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTH SHORE HOSPITAL INC.",
      "parentSystemId": "entity-south-shore-hospital-inc",
      "siblingGroupId": "siblings-ma-south-shore-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220100"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.southshorehealth.org/locations/south-shore-hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: South Shore Health official hospital page. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH SHORE HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: South Shore Health official hospital page. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH SHORE HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006811530",
      "name": "MERCY HOSPITAL",
      "address": "1000 NORTH VILLAGE AVENUE",
      "city": "ROCKVILLE CENTRE",
      "state": "NY",
      "zip": "11570",
      "county": "NASSAU",
      "latitude": 40.6885130300509,
      "longitude": -73.631603809809,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 375,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC",
      "parentSystemId": "entity-catholic-health-system-of-long-island-inc",
      "siblingGroupId": "siblings-ny-catholic-health-system-of-long-island-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006819102",
      "name": "HAHNEMANN UNIVERSITY HOSPITAL",
      "address": "230 NORTH BROAD STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19102",
      "county": "PHILADELPHIA",
      "latitude": 39.957536989854,
      "longitude": -75.1630301996097,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 496,
      "rating": null,
      "website": "http://www.hahnemannhospital.com",
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "ACGME Hahnemann University Hospital Closure / CMS POS termination",
      "evidenceSourceUrl": "https://www.acgme.org/newsroom/2019/7/hahnemann-university-hospital-closure/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "Hahnemann University Hospital announced closure on June 26, 2019 and ceased hospital operations around September 6, 2019 after its owner entered bankruptcy. The closure displaced more than 550 residents and fellows and more than 2,000 physicians, nurses, and staff. Former PE sponsor: Paladin Healthcare Capital; operating platform: American Academic Health System. This sequence does not by itself prove that private equity caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "City of Philadelphia historic district record",
        "https://www.phila.gov/media/20241220145454/NR-Hahnemann-Hospital-Complex-HD.pdf",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Kim et al. PE hospital deal-and-exit dataset",
        "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
        "Tenet / Paladin definitive agreement and AAHS acquisition release",
        "https://www.sec.gov/Archives/edgar/data/70318/000119312517275143/d454188dex991.htm",
        "ACGME Hahnemann University Hospital Closure / CMS POS termination",
        "https://www.acgme.org/newsroom/2019/7/hahnemann-university-hospital-closure/",
        "https://www.sciencedirect.com/science/article/abs/pii/S1546144019309731",
        "https://www.acepnow.com/article/the-private-equity-wave-in-health-care/",
        "https://www.newyorker.com/magazine/2021/06/07/the-death-of-hahnemann-hospital"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "closureDate": "2019-09-06",
      "closureYear": 2019,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Hahnemann University Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: American Academic Health System / Philadelphia Academic Health System. Historical PE sponsor/context: Paladin Healthcare Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSource": "ACGME Hahnemann University Hospital Closure / CMS POS termination",
      "closureSourceUrl": "https://www.acgme.org/newsroom/2019/7/hahnemann-university-hospital-closure/",
      "parentSystem": "American Academic Health System / Philadelphia Academic Health System",
      "affiliatedSystem": "",
      "affiliatedSystemEvidence": "",
      "peFirm": "Paladin Healthcare Capital",
      "formerOperator": "American Academic Health System / Philadelphia Academic Health System",
      "hospitalId": "0006819102",
      "acquiredDate": "2018",
      "historicalPeOwnership": true,
      "acquisitionSource": "Tenet / Paladin definitive agreement and AAHS acquisition release",
      "acquisitionSourceUrl": "https://www.sec.gov/Archives/edgar/data/70318/000119312517275143/d454188dex991.htm",
      "acquisitionEvidenceNote": "Tenet announced a definitive agreement to sell Hahnemann, St. Christopher's, related operations, physician practices, and hospital-affiliated entities to American Academic Health System, a newly formed Paladin affiliate. AAHS completed the acquisition on January 11, 2018.",
      "closureEvidenceNote": "Diminished staffing; delayed maintenance; department closures; botched ER renovation without permits; 175 staff laid off Apr 2019; 4 CEOs in ~18 months",
      "acquisitionSourceId": "source-tenet-paladin-hahnemann-sale",
      "closureSourceId": "source-acgme-hahnemann-closure",
      "ccn": "390290",
      "npi": "100778748",
      "expandedClosureResearch": {
        "sourceRow": 17,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2019-09-06",
        "careLevel": "Tertiary (academic)",
        "hospitalType": "Academic medical center; major safety-net; ~600 residents/fellows",
        "traumaLevel": "Level I trauma (adult) until closure (needs verification)",
        "licensedBeds": "496",
        "patientsServedNote": "Major center-city safety-net serving low-income Philadelphia; ~600 trainees displaced",
        "ruralUrban": "Urban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Paladin Healthcare Capital",
        "parentCompany": "American Academic Health System / Philadelphia Academic Health System",
        "acquiredYear": "2018",
        "acquisitionDealNote": "Bought with St. Christopher's from Tenet for $170M, of which ~$120M was new debt at ~10% interest; real estate immediately spun into separate Freedman-controlled entity",
        "yearsPeToClosure": "1.5",
        "extractionMoneyTrail": "$170M purchase largely debt-funded; real estate separated from hospital at purchase so the land could be monetized independent of the hospital's survival",
        "degradationRecord": "Diminished staffing; delayed maintenance; department closures; botched ER renovation without permits; 175 staff laid off Apr 2019; 4 CEOs in ~18 months",
        "communityImpact": "171-year-old safety-net hospital gone in 1.5 years; ~600 residents scrambled for programs (worst possible July timing); thousands of jobs lost; national scandal",
        "buildingFate": "Land held by Freedman-linked entity for redevelopment; hospital never reopened",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.sciencedirect.com/science/article/abs/pii/S1546144019309731",
          "https://www.acepnow.com/article/the-private-equity-wave-in-health-care/",
          "https://www.newyorker.com/magazine/2021/06/07/the-death-of-hahnemann-hospital"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-academic-health-system-philadelphia-academic-health-system",
      "siblingGroupId": "siblings-pa-american-academic-health-system-philadelphia-academic-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006819102",
        "external-resolution-0006819102"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.hahnemannhospital.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006829405",
      "name": "PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH",
      "address": "2777 SPEISSEGGER DR",
      "city": "NORTH CHARLESTON",
      "state": "SC",
      "zip": "29405",
      "county": "CHARLESTON",
      "latitude": 32.8396479602956,
      "longitude": -79.9750523502929,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 108,
      "rating": null,
      "website": "http://www.palmettobehavioralhealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-charleston-palmetto-lowcountry-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-sc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006833407",
      "name": "JFK MEDICAL CENTER NORTH CAMPUS",
      "address": "2201 45TH ST",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33407",
      "county": "PALM BEACH",
      "latitude": 26.7613235902628,
      "longitude": -80.0878726902936,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 280,
      "rating": null,
      "website": "https://jfknorth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006833407",
        "external-resolution-0006833407"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20110912000279 (10S080). 11 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20110912000279 (10S080). 11 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006840217",
      "name": "NORTON AUDUBON HOSPITAL",
      "address": "1 AUDUBON PLAZA DRIVE",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40217",
      "county": "JEFFERSON",
      "latitude": 38.2151273999793,
      "longitude": -85.7228136501376,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 432,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-norton-audubon-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Norton Healthcare",
      "parentSystemId": "entity-norton-healthcare",
      "siblingGroupId": "siblings-ky-norton-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006840217",
        "external-resolution-0006840217"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nortonhealthcare.com/location/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Norton Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Norton Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0006844115",
      "name": "ST. VINCENT CHARITY HOSPITAL",
      "address": "2351 E 22ND STREET",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44115",
      "county": "CUYAHOGA",
      "latitude": 41.4958505399676,
      "longitude": -81.6731148499771,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 416,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sisters of Charity Health System",
      "parentSystemId": "entity-sisters-of-charity-health-system",
      "siblingGroupId": "siblings-oh-sisters-of-charity-health-system",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-11-11",
      "ownershipSourceIds": [
        "hifld-location-0006844115",
        "external-resolution-0006844115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.stvincentcharity.com/news-releases/post/dr-leslie-pristas-named-medical-director-of-center-for-bariatric-surgery-at-st-vincent-charity-medical-center"
      ],
      "ownershipProofNotes": "The hospital official source identifies Sisters of Charity Health System as owner. Acute inpatient operations ended in November 2022; the edge is retained as historical and is not presented as an active acute-care hospital.",
      "parentSystemEvidence": "The hospital official source identifies Sisters of Charity Health System as owner. Acute inpatient operations ended in November 2022; the edge is retained as historical and is not presented as an active acute-care hospital."
    },
    {
      "id": "0006849503",
      "name": "MARY FREE BED REHABILITATION HOSPITAL",
      "address": "235 WEALTHY SE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49503",
      "county": "KENT",
      "latitude": 42.9569738799348,
      "longitude": -85.6627462499694,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 119,
      "rating": null,
      "website": "http://www.maryfreebed.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN",
      "peFirm": "Graham Healthcare Capital",
      "acquiredDate": "April 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "233026",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Mary Free Bed Rehabilitation Hospital",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-mary-free-bed-guild-of-grand-rapids-michigan",
      "siblingGroupId": "siblings-mi-mary-free-bed-guild-of-grand-rapids-michigan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mary-free-bed-guild-of-grand-rapids-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mary Free Bed Rehabilitation Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mary Free Bed Rehabilitation Hospital. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mary Free Bed Rehabilitation Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mary Free Bed Rehabilitation Hospital. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006853110",
      "name": "AURORA ST LUKES MED CTR SOUTH SHORE",
      "address": "5900 SOUTH LAKE DRIVE",
      "city": "CUDAHY",
      "state": "WI",
      "zip": "53110",
      "county": "MILWAUKEE",
      "latitude": 42.9363390700885,
      "longitude": -87.8511727803459,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 275,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cudahy-aurora-st-lukes-med-ctr-south-shore/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Advocate Health",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-wi-advocate-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006853110",
        "external-resolution-0006853110"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Advocate Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Advocate Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0006857747",
      "name": "VETERANS AFFAIRS BLACK HILLS HEALTH CARE SYSTEM - HOT SPRINGS CAMPUS",
      "address": "500 NORTH 5TH STREET",
      "city": "HOT SPRINGS",
      "state": "SD",
      "zip": "57747",
      "county": "FALL RIVER",
      "latitude": 43.4367502302642,
      "longitude": -103.47617911037,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "www.blackhills.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hot-springs-veterans-affairs-black-hills-health-care-system---hot-springs-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-sd-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006857747",
        "external-resolution-0006857747"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006899362",
      "name": "ADVENTIST HEALTH WALLA WALLA GENERAL HOSPITAL",
      "address": "1025 2ND AVE S",
      "city": "WALLA WALLA",
      "state": "WA",
      "zip": "99362",
      "county": "WALLA WALLA",
      "latitude": 46.05516275005,
      "longitude": -118.329166379873,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "website": "https://www.adventisthealth.org/walla-walla/pages/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist Health",
      "parentSystemId": "entity-adventist-health",
      "siblingGroupId": "siblings-wa-adventist-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006899362",
        "external-resolution-0006899362"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Adventist Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Adventist Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0006900928",
      "name": "HOSP PSIQUIATRIA FORENSE DE RIO PIEDRAS",
      "address": "EDIFICIO C C/ MAGA BO. MONACILLOS- CENTRO MEDICO",
      "city": "SANTURCE",
      "state": "PR",
      "zip": "00928",
      "county": "SAN JUAN",
      "latitude": 18.3909331403048,
      "longitude": -66.0761875497589,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0006901062",
      "name": "VA CENTRAL WESTERN MASSACHUSETTS HEALTHCARE SYSTEM",
      "address": "421 N MAIN ST",
      "city": "NORTHAMPTON",
      "state": "MA",
      "zip": "01062",
      "county": "HAMPSHIRE",
      "latitude": 42.349530829752,
      "longitude": -72.6824403897551,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 145,
      "rating": null,
      "website": "http://www.centralwesternmass.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-northampton-va-central-western-massachusetts-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ma-veterans-health-administration",
      "campusFamilyId": "campus-ma-22009f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/directory/guide/state.asp?STATE=MA"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006902139",
      "name": "CHA CAMBRIDGE HOSPITAL",
      "address": "1493 CAMBRIDGE STREET",
      "city": "CAMBRIDGE",
      "state": "MA",
      "zip": "02139",
      "county": "MIDDLESEX",
      "latitude": 42.37449999971,
      "longitude": -71.1040999998742,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 189,
      "rating": null,
      "website": "http://www.challiance.org/locations/cambridgehospitalcampus.aspx",
      "status": "corporate_chain",
      "parentSystem": "CAMBRIDGE PUBLIC HEALTH COMMISSION",
      "affiliatedSystem": "Challiance",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Challiance",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cambridge-cha-cambridge-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-cambridge-public-health-commission",
      "siblingGroupId": "siblings-ma-cambridge-public-health-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAMBRIDGE PUBLIC HEALTH COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JILL BATTY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMBRIDGE PUBLIC HEALTH COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAMBRIDGE PUBLIC HEALTH COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JILL BATTY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMBRIDGE PUBLIC HEALTH COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006927549",
      "name": "FRANKLIN MEDICAL CENTER",
      "address": "100 HOSPITAL DR, FRANKLIN COUNTY ADMINISTRATION BLDG",
      "city": "LOUISBURG",
      "state": "NC",
      "zip": "27549",
      "county": "FRANKLIN",
      "latitude": 36.1123061702054,
      "longitude": -78.2935337899213,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 83,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit hospital, and this baseline pass did not match a known PE, corporate-chain, CHOW, or major-system rule.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006927549"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_or_generic_parent, insufficient_structured_sources."
    },
    {
      "id": "0006934240",
      "name": "PAM SPECIALTY HOSPITAL OF SARASOTA",
      "address": "6150 EDGELAKE DR",
      "city": "SARASOTA",
      "state": "FL",
      "zip": "34240",
      "county": "SARASOTA",
      "latitude": 27.3018485797603,
      "longitude": -82.446338069798,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "www.postacutemedical.com",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED FLORIDA LLC",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-florida-llc",
      "siblingGroupId": "siblings-fl-pam-cubed-florida-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED FLORIDA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED FLORIDA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006940241",
      "name": "NORTON BROWNSBORO HOSPITAL",
      "address": "4960 NORTON HEALTHCARE BOULEVARD",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40241",
      "county": "JEFFERSON",
      "latitude": 38.3153256800803,
      "longitude": -85.5758944504229,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 127,
      "rating": null,
      "website": "http://www.nortonhealthcare.com/nortonbrownsborohospital",
      "status": "corporate_chain",
      "parentSystem": "Nortonhealthcare",
      "affiliatedSystem": "Nortonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nortonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-norton-brownsboro-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nortonhealthcare",
      "siblingGroupId": "siblings-ky-nortonhealthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006940241",
        "external-resolution-0006940241"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.nortonhealthcare.com/nortonbrownsborohospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006949221",
      "name": "PROMEDICA BIXBY HOSPITAL",
      "address": "818 RIVERSIDE AVENUE",
      "city": "ADRIAN",
      "state": "MI",
      "zip": "49221",
      "county": "LENAWEE",
      "latitude": 41.9136643401695,
      "longitude": -84.0491040196651,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 88,
      "rating": null,
      "website": "http://www.promedica.org",
      "status": "corporate_chain",
      "parentSystem": "Promedica",
      "affiliatedSystem": "Promedica",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Promedica",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-promedica",
      "siblingGroupId": "siblings-mi-promedica",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006949221",
        "external-resolution-0006949221"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.promedica.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0006961362",
      "name": "ST MARGARET'S HEALTH - SPRING VALLEY",
      "address": "600 E FIRST ST",
      "city": "SPRING VALLEY",
      "state": "IL",
      "zip": "61362",
      "county": "BUREAU",
      "latitude": 41.3287428302885,
      "longitude": -89.193117210162,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 44,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spring-valley-st-margaret-s-health---spring-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. MARGARET'S HEALTH - SPRING VALLEY",
      "parentSystemId": "entity-st-margaret-s-health-spring-valley",
      "siblingGroupId": "siblings-il-st-margaret-s-health-spring-valley",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006961362",
        "external-resolution-0006961362"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20080114000842 (140143). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20080114000842 (140143). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006967547",
      "name": "EDWARDS COUNTY HOSPITAL",
      "address": "620 WEST 8TH STREET, PO BOX 99",
      "city": "KINSLEY",
      "state": "KS",
      "zip": "67547",
      "county": "EDWARDS",
      "latitude": 37.9212464197807,
      "longitude": -99.4202221204262,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kinsley-edwards-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF EDWARDS",
      "parentSystemId": "entity-county-of-edwards",
      "siblingGroupId": "siblings-ks-county-of-edwards",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF EDWARDS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF EDWARDS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF EDWARDS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF EDWARDS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006970538",
      "name": "FRANKLIN FOUNDATION HOSPITAL",
      "address": "1097 NORTHWEST BLVD",
      "city": "FRANKLIN",
      "state": "LA",
      "zip": "70538",
      "county": "ST. MARY",
      "latitude": 29.8007480101833,
      "longitude": -91.5238280502055,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 22,
      "rating": null,
      "website": "http://www.franklinfoundation.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-franklin-foundation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT NO 1 OF THE PARISH OF ST MARY",
      "parentSystemId": "entity-hospital-service-district-no-1-of-the-parish-of-st-mary",
      "siblingGroupId": "siblings-la-hospital-service-district-no-1-of-the-parish-of-st-mary",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO 1 OF THE PARISH OF ST MARY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO 1 OF THE PARISH OF ST MARY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0006991790",
      "name": "EMANATE HEALTH QUEEN OF THE VALLEY HOSPITAL",
      "address": "1115 S SUNSET AVE",
      "city": "WEST COVINA",
      "state": "CA",
      "zip": "91790",
      "county": "LOS ANGELES",
      "latitude": 34.0634630796902,
      "longitude": -117.945666019821,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 325,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-covina-emanate-health-queen-of-the-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EMANATE HEALTH MEDICAL CENTER",
      "parentSystemId": "entity-emanate-health-medical-center",
      "siblingGroupId": "siblings-ca-emanate-health-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006991790",
        "external-resolution-0006991790"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080204000453 (05T382). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080204000453 (05T382). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0006998801",
      "name": "CONFLUENCE HEALTH - WENATCHEE VALLEY HOSPITAL",
      "address": "820 N CHELAN AVENUE",
      "city": "WENATCHEE",
      "state": "WA",
      "zip": "98801",
      "county": "CHELAN",
      "latitude": 47.4335292801039,
      "longitude": -120.323086639643,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 11,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=144",
      "status": "corporate_chain",
      "parentSystem": "CONFLUENCE HEALTH - WENATCHEE VALLEY HOSPITAL",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-confluence-health-wenatchee-valley-hospital-wa-wenatchee-0006998801",
      "siblingGroupId": "siblings-wa-confluence-health-wenatchee-valley-hospital-wa-wenatchee-0006998801",
      "ownershipRelationship": "self_operated_or_independent_candidate",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0006998801",
        "external-resolution-0006998801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wsha.org/hospitaldetail.cfm?hid=144"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007040202",
      "name": "NORTON HOSPITAL - NORTON HEALTHCARE PAVILION - NOR",
      "address": "200 EAST CHESTNUT STREET",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40202",
      "county": "JEFFERSON",
      "latitude": 38.2477231503409,
      "longitude": -85.7504603001364,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 905,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTON HEALTHCARE INC",
      "parentSystemId": "entity-norton-healthcare-inc",
      "siblingGroupId": "siblings-ky-norton-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-norton-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nortonhealthcare.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTON HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Norton Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTON HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Norton Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007044004",
      "name": "ASHTABULA CO. MEDICAL CENTER",
      "address": "2420 LAKE AVENUE",
      "city": "ASHTABULA",
      "state": "OH",
      "zip": "44004",
      "county": "ASHTABULA",
      "latitude": 41.8805365601174,
      "longitude": -80.7949268003969,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 234,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ASHTABULA COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-ashtabula-county-medical-center",
      "siblingGroupId": "siblings-oh-ashtabula-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-ashtabula-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ASHTABULA COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHTABULA COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ASHTABULA COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHTABULA COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007049286",
      "name": "PROMEDICA HERRICK HOSPITAL",
      "address": "500 E POTTAWATAMIE STREET",
      "city": "TECUMSEH",
      "state": "MI",
      "zip": "49286",
      "county": "LENAWEE",
      "latitude": 42.0025910601725,
      "longitude": -83.9378223904398,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.promedica.org",
      "status": "corporate_chain",
      "parentSystem": "Promedica",
      "affiliatedSystem": "Promedica",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Promedica",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tecumseh-promedica-herrick-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-promedica",
      "siblingGroupId": "siblings-mi-promedica",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007049286",
        "external-resolution-0007049286"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.promedica.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007068352",
      "name": "JEFFERSON COMMUNITY HEALTH CENTER INC",
      "address": "2200 H ST, PO BOX 277",
      "city": "FAIRBURY",
      "state": "NE",
      "zip": "68352",
      "county": "JEFFERSON",
      "latitude": 40.15554651973,
      "longitude": -97.1750039100398,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 17,
      "rating": null,
      "website": "http://www.jchc.us",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairbury-jefferson-community-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON COMMUNITY HEALTH CENTER INC",
      "parentSystemId": "entity-jefferson-community-health-center-inc",
      "siblingGroupId": "siblings-ne-jefferson-community-health-center-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0007068352",
        "external-resolution-0007068352"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 281319; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 281319; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0007085203",
      "name": "KPC PROMISE HOSPITAL OF PHOENIX, LLC",
      "address": "433 EAST 6TH STREET",
      "city": "MESA",
      "state": "AZ",
      "zip": "85203",
      "county": "MARICOPA",
      "latitude": 33.4254835800009,
      "longitude": -111.822082450203,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PHOENIX SPECIALTY HOSPITAL",
      "parentSystemId": "entity-phoenix-specialty-hospital",
      "siblingGroupId": "siblings-az-phoenix-specialty-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHOENIX SPECIALTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to PHOENIX SPECIALTY HOSPITAL; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOENIX SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHOENIX SPECIALTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to PHOENIX SPECIALTY HOSPITAL; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOENIX SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007091010",
      "name": "CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL",
      "address": "1500 DUARTE RD",
      "city": "DUARTE",
      "state": "CA",
      "zip": "91010",
      "county": "LOS ANGELES",
      "latitude": 34.129801509642,
      "longitude": -117.97113796979,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 217,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CITY OF HOPE",
      "parentSystemId": "entity-city-of-hope",
      "siblingGroupId": "siblings-ca-city-of-hope",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF HOPE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF HOPE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007099156",
      "name": "NEWPORT HOSPITAL AND HEALTH SERVICES",
      "address": "714 WEST PINE ST",
      "city": "NEWPORT",
      "state": "WA",
      "zip": "99156",
      "county": "PEND OREILLE",
      "latitude": 48.1824221998345,
      "longitude": -117.049197800385,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 24,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=52",
      "status": "corporate_chain",
      "parentSystem": "PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-newport-hospital-&-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-pend-oreille-county-public-hospital-district-no-1",
      "siblingGroupId": "siblings-wa-pend-oreille-county-public-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-pend-oreille-county-public-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007114094",
      "name": "EASTERN NIAGARA HOSPITAL - LOCKPORT DIVISION",
      "address": "521 EAST AVENUE",
      "city": "LOCKPORT",
      "state": "NY",
      "zip": "14094",
      "county": "NIAGARA",
      "latitude": 43.1773710802385,
      "longitude": -78.6711442802358,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 134,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Eastern Niagara Hospital, Inc.",
      "parentSystemId": "entity-eastern-niagara-hospital-inc",
      "siblingGroupId": "siblings-ny-eastern-niagara-hospital-inc",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-06-17",
      "ownershipSourceIds": [
        "hifld-location-0007114094",
        "external-resolution-0007114094"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://lockportny.gov/eastern-niagara-hospital-closure-press-release/"
      ],
      "ownershipProofNotes": "The official municipal notice confirms Eastern Niagara Hospital as the operator of the East Avenue hospital and documents its 2023 closure. The legal nonprofit facility entity is retained without assigning Catholic Health ownership of the replacement hospital.",
      "parentSystemEvidence": "The official municipal notice confirms Eastern Niagara Hospital as the operator of the East Avenue hospital and documents its 2023 closure. The legal nonprofit facility entity is retained without assigning Catholic Health ownership of the replacement hospital."
    },
    {
      "id": "0007117105",
      "name": "PINNACLEHEALTH HARRISBURG CAMPUS",
      "address": "111 SOUTH FRONT STREET",
      "city": "HARRISBURG",
      "state": "PA",
      "zip": "17105",
      "county": "DAUPHIN",
      "latitude": 40.2576789997865,
      "longitude": -76.8806589997188,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 577,
      "rating": null,
      "website": "http://www.pinnaclehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "campusFamilyId": "campus-pa-392039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TINA CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TINA CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007124134",
      "name": "CARILION ROANOKE MEMORIAL HOSPITAL",
      "address": "1906 BELLEVIEW AVE",
      "city": "ROANOKE",
      "state": "VA",
      "zip": "24014",
      "county": "GILES",
      "latitude": 37.3222239101367,
      "longitude": -80.7225041802201,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 703,
      "rating": null,
      "website": "https://www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "Carilionclinic",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilionclinic",
      "siblingGroupId": "siblings-va-carilionclinic",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007124134",
        "external-resolution-0007124134"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.carilionclinic.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007135758",
      "name": "MADISON HOSPITAL",
      "address": "8375 HIGHWAY 72 WEST",
      "city": "MADISON",
      "state": "AL",
      "zip": "35758",
      "county": "MADISON",
      "latitude": 34.7470600396444,
      "longitude": -86.7645278798169,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 90,
      "rating": null,
      "website": "http://madisonalhospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-madison-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MADISON HOSPITAL",
      "parentSystemId": "entity-madison-hospital",
      "siblingGroupId": "siblings-al-madison-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007135758",
        "external-resolution-0007135758"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://madisonalhospital.org/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0007140207",
      "name": "NORTON WOMEN'S AND CHILDREN'S HOSPITAL",
      "address": "4001 DUTCHMANS LANE",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40207",
      "county": "JEFFERSON",
      "latitude": 38.2353300901352,
      "longitude": -85.6329369301787,
      "hospitalType": "WOMEN",
      "sourceOwner": "NON-PROFIT",
      "beds": 373,
      "rating": null,
      "website": "https://nortonhealthcare.com/pages/nwkch.aspx",
      "status": "corporate_chain",
      "parentSystem": "Nortonhealthcare",
      "affiliatedSystem": "Nortonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nortonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nortonhealthcare",
      "siblingGroupId": "siblings-ky-nortonhealthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007140207",
        "external-resolution-0007140207"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nortonhealthcare.com/pages/nwkch.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007148602",
      "name": "ALEDA E. LUTZ VA MEDICAL CENTER",
      "address": "1500 WEISS ST",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48602",
      "county": "SAGINAW",
      "latitude": 43.4447957103154,
      "longitude": -83.9620235800141,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 8,
      "rating": null,
      "website": "http://www.saginaw.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saginaw-aleda-e.-lutz-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-mi-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007148602",
        "external-resolution-0007148602"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007170508",
      "name": "LAFAYETTE PHYSICAL REHABILITATION HOSPITAL",
      "address": "307 POLLY LANE",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1733929997472,
      "longitude": -92.0241765696164,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "https://amgihm.com/locations/lafayette-physical/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-lafayette-physical-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG Integrated Healthcare Management",
      "parentSystemId": "entity-amg-integrated-healthcare-management",
      "siblingGroupId": "siblings-la-amg-integrated-healthcare-management",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007170508",
        "external-resolution-0007170508"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20051129000981 (193093). 3 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20051129000981 (193093). 3 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0007173075",
      "name": "PAULS VALLEY HOSPITAL",
      "address": "100 VALLEY DRIVE",
      "city": "PAULS VALLEY",
      "state": "OK",
      "zip": "73075",
      "county": "GARVIN",
      "latitude": 34.7194044101329,
      "longitude": -97.214788640175,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 43,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC",
      "parentSystemId": "entity-southern-plains-medical-center-of-garvin-county-llc",
      "siblingGroupId": "siblings-ok-southern-plains-medical-center-of-garvin-county-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-southern-plains-medical-center-of-garvin-county-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists MADHUKAR SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MADHUKAR SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007180534",
      "name": "NORTHERN COLORADO LONG TERM ACUTE HOSP - LONG TERM",
      "address": "4401A UNION ST",
      "city": "JOHNSTOWN",
      "state": "CO",
      "zip": "80534",
      "county": "LARIMER",
      "latitude": 40.4064759501275,
      "longitude": -104.971301480352,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "062017",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-co-epoch-acquisition-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007184075",
      "name": "VIEWPOINT CENTER, LLC",
      "address": "2732 WEST 2700 SOUTH",
      "city": "SYRACUSE",
      "state": "UT",
      "zip": "84075",
      "county": "DAVIS",
      "latitude": 41.0754080796719,
      "longitude": -112.07920638956,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007184075",
        "external-resolution-0007184075"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ut.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0007200960",
      "name": "CENTRO MEDICO CORRECIONAL",
      "address": "CARR. 5 AVE CENTRAL JUANITA FINAL",
      "city": "BAYAMON",
      "state": "PR",
      "zip": "00960",
      "county": "BAYAMÓN",
      "latitude": 18.4177064300147,
      "longitude": -66.1480918599831,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "http://ac.gobierno.pr/correccion/localizaciones/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0007202130",
      "name": "BRIGHAM AND WOMEN'S FAULKNER HOSPITAL",
      "address": "1153 CENTRE STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02130",
      "county": "SUFFOLK",
      "latitude": 42.3014999997081,
      "longitude": -71.1283000000791,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 171,
      "rating": null,
      "website": "http://www.brighamandwomensfaulkner.org/index.asp",
      "status": "corporate_chain",
      "parentSystem": "Mass General Brigham",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Brigham Boston contractor review: MGB system context plus source-backed contractor connections.",
      "affiliationConfidence": "medium",
      "evidenceSource": "Brigham Boston contractor connections review",
      "evidenceSourceUrl": "/data/dossiers/0007202130.json",
      "evidenceAsOf": "2026-07-09",
      "reviewedAt": "2026-07-09",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Source-backed contractor connection review added Green Security PE-linked vendor credentialing exposure and Sodexo food-service context while preserving Mass General Brigham nonprofit system context. This is not a direct PE hospital ownership claim.",
      "classificationSources": [
        "Mass General Brigham Supplier/Vendor Information",
        "Green Security Spire/Strattam transaction release",
        "Brigham and Women's Faulkner Hospital Sodexo article",
        "BWH/BWFH official department pages",
        "CMS HCRIS 2023 cost report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-09",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major nonprofit health system",
      "operatorName": "Mass General Brigham",
      "publicControlBadge": "Major nonprofit system; PE-linked contractor exposure documented",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-brigham-and-women-s-faulkner-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "caseId": "brigham-boston-contractors",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "0007217105",
      "name": "PINNACLEHEALTH COMMUNITY CAMPUS",
      "address": "4300 LONDONDERRY ROAD",
      "city": "HARRISBURG",
      "state": "PA",
      "zip": "17105",
      "county": "DAUPHIN",
      "latitude": 40.2842549998208,
      "longitude": -76.8164770002406,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 114,
      "rating": null,
      "website": "http://www.pinnaclehealth.org/locations-directions/hospitals-outpatient-canters/community-general-hospital.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harrisburg-pinnaclehealth-community-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "campusFamilyId": "campus-pa-393056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRETT MCCHESNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRETT MCCHESNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007228655",
      "name": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE",
      "address": "2201 SOUTH STERLING ST",
      "city": "MORGANTON",
      "state": "NC",
      "zip": "28655",
      "county": "BURKE",
      "latitude": 35.7263911698613,
      "longitude": -81.6544922800639,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 315,
      "rating": null,
      "website": "http://www.blueridgehealth.org/morganton.html",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morganton-carolinas-healthcare-system-blue-ridge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007237343",
      "name": "CHI MEMORIAL HOSPITAL HIXSON",
      "address": "2051 HAMILL ROAD",
      "city": "HIXSON",
      "state": "TN",
      "zip": "37343",
      "county": "HAMILTON",
      "latitude": 35.1246854801819,
      "longitude": -85.2380802803075,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 423,
      "rating": null,
      "website": "http://www.memorial.org/",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tn-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007237343",
        "external-resolution-0007237343"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007244109",
      "name": "METROHEALTH MEDICAL CENTER",
      "address": "2500 METROHEALTH DRIVE",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44109",
      "county": "CUYAHOGA",
      "latitude": 41.4609127602157,
      "longitude": -81.6976020802058,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 731,
      "rating": null,
      "website": "http://www.metrohealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE METROHEALTH SYSTEM",
      "parentSystemId": "entity-the-metrohealth-system",
      "siblingGroupId": "siblings-oh-the-metrohealth-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-the-metrohealth-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to THE METROHEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METROHEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to THE METROHEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METROHEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007248043",
      "name": "SELECT SPECIALTY HOSPITAL - MACOMB COUNTY",
      "address": "215 NORTH AVE, SUITE 200",
      "city": "MOUNT CLEMENS",
      "state": "MI",
      "zip": "48043",
      "county": "MACOMB",
      "latitude": 42.6064498602502,
      "longitude": -82.8818551302383,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/macomb .aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-clemens-select-specialty-hospital---macomb-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRANDON YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRANDON YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007248201",
      "name": "JOHN D. DINGELL DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "4646 JOHN R STREET",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3557221500306,
      "longitude": -83.059198119856,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 62,
      "rating": null,
      "website": "https://www.detroit.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-mi-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007248201",
        "external-resolution-0007248201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007255057",
      "name": "NORTHFIELD CITY HOSPITAL AND NSG",
      "address": "2000 NORTH AVENUE",
      "city": "NORTHFIELD",
      "state": "MN",
      "zip": "55057",
      "county": "DAKOTA",
      "latitude": 44.4735773601187,
      "longitude": -93.1917234401044,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 37,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-northfield-northfield-city-hospital-&-nsg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF NORTHFIELD",
      "parentSystemId": "entity-city-of-northfield",
      "siblingGroupId": "siblings-mn-city-of-northfield",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF NORTHFIELD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF NORTHFIELD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF NORTHFIELD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF NORTHFIELD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007264111",
      "name": "SAINT LUKE'S HOSPITAL OF KANSAS CITY",
      "address": "4401 WORNALL ROAD",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64111",
      "county": "JACKSON",
      "latitude": 39.0474336197226,
      "longitude": -94.5901959204457,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 554,
      "rating": null,
      "website": "https://www.saintlukeskc.org/locations/saint-lukes-hospital-kansas-city?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link",
      "status": "corporate_chain",
      "parentSystem": "ST LUKE'S HOSPITAL OF KANSAS CITY",
      "affiliatedSystem": "Saintlukeskc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintlukeskc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-saint-luke-s-hospital-of-kansas-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-st-luke-s-hospital-of-kansas-city",
      "siblingGroupId": "siblings-mo-st-luke-s-hospital-of-kansas-city",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-st-luke-s-hospital-of-kansas-city"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to ST LUKE'S HOSPITAL OF KANSAS CITY; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HOSPITAL OF KANSAS CITY, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to ST LUKE'S HOSPITAL OF KANSAS CITY; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HOSPITAL OF KANSAS CITY, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007268640",
      "name": "CITY OF GENOA",
      "address": "706 EWING AVE, PO BOX 310",
      "city": "GENOA",
      "state": "NE",
      "zip": "68640",
      "county": "NANCE",
      "latitude": 41.4439214599271,
      "longitude": -97.7325836901636,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CITY OF GENOA",
      "parentSystemId": "entity-city-of-genoa",
      "siblingGroupId": "siblings-ne-city-of-genoa",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007268640",
        "external-resolution-0007268640"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ne.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0007277704",
      "name": "BAPTIST BEAUMONT HOSPITAL",
      "address": "3080 COLLEGE STREET",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77701",
      "county": "JEFFERSON",
      "latitude": 30.0706087001436,
      "longitude": -94.1200396995805,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 363,
      "rating": 3,
      "website": "http://www.bhset.net",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital All Owners / CHC targeted review",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "CMS May 2026 Hospital All Owners lists Community Hospital Consulting, Inc. as a 100 percent direct owner of Baptist Hospitals of Southeast Texas, and CHC official sources list Baptist among CHC hospitals/clients. Reviewed sources did not support a PE-owned label.",
      "classificationSources": [
        "source-cms-general-info",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-pesp-tracker-local",
        "source-bhset-about",
        "source-chc-baptist-location",
        "source-chc-30th-anniversary",
        "source-nppes-baptist",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners / CHC targeted review",
        "CMS Hospital All Owners and CHC hospital/client page"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Hospital Consulting, Inc.",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "450346",
      "caseId": "beaumont-baptist-christus",
      "relationshipType": "ownership",
      "parentSystem": "Community Hospital Consulting",
      "peFirm": "",
      "affiliatedSystem": "COMMUNITY HOSPITAL CONSULTING, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "sourceCount": 8,
      "evidenceGrade": "government-corroborated nonprofit corporate-owner record",
      "confidence": "high",
      "dossierUrl": "/data/dossiers/0007277704.json",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Community Hospital Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-community-hospital-consulting",
      "siblingGroupId": "siblings-tx-community-hospital-consulting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-hospital-consulting-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Community Hospital Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007284107",
      "name": "KPC PROMISE HOSPITAL OF SALT LAKE",
      "address": "4252 SOUTH BIRKHILL BOULEVARD",
      "city": "MURRAY",
      "state": "UT",
      "zip": "84107",
      "county": "SALT LAKE",
      "latitude": 40.6795414699596,
      "longitude": -111.893282359971,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murray-kpc-promise-hospital-of-salt-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SALT LAKE SPECIALTY HOSPITAL INC",
      "parentSystemId": "entity-salt-lake-specialty-hospital-inc",
      "siblingGroupId": "siblings-ut-salt-lake-specialty-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-salt-lake-specialty-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALT LAKE SPECIALTY HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to SALT LAKE SPECIALTY HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALT LAKE SPECIALTY HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALT LAKE SPECIALTY HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to SALT LAKE SPECIALTY HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALT LAKE SPECIALTY HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007307039",
      "name": "SAINT BARNABAS MEDICAL CENTER",
      "address": "94 OLD SHORT HILLS ROAD",
      "city": "LIVINGSTON",
      "state": "NJ",
      "zip": "07039",
      "county": "ESSEX",
      "latitude": 40.7634158098743,
      "longitude": -74.3048692700255,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 603,
      "rating": null,
      "website": "http://www.barnabashealth.org/hospitals/saint_barnabas/index.html",
      "status": "corporate_chain",
      "parentSystem": "SAINT BARNABAS MEDICAL CENTER",
      "affiliatedSystem": "Barnabashealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Barnabashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-livingston-saint-barnabas-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saint-barnabas-medical-center",
      "siblingGroupId": "siblings-nj-saint-barnabas-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT BARNABAS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT BARNABAS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007314120",
      "name": "DEGRAFF MEMORIAL HOSPITAL",
      "address": "445 TREMONT STREET",
      "city": "NORTH TONAWANDA",
      "state": "NY",
      "zip": "14120",
      "county": "NIAGARA",
      "latitude": 43.0254180103049,
      "longitude": -78.8623424401297,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 54,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-tonawanda-degraff-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kaleida Health",
      "parentSystemId": "entity-kaleida-health",
      "siblingGroupId": "siblings-ny-kaleida-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007314120",
        "external-resolution-0007314120"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kaleidahealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007333040",
      "name": "DEPOO HOSPITAL",
      "address": "1200 KENNEDY DR",
      "city": "KEY WEST",
      "state": "FL",
      "zip": "33040",
      "county": "MONROE",
      "latitude": 24.5641985999629,
      "longitude": -81.7674069997633,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "website": "http://www.lkmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-key-west-depoo-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007333040",
        "external-resolution-0007333040"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20090803000249 (10S150). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20090803000249 (10S150). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0007335976",
      "name": "MARSHALL MEDICAL CENTERS NORTH CAMPUS",
      "address": "8000 ALABAMA HIGHWAY 69",
      "city": "GUNTERSVILLE",
      "state": "AL",
      "zip": "35976",
      "county": "MARSHALL",
      "latitude": 34.364913349702,
      "longitude": -86.4213515301249,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 90,
      "rating": null,
      "website": "http://www.mmcenters.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MARSHALL MEDICAL CENTERS NORTH CAMPUS",
      "parentSystemId": "entity-marshall-medical-centers-north-campus",
      "siblingGroupId": "siblings-al-marshall-medical-centers-north-campus",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007335976",
        "external-resolution-0007335976"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mmcenters.com"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0007341101",
      "name": "OUR LADY OF BELLEFONTE HOSPITAL",
      "address": "1000 ST. CHRISTOPHER DRIVE",
      "city": "ASHLAND",
      "state": "KY",
      "zip": "41101",
      "county": "GREENUP",
      "latitude": 38.5084543199099,
      "longitude": -82.6926165103895,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 190,
      "rating": null,
      "website": "http://www.olbh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Bon Secours Mercy Health",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-ky-bon-secours-mercy-health",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-04-30",
      "ownershipSourceIds": [
        "hifld-location-0007341101",
        "external-resolution-0007341101"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bonsecours.com/about-us/news/ashland/2020/olbh-updates"
      ],
      "ownershipProofNotes": "Bon Secours states that Our Lady of Bellefonte Hospital closed April 30, 2020 and routes post-closure records through Bon Secours Mercy Health. The row is retained as a historical hospital edge, not presented as an active campus.",
      "parentSystemEvidence": "Bon Secours states that Our Lady of Bellefonte Hospital closed April 30, 2020 and routes post-closure records through Bon Secours Mercy Health. The row is retained as a historical hospital edge, not presented as an active campus."
    },
    {
      "id": "0007349801",
      "name": "OSCAR G. JOHNSON VA MEDICAL CENTER",
      "address": "325 E H ST",
      "city": "IRON MOUNTAIN",
      "state": "MI",
      "zip": "49801",
      "county": "DICKINSON",
      "latitude": 45.8102967901939,
      "longitude": -88.0615454898608,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 17,
      "rating": null,
      "website": "http://www.ironmountain.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-iron-mountain-oscar-g.-johnson-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mi-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007357642",
      "name": "MCLAUGHLIN PUBLIC HEALTH SERVICE INDIAN HEALTH CENTER",
      "address": "701 6TH STREET EAST",
      "city": "MCLAUGHLIN",
      "state": "SD",
      "zip": "57642",
      "county": "CORSON",
      "latitude": 45.8092598999339,
      "longitude": -100.808350849716,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 12,
      "rating": null,
      "website": "http://www.ihs.gov",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mclaughlin-mclaughlin-public-health-service-indian-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-sd-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007357642",
        "external-resolution-0007357642"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007360612",
      "name": "UNIVERSITY OF ILLINOIS HOSPITAL AT CHICAGO",
      "address": "1740 W TAYLOR, SUITE 1400, MC 693",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60612",
      "county": "COOK",
      "latitude": 41.8696687700587,
      "longitude": -87.6705153702491,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 485,
      "rating": null,
      "website": "https://hospital.uillinois.edu/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UI Health",
      "parentSystemId": "entity-ui-health",
      "siblingGroupId": "siblings-il-ui-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007360612",
        "external-resolution-0007360612"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hospital.uillinois.edu/about-ui-health/locations"
      ],
      "ownershipProofNotes": "UI Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UI Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007364108",
      "name": "UNIVERSITY HEALTH TRUMAN MEDICAL CENTER",
      "address": "2301 HOLMES STREET",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64108",
      "county": "JACKSON",
      "latitude": 39.0845361496843,
      "longitude": -94.5753167803401,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 199,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "TRUMAN MEDICAL CENTER INCORPORATED",
      "parentSystemId": "entity-truman-medical-center-incorporated",
      "siblingGroupId": "siblings-mo-truman-medical-center-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRUMAN MEDICAL CENTER INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRUMAN MEDICAL CENTER INCORPORATED, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRUMAN MEDICAL CENTER INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRUMAN MEDICAL CENTER INCORPORATED, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007371270",
      "name": "GREEN CLINIC SURGICAL HOSPITAL",
      "address": "1118 S FARMERVILLE ST",
      "city": "RUSTON",
      "state": "LA",
      "zip": "71270",
      "county": "LINCOLN",
      "latitude": 32.5167086697784,
      "longitude": -92.6320468798181,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 13,
      "rating": null,
      "website": "http://www.gcsurgical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ruston-green-clinic-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CLHG-RUSTON LLC",
      "parentSystemId": "entity-clhg-ruston-llc",
      "siblingGroupId": "siblings-la-clhg-ruston-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007371270",
        "external-resolution-0007371270"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20231031000777 (19T086). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20231031000777 (19T086). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0007384043",
      "name": "MOUNTAIN POINT MEDICAL CENTER - A CAMPUS OF JORDAN",
      "address": "3000 NORTH TRIUMPH BOULEVARD",
      "city": "LEHI",
      "state": "UT",
      "zip": "84043",
      "county": "UTAH",
      "latitude": 40.4253399999387,
      "longitude": -111.878540079996,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Holy Cross Hospital - Mountain Point / CommonSpirit Health",
      "parentSystemId": "entity-holy-cross-hospital-mountain-point-commonspirit-health",
      "siblingGroupId": "siblings-ut-holy-cross-hospital-mountain-point-commonspirit-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007384043",
        "external-resolution-0007384043"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountainpointhospital.org/about-us"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Holy Cross Hospital - Mountain Point / CommonSpirit Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Holy Cross Hospital - Mountain Point / CommonSpirit Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007400674",
      "name": "ENCOMPASS REHABILITATION HOSPITAL OF MANATI",
      "address": "HOSPITALS DOCTOR CENTER, PR-2 KM 47.7",
      "city": "MANATI",
      "state": "PR",
      "zip": "00674",
      "county": "MANATÍ",
      "latitude": 18.4339103299498,
      "longitude": -66.4746820297811,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.healthsouthmanati.com/en",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0007407107",
      "name": "COLUMBUS HOSPITAL LTACH",
      "address": "495 NORTH 13TH STREET",
      "city": "NEWARK",
      "state": "NJ",
      "zip": "07107",
      "county": "ESSEX",
      "latitude": 40.7726040103123,
      "longitude": -74.1867090897528,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 63,
      "rating": null,
      "website": "http://www.columbusltach.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLUMBUS HOSPITAL LTACH, LLC",
      "parentSystemId": "entity-columbus-hospital-ltach-llc",
      "siblingGroupId": "siblings-nj-columbus-hospital-ltach-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBUS HOSPITAL LTACH, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists RICHARD Z LIPSKY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS HOSPITAL LTACH, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBUS HOSPITAL LTACH, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists RICHARD Z LIPSKY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS HOSPITAL LTACH, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007411548",
      "name": "ST. FRANCIS HOSPITAL AND HEART CENTER",
      "address": "100 PORT WASHINGTON BOULEVARD",
      "city": "ROSLYN",
      "state": "NY",
      "zip": "11576",
      "county": "NASSAU",
      "latitude": 40.8047547298965,
      "longitude": -73.6705896798401,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 364,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC",
      "parentSystemId": "entity-catholic-health-system-of-long-island-inc",
      "siblingGroupId": "siblings-ny-catholic-health-system-of-long-island-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN MCBRIDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN MCBRIDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007426003",
      "name": "ACUITY SPECIALTY HOSPITAL OHIO VALLEY WHEELING",
      "address": "1 MEDICAL PARK, 6TH FLOOR",
      "city": "WHEELING",
      "state": "WV",
      "zip": "26003",
      "county": "OHIO",
      "latitude": 40.0591757100965,
      "longitude": -80.684317289769,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 13,
      "rating": null,
      "website": "http://belmont.acuityhealthcare.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Acuity Healthcare",
      "parentSystemId": "entity-acuity-healthcare",
      "siblingGroupId": "siblings-wv-acuity-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007426003",
        "external-resolution-0007426003"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://belmont.acuityhealthcare.net/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Acuity Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Acuity Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007427870",
      "name": "VIDANT NORTH HOSPITAL",
      "address": "250 SMITH CHURCH RD, PO BOX 1089",
      "city": "ROANOKE RAPIDS",
      "state": "NC",
      "zip": "27870",
      "county": "HALIFAX",
      "latitude": 36.4320062097093,
      "longitude": -77.6464141203409,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 204,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007427870"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0007435476",
      "name": "NORTHPORT MEDICAL CENTER",
      "address": "2700 HOSPITAL DRIVE",
      "city": "NORTHPORT",
      "state": "AL",
      "zip": "35476",
      "county": "TUSCALOOSA",
      "latitude": 33.2339814499217,
      "longitude": -87.5709109000797,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 204,
      "rating": null,
      "website": "http://www.dchsystem.com",
      "status": "corporate_chain",
      "parentSystem": "Dchsystem",
      "affiliatedSystem": "Dchsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dchsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-northport-northport-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dchsystem",
      "siblingGroupId": "siblings-al-dchsystem",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007435476",
        "external-resolution-0007435476"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.dchsystem.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007437412",
      "name": "PARKRIDGE EAST HOSPITAL",
      "address": "941 SPRING CREEK ROAD",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37412",
      "county": "HAMILTON",
      "latitude": 34.9988029202661,
      "longitude": -85.2189423603905,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 621,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chattanooga-parkridge-east-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007437412",
        "external-resolution-0007437412"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007446526",
      "name": "GOSHEN GENERAL HOSPITAL",
      "address": "200 HIGH PARK AVE",
      "city": "GOSHEN",
      "state": "IN",
      "zip": "46526",
      "county": "ELKHART",
      "latitude": 41.5632920801042,
      "longitude": -85.8306047100364,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "website": "http://www.iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "GOSHEN HOSPITAL ASSOCIATION INC",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-goshen-goshen-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-goshen-hospital-association-inc",
      "siblingGroupId": "siblings-in-goshen-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-goshen-hospital-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GOSHEN HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOSHEN HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GOSHEN HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOSHEN HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007448105",
      "name": "LIEUTENANT COLONEL CHARLES S. KETTLES VA MEDICAL CENTER",
      "address": "2215 FULLER ROAD",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48105",
      "county": "WASHTENAW",
      "latitude": 42.2866933202063,
      "longitude": -83.714640589814,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 102,
      "rating": null,
      "website": "https://www.annarbor.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mi-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007452403",
      "name": "MERCY MEDICAL CENTER CR",
      "address": "701 TENTH STREET SE",
      "city": "CEDAR RAPIDS",
      "state": "IA",
      "zip": "52403",
      "county": "LINN",
      "latitude": 41.9782564701826,
      "longitude": -91.6558285596875,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 454,
      "rating": null,
      "website": "http://www.mercycare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY MEDICAL CENTER",
      "parentSystemId": "entity-mercy-medical-center",
      "siblingGroupId": "siblings-ia-mercy-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-mercy-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists TIMOTHY J QUINN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MERCY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TIMOTHY J QUINN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MERCY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007453223",
      "name": "AURORA SINAI MEDICAL CENTER",
      "address": "945 N 12TH ST",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53233",
      "county": "MILWAUKEE",
      "latitude": 43.0424901399772,
      "longitude": -87.927810900402,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 386,
      "rating": null,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "Aurorahealthcare",
      "affiliatedSystem": "Aurorahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Aurorahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milwaukee-aurora-sinai-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-aurorahealthcare",
      "siblingGroupId": "siblings-wi-aurorahealthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007453223",
        "external-resolution-0007453223"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.aurorahealthcare.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007470433",
      "name": "COVINGTON BEHAVIORAL HEALTH",
      "address": "201 GREENBRIAR BOULEVARD",
      "city": "COVINGTON",
      "state": "LA",
      "zip": "70433",
      "county": "ST. TAMMANY",
      "latitude": 30.4557091501175,
      "longitude": -90.137591000428,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 104,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-covington-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-la-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007472901",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FORT SMITH",
      "address": "1401 SOUTH J STREET",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72901",
      "county": "SEBASTIAN",
      "latitude": 35.3739403096379,
      "longitude": -94.4187544795624,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ar-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007485255",
      "name": "HONORHEALTH SCOTTSDALE THOMPSON PEAK MEDICAL CENTER",
      "address": "7400 EAST THOMPSON PEAK PARKWAY",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85255",
      "county": "MARICOPA",
      "latitude": 33.6711293200554,
      "longitude": -111.922322400282,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HONORHEALTH",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007507018",
      "name": "EAST ORANGE GENERAL HOSPITAL",
      "address": "300 CENTRAL AVE",
      "city": "EAST ORANGE",
      "state": "NJ",
      "zip": "07018",
      "county": "ESSEX",
      "latitude": 40.7546035602189,
      "longitude": -74.2136014001529,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 201,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-orange-east-orange-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RESTORIX HEALTH INC",
      "parentSystemId": "entity-restorix-health-inc",
      "siblingGroupId": "siblings-nj-restorix-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: RESTORIX HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TROY A SCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RESTORIX HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RESTORIX HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TROY A SCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RESTORIX HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007514092",
      "name": "MOUNT ST. MARY'S HOSPITAL AND HEALTH CENTER",
      "address": "5300 MILITARY ROAD",
      "city": "LEWISTON",
      "state": "NY",
      "zip": "14092",
      "county": "NIAGARA",
      "latitude": 43.1541840200765,
      "longitude": -79.0324307199544,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 175,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM",
      "parentSystemId": "entity-catholic-health-system",
      "siblingGroupId": "siblings-ny-catholic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007525302",
      "name": "CAMC - WOMEN AND CHILDREN'S HOSPITAL",
      "address": "800 PENNSYLVANIA AVENUE",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25302",
      "county": "KANAWHA",
      "latitude": 38.3592319598915,
      "longitude": -81.6379058001326,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://www.camc.org/locations/camc-women-and-childrens-hospital",
      "status": "corporate_chain",
      "parentSystem": "Camc",
      "affiliatedSystem": "Camc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Camc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-camc-women-and-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-camc",
      "siblingGroupId": "siblings-wv-camc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007525302",
        "external-resolution-0007525302"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.camc.org/locations/camc-women-and-childrens-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007530152",
      "name": "DEVEREUX FOUNDATION, INC.",
      "address": "1291 STANLEY ROAD NW",
      "city": "KENNESAW",
      "state": "GA",
      "zip": "30152",
      "county": "COBB",
      "latitude": 33.9862621503188,
      "longitude": -84.60626392992,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "website": "http://www.devereuxga.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Devereux Advanced Behavioral Health",
      "parentSystemId": "entity-devereux-advanced-behavioral-health",
      "siblingGroupId": "siblings-ga-devereux-advanced-behavioral-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007530152",
        "external-resolution-0007530152"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.devereux.org/site/SPageServer/?pagename=locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Devereux Advanced Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Devereux Advanced Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007532940",
      "name": "DEVEREUX FLORIDA",
      "address": "8000 DEVEREUX DRIVE",
      "city": "VIERA",
      "state": "FL",
      "zip": "32940",
      "county": "BREVARD",
      "latitude": 28.234141380133,
      "longitude": -80.708221429835,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "website": "http://www.devereux.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Devereux Advanced Behavioral Health",
      "parentSystemId": "entity-devereux-advanced-behavioral-health",
      "siblingGroupId": "siblings-fl-devereux-advanced-behavioral-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007532940",
        "external-resolution-0007532940"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.devereux.org/site/SPageServer/?pagename=locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Devereux Advanced Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Devereux Advanced Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007537421",
      "name": "PARKRIDGE VALLEY HOSPITAL - CHILD AND ADOLES",
      "address": "2200 MORRIS HILL ROAD",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37421",
      "county": "HAMILTON",
      "latitude": 35.0268592303219,
      "longitude": -85.1214558302001,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 621,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007537421",
        "external-resolution-0007537421"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007540205",
      "name": "UOFL HEALTH - PEACE HOSPITAL",
      "address": "2020 NEWBURG ROAD",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40205",
      "county": "JEFFERSON",
      "latitude": 38.218808999725,
      "longitude": -85.710592129986,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 396,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-uofl-health---peace-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UofL Health",
      "parentSystemId": "entity-uofl-health",
      "siblingGroupId": "siblings-ky-uofl-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007540205",
        "external-resolution-0007540205"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://uoflhealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to UofL Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to UofL Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007556093",
      "name": "MAYO CLINIC HEALTH SYS WASECA",
      "address": "501 NORTH STATE STREET",
      "city": "WASECA",
      "state": "MN",
      "zip": "56093",
      "county": "WASECA",
      "latitude": 44.081728979828,
      "longitude": -93.5082224902611,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://mayoclinichealthsystem.org/locations/waseca",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waseca-mayo-clinic-health-sys-waseca/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007574523",
      "name": "PUSHMATAHA COUNTY TOWN OF ANTLERS HOSPITAL AUTHORITY",
      "address": "510 EAST MAIN STREET",
      "city": "ANTLERS",
      "state": "OK",
      "zip": "74523",
      "county": "PUSHMATAHA",
      "latitude": 34.2312322697869,
      "longitude": -95.6147388399943,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 23,
      "rating": null,
      "website": "http://www.pushhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-antlers-pushmataha-county-town-of-antlers-hospital-authority/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PUSHMATAHA COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-pushmataha-county-hospital-authority",
      "siblingGroupId": "siblings-ok-pushmataha-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-verified-parent-pushmataha-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PUSHMATAHA COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUSHMATAHA COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PUSHMATAHA COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUSHMATAHA COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007592704",
      "name": "SOUTH COAST GLOBAL MEDICAL CENTER",
      "address": "2701 S BRISTOL ST",
      "city": "SANTA ANA",
      "state": "CA",
      "zip": "92704",
      "county": "ORANGE",
      "latitude": 33.7111339903066,
      "longitude": -117.884622210228,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 109,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-ana-south-coast-global-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050747",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kpc-healthcare-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007601830",
      "name": "HOLY FMLY HOSP AT MERRIMACK VLLY A S",
      "address": "140 LINCOLN AVENUE",
      "city": "HAVERHILL",
      "state": "MA",
      "zip": "01830",
      "county": "ESSEX",
      "latitude": 42.7652999997101,
      "longitude": -71.0447999999105,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 109,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ma-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007601830",
        "external-resolution-0007601830"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20241211001664 (22S080). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20241211001664 (22S080). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0007614108",
      "name": "EASTERN NIAGARA HOSPITAL",
      "address": "2600 WILLIAM ST",
      "city": "NEWFANE",
      "state": "NY",
      "zip": "14108",
      "county": "NIAGARA",
      "latitude": 43.2885599498167,
      "longitude": -78.7083169601547,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 71,
      "rating": null,
      "website": "http://www.enhs.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newfane-eastern-niagara-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Eastern Niagara Hospital Inc",
      "parentSystemId": "entity-eastern-niagara-hospital-inc",
      "siblingGroupId": "siblings-ny-eastern-niagara-hospital-inc",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007614108",
        "external-resolution-0007614108"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/161137084"
      ],
      "ownershipProofNotes": "The normalized facility name exactly matches the IRS-recognized organization Eastern Niagara Hospital Inc (EIN 161137084) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented.",
      "parentSystemEvidence": "The normalized facility name exactly matches the IRS-recognized organization Eastern Niagara Hospital Inc (EIN 161137084) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented."
    },
    {
      "id": "0007629572",
      "name": "GRAND STRAND MEDICAL CENTER",
      "address": "809 82ND PKWY",
      "city": "MYRTLE BEACH",
      "state": "SC",
      "zip": "29572",
      "county": "HORRY",
      "latitude": 33.7584394302663,
      "longitude": -78.8201067798109,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 403,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-myrtle-beach-grand-strand-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AC MED LLC",
      "parentSystemId": "entity-ac-med-llc",
      "siblingGroupId": "siblings-sc-ac-med-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007637403",
      "name": "SISKIN HOSPITAL FOR PHYSICAL REHABILITATION",
      "address": "1 SISKIN PLAZA",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37403",
      "county": "HAMILTON",
      "latitude": 35.0503636099281,
      "longitude": -85.2915969103023,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 96,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chattanooga-siskin-hospital-for-physical-rehabilitation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SISKIN HOSPITAL FOR PHYSICAL REHABILITATION",
      "parentSystemId": "entity-siskin-hospital-for-physical-rehabilitation",
      "siblingGroupId": "siblings-tn-siskin-hospital-for-physical-rehabilitation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-siskin-hospital-for-physical-rehabilitation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to SISKIN HOSPITAL FOR PHYSICAL REHABILITATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISKIN HOSPITAL FOR PHYSICAL REHABILITATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to SISKIN HOSPITAL FOR PHYSICAL REHABILITATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISKIN HOSPITAL FOR PHYSICAL REHABILITATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007677833",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - BRENHAM",
      "address": "700 MEDICAL PKWY",
      "city": "BRENHAM",
      "state": "TX",
      "zip": "77833",
      "county": "WASHINGTON",
      "latitude": 30.1456725099029,
      "longitude": -96.3993213302447,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007681502",
      "name": "INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL",
      "address": "2635 N 7TH ST",
      "city": "GRAND JUNCTION",
      "state": "CO",
      "zip": "81501",
      "county": "MESA",
      "latitude": 39.0905071600828,
      "longitude": -108.563572490131,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 346,
      "rating": 4,
      "status": "corporate_chain",
      "evidenceSource": "Colorado Department of Law and CMS Hospital All Owners",
      "evidenceSourceUrl": "https://coag.gov/press-releases/3-31-22/",
      "evidenceAsOf": "2026-07-06",
      "reviewedAt": "2026-07-06",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Government, CMS, and official system sources establish Intermountain Health as the ultimate parent/system and operational controller. This is a major nonprofit health-system warning, not a private-equity ownership claim.",
      "classificationSources": [
        "Colorado Department of Law SCL/Intermountain merger review",
        "Intermountain Health official merger and naming releases",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "PESP Private Equity Hospital Tracker import"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-06",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "ccn": "060023",
      "relationshipType": "major_health_system",
      "parentSystem": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
      "formerOperator": "SCL Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "Colorado Attorney General merger review plus CMS enrollment and owner/control records.",
      "affiliationConfidence": "high",
      "acquiredDate": "April 1, 2022",
      "peFirm": "",
      "caseId": "colorado-intermountain-st-marys",
      "classificationNote": "Current Intermountain system control confirmed.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sisters-of-charity-of-leavenworth-health-system-inc",
      "siblingGroupId": "siblings-co-sisters-of-charity-of-leavenworth-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007685013",
      "name": "SELECT SPECIALTY HOSPITAL - PHOENIX",
      "address": "350 WEST THOMAS ROAD, 3RD FLOOR",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85013",
      "county": "MARICOPA",
      "latitude": 33.4821443201008,
      "longitude": -112.079992240262,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "http://phoenix.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-select-specialty-hospital---phoenix/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-az-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JESSIKA WORKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JESSIKA WORKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007687108",
      "name": "TURQUOISE LODGE HOSPITAL",
      "address": "5400 GIBSON SE, BOX 13",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87108",
      "county": "BERNALILLO",
      "latitude": 35.0735968202459,
      "longitude": -106.580034640411,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-turquoise-lodge-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TURQUOISE LODGE HOSPITAL",
      "parentSystemId": "entity-turquoise-lodge-hospital",
      "siblingGroupId": "siblings-nm-turquoise-lodge-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007687108",
        "external-resolution-0007687108"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nm.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0007707840",
      "name": "HACKETTSTOWN MEDICAL CENTER",
      "address": "651 WILLOW GROVE ST",
      "city": "HACKETTSTOWN",
      "state": "NJ",
      "zip": "07840",
      "county": "WARREN",
      "latitude": 40.861684099836,
      "longitude": -74.8160077399783,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 111,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHS HOSPITAL CORP",
      "parentSystemId": "entity-ahs-hospital-corp",
      "siblingGroupId": "siblings-nj-ahs-hospital-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007715006",
      "name": "SELECT SPECIALTY HOSPITAL ARIZONA INC",
      "address": "1111 EAST MCDOWELL RD, 11TH FLOOR",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4639159502013,
      "longitude": -112.060175779692,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-az-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ETENE TERRELL-FAKOREDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ETENE TERRELL-FAKOREDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007729401",
      "name": "VIBRA HOSPITAL OF CHARLESTON",
      "address": "1200 HOSPITAL DR, 3RD FLOOR",
      "city": "MOUNT PLEASANT",
      "state": "SC",
      "zip": "29464",
      "county": "CHARLESTON",
      "latitude": 32.8149016299772,
      "longitude": -79.8557163804161,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mt-pleasant-vibra-hospital-of-charleston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-sc-vibra-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007729401",
        "external-resolution-0007729401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007737402",
      "name": "KINDRED HOSPITAL - CHATTANOOGA",
      "address": "709 WALNUT STREET",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37402",
      "county": "HAMILTON",
      "latitude": 35.0475781396489,
      "longitude": -85.307706220426,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "website": "http://www.kindredchattanooga.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "442007",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chattanooga-kindred-hospital-chattanooga/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tn-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007739180",
      "name": "PROMISE HOSPITAL OF VICKSBURG",
      "address": "1111 NORTH FRONTAGE ROAD, 2ND FLOOR",
      "city": "VICKSBURG",
      "state": "MS",
      "zip": "39183",
      "county": "WARREN",
      "latitude": 32.3190941198695,
      "longitude": -90.881723440396,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://www.promise-vicksburg.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vicksburg-promise-hospital-of-vicksburg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Promise Healthcare",
      "parentSystemId": "entity-promise-healthcare",
      "siblingGroupId": "siblings-ms-promise-healthcare",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-06-30",
      "ownershipSourceIds": [
        "hifld-location-0007739180",
        "external-resolution-0007739180"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 252008; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 252008; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0007744143",
      "name": "UHHS - RICHMOND HTS. HOSPITAL",
      "address": "27100 CHARDON ROAD",
      "city": "RICHMOND HTS",
      "state": "OH",
      "zip": "44143",
      "county": "CUYAHOGA",
      "latitude": 41.5807521296712,
      "longitude": -81.4889102299786,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 213,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "University Hospitals",
      "parentSystemId": "entity-university-hospitals",
      "siblingGroupId": "siblings-oh-university-hospitals",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007744143",
        "external-resolution-0007744143"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to University Hospitals and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to University Hospitals and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007747371",
      "name": "IU HEALTH JAY",
      "address": "500 W VOTAW ST",
      "city": "PORTLAND",
      "state": "IN",
      "zip": "47371",
      "county": "JAY",
      "latitude": 40.4412983701127,
      "longitude": -84.9849202397865,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LIESEL DELAMATER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LIESEL DELAMATER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007749037",
      "name": "VA MEDICAL CENTER - BATTLE CREEK",
      "address": "5500 ARMSRTONG RD",
      "city": "BATTLE CREEK",
      "state": "MI",
      "zip": "49037",
      "county": "CALHOUN",
      "latitude": 42.3434272001535,
      "longitude": -85.2913317402069,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.battlecreek.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-battle-creek-va-medical-center---battle-creek/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mi-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007757401",
      "name": "SANFORD ABERDEEN MEDICAL CENTER",
      "address": "2905 3RD AVE SE",
      "city": "ABERDEEN",
      "state": "SD",
      "zip": "57401",
      "county": "BROWN",
      "latitude": 45.4630252601478,
      "longitude": -98.4460844404275,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "http://www.sanfordaberdeen.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aberdeen-sanford-aberdeen-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007773662",
      "name": "SAYRE MEMORIAL HOSPITAL",
      "address": "911 HOSPITAL DRIVE",
      "city": "SAYRE",
      "state": "OK",
      "zip": "73662",
      "county": "BECKHAM",
      "latitude": 35.3072432303627,
      "longitude": -99.6323871198499,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 31,
      "rating": null,
      "website": "http://www.sayrehospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SAYRE  MEMORIAL HOSPITAL",
      "parentSystemId": "entity-sayre-memorial-hospital",
      "siblingGroupId": "siblings-ok-sayre-memorial-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2016-06-30",
      "ownershipSourceIds": [
        "hifld-location-0007773662",
        "external-resolution-0007773662"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 370103; Type of Control 12 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 370103; Type of Control 12 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0007781501",
      "name": "WEST SPRINGS HOSPITAL, INC",
      "address": "515 28 3/4 RD",
      "city": "GRAND JUNCTION",
      "state": "CO",
      "zip": "81501",
      "county": "MESA",
      "latitude": 39.0792607297893,
      "longitude": -108.520381749985,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 64,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-junction-west-springs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mind Springs Health",
      "parentSystemId": "entity-mind-springs-health",
      "siblingGroupId": "siblings-co-mind-springs-health",
      "ownershipRelationship": "historically_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007781501",
        "external-resolution-0007781501"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://westspringshospital.org/about/board-of-directors/"
      ],
      "ownershipProofNotes": "West Springs was the inpatient hospital of nonprofit Mind Springs Health and has since closed; it remains a historical location.",
      "parentSystemEvidence": "West Springs was the inpatient hospital of nonprofit Mind Springs Health and has since closed; it remains a historical location."
    },
    {
      "id": "0007813501",
      "name": "ST ELIZABETH MEDICAL CENTER",
      "address": "2209 GENESEE ST",
      "city": "UTICA",
      "state": "NY",
      "zip": "13501",
      "county": "ONEIDA",
      "latitude": 43.0821714297301,
      "longitude": -75.2661120302777,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 201,
      "rating": null,
      "website": "http://www.stemc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-utica-st.-elizabeth-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. ELIZABETH MEDICAL CENTER",
      "parentSystemId": "entity-st-elizabeth-medical-center",
      "siblingGroupId": "siblings-ny-st-elizabeth-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0007813501",
        "external-resolution-0007813501"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 330245; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 330245; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0007819139",
      "name": "KIRKBRIDE CENTER",
      "address": "111 NORTH 49TH STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19139",
      "county": "PHILADELPHIA",
      "latitude": 39.9610085502105,
      "longitude": -75.2178198896859,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 74,
      "rating": null,
      "website": "http://www.kirkbridecenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-kirkbride-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KIRKBRIDE CENTER",
      "parentSystemId": "entity-kirkbride-center",
      "siblingGroupId": "siblings-pa-kirkbride-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-06-30",
      "ownershipSourceIds": [
        "hifld-location-0007819139",
        "external-resolution-0007819139"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 394007; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 394007; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0007824013",
      "name": "CARILION ROANOKE COMMUNITY HOSPITAL",
      "address": "101 ELM AVE",
      "city": "ROANOKE",
      "state": "VA",
      "zip": "24013",
      "county": "ROANOKE",
      "latitude": 37.266077490078,
      "longitude": -79.9392059197032,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 197,
      "rating": null,
      "website": "https://www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "Carilionclinic",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roanoke-carilion-roanoke-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilionclinic",
      "siblingGroupId": "siblings-va-carilionclinic",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007824013",
        "external-resolution-0007824013"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.carilionclinic.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007834233",
      "name": "HCA FLORIDA SARASOTA DOCTORS HOSPITAL",
      "address": "5731 BEE RIDGE RD",
      "city": "SARASOTA",
      "state": "FL",
      "zip": "34233",
      "county": "SARASOTA",
      "latitude": 27.3019576303712,
      "longitude": -82.45335060996,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 155,
      "rating": 4,
      "website": "https://www.hcafloridahealthcare.com/locations/sarasota-doctors-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100166",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sarasota-hca-florida-sarasota-doctors-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007839759",
      "name": "OCH REGIONAL MEDICAL CENTER",
      "address": "400 HOSPITAL ROAD",
      "city": "STARKVILLE",
      "state": "MS",
      "zip": "39759",
      "county": "OKTIBBEHA",
      "latitude": 33.4761738599053,
      "longitude": -88.8206054397209,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 96,
      "rating": null,
      "website": "http://www.och.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-starkville-och-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007844857",
      "name": "FISHER - TITUS MEDICAL CENTER",
      "address": "272 BENEDICT AVENUE",
      "city": "NORWALK",
      "state": "OH",
      "zip": "44857",
      "county": "HURON",
      "latitude": 41.2257042697843,
      "longitude": -82.6042102499056,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 114,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FISHER TITUS HEALTH",
      "parentSystemId": "entity-fisher-titus-health",
      "siblingGroupId": "siblings-oh-fisher-titus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-fisher-titus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.fishertitus.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FISHER TITUS HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Fisher-Titus Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FISHER TITUS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FISHER TITUS HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Fisher-Titus Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FISHER TITUS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007852732",
      "name": "MERCY REHABILITATION SERVICES",
      "address": "638 SOUTH BLUFF ROAD",
      "city": "CLINTON",
      "state": "IA",
      "zip": "52732",
      "county": "CLINTON",
      "latitude": 41.8400242901394,
      "longitude": -90.2137435702932,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.mercyclinton.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-mercy-rehabilitation-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007852732",
        "external-resolution-0007852732"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mercyone.org/location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to MercyOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to MercyOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007857078",
      "name": "SD HUMAN SERVICES CENTER",
      "address": "3515 BROADWAY AVE",
      "city": "YANKTON",
      "state": "SD",
      "zip": "57078",
      "county": "YANKTON",
      "latitude": 42.9147729697435,
      "longitude": -97.4012591697479,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 133,
      "rating": null,
      "website": "https://dss.sd.gov/behavioralhealth/hsc/services.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yankton-sd-human-services-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF SOUTH DAKOTA",
      "parentSystemId": "entity-state-of-south-dakota",
      "siblingGroupId": "siblings-sd-state-of-south-dakota",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007857078",
        "external-resolution-0007857078"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20090312000627 (434003). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20090312000627 (434003). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0007868651",
      "name": "POLK COUNTY",
      "address": "531 BEEBE ST, PO BOX 428",
      "city": "OSCEOLA",
      "state": "NE",
      "zip": "68651",
      "county": "POLK",
      "latitude": 41.169722050132,
      "longitude": -97.5491719995916,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "POLK COUNTY public health authority",
      "parentSystemId": "entity-polk-county-public-health-authority",
      "siblingGroupId": "siblings-ne-polk-county-public-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007868651",
        "external-resolution-0007868651"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ne.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0007881521",
      "name": "COLORADO CANYONS HOSPITAL AND MEDICAL CEN",
      "address": "300 W OTTLEY AVE",
      "city": "FRUITA",
      "state": "CO",
      "zip": "81521",
      "county": "MESA",
      "latitude": 39.1636840397229,
      "longitude": -108.736665109965,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOWER VALLEY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-lower-valley-hospital-association",
      "siblingGroupId": "siblings-co-lower-valley-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-lower-valley-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LOWER VALLEY HOSPITAL ASSOCIATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOWER VALLEY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LOWER VALLEY HOSPITAL ASSOCIATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOWER VALLEY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007885739",
      "name": "SIERRA TUCSON, INC.",
      "address": "39580 S. LAGO DEL ORO PRKWY",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85739",
      "county": "PINAL",
      "latitude": 32.516775169857,
      "longitude": -110.887300219719,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 139,
      "rating": null,
      "website": "http://www.sierratucson.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-sierra-tucson-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-az-acadia-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007885739",
        "external-resolution-0007885739"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Acadia Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Acadia Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0007900000",
      "name": "CHI ST. VINCENT SHERWOOD REHABILITATION HOSPITAL - PARTNER OF ENCOMPASS HEALTH",
      "address": "2201 WILDWOOD AVENUE",
      "city": "SHERWOOD",
      "state": "AR",
      "zip": "72120",
      "county": "PULASKI",
      "latitude": 34.8133971297627,
      "longitude": -92.2090220297723,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "https://www.stvincenthealth.com/svrehabhospital/index.html",
      "status": "corporate_chain",
      "parentSystem": "Continental Medical Systems",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-continental-medical-systems",
      "siblingGroupId": "siblings-ar-continental-medical-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-verified-parent-continental-medical-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "CMS owner candidate: CONTINENTAL MEDICAL SYSTEMS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CONTINENTAL MEDICAL SYSTEMS LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Continental Medical Systems, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CONTINENTAL MEDICAL SYSTEMS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CONTINENTAL MEDICAL SYSTEMS LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Continental Medical Systems, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007913502",
      "name": "FAXTON-ST. LUKE'S HEALTHCARE - FAXTON CAMPUS",
      "address": "1676 SUNSET AVE",
      "city": "UTICA",
      "state": "NY",
      "zip": "13502",
      "county": "ONEIDA",
      "latitude": 43.091009719857,
      "longitude": -75.2581171302503,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "website": "http://faxtonstlukes.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-utica-faxton-st.-luke-s-healthcare---faxton-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MVHS INC",
      "parentSystemId": "entity-mvhs-inc",
      "siblingGroupId": "siblings-ny-mvhs-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007913502",
        "external-resolution-0007913502"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20111103000020 (33T044). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20111103000020 (33T044). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0007929118",
      "name": "REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES",
      "address": "3000 SAINT MATTHEWS RD",
      "city": "ORANGEBURG",
      "state": "SC",
      "zip": "29118",
      "county": "ORANGEBURG",
      "latitude": 33.5402674500218,
      "longitude": -80.8304581702569,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 286,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orangeburg-regional-medical-center-of-orangeburg-&-calhoun-counties/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MUSC Health",
      "parentSystemId": "entity-musc-health",
      "siblingGroupId": "siblings-sc-musc-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007929118",
        "external-resolution-0007929118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20230602000997 (42T004). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20230602000997 (42T004). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0007939216",
      "name": "G.V. - SONNY - MONTGOMERY DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1500 EAST WOODROW WILSON AVENUE",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39216",
      "county": "HINDS",
      "latitude": 32.3278901600467,
      "longitude": -90.1673263098191,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 210,
      "rating": null,
      "website": "https://www.jackson.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ms-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007941240",
      "name": "PAUL B HALL REGIONAL MEDICAL CENTER",
      "address": "625 JAMES S TRIMBLE BOULEVARD",
      "city": "PAINTSVILLE",
      "state": "KY",
      "zip": "41240",
      "county": "JOHNSON",
      "latitude": 37.8155109402713,
      "longitude": -82.81305130042,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Appalachian Regional Healthcare",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "campusFamilyId": "campus-ky-180078",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007949431",
      "name": "SPECTRUM HEALTH LUDINGTON HOSPITAL",
      "address": "1 N ATKINSON DRIVE",
      "city": "LUDINGTON",
      "state": "MI",
      "zip": "49431",
      "county": "MASON",
      "latitude": 43.9581479399223,
      "longitude": -86.4304093796786,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 45,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Corewell Health",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ludington-spectrum-health-ludington-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007949431",
        "external-resolution-0007949431"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "Corewell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Corewell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0007953226",
      "name": "MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION",
      "address": "9455 W WATERTOWN PLANK RD",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53226",
      "county": "MILWAUKEE",
      "latitude": 43.0430427999568,
      "longitude": -88.030255590175,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 144,
      "rating": null,
      "website": "http://www.milwaukeecounty.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MILWAUKEE COUNTY public health authority",
      "parentSystemId": "entity-milwaukee-county-public-health-authority",
      "siblingGroupId": "siblings-wi-milwaukee-county-public-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0007953226",
        "external-resolution-0007953226"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.milwaukeecounty.org"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0007956347",
      "name": "CENTRACARE HEALTH LONG PRAIRIE",
      "address": "50 CENTRACARE DRIVE",
      "city": "LONG PRAIRIE",
      "state": "MN",
      "zip": "56347",
      "county": "TODD",
      "latitude": 45.973532790203,
      "longitude": -94.8484453796836,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://www.centracare.com/locations/long-prairie/",
      "status": "corporate_chain",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "affiliatedSystem": "Centracare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Centracare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0007957105",
      "name": "SELECT SPECIALTY HOSPITAL - SOUTH DAKOTA",
      "address": "1305 WEST 18TH STREET",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57105",
      "county": "MINNEHAHA",
      "latitude": 43.5354019702248,
      "longitude": -96.7432289696634,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "website": "http://southdakota.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-sd-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists OMAR JOSH GREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SD resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists OMAR JOSH GREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SD resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008001805",
      "name": "LAHEY HOSPITAL AND MEDICAL CENTER - BURLINGTON",
      "address": "41 MALL ROAD",
      "city": "BURLINGTON",
      "state": "MA",
      "zip": "01806",
      "county": "MIDDLESEX",
      "latitude": 42.4846649998621,
      "longitude": -71.2052649999991,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 345,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "LAHEY CLINIC HOSPITAL INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Teaching hospital",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lahey-clinic-hospital-inc",
      "siblingGroupId": "siblings-ma-lahey-clinic-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAHEY CLINIC HOSPITAL INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate LAHEY CLINIC HOSPITAL INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAHEY CLINIC HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAHEY CLINIC HOSPITAL INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate LAHEY CLINIC HOSPITAL INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAHEY CLINIC HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008013413",
      "name": "FAXTON - ST LUKES HEALTHCARE ST LUKES DIVISION",
      "address": "1656 CHAMPLIN AVENUE",
      "city": "UTICA",
      "state": "NY",
      "zip": "13502",
      "county": "ONEIDA",
      "latitude": 43.0967334202301,
      "longitude": -75.2758937701352,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 370,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOHAWK VALLEY HEALTH SYSTEM",
      "parentSystemId": "entity-mohawk-valley-health-system",
      "siblingGroupId": "siblings-ny-mohawk-valley-health-system",
      "campusFamilyId": "campus-ny-330044",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOHAWK VALLEY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOHAWK VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOHAWK VALLEY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOHAWK VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008028301",
      "name": "HIGHSMITH - RAINEY SPECIALTY HOSPITAL",
      "address": "150 ROBESON STREET",
      "city": "FAYETTEVILLE",
      "state": "NC",
      "zip": "28301",
      "county": "CUMBERLAND",
      "latitude": 35.0543031698281,
      "longitude": -78.8881543000252,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 66,
      "rating": null,
      "website": "http://www.capefearvalley.com/hospitals/hrsh.html",
      "status": "corporate_chain",
      "parentSystem": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
      "affiliatedSystem": "Cape Fear Valley Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Cape Fear Valley Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-cumberland-county-hospital-system-inc",
      "siblingGroupId": "siblings-nc-cumberland-county-hospital-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-cumberland-county-hospital-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008046222",
      "name": "KINDRED HOSPITAL INDIANAPOLIS",
      "address": "1700 W 10TH ST",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46222",
      "county": "MARION",
      "latitude": 39.7815018499249,
      "longitude": -86.1914491696522,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "website": "http://www.kindredhospitalindy.com/",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-in-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-in-152007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.scionhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008049307",
      "name": "SPECTRUM HEALTH BIG RAPIDS HOSPITAL",
      "address": "605 OAK STREET",
      "city": "BIG RAPIDS",
      "state": "MI",
      "zip": "49307",
      "county": "MECOSTA",
      "latitude": 43.693884709891,
      "longitude": -85.4749275297165,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "website": "http://www.mcmcbr.com",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-rapids-spectrum-health-big-rapids-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008053211",
      "name": "ASCENSION SACRED HEART REHABILITATION HOSPITAL",
      "address": "2301 N LAKE DRIVE, 8TH FLOOR",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53211",
      "county": "MILWAUKEE",
      "latitude": 43.0614554402962,
      "longitude": -87.8803843800112,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 31,
      "rating": null,
      "website": "http://www.columbia-stmarys.com",
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-wi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008053211",
        "external-resolution-0008053211"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008063901",
      "name": "JOHN J. PERSHING VA MEDICAL CENTER",
      "address": "1500 N WESTWOOD BLVD",
      "city": "POPLAR BLUFF",
      "state": "MO",
      "zip": "63901",
      "county": "BUTLER",
      "latitude": 36.7723680300636,
      "longitude": -90.4165562703794,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 58,
      "rating": null,
      "website": "http://www.poplarbluff.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-poplar-bluff-john-j.-pershing-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mo-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008066048",
      "name": "SAINT LUKE'S CUSHING HOSPITAL",
      "address": "711 MARSHALL STREET",
      "city": "LEAVENWORTH",
      "state": "KS",
      "zip": "66048",
      "county": "LEAVENWORTH",
      "latitude": 39.3073111696747,
      "longitude": -94.9183463201618,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 54,
      "rating": null,
      "website": "https://www.saintlukeshealthsystem.org/location/cushingmemorial- hospital",
      "status": "corporate_chain",
      "parentSystem": "Saintlukeshealthsystem",
      "affiliatedSystem": "Saintlukeshealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintlukeshealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saintlukeshealthsystem",
      "siblingGroupId": "siblings-ks-saintlukeshealthsystem",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008066048",
        "external-resolution-0008066048"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.saintlukeshealthsystem.org/location/cushingmemorial- hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008081401",
      "name": "MONTROSE MEMORIAL HOSPITAL",
      "address": "800 S 3RD ST",
      "city": "MONTROSE",
      "state": "CO",
      "zip": "81401",
      "county": "MONTROSE",
      "latitude": 38.4800399299938,
      "longitude": -107.869021269594,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 75,
      "rating": null,
      "website": "http://www.montrosehospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTROSE MEMORIAL HOSPITAL, INC",
      "parentSystemId": "entity-montrose-memorial-hospital-inc",
      "siblingGroupId": "siblings-co-montrose-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-montrose-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to MONTROSE MEMORIAL HOSPITAL, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTROSE MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to MONTROSE MEMORIAL HOSPITAL, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTROSE MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008093720",
      "name": "COMMUNITY BEHAVIORAL HEALTH CENTER",
      "address": "7171 N CEDAR AVE",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93720",
      "county": "FRESNO",
      "latitude": 36.8404012302115,
      "longitude": -119.757662320402,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 73,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "Community Behavioral Health Center profile",
      "evidenceSourceUrl": "https://hcai.ca.gov/facility/community-behavioral-health-center/",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "HCAI and Community Medical pages support Community Behavioral as part of the Community Medical Centers/Community Regional consolidated family. Remaining limitation: CMS CCN/NPI crosswalk and separate operating license details remain pending.",
      "classificationSources": [
        "Community Behavioral Health Center profile",
        "Community Medical Centers locations navigation"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Health system distinct/consolidated facility",
      "operatorName": "Community Medical Centers",
      "publicControlBadge": "Nonprofit / Health system distinct/consolidated facility",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-community-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "Health system distinct/consolidated facility",
      "affiliatedSystem": "Community Medical Centers",
      "affiliatedSystemEvidence": "hcai_cbhc|community_locations_nav",
      "affiliationConfidence": "medium",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008093720"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0008102149",
      "name": "CHA EVERETT HOSPITAL",
      "address": "103 GARLAND ST, 3RD FL, LEVEL C",
      "city": "EVERETT",
      "state": "MA",
      "zip": "02149",
      "county": "MIDDLESEX",
      "latitude": 42.4092999998156,
      "longitude": -71.0394000003622,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 162,
      "rating": null,
      "website": "http://www.challiance.org/locations/whiddenhospitalcampus.aspx",
      "status": "corporate_chain",
      "parentSystem": "Challiance",
      "affiliatedSystem": "Challiance",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Challiance",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-everett-cha-everett-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-challiance",
      "siblingGroupId": "siblings-ma-challiance",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008102149",
        "external-resolution-0008102149"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.challiance.org/locations/whiddenhospitalcampus.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008113215",
      "name": "UPSTATE UNIVERSITY HOSPITAL AT COMMUNITY GENERAL",
      "address": "4900 BROAD ROAD",
      "city": "SYRACUSE",
      "state": "NY",
      "zip": "13215",
      "county": "ONONDAGA",
      "latitude": 43.0080376699348,
      "longitude": -76.1679021802742,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 314,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UPSTATE UNIVERSITY HOSPITAL AT COMMUNITY GENERAL",
      "parentSystemId": "entity-upstate-university-hospital-at-community-general",
      "siblingGroupId": "siblings-ny-upstate-university-hospital-at-community-general",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008113215",
        "external-resolution-0008113215"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://profiles.health.ny.gov/hospital/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0008119111",
      "name": "JEANES HOSPITAL",
      "address": "7600 CENTRAL AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19111",
      "county": "PHILADELPHIA",
      "latitude": 40.070699160284,
      "longitude": -75.087832679927,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 176,
      "rating": null,
      "website": "http://www.jeanes.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEANES HOSPITAL",
      "parentSystemId": "entity-jeanes-hospital",
      "siblingGroupId": "siblings-pa-jeanes-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-06-30",
      "ownershipSourceIds": [
        "hifld-location-0008119111",
        "external-resolution-0008119111"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 390080; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 390080; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0008127055",
      "name": "YADKIN VALLEY COMMUNITY HOSPITAL",
      "address": "624 WEST MAIN STREET",
      "city": "YADKINVILLE",
      "state": "NC",
      "zip": "27055",
      "county": "YADKIN",
      "latitude": 36.1352839200441,
      "longitude": -80.6711254804143,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit hospital, and this baseline pass did not match a known PE, corporate-chain, CHOW, or major-system rule.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yadkinville-yadkin-valley-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008127055"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_or_generic_parent, insufficient_structured_sources."
    },
    {
      "id": "0008129902",
      "name": "BEAUFORT MEMORIAL HOSPITAL",
      "address": "955 RIBAUT RD",
      "city": "BEAUFORT",
      "state": "SC",
      "zip": "29902",
      "county": "BEAUFORT",
      "latitude": 32.4173297701423,
      "longitude": -80.6875209704314,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 201,
      "rating": null,
      "website": "http://www.bmhsc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaufort-beaufort-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BEAUFORT COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-beaufort-county-memorial-hospital",
      "siblingGroupId": "siblings-sc-beaufort-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-beaufort-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUFORT COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to BEAUFORT COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUFORT COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUFORT COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to BEAUFORT COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUFORT COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008136202",
      "name": "NOLAND HOSPITAL ANNISTON II, LLC",
      "address": "400 EAST 10TH STREET, 4TH FLOOR, PO BOX 1578",
      "city": "ANNISTON",
      "state": "AL",
      "zip": "36202",
      "county": "CALHOUN",
      "latitude": 33.6556551899024,
      "longitude": -85.823239619753,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "website": "http://www.nolandhealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NOLAND HEALTH SERVICES, INC",
      "parentSystemId": "entity-noland-health-services-inc",
      "siblingGroupId": "siblings-al-noland-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-noland-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nolandhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008156215",
      "name": "SWIFT COUNTY BENSON HLTH SVCS",
      "address": "1815 WISCONSIN AVENUE",
      "city": "BENSON",
      "state": "MN",
      "zip": "56215",
      "county": "SWIFT",
      "latitude": 45.31435721009,
      "longitude": -95.6090378895545,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 21,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008170560",
      "name": "IBERIA REHABILITATION HOSPITAL",
      "address": "532 JEFFERSON TERRACE STREET",
      "city": "NEW IBERIA",
      "state": "LA",
      "zip": "70560",
      "county": "IBERIA",
      "latitude": 29.9907871297857,
      "longitude": -91.8068394597573,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 14,
      "rating": null,
      "website": "http://iberiarehab.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-iberia-iberia-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TECHE SPECIALTY HOSPITAL LLC",
      "parentSystemId": "entity-teche-specialty-hospital-llc",
      "siblingGroupId": "siblings-la-teche-specialty-hospital-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-05-31",
      "ownershipSourceIds": [
        "hifld-location-0008170560",
        "external-resolution-0008170560"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 193096; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 193096; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0008178526",
      "name": "SOUTH TEXAS REHABILITATION HOSPITAL",
      "address": "425 EAST ALTON GLOOR BOULEVARD",
      "city": "BROWNSVILLE",
      "state": "TX",
      "zip": "78526",
      "county": "CAMERON",
      "latitude": 25.9806431598972,
      "longitude": -97.5105602203841,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.strh.ernesthealth.com",
      "status": "confirmed_pe",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brownsville-south-texas-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ccn": "453092",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008180701",
      "name": "COLORADO PLAINS MEDICAL CENTER",
      "address": "1000 LINCOLN ST",
      "city": "FORT MORGAN",
      "state": "CO",
      "zip": "80701",
      "county": "MORGAN",
      "latitude": 40.2600213801068,
      "longitude": -103.795479350128,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.coloradoplainsmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008197448",
      "name": "OREGON STATE HOSPITAL JUNCTION CITY",
      "address": "29398 RECOVERY WAY",
      "city": "JUNCTION CITY",
      "state": "OR",
      "zip": "97448",
      "county": "LANE",
      "latitude": 44.1657748099068,
      "longitude": -123.194180750139,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 96,
      "rating": null,
      "website": "https://www.oregon.gov/oha/osh/pages/index.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-junction-city-oregon-state-hospital-junction-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Oregon Health Authority",
      "parentSystemId": "entity-oregon-health-authority",
      "siblingGroupId": "siblings-or-oregon-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008197448",
        "external-resolution-0008197448"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.oregon.gov/oha/osh/pages/index.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0008201930",
      "name": "BEVERLY HOSP - ADDISION GILBERT CAMPUS",
      "address": "298 WASHINGTON STREET",
      "city": "GLOUCESTER",
      "state": "MA",
      "zip": "01930",
      "county": "ESSEX",
      "latitude": 42.6255000000646,
      "longitude": -70.6806000003319,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 52,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Community hospital campus",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008201930"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0008224112",
      "name": "SOVAH HEALTH - MARTINSVILLE",
      "address": "320 HOSPITAL DRIVE",
      "city": "MARTINSVILLE",
      "state": "VA",
      "zip": "24112",
      "county": "MARTINSVILLE",
      "latitude": 36.6992435899384,
      "longitude": -79.8671804698663,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 220,
      "rating": null,
      "website": "www.sovahhealth.com",
      "status": "corporate_chain",
      "parentSystem": "LifePoint Health",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-va-lifepoint-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008224112",
        "external-resolution-0008224112"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "LifePoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "LifePoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008229926",
      "name": "HILTON HEAD HOSPITAL",
      "address": "25 HOSPITAL CENTER BLVD",
      "city": "HILTON HEAD ISLAND",
      "state": "SC",
      "zip": "29926",
      "county": "BEAUFORT",
      "latitude": 32.2240453200259,
      "longitude": -80.7150573396525,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 109,
      "rating": null,
      "website": "http://www.hiltonheadregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hilton-head-island-hilton-head-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HILTON HEAD HEALTH SYSTEM, L.P.",
      "parentSystemId": "entity-hilton-head-health-system-l-p",
      "siblingGroupId": "siblings-sc-hilton-head-health-system-l-p",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: HILTON HEAD HEALTH SYSTEM, L.P. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON L BERND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILTON HEAD HEALTH SYSTEM, L.P., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HILTON HEAD HEALTH SYSTEM, L.P. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON L BERND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILTON HEAD HEALTH SYSTEM, L.P., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008230513",
      "name": "FANNIN REGIONAL HOSPITAL",
      "address": "2855 OLD HIGHWAY 5 NORTH",
      "city": "BLUE RIDGE",
      "state": "GA",
      "zip": "30513",
      "county": "FANNIN",
      "latitude": 34.9177361399765,
      "longitude": -84.3746432001065,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.fanninregionalhospital.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "JAVA MEDICAL GROUP LLC",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blue-ridge-fannin-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-java-medical-group-llc",
      "siblingGroupId": "siblings-ga-java-medical-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-java-medical-group"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.javamg.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JAVA MEDICAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Java Medical Group; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAVA MEDICAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JAVA MEDICAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Java Medical Group; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAVA MEDICAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008255981",
      "name": "ST. ELIZABETHS MEDICAL CENTER",
      "address": "1200 GRANT BOULEVARD WEST",
      "city": "WABASHA",
      "state": "MN",
      "zip": "55981",
      "county": "WABASHA",
      "latitude": 44.3877887200887,
      "longitude": -92.0473865904456,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/wisconsin/wiapm/wabasha%20saint%20elizabeths%20medical%20center",
      "status": "corporate_chain",
      "parentSystem": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bellin-gundersen-health-system-inc",
      "siblingGroupId": "siblings-mn-bellin-gundersen-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-emplify-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.emplifyhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Emplify Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Emplify Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008263106",
      "name": "JOHN J. COCHRAN VETERANS HOSPITAL",
      "address": "915 NORTH GRAND BOULEVARD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63106",
      "county": "ST. LOUIS",
      "latitude": 38.6423845602366,
      "longitude": -90.2312485398733,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 356,
      "rating": null,
      "website": "https://www.stlouis.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-mo-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008263106",
        "external-resolution-0008263106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008277802",
      "name": "ST JOSEPH REGIONAL HEALTH CENTER",
      "address": "2801 FRANCISCAN DRIVE",
      "city": "BRYAN",
      "state": "TX",
      "zip": "77802",
      "county": "BRAZOS",
      "latitude": 30.6561370101532,
      "longitude": -96.3459729097868,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 235,
      "rating": null,
      "website": "http://www.st-joseph.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bryan-st.-joseph-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOSEPH REGIONAL HEALTH CENTER",
      "parentSystemId": "entity-st-joseph-regional-health-center",
      "siblingGroupId": "siblings-tx-st-joseph-regional-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOSEPH REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH REGIONAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOSEPH REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH REGIONAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008289148",
      "name": "ORTHOPEDIC SPECIALTY HOSPITAL OF NEVADA",
      "address": "8656 WEST PATRICK LANE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89148",
      "county": "CLARK",
      "latitude": 36.078991559765,
      "longitude": -115.281045749945,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 130,
      "rating": null,
      "website": "http://mountainsedgehospital.com/",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-orthopedic-specialty-hospital-of-nevada/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008289148",
        "external-resolution-0008289148"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://mountainsedgehospital.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0008297754",
      "name": "ST CHARLES PRINEVILLE",
      "address": "384 SE COMBS FLAT ROAD",
      "city": "PRINEVILLE",
      "state": "OR",
      "zip": "97754",
      "county": "CROOK",
      "latitude": 44.2980280701303,
      "longitude": -120.825076520317,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "website": "https://www.stcharleshealthcare.org/our-locations/prineville",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-prineville-st-charles-prineville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST CHARLES HEALTH SYSTEM INC",
      "parentSystemId": "entity-st-charles-health-system-inc",
      "siblingGroupId": "siblings-or-st-charles-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-st-charles-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stcharleshealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST CHARLES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to St. Charles Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST CHARLES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST CHARLES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to St. Charles Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST CHARLES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008318020",
      "name": "LVH COORDINATED BETHLEHEM",
      "address": "2310 HIGHLAND AVENUE",
      "city": "BETHLEHEM",
      "state": "PA",
      "zip": "18017",
      "county": "NORTHAMPTON",
      "latitude": 40.6731214699121,
      "longitude": -75.3654571298752,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "LVH - COORDINATED BETHLEHEM",
      "parentSystemId": "entity-lvh-coordinated-bethlehem",
      "siblingGroupId": "siblings-pa-lvh-coordinated-bethlehem",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-06-30",
      "ownershipSourceIds": [
        "hifld-location-0008318020",
        "external-resolution-0008318020"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 390314; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 390314; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0008336867",
      "name": "REGIONAL REHABILITATION HOSPITAL",
      "address": "3715 US HIGHWAY 431 NORTH",
      "city": "PHENIX CITY",
      "state": "AL",
      "zip": "36867",
      "county": "RUSSELL",
      "latitude": 32.4988481698973,
      "longitude": -85.0464073302432,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "website": "http://www.regionalrehabhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phenix-city-regional-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-al-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008338305",
      "name": "WEST TENNESSEE HEALTHCARE NORTH HOSPITAL",
      "address": "367 HOSPITAL BLVD",
      "city": "JACKSON",
      "state": "TN",
      "zip": "38305",
      "county": "MADISON",
      "latitude": 35.684447110274,
      "longitude": -88.8540484798703,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 792,
      "rating": null,
      "website": "http://www.tennovawest.com/locations/tennova-healthcare-regional-jackson",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-west-tennessee-healthcare-north-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tn-community-health-systems",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008338305",
        "external-resolution-0008338305"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Community Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Community Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0008339476",
      "name": "PERRY COUNTY GENERAL HOSPIAL",
      "address": "206 BAY AVENUE",
      "city": "RICHTON",
      "state": "MS",
      "zip": "39476",
      "county": "PERRY",
      "latitude": 31.3463399802424,
      "longitude": -88.9377253699963,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "FORREST COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-forrest-county-general-hospital",
      "siblingGroupId": "siblings-ms-forrest-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008343701",
      "name": "GENESIS HEALTHCARE SYSTEM",
      "address": "2951 MAPLE AVENUE",
      "city": "ZANESVILLE",
      "state": "OH",
      "zip": "43701",
      "county": "MUSKINGUM",
      "latitude": 39.9748082901983,
      "longitude": -82.0165006598438,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 321,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GENESIS HEALTHCARE SYSTEM",
      "parentSystemId": "entity-genesis-healthcare-system",
      "siblingGroupId": "siblings-oh-genesis-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-genesis-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to GENESIS HEALTHCARE SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to GENESIS HEALTHCARE SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008346143",
      "name": "COMMUNITY HEALTH NETWORK REHABILITATION HOSPITAL SOUTH",
      "address": "607 SOUTH GREENWOOD SPRINGS DRIVE",
      "city": "GREENWOOD",
      "state": "IN",
      "zip": "46143",
      "county": "JOHNSON",
      "latitude": 39.6281386638366,
      "longitude": -86.0755378650994,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-in-chc-community-care",
      "campusFamilyId": "campus-in-153044",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHELLE RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHELLE RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008348811",
      "name": "SPARROW CARSON HOSPITAL",
      "address": "406 EAST ELM ST",
      "city": "CARSON CITY",
      "state": "MI",
      "zip": "48811",
      "county": "MONTCALM",
      "latitude": 43.1755853801011,
      "longitude": -84.8424181802913,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 61,
      "rating": null,
      "website": "http://www.sparrow.org/?sid=19&id=2044",
      "status": "corporate_chain",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "affiliatedSystem": "Sparrow",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Sparrow",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carson-city-sparrow-carson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008360461",
      "name": "FRANCISCAN ALLIANCE, INC",
      "address": "20201 S CRAWFORD AVENUE",
      "city": "OLYMPIA FIELDS",
      "state": "IL",
      "zip": "60461",
      "county": "COOK",
      "latitude": 41.5231092901436,
      "longitude": -87.7113501698661,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 214,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-il-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RAYMOND GRADY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RAYMOND GRADY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008370546",
      "name": "JENNINGS AMERICAN LEGION HOSPITAL",
      "address": "1634 ELTON ROAD",
      "city": "JENNINGS",
      "state": "LA",
      "zip": "70546",
      "county": "JEFFERSON DAVIS",
      "latitude": 30.2394413497501,
      "longitude": -92.6629351400455,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "website": "https://jenningsamericanlegionhospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANA D WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANA D WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008381050",
      "name": "ARKANSAS VALLEY REGIONAL MEDICAL CENTER",
      "address": "1100 CARSON AVE",
      "city": "LA JUNTA",
      "state": "CO",
      "zip": "81050",
      "county": "OTERO",
      "latitude": 37.9780668298177,
      "longitude": -103.549578790352,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-junta-arkansas-valley-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARKANSAS VALLEY REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-arkansas-valley-regional-medical-center",
      "siblingGroupId": "siblings-co-arkansas-valley-regional-medical-center",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS VALLEY REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS VALLEY REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008385006",
      "name": "ST. LUKE'S BEHAVIORAL HOSPITAL, LP",
      "address": "1800 EAST VAN BUREN",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4549441497846,
      "longitude": -112.042046470209,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 127,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-st-lukes-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLLEGE HEALTH ENTERPRISES II LLC",
      "parentSystemId": "entity-college-health-enterprises-ii-llc",
      "siblingGroupId": "siblings-az-college-health-enterprises-ii-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLLEGE HEALTH ENTERPRISES II LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to COLLEGE HEALTH ENTERPRISES II LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HEALTH ENTERPRISES II LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLLEGE HEALTH ENTERPRISES II LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to COLLEGE HEALTH ENTERPRISES II LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HEALTH ENTERPRISES II LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008390804",
      "name": "COMMUNITY HOSPITAL LONG BEACH",
      "address": "1720 TERMINO AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90804",
      "county": "LOS ANGELES",
      "latitude": 33.7884863598046,
      "longitude": -118.145240610413,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 178,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Pipeline Health",
      "parentSystemId": "entity-pipeline-health",
      "siblingGroupId": "siblings-ca-pipeline-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-07-03",
      "ownershipSourceIds": [
        "hifld-location-0008390804",
        "external-resolution-0008390804"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050727; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050727; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0008398225",
      "name": "PEACEHEALTH ST. JOSEPH MEDICAL CENTER",
      "address": "2901 SQUALICUM PARKWAY",
      "city": "BELLINGHAM",
      "state": "WA",
      "zip": "98225",
      "county": "WHATCOM",
      "latitude": 48.7732683600526,
      "longitude": -122.472979440037,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 179,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=15",
      "status": "corporate_chain",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bellingham-peacehealth-st.-joseph-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-wa-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008401730",
      "name": "EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL",
      "address": "200 SPRINGS ROAD",
      "city": "BEDFORD",
      "state": "MA",
      "zip": "01730",
      "county": "MIDDLESEX",
      "latitude": 42.5047000003103,
      "longitude": -71.274400000035,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 147,
      "rating": null,
      "website": "http://www.bedford.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bedford-edith-nourse-rogers-memorial-veterans-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ma-veterans-health-administration",
      "campusFamilyId": "campus-ma-22001f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/directory/guide/state.asp?STATE=MA"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008408012",
      "name": "JEFFERSON WASHINGTON TOWNSHIP HOSPITAL",
      "address": "435 HURFFVILLE CROSS KEYS ROAD",
      "city": "TURNERSVILLE",
      "state": "NJ",
      "zip": "08012",
      "county": "GLOUCESTER",
      "latitude": 39.7350675098201,
      "longitude": -75.0657782096585,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 230,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Jefferson Health",
      "parentSystemId": "entity-jefferson-health",
      "siblingGroupId": "siblings-nj-jefferson-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008408012",
        "external-resolution-0008408012"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0008453227",
      "name": "AURORA WEST ALLIS MEDICAL CENTER",
      "address": "8901 W LINCOLN AVE",
      "city": "WEST ALLIS",
      "state": "WI",
      "zip": "53227",
      "county": "MILWAUKEE",
      "latitude": 43.0014250499884,
      "longitude": -88.0234738900915,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 350,
      "rating": null,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Aurorahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Aurorahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-allis-aurora-west-allis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008460506",
      "name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
      "address": "1325 N HIGHLAND AVE",
      "city": "AURORA",
      "state": "IL",
      "zip": "60506",
      "county": "KANE",
      "latitude": 41.7858095502942,
      "longitude": -88.3257690403855,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 292,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140174",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008463125",
      "name": "VA MEDICAL CENTER - JEFFERSON BARRACKS DIVISION",
      "address": "1 JEFFERSON BARRACKS DR",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63125",
      "county": "ST. LOUIS",
      "latitude": 38.4944295003184,
      "longitude": -90.2835576499716,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 355,
      "rating": null,
      "website": "http://www.stlouis.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-va-medical-center---jefferson-barracks-division/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-mo-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008463125",
        "external-resolution-0008463125"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008476825",
      "name": "HEART OF TEXAS HEALTHCARE SYSTEM",
      "address": "2008 NINE ROAD",
      "city": "BRADY",
      "state": "TX",
      "zip": "76825",
      "county": "MCCULLOCH",
      "latitude": 31.1176884997612,
      "longitude": -99.3468536101878,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEART OF TEXAS HEALTHCARE SYSTEM",
      "parentSystemId": "entity-heart-of-texas-healthcare-system",
      "siblingGroupId": "siblings-tx-heart-of-texas-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-heart-of-texas-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEART OF TEXAS HEALTHCARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HEART OF TEXAS HEALTHCARE SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEART OF TEXAS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEART OF TEXAS HEALTHCARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HEART OF TEXAS HEALTHCARE SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEART OF TEXAS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008485006",
      "name": "ST LUKE'S MEDICAL CENTER, LP",
      "address": "1800 EAST VAN BUREN STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4547775802387,
      "longitude": -112.042217600169,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 219,
      "rating": null,
      "website": "www.stlukesmedcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-st.-luke-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HONORHEALTH",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008498837",
      "name": "SAMARITAN HEALTHCARE",
      "address": "801 E WHEELER RD",
      "city": "MOSES LAKE",
      "state": "WA",
      "zip": "98837",
      "county": "GRANT",
      "latitude": 47.1281632499551,
      "longitude": -119.265188710351,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 50,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=50",
      "status": "corporate_chain",
      "parentSystem": "GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moses-lake-samaritan-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-grant-county-public-hospital-district-1",
      "siblingGroupId": "siblings-wa-grant-county-public-hospital-district-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-grant-county-public-hospital-district-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008508302",
      "name": "HACKENSACKMERIDIAN HEALTH, MOUNTAINSIDE MEDICAL CENTER",
      "address": "1 BAY AVENUE",
      "city": "MONTCLAIR",
      "state": "NJ",
      "zip": "07042",
      "county": "CUMBERLAND",
      "latitude": 39.4361878802931,
      "longitude": -75.2195488501638,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 357,
      "rating": 4,
      "status": "confirmed_pe",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2017",
      "ccn": "310054",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nj-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008523235",
      "name": "JOHNSTON - WILLIS HOSPITAL",
      "address": "1401 JOHNSTON-WILLIS DR",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23235",
      "county": "CHESTERFIELD",
      "latitude": 37.5106882798953,
      "longitude": -77.5949411396511,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 292,
      "rating": null,
      "website": "https://engage.healthtrustjobs.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-johnston-willis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008523235",
        "external-resolution-0008523235"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070817000710 (49T112). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070817000710 (49T112). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0008528301",
      "name": "VA MEDICAL CENTER - FAYETTEVILLE",
      "address": "2300 RAMSEY ST",
      "city": "FAYETTEVILLE",
      "state": "NC",
      "zip": "28301",
      "county": "CUMBERLAND",
      "latitude": 35.0878226199056,
      "longitude": -78.8769558397096,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 127,
      "rating": null,
      "website": "http://www.fayettevillenc.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-va-medical-center---fayetteville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nc-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008529203",
      "name": "WILLIAM S HALL PSYCHIATRIC INSTITUTE",
      "address": "220 FAISON DR",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29203",
      "county": "RICHLAND",
      "latitude": 34.0792533596897,
      "longitude": -80.9804777003589,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 38,
      "rating": null,
      "website": "https://www.state.sc.us/dmh/dir_facilities.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-william-s-hall-psychiatric-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
      "parentSystemId": "entity-south-carolina-dept-of-mental-health-accounting-office",
      "siblingGroupId": "siblings-sc-south-carolina-dept-of-mental-health-accounting-office",
      "campusFamilyId": "campus-sc-424005",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-south-carolina-dept-of-mental-health-accounting-office"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008530322",
      "name": "CHILDREN'S HEALTHCARE OF ATLANTA AT EGLESTON",
      "address": "1405 CLIFTON ROAD NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30322",
      "county": "DEKALB",
      "latitude": 33.7935706798593,
      "longitude": -84.319650100009,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 330,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARTHUR M. BLANK HOSPITAL, INC.",
      "parentSystemId": "entity-arthur-m-blank-hospital-inc",
      "siblingGroupId": "siblings-ga-arthur-m-blank-hospital-inc",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008530322",
        "external-resolution-0008530322"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 113300. That CCN bridged to CMS enrollment O20080619000113 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 113300. That CCN bridged to CMS enrollment O20080619000113 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0008543202",
      "name": "RIVERVALLEY BEHAVIORAL HEALTH HOSPITAL",
      "address": "1000 INDUSTRIAL DRIVE",
      "city": "OWENSBORO",
      "state": "KY",
      "zip": "42302",
      "county": "DAVIESS",
      "latitude": 37.7848669196527,
      "longitude": -87.1576435704129,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RIVERVALLEY BEHAVIORAL HEALTH INC",
      "parentSystemId": "entity-rivervalley-behavioral-health-inc",
      "siblingGroupId": "siblings-ky-rivervalley-behavioral-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-rivervalley-behavioral-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to RIVERVALLEY BEHAVIORAL HEALTH INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERVALLEY BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to RIVERVALLEY BEHAVIORAL HEALTH INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERVALLEY BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008548850",
      "name": "SPECTRUM HEALTH KELSEY HOSPITAL",
      "address": "418 WASHINGTON",
      "city": "LAKEVIEW",
      "state": "MI",
      "zip": "48850",
      "county": "MONTCALM",
      "latitude": 43.4412182698012,
      "longitude": -85.2779234000378,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "http://www.spectrumhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "Corewell Health",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakeview-spectrum-health-kelsey-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008548850",
        "external-resolution-0008548850"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "Corewell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Corewell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008553227",
      "name": "ROGERS MEMORIAL HOSPITAL MILWAUKEE",
      "address": "11101 W LINCOLN AVE",
      "city": "WEST ALLIS",
      "state": "WI",
      "zip": "53227",
      "county": "MILWAUKEE",
      "latitude": 43.0014668096769,
      "longitude": -88.0513945702694,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 81,
      "rating": null,
      "website": "rogershospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rogers Behavioral Health",
      "parentSystemId": "entity-rogers-behavioral-health",
      "siblingGroupId": "siblings-wi-rogers-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-rogers-behavioral-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROGERS BEHAVIORAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to ROGERS BEHAVIORAL HEALTH SYSTEM INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Rogers Behavioral Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROGERS BEHAVIORAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to ROGERS BEHAVIORAL HEALTH SYSTEM INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Rogers Behavioral Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008556265",
      "name": "CCM HEALTH",
      "address": "824 NORTH 11TH STREET",
      "city": "MONTEVIDEO",
      "state": "MN",
      "zip": "56265",
      "county": "CHIPPEWA",
      "latitude": 44.9544117703165,
      "longitude": -95.7117618197351,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHIPPEWA COUNTY",
      "parentSystemId": "entity-chippewa-county",
      "siblingGroupId": "siblings-mn-chippewa-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHIPPEWA COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists DESERAE ANSPACH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHIPPEWA COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHIPPEWA COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists DESERAE ANSPACH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHIPPEWA COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008560098",
      "name": "NORTHWESTERN MEDICINE - WOODSTOCK",
      "address": "3701 DOTY ROAD",
      "city": "WOODSTOCK",
      "state": "IL",
      "zip": "60098",
      "county": "MCHENRY",
      "latitude": 42.2755974202854,
      "longitude": -88.4008044204477,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 56,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Northwestern Medicine",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-medicine",
      "siblingGroupId": "siblings-il-northwestern-medicine",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008560098",
        "external-resolution-0008560098"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nm.org/locations"
      ],
      "ownershipProofNotes": "Northwestern Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Northwestern Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008569301",
      "name": "BOX BUTTE COUNTY",
      "address": "2101 BOX BUTTE AVE, PO BOX 810",
      "city": "ALLIANCE",
      "state": "NE",
      "zip": "69301",
      "county": "BOX BUTTE",
      "latitude": 42.1168365402924,
      "longitude": -102.869854940012,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BOX BUTTE COUNTY public health authority",
      "parentSystemId": "entity-box-butte-county-public-health-authority",
      "siblingGroupId": "siblings-ne-box-butte-county-public-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008569301",
        "external-resolution-0008569301"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ne.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0008570115",
      "name": "CURAHEALTH NEW ORLEANS",
      "address": "3801 BIENVILLE ST",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70119",
      "county": "ORLEANS",
      "latitude": 29.924907999777,
      "longitude": -90.0931317402865,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "https://curahealth.com/long-term-acute-care/curahealth-new-orleans/",
      "status": "corporate_chain",
      "parentSystem": "Curahealth",
      "affiliatedSystem": "Curahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Curahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-curahealth-new-orleans/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-curahealth",
      "siblingGroupId": "siblings-la-curahealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008570115",
        "external-resolution-0008570115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://curahealth.com/long-term-acute-care/curahealth-new-orleans/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008573110",
      "name": "INSPIRE SPECIALTY HOSPITAL",
      "address": "8210 NATIONAL AVENUE",
      "city": "MIDWEST CITY",
      "state": "OK",
      "zip": "73110",
      "county": "OKLAHOMA",
      "latitude": 35.4669302898628,
      "longitude": -97.3868292097422,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "http://www.encore-healthcare.com/specialty_midwest/index.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midwest-city-inspire-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "A&M HEALTHCARE INVESTMENTS LLC",
      "parentSystemId": "entity-a-and-m-healthcare-investments-llc",
      "siblingGroupId": "siblings-ok-a-and-m-healthcare-investments-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: A&M HEALTHCARE INVESTMENTS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOSEPH MEISELS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent A&M HEALTHCARE INVESTMENTS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: A&M HEALTHCARE INVESTMENTS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOSEPH MEISELS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent A&M HEALTHCARE INVESTMENTS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008593003",
      "name": "COMMUNITY MEMORIAL HOSPITAL - SAN BUENAVENTURA",
      "address": "147 N BRENT ST",
      "city": "VENTURA",
      "state": "CA",
      "zip": "93003",
      "county": "VENTURA",
      "latitude": 34.2746459897232,
      "longitude": -119.258302629625,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 250,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEMORIAL HEALTH SYSTEM",
      "parentSystemId": "entity-community-memorial-health-system",
      "siblingGroupId": "siblings-ca-community-memorial-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008608002",
      "name": "JEFFERSON CHERRY HILL HOSPITAL",
      "address": "2201 CHAPEL AVENUE WEST",
      "city": "CHERRY HILL",
      "state": "NJ",
      "zip": "08002",
      "county": "CAMDEN",
      "latitude": 39.9282045496944,
      "longitude": -75.0161225001273,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 196,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cherry-hill-jefferson-cherry-hill-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Jefferson Health",
      "parentSystemId": "entity-jefferson-health",
      "siblingGroupId": "siblings-nj-jefferson-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008608002",
        "external-resolution-0008608002"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Jefferson Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0008619096",
      "name": "LANKENAU MEDICAL CENTER",
      "address": "100 LANCASTER AVENUE",
      "city": "WYNNEWOOD",
      "state": "PA",
      "zip": "19096",
      "county": "MONTGOMERY",
      "latitude": 39.9884339998488,
      "longitude": -75.2608650003476,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 370,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIN LINE HEALTH, INC.",
      "parentSystemId": "entity-main-line-health-inc",
      "siblingGroupId": "siblings-pa-main-line-health-inc",
      "campusFamilyId": "campus-pa-390195",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-main-line-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainlinehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008623114",
      "name": "SHELTERING ARMS HOSPITAL SOUTH",
      "address": "13700 ST FRANCIS BLVD, SUITE 400",
      "city": "MIDLOTHIAN",
      "state": "VA",
      "zip": "23114",
      "county": "CHESTERFIELD",
      "latitude": 37.4668081498631,
      "longitude": -77.6589675904479,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 28,
      "rating": null,
      "website": "www.shelteringarms.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midlothian-sheltering-arms-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHELTERING ARMS HOSPITAL SOUTH",
      "parentSystemId": "entity-sheltering-arms-hospital-south",
      "siblingGroupId": "siblings-va-sheltering-arms-hospital-south",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-09-30",
      "ownershipSourceIds": [
        "hifld-location-0008623114",
        "external-resolution-0008623114"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 493030; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 493030; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0008627406",
      "name": "KINDRED HOSPITAL - GREENSBORO",
      "address": "2401 SOUTHSIDE BLVD",
      "city": "GREENSBORO",
      "state": "NC",
      "zip": "27406",
      "county": "GUILFORD",
      "latitude": 36.0492638301611,
      "longitude": -79.7703650198207,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 124,
      "rating": null,
      "website": "http://www.khgreensboro.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "342012",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensboro-kindred-hospital-greensboro/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-nc-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PRESTON BRYANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PRESTON BRYANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008636535",
      "name": "SOUTH BALDWIN REGIONAL MEDICAL CENTER",
      "address": "1613 NORTH MCKENZIE STREET",
      "city": "FOLEY",
      "state": "AL",
      "zip": "36535",
      "county": "BALDWIN",
      "latitude": 30.4258356800266,
      "longitude": -87.6846856497641,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 112,
      "rating": null,
      "website": "http://www.southbaldwinrmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-foley-south-baldwin-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-al-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008638863",
      "name": "PONTOTOC HEALTH SERVICES",
      "address": "176 SOUTH MAIN STREET",
      "city": "PONTOTOC",
      "state": "MS",
      "zip": "38863",
      "county": "PONTOTOC",
      "latitude": 34.2429604403156,
      "longitude": -88.9961796097133,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.nmhs.net/pontotoc/",
      "status": "corporate_chain",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "affiliatedSystem": "Nmhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nmhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pontotoc-pontotoc-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-ms-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008640456",
      "name": "ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CT",
      "address": "145 NEWCOMB AVENUE",
      "city": "MOUNT VERNON",
      "state": "KY",
      "zip": "40456",
      "county": "ROCKCASTLE",
      "latitude": 37.3579643199745,
      "longitude": -84.3359033202412,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 26,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ROCKCASTLE COUNTY HOSPITAL, INC.",
      "parentSystemId": "entity-rockcastle-county-hospital-inc",
      "siblingGroupId": "siblings-ky-rockcastle-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCKCASTLE COUNTY HOSPITAL, INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCKCASTLE COUNTY HOSPITAL, INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008653227",
      "name": "SELECT SPECIALTY HOSPITAL MILWAUKEE",
      "address": "8901 W LINCOLN AVE, 2ND FLOOR",
      "city": "WEST ALLIS",
      "state": "WI",
      "zip": "53227",
      "county": "MILWAUKEE",
      "latitude": 43.00205080968,
      "longitude": -88.0237686102683,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/milwauk ee.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-wi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHITAL TIPNIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHITAL TIPNIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008656362",
      "name": "CENTRACARE HEALTH PAYNESVILLE",
      "address": "200 WEST 1ST STREET",
      "city": "PAYNESVILLE",
      "state": "MN",
      "zip": "56362",
      "county": "STEARNS",
      "latitude": 45.374400599815,
      "longitude": -94.7157395804141,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paynesville-centracare-health-paynesville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008665201",
      "name": "HARRY S. TRUMAN MEMORIAL VETERANS' HOSPITAL",
      "address": "800 HOSPITAL DRIVE",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65201",
      "county": "BOONE",
      "latitude": 38.9366672601908,
      "longitude": -92.3290578501375,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 126,
      "rating": null,
      "website": "https://www.columbiamo.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-harry-s.-truman-memorial-veterans-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mo-veterans-health-administration",
      "campusFamilyId": "campus-mo-26023f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008671220",
      "name": "CYPRESS GROVE BEHAVIORAL HEALTH",
      "address": "4673 EUGENE WARE BLVD",
      "city": "BASTROP",
      "state": "LA",
      "zip": "71220",
      "county": "MOREHOUSE",
      "latitude": 32.7809985196965,
      "longitude": -91.942890579755,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Meridian Behavioral Health",
      "peFirm": "Audax Group",
      "acquiredDate": "December 2015",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Meridian Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bastrop-cypress-grove-behavioral-health-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-meridian-behavioral-health",
      "siblingGroupId": "siblings-la-meridian-behavioral-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008671220",
        "external-resolution-0008671220"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.meridianprograms.com/locations/"
      ],
      "ownershipProofNotes": "Meridian Behavioral Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Meridian Behavioral Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008708318",
      "name": "INSPIRA MEDICAL CENTER ELMER",
      "address": "501 WEST FRONT STREET",
      "city": "ELMER",
      "state": "NJ",
      "zip": "08318",
      "county": "SALEM",
      "latitude": 39.5878589703201,
      "longitude": -75.1806307795804,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 96,
      "rating": null,
      "website": "http://www.inspirahealthnetwork.org/?id=5281&sid=1",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elmer-inspira-medical-center---elmer/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INSPIRA HEALTH NETWORK INC",
      "parentSystemId": "entity-inspira-health-network-inc",
      "siblingGroupId": "siblings-nj-inspira-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-inspira-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.inspirahealthnetwork.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INSPIRA HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WARREN E. MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Inspira Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSPIRA HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INSPIRA HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WARREN E. MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Inspira Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSPIRA HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008712550",
      "name": "ST LUKE'S CORNWALL HOSPITAL - NEWBURGH",
      "address": "70 DUBOIS STREET",
      "city": "NEWBURGH",
      "state": "NY",
      "zip": "12550",
      "county": "ORANGE",
      "latitude": 41.5034248501793,
      "longitude": -74.0145655804406,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 242,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTEFIORE HEALTH SYSTEM, INC",
      "parentSystemId": "entity-montefiore-health-system-inc",
      "siblingGroupId": "siblings-ny-montefiore-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-montefiore-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONTEFIORE HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONTEFIORE HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008729201",
      "name": "CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST",
      "address": "TAYLOR AT MARION ST",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29220",
      "county": "RICHLAND",
      "latitude": 34.0067868702441,
      "longitude": -81.0331680401925,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-continuecare-hospital-at-palmetto-health-baptist/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC..",
      "parentSystemId": "entity-continuecare-hospital-at-palmetto-health-baptist-inc",
      "siblingGroupId": "siblings-sc-continuecare-hospital-at-palmetto-health-baptist-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008729201",
        "external-resolution-0008729201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city matched the map location to CMS enrollment O20170515002096 (422006). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city matched the map location to CMS enrollment O20170515002096 (422006). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0008731201",
      "name": "CHILDREN'S HOSPITAL NAVICENT HEALTH",
      "address": "888 PINE STREET",
      "city": "MACON",
      "state": "GA",
      "zip": "31201",
      "county": "BIBB",
      "latitude": 32.8347290498561,
      "longitude": -83.6366698603563,
      "hospitalType": "CHILDREN",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 112,
      "rating": null,
      "website": "http://www.childrenshospitalmacon.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHILDREN'S HOSPITAL NAVICENT HEALTH",
      "parentSystemId": "entity-children-s-hospital-navicent-health",
      "siblingGroupId": "siblings-ga-children-s-hospital-navicent-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008731201",
        "external-resolution-0008731201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.childrenshospitalmacon.org/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0008739531",
      "name": "GULF COAST VETERANS HEALTH CARE SYSTEM",
      "address": "400 VETERANS AVE",
      "city": "BILOXI",
      "state": "MS",
      "zip": "39531",
      "county": "HARRISON",
      "latitude": 30.4151143200655,
      "longitude": -88.941954020313,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 716,
      "rating": null,
      "website": "http://www.biloxi.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-biloxi-gulf-coast-veterans-health-care-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ms-veterans-health-administration",
      "campusFamilyId": "campus-ms-25042f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008752245",
      "name": "MERCY HOSPITAL IC",
      "address": "500 EAST MARKET STREET",
      "city": "IOWA CITY",
      "state": "IA",
      "zip": "52245",
      "county": "JOHNSON",
      "latitude": 41.6638714803213,
      "longitude": -91.52790136025,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 234,
      "rating": null,
      "website": "http://www.mercyiowacity.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE UNIVERSITY OF IOWA",
      "parentSystemId": "entity-state-university-of-iowa",
      "siblingGroupId": "siblings-ia-state-university-of-iowa",
      "campusFamilyId": "campus-ia-160029",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-university-of-iowa-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://uihc.org/about-us"
      ],
      "ownershipProofNotes": "CMS lists DENISE J JAMIESON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to University of Iowa Health Care; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE UNIVERSITY OF IOWA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DENISE J JAMIESON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to University of Iowa Health Care; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE UNIVERSITY OF IOWA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008764628",
      "name": "PERSHING - GENERAL JOHN J - MEMORIAL HOSPITAL",
      "address": "130 EAST LOCKLING",
      "city": "BROOKFIELD",
      "state": "MO",
      "zip": "64628",
      "county": "LINN",
      "latitude": 39.7746033498938,
      "longitude": -93.06769310003,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-general-john-j-pershing-memorial-hospital-association",
      "siblingGroupId": "siblings-mo-general-john-j-pershing-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-general-john-j-pershing-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008767554",
      "name": "HOSPITAL DISTRICT NUMBER 1 OF RICE CO",
      "address": "619 SOUTH CLARK AVENUE",
      "city": "LYONS",
      "state": "KS",
      "zip": "67554",
      "county": "RICE",
      "latitude": 38.3414255100537,
      "longitude": -98.2167766496884,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL DISTRICT NO 1 OF RICE CO",
      "parentSystemId": "entity-hospital-district-no-1-of-rice-co",
      "siblingGroupId": "siblings-ks-hospital-district-no-1-of-rice-co",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-hospital-district-no-1-of-rice-co"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 OF RICE CO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 OF RICE CO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008798310",
      "name": "FRANCISCAN HEALTH HARRISON MEDICAL CENTER",
      "address": "2520 CHERRY AVE",
      "city": "BREMERTON",
      "state": "WA",
      "zip": "98310",
      "county": "KITSAP",
      "latitude": 47.5831533002361,
      "longitude": -122.625045929736,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 212,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=16",
      "status": "corporate_chain",
      "parentSystem": "FRANCISCAN HEALTH HARRISON MEDICAL CENTER",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-franciscan-health-harrison-medical-center-wa-bremerton-0008798310",
      "siblingGroupId": "siblings-wa-franciscan-health-harrison-medical-center-wa-bremerton-0008798310",
      "ownershipRelationship": "self_operated_or_independent_candidate",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008798310",
        "external-resolution-0008798310"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wsha.org/hospitaldetail.cfm?hid=16"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008808053",
      "name": "VIRTUA - WEST JERSEY HOSPITAL MARLTON",
      "address": "90 BRICK ROAD",
      "city": "MARLTON",
      "state": "NJ",
      "zip": "08053",
      "county": "BURLINGTON",
      "latitude": 39.8813950300364,
      "longitude": -74.918531409631,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 198,
      "rating": null,
      "website": "http://www.virtua.org/locations/hospitals-and-locations/virtua-marlton.aspx",
      "status": "corporate_chain",
      "parentSystem": "Virtua Health",
      "affiliatedSystem": "Virtua",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Virtua",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-virtua-health",
      "siblingGroupId": "siblings-nj-virtua-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008808053",
        "external-resolution-0008808053"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.virtua.org/locations"
      ],
      "ownershipProofNotes": "Virtua Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Virtua Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008812518",
      "name": "ST. LUKE'S CORNWALL HOSPITAL - CORNWALL CAMPUS",
      "address": "19 LAUREL AVE",
      "city": "CORNWALL",
      "state": "NY",
      "zip": "12518",
      "county": "ORANGE",
      "latitude": 41.4352513601979,
      "longitude": -74.0423211403878,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 125,
      "rating": null,
      "website": "http://www.stlukescornwallhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cornwall-st.-luke-s-cornwall-hospital---cornwall-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. LUKE'S CORNWALL HOSPITAL - CORNWALL CAMPUS",
      "parentSystemId": "entity-st-luke-s-cornwall-hospital-cornwall-campus",
      "siblingGroupId": "siblings-ny-st-luke-s-cornwall-hospital-cornwall-campus",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008812518",
        "external-resolution-0008812518"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.stlukescornwallhospital.org"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0008823116",
      "name": "UROSURGICAL CENTER OF RICHMOND",
      "address": "9101 STONY POINT DRIVE",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23235",
      "county": "RICHMOND",
      "latitude": 37.5491645400481,
      "longitude": -77.5675664096889,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://richmond.bonsecours.com/find-a-facility-memorial-regional-medical-center.html",
      "status": "corporate_chain",
      "parentSystem": "Richmond Bonsecours",
      "affiliatedSystem": "Richmond Bonsecours",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Richmond Bonsecours",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-richmond-bonsecours",
      "siblingGroupId": "siblings-va-richmond-bonsecours",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008823116",
        "external-resolution-0008823116"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://richmond.bonsecours.com/find-a-facility-memorial-regional-medical-center.html"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008828117",
      "name": "LAKE NORMAN REGIONAL MEDICAL CENTER",
      "address": "171 FAIRVIEW RD, PO BOX 3250",
      "city": "MOORESVILLE",
      "state": "NC",
      "zip": "28117",
      "county": "IREDELL",
      "latitude": 35.5492047799656,
      "longitude": -80.8535723004211,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 123,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mooresville-lake-norman-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008828117"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0008835650",
      "name": "LAWRENCE MEDICAL CENTER",
      "address": "202 HOSPITAL STREET, PO BOX 39",
      "city": "MOULTON",
      "state": "AL",
      "zip": "35650",
      "county": "LAWRENCE",
      "latitude": 34.4834146501102,
      "longitude": -87.2853104398778,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 98,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moulton-lawrence-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LAWRENCE MEDICAL CENTER",
      "parentSystemId": "entity-lawrence-medical-center",
      "siblingGroupId": "siblings-al-lawrence-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0008835650",
        "external-resolution-0008835650"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 010059; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 010059; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0008845011",
      "name": "BETHESDA BUTLER HOSPITAL",
      "address": "3125 HAMILTON MASON RD",
      "city": "HAMILTON",
      "state": "OH",
      "zip": "45011",
      "county": "BUTLER",
      "latitude": 39.3783432701276,
      "longitude": -84.5150822003983,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 46,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hamilton-bethesda-butler-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TriHealth",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008845011",
        "external-resolution-0008845011"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to TriHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to TriHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0008859636",
      "name": "FORT HARRISON VA MEDICAL CENTER",
      "address": "3687 VETERANS DRIVE",
      "city": "FORT HARRISON",
      "state": "MT",
      "zip": "59636",
      "county": "LEWIS AND CLARK",
      "latitude": 46.6186626101229,
      "longitude": -112.101786509915,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 58,
      "rating": null,
      "website": "https://www.montana.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mt-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008877802",
      "name": "CHI ST JOSEPH HEALTH REHAB HOSP - AFFILIATE OF ENCOMPASS HEALTH",
      "address": "1600 JOSEPH DRIVE, SUITE 2000",
      "city": "BRYAN",
      "state": "TX",
      "zip": "77802",
      "county": "BRAZOS",
      "latitude": 30.6599329902348,
      "longitude": -96.3507144999274,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 61,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008881004",
      "name": "CENTURA HEALTH - ST MARY CORWIN MEDICAL CENTER",
      "address": "1008 MINNEQUA AVE",
      "city": "PUEBLO",
      "state": "CO",
      "zip": "81004",
      "county": "PUEBLO",
      "latitude": 38.233803360318,
      "longitude": -104.622577679845,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 408,
      "rating": null,
      "website": "http://www.stmarycorwin.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pueblo-centura-health-st-mary-corwin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008917745",
      "name": "UPMC LOCK HAVEN",
      "address": "24 CREE DRIVE",
      "city": "LOCK HAVEN",
      "state": "PA",
      "zip": "17745",
      "county": "CLINTON",
      "latitude": 41.1315987303179,
      "longitude": -77.4702115895871,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule",
        "https://www.upmc.com/media/news/012023-lock-haven-oed",
        "https://radio.wpsu.org/2023-02-27/upmc-lock-haven-is-downsizing-to-an-outpatient-emergency-department-the-first-in-pa"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lock-haven-upmc-lock-haven/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "expandedClosureResearch": {
        "sourceRow": 23,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "converted_to_outpatient_emergency_department",
        "closureType": "Partial closure / conversion (inpatient ended Apr 2023; outpatient ED only)",
        "closureDate": "2023-04-01",
        "careLevel": "Secondary (rural community)",
        "hospitalType": "Acute care community hospital -> outpatient ED",
        "traumaLevel": "None",
        "licensedBeds": "47",
        "patientsServedNote": "Only hospital beds for many miles in rural Clinton County",
        "ruralUrban": "Rural",
        "ownershipCategory": "Publicly traded spinoff (Quorum Health, NYSE: QHC)",
        "historicalSponsorOrOwner": "Quorum Health (for-profit CHS spinoff) - divested to UPMC 2017",
        "parentCompany": "Quorum Health, then UPMC",
        "acquiredYear": "2015 (spinoff); sold 2017 ($5.2M)",
        "acquisitionDealNote": "Quorum sold to UPMC Oct 2017 for $5.2M; UPMC stripped inpatient services in 2023",
        "yearsPeToClosure": "8 (from spinoff)",
        "extractionMoneyTrail": "Distressed under for-profit chain before divestiture",
        "degradationRecord": "Inpatient beds eliminated; converted to outpatient emergency department (first in PA)",
        "communityImpact": "County lost all inpatient hospital beds",
        "buildingFate": "Operating as outpatient ED only",
        "peLinkConfidence": "Indirect/inconclusive (PE-adjacent chain; conversion by successor)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.upmc.com/media/news/012023-lock-haven-oed",
          "https://radio.wpsu.org/2023-02-27/upmc-lock-haven-is-downsizing-to-an-outpatient-emergency-department-the-first-in-pa"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0008917745",
        "external-resolution-0008917745"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0008928805",
      "name": "CHARLES GEORGE DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1100 TUNNEL ROAD",
      "city": "ASHEVILLE",
      "state": "NC",
      "zip": "28805",
      "county": "BUNCOMBE",
      "latitude": 35.588613790063,
      "longitude": -82.4835408495672,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 119,
      "rating": null,
      "website": "https://www.va.gov/asheville-health-care/locations/charles-george-department-of-veterans-affairs-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nc-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0008931730",
      "name": "MITCHELL COUNTY HOSPITAL",
      "address": "90 STEPHENS STREET",
      "city": "CAMILLA",
      "state": "GA",
      "zip": "31730",
      "county": "MITCHELL",
      "latitude": 31.2297198800643,
      "longitude": -84.2055434803193,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 23,
      "rating": null,
      "website": "http://www.archbold.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-camilla-mitchell-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MITCHELL COUNTY public health authority",
      "parentSystemId": "entity-mitchell-county-public-health-authority",
      "siblingGroupId": "siblings-ga-mitchell-county-public-health-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0008931730",
        "external-resolution-0008931730"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 111331; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20070627000196 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 111331; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20070627000196 and 1 owner/control organization row(s)."
    },
    {
      "id": "0008968446",
      "name": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
      "address": "2731 HEALTHCARE DR",
      "city": "SYRACUSE",
      "state": "NE",
      "zip": "68446",
      "county": "OTOE",
      "latitude": 40.6673055002021,
      "longitude": -96.1868513303242,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-community-memorial-hospital-district",
      "siblingGroupId": "siblings-ne-community-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-verified-parent-community-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA CAST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA CAST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009027293",
      "name": "LEXINGTON MEDICAL CENTER",
      "address": "250 HOSPITAL DR, PO BOX 1817",
      "city": "LEXINGTON",
      "state": "NC",
      "zip": "27292",
      "county": "DAVIDSON",
      "latitude": 35.8061501500467,
      "longitude": -80.286735419922,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 94,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ATRIUM HEALTH INC",
      "affiliatedSystem": "Atrium Health Wake Forest Baptist",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health Wake Forest Baptist",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health-inc",
      "siblingGroupId": "siblings-nc-atrium-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009028144",
      "name": "W.G. - BILL - HEFNER SALISBURY DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1601 BRENNER AVENUE",
      "city": "SALISBURY",
      "state": "NC",
      "zip": "28144",
      "county": "ROWAN",
      "latitude": 35.684199839765,
      "longitude": -80.4881577597137,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 159,
      "rating": null,
      "website": "https://www.va.gov/salisbury-health-care/locations/wg-bill-hefner-salisbury-department-of-veterans-affairs-medical/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nc-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009038103",
      "name": "LE BONHEUR CHILDREN'S HOSPITAL",
      "address": "848 ADAMS AVENUE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38103",
      "county": "SHELBY",
      "latitude": 35.1450507999725,
      "longitude": -90.0318012198956,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 1593,
      "rating": null,
      "website": "http://www.methodisthealth.org/locations/le-bonheur-children-s-hospital",
      "status": "corporate_chain",
      "parentSystem": "Methodisthealth",
      "affiliatedSystem": "Methodisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Methodisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-le-bonheur-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodisthealth",
      "siblingGroupId": "siblings-tn-methodisthealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009038103",
        "external-resolution-0009038103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.methodisthealth.org/locations/le-bonheur-children-s-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009047006",
      "name": "MARGARET MARY HEALTH",
      "address": "321 MITCHELL AVE",
      "city": "BATESVILLE",
      "state": "IN",
      "zip": "47006",
      "county": "RIPLEY",
      "latitude": 39.3050248999223,
      "longitude": -85.2225261901148,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.mmch.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-batesville-margaret-mary-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARGARET MARY COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-margaret-mary-community-hospital-inc",
      "siblingGroupId": "siblings-in-margaret-mary-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-margaret-mary-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARGARET MARY COMMUNITY HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 5%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to MARGARET MARY COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARGARET MARY COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARGARET MARY COMMUNITY HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 5%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to MARGARET MARY COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARGARET MARY COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009049444",
      "name": "MERCY HEALTH MUSKEGON - SHERMAN BLVD",
      "address": "1500 E SHERMAN BOULEVARD",
      "city": "MUSKEGON",
      "state": "MI",
      "zip": "49444",
      "county": "MUSKEGON",
      "latitude": 43.2057937399554,
      "longitude": -86.208605040438,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 219,
      "rating": null,
      "website": "http://www.mercyhealthmuskegon.com/welcome-mhmuskegon",
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muskegon-mercy-health-muskegon-sherman-blvd/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL G GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL G GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009052242",
      "name": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
      "address": "200 HAWKINS DRIVE",
      "city": "IOWA CITY",
      "state": "IA",
      "zip": "52242",
      "county": "JOHNSON",
      "latitude": 41.6608156897427,
      "longitude": -91.5475474202923,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 1103,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
      "parentSystemId": "entity-the-university-of-iowa-hospitals-and-clinics",
      "siblingGroupId": "siblings-ia-the-university-of-iowa-hospitals-and-clinics",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-university-of-iowa-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://uihc.org/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to University of Iowa Health Care; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to University of Iowa Health Care; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009081003",
      "name": "COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO - PSYCH",
      "address": "1600 W 24TH ST",
      "city": "PUEBLO",
      "state": "CO",
      "zip": "81003",
      "county": "PUEBLO",
      "latitude": 38.2889440496756,
      "longitude": -104.630602989641,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 516,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pueblo-colorado-mental-health-institute-at-pueblo-psych/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF COLORADO",
      "parentSystemId": "entity-state-of-colorado",
      "siblingGroupId": "siblings-co-state-of-colorado",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF COLORADO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF COLORADO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009103104",
      "name": "VA MEDICAL CENTER - MANCHESTER",
      "address": "718 SMYTH RD",
      "city": "MANCHESTER",
      "state": "NH",
      "zip": "03104",
      "county": "HILLSBOROUGH",
      "latitude": 43.0123580298042,
      "longitude": -71.4408670397955,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.manchester.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manchester-va-medical-center---manchester/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-nh-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009103104",
        "external-resolution-0009103104"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009108103",
      "name": "COOPER HOSPITAL UNIVERSITY MEDICAL CENTER",
      "address": "1 COOPER PLAZA",
      "city": "CAMDEN",
      "state": "NJ",
      "zip": "08103",
      "county": "CAMDEN",
      "latitude": 39.9413460002244,
      "longitude": -75.1161690896385,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 663,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE COOPER HEALTH SYSTEM",
      "parentSystemId": "entity-the-cooper-health-system",
      "siblingGroupId": "siblings-nj-the-cooper-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-cooper-university-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cooperhealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Cooper University Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COOPER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Cooper University Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COOPER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009127804",
      "name": "LIFECARE HOSPITALS OF NORTH CAROLINA",
      "address": "1051 NOELL LANE",
      "city": "ROCKY MOUNT",
      "state": "NC",
      "zip": "27804",
      "county": "NASH",
      "latitude": 35.9751030000574,
      "longitude": -77.8188649999057,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.lifecare-hospitals.com",
      "status": "corporate_chain",
      "parentSystem": "LifeCare Health Partners",
      "affiliatedSystem": "LifeCare Health Partners",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "LifeCare Health Partners",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rocky-mount-lifecare-hospitals-of-north-carolina/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifecare-health-partners",
      "siblingGroupId": "siblings-nc-lifecare-health-partners",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009127804",
        "facility-site-0009127804"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.lifecare-hospitals.com"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0009138104",
      "name": "METHODIST HEALTHCARE - MEMPHIS HOSPITALS",
      "address": "1265 UNION AVENUE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38104",
      "county": "SHELBY",
      "latitude": 35.1366685502722,
      "longitude": -90.0194675100464,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1593,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "METHODIST HC TRANSPLANT",
      "parentSystemId": "entity-methodist-hc-transplant",
      "siblingGroupId": "siblings-tn-methodist-hc-transplant",
      "campusFamilyId": "siblings-tn-methodist-hc-transplant",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-methodist-hc-transplant"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to METHODIST HC TRANSPLANT; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HC TRANSPLANT, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to METHODIST HC TRANSPLANT; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HC TRANSPLANT, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009139117",
      "name": "SCOTT REGIONAL HOSPITAL",
      "address": "317 HIGHWAY 13 SOUTH",
      "city": "MORTON",
      "state": "MS",
      "zip": "39117",
      "county": "SCOTT",
      "latitude": 32.3440967402558,
      "longitude": -89.6725712098135,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.scottregional.org/srh/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morton-scott-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-ms-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009149442",
      "name": "MERCY HEALTH MUSKEGON",
      "address": "1700 CLINTON STREET",
      "city": "MUSKEGON",
      "state": "MI",
      "zip": "49442",
      "county": "MUSKEGON",
      "latitude": 43.2225644301343,
      "longitude": -86.2417323299515,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 163,
      "rating": null,
      "website": "http://www.mercyhealthmuskegon.com/abouthackley-mhm",
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-mi-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009149442",
        "external-resolution-0009149442"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009154568",
      "name": "HOWARD YOUNG MEDICAL CTR",
      "address": "240 MAPLE ST",
      "city": "WOODRUFF",
      "state": "WI",
      "zip": "54568",
      "county": "ONEIDA",
      "latitude": 45.8935042702467,
      "longitude": -89.7025385199065,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "website": "http://www.ministryhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodruff-howard-young-med-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009156352",
      "name": "CENTRACARE HEALTH SYS MELROSE",
      "address": "525 MAIN STREET WEST",
      "city": "MELROSE",
      "state": "MN",
      "zip": "56352",
      "county": "STEARNS",
      "latitude": 45.6757197201241,
      "longitude": -94.8244787195688,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "website": "http://www.centracare.com",
      "status": "corporate_chain",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "affiliatedSystem": "Centracare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Centracare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-melrose-centracare-health-sys-melrose/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009167114",
      "name": "PRAIRIE VIEW HOSPITAL",
      "address": "1901 E 1ST ST",
      "city": "NEWTON",
      "state": "KS",
      "zip": "67114",
      "county": "HARVEY",
      "latitude": 38.0402765603121,
      "longitude": -97.3130789604238,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PRAIRIE VIEW INC",
      "parentSystemId": "entity-prairie-view-inc",
      "siblingGroupId": "siblings-ks-prairie-view-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-prairie-view-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to PRAIRIE VIEW INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE VIEW INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to PRAIRIE VIEW INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE VIEW INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009228207",
      "name": "NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL",
      "address": "1901 RANDOLPH RD",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28207",
      "county": "MECKLENBURG",
      "latitude": 35.2107975998856,
      "longitude": -80.8235215197701,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "website": "https://www.novanthealth.org/charlotte-orthopedic-hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "Novant Health",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health",
      "siblingGroupId": "siblings-nc-novant-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009228207",
        "facility-site-0009228207"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.novanthealth.org/charlotte-orthopedic-hospital.aspx"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0009235261",
      "name": "NOLAND HOSPITAL BIRMINGHAM II, LLC",
      "address": "50 MEDICAL PARK EAST DRIVE, 8TH FLOOR, PO BOX 610306",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35261",
      "county": "SHELBY",
      "latitude": 33.4149192103725,
      "longitude": -86.6860220598771,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "website": "http://www.nolandhealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NOLAND HEALTH SERVICES, INC",
      "parentSystemId": "entity-noland-health-services-inc",
      "siblingGroupId": "siblings-al-noland-health-services-inc",
      "campusFamilyId": "campus-al-012009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-noland-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nolandhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009238138",
      "name": "METHODIST LE BONHEUR GERMANTOWN",
      "address": "7691 POPLAR AVENUE",
      "city": "GERMANTOWN",
      "state": "TN",
      "zip": "38138",
      "county": "SHELBY",
      "latitude": 35.089818159723,
      "longitude": -89.8083662300052,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1593,
      "rating": null,
      "website": "http://www.methodisthealth.org/locations/methodist-le-bonheur-germantown-hospital",
      "status": "corporate_chain",
      "parentSystem": "Methodisthealth",
      "affiliatedSystem": "Methodisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Methodisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodisthealth",
      "siblingGroupId": "siblings-tn-methodisthealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009238138",
        "external-resolution-0009238138"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.methodisthealth.org/locations/methodist-le-bonheur-germantown-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009249442",
      "name": "SELECT SPECIALTY HOSPITAL - MUSKEGON",
      "address": "1700 CLINTON STREET, 2 SOUTH AND 3 SOUTH FLOORS",
      "city": "MUSKEGON",
      "state": "MI",
      "zip": "49442",
      "county": "MUSKEGON",
      "latitude": 43.2234217497095,
      "longitude": -86.2422552302952,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "http://www.selectmedical.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muskegon-select-specialty-hospital---muskegon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009249442",
        "external-resolution-0009249442"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009264804",
      "name": "FREEMAN HEALTH SYSTEM - EAST",
      "address": "932 EAST 34TH STREET",
      "city": "JOPLIN",
      "state": "MO",
      "zip": "64804",
      "county": "NEWTON",
      "latitude": 37.0507526302365,
      "longitude": -94.507006829892,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FREEMAN-OAK HILL HEALTH SYSTEM",
      "parentSystemId": "entity-freeman-oak-hill-health-system",
      "siblingGroupId": "siblings-mo-freeman-oak-hill-health-system",
      "campusFamilyId": "campus-mo-260137",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-independent-missouri-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FREEMAN-OAK HILL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN-OAK HILL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FREEMAN-OAK HILL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN-OAK HILL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009268010",
      "name": "FATHER FLANAGAN'S BOYS' HOME",
      "address": "14000 BOYS TOWN HOSPITAL RD",
      "city": "BOYS TOWN",
      "state": "NE",
      "zip": "68010",
      "county": "DOUGLAS",
      "latitude": 41.2499947203271,
      "longitude": -96.1330225797856,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 52,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FATHER FLANAGANS BOYS HOME",
      "parentSystemId": "entity-father-flanagans-boys-home",
      "siblingGroupId": "siblings-ne-father-flanagans-boys-home",
      "campusFamilyId": "campus-ne-283300",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-father-flanagans-boys-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists JASON C BRUCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FATHER FLANAGANS BOYS HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FATHER FLANAGANS BOYS HOME, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JASON C BRUCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FATHER FLANAGANS BOYS HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FATHER FLANAGANS BOYS HOME, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009270435",
      "name": "LAKEVIEW REGIONAL MEDICAL CENTER",
      "address": "95 JUDGE TANNER BLVD",
      "city": "COVINGTON",
      "state": "LA",
      "zip": "70433",
      "county": "ST. TAMMANY",
      "latitude": 30.4111237296192,
      "longitude": -90.0806765099389,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 167,
      "rating": null,
      "website": "https://lakeviewregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-lakeview-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-la-lifepoint-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2015-12-31",
      "ownershipSourceIds": [
        "hifld-location-0009270435",
        "external-resolution-0009270435"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 190177; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 190177; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0009293306",
      "name": "CRESTWOOD PSYCHIATRIC HEALTH FACILITY 2",
      "address": "6700 EUCALYPTUS DR",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93306",
      "county": "KERN",
      "latitude": 35.365678110201,
      "longitude": -118.929776199623,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.crestwoodbehavioralhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Crestwoodbehavioralhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bakersfield-crestwood-psychiatric-health-facility-2/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-crestwoodbehavioralhealth",
      "siblingGroupId": "siblings-ca-crestwoodbehavioralhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009293306",
        "external-resolution-0009293306"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://crestwoodbehavioralhealth.com/locations/"
      ],
      "ownershipProofNotes": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009308009",
      "name": "VIRTUA WEST JERSEY HOSPITAL - BERLIN",
      "address": "100 TOWNSEND AVENUE",
      "city": "BERLIN",
      "state": "NJ",
      "zip": "08009",
      "county": "CAMDEN",
      "latitude": 39.7819479897,
      "longitude": -74.9203463298985,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 95,
      "rating": null,
      "website": "http://www.virtua.org/locations/hospitals-and-locations/virtua-berlin.aspx",
      "status": "corporate_chain",
      "parentSystem": "Virtua Health",
      "affiliatedSystem": "Virtua",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Virtua",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-virtua-health",
      "siblingGroupId": "siblings-nj-virtua-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009308009",
        "external-resolution-0009308009"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.virtua.org/locations"
      ],
      "ownershipProofNotes": "Virtua Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Virtua Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009329646",
      "name": "GREENWOOD REGIONAL REHABILITATION HOSPITAL",
      "address": "1530 PKWY",
      "city": "GREENWOOD",
      "state": "SC",
      "zip": "29646",
      "county": "GREENWOOD",
      "latitude": 34.1694116596667,
      "longitude": -82.1567953601583,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "website": "http://www.grrh.ernesthealth.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "423030",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenwood-greenwood-regional-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-sc-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009339153",
      "name": "PATIENTS CHOICE MEDICAL CENTER OF SMITH COUNTY",
      "address": "347 MAGNOLIA DRIVE",
      "city": "RALEIGH",
      "state": "MS",
      "zip": "39153",
      "county": "SMITH",
      "latitude": 32.0001398702312,
      "longitude": -89.5194872397148,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 29,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "COVINGTON COUNTY HOSPITAL",
      "parentSystemId": "entity-covington-county-hospital",
      "siblingGroupId": "siblings-ms-covington-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009349412",
      "name": "SPECTRUM HEALTH GERBER MEMORIAL",
      "address": "212 S SULLIVAN ST",
      "city": "FREMONT",
      "state": "MI",
      "zip": "49412",
      "county": "NEWAYGO",
      "latitude": 43.4648098603084,
      "longitude": -85.9503631297435,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.spectrumhealth.org",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fremont-spectrum-health-gerber-memorial/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009350310",
      "name": "MERCY FRANKLIN CENTER",
      "address": "1818 48TH STREET",
      "city": "DES MOINES",
      "state": "IA",
      "zip": "50310",
      "county": "POLK",
      "latitude": 41.6107327697997,
      "longitude": -93.6834552195971,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "website": "http://www.mercydesmoines.org/behavioralhealth/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009350310",
        "external-resolution-0009350310"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mercyone.org/location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to MercyOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to MercyOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0009364804",
      "name": "FREEMAN HEALTH SYSTEM - WEST",
      "address": "1102 WEST 32ND STREET",
      "city": "JOPLIN",
      "state": "MO",
      "zip": "64804",
      "county": "NEWTON",
      "latitude": 37.0527312801143,
      "longitude": -94.5267980900235,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 338,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FREEMAN-OAK HILL HEALTH SYSTEM",
      "parentSystemId": "entity-freeman-oak-hill-health-system",
      "siblingGroupId": "siblings-mo-freeman-oak-hill-health-system",
      "campusFamilyId": "campus-mo-260137",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-independent-missouri-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FREEMAN-OAK HILL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN-OAK HILL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FREEMAN-OAK HILL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN-OAK HILL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009372703",
      "name": "VANTAGE POINT OF NORTHWEST ARKANSAS",
      "address": "4253 CROSSOVER ROAD",
      "city": "FAYETTEVILLE",
      "state": "AR",
      "zip": "72703",
      "county": "WASHINGTON",
      "latitude": 36.127890759974,
      "longitude": -94.119851429765,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 114,
      "rating": null,
      "website": "http://www.vistahealthservices.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-vantage-point-of-northwest-arkansas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ar-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009407939",
      "name": "VA MEDICAL CENTER - LYONS CAMPUS",
      "address": "151 KNOLLCROFT RD",
      "city": "LYONS",
      "state": "NJ",
      "zip": "07939",
      "county": "SOMERSET",
      "latitude": 40.6685985301755,
      "longitude": -74.5575506001282,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 251,
      "rating": null,
      "website": "http://www.newjersey.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lyons-va-medical-center---lyons-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-nj-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009407939",
        "external-resolution-0009407939"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009419102",
      "name": "MAGEE REHABILITATION HOSPITAL",
      "address": "1513 RACE STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19102",
      "county": "PHILADELPHIA",
      "latitude": 39.9568141197714,
      "longitude": -75.1652702296191,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 83,
      "rating": null,
      "website": "http://www.mageerehab.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-magee-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009423805",
      "name": "ENCOMPASS HEALTH REHAB HOSP OF PETERSBURG",
      "address": "95 MEDICAL PARK BOULEVARD",
      "city": "PETERSBURG",
      "state": "VA",
      "zip": "23805",
      "county": "PETERSBURG",
      "latitude": 37.18466931026,
      "longitude": -77.3640601904405,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "www.healthsouthpetersburg.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-va-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009434223",
      "name": "HCA FLORIDA ENGLEWOOD HOSPITAL",
      "address": "700 MEDICAL BLVD",
      "city": "ENGLEWOOD",
      "state": "FL",
      "zip": "34223",
      "county": "SARASOTA",
      "latitude": 26.9502084501502,
      "longitude": -82.326606470192,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/englewood-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100267",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-englewood-hca-florida-englewood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009438116",
      "name": "METHODIST HOSPITAL - SOUTH",
      "address": "1300 WESLEY DRIVE, SATELLITE OF METHODIST HEALTHC",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38116",
      "county": "SHELBY",
      "latitude": 35.0329828700417,
      "longitude": -90.0212006899112,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1593,
      "rating": null,
      "website": "http://www.methodisthealth.org/locations/methodist-south-hospital",
      "status": "corporate_chain",
      "parentSystem": "Methodisthealth",
      "affiliatedSystem": "Methodisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Methodisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-methodist-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodisthealth",
      "siblingGroupId": "siblings-tn-methodisthealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009438116",
        "external-resolution-0009438116"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.methodisthealth.org/locations/methodist-south-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009440215",
      "name": "UOFL HEALTH - MARY AND ELIZABETH HOSPITAL",
      "address": "1850 BLUEGRASS AVENUE",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40215",
      "county": "JEFFERSON",
      "latitude": 38.1782643798731,
      "longitude": -85.7939164098035,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 298,
      "rating": null,
      "website": "http://www.kentuckyonehealth.org/body.cfm?id=3288&fr=true",
      "status": "corporate_chain",
      "parentSystem": "Kentuckyonehealth",
      "affiliatedSystem": "Kentuckyonehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kentuckyonehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kentuckyonehealth",
      "siblingGroupId": "siblings-ky-kentuckyonehealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009440215",
        "external-resolution-0009440215"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.kentuckyonehealth.org/body.cfm?id=3288&fr=true"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009444903",
      "name": "MEDCENTRAL HLTH SYS - MANSFIELD",
      "address": "335 GLESSNER AVENUE",
      "city": "MANSFIELD",
      "state": "OH",
      "zip": "44903",
      "county": "RICHLAND",
      "latitude": 40.7529243501942,
      "longitude": -82.5294727700563,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 368,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009448341",
      "name": "PONTIAC GENERAL HOSPITAL",
      "address": "461 W HURON ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.6345841198799,
      "longitude": -83.3095229902038,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 195,
      "rating": null,
      "website": "http://www.pontiacgeneral.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AXIOM MANAGEMENT GROUP LLC",
      "parentSystemId": "entity-axiom-management-group-llc",
      "siblingGroupId": "siblings-mi-axiom-management-group-llc",
      "campusFamilyId": "campus-mi-234048",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009450316",
      "name": "IOWA LUTHERAN HOSPITAL",
      "address": "700 UNIVERSITY",
      "city": "DES MOINES",
      "state": "IA",
      "zip": "50316",
      "county": "POLK",
      "latitude": 41.6020148699655,
      "longitude": -93.6095958896504,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 224,
      "rating": null,
      "website": "http://www.iowahealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA LUTHERAN HOSPITAL",
      "parentSystemId": "entity-iowa-lutheran-hospital",
      "siblingGroupId": "siblings-ia-iowa-lutheran-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0009450316",
        "external-resolution-0009450316"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 160024; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 160024; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0009464804",
      "name": "LANDMARK HOSPITAL OF JOPLIN, LLC",
      "address": "2040 W 32ND STREET",
      "city": "JOPLIN",
      "state": "MO",
      "zip": "64804",
      "county": "NEWTON",
      "latitude": 37.0535382399364,
      "longitude": -94.5383814595737,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://www.landmarkhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "LANDMARK HOLDINGS OF FLORIDA, LLC",
      "affiliatedSystem": "Landmarkhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Landmarkhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-joplin-landmark-hospital-of-joplin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-landmark-holdings-of-florida-llc",
      "siblingGroupId": "siblings-mo-landmark-holdings-of-florida-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009467560",
      "name": "NESS COUNTY HOSPITAL DISTRICT NUMBER 2",
      "address": "312 E CUSTER ST",
      "city": "NESS CITY",
      "state": "KS",
      "zip": "67560",
      "county": "NESS",
      "latitude": 38.4582533899073,
      "longitude": -99.90164076974,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NESS COUNTY HOSPITAL DISTRICT #2",
      "parentSystemId": "entity-ness-county-hospital-district-2",
      "siblingGroupId": "siblings-ks-ness-county-hospital-district-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-ness-county-hospital-district-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NESS COUNTY HOSPITAL DISTRICT #2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NESS COUNTY HOSPITAL DISTRICT #2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009495608",
      "name": "CRESTWOOD PSYCHIATRIC HEALTH FACILITY-CARMICHAEL",
      "address": "4741 ENGLE ROAD",
      "city": "CARMICHAEL",
      "state": "CA",
      "zip": "95608",
      "county": "SACRAMENTO",
      "latitude": 38.6334945002671,
      "longitude": -121.35455435012,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.crestwoodbehavioralhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Crestwoodbehavioralhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carmichael-crestwood-psychiatric-health-facility-carmichael/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-crestwoodbehavioralhealth",
      "siblingGroupId": "siblings-ca-crestwoodbehavioralhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009495608",
        "external-resolution-0009495608"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://crestwoodbehavioralhealth.com/locations/"
      ],
      "ownershipProofNotes": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009498146",
      "name": "SCHICK SHADEL HOSPTIAL",
      "address": "12101 AMBAUM BLVD. S.W",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98146",
      "county": "KING",
      "latitude": 47.4943322900527,
      "longitude": -122.35069900017,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 63,
      "rating": null,
      "website": "www.schickshadel.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seattle-schick-shadel-hosptial/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009498146",
        "external-resolution-0009498146"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.schickshadel.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0009501913",
      "name": "AMESBURY HEALTH CENTER",
      "address": "24 MORRILL PLACE",
      "city": "AMESBURY",
      "state": "MA",
      "zip": "01913",
      "county": "ESSEX",
      "latitude": 42.8484143998432,
      "longitude": -70.9333802502188,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "website": "http://www.lahey.org/amesbury/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amesbury-amesbury-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Beth Israel Lahey Health",
      "parentSystemId": "entity-beth-israel-lahey-health",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009501913",
        "external-resolution-0009501913"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.lahey.org/amesbury/"
      ],
      "ownershipProofNotes": "The cached exact facility page identifies or redirects into Beth Israel Lahey Health. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page identifies or redirects into Beth Israel Lahey Health. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0009513820",
      "name": "A.O. FOX MEMORIAL HOSPITAL",
      "address": "1 NORTON AVENUE",
      "city": "ONEONTA",
      "state": "NY",
      "zip": "13820",
      "county": "OTSEGO",
      "latitude": 42.4577933200765,
      "longitude": -75.0521534797106,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 53,
      "rating": null,
      "website": "https://www.bassett.org/locations/ao-fox-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Bassett Healthcare Network",
      "parentSystemId": "entity-bassett-healthcare-network",
      "siblingGroupId": "siblings-ny-bassett-healthcare-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009513820",
        "external-resolution-0009513820"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20110207000042 (330085). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20110207000042 (330085). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0009529650",
      "name": "PRISMA HEALTH - UPSTATE - PRISMA HEALTH GREER MEMORIAL HOSPITAL",
      "address": "830 S BUNCOMBE RD",
      "city": "GREER",
      "state": "SC",
      "zip": "29650",
      "county": "GREENVILLE",
      "latitude": 34.9200439698063,
      "longitude": -82.2442312002851,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 82,
      "rating": null,
      "website": "http://www.ghs.org/greermemorial",
      "status": "corporate_chain",
      "parentSystem": "Ghs",
      "affiliatedSystem": "Ghs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ghs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ghs",
      "siblingGroupId": "siblings-sc-ghs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009529650",
        "external-resolution-0009529650"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ghs.org/greermemorial"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009530529",
      "name": "NORTHRIDGE MEDICAL CENTER",
      "address": "70 MEDICAL CENTER DRIVE",
      "city": "COMMERCE",
      "state": "GA",
      "zip": "30529",
      "county": "JACKSON",
      "latitude": 34.2193985698372,
      "longitude": -83.4690073902265,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 90,
      "rating": null,
      "website": "http://www.northridgemc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHRIDGE MEDICAL CENTER",
      "parentSystemId": "entity-northridge-medical-center",
      "siblingGroupId": "siblings-ga-northridge-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-12-31",
      "ownershipSourceIds": [
        "hifld-location-0009530529",
        "external-resolution-0009530529"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 110040; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 110040; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0009533952",
      "name": "HCA FLORIDA FAWCETT HOSPITAL",
      "address": "21298 OLEAN BLVD",
      "city": "PORT CHARLOTTE",
      "state": "FL",
      "zip": "33952",
      "county": "CHARLOTTE",
      "latitude": 26.9884183100915,
      "longitude": -82.0980692902363,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 253,
      "rating": 1,
      "website": "https://www.hcafloridahealthcare.com/locations/fawcett-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100236",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-charlotte-hca-florida-fawcett-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009539193",
      "name": "MISSISSIPPI STATE HOSPITAL",
      "address": "3550 HIGHWAY 468 WEST",
      "city": "WHITFIELD",
      "state": "MS",
      "zip": "39193",
      "county": "RANKIN",
      "latitude": 32.2413922997472,
      "longitude": -90.0697500603897,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 1479,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MISSISSIPPI STATE HOSPITAL AT WHITFIELD",
      "parentSystemId": "entity-mississippi-state-hospital-at-whitfield",
      "siblingGroupId": "siblings-ms-mississippi-state-hospital-at-whitfield",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists CARLA DEARMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI STATE HOSPITAL AT WHITFIELD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CARLA DEARMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI STATE HOSPITAL AT WHITFIELD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009543623",
      "name": "MERCY HEALTH - ST ANNE HOSPITAL, LLC",
      "address": "3404 W SYLVANIA AVENUE",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43623",
      "county": "LUCAS",
      "latitude": 41.6935992999124,
      "longitude": -83.6256815303588,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 128,
      "rating": null,
      "website": "https://www.mercy.com/locations/hospitals/toledo/mercy-health-st-anne-hospital?utm_source=local-listings&utm_medium=organic&utm_content=website_link",
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009543623",
        "external-resolution-0009543623"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009547303",
      "name": "MERIDIAN SERVICES CORP",
      "address": "2401 W UNIVERSITY AVE",
      "city": "MUNCIE",
      "state": "IN",
      "zip": "47303",
      "county": "DELAWARE",
      "latitude": 40.1967834799238,
      "longitude": -85.4148123598364,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "http://www.meridianhs.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muncie-meridian-services-corp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Meridian Health Services Corporation",
      "parentSystemId": "entity-meridian-health-services-corporation",
      "siblingGroupId": "siblings-in-meridian-health-services-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009547303",
        "external-resolution-0009547303"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/351302836"
      ],
      "ownershipProofNotes": "The exact legal entity is an IRS-recognized 501(c)(3). This map row describes the system entity/location and is not independently treated as an acute-care hospital.",
      "parentSystemEvidence": "The exact legal entity is an IRS-recognized 501(c)(3). This map row describes the system entity/location and is not independently treated as an acute-care hospital."
    },
    {
      "id": "0009548116",
      "name": "ASCENSION BRIGHTON CENTER FOR RECOVERY",
      "address": "12851 GRAND RIVER RD",
      "city": "BRIGHTON",
      "state": "MI",
      "zip": "48116",
      "county": "LIVINGSTON",
      "latitude": 42.5197200303109,
      "longitude": -83.6958334098217,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 41,
      "rating": null,
      "website": "http://www.brightonhospital.org",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION MICHIGAN",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brighton-ascension-brighton-center-for-recovery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-michigan",
      "siblingGroupId": "siblings-mi-ascension-michigan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009556283",
      "name": "CARRIS HEALTH REDWOOD LLC",
      "address": "101 CARING WAY",
      "city": "REDWOOD FALLS",
      "state": "MN",
      "zip": "56283",
      "county": "REDWOOD",
      "latitude": 44.5365099601846,
      "longitude": -95.1065127602949,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CARRIS HEALTH - REDWOOD LLC",
      "parentSystemId": "entity-carris-health-redwood-llc",
      "siblingGroupId": "siblings-mn-carris-health-redwood-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2024-06-30",
      "ownershipSourceIds": [
        "hifld-location-0009556283",
        "external-resolution-0009556283"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 241351; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20181029001543 and 2 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 241351; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20181029001543 and 2 owner/control organization row(s)."
    },
    {
      "id": "0009607753",
      "name": "K HOVNANIAN CHILDRENS HOSPITAL",
      "address": "1945 STATE ROUTE 33",
      "city": "NEPTUNE",
      "state": "NJ",
      "zip": "07753",
      "county": "MONMOUTH",
      "latitude": 40.2081879402853,
      "longitude": -74.0396283801365,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 618,
      "rating": null,
      "website": "http://www.khovnanianchildrenshospital.com/khch/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-neptune-k-hovnanian-childrens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Hackensack Meridian Health",
      "parentSystemId": "entity-hackensack-meridian-health",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009607753",
        "external-resolution-0009607753"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 310073. That CCN bridged to CMS enrollment O20180208001055 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 310073. That CCN bridged to CMS enrollment O20180208001055 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0009619143",
      "name": "MERCY PHILADELPHIA HOSPITAL",
      "address": "501 SOUTH 54TH STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19143",
      "county": "PHILADELPHIA",
      "latitude": 39.9516991802684,
      "longitude": -75.2295543396972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 214,
      "rating": null,
      "website": "http://www.mercyhealth.org/locations/profile/?id=5&searchid=da47149f-3a79-e311-9eee-2c768a4e1b84&sort=11&page=1&pagesize=10",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health Mid-Atlantic",
      "parentSystemId": "entity-trinity-health-mid-atlantic",
      "siblingGroupId": "siblings-pa-trinity-health-mid-atlantic",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-03-25",
      "ownershipSourceIds": [
        "hifld-location-0009619143",
        "external-resolution-0009619143"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinityhealthma.org/sites/default/files/hg_features/mercury_standard_layout/c4f160cbce441c6752d5afbbd9da9f8e.pdf"
      ],
      "ownershipProofNotes": "Trinity Health Mid-Atlantic documents the March 25, 2021 transition of Mercy Philadelphia Hospital into the collaborative PHMC Public Health Campus. The row is retained as a historical hospital edge.",
      "parentSystemEvidence": "Trinity Health Mid-Atlantic documents the March 25, 2021 transition of Mercy Philadelphia Hospital into the collaborative PHMC Public Health Campus. The row is retained as a historical hospital edge."
    },
    {
      "id": "0009629671",
      "name": "ANMED HEALTH CANNON",
      "address": "123 WG ACKER DR",
      "city": "PICKENS",
      "state": "SC",
      "zip": "29671",
      "county": "PICKENS",
      "latitude": 34.8741442903552,
      "longitude": -82.7071560100626,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 55,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pickens-anmed-health-cannon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CANNON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-cannon-memorial-hospital",
      "siblingGroupId": "siblings-sc-cannon-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009629671",
        "external-resolution-0009629671"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080519000081 (420011). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080519000081 (420011). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0009639577",
      "name": "STONE COUNTY HOSPITAL",
      "address": "1434 EAST CENTRAL AVENUE",
      "city": "WIGGINS",
      "state": "MS",
      "zip": "39577",
      "county": "STONE",
      "latitude": 30.8448681399765,
      "longitude": -89.1157710595585,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://www.schospital.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wiggins-stone-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STONE COUNTY HOSPITAL",
      "parentSystemId": "entity-stone-county-hospital",
      "siblingGroupId": "siblings-ms-stone-county-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0009639577",
        "external-resolution-0009639577"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 251303; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 251303; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0009642104",
      "name": "SOUTHERN KENTUCKY REHABILITATION HOSPITAL",
      "address": "1300 CAMPBELL LANE",
      "city": "BOWLING GREEN",
      "state": "KY",
      "zip": "42104",
      "county": "WARREN",
      "latitude": 36.9570388103369,
      "longitude": -86.4464888899894,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.skyrehab.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bowling-green-southern-kentucky-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ky-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009672762",
      "name": "NORTHWEST MEDICAL CENTER - WILLOW CREEK WOMEN'S HOSPITAL",
      "address": "4301 GREATHOUSE SPRINGS ROAD",
      "city": "JOHNSON",
      "state": "AR",
      "zip": "72741",
      "county": "WASHINGTON",
      "latitude": 36.1355102703052,
      "longitude": -94.1862192198739,
      "hospitalType": "WOMEN",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "http://www.northwesthealth.com/pages/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ar-community-health-systems",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009672762",
        "external-resolution-0009672762"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "Community Health Systems primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Community Health Systems primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009674132",
      "name": "TULSA SPINE AND SPECIALTY HOSPITAL",
      "address": "6901 SOUTH OLYMPIA AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74132",
      "county": "TULSA",
      "latitude": 36.0639761498115,
      "longitude": -96.0035475498758,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHS Management",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "campusFamilyId": "campus-ok-370216",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009675010",
      "name": "SELECT SPECIALTY HOSPITAL - DALLAS",
      "address": "2329 PARKER RD",
      "city": "CARROLLTON",
      "state": "TX",
      "zip": "75010",
      "county": "DENTON",
      "latitude": 33.04566134976,
      "longitude": -96.8648597497138,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "LIFECARE 2.0 LLC",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carrollton-select-specialty-hospital---dallas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifecare-2-0-llc",
      "siblingGroupId": "siblings-tx-lifecare-2-0-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFECARE 2.0 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW FLEEGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFECARE 2.0 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFECARE 2.0 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW FLEEGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFECARE 2.0 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009687108",
      "name": "RAYMOND G. MURPHY DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1501 SAN PEDRO DRIVE SOUTHEAST",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87108",
      "county": "BERNALILLO",
      "latitude": 35.0551679897912,
      "longitude": -106.581767360338,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.albuquerque.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nm-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NM resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NM resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009695128",
      "name": "CRESTWOOD SAN JOSE PSYCHIATRIC HEALTH FACILITY",
      "address": "1425 FRUITDALE AVE",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95128",
      "county": "SANTA CLARA",
      "latitude": 37.3112960297989,
      "longitude": -121.915016569767,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.crestwoodbehavioralhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Crestwoodbehavioralhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-jose-crestwood-san-jose-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-crestwoodbehavioralhealth",
      "siblingGroupId": "siblings-ca-crestwoodbehavioralhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009695128",
        "external-resolution-0009695128"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://crestwoodbehavioralhealth.com/locations/"
      ],
      "ownershipProofNotes": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009698107",
      "name": "SWEDISH BALLARD",
      "address": "5300 TALLMAN AVE NW",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98107",
      "county": "KING",
      "latitude": 47.6673735399439,
      "longitude": -122.379549689992,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 103,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=77",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009698107",
        "external-resolution-0009698107"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009729118",
      "name": "WILLIAM J MCCORD ADOLESCENT TREATMENT FACILITY",
      "address": "910 COOK RD",
      "city": "ORANGEBURG",
      "state": "SC",
      "zip": "29118",
      "county": "ORANGEBURG",
      "latitude": 33.535870780123,
      "longitude": -80.82220626043,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 15,
      "rating": null,
      "website": "http://www.mccordcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orangeburg-william-j-mccord-adolescent-treatment-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE",
      "parentSystemId": "entity-tri-county-commission-on-alcohol-and-drug-abuse",
      "siblingGroupId": "siblings-sc-tri-county-commission-on-alcohol-and-drug-abuse",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-tri-county-commission-on-alcohol-and-drug-abuse"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009738105",
      "name": "ST. JOSEPH HOSPITAL",
      "address": "220 OVERTON AVE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38105",
      "county": "SHELBY",
      "latitude": 35.153273580236,
      "longitude": -90.0418742995693,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 410,
      "rating": null,
      "website": "http://www.saintfrancishosp.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tn-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009738105",
        "external-resolution-0009738105"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.saintfrancishosp.com"
      ],
      "ownershipProofNotes": "The cached exact facility page identifies or redirects into Tenet Healthcare. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page identifies or redirects into Tenet Healthcare. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0009745429",
      "name": "KETTERING MEDICAL CENTER",
      "address": "3535 SOUTHERN BLVD",
      "city": "KETTERING",
      "state": "OH",
      "zip": "45429",
      "county": "MONTGOMERY",
      "latitude": 39.6972865702556,
      "longitude": -84.1924295198655,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 456,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009748670",
      "name": "MIDMICHIGAN MEDICAL CENTER - MIDLAND",
      "address": "4000 WELLNESS DRIVE",
      "city": "MIDLAND",
      "state": "MI",
      "zip": "48670",
      "county": "MIDLAND",
      "latitude": 43.6348621010158,
      "longitude": -84.2603753211452,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 308,
      "rating": null,
      "website": "http://www.midmichigan.org",
      "status": "corporate_chain",
      "parentSystem": "MYMICHIGAN HEALTH",
      "affiliatedSystem": "Midmichigan",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Midmichigan",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230222",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009763775",
      "name": "PERRY COUNTY MEMORIAL HOSPITAL",
      "address": "434 NORTH WEST STREET",
      "city": "PERRYVILLE",
      "state": "MO",
      "zip": "63775",
      "county": "PERRY",
      "latitude": 37.7320924299469,
      "longitude": -89.8655138000728,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.pchmo.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-perryville-perry-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009768701",
      "name": "STATE OF NEBRASKA - DEPT OF HEALTH AND HUMAN SERVS",
      "address": "1700 NORTH VICTORY RD, PO BOX 1209",
      "city": "NORFOLK",
      "state": "NE",
      "zip": "68701",
      "county": "MADISON",
      "latitude": 42.0506979503202,
      "longitude": -97.3842691099971,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 150,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Nebraska state health authority",
      "parentSystemId": "entity-nebraska-state-health-authority",
      "siblingGroupId": "siblings-ne-nebraska-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009768701",
        "external-resolution-0009768701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ne.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0009771446",
      "name": "LEESVILLE REHABILITATION HOSPITAL",
      "address": "900 SOUTH SIXTH STREET",
      "city": "LEESVILLE",
      "state": "LA",
      "zip": "71446",
      "county": "VERNON",
      "latitude": 31.13582315965,
      "longitude": -93.2665760696001,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "https://clearskyhealth.com/leesville/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Titan Rehabilitation Institute of America",
      "peFirm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "acquiredDate": "April 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "193086",
      "affiliatedSystem": "Clearskyhealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "low",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ClearSky Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leesville-leesville-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-titan-rehabilitation-institute-of-america",
      "siblingGroupId": "siblings-la-titan-rehabilitation-institute-of-america",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-titan-rehabilitation-institute-of-america"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "CMS owner candidate: TITAN REHABILITATION INSTITUTE OF AMERICA, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Titan Rehabilitation Institute of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TITAN REHABILITATION INSTITUTE OF AMERICA, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Titan Rehabilitation Institute of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009802703",
      "name": "ARBOUR - FULLER HOSPITAL",
      "address": "200 MAY STREET",
      "city": "ATTLEBORO",
      "state": "MA",
      "zip": "02703",
      "county": "BRISTOL",
      "latitude": 41.9240838500308,
      "longitude": -71.36112255986,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "http://arbourhealth.com/organizations/arbour-fuller-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Arbourhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Arbourhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-attleboro-arbour-fuller-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ma-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-universal-health-services-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-ex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009812180",
      "name": "SAMARITAN HOSPITAL - ST. MARY'S CAMPUS",
      "address": "1300 MASSACHUSETTS AVENUE",
      "city": "TROY",
      "state": "NY",
      "zip": "12180",
      "county": "RENSSELAER",
      "latitude": 42.7427205099428,
      "longitude": -73.6764239699125,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ny-trinity-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009812180",
        "external-resolution-0009812180"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0009814020",
      "name": "VA MEDICAL CENTER - BATAVIA",
      "address": "222 RICHMOND AVE",
      "city": "BATAVIA",
      "state": "NY",
      "zip": "14020",
      "county": "GENESEE",
      "latitude": 43.0133402998897,
      "longitude": -78.1978739497252,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "www.buffalo.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-batavia-va-medical-center---batavia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ny-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009814020",
        "external-resolution-0009814020"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009823226",
      "name": "ST. MARYS HOSPITAL AMBULATORY SURGERY CENTER",
      "address": "1501 MAPLE AVE",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23226",
      "county": "HENRICO",
      "latitude": 37.583614579857,
      "longitude": -77.5122996297552,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 391,
      "rating": null,
      "website": "http://richmond.bonsecours.com/find-a-facility-st-marys-hospital.",
      "status": "corporate_chain",
      "parentSystem": "Richmond Bonsecours",
      "affiliatedSystem": "Richmond Bonsecours",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Richmond Bonsecours",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-st.-marys-hospital-ambulatory-surgery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-richmond-bonsecours",
      "siblingGroupId": "siblings-va-richmond-bonsecours",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009823226",
        "external-resolution-0009823226"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://richmond.bonsecours.com/find-a-facility-st-marys-hospital."
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009829409",
      "name": "CITADEL INFIRMARY",
      "address": "171 MOULTRIE ST",
      "city": "CHARLESTON",
      "state": "SC",
      "zip": "29409",
      "county": "CHARLESTON",
      "latitude": 32.7957212696399,
      "longitude": -79.959673429784,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 38,
      "rating": null,
      "website": "http://www.citadel.edu/root/infirmary-home",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-citadel-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITADEL INFIRMARY",
      "parentSystemId": "entity-citadel-infirmary",
      "siblingGroupId": "siblings-sc-citadel-infirmary",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009829409",
        "external-resolution-0009829409"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.citadel.edu/root/infirmary-home"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0009844053",
      "name": "MERCY HEALTH - REGIONAL MEDICAL CENTER, LLC",
      "address": "3700 KOLBE ROAD",
      "city": "LORAIN",
      "state": "OH",
      "zip": "44053",
      "county": "LORAIN",
      "latitude": 41.4365245398589,
      "longitude": -82.2371635296158,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 331,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH LORAIN LLC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-lorain-llc",
      "siblingGroupId": "siblings-oh-mercy-health-lorain-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH LORAIN LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH LORAIN LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH LORAIN LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH LORAIN LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009854736",
      "name": "ADVENTHEALTH DURAND",
      "address": "1220 3RD AVE W",
      "city": "DURAND",
      "state": "WI",
      "zip": "54736",
      "county": "PEPIN",
      "latitude": 44.6205075400481,
      "longitude": -91.9623329198572,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durand-adventhealth-durand/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-wi-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-adventist-health-system-sunbelt-healthcare-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHAWN PERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHAWN PERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009867749",
      "name": "DECATUR COUNTY HOSPITAL",
      "address": "810 WEST COLUMBIA STREET, PO BOX 268",
      "city": "OBERLIN",
      "state": "KS",
      "zip": "67749",
      "county": "DECATUR",
      "latitude": 39.8159208702234,
      "longitude": -100.538341529822,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 18,
      "rating": null,
      "website": "www.decaturhealth.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oberlin-decatur-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DECATUR HEALTH SYSTEMS INC",
      "parentSystemId": "entity-decatur-health-systems-inc",
      "siblingGroupId": "siblings-ks-decatur-health-systems-inc",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0009867749",
        "external-resolution-0009867749"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 171352; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 171352; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0009868131",
      "name": "BOYS TOWN NATIONAL RESEARCH HOSPITAL",
      "address": "555 NORTH 30TH ST",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68131",
      "county": "DOUGLAS",
      "latitude": 41.2642412902765,
      "longitude": -95.9558884897939,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 31,
      "rating": null,
      "website": "http://www.boystownhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-omaha-boys-town-national-research-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FATHER FLANAGANS BOYS HOME",
      "parentSystemId": "entity-father-flanagans-boys-home",
      "siblingGroupId": "siblings-ne-father-flanagans-boys-home",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0009868131",
        "external-resolution-0009868131"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 283300; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 283300; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0009877836",
      "name": "CHI ST JOSEPH HEALTH BURLESON HOSPITAL",
      "address": "1101 WOODSON DRIVE",
      "city": "CALDWELL",
      "state": "TX",
      "zip": "77836",
      "county": "BURLESON",
      "latitude": 30.5202304297886,
      "longitude": -96.7162868297144,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.st-joseph.org/",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-caldwell-chi-st.-joseph-health-burleson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009912208",
      "name": "SAMUEL S. STRATTON DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "113 HOLLAND AVENUE",
      "city": "ALBANY",
      "state": "NY",
      "zip": "12208",
      "county": "ALBANY",
      "latitude": 42.650808179763,
      "longitude": -73.7719445999857,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 67,
      "rating": null,
      "website": "https://www.va.gov/albany-health-care/locations/samuel-s-stratton-department-of-veterans-affairs-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009929162",
      "name": "TURBEVILLE CORRECTIONAL INSTITUTION INFIRMARY",
      "address": "1578 CLARENCE E COKER HWY",
      "city": "TURBEVILLE",
      "state": "SC",
      "zip": "29162",
      "county": "CLARENDON",
      "latitude": 33.8878019401204,
      "longitude": -80.0812247601357,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 8,
      "rating": null,
      "website": "http://www.doc.sc.gov/institutions/turbeville.jsp",
      "status": "corporate_chain",
      "parentSystem": "Doc Sc",
      "affiliatedSystem": "Doc Sc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Doc Sc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-turbeville-turbeville-correctional-institution-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-doc-sc",
      "siblingGroupId": "siblings-sc-doc-sc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009929162",
        "external-resolution-0009929162"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.doc.sc.gov/institutions/turbeville.jsp"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0009937066",
      "name": "SUMNER REGIONAL MEDICAL CENTER",
      "address": "555 HARTSVILLE PIKE",
      "city": "GALLATIN",
      "state": "TN",
      "zip": "37066",
      "county": "SUMNER",
      "latitude": 36.3900140899742,
      "longitude": -86.434095830246,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 167,
      "rating": null,
      "website": "http://www.mysumnermedical.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gallatin-sumner-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009952806",
      "name": "SELECT SPECIALTY HOSPITAL - QUAD CITIES",
      "address": "1111 W KIMBERLY ROAD",
      "city": "DAVENPORT",
      "state": "IA",
      "zip": "52806",
      "county": "SCOTT",
      "latitude": 41.5591535998329,
      "longitude": -90.5890272901728,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-davenport-select-specialty-hospital-quad-cities/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ia-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CODIE DILLIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CODIE DILLIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009956172",
      "name": "MURRAY COUNTY MEM HOSPITAL",
      "address": "2042 JUNIPER AVENUE",
      "city": "SLAYTON",
      "state": "MN",
      "zip": "56172",
      "county": "MURRAY",
      "latitude": 43.9925458700554,
      "longitude": -95.7599069402509,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "https://www.sanfordhealth.org/locations/murray-county-medical-center",
      "status": "corporate_chain",
      "parentSystem": "COUNTY OF MURRAY",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-murray",
      "siblingGroupId": "siblings-mn-county-of-murray",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF MURRAY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MURRAY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF MURRAY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MURRAY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009965401",
      "name": "PHELPS HEALTH",
      "address": "1000 WEST TENTH STREET",
      "city": "ROLLA",
      "state": "MO",
      "zip": "65401",
      "county": "PHELPS",
      "latitude": 37.9524895302938,
      "longitude": -91.7859829899383,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 242,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PHELPS COUNTY REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-phelps-county-regional-medical-center",
      "siblingGroupId": "siblings-mo-phelps-county-regional-medical-center",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009965401",
        "external-resolution-0009965401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 26T017. That CCN bridged to CMS enrollment O20080128000243 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 26T017. That CCN bridged to CMS enrollment O20080128000243 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0009966061",
      "name": "OLATHE MEDICAL CENTER",
      "address": "20333 W 151ST STREET",
      "city": "OLATHE",
      "state": "KS",
      "zip": "66061",
      "county": "JOHNSON",
      "latitude": 38.8527515200483,
      "longitude": -94.8243562199067,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 300,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olathe-olathe-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
      "parentSystemId": "entity-university-of-kansas-hospital-authority",
      "siblingGroupId": "siblings-ks-university-of-kansas-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-university-of-kansas-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0009998133",
      "name": "UW MEDICAL CENTER - NORTHWEST SEATTLE HOSPITAL",
      "address": "1550 NORTH 115TH ST",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98133",
      "county": "KING",
      "latitude": 47.7141723901485,
      "longitude": -122.336895379716,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 186,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=75",
      "status": "corporate_chain",
      "parentSystem": "UW MEDICAL CENTER - NORTHWEST SEATTLE HOSPITAL",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uw-medical-center-northwest-seattle-hospital-wa-seattle-0009998133",
      "siblingGroupId": "siblings-wa-uw-medical-center-northwest-seattle-hospital-wa-seattle-0009998133",
      "ownershipRelationship": "self_operated_or_independent_candidate",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0009998133",
        "external-resolution-0009998133"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wsha.org/hospitaldetail.cfm?hid=75"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010001915",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF NE AT BEVERLY",
      "address": "800 CUMMINGS CTR, SUITE 147-U",
      "city": "BEVERLY",
      "state": "MA",
      "zip": "01915",
      "county": "ESSEX",
      "latitude": 42.5609868703126,
      "longitude": -70.88723563023,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ma-encompass-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010001915",
        "external-resolution-0010001915"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010014810",
      "name": "VA MEDICAL CENTER - BATH",
      "address": "76 VETERANS AVE",
      "city": "BATH",
      "state": "NY",
      "zip": "14810",
      "county": "STEUBEN",
      "latitude": 42.3440524102961,
      "longitude": -77.3475091903697,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 440,
      "rating": null,
      "website": "http://www.bath.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bath-va-medical-center---bath/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010018510",
      "name": "MOSES TAYLOR HOSPITAL",
      "address": "700 QUINCY AVENUE",
      "city": "SCRANTON",
      "state": "PA",
      "zip": "18510",
      "county": "LACKAWANNA",
      "latitude": 41.4106949600118,
      "longitude": -75.6505681402996,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 213,
      "rating": null,
      "website": "http://www.commonwealthhealth.net",
      "status": "corporate_chain",
      "parentSystem": "Commonwealthhealth",
      "affiliatedSystem": "Commonwealthhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Commonwealthhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scranton-moses-taylor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-commonwealthhealth",
      "siblingGroupId": "siblings-pa-commonwealthhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010018510",
        "external-resolution-0010018510"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.commonwealthhealth.net"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010023226",
      "name": "ENCOMPASS HEALTH REHAB HOSP OF VIRGINIA",
      "address": "5700 FITZHUGH AVENUE",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23226",
      "county": "HENRICO",
      "latitude": 37.5859439799357,
      "longitude": -77.5067126395924,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "www.healthsouth.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-va-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010037074",
      "name": "TROUSDALE MEDICAL CENTER",
      "address": "500 CHURCH STREET",
      "city": "HARTSVILLE",
      "state": "TN",
      "zip": "37074",
      "county": "TROUSDALE",
      "latitude": 36.3878325503365,
      "longitude": -86.1681599299914,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://www.mytrousdalemedical.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hartsville-trousdale-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010043952",
      "name": "TRINITY MEDICAL CENTER EAST",
      "address": "380 SUMMIT AVENUE",
      "city": "STEUBENVILLE",
      "state": "OH",
      "zip": "43952",
      "county": "JEFFERSON",
      "latitude": 40.3547555303194,
      "longitude": -80.6254963802109,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 82,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-steubenville-trinity-medical-ctr-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-oh-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010048071",
      "name": "DMC SURGERY HOSPITAL",
      "address": "30671 STEPHENSON HIGHWAY",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.5178875396822,
      "longitude": -83.1201072701916,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 11,
      "rating": null,
      "website": "www.dmcsurgeryhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Detroit Medical Center / Tenet Healthcare",
      "parentSystemId": "entity-detroit-medical-center-tenet-healthcare",
      "siblingGroupId": "siblings-mi-detroit-medical-center-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010048071",
        "external-resolution-0010048071"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Detroit Medical Center / Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Detroit Medical Center / Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0010054001",
      "name": "AMERY HOSPITAL AND CLINIC",
      "address": "265 GRIFFIN STREET EAST",
      "city": "AMERY",
      "state": "WI",
      "zip": "54001",
      "county": "POLK",
      "latitude": 45.2968280998867,
      "longitude": -92.3609158300359,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.amerymedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amery-amery-hospital-and-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GROUP HEALTH PLAN INC",
      "parentSystemId": "entity-group-health-plan-inc",
      "siblingGroupId": "siblings-wi-group-health-plan-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-group-health-plan-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GROUP HEALTH PLAN INC (OPERATIONAL/MANAGERIAL CONTROL, 12%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GROUP HEALTH PLAN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROUP HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GROUP HEALTH PLAN INC (OPERATIONAL/MANAGERIAL CONTROL, 12%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GROUP HEALTH PLAN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROUP HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010056062",
      "name": "MADELIA COMMUNITY HOSPITAL",
      "address": "121 DREW AVENUE SE",
      "city": "MADELIA",
      "state": "MN",
      "zip": "56062",
      "county": "WATONWAN",
      "latitude": 44.049262439912,
      "longitude": -94.4098676800186,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madelia-madelia-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADELIA HEALTH",
      "parentSystemId": "entity-madelia-health",
      "siblingGroupId": "siblings-mn-madelia-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-madelia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MADELIA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADELIA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MADELIA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADELIA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010068022",
      "name": "NEBRASKA METHODIST HOSPITAL",
      "address": "707 NORTH 190TH PLAZA",
      "city": "ELKHORN",
      "state": "NE",
      "zip": "68022",
      "county": "DOUGLAS",
      "latitude": 41.2646395697215,
      "longitude": -96.2122890598702,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 137,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEBRASKA METHODIST HOSPITAL",
      "parentSystemId": "entity-nebraska-methodist-hospital",
      "siblingGroupId": "siblings-ne-nebraska-methodist-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010068022",
        "external-resolution-0010068022"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 280040. That CCN bridged to CMS enrollment O20080109000230 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 280040. That CCN bridged to CMS enrollment O20080109000230 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0010071655",
      "name": "DREW MEMORIAL HOSPITAL",
      "address": "778 SCOGIN DRIVE",
      "city": "MONTICELLO",
      "state": "AR",
      "zip": "71655",
      "county": "DREW",
      "latitude": 33.6108845901705,
      "longitude": -91.8167940696114,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 49,
      "rating": null,
      "website": "http://www.drewmemorial.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-drew-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTH",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "campusFamilyId": "campus-ar-040051",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010078613",
      "name": "CEDAR PARK REGIONAL MEDICAL CENTER",
      "address": "1401 MEDICAL PARKWAY",
      "city": "CEDAR PARK",
      "state": "TX",
      "zip": "78613",
      "county": "WILLIAMSON",
      "latitude": 30.5323627103838,
      "longitude": -97.8121909497445,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 126,
      "rating": null,
      "website": "http://www.cedarparkregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cedar-park-cedar-park-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASCENSION HEALTH",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JULIE HOLLY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JULIE HOLLY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010080534",
      "name": "NORTHERN COLORADO REHABILITATION HOSPITAL",
      "address": "4401 UNION ST",
      "city": "JOHNSTOWN",
      "state": "CO",
      "zip": "80534",
      "county": "LARIMER",
      "latitude": 40.4062379996834,
      "longitude": -104.971310999799,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "063033",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-johnstown-northern-colorado-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-co-epoch-acquisition-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010098004",
      "name": "OVERLAKE MEDICAL CENTER",
      "address": "1035 116TH AVE NE",
      "city": "BELLEVUE",
      "state": "WA",
      "zip": "98004",
      "county": "KING",
      "latitude": 47.6204913497325,
      "longitude": -122.187175150301,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 263,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=14",
      "status": "corporate_chain",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010110960",
      "name": "MONTEFIORE NYACK",
      "address": "160 NORTH MIDLAND AVENUE",
      "city": "NYACK",
      "state": "NY",
      "zip": "10960",
      "county": "ROCKLAND",
      "latitude": 41.0962114700455,
      "longitude": -73.9260181299469,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 391,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTEFIORE NYACK HOSPITAL",
      "parentSystemId": "entity-montefiore-nyack-hospital",
      "siblingGroupId": "siblings-ny-montefiore-nyack-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-montefiore-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE NYACK HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE NYACK HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010131069",
      "name": "PERRY HOSPITAL",
      "address": "1120 MORNINGSIDE DR",
      "city": "PERRY",
      "state": "GA",
      "zip": "31069",
      "county": "HOUSTON",
      "latitude": 32.4596232398284,
      "longitude": -83.7100255201946,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 39,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-perry-perry-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOUSTON HEALTHCARE",
      "parentSystemId": "entity-houston-healthcare",
      "siblingGroupId": "siblings-ga-houston-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-remediation-georgia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Georgia nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Georgia nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010138668",
      "name": "NORTH OAK REGIONAL MEDICAL CENTER",
      "address": "401 GETWELL DRIVE",
      "city": "SENATOBIA",
      "state": "MS",
      "zip": "38668",
      "county": "TATE",
      "latitude": 34.624619729991,
      "longitude": -89.9562726800138,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 76,
      "rating": null,
      "website": "http://www.normc.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-senatobia-north-oak-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TATE COUNTY HOSPITAL",
      "parentSystemId": "entity-tate-county-hospital",
      "siblingGroupId": "siblings-ms-tate-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TATE COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TATE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TATE COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TATE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010154001",
      "name": "AMERY HOSPITAL AND CLINIC BEHAVIORAL HEALTH CENTER",
      "address": "230 DERONDA STREET",
      "city": "AMERY",
      "state": "WI",
      "zip": "54001",
      "county": "POLK",
      "latitude": 45.3024484197091,
      "longitude": -92.3661647095972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AMERY REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-amery-regional-medical-center-inc",
      "siblingGroupId": "siblings-wi-amery-regional-medical-center-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010154001",
        "external-resolution-0010154001"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080929000736 (52M308). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080929000736 (52M308). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0010160453",
      "name": "ADVOCATE CHRIST HOSPITAL AND MEDICAL CENTER",
      "address": "4440 W 95TH STREET",
      "city": "OAK LAWN",
      "state": "IL",
      "zip": "60453",
      "county": "COOK",
      "latitude": 41.7216945197247,
      "longitude": -87.7324422498178,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 802,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oak-lawn-advocate-christ-hospital-&-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010168124",
      "name": "SELECT SPECIALTY HOSPITAL - OMAHA, INC",
      "address": "1870 SOUTH 75TH STREET",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68124",
      "county": "DOUGLAS",
      "latitude": 41.2408459798244,
      "longitude": -96.0302073699922,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 52,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ne-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KATHRYN T TRIPLETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KATHRYN T TRIPLETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010170445",
      "name": "NORTHSHORE EXTENDED CARE HOSPITAL",
      "address": "64030 HIGHWAY 434, FL 2",
      "city": "LACOMBE",
      "state": "LA",
      "zip": "70445",
      "county": "ST. TAMMANY",
      "latitude": 30.3575605603128,
      "longitude": -89.9154395099408,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "website": "https://www.ochsner.org/services/ochsner-extended-care-hospital",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010170445",
        "external-resolution-0010170445"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010186314",
      "name": "WINDHAVEN PSYCHIATRIC HOSPITAL",
      "address": "3347 NORTH WINDSONG DRIVE",
      "city": "PRESCOTT VALLEY",
      "state": "AZ",
      "zip": "86314",
      "county": "YAVAPAI",
      "latitude": 34.5905018702239,
      "longitude": -112.327661389694,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "website": "http://www.wygc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-prescott-valley-windhaven-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WEST YAVAPAI GUIDANCE CLINIC INC",
      "parentSystemId": "entity-west-yavapai-guidance-clinic-inc",
      "siblingGroupId": "siblings-az-west-yavapai-guidance-clinic-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-06-30",
      "ownershipSourceIds": [
        "hifld-location-0010186314",
        "external-resolution-0010186314"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 034025; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 034025; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0010202135",
      "name": "FRANCISCAN CHILDREN'S HOSPITAL AND REHAB CENTER",
      "address": "30 WARREN STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02135",
      "county": "SUFFOLK",
      "latitude": 42.3499728203026,
      "longitude": -71.1426310403006,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 112,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-franciscan-children-s-hospital-&-rehab-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CHILDREN�S MEDICAL CENTER CORPORATION",
      "parentSystemId": "entity-the-children-s-medical-center-corporation",
      "siblingGroupId": "siblings-ma-the-children-s-medical-center-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-223300"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/doc/staff-report-pdf-cmcc-franciscan-hospital/download"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CHILDREN�S MEDICAL CENTER CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M INSOFT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts DPH Boston Children’s/Franciscan control filing. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDREN�S MEDICAL CENTER CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CHILDREN�S MEDICAL CENTER CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M INSOFT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts DPH Boston Children’s/Franciscan control filing. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDREN�S MEDICAL CENTER CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010208857",
      "name": "RARITAN BAY MEDICAL CENTER - OLD BRIDGE DIVISION",
      "address": "1 HOSPITAL PLAZA",
      "city": "OLD BRIDGE",
      "state": "NJ",
      "zip": "08857",
      "county": "MIDDLESEX",
      "latitude": 40.3831384202414,
      "longitude": -74.3233919104482,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 113,
      "rating": null,
      "website": "http://www.rbmc.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Hackensack Meridian Health",
      "parentSystemId": "entity-hackensack-meridian-health",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010208857",
        "external-resolution-0010208857"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Hackensack Meridian Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Hackensack Meridian Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0010214215",
      "name": "BUFFALO VA MEDICAL CENTER",
      "address": "3495 BAILEY AVENUE",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14215",
      "county": "ERIE",
      "latitude": 42.9510926298912,
      "longitude": -78.8121503896614,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 199,
      "rating": null,
      "website": "https://www.va.gov/western-new-york-health-care/locations/buffalo-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010219403",
      "name": "MONTGOMERY COUNTY MH/MR EMERGENCY SERVICES, INC",
      "address": "50 BEECH DRIVE, GATE NUMBER 4, BUILDING 50",
      "city": "NORRISTOWN",
      "state": "PA",
      "zip": "19403",
      "county": "MONTGOMERY",
      "latitude": 40.135967000075,
      "longitude": -75.3558729996174,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 73,
      "rating": null,
      "website": "http://www.mces.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE",
      "parentSystemId": "entity-montgomery-county-mh-mr-emergency-service",
      "siblingGroupId": "siblings-pa-montgomery-county-mh-mr-emergency-service",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-montgomery-county-mh-mr-emergency-service"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010223230",
      "name": "VIBRA HOSPITAL OF RICHMOND LLC",
      "address": "2220 EDWARD HOLLAND DRIVE",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23230",
      "county": "HENRICO",
      "latitude": 37.5906260499089,
      "longitude": -77.4907328099388,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "www.vibrahealthcare.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Vibrahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Vibrahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-vibra-hospital-of-richmond-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-va-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHIRLEY MARTELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHIRLEY MARTELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010229566",
      "name": "MCLEOD SEACOAST",
      "address": "4000 HWY 9 E",
      "city": "LITTLE RIVER",
      "state": "SC",
      "zip": "29566",
      "county": "HORRY",
      "latitude": 33.8657122401706,
      "longitude": -78.6635457699122,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 118,
      "rating": null,
      "website": "http://www.mcleodhealth.org/mcleod-seacoast/about-mcleod-seacoast.html",
      "status": "corporate_chain",
      "parentSystem": "Mcleodhealth",
      "affiliatedSystem": "Mcleodhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mcleodhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-river-mcleod-seacoast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcleodhealth",
      "siblingGroupId": "siblings-sc-mcleodhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010229566",
        "external-resolution-0010229566"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mcleodhealth.org/mcleod-seacoast/about-mcleod-seacoast.html"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010261603",
      "name": "METHODIST MEDICAL CENTER OF ILLINOIS",
      "address": "221 NORTHEAST GLEN OAK",
      "city": "PEORIA",
      "state": "IL",
      "zip": "61636",
      "county": "PEORIA",
      "latitude": 40.70013899005,
      "longitude": -89.5951751703724,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 329,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Carle Health",
      "parentSystemId": "entity-carle-health",
      "siblingGroupId": "siblings-il-carle-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010261603",
        "external-resolution-0010261603"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://carle.org/2026-2028/Carle-Health-Methodist-Hospital/Carle-Health-Methodist-Hospital-2026-2028-Implementation-Strategy.pdf"
      ],
      "ownershipProofNotes": "The former Methodist Medical Center of Illinois is now Carle Health Methodist Hospital within nonprofit Carle Health.",
      "parentSystemEvidence": "The former Methodist Medical Center of Illinois is now Carle Health Methodist Hospital within nonprofit Carle Health."
    },
    {
      "id": "0010267356",
      "name": "OSWEGO COMMUNITY HOSPITAL",
      "address": "800 BARKER DRIVE",
      "city": "OSWEGO",
      "state": "KS",
      "zip": "67356",
      "county": "LABETTE",
      "latitude": 37.1592127102389,
      "longitude": -95.1110769196921,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "http://www.oswegocommunityhospital.com",
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.kcur.org/health/2019-03-07/another-rural-hospital-once-owned-by-north-kansas-city-company-is-in-dire-straits",
        "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oswego-oswego-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "expandedClosureResearch": {
        "sourceRow": 39,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "Feb 2019",
        "careLevel": "Critical access (CAH)",
        "hospitalType": "Rural critical access",
        "traumaLevel": "",
        "licensedBeds": "12",
        "patientsServedNote": "",
        "ruralUrban": "Rural",
        "ownershipCategory": "Management-company control (EmpowerHMS) - contract-driven collapse",
        "historicalSponsorOrOwner": "EmpowerHMS / Jorge Perez network",
        "parentCompany": "EmpowerHMS",
        "acquiredYear": "needs verification",
        "acquisitionDealNote": "Run by EmpowerHMS; closed abruptly, unable to cover operating expenses",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Same $1.4B pass-through billing fraud network (DOJ convictions)",
        "degradationRecord": "Abrupt closure; staff unpaid",
        "communityImpact": "One of 3 Kansas rural closures in 3 months (with Fort Scott, Horton)",
        "buildingFate": "Permanently closed; no services remaining",
        "peLinkConfidence": "PE-backed contractor/management",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.kcur.org/health/2019-03-07/another-rural-hospital-once-owned-by-north-kansas-city-company-is-in-dire-straits",
          "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "EmpowerHMS",
      "formerOperator": "EmpowerHMS",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "EmpowerHMS / Jorge Perez network",
      "historicalPeRelationshipType": "management or contract exposure; not hospital ownership",
      "acquiredDate": "needs verification",
      "closureDate": "Feb 2019",
      "closureYear": 2019,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Oswego Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-39",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.kcur.org/health/2019-03-07/another-rural-hospital-once-owned-by-north-kansas-city-company-is-in-dire-straits",
      "closureEvidenceNote": "Abrupt closure; staff unpaid",
      "acquisitionSourceId": "expanded-ownership-row-39",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/",
      "acquisitionEvidenceNote": "Run by EmpowerHMS; closed abruptly, unable to cover operating expenses",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-empowerhms",
      "siblingGroupId": "siblings-ks-empowerhms",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010267356",
        "external-resolution-0010267356"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kslegislature.gov/li_2020/b2019_20/committees/ctte_h_hhs_1/documents/testimony/20190321_09.pdf"
      ],
      "ownershipProofNotes": "EmpowerHMS official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "EmpowerHMS official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010298109",
      "name": "SEATTLE CANCER CARE ALLIANCE",
      "address": "825 EASTLAKE AVE E",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98109",
      "county": "KING",
      "latitude": 47.6264548899205,
      "longitude": -122.329735729647,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "website": "www.seattlecca.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seattle-seattle-cancer-care-alliance/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FRED HUTCHINSON CANCER CENTER",
      "parentSystemId": "entity-fred-hutchinson-cancer-center",
      "siblingGroupId": "siblings-wa-fred-hutchinson-cancer-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-fred-hutchinson-cancer-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to FRED HUTCHINSON CANCER CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRED HUTCHINSON CANCER CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to FRED HUTCHINSON CANCER CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRED HUTCHINSON CANCER CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010302131",
      "name": "HEBREW REHABILITATION CENTER",
      "address": "1200 CENTRE STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02131",
      "county": "SUFFOLK",
      "latitude": 42.2968005598058,
      "longitude": -71.1317978098267,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 675,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-hebrew-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEBREW SENIORLIFE, INC.",
      "parentSystemId": "entity-hebrew-seniorlife-inc",
      "siblingGroupId": "siblings-ma-hebrew-seniorlife-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-900183119-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/900183119.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEBREW SENIORLIFE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate HEBREW SENIORLIFE, INC. was mapped through the reviewed alias registry to exact nonprofit filer Hebrew Seniorlife Inc (EIN 900183119); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEBREW SENIORLIFE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEBREW SENIORLIFE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate HEBREW SENIORLIFE, INC. was mapped through the reviewed alias registry to exact nonprofit filer Hebrew Seniorlife Inc (EIN 900183119); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEBREW SENIORLIFE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010314424",
      "name": "VA MEDICAL CENTER - CANANDAIGUA",
      "address": "400 FORT HILL AVE",
      "city": "CANANDAIGUA",
      "state": "NY",
      "zip": "14424",
      "county": "ONTARIO",
      "latitude": 42.9010050897977,
      "longitude": -77.2686140100431,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.canandaigua.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canandaigua-va-medical-center---canandaigua/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ny-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010314424",
        "external-resolution-0010314424"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010328722",
      "name": "ST. LUKE'S HOSPITAL",
      "address": "101 HOSPITAL DRIVE",
      "city": "COLUMBUS",
      "state": "NC",
      "zip": "28722",
      "county": "POLK",
      "latitude": 35.2394679402404,
      "longitude": -82.2126240803196,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "website": "http://www.saintlukeshospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit hospital, and this baseline pass did not match a known PE, corporate-chain, CHOW, or major-system rule.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-st.-luke-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-nc-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN BURROUGHS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN BURROUGHS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010329401",
      "name": "RALPH H. JOHNSON DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "109 BEE STREET",
      "city": "CHARLESTON",
      "state": "SC",
      "zip": "29401",
      "county": "CHARLESTON",
      "latitude": 32.784174009664,
      "longitude": -79.9540055903472,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 98,
      "rating": null,
      "website": "https://www.charleston.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-sc-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010337601",
      "name": "QUILLEN REHABILITATION HOSPITAL - A JOINT VENTURE OF BALLAD HEALTH",
      "address": "2511 WESLEY STREET",
      "city": "JOHNSON CITY",
      "state": "TN",
      "zip": "37601",
      "county": "WASHINGTON",
      "latitude": 36.3537785803598,
      "longitude": -82.3717817001914,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "website": "http://www.quillenrehabilitationhospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010341014",
      "name": "ST. ELIZABETH COVINGTON",
      "address": "1500 JAMES SIMPSON JR. WAY",
      "city": "COVINGTON",
      "state": "KY",
      "zip": "41011",
      "county": "KENTON",
      "latitude": 39.0713483698684,
      "longitude": -84.5179998898136,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 151,
      "rating": null,
      "website": "http://www.stelizabeth.com",
      "status": "corporate_chain",
      "parentSystem": "Stelizabeth",
      "affiliatedSystem": "Stelizabeth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Stelizabeth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-st.-elizabeth-covington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-stelizabeth",
      "siblingGroupId": "siblings-ky-stelizabeth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010341014",
        "external-resolution-0010341014"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.stelizabeth.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010366067",
      "name": "ADVENTHEALTH OTAWA",
      "address": "1301 SOUTH MAIN STREET",
      "city": "OTTAWA",
      "state": "KS",
      "zip": "66067",
      "county": "FRANKLIN",
      "latitude": 38.5963499599077,
      "longitude": -95.2676171398802,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 44,
      "rating": null,
      "website": "www.ransom.org",
      "status": "corporate_chain",
      "parentSystem": "ADVENTISIT HEALTH MID-AMERICA INC",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventisit-health-mid-america-inc",
      "siblingGroupId": "siblings-ks-adventisit-health-mid-america-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTISIT HEALTH MID-AMERICA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHAWN PERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTISIT HEALTH MID-AMERICA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTISIT HEALTH MID-AMERICA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHAWN PERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTISIT HEALTH MID-AMERICA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010386314",
      "name": "YAVAPAI REGIONAL MEDICAL CENTER - EAST CAMPUS",
      "address": "7700 EAST FLORENTINE ROAD",
      "city": "PRESCOTT VALLEY",
      "state": "AZ",
      "zip": "86314",
      "county": "YAVAPAI",
      "latitude": 34.5905394496908,
      "longitude": -112.330379810321,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010386314",
        "external-resolution-0010386314"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to CommonSpirit Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to CommonSpirit Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0010391790",
      "name": "WEST COVINA MEDICAL CENTER",
      "address": "725 S ORANGE AVE",
      "city": "WEST COVINA",
      "state": "CA",
      "zip": "91790",
      "county": "LOS ANGELES",
      "latitude": 34.0713694497407,
      "longitude": -117.944903009683,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 13,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-covina-west-covina-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WEST COVINA MEDICAL CENTER",
      "parentSystemId": "entity-west-covina-medical-center",
      "siblingGroupId": "siblings-ca-west-covina-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0010391790",
        "external-resolution-0010391790"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050096; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050096; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0010398902",
      "name": "VIRGINIA MASON MEMORIAL HOSPITAL",
      "address": "2811 TIETON DRIVE",
      "city": "YAKIMA",
      "state": "WA",
      "zip": "98902",
      "county": "YAKIMA",
      "latitude": 46.593745209703,
      "longitude": -120.547946549814,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 226,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=111",
      "status": "corporate_chain",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010402130",
      "name": "LEMUEL SHATTUCK HOSPITAL",
      "address": "170 MORTON STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02130",
      "county": "SUFFOLK",
      "latitude": 42.2995810002429,
      "longitude": -71.1017429795705,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 119,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010412511",
      "name": "VA MEDICAL CENTER - CASTLE POINT CAMPUS",
      "address": "100 NEW YORK, 9D",
      "city": "CASTLE POINT",
      "state": "NY",
      "zip": "12511",
      "county": "DUTCHESS",
      "latitude": 41.5436212802296,
      "longitude": -73.9633774501375,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 250,
      "rating": null,
      "website": "http://www.hudsonvalley.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-castle-point-va-medical-center---castle-point-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ny-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010412511",
        "external-resolution-0010412511"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010428002",
      "name": "ATRIUM HEALTH STANLY",
      "address": "301 YADKIN ST, PO BOX 1489",
      "city": "ALBEMARLE",
      "state": "NC",
      "zip": "28001",
      "county": "STANLY",
      "latitude": 35.3644431996825,
      "longitude": -80.1948226602868,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 109,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albemarle-atrium-health-stanly/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010428002"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0010437604",
      "name": "WOODRIDGE PSYCHIATRIC HOSPITAL",
      "address": "403 NORTH STATE OF FRANKLIN ROAD",
      "city": "JOHNSON CITY",
      "state": "TN",
      "zip": "37604",
      "county": "WASHINGTON",
      "latitude": 36.3077330800409,
      "longitude": -82.3877218395808,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 585,
      "rating": null,
      "website": "http://www.msha.com/hospitals/woodridge_hospital_l_johnson_city_tn.aspx",
      "status": "corporate_chain",
      "parentSystem": "Msha",
      "affiliatedSystem": "Msha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Msha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-johnson-city-woodridge-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-msha",
      "siblingGroupId": "siblings-tn-msha",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010437604",
        "external-resolution-0010437604"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.msha.com/hospitals/woodridge_hospital_l_johnson_city_tn.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010456296",
      "name": "SANFORD MEDICAL CENTER WHEATON",
      "address": "401 12TH STREET NORTH",
      "city": "WHEATON",
      "state": "MN",
      "zip": "56296",
      "county": "TRAVERSE",
      "latitude": 45.8090748601367,
      "longitude": -96.5012910097601,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "https://www.sanfordhealth.org/locations/sanford-wheaton-clinic",
      "status": "corporate_chain",
      "parentSystem": "SANFORD",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010466213",
      "name": "PINNACLE REGIONAL HOSPITAL INC",
      "address": "12850 METCALF AVENUE",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66213",
      "county": "JOHNSON",
      "latitude": 38.896286140157,
      "longitude": -94.6691285596213,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "website": "http://www.bluevalleyhospital.com/",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-overland-park-pinnacle-regional-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010466213",
        "external-resolution-0010466213"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.bluevalleyhospital.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0010498034",
      "name": "FAIRFAX BEHAVIORAL HEALTH",
      "address": "10200 NE 132ND ST",
      "city": "KIRKLAND",
      "state": "WA",
      "zip": "98034",
      "county": "KING",
      "latitude": 47.71912214993,
      "longitude": -122.204273410331,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 134,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=43",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kirkland-fairfax-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-wa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010510548",
      "name": "VA MEDICAL CENTER - MONTROSE CAMPUS",
      "address": "2094 ALBANY POST RD",
      "city": "MONTROSE",
      "state": "NY",
      "zip": "10548",
      "county": "WESTCHESTER",
      "latitude": 41.2370188102092,
      "longitude": -73.9292820399541,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.hudsonvalley.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montrose-va-medical-center---montrose-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010532701",
      "name": "ADVENTHEALTH ALTAMONTE SPRINGS",
      "address": "601 E ALTAMONTE DR",
      "city": "ALTAMONTE SPRINGS",
      "state": "FL",
      "zip": "32701",
      "county": "SEMINOLE",
      "latitude": 28.6653794801946,
      "longitude": -81.3701583896154,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 393,
      "rating": null,
      "website": "www.adventhealthaltamontesprings.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-altamonte-springs-adventhealth-altamonte-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010532701",
        "external-resolution-0010532701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010539667",
      "name": "WALTHALL GENERAL HOSPITAL",
      "address": "100 HOSPITAL DRIVE",
      "city": "TYLERTOWN",
      "state": "MS",
      "zip": "39667",
      "county": "WALTHALL",
      "latitude": 31.1203714300525,
      "longitude": -90.1557677301774,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WALTHALL GENERAL HOSPITAL",
      "parentSystemId": "entity-walthall-general-hospital",
      "siblingGroupId": "siblings-ms-walthall-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists RICHARD ANDY WOODARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WALTHALL GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD ANDY WOODARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WALTHALL GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010548322",
      "name": "HENRY FORD WEST BLOOMFIELD HOSPITAL",
      "address": "6777 WEST MAPLE ROAD",
      "city": "WEST BLOOMFIELD",
      "state": "MI",
      "zip": "48322",
      "county": "OAKLAND",
      "latitude": 42.5386731802673,
      "longitude": -83.4070392501385,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 191,
      "rating": null,
      "website": "http://www.henryford.com",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH PARENT",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-parent",
      "siblingGroupId": "siblings-mi-henry-ford-health-parent",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH PARENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH PARENT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH PARENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH PARENT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010554552",
      "name": "MARSHFIELD MEDICAL CENTER - PARK FALLS",
      "address": "98 SHERRY AVE",
      "city": "PARK FALLS",
      "state": "WI",
      "zip": "54552",
      "county": "PRICE",
      "latitude": 45.9306877598145,
      "longitude": -90.4412294599568,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-park-falls-marshfield-medical-center---park-falls/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010555731",
      "name": "ELY BLOOMENSON COMM HOSPITAL",
      "address": "328 WEST CONAN STREET",
      "city": "ELY",
      "state": "MN",
      "zip": "55731",
      "county": "ST. LOUIS",
      "latitude": 47.9002586098021,
      "longitude": -91.8722100902565,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "website": "http://www.ebch.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ely-ely-bloomenson-comm-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ELY-BLOOMENSON COMMUNITY HOSPITAL",
      "parentSystemId": "entity-ely-bloomenson-community-hospital",
      "siblingGroupId": "siblings-mn-ely-bloomenson-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-ely-bloomenson-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to ELY-BLOOMENSON COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELY-BLOOMENSON COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to ELY-BLOOMENSON COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELY-BLOOMENSON COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010566212",
      "name": "CHILDREN'S MERCY HOSPITAL KANSAS",
      "address": "5808 WEST 110TH STREET",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66212",
      "county": "JOHNSON",
      "latitude": 38.9298563300662,
      "longitude": -94.6523931300328,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 52,
      "rating": null,
      "website": "www.cmh.edu",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-overland-park-childrens-mercy-hospital-kansas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CHILDRENS MERCY HOSPITAL",
      "parentSystemId": "entity-the-childrens-mercy-hospital",
      "siblingGroupId": "siblings-ks-the-childrens-mercy-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-the-childrens-mercy-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CHILDRENS MERCY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT D FINUF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to THE CHILDRENS MERCY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDRENS MERCY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CHILDRENS MERCY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT D FINUF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to THE CHILDRENS MERCY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDRENS MERCY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010585364",
      "name": "YUMA REHABILITATION HOSPITAL - AN AFFILIATION OF ENCOMPASS HEALTH AND YRMC",
      "address": "901 WEST 24TH STREET",
      "city": "YUMA",
      "state": "AZ",
      "zip": "85364",
      "county": "YUMA",
      "latitude": 32.6833274402489,
      "longitude": -114.630043939898,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 51,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-az-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010602129",
      "name": "SPAULDING REHABILITATION HOSPITAL",
      "address": "300 FIRST AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02129",
      "county": "SUFFOLK",
      "latitude": 42.3785090800438,
      "longitude": -71.0490555502784,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 264,
      "rating": null,
      "website": "http://spauldingrehab.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-spaulding-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mass General Brigham",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "0010608820",
      "name": "ANTHONY M YELENCSICS COMMUNITY",
      "address": "65 JAMES STREET",
      "city": "EDISON",
      "state": "NJ",
      "zip": "08820",
      "county": "MIDDLESEX",
      "latitude": 40.5568254700765,
      "longitude": -74.3506433295697,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://jfkmc.org/",
      "status": "corporate_chain",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "affiliatedSystem": "Jfkmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jfkmc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edison-anthony-m-yelencsics-community/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "campusFamilyId": "campus-nj-310108",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK S STAUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jfkmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jfkmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK S STAUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jfkmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jfkmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010610468",
      "name": "JAMES J. PETERS DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "130 WEST KINGSBRIDGE ROAD",
      "city": "BRONX",
      "state": "NY",
      "zip": "10468",
      "county": "BRONX",
      "latitude": 40.8673486597941,
      "longitude": -73.9063820897133,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 311,
      "rating": null,
      "website": "https://www.bronx.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010613613",
      "name": "MASSENA HOSPITAL",
      "address": "1 HOSPITAL DRIVE",
      "city": "MASSENA",
      "state": "NY",
      "zip": "13662",
      "county": "ST. LAWRENCE",
      "latitude": 44.9362340300083,
      "longitude": -74.9087400901394,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MASSENA HOSPITAL INC",
      "parentSystemId": "entity-massena-hospital-inc",
      "siblingGroupId": "siblings-ny-massena-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-massena-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MASSENA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASSENA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MASSENA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASSENA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010628713",
      "name": "SWAIN COMMUNITY HOSPITAL",
      "address": "45 PLATEAU ST",
      "city": "BRYSON CITY",
      "state": "NC",
      "zip": "28713",
      "county": "SWAIN",
      "latitude": 35.4344854902926,
      "longitude": -83.4447925696161,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "http://www.myswaincommunity.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit hospital, and this baseline pass did not match a known PE, corporate-chain, CHOW, or major-system rule.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bryson-city-swain-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "campusFamilyId": "campus-nc-341305",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 97%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DLP PARTNER LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 97%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DLP PARTNER LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010629506",
      "name": "MUSC HEALTH FLORENCE REHABILITATION CENTER",
      "address": "121 E CEDAR ST",
      "city": "FLORENCE",
      "state": "SC",
      "zip": "29506",
      "county": "FLORENCE",
      "latitude": 34.1890170198032,
      "longitude": -79.7643955800104,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 66,
      "rating": null,
      "website": "http://www.carolinashospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-florence-musc-health-florence-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MUSC Health",
      "parentSystemId": "entity-musc-health",
      "siblingGroupId": "siblings-sc-musc-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010629506",
        "external-resolution-0010629506"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://locations.muschealth.org/"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 42T091. The tracker parent candidate was corroborated against MUSC Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 42T091. The tracker parent candidate was corroborated against MUSC Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0010645405",
      "name": "GRANDVIEW HOSPITAL",
      "address": "405 GRAND AVENUE",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45405",
      "county": "MONTGOMERY",
      "latitude": 39.7700407498339,
      "longitude": -84.2022336196886,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 289,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010653105",
      "name": "AURORA MEDICAL CENTER BURLINGTON",
      "address": "252 MCHENRY ST",
      "city": "BURLINGTON",
      "state": "WI",
      "zip": "53105",
      "county": "RACINE",
      "latitude": 42.6728239103101,
      "longitude": -88.2811866104387,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 123,
      "rating": null,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010685132",
      "name": "FLORENCE HOSPITAL",
      "address": "4545 NORTH HUNT HIGHWAY",
      "city": "FLORENCE",
      "state": "AZ",
      "zip": "85132",
      "county": "PINAL",
      "latitude": 33.0731348696768,
      "longitude": -111.485688670163,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 36,
      "rating": null,
      "website": "http://www.florencehospital.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "HonorHealth",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010685132",
        "external-resolution-0010685132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.honorhealth.com/company"
      ],
      "ownershipProofNotes": "HonorHealth’s official directory identifies the facility, and HonorHealth is a nonprofit health system.",
      "parentSystemEvidence": "HonorHealth’s official directory identifies the facility, and HonorHealth is a nonprofit health system."
    },
    {
      "id": "0010702559",
      "name": "CAPE COD AND ISLANDS COMMUNITY MENTAL HEALTH CENTER",
      "address": "830 COUNTY ROAD",
      "city": "BOURNE",
      "state": "MA",
      "zip": "02559",
      "county": "BARNSTABLE",
      "latitude": 41.6883995402648,
      "longitude": -70.6023850997969,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bourne-cape-cod-&-islands-community-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010710010",
      "name": "MARGARET COCHRAN CORBIN VA CAMPUS",
      "address": "423 EAST 23RD STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10010",
      "county": "NEW YORK",
      "latitude": 40.736881469985,
      "longitude": -73.9770792699099,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.nyharbor.va.gov/locations/directions.asp",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Nyharbor Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nyharbor Va",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010728752",
      "name": "MISSION HOSPITAL MCDOWELL",
      "address": "430 RANKIN DR, PO BOX 730",
      "city": "MARION",
      "state": "NC",
      "zip": "28752",
      "county": "MCDOWELL",
      "latitude": 35.6633955702838,
      "longitude": -82.0284762796612,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 65,
      "rating": 3,
      "status": "pe_contract",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "ccn": "340087",
      "reviewedAt": "2026-06-22",
      "evidenceAsOf": "2026-05-01",
      "relationshipType": "contract",
      "parentSystem": "HCA Healthcare",
      "peFirm": "Blackstone",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "signalSummary": "MISSION HOSPITAL MCDOWELL is an HCA/Mission Health facility. TeamHealth evidence supports a Blackstone-backed staffing-contract warning; this is not a hospital ownership claim.",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "TeamHealth Mission Health system pages + CMS/HCA ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
        "Valley Health contract dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "PE-backed contractor",
      "operatorName": "TeamHealth",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-mission-hospital-mcdowell/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010738738",
      "name": "MEDICAL/DENTAL FACILITY AT PARCHMAN",
      "address": "HIGHWAY 49 WEST",
      "city": "PARCHMAN",
      "state": "MS",
      "zip": "38738",
      "county": "SUNFLOWER",
      "latitude": 33.9184395702419,
      "longitude": -90.4990079303232,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 56,
      "rating": null,
      "website": "http://www.mdoc.ms.gov/divisions/pages/medical-division.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parchman-medical/dental-facility-at-parchman/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL/DENTAL FACILITY AT PARCHMAN",
      "parentSystemId": "entity-medical-dental-facility-at-parchman",
      "siblingGroupId": "siblings-ms-medical-dental-facility-at-parchman",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010738738",
        "external-resolution-0010738738"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mdoc.ms.gov/divisions/pages/medical-division.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0010743210",
      "name": "THE OHIO STATE UNIVERSITY HOSPITALS",
      "address": "410 WEST 10TH AVENUE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43210",
      "county": "FRANKLIN",
      "latitude": 39.9942608602448,
      "longitude": -83.0185653702111,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 1142,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "The Ohio State University",
      "parentSystemId": "entity-the-ohio-state-university",
      "siblingGroupId": "siblings-oh-the-ohio-state-university",
      "campusFamilyId": "campus-oh-369803",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-verified-parent-the-ohio-state-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://wexnermedical.osu.edu/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent The Ohio State University, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent The Ohio State University, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010750138",
      "name": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1515 WEST PLEASANT STREET",
      "city": "KNOXVILLE",
      "state": "IA",
      "zip": "50138",
      "county": "MARION",
      "latitude": 41.3225915999543,
      "longitude": -93.1140806496244,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www1.va.gov/directory/guide/facility.asp?id=66",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-knoxville-department-of-veterans-affairs-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ia-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010750138",
        "external-resolution-0010750138"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010760068",
      "name": "LUTHERAN GENERAL HOSPITAL - ADVOCATE",
      "address": "1775 DEMPSTER STREET",
      "city": "PARK RIDGE",
      "state": "IL",
      "zip": "60068",
      "county": "COOK",
      "latitude": 42.0388022298688,
      "longitude": -87.8473343797482,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 651,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-park-ridge-lutheran-general-hospital-advocate/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010766211",
      "name": "MIDAMERICA REHABILITATION HOSPITAL",
      "address": "5701 W 110TH ST",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66211",
      "county": "JOHNSON",
      "latitude": 38.9289117897534,
      "longitude": -94.65136061992,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 98,
      "rating": null,
      "website": "www.healthsouth.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Healthsouth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Healthsouth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ks-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010802302",
      "name": "ENCOMPASS HEALTH BRAINTREE HOSPITAL OF BRAINTREE",
      "address": "250 POND STREET",
      "city": "BRAINTREE",
      "state": "MA",
      "zip": "02184",
      "county": "NORFOLK",
      "latitude": 42.19813307025,
      "longitude": -71.0185125198012,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 187,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ma-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-encompass-health-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000081/ehc10k123125ex211.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH CORPORATION was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH CORPORATION was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010815136",
      "name": "HERITAGE VALLEY KENNEDY",
      "address": "25 HECKEL ROAD",
      "city": "MCKEES ROCKS",
      "state": "PA",
      "zip": "15136",
      "county": "ALLEGHENY",
      "latitude": 40.4726039297288,
      "longitude": -80.0911406301432,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 96,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "VALLEY MEDICAL FACILITIES INC",
      "parentSystemId": "entity-valley-medical-facilities-inc",
      "siblingGroupId": "siblings-pa-valley-medical-facilities-inc",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-07-01",
      "ownershipSourceIds": [
        "hifld-location-0010815136",
        "external-resolution-0010815136"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in PA. The latest transaction effective 07/01/2023 identifies VALLEY MEDICAL FACILITIES INC as buyer/current legal organization; the seller was VALLEY MEDICAL FACILITIES INC.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in PA. The latest transaction effective 07/01/2023 identifies VALLEY MEDICAL FACILITIES INC as buyer/current legal organization; the seller was VALLEY MEDICAL FACILITIES INC."
    },
    {
      "id": "0010832703",
      "name": "ADVENTHEALTH APOPKA",
      "address": "201 N PARK AVE",
      "city": "APOPKA",
      "state": "FL",
      "zip": "32703",
      "county": "ORANGE",
      "latitude": 28.6808917597439,
      "longitude": -81.5080758602272,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "website": "https://www.floridahospital.com/apopka",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010832703",
        "external-resolution-0010832703"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010838701",
      "name": "DELTA REGIONAL MEDICAL CENTER",
      "address": "1400 EAST UNION STREET",
      "city": "GREENVILLE",
      "state": "MS",
      "zip": "38703",
      "county": "WASHINGTON",
      "latitude": 33.4106692900871,
      "longitude": -91.0348076799893,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 227,
      "rating": null,
      "website": "http://www.deltaregional.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-delta-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DELTA HEALTH SYSTEM",
      "parentSystemId": "entity-delta-health-system",
      "siblingGroupId": "siblings-ms-delta-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-delta-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to DELTA HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to DELTA HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010860657",
      "name": "PRESENCE CHICAGO HOSPITALS NETWORK",
      "address": "2900 N LAKE SHORE DR",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60657",
      "county": "COOK",
      "latitude": 41.9338207102329,
      "longitude": -87.6370690898766,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 338,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASCENSION HEALTH",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-il-ascension-health",
      "campusFamilyId": "campus-il-140224",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010863935",
      "name": "SOUTHEASTHEALTH CENTER OF RIPLEY COUNTY",
      "address": "109 PLUM STREET",
      "city": "DONIPHAN",
      "state": "MO",
      "zip": "63935",
      "county": "RIPLEY",
      "latitude": 36.6212973803184,
      "longitude": -90.825819569873,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "website": "https://www.sehealth.org/locations/health-center-ripley-county",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHEASTHEALTH CENTER OF RIPLEY COUNTY",
      "parentSystemId": "entity-southeasthealth-center-of-ripley-county",
      "siblingGroupId": "siblings-mo-southeasthealth-center-of-ripley-county",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010863935",
        "external-resolution-0010863935"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sehealth.org/locations/health-center-ripley-county"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0010874637",
      "name": "FAIRFAX COMMUNITY HOSPITAL",
      "address": "40 HOSPITAL ROAD",
      "city": "FAIRFAX",
      "state": "OK",
      "zip": "74637",
      "county": "OSAGE",
      "latitude": 36.5633206202226,
      "longitude": -96.7070340897615,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "http://www.hmccah.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairfax-fairfax-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AVEM STAFFING RESOURCES, LLC",
      "parentSystemId": "entity-avem-staffing-resources-llc",
      "siblingGroupId": "siblings-ok-avem-staffing-resources-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVEM STAFFING RESOURCES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELIZABETH J PUSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVEM STAFFING RESOURCES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVEM STAFFING RESOURCES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELIZABETH J PUSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVEM STAFFING RESOURCES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010898405",
      "name": "MULTICARE TACOMA GENERAL HOSPITAL",
      "address": "315 MARTIN LUTHER KING JR WAY",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98405",
      "county": "PIERCE",
      "latitude": 47.259485569919,
      "longitude": -122.452635629768,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 385,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=102",
      "status": "corporate_chain",
      "parentSystem": "MultiCare Health System",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tacoma-multicare-tacoma-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010898405",
        "external-resolution-0010898405"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.multicare.org/find-a-location/"
      ],
      "ownershipProofNotes": "MultiCare Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "MultiCare Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010919047",
      "name": "FOREST HEALTH MEDICAL CENTER OF BUCKS COUNTY",
      "address": "280 MIDDLETOWN BOULEVARD",
      "city": "LANGHORNE",
      "state": "PA",
      "zip": "19047",
      "county": "BUCKS",
      "latitude": 40.1809704697278,
      "longitude": -74.885178459725,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "website": "http://www.barixclinics.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-langhorne-forest-health-medical-center-of-bucks-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FOREST HEALTH MEDICAL CENTER OF BUCKS COUNTY",
      "parentSystemId": "entity-forest-health-medical-center-of-bucks-county",
      "siblingGroupId": "siblings-pa-forest-health-medical-center-of-bucks-county",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010919047",
        "external-resolution-0010919047"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.barixclinics.com"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0010923220",
      "name": "CHILDREN'S HOSPITAL OF RICHMOND AT VCU (BROOK ROAD)",
      "address": "2924 BROOK ROAD",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23220",
      "county": "RICHMOND",
      "latitude": 37.5709013397895,
      "longitude": -77.4508331798888,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "website": "www.childrenshosp-richmond.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-children-s-hospital-of-richmond-at-vcu-brook-road/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
      "parentSystemId": "entity-virginia-commonwealth-university-health-system-authority",
      "siblingGroupId": "siblings-va-virginia-commonwealth-university-health-system-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010923220",
        "external-resolution-0010923220"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vcuhealth.org/news/hospital-to-celebrate-100-years-of-caring-for-children/"
      ],
      "ownershipProofNotes": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0010929601",
      "name": "REGENCY HOSPITAL OF GREENVILLE",
      "address": "1 SAINT FRANCIS DR, 4TH FLOOR",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29601",
      "county": "GREENVILLE",
      "latitude": 34.8406864297741,
      "longitude": -82.4214189798863,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://greenville.regencyhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-regency-hospital-of-greenville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-sc-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFERY H WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFERY H WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010934637",
      "name": "ADVENTHEALTH CONNERTON",
      "address": "9441 HEALTH CENTER DR",
      "city": "LAND O LAKES",
      "state": "FL",
      "zip": "34637",
      "county": "PASCO",
      "latitude": 28.2952730897002,
      "longitude": -82.4899138197896,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 77,
      "rating": null,
      "website": "www.adventhealthconnerton.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-land-o-lakes-adventhealth-connerton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010938701",
      "name": "DELTA REGIONAL MEDICAL CENTER - WEST CAMPUS",
      "address": "300 SOUTH WASHINGTON AVENUE",
      "city": "GREENVILLE",
      "state": "MS",
      "zip": "38701",
      "county": "WASHINGTON",
      "latitude": 33.403487049712,
      "longitude": -91.0505650203032,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 98,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-delta-regional-medical-center---west-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DELTA REGIONAL MEDICAL CENTER - WEST CAMPUS",
      "parentSystemId": "entity-delta-regional-medical-center-west-campus",
      "siblingGroupId": "siblings-ms-delta-regional-medical-center-west-campus",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010938701",
        "external-resolution-0010938701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ms.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0010942101",
      "name": "THE MEDICAL CENTER AT BOWLING GREEN",
      "address": "250 PARK STREET",
      "city": "BOWLING GREEN",
      "state": "KY",
      "zip": "42101",
      "county": "WARREN",
      "latitude": 36.9959715102085,
      "longitude": -86.4297593802986,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 337,
      "rating": null,
      "website": "http://www.themedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bowling-green-the-medical-center-at-bowling-green/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "parentSystemId": "entity-commonwealth-health-corporation-inc",
      "siblingGroupId": "siblings-ky-commonwealth-health-corporation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-med-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medcenterhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010950138",
      "name": "KNOXVILLE HOSPITAL AND CLINICS",
      "address": "1002 SOUTH LINCOLN STREET",
      "city": "KNOXVILLE",
      "state": "IA",
      "zip": "50138",
      "county": "MARION",
      "latitude": 41.3111178097776,
      "longitude": -93.111819839786,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SALLY CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SALLY CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010953185",
      "name": "LAKEVIEW SPECIALTY HOSPITAL AND REHAB CENTER",
      "address": "1701 SHARP ROAD",
      "city": "WATERFORD",
      "state": "WI",
      "zip": "53185",
      "county": "RACINE",
      "latitude": 42.7377563002537,
      "longitude": -88.1679797298629,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 39,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waterford-lakeview-specialty-hospital-&-rehab-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LAKEVIEW MANAGEMENT INC",
      "parentSystemId": "entity-lakeview-management-inc",
      "siblingGroupId": "siblings-wi-lakeview-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-lakeview-management-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAKEVIEW MANAGEMENT INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANGELA CHOLIP JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to LAKEVIEW MANAGEMENT INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKEVIEW MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAKEVIEW MANAGEMENT INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANGELA CHOLIP JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to LAKEVIEW MANAGEMENT INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKEVIEW MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010966215",
      "name": "OVERLAND PARK REGIONAL MEDICAL CENTER",
      "address": "10500 QUIVIRA ROAD BOX 15959",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66215",
      "county": "JOHNSON",
      "latitude": 38.9374641999245,
      "longitude": -94.7264140103053,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 351,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-overland-park-overland-park-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ks-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010969162",
      "name": "CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC",
      "address": "1000 POLE CREEK CROSSING",
      "city": "SIDNEY",
      "state": "NE",
      "zip": "69162",
      "county": "CHEYENNE",
      "latitude": 41.1362121399149,
      "longitude": -102.952119550052,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHEYENNE COUNTY HOSPITAL ASSOCIATION INC",
      "parentSystemId": "entity-cheyenne-county-hospital-association-inc",
      "siblingGroupId": "siblings-ne-cheyenne-county-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-cheyenne-county-hospital-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists SARA M SHOLAR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHEYENNE COUNTY HOSPITAL ASSOCIATION INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHEYENNE COUNTY HOSPITAL ASSOCIATION INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SARA M SHOLAR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHEYENNE COUNTY HOSPITAL ASSOCIATION INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHEYENNE COUNTY HOSPITAL ASSOCIATION INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0010977328",
      "name": "TEXAS RURAL HOSPITALS",
      "address": "300 EAST CROCKETT",
      "city": "CLEVELAND",
      "state": "TX",
      "zip": "77327",
      "county": "LIBERTY",
      "latitude": 30.3417827902993,
      "longitude": -95.0853071000535,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "https://www.emergencyhospitals.care/locations-ehs/emergency-hospital-texas/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TEXAS RURAL HOSPITALS",
      "parentSystemId": "entity-texas-rural-hospitals",
      "siblingGroupId": "siblings-tx-texas-rural-hospitals",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0010977328",
        "external-resolution-0010977328"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.emergencyhospitals.care/locations-ehs/emergency-hospital-texas/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0011002138",
      "name": "SPAULDING HOSPITAL FOR CONTINUING MED CARE - CAMB",
      "address": "1575 CAMBRIDGE STREET",
      "city": "CAMBRIDGE",
      "state": "MA",
      "zip": "02138",
      "county": "MIDDLESEX",
      "latitude": 42.3753220996939,
      "longitude": -71.1069434597009,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 180,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mass General Brigham",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "0011008240",
      "name": "ATLANTICARE REGIONAL MEDICAL CENTER - MAINLAND CAMPUS",
      "address": "65 JIMMIE LEEDS ROAD",
      "city": "POMONA",
      "state": "NJ",
      "zip": "08240",
      "county": "ATLANTIC",
      "latitude": 39.4789826200134,
      "longitude": -74.5400729698755,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 349,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pomona-atlanticare-regional-medical-center---mainland-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AtlantiCare",
      "parentSystemId": "entity-atlanticare",
      "siblingGroupId": "siblings-nj-atlanticare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011008240",
        "external-resolution-0011008240"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.atlanticare.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to AtlantiCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to AtlantiCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0011011209",
      "name": "BROOKLYN VA MEDICAL CENTER",
      "address": "800 POLY PLACE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11209",
      "county": "KINGS",
      "latitude": 40.6079228499684,
      "longitude": -74.024186430234,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 171,
      "rating": null,
      "website": "https://www.nyharbor.va.gov/locations/brooklyn_campus.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011029303",
      "name": "SPARTANBURG REHABILITATION INSTITUTE",
      "address": "160 HAROLD FLEMING CT",
      "city": "SPARTANBURG",
      "state": "SC",
      "zip": "29303",
      "county": "SPARTANBURG",
      "latitude": 34.9896574298225,
      "longitude": -81.9424602304342,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://sri.ernesthealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EPOCH ACQUISITION INC",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-sc-epoch-acquisition-inc",
      "campusFamilyId": "campus-sc-423031",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011038237",
      "name": "WEST TENNESSEE HEALTHCARE VOLUNTEER HOSPITAL",
      "address": "161 MOUNT PELIA ROAD",
      "city": "MARTIN",
      "state": "TN",
      "zip": "38237",
      "county": "WEAKLEY",
      "latitude": 36.334748380263,
      "longitude": -88.8684962696377,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "website": "http://www.tennovawest.com/locations/tennova-healthcare-volunteer-martin",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-martin-west-tennessee-healthcare---volunteer-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "West Tennessee Healthcare / Jackson-Madison County Hospital District",
      "parentSystemId": "entity-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "siblingGroupId": "siblings-tn-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-west-tennessee-healthcare-jackson-madison-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to JACKSON MADISON COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to JACKSON MADISON COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011048071",
      "name": "ASCENSION MACOMB OAKLAND HOSP - MADISON HGHTS CAMPUS",
      "address": "27351 DEQUINDRE",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.4938588778851,
      "longitude": -83.087171901247,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 133,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-mi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011048071",
        "external-resolution-0011048071"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011056058",
      "name": "RIDGEVIEW LESUEUR LTCANDREHAB CT",
      "address": "621 SOUTH 4TH STREET",
      "city": "LE SUEUR",
      "state": "MN",
      "zip": "56058",
      "county": "LE SUEUR",
      "latitude": 44.4540851299612,
      "longitude": -93.9152531897111,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ridgeview",
      "parentSystemId": "entity-ridgeview",
      "siblingGroupId": "siblings-mn-ridgeview",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011056058",
        "external-resolution-0011056058"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ridgeviewmedical.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Ridgeview and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Ridgeview and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0011077327",
      "name": "CLEVELAND EMERGENCY HOSPITAL",
      "address": "1017 S TRAVIS",
      "city": "CLEVELAND",
      "state": "TX",
      "zip": "77327",
      "county": "LIBERTY",
      "latitude": 30.3283583803121,
      "longitude": -95.0937556897237,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "website": "http://www.ddhclv.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-cleveland-emergency-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EMERGENCY HOSPITAL SYSTEMS LLC",
      "parentSystemId": "entity-emergency-hospital-systems-llc",
      "siblingGroupId": "siblings-tx-emergency-hospital-systems-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0011077327",
        "external-resolution-0011077327"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 670115; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20160121002048 and 3 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 670115; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20160121002048 and 3 owner/control organization row(s)."
    },
    {
      "id": "0011090806",
      "name": "MEMORIALCARE MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH",
      "address": "2801 ATLANTIC AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90806",
      "county": "LOS ANGELES",
      "latitude": 33.8081745503104,
      "longitude": -118.185457580219,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 357,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SERVICES",
      "parentSystemId": "entity-memorial-health-services",
      "siblingGroupId": "siblings-ca-memorial-health-services",
      "campusFamilyId": "campus-ca-050485",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011098112",
      "name": "KAISER PERMANENTE - CENTRAL CAMPUS",
      "address": "201 16TH AVENUE EAST",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98112",
      "county": "KING",
      "latitude": 47.619981879908,
      "longitude": -122.312058090394,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=73",
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HEALTH PLAN INC",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-health-plan-inc",
      "siblingGroupId": "siblings-wa-kaiser-foundation-health-plan-inc",
      "campusFamilyId": "campus-wa-500052",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/washington/facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: KAISER FOUNDATION HEALTH PLAN INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KAISER FOUNDATION HEALTH PLAN INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011102021",
      "name": "PAPPAS REHAB HOSPITAL FOR CHILDREN",
      "address": "3 RANDOLPH STREET",
      "city": "CANTON",
      "state": "MA",
      "zip": "02021",
      "county": "NORFOLK",
      "latitude": 42.1759905397917,
      "longitude": -71.1252562599614,
      "hospitalType": "CHILDREN",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 121,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PAPPAS REHAB HOSPITAL FOR CHILDREN",
      "parentSystemId": "entity-pappas-rehab-hospital-for-children",
      "siblingGroupId": "siblings-ma-pappas-rehab-hospital-for-children",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011102021",
        "external-resolution-0011102021"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mass.gov/lists/hospital-profiles"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0011108629",
      "name": "ST FRANCIS MEDICAL CENTER",
      "address": "601 HAMILTON AVE",
      "city": "TRENTON",
      "state": "NJ",
      "zip": "08629",
      "county": "MERCER",
      "latitude": 40.216522179959,
      "longitude": -74.7416516102384,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 238,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-trenton-saint-francis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAPITAL HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-capital-health-system-inc",
      "siblingGroupId": "siblings-nj-capital-health-system-inc",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-21",
      "ownershipSourceIds": [
        "hifld-location-0011108629",
        "external-resolution-0011108629"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in NJ. The latest transaction effective 12/21/2022 identifies CAPITAL HEALTH SYSTEM, INC. as buyer/current legal organization; the seller was ST. FRANCIS MEDICAL CENTER.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in NJ. The latest transaction effective 12/21/2022 identifies CAPITAL HEALTH SYSTEM, INC. as buyer/current legal organization; the seller was ST. FRANCIS MEDICAL CENTER."
    },
    {
      "id": "0011119107",
      "name": "PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS",
      "address": "800 SPRUCE STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19107",
      "county": "PHILADELPHIA",
      "latitude": 39.9454379002568,
      "longitude": -75.155586999914,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 501,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS",
      "parentSystemId": "entity-the-pennsylvania-hospital-of-the-university-of-pennsylvania-health-sys",
      "siblingGroupId": "siblings-pa-the-pennsylvania-hospital-of-the-university-of-pennsylvania-health-sys",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennmedicine.org/practices"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011127514",
      "name": "UNIVERSITY OF NORTH CAROLINA HOSPITALS",
      "address": "101 MANNING DR",
      "city": "CHAPEL HILL",
      "state": "NC",
      "zip": "27514",
      "county": "ORANGE",
      "latitude": 35.904542699952,
      "longitude": -79.0496892304481,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 923,
      "rating": null,
      "website": "http://www.unchealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HOSPITALS",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chapel-hill-university-of-north-carolina-hospitals/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-hospitals",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HOSPITALS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HOSPITALS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011136608",
      "name": "SPRINGHILL MEMORIAL HOSPITAL",
      "address": "3719 DAUPHIN STREET",
      "city": "MOBILE",
      "state": "AL",
      "zip": "36608",
      "county": "MOBILE",
      "latitude": 30.684517489704,
      "longitude": -88.1313362896986,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 263,
      "rating": null,
      "website": "http://www.springhillmemorial.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mobile-springhill-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SPRINGHILL HEALTH SERVICES INC",
      "parentSystemId": "entity-springhill-health-services-inc",
      "siblingGroupId": "siblings-al-springhill-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-springhill-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPRINGHILL HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists STEPHEN FISCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to SPRINGHILL HEALTH SERVICES INC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPRINGHILL HEALTH SERVICES INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPRINGHILL HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists STEPHEN FISCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to SPRINGHILL HEALTH SERVICES INC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPRINGHILL HEALTH SERVICES INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011148341",
      "name": "SELECT SPECIALTY HOSPITAL - PONTIAC",
      "address": "44405 WOODWARD AVENUE, 7TH AND 8TH FLOORS",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.6140377598385,
      "longitude": -83.2768157996295,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pontiac-select-specialty-hospital---pontiac/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011148341",
        "external-resolution-0011148341"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011153511",
      "name": "BELOIT MEMORIAL HOSPITAL",
      "address": "1969 W HART RD",
      "city": "BELOIT",
      "state": "WI",
      "zip": "53511",
      "county": "ROCK",
      "latitude": 42.5482977099357,
      "longitude": -89.008431519871,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 256,
      "rating": null,
      "website": "http://www.beloithealthsystem.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELOIT HEALTH SYSTEM INC",
      "parentSystemId": "entity-beloit-health-system-inc",
      "siblingGroupId": "siblings-wi-beloit-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-beloit-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BELOIT HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELOIT HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BELOIT HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELOIT HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011163301",
      "name": "SELECT SPECIALTY HOSPITAL - ST. LOUIS",
      "address": "300 1ST CAPITOL DRIVE",
      "city": "ST. CHARLES",
      "state": "MO",
      "zip": "63301",
      "county": "ST. CHARLES",
      "latitude": 38.78047560991,
      "longitude": -90.4834974398628,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "website": "https://www.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE ST LOUIS",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-charles-select-specialty-hospital-st.-louis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-st-louis",
      "siblingGroupId": "siblings-mo-ssm-health-care-st-louis",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACOB A BROOKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACOB A BROOKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011198166",
      "name": "HIGHLINE COMMUNITY HOSPITAL",
      "address": "16251 SYLVESTER RD SW",
      "city": "BURIEN",
      "state": "WA",
      "zip": "98166",
      "county": "KING",
      "latitude": 47.457435589816,
      "longitude": -122.343212219607,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 124,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=18",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-wa-commonspirit-health",
      "campusFamilyId": "campus-wa-500011",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011208690",
      "name": "ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - HAMILTON",
      "address": "1 HAMILTON HEALTH PLACE",
      "city": "HAMILTON",
      "state": "NJ",
      "zip": "08690",
      "county": "MERCER",
      "latitude": 40.2163529898617,
      "longitude": -74.6720643902036,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 248,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "RWJBarnabas Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "RWJBarnabas Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011211425",
      "name": "ST. ALBANS COMMUNITY LIVING CENTER",
      "address": "179-00 LINDEN BLVD",
      "city": "JAMAICA",
      "state": "NY",
      "zip": "11425",
      "county": "QUEENS",
      "latitude": 40.69064666966,
      "longitude": -73.7686757699057,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 386,
      "rating": null,
      "website": "http://www.nyharbor.va.gov/",
      "status": "corporate_chain",
      "parentSystem": "Nyharbor Va",
      "affiliatedSystem": "Nyharbor Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nyharbor Va",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jamaica-st.-albans-community-living-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nyharbor-va",
      "siblingGroupId": "siblings-ny-nyharbor-va",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011211425",
        "external-resolution-0011211425"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.nyharbor.va.gov/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011228690",
      "name": "CAROLINAS HEALTHCARE SYSTEM BLUE RIDGE - VALDESE",
      "address": "720 MALCOLM BOULEVARD",
      "city": "VALDESE",
      "state": "NC",
      "zip": "28690",
      "county": "BURKE",
      "latitude": 35.7481238599438,
      "longitude": -81.5234199198148,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 131,
      "rating": null,
      "website": "https://atriumhealth.org/locations/detail/carolinas-healthcare-system-blue-ridge-valdese",
      "status": "corporate_chain",
      "parentSystem": "Atrium Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health",
      "siblingGroupId": "siblings-nc-atrium-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011228690",
        "facility-site-0011228690"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://atriumhealth.org/locations/detail/carolinas-healthcare-system-blue-ridge-valdese"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0011237030",
      "name": "RIVERVIEW REGIONAL MEDICAL CENTER",
      "address": "158 HOSPITAL DRIVE",
      "city": "CARTHAGE",
      "state": "TN",
      "zip": "37030",
      "county": "SMITH",
      "latitude": 36.2642534600851,
      "longitude": -85.9497453700007,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://www.myriverviewmedical.com/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carthage-riverview-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011244146",
      "name": "UHHS - BEDFORD MEDICAL CENTER",
      "address": "44 BLAINE AVENUE",
      "city": "BEDFORD",
      "state": "OH",
      "zip": "44146",
      "county": "CUYAHOGA",
      "latitude": 41.395143870118,
      "longitude": -81.5340722098275,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 88,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRACE HOSPITAL",
      "parentSystemId": "entity-grace-hospital",
      "siblingGroupId": "siblings-oh-grace-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-grace-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to GRACE HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRACE HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to GRACE HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRACE HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011261354",
      "name": "ST MARGARET'S HEALTH - PERU",
      "address": "925 WEST STREET",
      "city": "PERU",
      "state": "IL",
      "zip": "61354",
      "county": "LASALLE",
      "latitude": 41.328883999699,
      "longitude": -89.1239211004322,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 49,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE SYSTEM",
      "parentSystemId": "entity-osf-healthcare-system",
      "siblingGroupId": "siblings-il-osf-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWN C TROMPETER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWN C TROMPETER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011263301",
      "name": "SSM HEALTH ST. JOSEPH HOSPITAL - ST. CH",
      "address": "300 FIRST CAPITOL DRIVE",
      "city": "ST. CHARLES",
      "state": "MO",
      "zip": "63301",
      "county": "ST. CHARLES",
      "latitude": 38.7809086698907,
      "longitude": -90.4846205396821,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 329,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mo-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-select-medical-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEFF HALBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEFF HALBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SELECT MEDICAL CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011266212",
      "name": "KPC PROMISE HOSPITAL OF OVERLAND PARK",
      "address": "6509 WEST 103RD STREET",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66212",
      "county": "JOHNSON",
      "latitude": 38.9398662398551,
      "longitude": -94.6625132302235,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "website": "www.promise-overlandpark.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-overland-park-kpc-promise-hospital-of-overland-park/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HHN HOLDCO LLC",
      "parentSystemId": "entity-hhn-holdco-llc",
      "siblingGroupId": "siblings-ks-hhn-holdco-llc",
      "campusFamilyId": "campus-ks-172004",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: HHN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NETANEL MYEROWITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HHN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HHN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NETANEL MYEROWITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HHN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011298125",
      "name": "KINDRED HOSPITAL SEATTLE - NORTHGATE",
      "address": "10631 8TH AVENUE NE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98125",
      "county": "KING",
      "latitude": 47.7066268202864,
      "longitude": -122.321142590268,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=81",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-wa-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-wa-502002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TERESA JOY FISHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TERESA JOY FISHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011302026",
      "name": "HEBREW REHABILITATION CTR AT DEDHAM",
      "address": "7000 GREAT MEADOW ROAD",
      "city": "DEDHAM",
      "state": "MA",
      "zip": "02026",
      "county": "NORFOLK",
      "latitude": 42.2665357702826,
      "longitude": -71.1950224297908,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 220,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dedham-hebrew-rehabilitation-center-at-dedham/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Hebrew SeniorLife",
      "parentSystemId": "entity-hebrew-seniorlife",
      "siblingGroupId": "siblings-ma-hebrew-seniorlife",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011302026",
        "external-resolution-0011302026"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hebrewseniorlife.org/locations/hebrew-rehabilitation-center/hrc-newbridge"
      ],
      "ownershipProofNotes": "The official Hebrew SeniorLife location page confirms the exact 7000 Great Meadow Road Dedham facility as Hebrew Rehabilitation Center at NewBridge.",
      "parentSystemEvidence": "The official Hebrew SeniorLife location page confirms the exact 7000 Great Meadow Road Dedham facility as Hebrew Rehabilitation Center at NewBridge."
    },
    {
      "id": "0011312309",
      "name": "ELLIS HOSPITAL - BELLEVUE WOMAN'S CARE CENTER DIVISION",
      "address": "2210 TROY ROAD",
      "city": "NISKAYUNA",
      "state": "NY",
      "zip": "12309",
      "county": "SCHENECTADY",
      "latitude": 42.7927689899778,
      "longitude": -73.878954720272,
      "hospitalType": "WOMEN",
      "sourceOwner": "NON-PROFIT",
      "beds": 55,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ellis Medicine",
      "parentSystemId": "entity-ellis-medicine",
      "siblingGroupId": "siblings-ny-ellis-medicine",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011312309",
        "external-resolution-0011312309"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ellismedicine.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Ellis Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Ellis Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0011336201",
      "name": "STRINGFELLOW MEMORIAL HOSPITAL",
      "address": "301 EAST 18TH STREET, PO BOX 38",
      "city": "ANNISTON",
      "state": "AL",
      "zip": "36207",
      "county": "CALHOUN",
      "latitude": 33.6682358999691,
      "longitude": -85.8237127300738,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 125,
      "rating": null,
      "website": "http://www.stringfellowhealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anniston-stringfellow-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STRINGFELLOW MEMORIAL HOSPITAL",
      "parentSystemId": "entity-stringfellow-memorial-hospital",
      "siblingGroupId": "siblings-al-stringfellow-memorial-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-09-30",
      "ownershipSourceIds": [
        "hifld-location-0011336201",
        "external-resolution-0011336201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 010038; Type of Control 13 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 010038; Type of Control 13 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0011339339",
      "name": "DIAMOND GROVE CENTER",
      "address": "12356 HIGHWAY 15 SOUTH",
      "city": "LOUISVILLE",
      "state": "MS",
      "zip": "39339",
      "county": "WINSTON",
      "latitude": 33.0974686102402,
      "longitude": -89.067311160384,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-diamond-grove-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ms-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011339339",
        "external-resolution-0011339339"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0011348661",
      "name": "MIDMICHIGAN MEDICAL CENTER - WEST BRANCH",
      "address": "2463 SOUTH M-30",
      "city": "WEST BRANCH",
      "state": "MI",
      "zip": "48661",
      "county": "OGEMAW",
      "latitude": 44.2638023096962,
      "longitude": -84.2443007596533,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 88,
      "rating": null,
      "website": "http://www.wbrmc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-branch-midmichigan-medical-center-west-branch/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011356232",
      "name": "JOHNSON MEMORIAL HOSP AND HOME",
      "address": "1282 WALNUT STREET",
      "city": "DAWSON",
      "state": "MN",
      "zip": "56232",
      "county": "LAC QUI PARLE",
      "latitude": 44.931345950271,
      "longitude": -96.066670900063,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dawson-johnson-memorial-hosp-&-home/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JOHNSON MEMORIAL HEALTH SERVICES",
      "parentSystemId": "entity-johnson-memorial-health-services",
      "siblingGroupId": "siblings-mn-johnson-memorial-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-johnson-memorial-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to JOHNSON MEMORIAL HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON MEMORIAL HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to JOHNSON MEMORIAL HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON MEMORIAL HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011377842",
      "name": "CHI ST JOSEPH HEALTH - COLLEGE STATION HOSPITAL",
      "address": "1604 ROCK PRAIRIE ROAD",
      "city": "COLLEGE STATION",
      "state": "TX",
      "zip": "77845",
      "county": "BRAZOS",
      "latitude": 30.5813238098001,
      "longitude": -96.2899901501138,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 147,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011377842",
        "external-resolution-0011377842"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011396118",
      "name": "EASTERN PLUMAS HOSPITAL-LOYALTON CAMPUS",
      "address": "700 THIRD STREET",
      "city": "LOYALTON",
      "state": "CA",
      "zip": "96118",
      "county": "SIERRA",
      "latitude": 39.6795226403155,
      "longitude": -120.243584889887,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 39,
      "rating": null,
      "website": "http://www.ephc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-loyalton-eastern-plumas-hospital-loyalton-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EASTERN PLUMAS HOSPITAL-LOYALTON CAMPUS",
      "parentSystemId": "entity-eastern-plumas-hospital-loyalton-campus",
      "siblingGroupId": "siblings-ca-eastern-plumas-hospital-loyalton-campus",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011396118",
        "external-resolution-0011396118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ephc.org"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0011423298",
      "name": "VCU HEALTH SYSTEM - WEST",
      "address": "1200 E BROAD S",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23219",
      "county": "RICHMOND",
      "latitude": 37.5395389699696,
      "longitude": -77.4306831101749,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 779,
      "rating": null,
      "website": "http://www.vcuhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
      "affiliatedSystem": "Vcuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Vcuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-virginia-commonwealth-university-health-system-authority",
      "siblingGroupId": "siblings-va-virginia-commonwealth-university-health-system-authority",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011423298",
        "external-resolution-0011423298"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vcuhealth.org/news/hospital-to-celebrate-100-years-of-caring-for-children/"
      ],
      "ownershipProofNotes": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011434747",
      "name": "ADVENTHEALTH CELEBRATION",
      "address": "400 CELEBRATION PL",
      "city": "CELEBRATION",
      "state": "FL",
      "zip": "34747",
      "county": "OSCEOLA",
      "latitude": 28.3281284802903,
      "longitude": -81.540852929849,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 317,
      "rating": null,
      "website": "www.adventhealthcelebration.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-celebration-adventhealth-celebration/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011434747",
        "external-resolution-0011434747"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011435404",
      "name": "TAYLOR HARDIN SECURE MEDICAL FACILITY",
      "address": "1301 JACK WARNER PARKWAY N.E.",
      "city": "TUSCALOOSA",
      "state": "AL",
      "zip": "35404",
      "county": "TUSCALOOSA",
      "latitude": 33.2186743999499,
      "longitude": -87.5176647096977,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 114,
      "rating": null,
      "website": "http://mh.alabama.gov/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tuscaloosa-taylor-hardin-secure-medical-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TAYLOR HARDIN SECURE MEDICAL FACILITY",
      "parentSystemId": "entity-taylor-hardin-secure-medical-facility",
      "siblingGroupId": "siblings-al-taylor-hardin-secure-medical-facility",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011435404",
        "external-resolution-0011435404"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://mh.alabama.gov/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0011437660",
      "name": "REHABILITATION HOSPITAL OF KINGSPORT - A JOINT VENTURE OF BALLAD",
      "address": "113 CASSEL DRIVE",
      "city": "KINGSPORT",
      "state": "TN",
      "zip": "37660",
      "county": "SULLIVAN",
      "latitude": 36.5535642000868,
      "longitude": -82.5513784002619,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011443219",
      "name": "CHALMERS P. WYLIE VA AMBULATORY CARE CENTER",
      "address": "420 N JAMES RD",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43219",
      "county": "FRANKLIN",
      "latitude": 39.9808247000192,
      "longitude": -82.9095849399779,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.columbus.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-chalmers-p.-wylie-va-ambulatory-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHALMERS P. WYLIE VA AMBULATORY CARE CENTER",
      "parentSystemId": "entity-chalmers-p-wylie-va-ambulatory-care-center",
      "siblingGroupId": "siblings-oh-chalmers-p-wylie-va-ambulatory-care-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011443219",
        "external-resolution-0011443219"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.columbus.va.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0011449953",
      "name": "ASPIRUS ONTONAGON HOSPITAL, INC",
      "address": "601 S SEVENTH ST",
      "city": "ONTONAGON",
      "state": "MI",
      "zip": "49953",
      "county": "ONTONAGON",
      "latitude": 46.8655953599972,
      "longitude": -89.3016584603411,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "website": "http://www.aspirus-ontonagon.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ontonagon-aspirus-ontonagon-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS ONTONAGON HOSPITAL",
      "parentSystemId": "entity-aspirus-ontonagon-hospital",
      "siblingGroupId": "siblings-mi-aspirus-ontonagon-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-06-30",
      "ownershipSourceIds": [
        "hifld-location-0011449953",
        "external-resolution-0011449953"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 231309; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 231309; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0011467661",
      "name": "PHILLIPS COUNTY HEALTH SYSTEMS",
      "address": "1150 STATE STREET, PO BOX 607",
      "city": "PHILLIPSBURG",
      "state": "KS",
      "zip": "67661",
      "county": "PHILLIPS",
      "latitude": 39.7553290201492,
      "longitude": -99.3132317900256,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.phillipshospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PHILLIPS COUNTY HOSPITAL",
      "parentSystemId": "entity-phillips-county-hospital",
      "siblingGroupId": "siblings-ks-phillips-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-phillips-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to PHILLIPS COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHILLIPS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to PHILLIPS COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHILLIPS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011502035",
      "name": "NORCAP LODGE",
      "address": "71 WALNUT STREET",
      "city": "FOXBOROUGH",
      "state": "MA",
      "zip": "02035",
      "county": "NORFOLK",
      "latitude": 42.0501366397847,
      "longitude": -71.2410755204353,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 43,
      "rating": null,
      "website": "https://goodsamaritanmedical.org/services-directory/substance-abuse",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-foxborough-norcap-lodge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Beth Israel Deaconess Medical Center",
      "parentSystemId": "entity-beth-israel-deaconess-medical-center",
      "siblingGroupId": "siblings-ma-beth-israel-deaconess-medical-center",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011502035",
        "external-resolution-0011502035"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bidmc.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Beth Israel Deaconess Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Beth Israel Deaconess Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0011527962",
      "name": "WASHINGTON REGIONAL MEDICAL CENTER",
      "address": "958 US-64 EAST, PO BOX 707",
      "city": "PLYMOUTH",
      "state": "NC",
      "zip": "27962",
      "county": "WASHINGTON",
      "latitude": 35.8627820802054,
      "longitude": -76.7292836800877,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "CMS/HIFLD ownership fields identify a government, district, authority, state, federal, or VA ownership type; no PE link is documented in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011527962"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_or_generic_parent, insufficient_structured_sources."
    },
    {
      "id": "0011540508",
      "name": "UK HEALTHCARE GOOD SAMARITAN HOSPITAL",
      "address": "310 SOUTH LIMESTONE STREET",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40508",
      "county": "FAYETTE",
      "latitude": 38.042311409694,
      "longitude": -84.5010389597326,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 221,
      "rating": null,
      "website": "http://www.ukhealthcare.uky.edu/samaritan",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-uk-healthcare-good-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ky-trinity-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011540508",
        "external-resolution-0011540508"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0011545601",
      "name": "VA MEDICAL CENTER - CHILLICOTHE",
      "address": "17273 OH-104",
      "city": "CHILLICOTHE",
      "state": "OH",
      "zip": "45601",
      "county": "ROSS",
      "latitude": 39.3904310401713,
      "longitude": -83.0203987598408,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 141,
      "rating": null,
      "website": "http://www.chillicothe.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chillicothe-va-medical-center---chillicothe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-oh-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011551534",
      "name": "GLENWOOD STATE HOSPITAL SCHOOL",
      "address": "711 SOUTH VINE STREET",
      "city": "GLENWOOD",
      "state": "IA",
      "zip": "51534",
      "county": "MILLS",
      "latitude": 41.0392119398908,
      "longitude": -95.7355661201422,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 851,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glenwood-glenwood-state-hospital-school/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Iowa state health authority",
      "parentSystemId": "entity-iowa-state-health-authority",
      "siblingGroupId": "siblings-ia-iowa-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011551534",
        "external-resolution-0011551534"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ia.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0011563385",
      "name": "SSM HEALTH ST. JOSEPH HOSPITAL - WENTZ",
      "address": "500 MEDICAL DRIVE",
      "city": "WENTZVILLE",
      "state": "MO",
      "zip": "63385",
      "county": "ST. CHARLES",
      "latitude": 38.8221504096563,
      "longitude": -90.8807209995907,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 77,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM Health",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health",
      "siblingGroupId": "siblings-mo-ssm-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011563385",
        "external-resolution-0011563385"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "SSM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "SSM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011566762",
      "name": "ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC",
      "address": "1 MT CARMEL WAY",
      "city": "PITTSBURG",
      "state": "KS",
      "zip": "66762",
      "county": "CRAWFORD",
      "latitude": 37.3801585500597,
      "longitude": -94.6846295000919,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 89,
      "rating": null,
      "website": "http://www.viachristi.org",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ks-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011570403",
      "name": "NORTH OAKS REHABILITATION HOSPITAL, LLC",
      "address": "1900 SOUTH MORRISON BOULEVARD",
      "city": "HAMMOND",
      "state": "LA",
      "zip": "70403",
      "county": "TANGIPAHOA",
      "latitude": 30.4839374597402,
      "longitude": -90.4845562795966,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 27,
      "rating": null,
      "website": "https://www.northoaks.org/locations/north-oaks-medical-center/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hammond-north-oaks-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA",
      "parentSystemId": "entity-hospital-service-district-1-of-tangipahoa",
      "siblingGroupId": "siblings-la-hospital-service-district-1-of-tangipahoa",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK T ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK T ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011573448",
      "name": "MERCY HEALTH LOVE COUNTY",
      "address": "300 WANDA STREET",
      "city": "MARIETTA",
      "state": "OK",
      "zip": "73448",
      "county": "LOVE",
      "latitude": 33.9430411901081,
      "longitude": -97.1309087802021,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.mercyhealthlovecounty.com",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH OKLAHOMA COMMUNITIES",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marietta-mercy-health-love-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-oklahoma-communities",
      "siblingGroupId": "siblings-ok-mercy-health-oklahoma-communities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH OKLAHOMA COMMUNITIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists W. SCOTT CALLENDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH OKLAHOMA COMMUNITIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH OKLAHOMA COMMUNITIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists W. SCOTT CALLENDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH OKLAHOMA COMMUNITIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011598003",
      "name": "FRANCISCAN HEALTH ST. FRANCIS HOSPITAL",
      "address": "34515 9TH AVENUE SOUTH",
      "city": "FEDERAL WAY",
      "state": "WA",
      "zip": "98003",
      "county": "KING",
      "latitude": 47.2926977500528,
      "longitude": -122.327392350261,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 112,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=37",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-wa-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011618951",
      "name": "ST LUKE'S QUAKERTOWN HOSPITAL",
      "address": "1021 PARK AVENUE",
      "city": "QUAKERTOWN",
      "state": "PA",
      "zip": "18951",
      "county": "BUCKS",
      "latitude": 40.4381371397745,
      "longitude": -75.3485949300338,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 62,
      "rating": null,
      "website": "http://www.slhhn.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quakertown-st-luke-s-quakertown-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "St. Luke's University Health Network",
      "parentSystemId": "entity-st-luke-s-university-health-network",
      "siblingGroupId": "siblings-pa-st-luke-s-university-health-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011618951",
        "external-resolution-0011618951"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20071126000192 (390035). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20071126000192 (390035). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0011646312",
      "name": "REGENCY HOSPITAL OF NORTHWEST INDIANA",
      "address": "4321 FIR ST 4TH FL",
      "city": "EAST CHICAGO",
      "state": "IN",
      "zip": "46312",
      "county": "LAKE",
      "latitude": 41.634446689813,
      "longitude": -87.4478277104032,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 61,
      "rating": null,
      "website": "http://www.regencyhospital.com/company/locations/indiananorthwest- indiana.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Regencyhospital",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Regencyhospital",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-chicago-regency-hospital-of-northwest-indiana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-in-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JESSICA A WILSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JESSICA A WILSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011660429",
      "name": "ADVOCATE SOUTHLAND HEALTH NETWORK",
      "address": "17800 S KEDZIE AVENUE",
      "city": "HAZEL CREST",
      "state": "IL",
      "zip": "60429",
      "county": "COOK",
      "latitude": 41.56630403985,
      "longitude": -87.6975697304384,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 233,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Advocate Health",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-il-advocate-health",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-12-01",
      "ownershipSourceIds": [
        "hifld-location-0011660429",
        "external-resolution-0011660429"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in IL. The latest transaction effective 12/01/2020 identifies ADVOCATE HEALTH AND HOSPITALS CORPORATION as buyer/current legal organization; the seller was ADVOCATE HEALTH AND HOSPITALS CORPORATION.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in IL. The latest transaction effective 12/01/2020 identifies ADVOCATE HEALTH AND HOSPITALS CORPORATION as buyer/current legal organization; the seller was ADVOCATE HEALTH AND HOSPITALS CORPORATION."
    },
    {
      "id": "0011663367",
      "name": "SSM HEALTH ST. JOSEPH HOSPITAL - LAKE",
      "address": "100 MEDICAL PLAZA",
      "city": "LAKE ST. LOUIS",
      "state": "MO",
      "zip": "63367",
      "county": "ST. CHARLES",
      "latitude": 38.8027966701964,
      "longitude": -90.7757467500974,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 215,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE ST LOUIS",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-st-louis",
      "siblingGroupId": "siblings-mo-ssm-health-care-st-louis",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011692071",
      "name": "EDGEMOOR GERIATRIC HOSPITAL",
      "address": "655 PARK CENTER DRIVE",
      "city": "SANTEE",
      "state": "CA",
      "zip": "92071",
      "county": "SAN DIEGO",
      "latitude": 32.8523451101987,
      "longitude": -116.974114220318,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 192,
      "rating": null,
      "website": "http://www.sdcounty.ca.gov",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santee-edgemoor-geriatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EDGEMOOR GERIATRIC HOSPITAL",
      "parentSystemId": "entity-edgemoor-geriatric-hospital",
      "siblingGroupId": "siblings-ca-edgemoor-geriatric-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011692071",
        "external-resolution-0011692071"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.sdcounty.ca.gov"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0011701830",
      "name": "WHITTIER REHABILITATION HOSPITAL - BRADFORD",
      "address": "145 WARD HILL AVENUE",
      "city": "HAVERHILL",
      "state": "MA",
      "zip": "01835",
      "county": "ESSEX",
      "latitude": 42.7616190799082,
      "longitude": -71.1188983796392,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.whittierhealth.com/rehabilitation_hospitals/bradford.html",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-haverhill-whittier-rehabilitation-hospital-bradford/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GREENLEAF VI II INC",
      "parentSystemId": "entity-greenleaf-vi-ii-inc",
      "siblingGroupId": "siblings-ma-greenleaf-vi-ii-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-222047"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.whittierhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREENLEAF VI II INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALFRED J ARCIDI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Whittier Health Network official hospital directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENLEAF VI II INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREENLEAF VI II INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALFRED J ARCIDI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Whittier Health Network official hospital directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENLEAF VI II INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011727533",
      "name": "WAYNE UNC HEALTHCARE",
      "address": "2700 WAYNE MEMORIAL DR",
      "city": "GOLDSBORO",
      "state": "NC",
      "zip": "27533",
      "county": "WAYNE",
      "latitude": 35.3984837497718,
      "longitude": -77.952468700336,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 316,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-goldsboro-wayne-unc-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011749417",
      "name": "NORTH OTTAWA COMMUNITY HEALTH SYSTEM",
      "address": "1309 SHELDON RD",
      "city": "GRAND HAVEN",
      "state": "MI",
      "zip": "49417",
      "county": "OTTAWA",
      "latitude": 43.0507726196771,
      "longitude": -86.2288291798404,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 81,
      "rating": null,
      "website": "http://www.noch.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH PARTNERS",
      "parentSystemId": "entity-mercy-health-partners",
      "siblingGroupId": "siblings-mi-mercy-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL G GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL G GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011755404",
      "name": "PHILLIPS EYE INSTITUTE",
      "address": "2215 PARK AVENUE SOUTH",
      "city": "MINNEAPOLIS",
      "state": "MN",
      "zip": "55404",
      "county": "HENNEPIN",
      "latitude": 44.9594894302502,
      "longitude": -93.2642409097988,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "website": "http://www.allinahealth.org/ahs/pei.nsf/",
      "status": "corporate_chain",
      "parentSystem": "Allina Health",
      "affiliatedSystem": "Allinahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Allinahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minneapolis-phillips-eye-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allina-health",
      "siblingGroupId": "siblings-mn-allina-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011755404",
        "external-resolution-0011755404"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "Allina Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Allina Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011770433",
      "name": "PAM SPECIALTY HOSPITAL OF COVINGTON",
      "address": "20050 CRESTWOOD BLVD",
      "city": "COVINGTON",
      "state": "LA",
      "zip": "70433",
      "county": "ST. TAMMANY",
      "latitude": 30.4474054200771,
      "longitude": -90.0731256498513,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "website": "http://www.northshoreltach.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-pam-specialty-hospital-of-covington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-la-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM II MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM II MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011798411",
      "name": "MULTICARE ALLENMORE HOSPITAL",
      "address": "1901 S UNION AVE",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98411",
      "county": "PIERCE",
      "latitude": 47.2416464797525,
      "longitude": -122.481054590162,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 66,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=96",
      "status": "corporate_chain",
      "parentSystem": "MultiCare Health System",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tacoma-multicare-allenmore-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011798411",
        "external-resolution-0011798411"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.multicare.org/find-a-location/"
      ],
      "ownershipProofNotes": "MultiCare Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "MultiCare Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011801542",
      "name": "VIBRA HOSP OF WSTN MASS - CNTRL CAMPU",
      "address": "111 HUNTOON MEMORIAL HIGHWAY",
      "city": "LEICESTER",
      "state": "MA",
      "zip": "01542",
      "county": "WORCESTER",
      "latitude": 42.2018992799817,
      "longitude": -71.8988273397997,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-ma-vibra-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-222046"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIBRA HEALTHCARE II, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Vibra Healthcare official locations directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIBRA HEALTHCARE II, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Vibra Healthcare official locations directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011811968",
      "name": "STONY BROOK SOUTHAMPTON HOSPITAL",
      "address": "240 MEETING HOUSE LANE",
      "city": "SOUTHAMPTON",
      "state": "NY",
      "zip": "11968",
      "county": "SUFFOLK",
      "latitude": 40.885059740225,
      "longitude": -72.3799440599566,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 124,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STONY BROOK SOUTHAMPTON HOSPITAL",
      "parentSystemId": "entity-stony-brook-southampton-hospital",
      "siblingGroupId": "siblings-ny-stony-brook-southampton-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011811968",
        "external-resolution-0011811968"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://profiles.health.ny.gov/hospital/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0011817055",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MECHANICSBURG",
      "address": "175 LANCASTER BOULEVARD",
      "city": "MECHANICSBURG",
      "state": "PA",
      "zip": "17055",
      "county": "CUMBERLAND",
      "latitude": 40.2112060000556,
      "longitude": -76.9739680000203,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 75,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mechanicsburg-encompass-health-rehabilitation-hospital-of-mechanicsburg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011828659",
      "name": "WILKES MEDICAL CENTER",
      "address": "1370 WEST D STREET, PO BOX 609",
      "city": "NORTH WILKESBORO",
      "state": "NC",
      "zip": "28659",
      "county": "WILKES",
      "latitude": 36.1591930403397,
      "longitude": -81.157911649789,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 120,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ATRIUM HEALTH INC",
      "affiliatedSystem": "Atrium Health Wake Forest Baptist",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health Wake Forest Baptist",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health-inc",
      "siblingGroupId": "siblings-nc-atrium-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011832822",
      "name": "ADVENTHEALTH EAST ORLANDO",
      "address": "7727 LAKE UNDERHILL RD",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32822",
      "county": "ORANGE",
      "latitude": 28.5399802502184,
      "longitude": -81.2815401204362,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 295,
      "rating": null,
      "website": "www.adventhealtheastorlando.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-adventhealth-east-orlando/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011832822",
        "external-resolution-0011832822"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011846804",
      "name": "REHABILITATION HOSPITAL OF FORT WAYNE GENERAL - PART OF LUTHERAN HEALTH NETWORK",
      "address": "7970 W JEFFERSON BLVD",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46804",
      "county": "ALLEN",
      "latitude": 41.0427902697158,
      "longitude": -85.2482121897508,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "http://www.rehabhospital.com/pages/home.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-in-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GREGORY PARRETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GREGORY PARRETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011849464",
      "name": "SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL",
      "address": "8333 FELCH ST",
      "city": "ZEELAND",
      "state": "MI",
      "zip": "49464",
      "county": "OTTAWA",
      "latitude": 42.8212965102101,
      "longitude": -85.9877138000562,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 55,
      "rating": null,
      "website": "http://www.spectrumhealth.org/zeeland",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-zeeland-spectrum-health-zeeland-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT W HOEFER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT W HOEFER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011856636",
      "name": "DEER RIVER HEALTH CARE CENTER",
      "address": "115 10TH AVENUE NE",
      "city": "DEER RIVER",
      "state": "MN",
      "zip": "56636",
      "county": "ITASCA",
      "latitude": 47.3441056100911,
      "longitude": -93.7911108800264,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-mn-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011863304",
      "name": "CENTERPOINTE HOSPITAL",
      "address": "4801 WELDON SPRING PARKWAY",
      "city": "ST. CHARLES",
      "state": "MO",
      "zip": "63304",
      "county": "ST. CHARLES",
      "latitude": 38.7149684999178,
      "longitude": -90.6718892601142,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 104,
      "rating": null,
      "website": "http://www.centerpointehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-charles-centerpointe-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-mo-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011901854",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF NE AT LOWELL",
      "address": "1071 VARNUM AVENUE",
      "city": "LOWELL",
      "state": "MA",
      "zip": "01854",
      "county": "MIDDLESEX",
      "latitude": 42.6451893599752,
      "longitude": -71.3669296803866,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ma-encompass-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011901854",
        "external-resolution-0011901854"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0011908060",
      "name": "VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY",
      "address": "175 MADISON AVE",
      "city": "MOUNT HOLLY",
      "state": "NJ",
      "zip": "08060",
      "county": "BURLINGTON",
      "latitude": 39.9863711302569,
      "longitude": -74.7947995599626,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 383,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "VIRTUA HEALTH , INC",
      "parentSystemId": "entity-virtua-health-inc",
      "siblingGroupId": "siblings-nj-virtua-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-virtua-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.virtua.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIRTUA HEALTH , INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIRTUA HEALTH , INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011911901",
      "name": "STONY BROOK EASTERN LONG ISLAND HOSPITAL",
      "address": "201 MANOR PLACE",
      "city": "GREENPORT",
      "state": "NY",
      "zip": "11944",
      "county": "SUFFOLK",
      "latitude": 41.1103605702106,
      "longitude": -72.3611273200931,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 70,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STONY BROOK EASTERN LONG ISLAND HOSPITAL",
      "parentSystemId": "entity-stony-brook-eastern-long-island-hospital",
      "siblingGroupId": "siblings-ny-stony-brook-eastern-long-island-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011911901",
        "external-resolution-0011911901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://profiles.health.ny.gov/hospital/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0011923320",
      "name": "CHESAPEAKE REGIONAL MEDICAL CENTER",
      "address": "736 BATTLEFIELD BOULEVARD NORTH",
      "city": "CHESAPEAKE",
      "state": "VA",
      "zip": "23320",
      "county": "CHESAPEAKE",
      "latitude": 36.7455092501878,
      "longitude": -76.2460394699619,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 310,
      "rating": null,
      "website": "www.chesapeakeregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chesapeake-chesapeake-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHESAPEAKE HOSPITAL AUTHORITY",
      "parentSystemId": "entity-chesapeake-hospital-authority",
      "siblingGroupId": "siblings-va-chesapeake-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-verified-parent-chesapeake-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to CHESAPEAKE HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESAPEAKE HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to CHESAPEAKE HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESAPEAKE HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011943040",
      "name": "MEMORIAL HOSP. OF UNION COUNTY",
      "address": "500 LONDON AVENUE",
      "city": "MARYSVILLE",
      "state": "OH",
      "zip": "43040",
      "county": "UNION",
      "latitude": 40.2300825398455,
      "longitude": -83.3676483198643,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 99,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marysville-memorial-hospital-of-union-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNION COUNTY",
      "parentSystemId": "entity-union-county",
      "siblingGroupId": "siblings-oh-union-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-union-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNION COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFFREY EHLERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UNION COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNION COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFFREY EHLERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UNION COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011946254",
      "name": "REHABILITATION HOSPITAL OF INDIANA INC",
      "address": "4141 SHORE DR",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46254",
      "county": "MARION",
      "latitude": 39.8300579998935,
      "longitude": -86.2777259998061,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 91,
      "rating": null,
      "website": "http://www.rhin.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-rehabilitation-hospital-of-indiana-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "REHABILITATION HOSPITAL OF INDIANA INC",
      "parentSystemId": "entity-rehabilitation-hospital-of-indiana-inc",
      "siblingGroupId": "siblings-in-rehabilitation-hospital-of-indiana-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-rehabilitation-hospital-of-indiana-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: REHABILITATION HOSPITAL OF INDIANA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to REHABILITATION HOSPITAL OF INDIANA INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHABILITATION HOSPITAL OF INDIANA INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REHABILITATION HOSPITAL OF INDIANA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to REHABILITATION HOSPITAL OF INDIANA INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHABILITATION HOSPITAL OF INDIANA INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011950213",
      "name": "CLARKE COUNTY PUBLIC HOSPITAL",
      "address": "800 SOUTH FILLMORE STREET",
      "city": "OSCEOLA",
      "state": "IA",
      "zip": "50213",
      "county": "CLARKE",
      "latitude": 41.0261191297481,
      "longitude": -93.7685265798101,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.clarkehosp.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-osceola-clarke-county-public-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TESSA M SANDEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TESSA M SANDEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011963376",
      "name": "BARNES - JEWISH ST. PETERS HOSPITAL",
      "address": "10 HOSPITAL DRIVE",
      "city": "ST. PETERS",
      "state": "MO",
      "zip": "63376",
      "county": "ST. CHARLES",
      "latitude": 38.7936050499474,
      "longitude": -90.5796153103611,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 102,
      "rating": null,
      "website": "http://www.bjsph.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-peters-barnes-jewish-st.-peters-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BARNES JEWISH ST. PETERS HOSPITAL INC",
      "parentSystemId": "entity-barnes-jewish-st-peters-hospital-inc",
      "siblingGroupId": "siblings-mo-barnes-jewish-st-peters-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BARNES JEWISH ST. PETERS HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists YOANY FINETTI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARNES JEWISH ST. PETERS HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BARNES JEWISH ST. PETERS HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists YOANY FINETTI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARNES JEWISH ST. PETERS HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011974401",
      "name": "JACK C. MONTGOMERY DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1011 HONOR HEIGHTS DRIVE",
      "city": "MUSKOGEE",
      "state": "OK",
      "zip": "74401",
      "county": "MUSKOGEE",
      "latitude": 35.7652757103101,
      "longitude": -95.4146643998285,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.va.gov/eastern-oklahoma-health-care/locations/jack-c-montgomery-department-of-veterans-affairs-medical/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ok-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011976208",
      "name": "CORNERSTONE SPECIALTY HOSPITALS CONROE",
      "address": "1500 GRAND LAKE DRIVE",
      "city": "CONROE",
      "state": "TX",
      "zip": "77304",
      "county": "MONTGOMERY",
      "latitude": 30.2820359096317,
      "longitude": -95.4655906299038,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "website": "http://www.chghospitals.com/conroe/",
      "status": "corporate_chain",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-tx-chg-hospital-operations-company-llc",
      "campusFamilyId": "campus-tx-452107",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0011995032",
      "name": "EL CAMINO HEALTH LOS GATOS",
      "address": "815 POLLARD RD",
      "city": "LOS GATOS",
      "state": "CA",
      "zip": "95032",
      "county": "SANTA CLARA",
      "latitude": 37.262527150308,
      "longitude": -121.969406559848,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 143,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "EL CAMINO HOSPITAL",
      "parentSystemId": "entity-el-camino-hospital",
      "siblingGroupId": "siblings-ca-el-camino-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0011995032",
        "external-resolution-0011995032"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20100717000155 (05T308). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20100717000155 (05T308). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0011998027",
      "name": "SWEDISH ISAQUAH",
      "address": "2005 NW SAMMAMISH ROAD",
      "city": "ISSAQUAH",
      "state": "WA",
      "zip": "98027",
      "county": "KING",
      "latitude": 47.5514532297021,
      "longitude": -122.065443800261,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 125,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=188",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "campusFamilyId": "campus-wa-500152",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012001056",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS",
      "address": "222 STATE STREET",
      "city": "LUDLOW",
      "state": "MA",
      "zip": "01056",
      "county": "HAMPDEN",
      "latitude": 42.1557759401678,
      "longitude": -72.4720773398245,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 53,
      "rating": null,
      "website": "http://www.healthsouthrehab.org/en/our-hospital",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ma-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-encompass-health-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000081/ehc10k123125ex211.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH CORPORATION was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH CORPORATION was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012016001",
      "name": "VA BUTLER HEALTHCARE",
      "address": "325 NEW CASTLE RD",
      "city": "BUTLER",
      "state": "PA",
      "zip": "16001",
      "county": "BUTLER",
      "latitude": 40.8734394896966,
      "longitude": -79.9441308398236,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 56,
      "rating": null,
      "website": "http://www.butler.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-butler-va-butler-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "VA BUTLER HEALTHCARE",
      "parentSystemId": "entity-va-butler-healthcare",
      "siblingGroupId": "siblings-pa-va-butler-healthcare",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012016001",
        "external-resolution-0012016001"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.butler.va.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0012049677",
      "name": "SPECTRUM HEALTH REED CITY HOSPITAL",
      "address": "300 N PATTERSON, PO BOX 75",
      "city": "REED CITY",
      "state": "MI",
      "zip": "49677",
      "county": "OSCEOLA",
      "latitude": 43.8784617303218,
      "longitude": -85.5212920599818,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.reedcity.spectrum-health.org",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reed-city-spectrum-health-reed-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREA LESLIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREA LESLIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012055307",
      "name": "RIDGEVIEW SIBLEY MEDICAL CTR",
      "address": "601 WEST CHANDLER",
      "city": "ARLINGTON",
      "state": "MN",
      "zip": "55307",
      "county": "SIBLEY",
      "latitude": 44.6106739402288,
      "longitude": -94.0852375299659,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-ridgeview-sibley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIDGEVIEW MEDICAL CENTER",
      "parentSystemId": "entity-ridgeview-medical-center",
      "siblingGroupId": "siblings-mn-ridgeview-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-ridgeview-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIDGEVIEW MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RIDGEVIEW MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIDGEVIEW MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIDGEVIEW MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RIDGEVIEW MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIDGEVIEW MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012101904",
      "name": "BAY RIDGE HOSP - SAT - BEVERLY HOSP",
      "address": "60 GRANITE STREET",
      "city": "LYNN",
      "state": "MA",
      "zip": "01904",
      "county": "ESSEX",
      "latitude": 42.4716201097774,
      "longitude": -70.9567609302906,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 62,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Behavioral health hospital affiliated with Beverly Hospital",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012101904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0012127614",
      "name": "WAKEMED NORTH",
      "address": "10000 FALLS OF NEUSE ROAD",
      "city": "RALEIGH",
      "state": "NC",
      "zip": "27614",
      "county": "WAKE",
      "latitude": 35.9090823200709,
      "longitude": -78.5978373899343,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 61,
      "rating": null,
      "website": "http://www.wakemed.org/landing.cfm?id=1848",
      "status": "corporate_chain",
      "parentSystem": "WakeMed",
      "affiliatedSystem": "WakeMed",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "WakeMed",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raleigh-wakemed-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wakemed",
      "siblingGroupId": "siblings-nc-wakemed",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012127614",
        "facility-site-0012127614"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wakemed.org/landing.cfm?id=1848"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0012172104",
      "name": "ARKANSAS DEPARTMENT OF CORRECTION - OUACHITA RIVER UNIT INPATIENT CARE FACILITY",
      "address": "100 WALCO LANE",
      "city": "MALVERN",
      "state": "AR",
      "zip": "72104",
      "county": "HOT SPRING",
      "latitude": 34.3448684701458,
      "longitude": -92.8427004098774,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 28,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-malvern-arkansas-department-of-correction---ouachita-river-unit-inpatient-care-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Arkansas state health authority",
      "parentSystemId": "entity-arkansas-state-health-authority",
      "siblingGroupId": "siblings-ar-arkansas-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012172104",
        "external-resolution-0012172104"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ar.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0012177304",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF THE WOODLANDS",
      "address": "18550 IH 45 SOUTH",
      "city": "SHENANDOAH",
      "state": "TX",
      "zip": "77384",
      "county": "MONTGOMERY",
      "latitude": 30.1856037396541,
      "longitude": -95.454466949844,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 84,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012177304",
        "external-resolution-0012177304"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012195667",
      "name": "TELECARE EL DORADO COUNTY PHF",
      "address": "935-B SPRING STREET",
      "city": "PLACERVILLE",
      "state": "CA",
      "zip": "95667",
      "county": "EL DORADO",
      "latitude": 38.7328088501961,
      "longitude": -120.802062899955,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "website": "http://www.telecarecorp.com/programs/168",
      "status": "corporate_chain",
      "parentSystem": "Telecare Corporation",
      "affiliatedSystem": "Telecarecorp",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Telecarecorp",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-placerville-telecare-el-dorado-county-phf/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-telecare-corporation",
      "siblingGroupId": "siblings-ca-telecare-corporation",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012195667",
        "external-resolution-0012195667"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.telecarecorp.com/program-locations"
      ],
      "ownershipProofNotes": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012198052",
      "name": "SWEDISH MEDICAL CENTER - REDMOND ED",
      "address": "18100 UNION HILL ROAD",
      "city": "REDMOND",
      "state": "WA",
      "zip": "98052",
      "county": "KING",
      "latitude": 47.6763132998488,
      "longitude": -122.09912690978,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "website": "http://www.swedish.org/locations/redmond-campus",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012198052",
        "external-resolution-0012198052"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012202346",
      "name": "HIGH POINT TREATMENT CENTER",
      "address": "52 OAK STREET",
      "city": "MIDDLEBOROUGH",
      "state": "MA",
      "zip": "02346",
      "county": "PLYMOUTH",
      "latitude": 41.8943978697169,
      "longitude": -70.9145001997889,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "website": "http://www.hptc.org/hospital.php",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middleborough-high-point-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "High Point Treatment Center",
      "parentSystemId": "entity-high-point-treatment-center",
      "siblingGroupId": "siblings-ma-high-point-treatment-center",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012202346",
        "external-resolution-0012202346"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/43357938"
      ],
      "ownershipProofNotes": "The normalized facility name exactly matches the IRS-recognized organization High Point Treatment Center (EIN 043357938) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented.",
      "parentSystemEvidence": "The normalized facility name exactly matches the IRS-recognized organization High Point Treatment Center (EIN 043357938) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented."
    },
    {
      "id": "0012227403",
      "name": "WESLEY LONG COMMUNITY HOSPITAL",
      "address": "501 N ELAM AVENUE",
      "city": "GREENSBORO",
      "state": "NC",
      "zip": "27403",
      "county": "GUILFORD",
      "latitude": 36.0834260599783,
      "longitude": -79.8254185801301,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 175,
      "rating": null,
      "website": "http://www.conehealth.com/locations/wesley-long-hospital",
      "status": "corporate_chain",
      "parentSystem": "Cone Health",
      "affiliatedSystem": "Cone Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Cone Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensboro-wesley-long-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cone-health",
      "siblingGroupId": "siblings-nc-cone-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012227403",
        "facility-site-0012227403"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.conehealth.com/locations/wesley-long-hospital"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0012248601",
      "name": "ASCENSION ST MARY'S HOSPITAL",
      "address": "800 S WASHINGTON AVENUE",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48601",
      "county": "SAGINAW",
      "latitude": 43.4240282699492,
      "longitude": -83.9386606102281,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 268,
      "rating": null,
      "website": "http://www.stmarysofmichigan.org",
      "status": "corporate_chain",
      "parentSystem": "MYMICHIGAN MEDICAL CENTER SAGINAW",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saginaw-ascension-st-mary-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mymichigan-medical-center-saginaw",
      "siblingGroupId": "siblings-mi-mymichigan-medical-center-saginaw",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN MEDICAL CENTER SAGINAW (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN MEDICAL CENTER SAGINAW, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN MEDICAL CENTER SAGINAW (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN MEDICAL CENTER SAGINAW, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012261201",
      "name": "TRINITY MEDICAL CENTER - WEST",
      "address": "2701 17TH STREET",
      "city": "ROCK ISLAND",
      "state": "IL",
      "zip": "61201",
      "county": "ROCK ISLAND",
      "latitude": 41.4826152701693,
      "longitude": -90.5704181303102,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 276,
      "rating": null,
      "website": "unitypoint health - trinity rock island",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-il-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-iowa-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012272205",
      "name": "CORNERSTONE SPECIALTY HOSPITALS LITTLE ROCK",
      "address": "2 ST VINCENT CIRCLE, 6TH FLOOR",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.7504005299124,
      "longitude": -92.338584710101,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.chghospitals.com/littlerock/",
      "status": "confirmed_pe",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-cornerstone-specialty-hospitals-little-rock/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ccn": "042010",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-ar-chg-hospital-operations-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012302346",
      "name": "MCLEAN SOUTHEAST",
      "address": "23 ISAAC STREET",
      "city": "MIDDLEBOROUGH",
      "state": "MA",
      "zip": "02346",
      "county": "PLYMOUTH",
      "latitude": 41.9016797401402,
      "longitude": -70.9160335197743,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://www.mcleanhospital.org/programs/mse-adult-psychiatric-program",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middleborough-mclean-southeast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mass General Brigham",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012302346",
        "external-resolution-0012302346"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Mass General Brigham and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Mass General Brigham and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0012333852",
      "name": "ADVENTHEALTH LAKE PLACID",
      "address": "1210 US 27 N",
      "city": "LAKE PLACID",
      "state": "FL",
      "zip": "33852",
      "county": "HIGHLANDS",
      "latitude": 27.3200428596086,
      "longitude": -81.3697301303801,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 33,
      "rating": null,
      "website": "www.adventhealthlakeplacid.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-placid-adventhealth-lake-placid/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012333852",
        "external-resolution-0012333852"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012343560",
      "name": "FLOWER HOSPITAL",
      "address": "5200 HARROUN ROAD",
      "city": "SYLVANIA",
      "state": "OH",
      "zip": "43560",
      "county": "LUCAS",
      "latitude": 41.7089406499196,
      "longitude": -83.6913462701802,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 315,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ProMedica",
      "parentSystemId": "entity-promedica",
      "siblingGroupId": "siblings-oh-promedica",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012343560",
        "external-resolution-0012343560"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20190215002745 (36S068). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20190215002745 (36S068). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0012353083",
      "name": "AURORA SHEBOYGAN MEMORIAL MEDICAL CTR",
      "address": "2629 N 7TH ST",
      "city": "SHEBOYGAN",
      "state": "WI",
      "zip": "53083",
      "county": "SHEBOYGAN",
      "latitude": 43.7733868499893,
      "longitude": -87.7099950702431,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 185,
      "rating": null,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Aurorahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Aurorahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "campusFamilyId": "campus-wi-520035",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012370065",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF GREATER NEW ORLEANS - GRETNA",
      "address": "229 BELLEMEADE BLVD",
      "city": "GRETNA",
      "state": "LA",
      "zip": "70056",
      "county": "JEFFERSON",
      "latitude": 30.0234957900006,
      "longitude": -90.2583297004007,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "194098",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012402745",
      "name": "VIBRA HOSPITAL OF SOUTHEASTERN MASSACHUSETTS",
      "address": "4499 ACUSHNET AVENUE",
      "city": "NEW BEDFORD",
      "state": "MA",
      "zip": "02745",
      "county": "BRISTOL",
      "latitude": 41.7407252297908,
      "longitude": -70.9457536099079,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 90,
      "rating": null,
      "website": "http://www.vhmass.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VIBRA MANAGEMENT, LLC",
      "parentSystemId": "entity-vibra-management-llc",
      "siblingGroupId": "siblings-ma-vibra-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-222043"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIBRA MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES A DIEBOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Vibra Healthcare official locations directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIBRA MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES A DIEBOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Vibra Healthcare official locations directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012434744",
      "name": "ADVENTHEALTH KISSIMMEE",
      "address": "2450 N ORANGE BLOSSOM TRL",
      "city": "KISSIMMEE",
      "state": "FL",
      "zip": "34744",
      "county": "OSCEOLA",
      "latitude": 28.3161350398654,
      "longitude": -81.4059707003939,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 162,
      "rating": null,
      "website": "www.adventhealthkissimmee.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kissimmee-adventhealth-kissimmee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012434744",
        "external-resolution-0012434744"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012437166",
      "name": "SAINT THOMAS DEKALB HOSPITAL, LLC",
      "address": "520 WEST MAIN STREET",
      "city": "SMITHVILLE",
      "state": "TN",
      "zip": "37166",
      "county": "DEKALB",
      "latitude": 35.9615082902407,
      "longitude": -85.8295434502412,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 71,
      "rating": null,
      "website": "http://www.sthealth.com/locations/saint-thomas-dekalb-hospital",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Sthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-smithville-saint-thomas-dekalb-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tn-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012440232",
      "name": "NORTON HEALTHCARE PAVILION",
      "address": "315 EAST BROADWAY",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40232",
      "county": "JEFFERSON",
      "latitude": 38.2460051798185,
      "longitude": -85.748718539564,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 264,
      "rating": null,
      "website": "http://www.nortonhealthcare.com/pavilion",
      "status": "corporate_chain",
      "parentSystem": "Nortonhealthcare",
      "affiliatedSystem": "Nortonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nortonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-norton-healthcare-pavilion/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nortonhealthcare",
      "siblingGroupId": "siblings-ky-nortonhealthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012440232",
        "external-resolution-0012440232"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.nortonhealthcare.com/pavilion"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012452641",
      "name": "MENTAL HEALTH INSTITUTE",
      "address": "1200 EAST WASHINGTON STREET",
      "city": "MOUNT PLEASANT",
      "state": "IA",
      "zip": "52641",
      "county": "HENRY",
      "latitude": 40.9555428702832,
      "longitude": -91.5359493803551,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 78,
      "rating": null,
      "website": "http://www.dhs.state.ia.us",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-pleasant-mental-health-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MENTAL HEALTH INSTITUTE",
      "parentSystemId": "entity-mental-health-institute",
      "siblingGroupId": "siblings-ia-mental-health-institute",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012452641",
        "external-resolution-0012452641"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.dhs.state.ia.us"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0012456082",
      "name": "RIVERS EDGE HOSPITAL AND CLINIC",
      "address": "1900 NORTH SUNRISE DRIVE",
      "city": "ST. PETER",
      "state": "MN",
      "zip": "56082",
      "county": "NICOLLET",
      "latitude": 44.3497525499551,
      "longitude": -93.9724491897523,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-peter-rivers-edge-hospital-&-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF ST PETER",
      "parentSystemId": "entity-city-of-st-peter",
      "siblingGroupId": "siblings-mn-city-of-st-peter",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF ST PETER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ST PETER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF ST PETER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ST PETER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012463640",
      "name": "SOUTHEAST MISSOURI MENTAL HEALTH CENTER",
      "address": "1010 WEST COLUMBIA STREET",
      "city": "FARMINGTON",
      "state": "MO",
      "zip": "63640",
      "county": "ST. FRANCOIS",
      "latitude": 37.7737539802406,
      "longitude": -90.4370935597948,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 331,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-farmington-southeast-missouri-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSOURI",
      "parentSystemId": "entity-state-of-missouri",
      "siblingGroupId": "siblings-mo-state-of-missouri",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012495926",
      "name": "ENLOE MEDICAL CENTER - COHASSET",
      "address": "560 COHASSET RD",
      "city": "CHICO",
      "state": "CA",
      "zip": "95926",
      "county": "BUTTE",
      "latitude": 39.7524968899952,
      "longitude": -121.84799637998,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Enloe Health",
      "parentSystemId": "entity-enloe-health",
      "siblingGroupId": "siblings-ca-enloe-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012495926",
        "external-resolution-0012495926"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.enloe.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Enloe Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Enloe Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0012502359",
      "name": "WESTWOOD/PEMBROKE HLTH SYS - PEMBROKE",
      "address": "199 OAK STREET",
      "city": "PEMBROKE",
      "state": "MA",
      "zip": "02359",
      "county": "PLYMOUTH",
      "latitude": 42.0976237202777,
      "longitude": -70.7644586403012,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ma-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012502359",
        "external-resolution-0012502359"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20050923000608 (224023). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20050923000608 (224023). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0012517604",
      "name": "UPMC PINNACLE LANCASTER",
      "address": "250 COLLEGE AVENUE, PO BOX 3434",
      "city": "LANCASTER",
      "state": "PA",
      "zip": "17604",
      "county": "LANCASTER",
      "latitude": 40.0408139600824,
      "longitude": -76.3209787302887,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 214,
      "rating": null,
      "website": "http://www.lancasterregional.com/locations/lancaster-regional-medical-center",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012517604",
        "external-resolution-0012517604"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UPMC official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012545701",
      "name": "O'BLENESS MEMORIAL HOSPITAL",
      "address": "55 HOSPITAL DRIVE",
      "city": "ATHENS",
      "state": "OH",
      "zip": "45701",
      "county": "ATHENS",
      "latitude": 39.3279526600501,
      "longitude": -82.1154339797999,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 135,
      "rating": null,
      "website": "https://www.ohiohealth.com/obleness/",
      "status": "corporate_chain",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "affiliatedSystem": "Ohiohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ohiohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athens-o-bleness-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012554843",
      "name": "HAYWARD AREA MEMORIAL HOSPITAL",
      "address": "11040 N STATE RD 77",
      "city": "HAYWARD",
      "state": "WI",
      "zip": "54843",
      "county": "SAWYER",
      "latitude": 46.0347968002663,
      "longitude": -91.4857468797852,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.hamhnh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hayward-hayward-area-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REGIONAL ENTERPRISES INC",
      "parentSystemId": "entity-regional-enterprises-inc",
      "siblingGroupId": "siblings-wi-regional-enterprises-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-regional-enterprises-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGIONAL ENTERPRISES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to REGIONAL ENTERPRISES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL ENTERPRISES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGIONAL ENTERPRISES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to REGIONAL ENTERPRISES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL ENTERPRISES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012560515",
      "name": "GOOD SAMARITAN HOSPITAL - ADVOCATE",
      "address": "3815 HIGHLAND AVE",
      "city": "DOWNERS GROVE",
      "state": "IL",
      "zip": "60515",
      "county": "DUPAGE",
      "latitude": 41.8184662303198,
      "longitude": -88.0081156595803,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 293,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012566534",
      "name": "SABETHA COMMUNITY HOSPITAL",
      "address": "14TH AND OREGON, PO BOX 229",
      "city": "SABETHA",
      "state": "KS",
      "zip": "66534",
      "county": "NEMAHA",
      "latitude": 39.8989295399296,
      "longitude": -95.8081223099203,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sabetha-sabetha-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SABETHA COMMUNITY HOSPITAL",
      "parentSystemId": "entity-sabetha-community-hospital",
      "siblingGroupId": "siblings-ks-sabetha-community-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012566534",
        "external-resolution-0012566534"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ks.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0012580129",
      "name": "CHILDREN'S HOSPITAL COLORADO - SOUTH CAMPUS",
      "address": "1811 PLAZA DR",
      "city": "HIGHLANDS RANCH",
      "state": "CO",
      "zip": "80129",
      "county": "DOUGLAS",
      "latitude": 39.5573325000746,
      "longitude": -105.010012889911,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-highlands-ranch-childrens-hospital-colorado-south-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Children's Hospital Colorado",
      "parentSystemId": "entity-children-s-hospital-colorado",
      "siblingGroupId": "siblings-co-children-s-hospital-colorado",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012580129",
        "external-resolution-0012580129"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.childrenscolorado.org/locations/"
      ],
      "ownershipProofNotes": "Children's Hospital Colorado official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Children's Hospital Colorado official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012595926",
      "name": "ENLOE MEDICAL CENTER - ESPLANADE",
      "address": "1531 ESPLANADE",
      "city": "CHICO",
      "state": "CA",
      "zip": "95926",
      "county": "BUTTE",
      "latitude": 39.7418275900491,
      "longitude": -121.850394340104,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 228,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ENLOE MEDICAL CENTER",
      "parentSystemId": "entity-enloe-medical-center",
      "siblingGroupId": "siblings-ca-enloe-medical-center",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-941603784"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/941603784"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Enloe Medical Center. Resolved parent/control boundary: ENLOE MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENLOE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Enloe Medical Center. Resolved parent/control boundary: ENLOE MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENLOE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012602537",
      "name": "SPAULDING REHABILITATION HOSPITAL - CAPE COD",
      "address": "311 SERVICE ROAD",
      "city": "SANDWICH",
      "state": "MA",
      "zip": "02537",
      "county": "BARNSTABLE",
      "latitude": 41.7329844997577,
      "longitude": -70.4681028398488,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "http://spauldingrehab.org/locations/sandwich-ma/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sandwich-spaulding-rehabilitation-hospital-cape-cod/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mass General Brigham",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "0012623505",
      "name": "BON SECOURS DEPAUL MEDICAL CENTER",
      "address": "150 KINGSLEY LANE",
      "city": "NORFOLK",
      "state": "VA",
      "zip": "23505",
      "county": "NORFOLK",
      "latitude": 36.899484660021,
      "longitude": -76.2816201501445,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 175,
      "rating": null,
      "website": "www.bonsecourshamptonroads.com/depaul/",
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-bon-secours-depaul-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-va-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012623505",
        "external-resolution-0012623505"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012637375",
      "name": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM",
      "address": "1260 UNIVERSITY AVENUE",
      "city": "SEWANEE",
      "state": "TN",
      "zip": "37375",
      "county": "FRANKLIN",
      "latitude": 35.2077994092386,
      "longitude": -85.9141357964053,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 152,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012637375",
        "external-resolution-0012637375"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to LifePoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to LifePoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0012680230",
      "name": "EATING RECOVERY CENTER BEHAVIORAL HEALTH",
      "address": "98 SPRUCE ST",
      "city": "DENVER",
      "state": "CO",
      "zip": "80230",
      "county": "DENVER",
      "latitude": 39.7220527798522,
      "longitude": -104.894334339747,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 29,
      "rating": null,
      "website": "https://www.eatingrecoverycenter.com/recovery-centers/denver",
      "status": "corporate_chain",
      "parentSystem": "Eatingrecoverycenter",
      "affiliatedSystem": "Eatingrecoverycenter",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Eatingrecoverycenter",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-eating-recovery-center-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-eatingrecoverycenter",
      "siblingGroupId": "siblings-co-eatingrecoverycenter",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012680230",
        "external-resolution-0012680230"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.eatingrecoverycenter.com/recovery-centers/denver"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012695926",
      "name": "ENLOE REHABILITATION CENTER",
      "address": "340 W EAST AVE",
      "city": "CHICO",
      "state": "CA",
      "zip": "95926",
      "county": "BUTTE",
      "latitude": 39.754186559786,
      "longitude": -121.867531860106,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chico-enloe-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Enloe Health",
      "parentSystemId": "entity-enloe-health",
      "siblingGroupId": "siblings-ca-enloe-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012695926",
        "external-resolution-0012695926"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20100621000922 (05T039). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20100621000922 (05T039). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0012701104",
      "name": "THE SHRINERS' HOSPITAL FOR CHILDREN",
      "address": "516 CAREW STREET",
      "city": "SPRINGFIELD",
      "state": "MA",
      "zip": "01104",
      "county": "HAMPDEN",
      "latitude": 42.1213150299737,
      "longitude": -72.5923729502748,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-shriners--hospital-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Shriners Children's",
      "parentSystemId": "entity-shriners-children-s",
      "siblingGroupId": "siblings-ma-shriners-children-s",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0012701104",
        "external-resolution-0012701104"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 223303; Type of Control 3 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 223303; Type of Control 3 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0012707450",
      "name": "THE VALLEY HOSPITAL",
      "address": "223 N VAN DIEN AVENUE",
      "city": "RIDGEWOOD",
      "state": "NJ",
      "zip": "07450",
      "county": "BERGEN",
      "latitude": 40.9835946301468,
      "longitude": -74.1006496096767,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 446,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ridgewood-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE VALLEY HOSPITAL INC",
      "parentSystemId": "entity-the-valley-hospital-inc",
      "siblingGroupId": "siblings-nj-the-valley-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0012707450",
        "external-resolution-0012707450"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 310012; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20080612000508 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 310012; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20080612000508 and 1 owner/control organization row(s)."
    },
    {
      "id": "0012715240",
      "name": "PITTSBURGH VA MEDICAL CENTER - UNIVERSITY DRIVE",
      "address": "UNIVERSITY DRIVE C",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15240",
      "county": "ALLEGHENY",
      "latitude": 40.446779239673,
      "longitude": -79.9617243895788,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 146,
      "rating": null,
      "website": "https://www.va.gov/pittsburgh-health-care/locations/pittsburgh-va-medical-center-university-drive/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-pa-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012715240",
        "external-resolution-0012715240"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012754773",
      "name": "GUNDERSEN TRI - COUNTY HOSPITAL AND CLINICS",
      "address": "18601 LINCOLN ST",
      "city": "WHITEHALL",
      "state": "WI",
      "zip": "54773",
      "county": "TREMPEALEAU",
      "latitude": 44.364326250205,
      "longitude": -91.3187494998338,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.tricountymemorial.org/index.html",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-whitehall-gundersen-tri-county-hospital-&-clinics/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "parentSystemId": "entity-bellin-gundersen-health-system-inc",
      "siblingGroupId": "siblings-wi-bellin-gundersen-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012763017",
      "name": "MERCY REHABILITATION HOSPITAL ST. LOUIS",
      "address": "14561 NORTH OUTER FORTY",
      "city": "CHESTERFIELD",
      "state": "MO",
      "zip": "63017",
      "county": "ST. LOUIS",
      "latitude": 38.6484715198503,
      "longitude": -90.5340657496878,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 90,
      "rating": null,
      "website": "http://mercyrehabhospital.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "263029",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chesterfield-mercy-rehabilitation-hospital-st.-louis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-mo-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSEPH KOEHLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSEPH KOEHLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012778414",
      "name": "BAYVIEW BEHAVIORAL HOSPITAL - A CAMPUS OF CORPUS CHRISTI MEDICAL",
      "address": "6629 WOOLRIDGE ROAD",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78414",
      "county": "NUECES",
      "latitude": 27.6800776796067,
      "longitude": -97.3603784599317,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 68,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012778414",
        "external-resolution-0012778414"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0012801109",
      "name": "VIBRA HOSPITAL OF WESTERN MASS - CENTRAL CAMPUS",
      "address": "1400 STATE STREET",
      "city": "SPRINGFIELD",
      "state": "MA",
      "zip": "01109",
      "county": "HAMPDEN",
      "latitude": 42.1205183597494,
      "longitude": -72.5474384202626,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 77,
      "rating": null,
      "website": "http://www.vhwmass.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-ma-vibra-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012801109",
        "external-resolution-0012801109"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012815215",
      "name": "VA MEDICAL CENTER - H.J. HEINZ CAMPUS",
      "address": "1010 DELAFIELD RD",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15215",
      "county": "ALLEGHENY",
      "latitude": 40.495171529662,
      "longitude": -79.8873495596097,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 358,
      "rating": null,
      "website": "http://www.pittsburgh.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-va-medical-center---h.j.-heinz-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-pa-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012815215",
        "external-resolution-0012815215"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012823507",
      "name": "HOSPITAL FOR EXTENDED RECOVERY",
      "address": "600 GRESHAM DRIVE, SUITE 700",
      "city": "NORFOLK",
      "state": "VA",
      "zip": "23507",
      "county": "NORFOLK",
      "latitude": 36.862781059972,
      "longitude": -76.3041451902981,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/norfolkgeneral/pages/hospital_for_extended_recovery.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA LIFE CARE CORPORATION",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-hospital-for-extended-recovery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-life-care-corporation",
      "siblingGroupId": "siblings-va-sentara-life-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA LIFE CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA LIFE CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA LIFE CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA LIFE CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012860010",
      "name": "ADVOCATE HEALTH AND HOSPITALS CORPORATION",
      "address": "450 WEST HIGHWAY 22",
      "city": "BARRINGTON",
      "state": "IL",
      "zip": "60010",
      "county": "LAKE",
      "latitude": 42.1953823700299,
      "longitude": -88.1728188698568,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 176,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012870115",
      "name": "OCHSNER BAPTIST MEDICAL CENTER",
      "address": "2700 NAPOLEON AVE",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70115",
      "county": "ORLEANS",
      "latitude": 29.9376315903631,
      "longitude": -90.103933850424,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 55,
      "rating": null,
      "website": "http://www.ochsner.org",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-ochsner-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012870115",
        "external-resolution-0012870115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012878413",
      "name": "PAM SPECIALTY HOSPITAL OF CORPUS CHRISTI NORTH",
      "address": "600 ELIZABETH STREET 3RD FLOOR",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78404",
      "county": "NUECES",
      "latitude": 27.777820049809,
      "longitude": -97.3947479101757,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-pam-specialty-hospital-of-corpus-christi-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012878413",
        "external-resolution-0012878413"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0012892626",
      "name": "FAIRVIEW DEVELOPMENTAL CENTER",
      "address": "2501 HARBOR BOULEVARD",
      "city": "COSTA MESA",
      "state": "CA",
      "zip": "92626",
      "county": "ORANGE",
      "latitude": 33.6634442100495,
      "longitude": -117.922803060407,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 1218,
      "rating": null,
      "website": "http://www.dds.ca.gov/fairview/index.cfm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-costa-mesa-fairview-developmental-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FAIRVIEW DEVELOPMENTAL CENTER",
      "parentSystemId": "entity-fairview-developmental-center",
      "siblingGroupId": "siblings-ca-fairview-developmental-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-06-30",
      "ownershipSourceIds": [
        "hifld-location-0012892626",
        "external-resolution-0012892626"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050548; Type of Control 10 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050548; Type of Control 10 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0012902072",
      "name": "CURAHEALTH STOUGHTON",
      "address": "909 SUMNER STREET, 1ST FLOOR",
      "city": "STOUGHTON",
      "state": "MA",
      "zip": "02072",
      "county": "NORFOLK",
      "latitude": 42.1007058001113,
      "longitude": -71.0816480601268,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 198,
      "rating": null,
      "website": "http://www.khstoughton.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stoughton-curahealth-stoughton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CURAHEALTH MASSACHUSETTS HOLDCO LLC",
      "parentSystemId": "entity-curahealth-massachusetts-holdco-llc",
      "siblingGroupId": "siblings-ma-curahealth-massachusetts-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-222002"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/resources/pam-health-cura/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CURAHEALTH MASSACHUSETTS HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: PAM Health official Curahealth acquisition announcement. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH MASSACHUSETTS HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CURAHEALTH MASSACHUSETTS HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: PAM Health official Curahealth acquisition announcement. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH MASSACHUSETTS HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012917866",
      "name": "GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL",
      "address": "4200 HOSPITAL ROAD",
      "city": "COAL TOWNSHIP",
      "state": "PA",
      "zip": "17866",
      "county": "NORTHUMBERLAND",
      "latitude": 40.8058666800402,
      "longitude": -76.5705049696027,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 55,
      "rating": null,
      "website": "http://www.geisinger.org/locations/gsach/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coal-township-geisinger-shamokin-area-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEISINGER MEDICAL CENTER",
      "parentSystemId": "entity-geisinger-medical-center",
      "siblingGroupId": "siblings-pa-geisinger-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0012917866",
        "external-resolution-0012917866"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20171219002750 (39S006A). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20171219002750 (39S006A). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0012923502",
      "name": "LAKE TAYLOR TRANSITIONAL CARE HOSPITAL",
      "address": "1309 KEMPSVILLE ROAD",
      "city": "NORFOLK",
      "state": "VA",
      "zip": "23502",
      "county": "NORFOLK",
      "latitude": 36.8671303601063,
      "longitude": -76.2062376799211,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 104,
      "rating": null,
      "website": "www.laketaylor.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-lake-taylor-transitional-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF NORFOLK",
      "parentSystemId": "entity-hospital-authority-of-norfolk",
      "siblingGroupId": "siblings-va-hospital-authority-of-norfolk",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-hospital-authority-of-norfolk"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF NORFOLK (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to HOSPITAL AUTHORITY OF NORFOLK; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF NORFOLK, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF NORFOLK (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to HOSPITAL AUTHORITY OF NORFOLK; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF NORFOLK, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012930308",
      "name": "SELECT SPECIALTY HOSPITAL - MIDTOWN ATLANTA, LLC",
      "address": "705 JUNIPER STREET NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30308",
      "county": "FULTON",
      "latitude": 33.773777170306,
      "longitude": -84.3827543502166,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "http://midtownatlanta.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-select-specialty-hospital---midtown-atlanta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ga-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KIMBERLY BENTLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KIMBERLY BENTLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012943537",
      "name": "ST LUKE'S HOSPITAL",
      "address": "5901 MONCLOVA ROAD",
      "city": "MAUMEE",
      "state": "OH",
      "zip": "43537",
      "county": "LUCAS",
      "latitude": 41.5573114897335,
      "longitude": -83.6829144502598,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 315,
      "rating": null,
      "website": "http://www.stlukeshospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-maumee-st-luke-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "McLaren Health Care",
      "parentSystemId": "entity-mclaren-health-care",
      "siblingGroupId": "siblings-oh-mclaren-health-care",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-05-08",
      "ownershipSourceIds": [
        "hifld-location-0012943537",
        "external-resolution-0012943537"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mclaren.org/main/community-health-needs-assessment"
      ],
      "ownershipProofNotes": "McLaren retains the official McLaren St. Luke's community-benefit archive. The Maumee hospital closed in May 2023, so the ownership edge is historical and does not imply current operation.",
      "parentSystemEvidence": "McLaren retains the official McLaren St. Luke's community-benefit archive. The Maumee hospital closed in May 2023, so the ownership edge is historical and does not imply current operation."
    },
    {
      "id": "0012956728",
      "name": "KITTSON MEMORIAL HOSPITAL",
      "address": "1010 SOUTH BIRCH AVENUE",
      "city": "HALLOCK",
      "state": "MN",
      "zip": "56728",
      "county": "KITTSON",
      "latitude": 48.7671194000655,
      "longitude": -96.9402113699936,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 15,
      "rating": null,
      "website": "http://www.kmhc.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hallock-kittson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KITTSON MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-kittson-memorial-hospital-association",
      "siblingGroupId": "siblings-mn-kittson-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-kittson-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to KITTSON MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KITTSON MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to KITTSON MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KITTSON MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012960139",
      "name": "ADVENTIST GLEN OAKS HOSPITAL",
      "address": "701 WINTHROP AVE",
      "city": "GLENDALE HEIGHTS",
      "state": "IL",
      "zip": "60139",
      "county": "DUPAGE",
      "latitude": 41.9148249002646,
      "longitude": -88.0569765298667,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 143,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST MIDWEST HEALTH",
      "parentSystemId": "entity-adventist-midwest-health",
      "siblingGroupId": "siblings-il-adventist-midwest-health",
      "campusFamilyId": "campus-il-140292",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SELEEM CHOUDHURY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SELEEM CHOUDHURY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012970065",
      "name": "OCHSNER EXTENDED CARE HOSPITAL OF KENNER",
      "address": "180 W ESPLANADE AVE, FL 5",
      "city": "KENNER",
      "state": "LA",
      "zip": "70065",
      "county": "JEFFERSON",
      "latitude": 30.024785420303,
      "longitude": -90.2718565696782,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://lhcgroup.com/locations/ochsner-extended-care-hospital-of-kenner",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kenner-ochsner-extended-care-hospital-of-kenner/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "campusFamilyId": "campus-la-190274",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ABDUL M KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ABDUL M KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0012974066",
      "name": "ASCENION ST. JOHN SAPULPA",
      "address": "1004 EAST BRYAN",
      "city": "SAPULPA",
      "state": "OK",
      "zip": "74066",
      "county": "CREEK",
      "latitude": 35.9930123400212,
      "longitude": -96.1000871901797,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOHN HEALTH SYSTEMS INC",
      "parentSystemId": "entity-st-john-health-systems-inc",
      "siblingGroupId": "siblings-ok-st-john-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ascension-st-john"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEILA VANCUREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEILA VANCUREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013002072",
      "name": "NEW ENGLAND SINAI HOSPITAL",
      "address": "150 YORK STREET, PO BOX CS9105",
      "city": "STOUGHTON",
      "state": "MA",
      "zip": "02072",
      "county": "NORFOLK",
      "latitude": 42.1446265497197,
      "longitude": -71.0988286300914,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 182,
      "rating": null,
      "website": "https://www.newenglandsinai.org/",
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "Steward Health Care — permanent closure notice",
      "evidenceSourceUrl": "https://www.steward.org/newenglandsinai",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "baseline",
      "classificationReason": "NEW ENGLAND SINAI HOSPITAL closed or ceased hospital operations in 2024 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Steward Health Care — permanent closure notice",
        "https://www.steward.org/newenglandsinai"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stoughton-new-england-sinai-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "hospitalId": "0013002072",
      "peFirm": "Cerberus Capital Management",
      "formerOperator": "Steward Health Care",
      "acquiredDate": "2012",
      "closureDate": "2024-04-01",
      "closureSource": "Steward Health Care — permanent closure notice",
      "closureSourceUrl": "https://www.steward.org/newenglandsinai",
      "historicalPeOwnership": true,
      "closureYear": 2024,
      "closureStatusLabel": "Closed / shut down in 2024",
      "closureSummary": "NEW ENGLAND SINAI HOSPITAL closed or ceased hospital operations in 2024 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care. This sequence does not by itself prove that PE ownership caused the closure.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "The closure source documents cessation of hospital operations in 2024; it does not establish that private equity caused the closure.",
      "acquisitionSourceId": "pe-acquisition-0013002072",
      "closureSourceId": "closure-0013002072",
      "ownershipClass": "for_profit_private",
      "parentSystem": "No active hospital operator",
      "parentSystemId": "entity-no-active-hospital-operator-ma-stoughton-0013002072",
      "siblingGroupId": "siblings-ma-no-active-hospital-operator-ma-stoughton-0013002072",
      "ownershipRelationship": "self_operated_or_independent_candidate",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013002072",
        "external-resolution-0013002072"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.newenglandsinai.org/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013016146",
      "name": "SHARON REGIONAL HEALTH SYSTEM",
      "address": "740 EAST STATE STREET",
      "city": "SHARON",
      "state": "PA",
      "zip": "16146",
      "county": "MERCER",
      "latitude": 41.2326610001648,
      "longitude": -80.4962129995788,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 184,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.cbsnews.com/pittsburgh/news/sharon-regional-medical-center-reopening-pa-attorney-general-medical-properties-trust/",
        "https://sharonregionalhealthsystem.org/category/newsroom/",
        "https://www.pa.gov/agencies/health/newsroom/shapiro-administration-approves-reopening-of-sharon-regional-med"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sharon-sharon-regional-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "expandedClosureResearch": {
        "sourceRow": 10,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "reopened",
        "closureType": "Temporary full closure (reopened Mar 2025 at ~60% capacity)",
        "closureDate": "2025-01-06",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "Level IV (approx, needs verification)",
        "licensedBeds": "~163 (needs verification)",
        "patientsServedNote": "Primary hospital for Shenango Valley",
        "ruralUrban": "Small city",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Acquired 2017; closed in bankruptcy wind-down",
        "yearsPeToClosure": "8",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Abrupt closure announced in court filing Dec 2024",
        "communityImpact": "~100 workers permanently lost jobs across the closure/reopening; two months without local ER",
        "buildingFate": "Reopened Mar 18 2025 under nonprofit Tenor Health Foundation at ~60% of prior capacity",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "https://www.pa.gov/agencies/health/newsroom/shapiro-administration-approves-reopening-of-sharon-regional-med",
        "statusEvidenceNote": "Pennsylvania Department of Health approved reopening under Tenor Health Foundation Sharon, LLC.",
        "sourceUrls": [
          "https://www.cbsnews.com/pittsburgh/news/sharon-regional-medical-center-reopening-pa-attorney-general-medical-properties-trust/",
          "https://sharonregionalhealthsystem.org/category/newsroom/",
          "https://www.pa.gov/agencies/health/newsroom/shapiro-administration-approves-reopening-of-sharon-regional-med"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "ownershipClass": "nonprofit",
      "parentSystem": "TENOR HEALTH FOUNDATION SHARON, LLC",
      "parentSystemId": "entity-tenor-health-foundation-sharon-llc",
      "siblingGroupId": "siblings-pa-tenor-health-foundation-sharon-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENOR HEALTH FOUNDATION SHARON, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TENOR HEALTH FOUNDATION SHARON, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENOR HEALTH FOUNDATION SHARON, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TENOR HEALTH FOUNDATION SHARON, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013038017",
      "name": "BAPTIST MEMORIAL HOSPITAL - COLLIERVILLE",
      "address": "1500 WEST POPLAR",
      "city": "COLLIERVILLE",
      "state": "TN",
      "zip": "38017",
      "county": "SHELBY",
      "latitude": 35.0494843698831,
      "longitude": -89.7145128003358,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 927,
      "rating": null,
      "website": "http://www.baptistonline.org/collierville/",
      "status": "corporate_chain",
      "parentSystem": "Baptistonline",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-collierville-baptist-memorial-hospital---collierville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptistonline",
      "siblingGroupId": "siblings-tn-baptistonline",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013038017",
        "external-resolution-0013038017"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.baptistonline.org/collierville/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013062864",
      "name": "CROSSROADS COMMUNITY HOSPITAL",
      "address": "8 DOCTORS PARK RD",
      "city": "MT VERNON",
      "state": "IL",
      "zip": "62864",
      "county": "JEFFERSON",
      "latitude": 38.3116451598917,
      "longitude": -88.9368808404415,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-vernon-crossroads-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
      "parentSystemId": "entity-deaconess-regional-healthcare-services-illinois-inc",
      "siblingGroupId": "siblings-il-deaconess-regional-healthcare-services-illinois-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013063017",
      "name": "ST. LUKE'S REHABILITATION HOSPITAL",
      "address": "14709 OLIVE BOULEVARD",
      "city": "CHESTERFIELD",
      "state": "MO",
      "zip": "63017",
      "county": "ST. LOUIS",
      "latitude": 38.6757077300193,
      "longitude": -90.5321783802927,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/inpatient-rehabilitation-hospitals/st-lukes-rehabilitation-hospital",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED AT CHESTERFIELD LLC",
      "affiliatedSystem": "Kindredhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Kindredhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chesterfield-st.-luke-s-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-at-chesterfield-llc",
      "siblingGroupId": "siblings-mo-pam-cubed-at-chesterfield-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED AT CHESTERFIELD LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED AT CHESTERFIELD LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED AT CHESTERFIELD LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED AT CHESTERFIELD LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013079731",
      "name": "SOUTH TEXAS SURGICAL HOSPITAL",
      "address": "6130 PARKWAY DRIVE",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78414",
      "county": "NUECES",
      "latitude": 27.6860413598026,
      "longitude": -97.3755471198669,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "website": "http://www.nshinc.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Surgery Partners",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-south-texas-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-surgery-partners",
      "siblingGroupId": "siblings-tx-surgery-partners",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013079731",
        "external-resolution-0013079731"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ir.surgerypartners.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "Surgery Partners primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Surgery Partners primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013107825",
      "name": "LITTLE HILL ALINA LODGE",
      "address": "61 WARDS ROAD",
      "city": "BLAIRSTOWN",
      "state": "NJ",
      "zip": "07825",
      "county": "WARREN",
      "latitude": 40.9815095599535,
      "longitude": -74.9318233496988,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "http://www.alinalodge.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blairstown-little-hill-alina-lodge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LITTLE HILL ALINA LODGE",
      "parentSystemId": "entity-little-hill-alina-lodge",
      "siblingGroupId": "siblings-nj-little-hill-alina-lodge",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013107825",
        "external-resolution-0013107825"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.alinalodge.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0013116505",
      "name": "SHRINERS HOSPITALS FOR CHILDREN - ERIE",
      "address": "1645 WEST 8TH STREET",
      "city": "ERIE",
      "state": "PA",
      "zip": "16505",
      "county": "ERIE",
      "latitude": 42.1130520000677,
      "longitude": -80.1200580001119,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://www.shrinershospitalsforchildren.org/hospitals/locations/erie.aspx",
      "status": "corporate_chain",
      "parentSystem": "Shrinershospitalsforchildren",
      "affiliatedSystem": "Shrinershospitalsforchildren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Shrinershospitalsforchildren",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erie-shriners-hospitals-for-children---erie/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shrinershospitalsforchildren",
      "siblingGroupId": "siblings-pa-shrinershospitalsforchildren",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013116505",
        "external-resolution-0013116505"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.shrinershospitalsforchildren.org/hospitals/locations/erie.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013130106",
      "name": "WELLSTAR COBB HOSPITAL",
      "address": "3950 AUSTELL RD",
      "city": "AUSTELL",
      "state": "GA",
      "zip": "30106",
      "county": "COBB",
      "latitude": 33.8575419697284,
      "longitude": -84.6050248998183,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 382,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austell-wellstar-cobb-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013137203",
      "name": "SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY",
      "address": "2011 MURPHY AVENUE SUITE 400",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37203",
      "county": "DAVIDSON",
      "latitude": 36.1550855602426,
      "longitude": -86.8032556396124,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "website": "http://www.hospitalforspecialtysurgery.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-saint-thomas-hospital-for-specialty-surgery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "USP TENNESSEE INC",
      "parentSystemId": "entity-usp-tennessee-inc",
      "siblingGroupId": "siblings-tn-usp-tennessee-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: USP TENNESSEE INC (OPERATIONAL/MANAGERIAL CONTROL, 20%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP TENNESSEE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: USP TENNESSEE INC (OPERATIONAL/MANAGERIAL CONTROL, 20%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP TENNESSEE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013147170",
      "name": "SCOTT MEMORIAL HEALTH",
      "address": "1451 N GARDNER ST",
      "city": "SCOTTSBURG",
      "state": "IN",
      "zip": "47170",
      "county": "SCOTT",
      "latitude": 38.7049898401032,
      "longitude": -85.7861849802589,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTON HEALTHCARE - INDIANA, INC",
      "parentSystemId": "entity-norton-healthcare-indiana-inc",
      "siblingGroupId": "siblings-in-norton-healthcare-indiana-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-norton-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nortonhealthcare.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTON HEALTHCARE - INDIANA, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Norton Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON HEALTHCARE - INDIANA, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTON HEALTHCARE - INDIANA, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Norton Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON HEALTHCARE - INDIANA, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013160615",
      "name": "PROVIDENT HOSPITAL OF COOK COUNTY",
      "address": "500 EAST 51ST STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60615",
      "county": "COOK",
      "latitude": 41.8026750102376,
      "longitude": -87.6133238698692,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 48,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-provident-hospital-of-cook-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COOK COUNTY",
      "parentSystemId": "entity-cook-county",
      "siblingGroupId": "siblings-il-cook-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-cook-county-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cookcountyhealth.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COOK COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Cook County Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COOK COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Cook County Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013163026",
      "name": "SSM HEALTH ST. CLARE HOSPITAL - FENTON",
      "address": "1015 BOWLES AVE",
      "city": "FENTON",
      "state": "MO",
      "zip": "63026",
      "county": "ST. LOUIS",
      "latitude": 38.5279236600418,
      "longitude": -90.4764143603914,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 180,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM Health",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health",
      "siblingGroupId": "siblings-mo-ssm-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013163026",
        "external-resolution-0013163026"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "SSM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "SSM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013201876",
      "name": "TEWKSBURY HOSPITAL",
      "address": "365 EAST STREET",
      "city": "TEWKSBURY",
      "state": "MA",
      "zip": "01876",
      "county": "MIDDLESEX",
      "latitude": 42.6070741996774,
      "longitude": -71.2182231997691,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 675,
      "rating": null,
      "website": "http://www.mass.gov/eohhs/gov/departments/dph/programs/hospitals/tewksbury-hospital.html",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tewksbury-tewksbury-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013207206",
      "name": "TRINITAS HOSPITAL - NEW POINT CAMPUS",
      "address": "655 EAST JERSEY STREET",
      "city": "ELIZABETH",
      "state": "NJ",
      "zip": "07206",
      "county": "UNION",
      "latitude": 40.6591089596742,
      "longitude": -74.1975879995589,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "http://www.trinitashospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elizabeth-trinitas-hospital---new-point-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TRINITAS REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-trinitas-regional-medical-center",
      "siblingGroupId": "siblings-nj-trinitas-regional-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013207206",
        "external-resolution-0013207206"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20090122000069 (31S027). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20090122000069 (31S027). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0013260452",
      "name": "OAK FOREST HOSPITAL",
      "address": "15900 S CICERO AVE",
      "city": "OAK FOREST",
      "state": "IL",
      "zip": "60452",
      "county": "COOK",
      "latitude": 41.5996573998196,
      "longitude": -87.7341032796939,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 148,
      "rating": null,
      "website": "http://www.cookcountyhhs.org/locations/oak-forest-health-center/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "OAK FOREST HOSPITAL",
      "parentSystemId": "entity-oak-forest-hospital",
      "siblingGroupId": "siblings-il-oak-forest-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013260452",
        "external-resolution-0013260452"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.cookcountyhhs.org/locations/oak-forest-health-center/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0013263031",
      "name": "CHRISTIAN HOSPITAL NORTHEAST - NORTHWEST",
      "address": "1225 GRAHAM ROAD",
      "city": "FLORISSANT",
      "state": "MO",
      "zip": "63031",
      "county": "ST. LOUIS",
      "latitude": 38.7799825396615,
      "longitude": -90.3365781503165,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 3,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Christian Hospital Northeast Northwest",
      "parentSystemId": "entity-christian-hospital-northeast-northwest",
      "siblingGroupId": "siblings-mo-christian-hospital-northeast-northwest",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013263031",
        "external-resolution-0013263031"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/436057893"
      ],
      "ownershipProofNotes": "The normalized facility name exactly matches the IRS-recognized organization Christian Hospital Northeast Northwest (EIN 436057893) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented.",
      "parentSystemEvidence": "The normalized facility name exactly matches the IRS-recognized organization Christian Hospital Northeast Northwest (EIN 436057893) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented."
    },
    {
      "id": "0013266606",
      "name": "UNIVERSITY HEALTH SYSTEM",
      "address": "1700 SW 7TH STREET, ST FRANCIS CAMPUS",
      "city": "TOPEKA",
      "state": "KS",
      "zip": "66606",
      "county": "SHAWNEE",
      "latitude": 39.0565991401356,
      "longitude": -95.6962178499625,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 378,
      "rating": null,
      "website": "www.ardenthealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013266606",
        "external-resolution-0013266606"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "No ownership edge is published: fuzzy_crosswalk_withheld."
    },
    {
      "id": "0013270461",
      "name": "OCHSNER MEDICAL CENTER - NORTHSHORE, LLC",
      "address": "100 MEDICAL CENTER DRIVE",
      "city": "SLIDELL",
      "state": "LA",
      "zip": "70461",
      "county": "ST. TAMMANY",
      "latitude": 30.2871856903208,
      "longitude": -89.7426567801337,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 150,
      "rating": null,
      "website": "https://www.ochsner.org/locations/ochsner-medical-center-north-shore",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013270461",
        "external-resolution-0013270461"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013302453",
      "name": "WALDEN BEHAVIORAL CARE, LLC",
      "address": "9 HOPE AVENUE",
      "city": "WALTHAM",
      "state": "MA",
      "zip": "02453",
      "county": "MIDDLESEX",
      "latitude": 42.3696259997169,
      "longitude": -71.2493389996647,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "website": "http://www.waldenbehavioralcare.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waltham-walden-behavioral-care-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WALDEN BEHAVIORAL CARE LLC",
      "parentSystemId": "entity-walden-behavioral-care-llc",
      "siblingGroupId": "siblings-ma-walden-behavioral-care-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013302453",
        "external-resolution-0013302453"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20030811000009 (224038). 10 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20030811000009 (224038). 10 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0013307662",
      "name": "SELECT SPECIALTY HOSPITAL NORTHEAST NEW JERSEY ROCHELLE PARK",
      "address": "96 PARKWAY",
      "city": "ROCHELLE PARK",
      "state": "NJ",
      "zip": "07662",
      "county": "BERGEN",
      "latitude": 40.8985435398229,
      "longitude": -74.0741928600185,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "website": "http://northeastnewjersey.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nj-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists VLADISLAV KUZNETSOV as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists VLADISLAV KUZNETSOV as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013319401",
      "name": "SUBURBAN COMMUNITY HOSPITAL",
      "address": "2701 DEKALB PIKE",
      "city": "EAST NORRITON",
      "state": "PA",
      "zip": "19401",
      "county": "MONTGOMERY",
      "latitude": 40.139839930013,
      "longitude": -75.3159022499464,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 126,
      "rating": null,
      "website": "http://www.suburbanhosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-pa-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013337129",
      "name": "VA MEDICAL CENTER - ALVIN C. YORK CAMPUS",
      "address": "3400 LEBANON PIKE",
      "city": "MURFREESBORO",
      "state": "TN",
      "zip": "37129",
      "county": "RUTHERFORD",
      "latitude": 35.9143077999387,
      "longitude": -86.3806145004486,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.tennesseevalley.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murfreesboro-va-medical-center---alvin-c.-york-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tn-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013343452",
      "name": "H.B. MAGRUDER MEMORIAL HOSP",
      "address": "615 FULTON STREET",
      "city": "PORT CLINTON",
      "state": "OH",
      "zip": "43452",
      "county": "OTTAWA",
      "latitude": 41.5058746702055,
      "longitude": -82.9330030501527,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-clinton-h-b-magruder-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "H.B. MAGRUDER MEMORIAL HOSPITAL",
      "parentSystemId": "entity-h-b-magruder-memorial-hospital",
      "siblingGroupId": "siblings-oh-h-b-magruder-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-h-b-magruder-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists JILL R CRAWFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to H.B. MAGRUDER MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent H.B. MAGRUDER MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JILL R CRAWFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to H.B. MAGRUDER MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent H.B. MAGRUDER MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013347713",
      "name": "SELECT SPECIALTY HOSPITAL - EVANSVILLE",
      "address": "400 SE 4TH ST",
      "city": "EVANSVILLE",
      "state": "IN",
      "zip": "47713",
      "county": "VANDERBURGH",
      "latitude": 37.9679888003072,
      "longitude": -87.5672911700834,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/evansvill e.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-evansville-select-specialty-hospital-evansville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-in-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBYN BAEHL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBYN BAEHL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013354871",
      "name": "INDIANHEAD MEDICAL CENTER SHELL LAKE",
      "address": "113 4TH AVE",
      "city": "SHELL LAKE",
      "state": "WI",
      "zip": "54871",
      "county": "WASHBURN",
      "latitude": 45.7423517500515,
      "longitude": -91.9263985603709,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://www.indianheadmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NORTHWEST MEDICAL MANAGEMENT LLC",
      "parentSystemId": "entity-northwest-medical-management-llc",
      "siblingGroupId": "siblings-wi-northwest-medical-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWEST MEDICAL MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWEST MEDICAL MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWEST MEDICAL MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWEST MEDICAL MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013370056",
      "name": "OCHSNER MEDICAL CENTER-WEST BANK",
      "address": "120 OSCHNER BLVD",
      "city": "GRETNA",
      "state": "LA",
      "zip": "70056",
      "county": "JEFFERSON",
      "latitude": 29.8843126101156,
      "longitude": -90.027606039908,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 180,
      "rating": null,
      "website": "http://www.ochsner.org/locations/west_bank/",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013370056",
        "external-resolution-0013370056"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013379322",
      "name": "CRANE MEMORIAL HOSPITAL",
      "address": "1310 SOUTH ALFORD STREET",
      "city": "CRANE",
      "state": "TX",
      "zip": "79731",
      "county": "CRANE",
      "latitude": 31.3895528498164,
      "longitude": -102.349905599716,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.cranememorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crane-crane-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CRANE COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-crane-county-hospital-district",
      "siblingGroupId": "siblings-tx-crane-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-crane-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CRANE COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRANE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CRANE COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRANE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013392708",
      "name": "FOUNTAIN VALLEY REGIONAL HOSPITAL AND MEDICAL CENTER",
      "address": "17100 EUCLID ST",
      "city": "FOUNTAIN VALLEY",
      "state": "CA",
      "zip": "92708",
      "county": "ORANGE",
      "latitude": 33.7149347698939,
      "longitude": -117.935969510321,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 293,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF CALIFORNIA IRVINE",
      "parentSystemId": "entity-university-of-california-irvine",
      "siblingGroupId": "siblings-ca-university-of-california-irvine",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-university-of-california-irvine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA IRVINE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA IRVINE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013401581",
      "name": "WHITTIER REHABILITATION HOSPITAL",
      "address": "150 FLANDERS ROAD",
      "city": "WESTBOROUGH",
      "state": "MA",
      "zip": "01581",
      "county": "WORCESTER",
      "latitude": 42.2764796702626,
      "longitude": -71.5678417797919,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 88,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westborough-whittier-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GREENLEAF VI II INC",
      "parentSystemId": "entity-greenleaf-vi-ii-inc",
      "siblingGroupId": "siblings-ma-greenleaf-vi-ii-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-222048"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.whittierhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREENLEAF VI II INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALFRED J ARCIDI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Whittier Health Network official hospital directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENLEAF VI II INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREENLEAF VI II INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALFRED J ARCIDI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Tail resolution: Whittier Health Network official hospital directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENLEAF VI II INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013415241",
      "name": "SOUTHWOOD PSYCHIATRIC HOSPITAL",
      "address": "2575 BOYCE PLAZA ROAD",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15241",
      "county": "ALLEGHENY",
      "latitude": 40.3212039999419,
      "longitude": -80.1127169999494,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-southwood-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013415241",
        "external-resolution-0013415241"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0013438128",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTH MEMPHIS",
      "address": "4100 AUSTIN PEAY HWY",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38128",
      "county": "SHELBY",
      "latitude": 35.2372013002616,
      "longitude": -89.8919401803862,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://encompasshealth.com/locations/northmemphisrehab",
      "status": "corporate_chain",
      "parentSystem": "VANGUARD GROUP INC",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-encompass-health-rehabilitation-hospital-of-north-memphis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-vanguard-group-inc",
      "siblingGroupId": "siblings-tn-vanguard-group-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5.05%). CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANGUARD GROUP INC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANGUARD GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5.05%). CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANGUARD GROUP INC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013447150",
      "name": "SOUTHERN INDIANA REHABILITATION HOSPITAL",
      "address": "3104 BLACKISTON BLVD",
      "city": "NEW ALBANY",
      "state": "IN",
      "zip": "47150",
      "county": "FLOYD",
      "latitude": 38.3367013198984,
      "longitude": -85.7947217099298,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 38,
      "rating": null,
      "website": "http://www.sirh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-albany-southern-indiana-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-in-vibra-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013447150",
        "external-resolution-0013447150"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 153037. The tracker parent candidate was corroborated against Vibra Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 153037. The tracker parent candidate was corroborated against Vibra Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0013463117",
      "name": "SSM HEALTH REHABILITATION HOSPITAL - RIC",
      "address": "1027 BELLEVUE AVENUE",
      "city": "RICHMOND HEIGHTS",
      "state": "MO",
      "zip": "63117",
      "county": "ST. LOUIS",
      "latitude": 38.6333308797882,
      "longitude": -90.3126995996597,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mo-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists COLE SILVERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists COLE SILVERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013466606",
      "name": "KANSAS REHABILITATION HOSPITAL A JOINT VENTURE OF ENCOMPASS HEALTH AND STORMONT VAIL HEALTH",
      "address": "1504 SW 8TH AVE",
      "city": "TOPEKA",
      "state": "KS",
      "zip": "66606",
      "county": "SHAWNEE",
      "latitude": 39.0548680897786,
      "longitude": -95.6947664698057,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 79,
      "rating": null,
      "website": "www.emcompasshealth.com",
      "status": "corporate_chain",
      "parentSystem": "Continental Medical Systems",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-continental-medical-systems",
      "siblingGroupId": "siblings-ks-continental-medical-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-continental-medical-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "CMS owner candidate: CONTINENTAL MEDICAL SYSTEMS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Continental Medical Systems, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CONTINENTAL MEDICAL SYSTEMS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Continental Medical Systems, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013474079",
      "name": "STROUD REGIONAL MEDICAL CENTER",
      "address": "2308 HIGHWAY 66 WEST",
      "city": "STROUD",
      "state": "OK",
      "zip": "74079",
      "county": "LINCOLN",
      "latitude": 35.7484848301552,
      "longitude": -96.683345760061,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stroud-stroud-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AVEM BUSINESS SOLUTIONS STROUD, LLC",
      "parentSystemId": "entity-avem-business-solutions-stroud-llc",
      "siblingGroupId": "siblings-ok-avem-business-solutions-stroud-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVEM BUSINESS SOLUTIONS STROUD, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELIZABETH J PUSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVEM BUSINESS SOLUTIONS STROUD, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVEM BUSINESS SOLUTIONS STROUD, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELIZABETH J PUSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVEM BUSINESS SOLUTIONS STROUD, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013492708",
      "name": "FOUNTAIN VALLEY REGIONAL HOSPITAL AND MEDICAL CENTER",
      "address": "11250 WARNER AVE",
      "city": "FOUNTAIN VALLEY",
      "state": "CA",
      "zip": "92708",
      "county": "ORANGE",
      "latitude": 33.7146644398687,
      "longitude": -117.934547920096,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 107,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013492708",
        "external-resolution-0013492708"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 050570. That CCN bridged to CMS enrollment O20240624001179 and 3 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 050570. That CCN bridged to CMS enrollment O20240624001179 and 3 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0013501085",
      "name": "WESTERN MASSACHUSETTS HOSPITAL",
      "address": "91 EAST MOUNTAIN ROAD",
      "city": "WESTFIELD",
      "state": "MA",
      "zip": "01085",
      "county": "HAMPDEN",
      "latitude": 42.1103697300915,
      "longitude": -72.7009101203059,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 100,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westfield-western-massachusetts-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013537212",
      "name": "NASHVILLE VA MEDICAL CENTER",
      "address": "1310 24TH AVENUE SOUTH",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37212",
      "county": "DAVIDSON",
      "latitude": 36.1417570501379,
      "longitude": -86.8042392499327,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 493,
      "rating": null,
      "website": "https://www.tennesseevalley.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tn-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013538237",
      "name": "WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL CANE CREEK - A",
      "address": "180 MOUNT PELIA ROAD",
      "city": "MARTIN",
      "state": "TN",
      "zip": "38237",
      "county": "WEAKLEY",
      "latitude": 36.3325527198989,
      "longitude": -88.8699104900844,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013553147",
      "name": "MERCY WALWORTH HOSPITAL AND MEDICAL CENTER",
      "address": "N2950 STATE ROAD 67",
      "city": "LAKE GENEVA",
      "state": "WI",
      "zip": "53147",
      "county": "WALWORTH",
      "latitude": 42.5980872899383,
      "longitude": -88.5395199202219,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-geneva-mercy-walworth-hospital-&-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH CORPORATION",
      "parentSystemId": "entity-mercy-health-corporation",
      "siblingGroupId": "siblings-wi-mercy-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mercy-health-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to MERCY HEALTH CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to MERCY HEALTH CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013556183",
      "name": "SANFORD WESTBROOK MEDICAL CTR",
      "address": "920 BELL AVENUE",
      "city": "WESTBROOK",
      "state": "MN",
      "zip": "56183",
      "county": "COTTONWOOD",
      "latitude": 44.045608100015,
      "longitude": -95.4393425903271,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westbrook-sanford-westbrook-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013563117",
      "name": "SSM HEALTH ST. MARY'S HOSPITAL - ST. LOU",
      "address": "6420 CLAYTON ROAD",
      "city": "RICHMOND HEIGHTS",
      "state": "MO",
      "zip": "63117",
      "county": "ST. LOUIS",
      "latitude": 38.6330960399011,
      "longitude": -90.310895810417,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 495,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE ST LOUIS",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-st-louis",
      "siblingGroupId": "siblings-mo-ssm-health-care-st-louis",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013571913",
      "name": "CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS",
      "address": "300 WERNER STREET, 3RD FLOOR",
      "city": "HOT SPRINGS",
      "state": "AR",
      "zip": "71913",
      "county": "GARLAND",
      "latitude": 34.4680542198808,
      "longitude": -93.0672341004457,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 27,
      "rating": null,
      "website": "http://www.christusdubuis.org/hotsprings",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PRIORITY HOSPITAL GROUP LLC",
      "parentSystemId": "entity-priority-hospital-group-llc",
      "siblingGroupId": "siblings-ar-priority-hospital-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT CHRISTOPHER FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Priority Hospital Group; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT CHRISTOPHER FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Priority Hospital Group; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013602090",
      "name": "WESTWOOD/PEMBROKE HLTH SYS - WESTWOOD",
      "address": "45 CLAPBOARDTREE STREET",
      "city": "WESTWOOD",
      "state": "MA",
      "zip": "02090",
      "county": "NORFOLK",
      "latitude": 42.2065041501508,
      "longitude": -71.2240772303199,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 149,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ma-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-universal-health-services-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-ex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013630030",
      "name": "EMORY LONG TERM ACUTE CARE",
      "address": "450 NORTH CANDLER STREET",
      "city": "DECATUR",
      "state": "GA",
      "zip": "30030",
      "county": "DEKALB",
      "latitude": 33.7774700002948,
      "longitude": -84.2929169602974,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 76,
      "rating": null,
      "website": "http://www.dekalbmedical.org/locations/locations-module/dekalb-medical-downtown-decatur/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEKALB REGIONAL HEALTH SYSTEM",
      "parentSystemId": "entity-dekalb-regional-health-system",
      "siblingGroupId": "siblings-ga-dekalb-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-emory-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.emoryhealthcare.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEKALB REGIONAL HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEKALB REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEKALB REGIONAL HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEKALB REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013637934",
      "name": "TENNOVA HEALTHCARE - TURKEY CREEK MEDICAL CENTER",
      "address": "10820 PARKSIDE DRIVE",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37934",
      "county": "KNOX",
      "latitude": 35.8983597209009,
      "longitude": -84.1439082675537,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 628,
      "rating": null,
      "website": "https://www.tennovaturkeycreek.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tn-community-health-systems",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013637934",
        "external-resolution-0013637934"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Community Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Community Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0013645013",
      "name": "FORT HAMILTON HOSPITAL",
      "address": "630 EATON AVENUE",
      "city": "HAMILTON",
      "state": "OH",
      "zip": "45013",
      "county": "BUTLER",
      "latitude": 39.4155482298283,
      "longitude": -84.5727070103421,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 220,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013646802",
      "name": "ST JOSEPH HOSPITAL",
      "address": "700 BROADWAY",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46802",
      "county": "ALLEN",
      "latitude": 41.0780007297943,
      "longitude": -85.1492771998266,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 145,
      "rating": null,
      "website": "http://www.stjoehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ST JOSEPH HOSPITAL",
      "parentSystemId": "entity-st-joseph-hospital-in-fort-wayne-0013646802",
      "siblingGroupId": "siblings-in-st-joseph-hospital-in-fort-wayne-0013646802",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013646802",
        "external-resolution-0013646802"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.stjoehospital.com"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0013652627",
      "name": "FORT MADISON COMMUNITY HOSPITAL",
      "address": "5445 AVENUE O",
      "city": "FORT MADISON",
      "state": "IA",
      "zip": "52627",
      "county": "LEE",
      "latitude": 40.6258067700488,
      "longitude": -91.3843133696286,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "http://www.fmchosp.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-madison-fort-madison-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FORT MADISON COMMUNITY HOSPITAL",
      "parentSystemId": "entity-fort-madison-community-hospital",
      "siblingGroupId": "siblings-ia-fort-madison-community-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-09-30",
      "ownershipSourceIds": [
        "hifld-location-0013652627",
        "external-resolution-0013652627"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 160122; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 160122; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0013663136",
      "name": "CHRISTIAN HOSPITAL NORTHEAST - NORTHWEST",
      "address": "11133 DUNN ROAD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63136",
      "county": "ST. LOUIS",
      "latitude": 38.7765816900542,
      "longitude": -90.2403580596238,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 482,
      "rating": null,
      "website": "http://www.christianhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-christian-hospital-northeast-northwest/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTIAN HOSPITAL NORTHEAST NORTHWEST",
      "parentSystemId": "entity-christian-hospital-northeast-northwest",
      "siblingGroupId": "siblings-mo-christian-hospital-northeast-northwest",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTIAN HOSPITAL NORTHEAST NORTHWEST (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STANLEY WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN HOSPITAL NORTHEAST NORTHWEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTIAN HOSPITAL NORTHEAST NORTHWEST (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STANLEY WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN HOSPITAL NORTHEAST NORTHWEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013670570",
      "name": "ST. LANDRY EXTENDED CARE HOSPITAL",
      "address": "539 E PRUDHOMME STREET, 6TH FLOOR",
      "city": "OPELOUSAS",
      "state": "LA",
      "zip": "70570",
      "county": "ST. LANDRY",
      "latitude": 30.5448880697938,
      "longitude": -92.0752850804393,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 231,
      "rating": null,
      "website": "https://lhcgroup.com/locations/st-landry-extended-care-hospital/",
      "status": "corporate_chain",
      "parentSystem": "UnitedHealth Group / Optum (LHC Group)",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-opelousas-st-landry-extended-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-unitedhealth-group-optum-lhc-group",
      "siblingGroupId": "siblings-la-unitedhealth-group-optum-lhc-group",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013670570",
        "external-resolution-0013670570"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitedhealthgroup.com/investors/sec-filings.html"
      ],
      "ownershipProofNotes": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013679106",
      "name": "THOMAS E. CREEK DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "6010 AMARILLO BOULEVARD WEST",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "POTTER",
      "latitude": 35.2036739897201,
      "longitude": -101.906693980184,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 55,
      "rating": null,
      "website": "https://www.amarillo.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tx-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013701801",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN",
      "address": "2 REHABILITATION WAY",
      "city": "WOBURN",
      "state": "MA",
      "zip": "01801",
      "county": "MIDDLESEX",
      "latitude": 42.4634440602455,
      "longitude": -71.1619463002311,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 179,
      "rating": null,
      "website": "https://encompasshealth.com/locations/newenglandrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ma-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-encompass-health-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000081/ehc10k123125ex211.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013710461",
      "name": "BURKE REHABILITATION CENTER",
      "address": "2826 WESTCHESTER AVE",
      "city": "BRONX",
      "state": "NY",
      "zip": "10461",
      "county": "BRONX",
      "latitude": 40.8441835600108,
      "longitude": -73.8353550903653,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.burke.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-burke-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Montefiore Health System",
      "parentSystemId": "entity-montefiore-health-system",
      "siblingGroupId": "siblings-ny-montefiore-health-system",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013710461",
        "external-resolution-0013710461"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Montefiore Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Montefiore Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0013723607",
      "name": "SELECT SPECIALTY HOSPITAL - HAMPTON ROADS",
      "address": "4TH FLOOR EAST, 500 J CLYDE MORRIS BOULEVARD",
      "city": "NEWPORT NEWS",
      "state": "VA",
      "zip": "23601",
      "county": "NEWPORT NEWS",
      "latitude": 37.0644923097389,
      "longitude": -76.4825701198272,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "www.hamptonroads.selectspecialtyhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-va-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL BALLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL BALLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013735611",
      "name": "NORTH ALABAMA SPECIALTY HOSPITAL",
      "address": "700 WEST MARKET ST, 2ND FLOOR",
      "city": "ATHENS",
      "state": "AL",
      "zip": "35611",
      "county": "LIMESTONE",
      "latitude": 34.8042455797721,
      "longitude": -86.978872599955,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athens-north-alabama-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NORTH ALABAMA SPECIALTY HOSPITAL",
      "parentSystemId": "entity-north-alabama-specialty-hospital",
      "siblingGroupId": "siblings-al-north-alabama-specialty-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013735611",
        "external-resolution-0013735611"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20161206002502 (012014). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20161206002502 (012014). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0013748726",
      "name": "HILLS AND DALES GENERAL HOSPITAL",
      "address": "4675 HILL STREET",
      "city": "CASS CITY",
      "state": "MI",
      "zip": "48726",
      "county": "TUSCOLA",
      "latitude": 43.6041804198788,
      "longitude": -83.1826039295854,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cass-city-hills-&-dales-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HILLS & DALES GENERAL HOSPITAL INC",
      "parentSystemId": "entity-hills-and-dales-general-hospital-inc",
      "siblingGroupId": "siblings-mi-hills-and-dales-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-hills-dales-general-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HILLS & DALES GENERAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILLS & DALES GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HILLS & DALES GENERAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILLS & DALES GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013752632",
      "name": "KEOKUK AREA HOSPITAL",
      "address": "1600 MORGAN STREET",
      "city": "KEOKUK",
      "state": "IA",
      "zip": "52632",
      "county": "LEE",
      "latitude": 40.4069432502236,
      "longitude": -91.3870535995545,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 71,
      "rating": null,
      "website": "http://www.keokukhealthsystems.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KEOKUK AREA HOSPITAL",
      "parentSystemId": "entity-keokuk-area-hospital",
      "siblingGroupId": "siblings-ia-keokuk-area-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0013752632",
        "external-resolution-0013752632"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 160008; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 160008; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0013753045",
      "name": "ASCENSION SE WISCONSIN HOSPITAL - ELMBROOK CAMPUS",
      "address": "19333 W NORTH AVE",
      "city": "BROOKFIELD",
      "state": "WI",
      "zip": "53045",
      "county": "WAUKESHA",
      "latitude": 43.0593758997319,
      "longitude": -88.1545194302395,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 175,
      "rating": null,
      "website": "http://www.wfhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brookfield-ascension-se-wisconsin-hospital---elmbrook-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-wi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013753045",
        "external-resolution-0013753045"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013763133",
      "name": "HAWTHORN CHILDREN'S PSYCHIATRIC HOSPITAL",
      "address": "1901 PENNSYLVANIA AVENUE",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63133",
      "county": "ST. LOUIS",
      "latitude": 38.6867048398681,
      "longitude": -90.3139880703397,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 24,
      "rating": null,
      "website": "http://www.dmh.mo.gov/hcph/",
      "status": "corporate_chain",
      "parentSystem": "STATE OF MISSOURI",
      "affiliatedSystem": "Dmh Mo",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dmh Mo",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-hawthorn-children-s-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-missouri",
      "siblingGroupId": "siblings-mo-state-of-missouri",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013771291",
      "name": "OUACHITA COMMUNITY HOSPITAL",
      "address": "1275 GLENWOOD DR",
      "city": "WEST MONROE",
      "state": "LA",
      "zip": "71291",
      "county": "OUACHITA",
      "latitude": 32.5019995600856,
      "longitude": -92.149246839888,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "website": "http://www.ouachitacommunityhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-monroe-ouachita-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OUACHITA COMMUNITY HOSPITAL",
      "parentSystemId": "entity-ouachita-community-hospital",
      "siblingGroupId": "siblings-la-ouachita-community-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2015-10-31",
      "ownershipSourceIds": [
        "hifld-location-0013771291",
        "external-resolution-0013771291"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 190261; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 190261; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0013772903",
      "name": "MERCY ORTHOPEDIC HOSPITAL FORT SMITH",
      "address": "3601 SOUTH 79TH STREET",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72903",
      "county": "SEBASTIAN",
      "latitude": 35.3474569801533,
      "longitude": -94.3434532197357,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "website": "https://www.mercy.net/practice/mercy-orthopedic-hospital-fort-smith",
      "status": "corporate_chain",
      "parentSystem": "Mercy",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-smith-mercy-orthopedic-hospital-fort-smith/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy",
      "siblingGroupId": "siblings-ar-mercy",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013772903",
        "external-resolution-0013772903"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mercy.net/practice/mercy-orthopedic-hospital-fort-smith"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013801602",
      "name": "FAIRLAWN REHAB HOSP - AN AFFILIATE OF ENCOMPASS HLT",
      "address": "189 MAY STREET",
      "city": "WORCESTER",
      "state": "MA",
      "zip": "01602",
      "county": "WORCESTER",
      "latitude": 42.2601065897613,
      "longitude": -71.8353858503564,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 110,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ma-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-encompass-health-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000081/ehc10k123125ex211.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH CORPORATION was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Resolution pass: CMS owner/control candidate ENCOMPASS HEALTH CORPORATION was cross-checked once against cached Encompass Health Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013808360",
      "name": "INSPIRA MEDICAL CENTERS VINELAND",
      "address": "1505 W SHERMAN AVE",
      "city": "VINELAND",
      "state": "NJ",
      "zip": "08360",
      "county": "CUMBERLAND",
      "latitude": 39.4454757198535,
      "longitude": -75.0589689798049,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 365,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "INSPIRA HEALTH NETWORK INC",
      "parentSystemId": "entity-inspira-health-network-inc",
      "siblingGroupId": "siblings-nj-inspira-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-inspira-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.inspirahealthnetwork.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INSPIRA HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WARREN E. MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Inspira Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSPIRA HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INSPIRA HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WARREN E. MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Inspira Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSPIRA HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013829209",
      "name": "WM. JENNINGS BRYAN DORN DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "6439 GARNERS FERRY ROAD",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29209",
      "county": "RICHLAND",
      "latitude": 33.9751419302956,
      "longitude": -80.9588998097049,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.columbiasc.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-sc-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013843338",
      "name": "MORROW COUNTY HOSPITAL",
      "address": "651 W MARION ROAD",
      "city": "MT. GILEAD",
      "state": "OH",
      "zip": "43338",
      "county": "MORROW",
      "latitude": 40.5479811700966,
      "longitude": -82.8504065997514,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-gilead-morrow-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH MORROW COUNTY HOSPITAL INC",
      "parentSystemId": "entity-ohiohealth-morrow-county-hospital-inc",
      "siblingGroupId": "siblings-oh-ohiohealth-morrow-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH MORROW COUNTY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH MORROW COUNTY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013852655",
      "name": "GREAT RIVER MEDICAL CENTER",
      "address": "1221 SOUTH GEAR AVENUE",
      "city": "WEST BURLINGTON",
      "state": "IA",
      "zip": "52655",
      "county": "DES MOINES",
      "latitude": 40.8093479702735,
      "longitude": -91.1730801603098,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 213,
      "rating": null,
      "website": "http://www.greatrivermedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-burlington-great-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-southeast-iowa-regional-medical-center-inc",
      "siblingGroupId": "siblings-ia-southeast-iowa-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-southeast-iowa-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL J MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL J MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013853095",
      "name": "FROEDTERT WEST BEND HOSPITAL",
      "address": "3200 PLEASANT VALLEY ROAD",
      "city": "WEST BEND",
      "state": "WI",
      "zip": "53095",
      "county": "WASHINGTON",
      "latitude": 43.355758840118,
      "longitude": -88.1950969604439,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "website": "https://www.froedtert.com/locations/health-center/pleasant-valley-health-center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALLEN ERICSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALLEN ERICSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013867880",
      "name": "BOB WILSON MEM - GRANT COUNTY HOSPITAL",
      "address": "415 N MAIN ST",
      "city": "ULYSSES",
      "state": "KS",
      "zip": "67880",
      "county": "GRANT",
      "latitude": 37.5846720397978,
      "longitude": -101.358667169557,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 26,
      "rating": null,
      "website": "www.centura.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ks-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWNA RENE ROARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWNA RENE ROARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013873505",
      "name": "JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER",
      "address": "602 SOUTHWEST 38TH STREET",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73505",
      "county": "COMANCHE",
      "latitude": 34.6031011901921,
      "longitude": -98.438619279618,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawton-jim-taliaferro-community-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF OKLAHOMA",
      "parentSystemId": "entity-state-of-oklahoma",
      "siblingGroupId": "siblings-ok-state-of-oklahoma",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-state-of-oklahoma"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OKLAHOMA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OKLAHOMA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013923604",
      "name": "MCDONALD ARMY HEALTH CENTER",
      "address": "576 JEFFERSON AVENUE",
      "city": "FORT EUSTIS",
      "state": "VA",
      "zip": "23604",
      "county": "NEWPORT NEWS",
      "latitude": 37.1619543103557,
      "longitude": -76.5732262603474,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 30,
      "rating": null,
      "website": "https://mcdonald.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-va-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013923604",
        "external-resolution-0013923604"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0013932547",
      "name": "HCA FLORIDA FORT WALTON-DESTIN HOSPITAL",
      "address": "1000 MAR-WALT DR",
      "city": "FORT WALTON BEACH",
      "state": "FL",
      "zip": "32547",
      "county": "OKALOOSA",
      "latitude": 30.4544387302851,
      "longitude": -86.6332100198821,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 237,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/fort-walton-destin-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100223",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013937849",
      "name": "TENNOVA HEALTHCARE - NORTH KNOXVILLE",
      "address": "7565 DANNAHER WAY",
      "city": "POWELL",
      "state": "TN",
      "zip": "37849",
      "county": "KNOX",
      "latitude": 36.0522961881943,
      "longitude": -83.9975141079697,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 628,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tn-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013937849",
        "external-resolution-0013937849"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20111121000661 (440120). 8 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20111121000661 (440120). 8 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0013952722",
      "name": "UNITY POINT HEALTH TRINITY",
      "address": "4500 UTICA RIDGE ROAD",
      "city": "BETTENDORF",
      "state": "IA",
      "zip": "52722",
      "county": "SCOTT",
      "latitude": 41.5660718102826,
      "longitude": -90.5197400598321,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 139,
      "rating": null,
      "website": "http://www.trinityqc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-ia-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013957741",
      "name": "FORT MEADE VA MEDICAL CENTER",
      "address": "113 COMANCHE ROAD",
      "city": "FORT MEADE",
      "state": "SD",
      "zip": "57741",
      "county": "MEADE",
      "latitude": 44.41267725976,
      "longitude": -103.471815129754,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.blackhills.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-sd-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SD resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SD resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013963128",
      "name": "MERCY HOSPITAL SOUTH",
      "address": "10010 KENNERLY ROAD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63128",
      "county": "ST. LOUIS",
      "latitude": 38.5063922000906,
      "longitude": -90.3806700004052,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 767,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/transitional-care-hospitals/kindred-hospital-st-louis-st-anthonys",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013967672",
      "name": "TREGO COUNTY - LEMKE MEM HOSPITAL",
      "address": "320 NORTH 13TH STREET",
      "city": "WAKEENEY",
      "state": "KS",
      "zip": "67672",
      "county": "TREGO",
      "latitude": 39.0273115899779,
      "longitude": -99.8710947802123,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF TREGO",
      "parentSystemId": "entity-county-of-trego",
      "siblingGroupId": "siblings-ks-county-of-trego",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF TREGO (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF TREGO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF TREGO (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF TREGO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0013993720",
      "name": "FRESNO HEART AND SURGICAL HOSPITAL",
      "address": "15 E AUDUBON DR",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93720",
      "county": "FRESNO",
      "latitude": 36.8601259099934,
      "longitude": -119.788571729667,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 57,
      "rating": null,
      "status": "signal",
      "evidenceSource": "Third-party Sound hospital medicine listing mentioning Fresno Heart and Surgical Hospital",
      "evidenceSourceUrl": "https://us.trabajo.org/job-4112-721975fba013c7cc9583a3cbf2f85cc6",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Community Medical/HCAI sources tie Fresno Heart and Surgical Hospital to the Community Medical Centers facility family; a lower-reliability third-party listing associates Sound hospital medicine scheduling with Fresno Heart. Remaining limitation: No first-party Sound posting, facility contract, term sheet, board approval, or start date was located for Fresno Heart; do not classify as confirmed PE contract or PE-owned facility.",
      "classificationSources": [
        "Community Regional Medical Center-Fresno profile",
        "Community Medical Centers locations navigation",
        "Third-party Sound hospital medicine listing mentioning Fresno Heart and Surgical Hospital",
        "Sound Physicians official services overview",
        "Sound Physicians portfolio page",
        "UnitedHealth, OptumHealth, Summit Partners Sound Physicians acquisition report",
        "OptumHealth and Summit Partners acquire Sound Inpatient Physician Holdings for $2.2B",
        "Fresno Community Hospital and Medical Center dba Community Health System Corporate Integrity Agreement",
        "California SB 351 corporate practice restrictions overview",
        "AAEM-PG update on California lawsuit against Envision Healthcare"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Health system facility",
      "operatorName": "Community Medical Centers",
      "publicControlBadge": "Nonprofit / Health system facility",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-fresno-heart-and-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "Health system facility",
      "affiliatedSystem": "Community Medical Centers / Community Health System",
      "affiliatedSystemEvidence": "hcai_crmc|community_locations_nav",
      "affiliationConfidence": "medium",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0013993720"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0014019083",
      "name": "KINDRED HOSPITAL PHILADELPHIA - HAVERTOWN",
      "address": "2000 OLD WEST CHESTER PIKE",
      "city": "HAVERTOWN",
      "state": "PA",
      "zip": "19083",
      "county": "DELAWARE",
      "latitude": 39.9750253798825,
      "longitude": -75.3344290396874,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 57,
      "rating": null,
      "website": "http://www.kh-havertown.com/",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-havertown-kindred-hospital-philadelphia---havertown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-pa-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014019083",
        "external-resolution-0014019083"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014053051",
      "name": "FROEDTERT MENOMONEE FALLS HOSPITAL",
      "address": "W180 N8085 TOWN HALL RD",
      "city": "MENOMONEE FALLS",
      "state": "WI",
      "zip": "53051",
      "county": "WAUKESHA",
      "latitude": 43.1643527602567,
      "longitude": -88.1376054497085,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 237,
      "rating": null,
      "website": "https://www.froedtert.com/locations/hospital/menomonee-falls-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TERESA M LUX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TERESA M LUX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014075235",
      "name": "CHILDRENS MEDICAL CENTER OF DALLAS",
      "address": "1935 MEDICAL DISTRICT DRIVE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75235",
      "county": "DALLAS",
      "latitude": 32.809185660142,
      "longitude": -96.8374739596938,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 490,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-children-s-medical-center-of-dallas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HEALTH SYSTEM OF TEXAS",
      "parentSystemId": "entity-children-s-health-system-of-texas",
      "siblingGroupId": "siblings-tx-children-s-health-system-of-texas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-children-s-health-system-of-texas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILDREN'S HEALTH SYSTEM OF TEXAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER DUROVICH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHILDREN'S HEALTH SYSTEM OF TEXAS; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HEALTH SYSTEM OF TEXAS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHILDREN'S HEALTH SYSTEM OF TEXAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER DUROVICH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHILDREN'S HEALTH SYSTEM OF TEXAS; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HEALTH SYSTEM OF TEXAS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014085378",
      "name": "COBALT REHABILITATION HOSPITAL IV, LLC",
      "address": "13060 WEST BELL ROAD",
      "city": "SURPRISE",
      "state": "AZ",
      "zip": "85378",
      "county": "MARICOPA",
      "latitude": 33.6393172602536,
      "longitude": -112.341135470372,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 27,
      "rating": null,
      "website": "http://cobaltrehab.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-surprise-cobalt-rehabilitation-hospital-iv-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-az-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CURAHEALTH REHABILITATION HOLDCO, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CURAHEALTH REHABILITATION HOLDCO, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CURAHEALTH REHABILITATION HOLDCO, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CURAHEALTH REHABILITATION HOLDCO, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014110522",
      "name": "SJRH - DOBBS FERRY PAVILLION",
      "address": "128 ASHFORD AVENUE",
      "city": "DOBBS FERRY",
      "state": "NY",
      "zip": "10522",
      "county": "WESTCHESTER",
      "latitude": 41.0143922502435,
      "longitude": -73.861919650434,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "St. John's Riverside Hospital",
      "parentSystemId": "entity-st-john-s-riverside-hospital",
      "siblingGroupId": "siblings-ny-st-john-s-riverside-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014110522",
        "external-resolution-0014110522"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://riversidehealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to St. John's Riverside Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to St. John's Riverside Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014137814",
      "name": "MORRISTOWN - HAMBLEN HEALTHCARE SYSTEM",
      "address": "908 WEST 4TH NORTH STREET",
      "city": "MORRISTOWN",
      "state": "TN",
      "zip": "37814",
      "county": "HAMBLEN",
      "latitude": 36.2129657002379,
      "longitude": -83.3053163800525,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 167,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morristown-morristown-hamblen-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014144124",
      "name": "HILLCREST HOSPITAL",
      "address": "6780 MAYFIELD ROAD",
      "city": "MAYFIELD HTS",
      "state": "OH",
      "zip": "44124",
      "county": "CUYAHOGA",
      "latitude": 41.5182999299653,
      "longitude": -81.4362478798526,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 532,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014155009",
      "name": "MAYO CLINIC HEALTH SYS CF",
      "address": "32021 COUNTY 24 BOULEVARD",
      "city": "CANNON FALLS",
      "state": "MN",
      "zip": "55009",
      "county": "GOODHUE",
      "latitude": 44.4861646399875,
      "longitude": -92.9032022999957,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 15,
      "rating": null,
      "website": "http://mayoclinichealthsystem.org/locations/cannon-falls",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cannon-falls-mayo-clinic-health-sys-cf/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014163128",
      "name": "MERCY HOSPITAL ST. LOUIS",
      "address": "615 SOUTH NEW BALLAS ROAD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63141",
      "county": "ST. LOUIS",
      "latitude": 38.6456311498657,
      "longitude": -90.4462533798114,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 859,
      "rating": null,
      "website": "http://www.mercy.net/stlouismo",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-louis-mercy-hospital-st-louis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014170506",
      "name": "OPTIMA SPECIALTY HOSPITAL",
      "address": "1131 RUE DE BELIER",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70506",
      "county": "LAFAYETTE",
      "latitude": 30.1851979700347,
      "longitude": -92.0896724099948,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://optimaspecialtyhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-optima-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OPTIMA SPECIALTY HOSPITAL",
      "parentSystemId": "entity-optima-specialty-hospital",
      "siblingGroupId": "siblings-la-optima-specialty-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-12-31",
      "ownershipSourceIds": [
        "hifld-location-0014170506",
        "external-resolution-0014170506"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 194078; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 194078; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0014175235",
      "name": "PARKLAND MEMORIAL HOSPITAL",
      "address": "5200 - 5201 HARRY HINES BOULEVARD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75235",
      "county": "DALLAS",
      "latitude": 32.8106553496695,
      "longitude": -96.8380909100545,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 882,
      "rating": null,
      "website": "http://www.parklandhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-parkland-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Parkland Health",
      "parentSystemId": "entity-parkland-health",
      "siblingGroupId": "siblings-tx-parkland-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014175235",
        "external-resolution-0014175235"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.parklandhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Parkland Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Parkland Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014178028",
      "name": "KERRVILLE VA HOSPITAL, STVHCS",
      "address": "3600 MEMORIAL BLVD",
      "city": "KERRVILLE",
      "state": "TX",
      "zip": "78028",
      "county": "KERR",
      "latitude": 30.0168278697274,
      "longitude": -99.11477578971,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 226,
      "rating": null,
      "website": "http://www.southtexas.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-tx-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014178028",
        "external-resolution-0014178028"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014185392",
      "name": "COPPER SPRINGS HOSPITAL, LLC",
      "address": "10550 WEST MCDOWELL ROAD",
      "city": "AVONDALE",
      "state": "AZ",
      "zip": "85392",
      "county": "MARICOPA",
      "latitude": 33.465272920007,
      "longitude": -112.287683239702,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "034032",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-avondale-copper-springs-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-az-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014192643",
      "name": "GARDEN GROVE HOSPITAL AND MEDICAL CENTER",
      "address": "12601 GARDEN GROVE BLVD",
      "city": "GARDEN GROVE",
      "state": "CA",
      "zip": "92843",
      "county": "ORANGE",
      "latitude": 33.7749859696446,
      "longitude": -117.913092880345,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 167,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-garden-grove-garden-grove-hospital-and-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014216127",
      "name": "GROVE CITY HOSPITAL",
      "address": "631 NORTH BROAD STREET EXT",
      "city": "GROVE CITY",
      "state": "PA",
      "zip": "16127",
      "county": "MERCER",
      "latitude": 41.1709989997383,
      "longitude": -80.085171999715,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 67,
      "rating": null,
      "website": "http://www.gcmcpa.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Allegheny Health Network",
      "parentSystemId": "entity-allegheny-health-network",
      "siblingGroupId": "siblings-pa-allegheny-health-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-allegheny-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGHENY HEALTH NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegheny Health Network, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGHENY HEALTH NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegheny Health Network, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014223607",
      "name": "RIVERSIDE REHABILITATION INSTITUTE",
      "address": "245 CHESAPEAKE AVENUE",
      "city": "NEWPORT NEWS",
      "state": "VA",
      "zip": "23607",
      "county": "NEWPORT NEWS",
      "latitude": 36.9861812901624,
      "longitude": -76.3927874498852,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "http://www.riversideonline.com/rri/index.cfm",
      "status": "corporate_chain",
      "parentSystem": "Riversideonline",
      "affiliatedSystem": "Riversideonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Riversideonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-news-riverside-rehabilitation-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-riversideonline",
      "siblingGroupId": "siblings-va-riversideonline",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014223607",
        "external-resolution-0014223607"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.riversideonline.com/rri/index.cfm"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014248106",
      "name": "ST JOSEPH MERCY HOSPITAL",
      "address": "5301 E HURON RIVER DR",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48106",
      "county": "WASHTENAW",
      "latitude": 42.2651880297728,
      "longitude": -83.6543299501213,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 524,
      "rating": null,
      "website": "http://www.stjoesannarbor.org/maple",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230156",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014263044",
      "name": "SSM HEALTH REHABILITATION HOSPITAL - BRI",
      "address": "12380 DEPAUL DRIVE",
      "city": "BRIDGETON",
      "state": "MO",
      "zip": "63044",
      "county": "ST. LOUIS",
      "latitude": 38.7517683003147,
      "longitude": -90.4351652496807,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "http://www.ssm-select.com/locations/inpatientrehab.aspx",
      "status": "corporate_chain",
      "parentSystem": "SSM Health",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health",
      "siblingGroupId": "siblings-mo-ssm-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014263044",
        "external-resolution-0014263044"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "SSM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "SSM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014267152",
      "name": "SUMNER COMMUNITY HOSPITAL",
      "address": "1323 NORTH A ST",
      "city": "WELLINGTON",
      "state": "KS",
      "zip": "67152",
      "county": "SUMNER",
      "latitude": 37.2786452100192,
      "longitude": -97.3929789701761,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 61,
      "rating": null,
      "website": "http://www.srmcks.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wellington-sumner-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SUMNER COMMUNITY HOSPITAL",
      "parentSystemId": "entity-sumner-community-hospital",
      "siblingGroupId": "siblings-ks-sumner-community-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014267152",
        "external-resolution-0014267152"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.srmcks.org"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0014271201",
      "name": "P AND S SURGICAL HOSPITAL",
      "address": "312 GRAMMONT ST, STE 101",
      "city": "MONROE",
      "state": "LA",
      "zip": "71201",
      "county": "OUACHITA",
      "latitude": 32.5008245497725,
      "longitude": -92.1140273201789,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "website": "http://www.pssurgery.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "P&S SURGICAL HOSPITAL",
      "parentSystemId": "entity-p-and-s-surgical-hospital",
      "siblingGroupId": "siblings-la-p-and-s-surgical-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-12-31",
      "ownershipSourceIds": [
        "hifld-location-0014271201",
        "external-resolution-0014271201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 190246; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 190246; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0014274133",
      "name": "SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM",
      "address": "6262 SOUTH SHERIDAN ROAD",
      "city": "TULSA",
      "state": "OK",
      "zip": "74133",
      "county": "TULSA",
      "latitude": 36.0729086399984,
      "longitude": -95.9055300102496,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.shadowmountainbhs.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-shadow-mountain-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ok-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014274133",
        "external-resolution-0014274133"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014279720",
      "name": "GEORGE H. O'BRIEN, JR. VA MEDICAL CENTER",
      "address": "300 VETERANS BLVD",
      "city": "BIG SPRING",
      "state": "TX",
      "zip": "79720",
      "county": "HOWARD",
      "latitude": 32.2310386103579,
      "longitude": -101.472769509673,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.bigspring.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-spring-george-h.-o-brien-jr.-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-tx-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014279720",
        "external-resolution-0014279720"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014317601",
      "name": "LANCASTER REHABILITATION HOSPITAL",
      "address": "675 GOOD DRIVE",
      "city": "LANCASTER",
      "state": "PA",
      "zip": "17604",
      "county": "LANCASTER",
      "latitude": 40.0622214399478,
      "longitude": -76.3516197103695,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "website": "http://www.lancastergeneralhealth.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "393054",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-lancaster-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-pa-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AMY TEAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AMY TEAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014347421",
      "name": "ASCENSION ST VINCENT DUNN",
      "address": "1600 23RD ST",
      "city": "BEDFORD",
      "state": "IN",
      "zip": "47421",
      "county": "LAWRENCE",
      "latitude": 38.8528725802953,
      "longitude": -86.4939581701877,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-in-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014347421",
        "external-resolution-0014347421"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014348118",
      "name": "ST JOSEPH MERCY CHELSEA",
      "address": "775 S MAIN ST",
      "city": "CHELSEA",
      "state": "MI",
      "zip": "48118",
      "county": "WASHTENAW",
      "latitude": 42.3102613397005,
      "longitude": -84.0158335898993,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 103,
      "rating": null,
      "website": "http://www.stjoeschelsea.org/chelsea",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230259",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists TOMASINE F MARX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists TOMASINE F MARX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014356531",
      "name": "PRAIRIE RIDGE HOSP HLTH SERV",
      "address": "1411 HIGHWAY 79 EAST",
      "city": "ELBOW LAKE",
      "state": "MN",
      "zip": "56531",
      "county": "GRANT",
      "latitude": 45.9905253298488,
      "longitude": -95.957901880247,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elbow-lake-prairie-ridge-hosp-hlth-serv/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAKE REGION HEALTHCARE",
      "parentSystemId": "entity-lake-region-healthcare",
      "siblingGroupId": "siblings-mn-lake-region-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-lake-region-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAKE REGION HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBORAH PELCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to LAKE REGION HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE REGION HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAKE REGION HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBORAH PELCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to LAKE REGION HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE REGION HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014363128",
      "name": "KINDRED HOSPITAL ST. LOUIS SOUTH",
      "address": "10018 KENNERLY ROAD, 3RD FLOOR, HYLAND BUILDING B",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63128",
      "county": "ST. LOUIS",
      "latitude": 38.5074234100818,
      "longitude": -90.3800185502459,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 38,
      "rating": null,
      "website": "http://www.stanthonysmedcenter.com",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-kindred-hospital-st.-louis-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-mo-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-mo-262010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN SHRAKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN SHRAKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014375418",
      "name": "SAM RAYBURN MEMORIAL VETERANS CENTER",
      "address": "1201 E 9TH ST",
      "city": "BONHAM",
      "state": "TX",
      "zip": "75418",
      "county": "FANNIN",
      "latitude": 33.5845895402186,
      "longitude": -96.1666381395886,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 292,
      "rating": null,
      "website": "http://www.northtexas.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bonham-sam-rayburn-memorial-veterans-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-tx-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014375418",
        "external-resolution-0014375418"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014385622",
      "name": "SANTA CRUZ VALLEY REGIONAL HOSPITAL",
      "address": "4455 SOUTH I-19 FRONTAGE ROAD",
      "city": "GREEN VALLEY",
      "state": "AZ",
      "zip": "85614",
      "county": "PIMA",
      "latitude": 31.8067235402593,
      "longitude": -111.009903859951,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 49,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "peFirm": "Lateral investment Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Santa Cruz Valley Regional Hospital",
      "parentSystemId": "entity-santa-cruz-valley-regional-hospital",
      "siblingGroupId": "siblings-az-santa-cruz-valley-regional-hospital",
      "ownershipRelationship": "historically_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014385622",
        "external-resolution-0014385622"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.azcompletehealth.com/newsroom/pu220760.html"
      ],
      "ownershipProofNotes": "The independently and privately owned hospital closed in 2022. No higher public or nonprofit system parent was supported.",
      "parentSystemEvidence": "The independently and privately owned hospital closed in 2022. No higher public or nonprofit system parent was supported."
    },
    {
      "id": "0014390026",
      "name": "GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER",
      "address": "1891 EFFIE ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90026",
      "county": "LOS ANGELES",
      "latitude": 34.0852413998838,
      "longitude": -118.256580790032,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 55,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-gateways-hospital-and-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GATEWAYS HOSPITAL & MENTAL HEALTH CENTER",
      "parentSystemId": "entity-gateways-hospital-and-mental-health-center",
      "siblingGroupId": "siblings-ca-gateways-hospital-and-mental-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-gateways-hospital-and-mental-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://lfis.hcai.ca.gov/License/930000058"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI current license record. Resolved parent/control boundary: Gateways Hospital & Mental Health Center. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GATEWAYS HOSPITAL & MENTAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI current license record. Resolved parent/control boundary: Gateways Hospital & Mental Health Center. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GATEWAYS HOSPITAL & MENTAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014430812",
      "name": "EAST CENTRAL REGIONAL HOSPITAL - GRACEWOOD",
      "address": "100 MYRTLE BOULEVARD",
      "city": "NORTH VIEW",
      "state": "GA",
      "zip": "30812",
      "county": "RICHMOND",
      "latitude": 33.3689707899399,
      "longitude": -82.0296437499673,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "http://dbhdd.georgia.gov/east-central-regional-hospital-augusta-gracewood",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-view-east-central-regional-hospital---gracewood/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014430812",
        "external-resolution-0014430812"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://dbhdd.georgia.gov/east-central-regional-hospital-augusta-gracewood"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0014437415",
      "name": "ERLANGER NORTH HOSPITAL - SATELLITE",
      "address": "632 MORRISON SPRINGS RAOD",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37415",
      "county": "HAMILTON",
      "latitude": 35.1235784999672,
      "longitude": -85.30202706042,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 848,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ERLANGER NORTH HOSPITAL - SATELLITE",
      "parentSystemId": "entity-erlanger-north-hospital-satellite",
      "siblingGroupId": "siblings-tn-erlanger-north-hospital-satellite",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014437415",
        "external-resolution-0014437415"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.tn.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0014453188",
      "name": "REHABILITATION HOSPITAL OF WISCONSIN",
      "address": "1625 COLD WATER CREEK DRIVE",
      "city": "WAUKESHA",
      "state": "WI",
      "zip": "53188",
      "county": "WAUKESHA",
      "latitude": 43.0260341096959,
      "longitude": -88.2872088999338,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.rehabhospitalwi.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "523027",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-wi-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BEN MALLON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BEN MALLON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014456277",
      "name": "OLIVIA HOSPITAL AND CLINIC",
      "address": "100 HEALTHY WAY",
      "city": "OLIVIA",
      "state": "MN",
      "zip": "56277",
      "county": "RENVILLE",
      "latitude": 44.7745817697116,
      "longitude": -94.9724248598416,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olivia-olivia-hospital-and-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHPARTNERS RC",
      "parentSystemId": "entity-healthpartners-rc",
      "siblingGroupId": "siblings-mn-healthpartners-rc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-healthpartners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthpartners.com/care/find/location/"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHPARTNERS RC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHPARTNERS RC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014463131",
      "name": "MISSOURI BAPTIST MEDICAL CENTER",
      "address": "3015 NORTH BALLAS ROAD",
      "city": "TOWN & COUNTRY",
      "state": "MO",
      "zip": "63131",
      "county": "ST. LOUIS",
      "latitude": 38.6363666602639,
      "longitude": -90.4467723500257,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 489,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-mo-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTOPHER P MCKEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTOPHER P MCKEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014467226",
      "name": "KANSAS SPINE AND SPECIALTY HOSPITAL LLC",
      "address": "3333 NORTH WEBB ROAD",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67226",
      "county": "SEDGWICK",
      "latitude": 37.743573020051,
      "longitude": -97.2272151900105,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://www.ksspine.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SP Management Services",
      "parentSystemId": "entity-sp-management-services",
      "siblingGroupId": "siblings-ks-sp-management-services",
      "campusFamilyId": "campus-ks-170196",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN ROGER DICKERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN ROGER DICKERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014475390",
      "name": "TEXAS VISTA MEDICAL CENTER",
      "address": "7400 BARLITE BOULEVARD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78224",
      "county": "DALLAS",
      "latitude": 32.8119803102118,
      "longitude": -96.8397314098331,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 325,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-texas-vista-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Steward Health Care",
      "parentSystemId": "entity-steward-health-care",
      "siblingGroupId": "siblings-tx-steward-health-care",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014475390",
        "external-resolution-0014475390"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1639691/000119312517297890/d371311dex991.htm"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 450697. The tracker parent candidate was corroborated against Steward Health Care's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 450697. The tracker parent candidate was corroborated against Steward Health Care's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0014495501",
      "name": "THE GENERAL HOSPITAL",
      "address": "2200 HARRISON AVE",
      "city": "EUREKA",
      "state": "CA",
      "zip": "95501",
      "county": "HUMBOLDT",
      "latitude": 40.788168549729,
      "longitude": -124.140262820309,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Providence",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014495501",
        "external-resolution-0014495501"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations/norcal/st-joseph-hospital-eureka"
      ],
      "ownershipProofNotes": "Providence identifies St. Joseph Hospital Eureka as a two-campus hospital that includes the General Hospital campus. California HCAI independently identifies the exact 2200 Harrison Avenue location.",
      "parentSystemEvidence": "Providence identifies St. Joseph Hospital Eureka as a two-campus hospital that includes the General Hospital campus. California HCAI independently identifies the exact 2200 Harrison Avenue location."
    },
    {
      "id": "0014515901",
      "name": "CRICHTON REHABILITATION CENTER",
      "address": "320 MAIN STREET",
      "city": "JOHNSTOWN",
      "state": "PA",
      "zip": "15901",
      "county": "CAMBRIA",
      "latitude": 40.3263870797001,
      "longitude": -78.9212973603618,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 39,
      "rating": null,
      "website": "http://www.conemaugh.org/template_article.aspx?id=4856",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "039110",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-johnstown-crichton-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-pa-lifepoint-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014515901",
        "facility-site-0014515901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.conemaugh.org/template_article.aspx?id=4856"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0014528025",
      "name": "CAROLINAS REHABILITATION - NORTHEAST",
      "address": "487 LAKE CONCORD ROAD",
      "city": "CONCORD",
      "state": "NC",
      "zip": "28025",
      "county": "CABARRUS",
      "latitude": 35.4428160603087,
      "longitude": -80.6008436497641,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "http://www.carolinashealthcare.org/rehabilitation",
      "status": "corporate_chain",
      "parentSystem": "Atrium Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-concord-carolinas-rehabilitation---northeast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health",
      "siblingGroupId": "siblings-nc-atrium-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014528025",
        "facility-site-0014528025"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.carolinashealthcare.org/rehabilitation"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0014537343",
      "name": "PARKRIDGE WEST HOSPITAL",
      "address": "1000 HIGHWAY 28",
      "city": "JASPER",
      "state": "TN",
      "zip": "37347",
      "county": "MARION",
      "latitude": 35.0471062798877,
      "longitude": -85.6296189002688,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 621,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jasper-parkridge-west-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014537343",
        "external-resolution-0014537343"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014537684",
      "name": "JAMES H. QUILLEN DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "CORNER OF LAMONT STREET AND VETERANS WAY",
      "city": "MOUNTAIN HOME",
      "state": "TN",
      "zip": "37684",
      "county": "WASHINGTON",
      "latitude": 36.3091379602703,
      "longitude": -82.3702063300676,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.mountainhome.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tn-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014548197",
      "name": "SELECT SPECIALTY HOSPITAL - ANN ARBOR",
      "address": "5301 E HURON RIVER DR, 7TH FL",
      "city": "YPSILANTI",
      "state": "MI",
      "zip": "48197",
      "county": "WASHTENAW",
      "latitude": 42.2638963598554,
      "longitude": -83.6554210699166,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/annarbo r.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ypsilanti-select-specialty-hospital---ann-arbor/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL GRACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL GRACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014556701",
      "name": "SANFORD MED CTR THIEF RVR FALL",
      "address": "3001 SANFORD PARKWAY",
      "city": "THIEF RIVER FALLS",
      "state": "MN",
      "zip": "56701",
      "county": "PENNINGTON",
      "latitude": 48.1025376198324,
      "longitude": -96.1836323998616,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "website": "http://www.sanfordhealth.org/locations/sanford-thief-river-falls-medical-center",
      "status": "corporate_chain",
      "parentSystem": "SANFORD",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014563110",
      "name": "BARNES JEWISH HOSPITAL",
      "address": "1 BARNES JEWISH HOSPITAL PLAZA",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63110",
      "county": "ST. LOUIS",
      "latitude": 38.6356744696811,
      "longitude": -90.2647160600124,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1431,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-barnes-jewish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Barnes-Jewish Hospital",
      "parentSystemId": "entity-barnes-jewish-hospital",
      "siblingGroupId": "siblings-mo-barnes-jewish-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BARNES JEWISH HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KATHERINE E HENDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARNES JEWISH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BARNES JEWISH HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KATHERINE E HENDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARNES JEWISH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014567226",
      "name": "KANSAS SURGERY AND RECOVERY CENTER",
      "address": "2770 N WEBB RD",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67226",
      "county": "SEDGWICK",
      "latitude": 37.733061350189,
      "longitude": -97.2250137695921,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-kansas-surgery-&-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASCENSION VIA CHRISTI HEALTH PARTNERS INC",
      "parentSystemId": "entity-ascension-via-christi-health-partners-inc",
      "siblingGroupId": "siblings-ks-ascension-via-christi-health-partners-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION VIA CHRISTI HEALTH PARTNERS INC (OPERATIONAL/MANAGERIAL CONTROL, 58.28%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HEALTH PARTNERS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION VIA CHRISTI HEALTH PARTNERS INC (OPERATIONAL/MANAGERIAL CONTROL, 58.28%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HEALTH PARTNERS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014573102",
      "name": "VALIR REHABILITATION HOSPITAL OF OKC, LLC",
      "address": "700 NORTHWEST 7TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73102",
      "county": "OKLAHOMA",
      "latitude": 35.4748962399672,
      "longitude": -97.5249415797363,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-valir-rehabilitation-hospital-of-okc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ok-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STACYE MAYO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STACYE MAYO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014575235",
      "name": "LIFECARE HOSPITALS OF NORTH TEXAS - DALLAS",
      "address": "1950 RECORD CROSSING ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75235",
      "county": "DALLAS",
      "latitude": 32.8172101003091,
      "longitude": -96.8487921995727,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifeCare Health Partners",
      "parentSystemId": "entity-lifecare-health-partners",
      "siblingGroupId": "siblings-tx-lifecare-health-partners",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014575235",
        "external-resolution-0014575235"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifecare-hospitals.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to LifeCare Health Partners and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to LifeCare Health Partners and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014593930",
      "name": "GEORGE L. MEE MEMORIAL HOSPITAL",
      "address": "300 CANAL ST",
      "city": "KING CITY",
      "state": "CA",
      "zip": "93930",
      "county": "MONTEREY",
      "latitude": 36.2058124303087,
      "longitude": -121.132857349674,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-king-city-george-l-mee-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-southern-monterey-county-memorial-hospital",
      "siblingGroupId": "siblings-ca-southern-monterey-county-memorial-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-941502014"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/941502014"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Southern Monterey County Memorial Hospital. Resolved parent/control boundary: SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Southern Monterey County Memorial Hospital. Resolved parent/control boundary: SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014607065",
      "name": "KINDRED HOSPITAL NEW JERSEY - RAHWAY",
      "address": "865 STONE STREET",
      "city": "RAHWAY",
      "state": "NJ",
      "zip": "07065",
      "county": "UNION",
      "latitude": 40.6128375600555,
      "longitude": -74.2905638398744,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://www.kindredrahway.com/",
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rahway-kindred-hospital-new-jersey---rahway/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "campusFamilyId": "campus-nj-310024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RICHARD HENWOOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RICHARD HENWOOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014610528",
      "name": "ST. JOSEPH'S MC - ST. VINCENT'S WESTCHESTER DIVISION",
      "address": "275 NORTH STREET",
      "city": "HARRISON",
      "state": "NY",
      "zip": "10528",
      "county": "WESTCHESTER",
      "latitude": 40.9891184000089,
      "longitude": -73.7093522197085,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 139,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Saint Joseph's Medical Center",
      "parentSystemId": "entity-saint-joseph-s-medical-center",
      "siblingGroupId": "siblings-ny-saint-joseph-s-medical-center",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014610528",
        "external-resolution-0014610528"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.saintjosephs.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Saint Joseph's Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Saint Joseph's Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014617036",
      "name": "PENN STATE HEALTH REHABILITATION HOSPITAL",
      "address": "1135 OLD WEST CHOCOLATE AVE",
      "city": "HUMMELSTOWN",
      "state": "PA",
      "zip": "17036",
      "county": "DAUPHIN",
      "latitude": 40.272997570232,
      "longitude": -76.68692826985,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 76,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK K FREEBURN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK K FREEBURN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014628376",
      "name": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "address": "6408 FAYETTEVILLE ROAD",
      "city": "RAEFORD",
      "state": "NC",
      "zip": "28376",
      "county": "HOKE",
      "latitude": 35.0210006098004,
      "longitude": -79.1492186598503,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 8,
      "rating": null,
      "website": "https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-moore-regional-hospital-hoke-campus",
      "status": "corporate_chain",
      "parentSystem": "FirstHealth of the Carolinas",
      "affiliatedSystem": "FirstHealth of the Carolinas",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "FirstHealth of the Carolinas",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raeford-firsthealth-moore-regional-hospital---hoke-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-firsthealth-of-the-carolinas",
      "siblingGroupId": "siblings-nc-firsthealth-of-the-carolinas",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014628376",
        "facility-site-0014628376"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-moore-regional-hospital-hoke-campus"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0014632405",
      "name": "HCA FLORIDA GULF COAST HOSPITAL",
      "address": "449 W 23RD ST",
      "city": "PANAMA CITY",
      "state": "FL",
      "zip": "32405",
      "county": "BAY",
      "latitude": 30.1879158797327,
      "longitude": -85.6651761999995,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 223,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/gulf-coast-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100242",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-panama-city-hca-florida-gulf-coast-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014637317",
      "name": "COPPER BASIN MEDICAL CENTER",
      "address": "144 MEDICAL CENTER DRIVE",
      "city": "COPPERHILL",
      "state": "TN",
      "zip": "37317",
      "county": "POLK",
      "latitude": 35.0269471002435,
      "longitude": -84.3857105099839,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COPPER BASIN MEDICAL CENTER  INC.",
      "parentSystemId": "entity-copper-basin-medical-center-inc",
      "siblingGroupId": "siblings-tn-copper-basin-medical-center-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2016-09-30",
      "ownershipSourceIds": [
        "hifld-location-0014637317",
        "external-resolution-0014637317"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 441315; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 441315; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0014648154",
      "name": "ST MARY MERCY HOSPITAL",
      "address": "36475 FIVE MILE ROAD",
      "city": "LIVONIA",
      "state": "MI",
      "zip": "48154",
      "county": "WAYNE",
      "latitude": 42.3934914098397,
      "longitude": -83.4041493402251,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 273,
      "rating": null,
      "website": "http://www.stmarymercy.org",
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014663108",
      "name": "KINDRED HOSPITAL - ST. LOUIS",
      "address": "4930 LINDELL BOULEVARD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63108",
      "county": "ST. LOUIS",
      "latitude": 38.6430732501352,
      "longitude": -90.2631242102946,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 98,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/transitional-care-hospitals/kindred-hospital-st-louis",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-mo-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-mo-262010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN SHRAKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN SHRAKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014674354",
      "name": "WILLOW CREST HOSPITAL",
      "address": "130 A STREET SOUTHWEST",
      "city": "MIAMI",
      "state": "OK",
      "zip": "74354",
      "county": "OTTAWA",
      "latitude": 36.8724794798162,
      "longitude": -94.8790573001633,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "WILLOW CREST HOSPITAL",
      "peFirm": "New Century Capital Partners",
      "acquiredDate": "January 2017",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Vizion Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-willow-crest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-willow-crest-hospital",
      "siblingGroupId": "siblings-ok-willow-crest-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-willow-crest-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to WILLOW CREST HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLOW CREST HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to WILLOW CREST HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLOW CREST HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014691206",
      "name": "ADVENTIST HEALTH GLENDALE",
      "address": "1509 WILSON TER",
      "city": "GLENDALE",
      "state": "CA",
      "zip": "91206",
      "county": "LOS ANGELES",
      "latitude": 34.1503629699942,
      "longitude": -118.230063749944,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 415,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "campusFamilyId": "campus-ca-050239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014710708",
      "name": "NEW YORK - PRESBYTERIAN LAWRENCE HOSPITAL",
      "address": "55 PALMER AVENUE",
      "city": "BRONXVILLE",
      "state": "NY",
      "zip": "10708",
      "county": "WESTCHESTER",
      "latitude": 40.9420908698055,
      "longitude": -73.8365642002798,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 288,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NewYork-Presbyterian",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronxville-new-york-presbyterian/lawrence-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newyork-presbyterian",
      "siblingGroupId": "siblings-ny-newyork-presbyterian",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014710708",
        "external-resolution-0014710708"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014728217",
      "name": "CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY",
      "address": "8800 NORTH TRYON ST, 4TH FLOOR",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28217",
      "county": "MECKLENBURG",
      "latitude": 35.3067574300345,
      "longitude": -80.7477260904174,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 17,
      "rating": null,
      "website": "http://continuecare.org/charlotte/",
      "status": "corporate_chain",
      "parentSystem": "CHC Community Care",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-nc-chc-community-care",
      "campusFamilyId": "campus-nc-342015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-chc-community-care-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC COMMUNITY CARE, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CHC COMMUNITY CARE, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC COMMUNITY CARE, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CHC COMMUNITY CARE, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014737331",
      "name": "STARR REGIONAL MEDICAL CENTER ETOWAH",
      "address": "886 HIGHWAY 411 NORTH",
      "city": "ETOWAH",
      "state": "TN",
      "zip": "37331",
      "county": "MCMINN",
      "latitude": 35.3450986196456,
      "longitude": -84.5227193598386,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 190,
      "rating": null,
      "website": "http://www.starrregional.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-etowah-starr-regional-medical-center-etowah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014737331",
        "external-resolution-0014737331"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to LifePoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to LifePoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014763112",
      "name": "ST. LOUIS FORENSIC TREATMENT CENTER - NORTH",
      "address": "5351 DELMAR BLVD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63112",
      "county": "ST. LOUIS",
      "latitude": 38.6540115600094,
      "longitude": -90.2763011201919,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSOURI",
      "parentSystemId": "entity-state-of-missouri",
      "siblingGroupId": "siblings-mo-state-of-missouri",
      "campusFamilyId": "campus-mo-264010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014767220",
      "name": "WESLEY WOODLAWN HOSPITAL",
      "address": "2610 NORTH WOODLAWN",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67220",
      "county": "SEDGWICK",
      "latitude": 37.7312246500777,
      "longitude": -97.2605819703787,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 82,
      "rating": null,
      "website": "http://wesleymc.com/location/wesley-woodlawn-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ks-hca-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014767220",
        "external-resolution-0014767220"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014784148",
      "name": "GEORGE E. WAHLEN DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "500 FOOTHILL BOULEVARD",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84148",
      "county": "SALT LAKE",
      "latitude": 40.7573972500596,
      "longitude": -111.840553960316,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.va.gov/salt-lake-city-health-care/locations/george-e-wahlen-department-of-veterans-affairs-medical",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salt-lake-city-george-e.-wahlen-department-of-veterans-affairs-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ut-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ut-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. UT resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. UT resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014791204",
      "name": "GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER",
      "address": "1420 S CENTRAL AVE",
      "city": "GLENDALE",
      "state": "CA",
      "zip": "91204",
      "county": "LOS ANGELES",
      "latitude": 34.1281656297975,
      "longitude": -118.256643169944,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 255,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glendale-glendale-memorial-hospital-and-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050058",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014798201",
      "name": "BHC FAIRFAX HOSPITAL NORTH",
      "address": "916 PACIFIC AVE",
      "city": "EVERETT",
      "state": "WA",
      "zip": "98201",
      "county": "SNOHOMISH",
      "latitude": 47.9757258529713,
      "longitude": -122.217242877669,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://www.fiarfaxhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-wa-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014798201",
        "external-resolution-0014798201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 50T014. The tracker parent candidate was corroborated against Universal Health Services's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 50T014. The tracker parent candidate was corroborated against Universal Health Services's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0014819403",
      "name": "AVENUES RECOVERY MEDICAL CENTER AT VALLEY FORGE, LLC",
      "address": "1033 WEST GERMANTOWN PIKE",
      "city": "NORRISTOWN",
      "state": "PA",
      "zip": "19403",
      "county": "MONTGOMERY",
      "latitude": 40.1586616501259,
      "longitude": -75.3675458099289,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LIVORNO TRUST",
      "parentSystemId": "entity-livorno-trust",
      "siblingGroupId": "siblings-pa-livorno-trust",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-livorno-trust"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIVORNO TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists ELIEZER FRIEDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to LIVORNO TRUST; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIVORNO TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIVORNO TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists ELIEZER FRIEDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to LIVORNO TRUST; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIVORNO TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014830060",
      "name": "WELLSTAR KENNESTONE HOSPITAL",
      "address": "677 CHURCH STREET",
      "city": "MARIETTA",
      "state": "GA",
      "zip": "30060",
      "county": "COBB",
      "latitude": 33.9679525402871,
      "longitude": -84.5513521102877,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 633,
      "rating": null,
      "website": "http://www.wellstar.org/locations/pages/wellstar-kennestone-hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marietta-wellstar-kennestone-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014833912",
      "name": "GULF COAST MEDICAL CENTER LEE MEMORIAL HEALTH SYSTEM",
      "address": "13681 DOCTORS WAY",
      "city": "FORT MYERS",
      "state": "FL",
      "zip": "33912",
      "county": "LEE",
      "latitude": 26.5436460201652,
      "longitude": -81.8500077899257,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 699,
      "rating": null,
      "website": "http://www.leehealth.org/",
      "status": "corporate_chain",
      "parentSystem": "Lee Health",
      "affiliatedSystem": "Leehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Leehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lee-health",
      "siblingGroupId": "siblings-fl-lee-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "lee-health-2024-nonprofit-conversion"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.leehealth.org/about-us/media/press-releases/lee-health-and-lee-county-vote-to-approve-mission"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Lee Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Lee Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014863104",
      "name": "SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER",
      "address": "1465 SOUTH GRAND BOULEVARD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63104",
      "county": "ST. LOUIS",
      "latitude": 38.6217249099286,
      "longitude": -90.2391038902146,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 195,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM CARDINAL GLENNON CHILDREN'S HOSPITAL",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-ssm-health-cardinal-glennon-children-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ssm-cardinal-glennon-children-s-hospital",
      "siblingGroupId": "siblings-mo-ssm-cardinal-glennon-children-s-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-ssm-cardinal-glennon-children-s-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM CARDINAL GLENNON CHILDREN'S HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM CARDINAL GLENNON CHILDREN'S HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM CARDINAL GLENNON CHILDREN'S HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM CARDINAL GLENNON CHILDREN'S HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014867214",
      "name": "SELECT SPECIALTY HOSPITAL - WICHITA",
      "address": "929 NORTH ST FRANCIS, 6TH FLOOR, NORTH TOWER",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67214",
      "county": "SEDGWICK",
      "latitude": 37.699470560082,
      "longitude": -97.331306220408,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "www.selectmedical.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-select-specialty-hospital-wichita/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ks-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC CHRISTENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC CHRISTENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014874743",
      "name": "LANE FROST HEALTH AND REHABILITATION CENTER",
      "address": "2815 EAST JACKSON STREET",
      "city": "HUGO",
      "state": "OK",
      "zip": "74743",
      "county": "CHOCTAW",
      "latitude": 34.0024266999299,
      "longitude": -95.4811981698559,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://www.lanefrosthealth.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hugo-lane-frost-health-and-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rural Healthcare of Oklahoma, Inc.",
      "parentSystemId": "entity-rural-healthcare-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-rural-healthcare-of-oklahoma-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014874743",
        "external-resolution-0014874743"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://npiregistry.cms.hhs.gov/provider-view/1144546011"
      ],
      "ownershipProofNotes": "The CMS NPPES identity record names Rural Healthcare of Oklahoma, Inc. as the legal organization for the exact Hugo location. The nonprofit class is retained from the source and CMS provider record.",
      "parentSystemEvidence": "The CMS NPPES identity record names Rural Healthcare of Oklahoma, Inc. as the legal organization for the exact Hugo location. The nonprofit class is retained from the source and CMS provider record."
    },
    {
      "id": "0014875237",
      "name": "METHODIST REHABILITATION HOSPITAL",
      "address": "3020 WEST WHEATLAND ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75237",
      "county": "DALLAS",
      "latitude": 32.6463377802082,
      "longitude": -96.8710240197362,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.methodist-rehab.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "MHS CHC LLC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673031",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-methodist-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: MHS CHC LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHARI MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MHS CHC LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mhs-chc-llc",
      "siblingGroupId": "siblings-tx-mhs-chc-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: MHS CHC LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHARI MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MHS CHC LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014898168",
      "name": "CASCADE BEHAVIORAL HEALTH",
      "address": "12844 MILITARY ROAD SOUTH",
      "city": "TUKWILA",
      "state": "WA",
      "zip": "98168",
      "county": "KING",
      "latitude": 47.4877049002756,
      "longitude": -122.295978580084,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 137,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=207",
      "status": "corporate_chain",
      "parentSystem": "CASCADE BEHAVIORAL HEALTH",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-cascade-behavioral-health-wa-tukwila-0014898168",
      "siblingGroupId": "siblings-wa-cascade-behavioral-health-wa-tukwila-0014898168",
      "ownershipRelationship": "self_operated_or_independent_candidate",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014898168",
        "external-resolution-0014898168"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wsha.org/hospitaldetail.cfm?hid=207"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014932547",
      "name": "GULF COAST TREATMENT CENTER",
      "address": "1015 MAR WALT DR",
      "city": "FORT WALTON BEACH",
      "state": "FL",
      "zip": "32547",
      "county": "OKALOOSA",
      "latitude": 30.4555941403098,
      "longitude": -86.6359252901178,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "website": "http://www.uhsinc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-walton-beach-gulf-coast-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014932547",
        "external-resolution-0014932547"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0014948202",
      "name": "HENRY FORD HOSPITAL",
      "address": "2799 W GRAND BLVD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48202",
      "county": "WAYNE",
      "latitude": 42.3676867799932,
      "longitude": -83.0847231198336,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 877,
      "rating": null,
      "website": "http://www.henryfordhealth.org",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH PARENT",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-henry-ford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-parent",
      "siblingGroupId": "siblings-mi-henry-ford-health-parent",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH PARENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH PARENT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH PARENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH PARENT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014967235",
      "name": "ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC",
      "address": "14800 WEST SAINT TERESA STREET",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67235",
      "county": "SEDGWICK",
      "latitude": 37.7257468800915,
      "longitude": -97.513210480441,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "website": "www.viachristi.org",
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-ks-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0014967235",
        "external-resolution-0014967235"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0014973142",
      "name": "MERCY REHABILITATION HOSPITAL OKLAHOMA CITY",
      "address": "5401 W MEMORIAL ROAD",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73142",
      "county": "OKLAHOMA",
      "latitude": 35.6107780503269,
      "longitude": -97.6150919103611,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-mercy-rehabilitation-hospital-oklahoma-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ok-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS ELLIOTT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS ELLIOTT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014977030",
      "name": "MICHAEL E. DEBAKEY DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "2002 HOLCOMBE BOULEVARD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.6997657496151,
      "longitude": -95.3887734495604,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 349,
      "rating": null,
      "website": "https://www.va.gov/houston-health-care/locations/michael-e-debakey-department-of-veterans-affairs-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tx-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0014998166",
      "name": "REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE",
      "address": "16251 SYLVESTER RD SW",
      "city": "BURIEN",
      "state": "WA",
      "zip": "98166",
      "county": "KING",
      "latitude": 47.4578924402519,
      "longitude": -122.343383540009,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 31,
      "rating": null,
      "website": "https://www.chifranciscan.org/regional-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burien-regional-hospital-for-respiratory-&-complex-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-wa-commonspirit-health",
      "campusFamilyId": "campus-wa-500011",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015016504",
      "name": "ERIE VETERANS AFFAIRS MEDICAL CENTER",
      "address": "135 EAST 38TH STREET",
      "city": "ERIE",
      "state": "PA",
      "zip": "16504",
      "county": "ERIE",
      "latitude": 42.102201999725,
      "longitude": -80.0632930000659,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 78,
      "rating": null,
      "website": "http://www.erie.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erie-erie-veterans-affairs-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-pa-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015033612",
      "name": "H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL",
      "address": "12902 MAGNOLIA DR",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33612",
      "county": "HILLSBOROUGH",
      "latitude": 28.064098720318,
      "longitude": -82.4213080298639,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 218,
      "rating": null,
      "website": "http://www.moffitt.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.",
      "parentSystemId": "entity-h-lee-moffitt-cancer-center-and-research-institute-hospital-inc",
      "siblingGroupId": "siblings-fl-h-lee-moffitt-cancer-center-and-research-institute-hospital-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-593238634"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/593238634"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): H Lee Moffitt Cancer Center And Research Institute Hospital Inc. Resolved parent/control boundary: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): H Lee Moffitt Cancer Center And Research Institute Hospital Inc. Resolved parent/control boundary: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015054956",
      "name": "THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC",
      "address": "130 2ND ST",
      "city": "NEENAH",
      "state": "WI",
      "zip": "54956",
      "county": "WINNEBAGO",
      "latitude": 44.1874895598297,
      "longitude": -88.4533849295597,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 182,
      "rating": null,
      "website": "http://www.thedacare.org",
      "status": "corporate_chain",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "affiliatedSystem": "Thedacare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Thedacare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-neenah-thedacare-regional-medical-center---neenah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015063118",
      "name": "SOUTH CITY HOSPITAL",
      "address": "3933 SOUTH BROADWAY",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63118",
      "county": "ST. LOUIS",
      "latitude": 38.5835259400334,
      "longitude": -90.2286144997972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 178,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-south-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015063118",
        "external-resolution-0015063118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mo.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0015070809",
      "name": "KPC PROMISE HOSPITAL OF BATON ROUGE",
      "address": "5130 MANCUSO LANE",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70809",
      "county": "EAST BATON ROUGE",
      "latitude": 30.3973898100265,
      "longitude": -91.1024841600587,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "website": "http://batonrouge.kpcph.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BATON ROUGE SPECIALTY HOSPITAL",
      "parentSystemId": "entity-baton-rouge-specialty-hospital",
      "siblingGroupId": "siblings-la-baton-rouge-specialty-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-baton-rouge-specialty-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: BATON ROUGE SPECIALTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BATON ROUGE SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATON ROUGE SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BATON ROUGE SPECIALTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BATON ROUGE SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATON ROUGE SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015078229",
      "name": "AUDIE L. MURPHY MEMORIAL VETERANS' HOSPITAL",
      "address": "7400 MERTON MINTER BOULEVARD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5066647598036,
      "longitude": -98.5798455795945,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 268,
      "rating": null,
      "website": "https://www.southtexas.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tx-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015098498",
      "name": "CHILD STUDY AND TREATMENT CENTER",
      "address": "8805 STEILACOOM BOULEVARD SW",
      "city": "LAKEWOOD",
      "state": "WA",
      "zip": "98498",
      "county": "PIERCE",
      "latitude": 47.1809564298259,
      "longitude": -122.56443103964,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 47,
      "rating": null,
      "website": "https://www.dshs.wa.gov/bha/division-state-hospitals/child-study-and-treatment-center",
      "status": "corporate_chain",
      "parentSystem": "Dshs Wa",
      "affiliatedSystem": "Dshs Wa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs Wa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakewood-child-study-and-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dshs-wa",
      "siblingGroupId": "siblings-wa-dshs-wa",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015098498",
        "external-resolution-0015098498"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.dshs.wa.gov/bha/division-state-hospitals/child-study-and-treatment-center"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015105009",
      "name": "WHITE RIVER JUNCTION VA MEDICAL CENTER",
      "address": "163 VETERANS DRIVE",
      "city": "WHITE RIVER JUNCTION",
      "state": "VT",
      "zip": "05001",
      "county": "WINDSOR",
      "latitude": 43.6484932203228,
      "longitude": -72.3425365703039,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.whiteriver.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-vt-veterans-health-administration",
      "campusFamilyId": "campus-vt-47001f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VT resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VT resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015127401",
      "name": "SELECT SPECIALTY HOSPITAL - GREENSBORO",
      "address": "1200 NORTH ELM STREET",
      "city": "GREENSBORO",
      "state": "NC",
      "zip": "27401",
      "county": "GUILFORD",
      "latitude": 36.0910179903543,
      "longitude": -79.7860481098848,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://greensboro.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "RISANT HEALTH, INC.",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensboro-select-specialty-hospital---greensboro/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-risant-health-inc",
      "siblingGroupId": "siblings-nc-risant-health-inc",
      "campusFamilyId": "campus-nc-340091",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-risant-health-cone-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.conehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RISANT HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARY J CAGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Risant Health / Cone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RISANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RISANT HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARY J CAGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Risant Health / Cone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RISANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015171111",
      "name": "PROMISE HOSPITAL OF LOUISIANA-BOSSIER CITY CAMPUS",
      "address": "2525 VIKING DR",
      "city": "BOSSIER CITY",
      "state": "LA",
      "zip": "71111",
      "county": "BOSSIER",
      "latitude": 32.5560083900106,
      "longitude": -93.7168636701164,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 196,
      "rating": null,
      "website": "http://promise-louisiana.com/our-culture/what-we-provide/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bossier-city-promise-hospital-of-louisiana-bossier-city-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Promise Healthcare",
      "parentSystemId": "entity-promise-healthcare",
      "siblingGroupId": "siblings-la-promise-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015171111",
        "external-resolution-0015171111"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20190927001473 (192010). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20190927001473 (192010). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0015175230",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DALLAS",
      "address": "7930 NORTHAVEN ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75230",
      "county": "DALLAS",
      "latitude": 32.9010703303257,
      "longitude": -96.7705220400714,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.healthsouthdallas.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-encompass-health-rehabilitation-hospital-of-dallas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015198272",
      "name": "FAIRFAX BEHAVIORAL HEALTH MONROE",
      "address": "14701 179TH AVE SE",
      "city": "MONROE",
      "state": "WA",
      "zip": "98272",
      "county": "SNOHOMISH",
      "latitude": 47.8639529802931,
      "longitude": -121.98829701726,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://www.fiarfaxhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroe-fairfax-behavioral-health-monroe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2",
      "parentSystemId": "entity-king-county-public-hospital-district-no-2",
      "siblingGroupId": "siblings-wa-king-county-public-hospital-district-no-2",
      "campusFamilyId": "campus-wa-500084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-king-county-public-hospital-district-no-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA M LAPLANTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA M LAPLANTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015245069",
      "name": "WEST CHESTER MEDICAL CENTER",
      "address": "7700 UNIVERSITY DRIVE",
      "city": "WEST CHESTER",
      "state": "OH",
      "zip": "45069",
      "county": "BUTLER",
      "latitude": 39.358023870294,
      "longitude": -84.3675649499781,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 216,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-chester-west-chester-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UC HEALTH LLC",
      "parentSystemId": "entity-uc-health-llc",
      "siblingGroupId": "siblings-oh-uc-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-uc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015248184",
      "name": "BEAUMONT HOSPITAL - WAYNE",
      "address": "33155 ANNAPOLIS AVE",
      "city": "WAYNE",
      "state": "MI",
      "zip": "48184",
      "county": "WAYNE",
      "latitude": 42.2730327899062,
      "longitude": -83.3644051402788,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "website": "https://www.oakwood.org/beaumont-hospital-wayne",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wayne-beaumont-hospital-wayne/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015254904",
      "name": "ASCENSION NE WISCONSIN - MERCY CAMPUS",
      "address": "500 S OAKWOOD RD",
      "city": "OSHKOSH",
      "state": "WI",
      "zip": "54904",
      "county": "WINNEBAGO",
      "latitude": 44.0124207200918,
      "longitude": -88.6010454900138,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 157,
      "rating": null,
      "website": "http://www.affinityhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oshkosh-ascension-ne-wisconsin-mercy-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-wi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015254904",
        "external-resolution-0015254904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015263139",
      "name": "ST. LOUIS FORENSIC TREATMENT CENTER - SOUTH",
      "address": "5300 ARSENAL STREET",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63139",
      "county": "ST. LOUIS",
      "latitude": 38.6049898999818,
      "longitude": -90.277309680321,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 180,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSOURI",
      "parentSystemId": "entity-state-of-missouri",
      "siblingGroupId": "siblings-mo-state-of-missouri",
      "campusFamilyId": "campus-mo-264010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015267206",
      "name": "ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC",
      "address": "1151 NORTH ROCK ROAD",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67206",
      "county": "SEDGWICK",
      "latitude": 37.7039215601781,
      "longitude": -97.2460288702122,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "www.viachristi.org",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION VIA CHRISTI HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-via-christi-health-inc",
      "siblingGroupId": "siblings-ks-ascension-via-christi-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION VIA CHRISTI HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION VIA CHRISTI HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015275231",
      "name": "KINDRED HOSPITAL DALLAS CENTRAL",
      "address": "8050 MEADOW ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75231",
      "county": "DALLAS",
      "latitude": 32.8868948999168,
      "longitude": -96.7673883300848,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452108",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015276504",
      "name": "OLIN E. TEAGUE VETERANS' CENTER",
      "address": "1901 VETERANS MEMORIAL DRIVE",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76504",
      "county": "BELL",
      "latitude": 31.0764042303749,
      "longitude": -97.3475798099393,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 177,
      "rating": null,
      "website": "https://www.centraltexas.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tx-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015330904",
      "name": "TRINITY HOSPITAL OF AUGUSTA",
      "address": "2260 WRIGHTSBORO ROAD",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30904",
      "county": "RICHMOND",
      "latitude": 33.4657290696804,
      "longitude": -82.0183653000656,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 231,
      "rating": null,
      "website": "http://www.trinityofaugusta.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TRINITY HOSPITAL OF AUGUSTA",
      "parentSystemId": "entity-trinity-hospital-of-augusta",
      "siblingGroupId": "siblings-ga-trinity-hospital-of-augusta",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2016-09-30",
      "ownershipSourceIds": [
        "hifld-location-0015330904",
        "external-resolution-0015330904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 110039; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 110039; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0015332127",
      "name": "HALIFAX HEALTH MEDICAL CENTER - PORT ORANGE",
      "address": "1041 DUNLAWTON AVE",
      "city": "PORT ORANGE",
      "state": "FL",
      "zip": "32127",
      "county": "VOLUSIA",
      "latitude": 29.1262115102276,
      "longitude": -81.0085738403764,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "website": "http://www.hfch.org/hmc-port_orange.html",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-orange-halifax-health-medical-center---port-orange/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Halifax Health",
      "parentSystemId": "entity-halifax-health",
      "siblingGroupId": "siblings-fl-halifax-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015332127",
        "external-resolution-0015332127"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://halifaxhealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Halifax Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Halifax Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0015346260",
      "name": "ASCENSION ST VINCENT SETON SPECIALTY HOSPITAL",
      "address": "8050 TOWNSHIP LINE RD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46260",
      "county": "MARION",
      "latitude": 39.901812459658,
      "longitude": -86.2043655402693,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015348236",
      "name": "SELECT SPECIALTY HOSPITAL - GROSSE POINTE",
      "address": "22101 MOROSS ROAD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.4199613868558,
      "longitude": -82.9146555327014,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015363110",
      "name": "ST. LOUIS CHILDREN'S HOSPITAL",
      "address": "1 CHILDREN'S PLACE",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63110",
      "county": "ST. LOUIS",
      "latitude": 38.6389438497279,
      "longitude": -90.2641711599273,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 417,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-st.-louis-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ST LOUIS CHILDREN'S HOSPITAL",
      "parentSystemId": "entity-st-louis-children-s-hospital",
      "siblingGroupId": "siblings-mo-st-louis-children-s-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-st-louis-children-s-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to ST LOUIS CHILDREN'S HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LOUIS CHILDREN'S HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to ST LOUIS CHILDREN'S HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LOUIS CHILDREN'S HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015371373",
      "name": "RIVERBRIDGE SPECIALTY HOSPITAL",
      "address": "209 FRONT STREET",
      "city": "VIDALIA",
      "state": "LA",
      "zip": "71373",
      "county": "CONCORDIA",
      "latitude": 31.5611748596745,
      "longitude": -91.4260669795929,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "https://riverbridgela.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vidalia-riverbridge-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SENTRY- PROPERTIES INC",
      "parentSystemId": "entity-sentry-properties-inc",
      "siblingGroupId": "siblings-la-sentry-properties-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTRY- PROPERTIES INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists CHRISTOPHER H CHEEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTRY- PROPERTIES INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTRY- PROPERTIES INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists CHRISTOPHER H CHEEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTRY- PROPERTIES INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015399204",
      "name": "SACRED HEART MEDICAL CENTER AND CHILDRENS HOSPITAL",
      "address": "101 8TH AVE W",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99220",
      "county": "SPOKANE",
      "latitude": 47.6492129999384,
      "longitude": -117.4135953898,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 701,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=92",
      "status": "corporate_chain",
      "parentSystem": "SACRED HEART MEDICAL CENTER AND CHILDRENS HOSPITAL",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sacred-heart-medical-center-and-childrens-hospital-wa-spokane-0015399204",
      "siblingGroupId": "siblings-wa-sacred-heart-medical-center-and-childrens-hospital-wa-spokane-0015399204",
      "ownershipRelationship": "self_operated_or_independent_candidate",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015399204",
        "external-resolution-0015399204"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wsha.org/hospitaldetail.cfm?hid=92"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015418104",
      "name": "LVH COORDINATED ALLENTOWN",
      "address": "1503 CEDAR CREST BOULEVARD",
      "city": "ALLENTOWN",
      "state": "PA",
      "zip": "18104",
      "county": "LEHIGH",
      "latitude": 40.6127542897225,
      "longitude": -75.529232909571,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LVH-COORDINATED ALLENTOWN",
      "parentSystemId": "entity-lvh-coordinated-allentown",
      "siblingGroupId": "siblings-pa-lvh-coordinated-allentown",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-07-31",
      "ownershipSourceIds": [
        "hifld-location-0015418104",
        "external-resolution-0015418104"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 390321; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 390321; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0015432117",
      "name": "HALIFAX PSYCHIATRIC CENTER - NORTH",
      "address": "841 JIMMY ANN DR",
      "city": "DAYTONA BEACH",
      "state": "FL",
      "zip": "32117",
      "county": "VOLUSIA",
      "latitude": 29.2140196699085,
      "longitude": -81.0685932696101,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://www.halifaxhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Halifaxhealth",
      "affiliatedSystem": "Halifaxhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Halifaxhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-daytona-beach-halifax-psychiatric-center-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-halifaxhealth",
      "siblingGroupId": "siblings-fl-halifaxhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015432117",
        "external-resolution-0015432117"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.halifaxhealth.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015448192",
      "name": "HENRY FORD WYANDOTTE HOSPITAL",
      "address": "2333 BIDDLE AVE",
      "city": "WYANDOTTE",
      "state": "MI",
      "zip": "48192",
      "county": "WAYNE",
      "latitude": 42.2101021799934,
      "longitude": -83.1472289141955,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 322,
      "rating": null,
      "website": "http://www.henryfordhealth.org",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230146",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015454495",
      "name": "ASPIRUS RIVERVIEW HOSPITAL AND CLINICS INC",
      "address": "410 DEWEY ST",
      "city": "WISCONSIN RAPIDS",
      "state": "WI",
      "zip": "54495",
      "county": "WOOD",
      "latitude": 44.3817334001628,
      "longitude": -89.8303047996357,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 99,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015463104",
      "name": "SSM HEALTH SAINT LOUIS UNIVERSITY HOSP",
      "address": "1755 SOUTH GRAND BLVD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63110",
      "county": "ST. LOUIS",
      "latitude": 38.6156014296961,
      "longitude": -90.2403566097429,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 6,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE ST LOUIS",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-st-louis",
      "siblingGroupId": "siblings-mo-ssm-health-care-st-louis",
      "campusFamilyId": "campus-mo-260105",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015467212",
      "name": "WESLEY REHABILITATION HOSPITAL",
      "address": "8338 WEST 13TH, AN AFFILIATE OF ENCOMPASS HEALTH",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67212",
      "county": "SEDGWICK",
      "latitude": 37.7095818398518,
      "longitude": -97.4388227704273,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 65,
      "rating": null,
      "website": "www.emcompasshealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015467212",
        "external-resolution-0015467212"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.emcompasshealth.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0015510461",
      "name": "CALVARY HOSPITAL INC",
      "address": "1740-70 EASTCHESTER ROAD",
      "city": "BRONX",
      "state": "NY",
      "zip": "10461",
      "county": "BRONX",
      "latitude": 40.8479898897152,
      "longitude": -73.843941629822,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 200,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-calvary-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH CARE SYSTEMS",
      "parentSystemId": "entity-catholic-health-care-systems",
      "siblingGroupId": "siblings-ny-catholic-health-care-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH CARE SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH CARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH CARE SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH CARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015519146",
      "name": "GOOD SHEPHERD PENN PARTNERS SPECIALTY HOSPITAL AT RITTENHOUSE",
      "address": "1800 LOMBARD STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19146",
      "county": "PHILADELPHIA",
      "latitude": 39.9448678500156,
      "longitude": -75.1725228696936,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-good-shepherd-penn-partners-specialty-hospital-at-rittenhouse/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PHILADELPHIA POST-ACUTE PARTNERS LLC",
      "parentSystemId": "entity-philadelphia-post-acute-partners-llc",
      "siblingGroupId": "siblings-pa-philadelphia-post-acute-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHILADELPHIA POST-ACUTE PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHILADELPHIA POST-ACUTE PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015548183",
      "name": "BEAUMONT HOSPITAL - TRENTON",
      "address": "5450 FORT STREET",
      "city": "TRENTON",
      "state": "MI",
      "zip": "48183",
      "county": "WAYNE",
      "latitude": 42.116989970144,
      "longitude": -83.2134781302802,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 193,
      "rating": null,
      "website": "https://www.oakwood.org/beaumont-hospital-trenton",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-trenton-beaumont-hospital-trenton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTINA FREESE DECKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTINA FREESE DECKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015563111",
      "name": "SSM HEALTH SAINT LOUIS UNIVERSITY HOSP",
      "address": "3635 VISTA AVENUE",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63110",
      "county": "ST. LOUIS",
      "latitude": 38.6229560503012,
      "longitude": -90.2386862203199,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 56,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE ST LOUIS",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-st-louis",
      "siblingGroupId": "siblings-mo-ssm-health-care-st-louis",
      "campusFamilyId": "campus-mo-260105",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015567207",
      "name": "AMG SPECIALTY HOSPITAL-WICHITA",
      "address": "8080 E PAWNEE",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67207",
      "county": "SEDGWICK",
      "latitude": 37.6550877098321,
      "longitude": -97.2426940400099,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "website": "http://www.amgwichita.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-amg-specialty-hospital-wichita/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG Integrated Healthcare Management",
      "parentSystemId": "entity-amg-integrated-healthcare-management",
      "siblingGroupId": "siblings-ks-amg-integrated-healthcare-management",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015567207",
        "external-resolution-0015567207"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.amgwichita.com/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to AMG Integrated Healthcare Management and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to AMG Integrated Healthcare Management and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0015579930",
      "name": "EL PASO VA HEALTH CARE SYSTEM",
      "address": "5001 N PIEDRAS",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79930",
      "county": "EL PASO",
      "latitude": 31.820795549841,
      "longitude": -106.462482149767,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.elpaso.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-el-paso-va-health-care-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-tx-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015579930",
        "external-resolution-0015579930"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015610467",
      "name": "NORTH CENTRAL BRONX HOSPITAL",
      "address": "3424 KOSSUTH AVENUE AND 210TH STREET",
      "city": "BRONX",
      "state": "NY",
      "zip": "10467",
      "county": "BRONX",
      "latitude": 40.8803655997756,
      "longitude": -73.8810571104136,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 213,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-north-central-bronx-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTH CENTRAL BRONX HOSPITAL",
      "parentSystemId": "entity-north-central-bronx-hospital",
      "siblingGroupId": "siblings-ny-north-central-bronx-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-06-30",
      "ownershipSourceIds": [
        "hifld-location-0015610467",
        "external-resolution-0015610467"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 330385; Type of Control 12 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 330385; Type of Control 12 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0015617402",
      "name": "OSS HEALTH",
      "address": "1861 POWDER MILL ROAD",
      "city": "YORK",
      "state": "PA",
      "zip": "17402",
      "county": "YORK",
      "latitude": 39.9169224101223,
      "longitude": -76.6955446504422,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OSS ORTHOPAEDIC HOSPITAL PARTNERS LLC",
      "parentSystemId": "entity-oss-orthopaedic-hospital-partners-llc",
      "siblingGroupId": "siblings-pa-oss-orthopaedic-hospital-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSS ORTHOPAEDIC HOSPITAL PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSS ORTHOPAEDIC HOSPITAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSS ORTHOPAEDIC HOSPITAL PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSS ORTHOPAEDIC HOSPITAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015623435",
      "name": "BON SECOURS HEALTH CENTER AT HARBOUR VIEW",
      "address": "5818 HARBOUR VIEW BOULEVARD",
      "city": "SUFFOLK",
      "state": "VA",
      "zip": "23435",
      "county": "SUFFOLK",
      "latitude": 36.8685726496723,
      "longitude": -76.4418992196305,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.bonsecourshamptonroads.com/find-a-facility-harbour-view-health-center.html",
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-suffolk-bon-secours-health-center-at-harbour-view/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-va-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015623435",
        "external-resolution-0015623435"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015630742",
      "name": "CHI MEMORIAL HOSPITAL - GEORGIA",
      "address": "100 GROSS CRESCENT CIRCLE",
      "city": "FORT OGLETHORPE",
      "state": "GA",
      "zip": "30742",
      "county": "CATOOSA",
      "latitude": 34.9468779299184,
      "longitude": -85.2636795898236,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 179,
      "rating": null,
      "website": "http://cornerstonemedicalcenter.org/",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-oglethorpe-chi-memorial-hospital-georgia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ga-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015630742",
        "external-resolution-0015630742"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015632435",
      "name": "HEALTHMARK REGIONAL MEDICAL CENTER",
      "address": "4413 US HWY 331 S",
      "city": "DEFUNIAK SPRINGS",
      "state": "FL",
      "zip": "32435",
      "county": "WALTON",
      "latitude": 30.6597162197108,
      "longitude": -86.1179504198672,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://healthmarkregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NORTH WALTON HEALTHCARE CAMPUS LLC",
      "parentSystemId": "entity-north-walton-healthcare-campus-llc",
      "siblingGroupId": "siblings-fl-north-walton-healthcare-campus-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-north-walton-healthcare-campus-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to NORTH WALTON HEALTHCARE CAMPUS LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH WALTON HEALTHCARE CAMPUS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to NORTH WALTON HEALTHCARE CAMPUS LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH WALTON HEALTHCARE CAMPUS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015645828",
      "name": "MERCER CO. JOINT TWNSHP COMM HOSP",
      "address": "800 WEST MAIN STREET",
      "city": "COLDWATER",
      "state": "OH",
      "zip": "45828",
      "county": "MERCER",
      "latitude": 40.4807559097492,
      "longitude": -84.6389042499044,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 88,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL",
      "parentSystemId": "entity-mercer-county-joint-township-community-hospital",
      "siblingGroupId": "siblings-oh-mercer-county-joint-township-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-mercer-county-joint-township-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015663110",
      "name": "THE REHABILITATION INSTITUTE OF ST. LOUIS",
      "address": "4455 DUNCAN AVENUE",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63110",
      "county": "ST. LOUIS",
      "latitude": 38.6371920400758,
      "longitude": -90.2579411197514,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 96,
      "rating": null,
      "website": "http://www.rehabinstitutestl.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-the-rehabilitation-institute-of-st.-louis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-mo-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015676711",
      "name": "DORIS MILLER DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "4800 MEMORIAL DR",
      "city": "WACO",
      "state": "TX",
      "zip": "76711",
      "county": "MCLENNAN",
      "latitude": 31.5114555703578,
      "longitude": -97.1641401404395,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 146,
      "rating": null,
      "website": "http://www.centraltexas.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waco-doris-miller-department-of-veterans-affairs-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-tx-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015676711",
        "external-resolution-0015676711"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015710451",
      "name": "LINCOLN MEDICAL AND MENTAL HEALTH CENTER",
      "address": "234 EAST 149TH STREET",
      "city": "BRONX",
      "state": "NY",
      "zip": "10451",
      "county": "BRONX",
      "latitude": 40.8160855000058,
      "longitude": -73.9247762000835,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 362,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015723434",
      "name": "LAKEVIEW MEDICAL CENTER",
      "address": "2000 MEADE PARKWAY",
      "city": "SUFFOLK",
      "state": "VA",
      "zip": "23434",
      "county": "SUFFOLK",
      "latitude": 36.7605490602689,
      "longitude": -76.5945602000113,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.lakeviewmed.org/index.cfm/fuseaction/site.physicians/action/dtl/phys/99842375.cfm",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-suffolk-lakeview-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015723434",
        "facility-site-0015723434"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.lakeviewmed.org/index.cfm/fuseaction/site.physicians/action/dtl/phys/99842375.cfm"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high, ownership_class_unresolved."
    },
    {
      "id": "0015763670",
      "name": "STE GENEVIEVE COUNTY MEMORIAL HOSPIT",
      "address": "800 STE GENEVIEVE DRIVE, PO BOX 468",
      "city": "STE. GENEVIEVE",
      "state": "MO",
      "zip": "63670",
      "county": "STE. GENEVIEVE",
      "latitude": 37.9693422300416,
      "longitude": -90.0546549095942,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 47,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STE GENEVIEVE COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-ste-genevieve-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-ste-genevieve-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STE GENEVIEVE COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STE GENEVIEVE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STE GENEVIEVE COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STE GENEVIEVE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015767156",
      "name": "WILLIAM NEWTON MEMORIAL HOSPITAL",
      "address": "1300 EAST 5TH AVENUE",
      "city": "WINFIELD",
      "state": "KS",
      "zip": "67156",
      "county": "COWLEY",
      "latitude": 37.2451680698758,
      "longitude": -96.9821015499322,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WILLIAM NEWTON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-william-newton-memorial-hospital",
      "siblingGroupId": "siblings-ks-william-newton-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-william-newton-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to WILLIAM NEWTON MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAM NEWTON MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to WILLIAM NEWTON MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAM NEWTON MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015770433",
      "name": "REGENCY HOSPITAL OF COVINGTON",
      "address": "195 HIGHLAND PARK ENTRANCE",
      "city": "COVINGTON",
      "state": "LA",
      "zip": "70433",
      "county": "ST. TAMMANY",
      "latitude": 30.458434459758,
      "longitude": -90.1350371098382,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "website": "http://www.regencyhospital.com",
      "status": "corporate_chain",
      "parentSystem": "Regencyhospital",
      "affiliatedSystem": "Regencyhospital",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Regencyhospital",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-regency-hospital-of-covington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-regencyhospital",
      "siblingGroupId": "siblings-la-regencyhospital",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015770433",
        "external-resolution-0015770433"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.regencyhospital.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015798029",
      "name": "SWEDISH MEDICAL CENTER - ISSAQUAH CAMPUS",
      "address": "751 NE BLAKELY DR",
      "city": "ISSAQUAH",
      "state": "WA",
      "zip": "98029",
      "county": "KING",
      "latitude": 47.536148240269,
      "longitude": -122.021808950107,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 144,
      "rating": null,
      "website": "http://www.swedish.org/",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-issaquah-swedish-medical-center---issaquah-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "campusFamilyId": "campus-wa-500152",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015833908",
      "name": "HEALTHPARK MEDICAL CENTER",
      "address": "9981 HEALTHPARK CIR",
      "city": "FORT MYERS",
      "state": "FL",
      "zip": "33908",
      "county": "LEE",
      "latitude": 26.5072799997634,
      "longitude": -81.9130482696295,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 461,
      "rating": null,
      "website": "www.leehealth.org",
      "status": "corporate_chain",
      "affiliatedSystem": "Leehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Leehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-myers-healthpark-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015833908",
        "external-resolution-0015833908"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.leehealth.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0015847630",
      "name": "THE HEART HOSPITAL AT DEACONESS GATEWAY LLC",
      "address": "4007 GATEWAY BLVD",
      "city": "NEWBURGH",
      "state": "IN",
      "zip": "47630",
      "county": "WARRICK",
      "latitude": 37.974883169782,
      "longitude": -87.4451077797078,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "website": "http://www.deaconess.com/",
      "status": "corporate_chain",
      "parentSystem": "Deaconess",
      "affiliatedSystem": "Deaconess",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Deaconess",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newburgh-the-heart-hospital-at-deaconess-gateway-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-deaconess",
      "siblingGroupId": "siblings-in-deaconess",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015847630",
        "external-resolution-0015847630"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.deaconess.com/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015863841",
      "name": "SOUTHEASTHEALTH CENTER OF STODDARD",
      "address": "1200 NORTH ONE MILE ROAD",
      "city": "DEXTER",
      "state": "MO",
      "zip": "63841",
      "county": "STODDARD",
      "latitude": 36.8074795899672,
      "longitude": -89.9683237403487,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015878550",
      "name": "VA HEALTH CARE CENTER (HCC) AT HARLINGEN",
      "address": "2601 VETERANS DR",
      "city": "HARLINGEN",
      "state": "TX",
      "zip": "78550",
      "county": "CAMERON",
      "latitude": 26.1710421502179,
      "longitude": -97.6672769604238,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.texasvalley.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harlingen-va-health-care-center-hcc-at-harlingen/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-tx-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0015878550",
        "external-resolution-0015878550"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0015932405",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PANAMA CITY",
      "address": "1847 FLORIDA AVE",
      "city": "PANAMA CITY",
      "state": "FL",
      "zip": "32405",
      "county": "BAY",
      "latitude": 30.181889919848,
      "longitude": -85.6691749902996,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 75,
      "rating": null,
      "website": "https://encompasshealth.com/panamacityrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015946804",
      "name": "THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWORK",
      "address": "7952 W JEFFERSON BLVD",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46804",
      "county": "ALLEN",
      "latitude": 41.0402848403216,
      "longitude": -85.2391254297164,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "website": "http://www.theorthohospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-wayne-the-orthopaedic-hospital-of-lutheran-health-network/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015962863",
      "name": "WABASH GENERAL HOSPITAL DISTRICT",
      "address": "1418 COLLEGE DRIVE",
      "city": "MOUNT CARMEL",
      "state": "IL",
      "zip": "62863",
      "county": "WABASH",
      "latitude": 38.4206069301462,
      "longitude": -87.7693888399494,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.wabashgeneral.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WABASH GENERAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-wabash-general-hospital-district",
      "siblingGroupId": "siblings-il-wabash-general-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-verified-parent-wabash-general-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WABASH GENERAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WABASH GENERAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0015970123",
      "name": "RIVER OAKS HOSPITAL",
      "address": "1525 RIVER OAKS ROAD WEST",
      "city": "HARAHAN",
      "state": "LA",
      "zip": "70123",
      "county": "JEFFERSON",
      "latitude": 29.962002000131,
      "longitude": -90.2028057902933,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 126,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-la-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016033770",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LARGO",
      "address": "901 CLEARWATER LARGO RD N",
      "city": "LARGO",
      "state": "FL",
      "zip": "33770",
      "county": "PINELLAS",
      "latitude": 27.9254129599352,
      "longitude": -82.7970152497044,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "website": "https://encompasshealth.com/largorehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-largo-encompass-health-rehabilitation-hospital-of-largo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016048201",
      "name": "HUTZEL WOMEN'S HOSPITAL",
      "address": "3990 JOHN R",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3511369197323,
      "longitude": -83.0558579698307,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 114,
      "rating": null,
      "website": "http://www.harperhospital.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Detroit Medical Center / Tenet Healthcare",
      "parentSystemId": "entity-detroit-medical-center-tenet-healthcare",
      "siblingGroupId": "siblings-mi-detroit-medical-center-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016048201",
        "external-resolution-0016048201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Detroit Medical Center / Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Detroit Medical Center / Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0016076208",
      "name": "BAYLOR SCOTT AND WHITE THE HEART HOSPITAL - DENTON",
      "address": "2801 SOUTH MAYHILL RD",
      "city": "DENTON",
      "state": "TX",
      "zip": "76208",
      "county": "DENTON",
      "latitude": 33.1766214703708,
      "longitude": -97.0873429197634,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denton-baylor-scott-and-white-the-heart-hospital-denton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016093309",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF BAKERSFIELD",
      "address": "5001 COMMERCE DR",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93309",
      "county": "KERN",
      "latitude": 35.3671914999518,
      "longitude": -119.057671840346,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 86,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ca-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016098661",
      "name": "VA MEDICAL CENTER - VANCOUVER CAMPUS",
      "address": "1601 E 4TH PLAIN BLVD",
      "city": "VANCOUVER",
      "state": "WA",
      "zip": "98661",
      "county": "CLARK",
      "latitude": 45.6366381899206,
      "longitude": -122.657249319946,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 72,
      "rating": null,
      "website": "http://www.portland.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vancouver-va-medical-center---vancouver-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-wa-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016098661",
        "external-resolution-0016098661"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0016123225",
      "name": "HUNTER HOLMES MCGUIRE HOSPITAL",
      "address": "1201 BROAD ROCK BOULEVARD",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23249",
      "county": "RICHMOND",
      "latitude": 37.4980742901529,
      "longitude": -77.4676848802212,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 273,
      "rating": null,
      "website": "https://www.richmond.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-va-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016133189",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MIAMI",
      "address": "20601 OLD CUTLER RD",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33189",
      "county": "MIAMI-DADE",
      "latitude": 25.5748498696781,
      "longitude": -80.3409789298139,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "https://encompasshealth.com/miamirehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-encompass-health-rehabilitation-hospital-of-miami/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016144512",
      "name": "MERCY HEALTH ST. ELIZABETH BOARDMAN HOSPITAL",
      "address": "8401 MARKET STREET",
      "city": "BOARDMAN",
      "state": "OH",
      "zip": "44512",
      "county": "MAHONING",
      "latitude": 40.9948849797447,
      "longitude": -80.6600284102499,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 310,
      "rating": null,
      "website": "http://www.mercy.com/youngstown/ho_sebhc.aspx",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016164772",
      "name": "HEARTLAND BEHAVIORAL HEALTH SERVICES",
      "address": "1500 WEST ASHLAND",
      "city": "NEVADA",
      "state": "MO",
      "zip": "64772",
      "county": "VERNON",
      "latitude": 37.8459651599544,
      "longitude": -94.3758349003768,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 69,
      "rating": null,
      "website": "http://www.heartlandbehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nevada-heartland-behavioral-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-mo-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016164772",
        "external-resolution-0016164772"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0016170546",
      "name": "REHABILITATION HOSPITAL OF JENNINGS",
      "address": "1 HOSPITAL DRIVE, SUITE 101",
      "city": "JENNINGS",
      "state": "LA",
      "zip": "70546",
      "county": "JEFFERSON DAVIS",
      "latitude": 30.2399307399366,
      "longitude": -92.6623198497714,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "website": "http://www.jenningsrehab.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jennings-rehabilitation-hospital-of-jennings/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ACADIA REHABILITATION HOSPITAL, LLC",
      "parentSystemId": "entity-acadia-rehabilitation-hospital-llc",
      "siblingGroupId": "siblings-la-acadia-rehabilitation-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists PATRICK GRIFFITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA REHABILITATION HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists PATRICK GRIFFITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA REHABILITATION HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016192680",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN",
      "address": "14851 YORBA ST",
      "city": "TUSTIN",
      "state": "CA",
      "zip": "92780",
      "county": "ORANGE",
      "latitude": 33.7474607401093,
      "longitude": -117.83105563031,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ca-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016215143",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SEWICKLEY, LLC",
      "address": "351 CAMP MEETING ROAD",
      "city": "SEWICKLEY",
      "state": "PA",
      "zip": "15143",
      "county": "ALLEGHENY",
      "latitude": 40.5768579999912,
      "longitude": -80.2027900000013,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sewickley-encompass-health-rehabilitation-hospital-of-sewickley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016234240",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SARASOTA",
      "address": "6400 EDGELAKE DR",
      "city": "SARASOTA",
      "state": "FL",
      "zip": "34240",
      "county": "SARASOTA",
      "latitude": 27.3009395001382,
      "longitude": -82.4426459203184,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 116,
      "rating": null,
      "website": "https://encompasshealth.com/sarasotarehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sarasota-encompass-health-rehabilitation-hospital-of-sarasota/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016244041",
      "name": "UHHS - MEMORIAL HOSP OF GENEVA",
      "address": "870 WEST MAIN STREET",
      "city": "GENEVA",
      "state": "OH",
      "zip": "44041",
      "county": "ASHTABULA",
      "latitude": 41.799473819829,
      "longitude": -80.9621913500936,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-geneva-uhhs-memorial-hospital-of-geneva/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016292543",
      "name": "HEMET VALLEY HEALTH CARE CENTER",
      "address": "371 WESTON PLACE",
      "city": "HEMET",
      "state": "CA",
      "zip": "92543",
      "county": "RIVERSIDE",
      "latitude": 33.752441509961,
      "longitude": -116.960438749929,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 90,
      "rating": null,
      "website": "http://www.hvrc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hemet-hemet-valley-health-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HEMET VALLEY HEALTH CARE CENTER",
      "parentSystemId": "entity-hemet-valley-health-care-center",
      "siblingGroupId": "siblings-ca-hemet-valley-health-care-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016292543",
        "external-resolution-0016292543"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.hvrc.com"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0016331701",
      "name": "PHOEBE NORTH",
      "address": "2000 PALMYRA ROAD",
      "city": "ALBANY",
      "state": "GA",
      "zip": "31701",
      "county": "DOUGHERTY",
      "latitude": 31.6065925601317,
      "longitude": -84.1694145403525,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 248,
      "rating": null,
      "website": "http://phoebeputney.com/phoebecontentpage.aspx?nd=1643",
      "status": "corporate_chain",
      "parentSystem": "Phoebeputney",
      "affiliatedSystem": "Phoebeputney",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Phoebeputney",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-phoebeputney",
      "siblingGroupId": "siblings-ga-phoebeputney",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016331701",
        "external-resolution-0016331701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://phoebeputney.com/phoebecontentpage.aspx?nd=1643"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0016334613",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SPRING HILL",
      "address": "12440 CORTEZ BLVD",
      "city": "BROOKSVILLE",
      "state": "FL",
      "zip": "34613",
      "county": "HERNANDO",
      "latitude": 28.5322636298973,
      "longitude": -82.5169604499758,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "https://encompasshealth.com/springhillrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooksville-encompass-health-rehabilitation-hospital-of-spring-hill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016385712",
      "name": "TMC GEROPSYCHIATRIC CENTER AT HANDMAKER",
      "address": "2221 NORTH ROSEMONT BOULEVARD, BLDG 3, SUITE 200",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85712",
      "county": "PIMA",
      "latitude": 32.2487826501231,
      "longitude": -110.884497970106,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "www.tmcaz.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Tucson Medical Center",
      "parentSystemId": "entity-tucson-medical-center",
      "siblingGroupId": "siblings-az-tucson-medical-center",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016385712",
        "external-resolution-0016385712"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.tmcaz.com/locations"
      ],
      "ownershipProofNotes": "Tucson Medical Center official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tucson Medical Center official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0016431213",
      "name": "PIEDMONT MACON MEDICAL CENTER",
      "address": "350 HOSPITAL DRIVE",
      "city": "MACON",
      "state": "GA",
      "zip": "31217",
      "county": "BIBB",
      "latitude": 32.8474081802755,
      "longitude": -83.6186852101775,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 310,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macon-piedmont-macon-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016432308",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TALLAHASSEE",
      "address": "1675 RIGGINS RD",
      "city": "TALLAHASSEE",
      "state": "FL",
      "zip": "32308",
      "county": "LEON",
      "latitude": 30.459603960228,
      "longitude": -84.2370178301841,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 76,
      "rating": null,
      "website": "https://www.encompasshealth.com/tallahasseerehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tallahassee-encompass-health-rehabilitation-hospital-of-tallahassee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016438024",
      "name": "WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL",
      "address": "400 EAST TICKLE STREET",
      "city": "DYERSBURG",
      "state": "TN",
      "zip": "38024",
      "county": "DYER",
      "latitude": 36.0481855802785,
      "longitude": -89.3799144201728,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 225,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dyersburg-west-tennessee-healthcare-dyersburg-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DYERSBURG HEALTH",
      "parentSystemId": "entity-dyersburg-health",
      "siblingGroupId": "siblings-tn-dyersburg-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-dyersburg-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: DYERSBURG HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to DYERSBURG HEALTH; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DYERSBURG HEALTH, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DYERSBURG HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to DYERSBURG HEALTH; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DYERSBURG HEALTH, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016438138",
      "name": "BAPTIST MEMORIAL REHABILITATION HOSPITAL",
      "address": "1240 SOUTH GERMANTOWN ROAD",
      "city": "GERMANTOWN",
      "state": "TN",
      "zip": "38138",
      "county": "SHELBY",
      "latitude": 35.1144587003264,
      "longitude": -89.7996595902865,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 53,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "443034",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-germantown-baptist-memorial-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-tn-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-chc-management-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016446307",
      "name": "VIBRA HOSPITAL OF NORTHWESTERN INDIANA",
      "address": "9509 GEORGIA STREET",
      "city": "CROWN POINT",
      "state": "IN",
      "zip": "46307",
      "county": "LAKE",
      "latitude": 41.4446198502108,
      "longitude": -87.3253993799924,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crown-point-vibra-hospital-of-northwestern-indiana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 3.0, LLC",
      "parentSystemId": "entity-amg-3-0-llc",
      "siblingGroupId": "siblings-in-amg-3-0-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-amg-3-0-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to AMG 3.0, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to AMG 3.0, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016476201",
      "name": "SELECT REHABILITATION HOSPITAL OF DENTON",
      "address": "2620 SCRIPTURE STREET",
      "city": "DENTON",
      "state": "TX",
      "zip": "76201",
      "county": "DENTON",
      "latitude": 33.2199409199945,
      "longitude": -97.1678448304005,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "website": "http://www.selectrehab-denton.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denton-select-rehabilitation-hospital-of-denton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tx-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREW CARLSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREW CARLSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016517801",
      "name": "SUNBURY COMMUNITY HOSPITAL",
      "address": "350 NORTH 11TH STREET",
      "city": "SUNBURY",
      "state": "PA",
      "zip": "17801",
      "county": "NORTHUMBERLAND",
      "latitude": 40.8619309998088,
      "longitude": -76.7780249998812,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 118,
      "rating": null,
      "website": "http://www.sunburyhospital.com",
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.northcentralpa.com/life/health/after-two-years-under-upmc-susquehanna-ownership-sunbury-hospital-to-close-in-2020/article_d4e2059a-1903-11ea-b97b-cbd901eb8f7c.html",
        "https://www.healthleadersmedia.com/cfo/shuttered-pa-hospital-remains-vacant-more-four-years-after-closing-doors"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "expandedClosureResearch": {
        "sourceRow": 22,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2020-03-31",
        "careLevel": "Secondary (rural community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "63-70",
        "patientsServedNote": "Only full-scale hospital in Sunbury for 125 years",
        "ruralUrban": "Rural",
        "ownershipCategory": "Publicly traded spinoff (Quorum Health, NYSE: QHC)",
        "historicalSponsorOrOwner": "Quorum Health (for-profit CHS spinoff) - divested to UPMC 2017",
        "parentCompany": "Quorum Health, then UPMC Susquehanna",
        "acquiredYear": "2015 (spinoff); sold 2017",
        "acquisitionDealNote": "Quorum offloaded the distressed hospital to UPMC (Oct 2017); UPMC closed it ~2.5 years later",
        "yearsPeToClosure": "5 (from spinoff)",
        "extractionMoneyTrail": "Distressed under for-profit chain ownership before divestiture; closed under nonprofit successor",
        "degradationRecord": "Chain ownership left the hospital financially hollowed before handoff",
        "communityImpact": "First time in 125 years Sunbury had no full-scale hospital",
        "buildingFate": "Campus vacant 4+ years after closure",
        "peLinkConfidence": "Indirect/inconclusive (PE-adjacent chain; closure by successor)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.northcentralpa.com/life/health/after-two-years-under-upmc-susquehanna-ownership-sunbury-hospital-to-close-in-2020/article_d4e2059a-1903-11ea-b97b-cbd901eb8f7c.html",
          "https://www.healthleadersmedia.com/cfo/shuttered-pa-hospital-remains-vacant-more-four-years-after-closing-doors"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Quorum Health, then UPMC Susquehanna",
      "formerOperator": "Quorum Health, then UPMC Susquehanna",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2015 (spinoff); sold 2017",
      "closureDate": "2020-03-31",
      "closureYear": 2020,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Sunbury Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Quorum Health, then UPMC Susquehanna. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-22",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.northcentralpa.com/life/health/after-two-years-under-upmc-susquehanna-ownership-sunbury-hospital-to-close-in-2020/article_d4e2059a-1903-11ea-b97b-cbd901eb8f7c.html",
      "closureEvidenceNote": "Chain ownership left the hospital financially hollowed before handoff",
      "acquisitionSourceId": "expanded-ownership-row-22",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.healthleadersmedia.com/cfo/shuttered-pa-hospital-remains-vacant-more-four-years-after-closing-doors",
      "acquisitionEvidenceNote": "Quorum offloaded the distressed hospital to UPMC (Oct 2017); UPMC closed it ~2.5 years later",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quorum-health-then-upmc-susquehanna",
      "siblingGroupId": "siblings-pa-quorum-health-then-upmc-susquehanna",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016517801",
        "external-resolution-0016517801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.sunburyhospital.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0016530165",
      "name": "REDMOND REGIONAL MEDICAL CENTER",
      "address": "501 REDMOND ROAD",
      "city": "ROME",
      "state": "GA",
      "zip": "30165",
      "county": "FLOYD",
      "latitude": 34.2767933898184,
      "longitude": -85.1949292897148,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 230,
      "rating": null,
      "website": "http://www.redmondregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist Health",
      "parentSystemId": "entity-adventist-health",
      "siblingGroupId": "siblings-ga-adventist-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-06-30",
      "ownershipSourceIds": [
        "hifld-location-0016530165",
        "external-resolution-0016530165"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 110168; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20040823000769 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 110168; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20040823000769 and 1 owner/control organization row(s)."
    },
    {
      "id": "0016532901",
      "name": "SEA PINES REHABILITATION HOSPITAL AFFILIATE OF ENCOMPASS HEALTH",
      "address": "101 E FLORIDA AVE",
      "city": "MELBOURNE",
      "state": "FL",
      "zip": "32901",
      "county": "BREVARD",
      "latitude": 28.0555319500302,
      "longitude": -80.6201145401061,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 90,
      "rating": null,
      "website": "https://encompasshealth.com/seapinesrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016538120",
      "name": "BAPTIST MEMORIAL RESTORATIVE CARE HOSPITAL",
      "address": "6019 WALNUT GROVE ROAD",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38120",
      "county": "SHELBY",
      "latitude": 35.1290073811395,
      "longitude": -89.8614706806083,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://www.baptistonline.org/restorative-care/",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-baptist-memorial-restorative-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-tn-baptist-memorial-health-care",
      "campusFamilyId": "campus-tn-440048",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016543935",
      "name": "EAST OHIO HOSPITAL, LLC",
      "address": "90 NORTH 4TH STREET",
      "city": "MARTINS FERRY",
      "state": "OH",
      "zip": "43935",
      "county": "BELMONT",
      "latitude": 40.0984887799243,
      "longitude": -80.7206149001084,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 120,
      "rating": null,
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/",
        "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/",
        "https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/warn/WARN%202025/EastOhioRegionalHospital.pdf"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "expandedClosureResearch": {
        "sourceRow": 30,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (later reopened under new owner)",
        "closureDate": "Sep 2019",
        "careLevel": "Community/secondary",
        "hospitalType": "Acute care",
        "traumaLevel": "",
        "licensedBeds": "needs verification",
        "patientsServedNote": "",
        "ruralUrban": "Small town/rural",
        "ownershipCategory": "Investor-owned for-profit chain (Alecto Healthcare Services)",
        "historicalSponsorOrOwner": "Alecto Healthcare Services",
        "parentCompany": "Alecto subsidiary",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Part of $40M 2017 purchase with OVMC",
        "yearsPeToClosure": "2",
        "extractionMoneyTrail": "Company cited $37M combined losses with OVMC; closed same week as OVMC",
        "degradationRecord": "Abrupt closure with ~60 days notice",
        "communityImpact": "343 employees lost jobs",
        "buildingFate": "Reopened ~2021 under new local ownership (needs verification)",
        "peLinkConfidence": "Corporate chain (investor-owned, PE-style)",
        "statusEvidenceUrl": "https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/warn/WARN%202025/EastOhioRegionalHospital.pdf",
        "statusEvidenceNote": "Ohio WARN records anticipated full closure in May 2025; local reporting documents the hospital had already shut its doors in March and remained closed into 2026.",
        "sourceUrls": [
          "https://www.theintelligencer.net/news/top-headlines/2020/02/alecto-owned-fairmont-regional-medical-center-to-close/",
          "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/",
          "https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/warn/WARN%202025/EastOhioRegionalHospital.pdf"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "EAST OHIO REGIONAL HOSPITAL",
      "formerOperator": "Alecto subsidiary",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2017",
      "closureDate": "2025-03-20",
      "closureYear": 2025,
      "closureStatusLabel": "Closed again in March 2025; planned reopening did not occur",
      "closureSummary": "East Ohio Regional Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Alecto subsidiary. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-30",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://dam.assets.ohio.gov/image/upload/jfs.ohio.gov/warn/WARN%202025/EastOhioRegionalHospital.pdf",
      "closureEvidenceNote": "Ohio WARN records anticipated full closure in May 2025; local reporting documents the hospital had already shut its doors in March and remained closed into 2026.",
      "acquisitionSourceId": "expanded-ownership-row-30",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.weirtondailytimes.com/news/local-news/2020/02/lawmakers-call-for-probe-of-alecto/",
      "acquisitionEvidenceNote": "Part of $40M 2017 purchase with OVMC",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-east-ohio-regional-hospital",
      "siblingGroupId": "siblings-oh-east-ohio-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-voluntary-non-profit-other"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST OHIO REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST OHIO REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016548235",
      "name": "SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT",
      "address": "6071 W OUTER DR",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48235",
      "county": "WAYNE",
      "latitude": 42.4192294501809,
      "longitude": -83.1830466615782,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/northwe stdetroit.aspx",
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-select-specialty-hospital---northwest-detroit/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016553295",
      "name": "CLEMENT J ZABLOCKI VETERANS AFFAIRS",
      "address": "5000 WEST NATIONAL AVENUE",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53295",
      "county": "MILWAUKEE",
      "latitude": 43.02079323983,
      "longitude": -87.9753803059236,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wi-veterans-health-administration",
      "campusFamilyId": "campus-wi-52003f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016611235",
      "name": "CONEY ISLAND HOSPITAL",
      "address": "2601 OCEAN PARKWAY",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11235",
      "county": "KINGS",
      "latitude": 40.5854143796934,
      "longitude": -73.9653324303341,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 371,
      "rating": null,
      "website": "http://www.nyc.gov/html/hhc/html/facilities/coneyisland.shtml",
      "status": "corporate_chain",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "affiliatedSystem": "Nyc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nyc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-coney-island-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016633351",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SUNRISE",
      "address": "4399 NOB HILL RD",
      "city": "SUNRISE",
      "state": "FL",
      "zip": "33351",
      "county": "BROWARD",
      "latitude": 26.1780721698582,
      "longitude": -80.2850991296488,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 126,
      "rating": null,
      "website": "http://www.encompasshealth.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016638133",
      "name": "SAINT FRANCIS HOSPITAL - BARTLETT",
      "address": "2986 KATE BOND ROAD",
      "city": "BARTLETT",
      "state": "TN",
      "zip": "38133",
      "county": "SHELBY",
      "latitude": 35.206992050066,
      "longitude": -89.8005827601579,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 196,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bartlett-saint-francis-hospital-bartlett/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEALTHCARE NETWORK HOLDINGS INC",
      "parentSystemId": "entity-healthcare-network-holdings-inc",
      "siblingGroupId": "siblings-tn-healthcare-network-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-healthcare-network-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHCARE NETWORK HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HEALTHCARE NETWORK HOLDINGS INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHCARE NETWORK HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HEALTHCARE NETWORK HOLDINGS INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016653705",
      "name": "WILLIAM S. MIDDLETON MEMORIAL VETERANS' HOSPITAL",
      "address": "2500 OVERLOOK TERRACE",
      "city": "MADISON",
      "state": "WI",
      "zip": "53705",
      "county": "DANE",
      "latitude": 43.0742477698956,
      "longitude": -89.4311258096552,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.madison.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-william-s.-middleton-memorial-veterans-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wi-veterans-health-administration",
      "campusFamilyId": "campus-wi-52004f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016730067",
      "name": "WELLSTAR WINDY HILL HOSPITAL",
      "address": "2540 WINDY HILL ROAD",
      "city": "MARIETTA",
      "state": "GA",
      "zip": "30067",
      "county": "COBB",
      "latitude": 33.8997613896286,
      "longitude": -84.4794458004137,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 115,
      "rating": null,
      "website": "http://www.wellstar.org/locations/pages/wellstar-windy-hill-hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marietta-wellstar-windy-hill-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016732960",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TREASURE COAST",
      "address": "1600 37TH ST",
      "city": "VERO BEACH",
      "state": "FL",
      "zip": "32960",
      "county": "INDIAN RIVER",
      "latitude": 27.6613734601674,
      "longitude": -80.4003094698023,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "https://www.encompasshealth.com/treasurecoastrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016737404",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CHATTANOOGA",
      "address": "2412 MCCALLIE AVENUE",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37404",
      "county": "HAMILTON",
      "latitude": 35.0321574203633,
      "longitude": -85.2664472102808,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 69,
      "rating": null,
      "website": "http://www.healthsouthchattanooga.com/",
      "status": "corporate_chain",
      "parentSystem": "ADVANCED HOMECARE HOLDINGS INC.",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chattanooga-encompass-health-rehabilitation-hospital-of-chattanooga/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-advanced-homecare-holdings-inc",
      "siblingGroupId": "siblings-tn-advanced-homecare-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVANCED HOMECARE HOLDINGS INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED HOMECARE HOLDINGS INC., ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVANCED HOMECARE HOLDINGS INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED HOMECARE HOLDINGS INC., ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016770131",
      "name": "SEASIDE BEHAVIORAL CENTER",
      "address": "3601 COLISEUM ST, 6TH FLOOR",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70115",
      "county": "ORLEANS",
      "latitude": 29.9101398498836,
      "longitude": -89.9946653601235,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Seaside Healthcare",
      "peFirm": "Pharos Capital",
      "acquiredDate": "January 2014",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Seaside Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-seaside-behavioral-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-seaside-healthcare",
      "siblingGroupId": "siblings-la-seaside-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016770131",
        "external-resolution-0016770131"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.seasidehc.com/"
      ],
      "ownershipProofNotes": "Seaside Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Seaside Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0016792718",
      "name": "HOAG HOSPITAL IRVINE",
      "address": "16200 SAND CANYON AVE",
      "city": "IRVINE",
      "state": "CA",
      "zip": "92618",
      "county": "ORANGE",
      "latitude": 33.6607017701162,
      "longitude": -117.772409479906,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 96,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-irvine-hoag-hospital-irvine/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016792718",
        "external-resolution-0016792718"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "No ownership edge is published: fuzzy_crosswalk_withheld."
    },
    {
      "id": "0016826301",
      "name": "LOUIS A. JOHNSON VETERANS' ADMINISTRATION MEDICAL CENTER",
      "address": "1 MEDICAL CENTER DRIVE",
      "city": "CLARKSBURG",
      "state": "WV",
      "zip": "26301",
      "county": "HARRISON",
      "latitude": 39.2697341200387,
      "longitude": -80.3621214097446,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.clarksburg.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wv-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016837067",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FRANKLIN",
      "address": "1000 PHYSICIANS WAY",
      "city": "FRANKLIN",
      "state": "TN",
      "zip": "37067",
      "county": "WILLIAMSON",
      "latitude": 35.9191151698836,
      "longitude": -86.8192310100289,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://healthsouthfranklin.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-encompass-health-rehabilitation-hospital-of-franklin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016848201",
      "name": "REHABILITATION INSTITUTE OF MICHIGAN",
      "address": "261 MACK BLVD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3497101300341,
      "longitude": -83.0556029201552,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 69,
      "rating": null,
      "website": "http://www.rimrehab.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-233027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016866207",
      "name": "REHABILITATION HOSPITAL OF OVERLAND PARK",
      "address": "5100 INDIAN CREEK PARKWAY",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66207",
      "county": "JOHNSON",
      "latitude": 38.935450550314,
      "longitude": -94.644655379942,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "website": "www.postacutemedical.com",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-ks-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM SQUARED LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM SQUARED LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016911209",
      "name": "NYU LANGONE HOSPITAL - BROOKLYN",
      "address": "150 55TH STREET",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11220",
      "county": "KINGS",
      "latitude": 40.6463765519275,
      "longitude": -74.0205798174375,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 444,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NYU Langone Health",
      "affiliatedSystem": "NYU Langone Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NYU Langone Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nyu-langone-health",
      "siblingGroupId": "siblings-ny-nyu-langone-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016911209",
        "external-resolution-0016911209"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nyulangone.org/locations"
      ],
      "ownershipProofNotes": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0016930135",
      "name": "YOUTH VILLAGES - INNER HARBOUR CAMPUS",
      "address": "4685 DORSETT SHOALS ROAD",
      "city": "DOUGLASVILLE",
      "state": "GA",
      "zip": "30135",
      "county": "DOUGLAS",
      "latitude": 33.6776889501951,
      "longitude": -84.7339195399011,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 90,
      "rating": null,
      "website": "http://www.youthvillages.org/what-we-do/residential-programs/inner-harbour-campus.aspx",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-douglasville-youth-villages---inner-harbour-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Youth Villages",
      "parentSystemId": "entity-youth-villages",
      "siblingGroupId": "siblings-ga-youth-villages",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0016930135",
        "external-resolution-0016930135"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://youthvillages.org/services/residential-treatment-programs/"
      ],
      "ownershipProofNotes": "Youth Villages official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Youth Villages official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0016961356",
      "name": "OSF HEALTHCARE SYSTEM",
      "address": "530 PARK AVENUE EAST",
      "city": "PRINCETON",
      "state": "IL",
      "zip": "61356",
      "county": "BUREAU",
      "latitude": 41.3669574999705,
      "longitude": -89.4559736999958,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "website": "osf healthcare saint clare medical center",
      "status": "corporate_chain",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACQUELINE D KERNAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACQUELINE D KERNAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0016971241",
      "name": "SPECIALTY HOSPITAL",
      "address": "309 JACKSON STREET, 7TH FLOOR",
      "city": "MONROE",
      "state": "LA",
      "zip": "71201",
      "county": "UNION",
      "latitude": 32.7761279300859,
      "longitude": -92.4056258503974,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 18,
      "rating": null,
      "website": "https://lhcgroup.com/locations/specialty-hospital/",
      "status": "corporate_chain",
      "parentSystem": "PRIORITY HOSPITAL GROUP LLC",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-priority-hospital-group-llc",
      "siblingGroupId": "siblings-la-priority-hospital-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT CHRISTOPHER FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT CHRISTOPHER FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017011215",
      "name": "NEW YORK - PRESBYTERIAN BROOKLYN METHODIST HOSPITAL",
      "address": "506 SIXTH STREET",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11215",
      "county": "KINGS",
      "latitude": 40.6677617001695,
      "longitude": -73.9789905201185,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 591,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NewYork-Presbyterian",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-new-york-presbyterian/brooklyn-methodist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newyork-presbyterian",
      "siblingGroupId": "siblings-ny-newyork-presbyterian",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017011215",
        "external-resolution-0017011215"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0017037777",
      "name": "PENINSULA HOSPITAL",
      "address": "2347 JONES BEND RD",
      "city": "LOUISVILLE",
      "state": "TN",
      "zip": "37777",
      "county": "BLOUNT",
      "latitude": 35.8703936801164,
      "longitude": -84.022788409711,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 492,
      "rating": null,
      "website": "http://www.peninsulabehavioralhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-peninsula-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Covenant Health Tennessee",
      "parentSystemId": "entity-covenant-health-tennessee",
      "siblingGroupId": "siblings-tn-covenant-health-tennessee",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017037777",
        "external-resolution-0017037777"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.covenanthealth.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Covenant Health Tennessee and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Covenant Health Tennessee and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0017071103",
      "name": "SHRINERS HOSPITALS FOR CHILDREN",
      "address": "3100 SAMFORD AVENUE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71103",
      "county": "CADDO",
      "latitude": 32.4810550798465,
      "longitude": -93.7575783101826,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 45,
      "rating": null,
      "website": "https://www.shrinerschildrens.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Shriners Children's",
      "parentSystemId": "entity-shriners-children-s",
      "siblingGroupId": "siblings-la-shriners-children-s",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017071103",
        "external-resolution-0017071103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.shrinerschildrens.org/en/locations"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 193301. The tracker parent candidate was corroborated against Shriners Children's's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 193301. The tracker parent candidate was corroborated against Shriners Children's's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0017078852",
      "name": "FORT DUNCAN REGIONAL MEDICAL CENTER",
      "address": "3333 NORTH FOSTER MALDONADO",
      "city": "EAGLE PASS",
      "state": "TX",
      "zip": "78852",
      "county": "MAVERICK",
      "latitude": 28.7129924898766,
      "longitude": -100.455700600238,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 101,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eagle-pass-fort-duncan-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017090028",
      "name": "SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD",
      "address": "6245 DE LONGPRE AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90028",
      "county": "LOS ANGELES",
      "latitude": 34.0963913600876,
      "longitude": -118.325234869794,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALTA HOSPITALS SYSTEM LLC",
      "parentSystemId": "entity-alta-hospitals-system-llc",
      "siblingGroupId": "siblings-ca-alta-hospitals-system-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTA HOSPITALS SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTA HOSPITALS SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017111213",
      "name": "INTERFAITH MEDICAL CENTER",
      "address": "1545 ATLANTIC AVENUE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11213",
      "county": "KINGS",
      "latitude": 40.678233040294,
      "longitude": -73.9373683399685,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 287,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-interfaith-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTERFAITH MEDICAL CENTER",
      "parentSystemId": "entity-interfaith-medical-center",
      "siblingGroupId": "siblings-ny-interfaith-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-12-31",
      "ownershipSourceIds": [
        "hifld-location-0017111213",
        "external-resolution-0017111213"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 330397; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 330397; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0017152241",
      "name": "IOWA MEDICAL AND CLASSIFICATION CENTER",
      "address": "2700 CORAL RIDGE AVENUE",
      "city": "CORALVILLE",
      "state": "IA",
      "zip": "52241",
      "county": "JOHNSON",
      "latitude": 41.7136380599107,
      "longitude": -91.6109751897663,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 46,
      "rating": null,
      "website": "http://oakdaleprison.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coralville-iowa-medical-and-classification-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "IOWA MEDICAL AND CLASSIFICATION CENTER",
      "parentSystemId": "entity-iowa-medical-and-classification-center",
      "siblingGroupId": "siblings-ia-iowa-medical-and-classification-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017152241",
        "external-resolution-0017152241"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://oakdaleprison.com/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0017182801",
      "name": "VA MEDICAL CENTER - SHERIDAN",
      "address": "1898 FORT RD",
      "city": "SHERIDAN",
      "state": "WY",
      "zip": "82801",
      "county": "SHERIDAN",
      "latitude": 44.8273777300757,
      "longitude": -106.985736439603,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.sheridan.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sheridan-va-medical-center---sheridan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wy-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017233870",
      "name": "HCA FLORIDA HIGHLANDS HOSPITAL",
      "address": "3600 S HIGHLANDS AVE",
      "city": "SEBRING",
      "state": "FL",
      "zip": "33870",
      "county": "HIGHLANDS",
      "latitude": 27.4655892402363,
      "longitude": -81.4329605804104,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 126,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/highlands-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100049",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sebring-hca-florida-highlands-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017270631",
      "name": "SOUTH CAMERON MEMORIAL HOSPITAL",
      "address": "5360 WEST CREOLE HWY",
      "city": "CAMERON",
      "state": "LA",
      "zip": "70631",
      "county": "CAMERON",
      "latitude": 29.8080784503805,
      "longitude": -93.1656833102103,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cameron-south-cameron-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTH CAMERON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-south-cameron-memorial-hospital",
      "siblingGroupId": "siblings-la-south-cameron-memorial-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0017270631",
        "external-resolution-0017270631"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 190307; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 190307; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0017317408",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF YORK, LLC",
      "address": "1850 NORMANDIE DRIVE",
      "city": "YORK",
      "state": "PA",
      "zip": "17404",
      "county": "YORK",
      "latitude": 39.980844999929,
      "longitude": -76.7810300001522,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 90,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-york-encompass-health-rehabilitation-hospital-of-york/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017333021",
      "name": "LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SERVICES",
      "address": "1201 N 37TH AVE",
      "city": "HOLLYWOOD",
      "state": "FL",
      "zip": "33021",
      "county": "BROWARD",
      "latitude": 26.0211579997288,
      "longitude": -80.1805010002734,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "www.larkinbehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hollywood-larkin-community-hospital-behavioral-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LARKIN HEALTH SYSTEM, LLC",
      "parentSystemId": "entity-larkin-health-system-llc",
      "siblingGroupId": "siblings-fl-larkin-health-system-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LARKIN HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LARKIN HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017337203",
      "name": "SAINT THOMAS MIDTOWN HOSPITAL",
      "address": "2000 CHURCH STREET",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37203",
      "county": "DAVIDSON",
      "latitude": 36.1535389572294,
      "longitude": -86.8021624231493,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1224,
      "rating": null,
      "website": "http://www.sthealth.com/locations/saint-thomas-midtown-hospital",
      "status": "corporate_chain",
      "parentSystem": "Sthealth",
      "affiliatedSystem": "Sthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-saint-thomas-midtown-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sthealth",
      "siblingGroupId": "siblings-tn-sthealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017337203",
        "external-resolution-0017337203"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.sthealth.com/locations/saint-thomas-midtown-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0017345408",
      "name": "MEDICAL CENTER AT ELIZABETH PLACE",
      "address": "ONE ELIZABETH PLACE",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45417",
      "county": "MONTGOMERY",
      "latitude": 39.7470176002449,
      "longitude": -84.1992581003287,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "website": "http://www.mcep.us",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MEDICAL CENTER AT ELIZABETH PLACE",
      "parentSystemId": "entity-medical-center-at-elizabeth-place",
      "siblingGroupId": "siblings-oh-medical-center-at-elizabeth-place",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-12-31",
      "ownershipSourceIds": [
        "hifld-location-0017345408",
        "external-resolution-0017345408"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 360274; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 360274; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0017438119",
      "name": "SELECT SPECIALTY HOSPITAL - MEMPHIS",
      "address": "1265 UNION AVENUE, 10TH FLOOR",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38104",
      "county": "SHELBY",
      "latitude": 35.0982335897408,
      "longitude": -89.8640043096969,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 39,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-select-specialty-hospital---memphis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARY CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARY CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017452402",
      "name": "CONTINUING CARE HOSPITAL",
      "address": "1026 A AVENUE NE, 6TH FLOOR",
      "city": "CEDAR RAPIDS",
      "state": "IA",
      "zip": "52402",
      "county": "LINN",
      "latitude": 41.9855215798557,
      "longitude": -91.6603065401063,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "website": "https://www.unitypoint.org/cedarrapids/services-continuing-care-hospital.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017452402",
        "external-resolution-0017452402"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitypoint.org/find-a-location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to UnityPoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to UnityPoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0017470444",
      "name": "SOUTHEAST REGIONAL MEDICAL CENTER, INC",
      "address": "719 AVENUE G",
      "city": "KENTWOOD",
      "state": "LA",
      "zip": "70444",
      "county": "TANGIPAHOA",
      "latitude": 30.9371286399781,
      "longitude": -90.5192469700811,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 14,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kentwood-southeast-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHEAST REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-southeast-regional-medical-center",
      "siblingGroupId": "siblings-la-southeast-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-southeast-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to SOUTHEAST REGIONAL MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST REGIONAL MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to SOUTHEAST REGIONAL MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST REGIONAL MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017491105",
      "name": "HUNTINGTON MEMORIAL HOSPITAL D/P APH",
      "address": "100 W CALIFORNIA BLVD",
      "city": "PASADENA",
      "state": "CA",
      "zip": "91105",
      "county": "LOS ANGELES",
      "latitude": 34.1343853601769,
      "longitude": -118.15298393994,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 41,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CEDARS-SINAI HEALTH SYSTEM",
      "parentSystemId": "entity-cedars-sinai-health-system",
      "siblingGroupId": "siblings-ca-cedars-sinai-health-system",
      "campusFamilyId": "campus-ca-050438",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017533308",
      "name": "HOLY CROSS HOSPITAL",
      "address": "4725 N FEDERAL HWY",
      "city": "FORT LAUDERDALE",
      "state": "FL",
      "zip": "33308",
      "county": "BROWARD",
      "latitude": 26.1864610696704,
      "longitude": -80.11993789985,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 557,
      "rating": null,
      "website": "http://www.holy-cross.com/",
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-lauderdale-holy-cross-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-fl-trinity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017537849",
      "name": "SELECT SPECIALTY HOSPITAL - NORTH KNOXVILLE",
      "address": "7557B DANNAHER DRIVE, SUITE 145",
      "city": "POWELL",
      "state": "TN",
      "zip": "37849",
      "county": "KNOX",
      "latitude": 36.0534101232024,
      "longitude": -83.9977553604207,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 68,
      "rating": null,
      "website": "http://northknoxville.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-powell-select-specialty-hospital---north-knoxville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVE PLUMLEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVE PLUMLEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017548236",
      "name": "HENRY FORD MEDICAL CENTER COTTAGE",
      "address": "159 KERCHEVAL",
      "city": "GROSSE POINTE FARMS",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.3969387398786,
      "longitude": -82.9024142702747,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Henry Ford Health",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grosse-pointe-farms-henry-ford-medical-center-cottage/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health",
      "siblingGroupId": "siblings-mi-henry-ford-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017548236",
        "external-resolution-0017548236"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.henryford.com/locations"
      ],
      "ownershipProofNotes": "Henry Ford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Henry Ford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0017550314",
      "name": "SELECT SPECIALTY HOSPITAL - DES MOINES",
      "address": "1111 6TH AVENUE, 4TH FLOOR MAIN SOUTH",
      "city": "DES MOINES",
      "state": "IA",
      "zip": "50314",
      "county": "POLK",
      "latitude": 41.598876770012,
      "longitude": -93.6221138197098,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "website": "http://desmoines.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-des-moines-select-specialty-hospital---des-moines/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ia-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SAM GENE AYRES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SAM GENE AYRES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017578539",
      "name": "DOCTORS HOSPITAL AT RENAISSANCE",
      "address": "5501 SOUTH MCCOLL",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78539",
      "county": "HIDALGO",
      "latitude": 26.2527124399226,
      "longitude": -98.2049535296704,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 235,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edinburg-doctor-s-hospital-at-renaissance/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DOCTORS HOSPITAL AT RENAISSANCE, LTD",
      "parentSystemId": "entity-doctors-hospital-at-renaissance-ltd",
      "siblingGroupId": "siblings-tx-doctors-hospital-at-renaissance-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-450869"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhr-rgv.com/media/lixpcn45/dhr_health_fact_sheet.pdf"
      ],
      "ownershipProofNotes": "CMS lists LAWRENCE R GELMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to Doctors Hospital at Renaissance / DHR Health; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOCTORS HOSPITAL AT RENAISSANCE, LTD, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LAWRENCE R GELMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to Doctors Hospital at Renaissance / DHR Health; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOCTORS HOSPITAL AT RENAISSANCE, LTD, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017619141",
      "name": "ALBERT EINSTEIN MEDICAL CENTER",
      "address": "5501 OLD YORK ROAD",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19141",
      "county": "PHILADELPHIA",
      "latitude": 40.0367369999387,
      "longitude": -75.1433419995975,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 738,
      "rating": null,
      "website": "http://www.einstein.edu",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-albert-einstein-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL",
      "parentSystemId": "entity-jefferson-einstein-philadelphia-hospital",
      "siblingGroupId": "siblings-pa-jefferson-einstein-philadelphia-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017637620",
      "name": "SELECT SPECIALTY HOSPITAL - TRICITIES, INC",
      "address": "1 MEDICAL PARK BOULEVARD 5TH FLOOR WEST",
      "city": "BRISTOL",
      "state": "TN",
      "zip": "37620",
      "county": "SULLIVAN",
      "latitude": 36.5852451898563,
      "longitude": -82.256366469593,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://tricities.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bristol-select-specialty-hospital---tricities/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TAMMY RATLIFF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TAMMY RATLIFF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017648342",
      "name": "PIONEER SPECIALTY HOSPITAL",
      "address": "50 NORTH PERRY",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48342",
      "county": "OAKLAND",
      "latitude": 42.638197145751,
      "longitude": -83.2906574466674,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "website": "http://www.pioneerspecialtyhospital.com/?id=contact",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pontiac-pioneer-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ADVANCED HEALTHCARE HOSPITAL LLC",
      "parentSystemId": "entity-advanced-healthcare-hospital-llc",
      "siblingGroupId": "siblings-mi-advanced-healthcare-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists FAHIM UDDIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED HEALTHCARE HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists FAHIM UDDIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED HEALTHCARE HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017677957",
      "name": "JACKSON COUNTY HOSPITAL",
      "address": "1013 SOUTH WELLS STREET",
      "city": "EDNA",
      "state": "TX",
      "zip": "77957",
      "county": "JACKSON",
      "latitude": 28.9691047496888,
      "longitude": -96.6358868796588,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.jchd.org/getpage.php?name=index",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edna-jackson-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JACKSON COUNTY public health authority",
      "parentSystemId": "entity-jackson-county-public-health-authority",
      "siblingGroupId": "siblings-tx-jackson-county-public-health-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0017677957",
        "external-resolution-0017677957"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 451363; Type of Control 11 supports the ownership class. The CCN bridged to current CMS enrollment O20061104000401 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 451363; Type of Control 11 supports the ownership class. The CCN bridged to current CMS enrollment O20061104000401 and 1 owner/control organization row(s)."
    },
    {
      "id": "0017694112",
      "name": "JEWISH HOME AND REHAB CENTER",
      "address": "302 SILVER AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94112",
      "county": "SAN FRANCISCO",
      "latitude": 37.7277742402162,
      "longitude": -122.430891019882,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 13,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEBREW HOME FOR AGED DISABLED",
      "parentSystemId": "entity-hebrew-home-for-aged-disabled",
      "siblingGroupId": "siblings-ca-hebrew-home-for-aged-disabled",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEBREW HOME FOR AGED DISABLED, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEBREW HOME FOR AGED DISABLED, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017731905",
      "name": "MARTIN ARMY COMMUNITY HOSPITAL",
      "address": "6600 VAN AALST BOULEVARD",
      "city": "FORT BENNING",
      "state": "GA",
      "zip": "31905",
      "county": "CHATTAHOOCHEE",
      "latitude": 32.3718061398605,
      "longitude": -84.9281850898591,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 57,
      "rating": null,
      "website": "https://martin.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-benning-martin-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ga-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017771483",
      "name": "SPECIALTY HOSPITAL OF WINNFIELD",
      "address": "915 FIRST ST",
      "city": "WINNFIELD",
      "state": "LA",
      "zip": "71483",
      "county": "WINN",
      "latitude": 31.9323476002443,
      "longitude": -92.6313353997401,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "specialtyhospital.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winnfield-specialty-hospital-of-winnfield/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SPECIALTY HOSPITAL OF WINNFIELD",
      "parentSystemId": "entity-specialty-hospital-of-winnfield",
      "siblingGroupId": "siblings-la-specialty-hospital-of-winnfield",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-12-02",
      "ownershipSourceIds": [
        "hifld-location-0017771483",
        "external-resolution-0017771483"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 192052; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 192052; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0017830312",
      "name": "WELLSTAR ATLANTA MEDICAL CENTER",
      "address": "303 PARKWAY DRIVE NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30312",
      "county": "FULTON",
      "latitude": 33.7629499999795,
      "longitude": -84.3733899999795,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 762,
      "rating": null,
      "website": "https://www.wellstar.org/locations/pages/wellstar-atlanta-medical-center.aspx",
      "status": "corporate_chain",
      "parentSystem": "Wellstar Health System",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system",
      "siblingGroupId": "siblings-ga-wellstar-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017830312",
        "external-resolution-0017830312"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.wellstar.org/locations"
      ],
      "ownershipProofNotes": "Wellstar Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Wellstar Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0017837185",
      "name": "THREE RIVERS HOSPITAL",
      "address": "451 HIGHWAY 13 SOUTH",
      "city": "WAVERLY",
      "state": "TN",
      "zip": "37185",
      "county": "HUMPHREYS",
      "latitude": 36.0760310596983,
      "longitude": -87.7923352798029,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "website": "http://www.threerivershospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waverly-three-rivers-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT THOMAS HEALTH",
      "parentSystemId": "entity-saint-thomas-health",
      "siblingGroupId": "siblings-tn-saint-thomas-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT THOMAS HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists FREDA RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT THOMAS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT THOMAS HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists FREDA RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT THOMAS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017848602",
      "name": "SELECT SPECIALTY HOSPITAL - SAGINAW",
      "address": "1447 NORTH HARRISON, 7TH AND 8TH FLOOR",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48602",
      "county": "SAGINAW",
      "latitude": 43.4286541102469,
      "longitude": -83.9559431398758,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saginaw-select-specialty-hospital---saginaw/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSEPH LINDSAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSEPH LINDSAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017910003",
      "name": "NYU LANGONE ORTHOPEDIC HOSPITAL",
      "address": "301 EAST 17TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10003",
      "county": "NEW YORK",
      "latitude": 40.7344316900067,
      "longitude": -73.9829999599463,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 225,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NYU Langone Health",
      "affiliatedSystem": "NYU Langone Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NYU Langone Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-nyu-langone-orthopedic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nyu-langone-health",
      "siblingGroupId": "siblings-ny-nyu-langone-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0017910003",
        "external-resolution-0017910003"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nyulangone.org/locations"
      ],
      "ownershipProofNotes": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0017948192",
      "name": "SELECT SPECIALTY HOSPITAL - WYANDOTTE, LLC",
      "address": "2333 BIDDLE AVENUE, 8TH FLOOR",
      "city": "WYANDOTTE",
      "state": "MI",
      "zip": "48192",
      "county": "WAYNE",
      "latitude": 42.2098840987131,
      "longitude": -83.1469293943202,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wyandotte-select-specialty-hospital---wyandotte-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SCOTT COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SCOTT COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017948236",
      "name": "ASCENSION ST JOHN HOSPITAL",
      "address": "22101 MOROSS RD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.4202087662609,
      "longitude": -82.9152556306674,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 687,
      "rating": null,
      "website": "http://grossepointe.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017953223",
      "name": "ROGERS MEMORIAL HOSPITAL",
      "address": "4600 W SCHROEDER DRIVE",
      "city": "BROWN DEER",
      "state": "WI",
      "zip": "53223",
      "county": "MILWAUKEE",
      "latitude": 43.1873094097713,
      "longitude": -87.9676262002063,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 56,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rogers Behavioral Health",
      "parentSystemId": "entity-rogers-behavioral-health",
      "siblingGroupId": "siblings-wi-rogers-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-rogers-behavioral-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROGERS BEHAVIORAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to ROGERS BEHAVIORAL HEALTH SYSTEM INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Rogers Behavioral Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROGERS BEHAVIORAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to ROGERS BEHAVIORAL HEALTH SYSTEM INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Rogers Behavioral Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0017971019",
      "name": "SPECIALTY REHABILITATION HOSPITAL",
      "address": "1110 RINGGOLD AVENUE SUITE B",
      "city": "COUSHATTA",
      "state": "LA",
      "zip": "71019",
      "county": "RED RIVER",
      "latitude": 32.0289621401994,
      "longitude": -93.3405294801065,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "https://www.specialtyrehabhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SPECIALTY REHABILITATION HOSPITAL, L.L.C.",
      "parentSystemId": "entity-specialty-rehabilitation-hospital-l-l-c",
      "siblingGroupId": "siblings-la-specialty-rehabilitation-hospital-l-l-c",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists PHILLIP BALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPECIALTY REHABILITATION HOSPITAL, L.L.C., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists PHILLIP BALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPECIALTY REHABILITATION HOSPITAL, L.L.C., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018037212",
      "name": "VANDERBILT STALLWORTH REHABILITATION HOSPITAL",
      "address": "2201 CHILDREN'S WAY",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37212",
      "county": "DAVIDSON",
      "latitude": 36.1384162903303,
      "longitude": -86.8025688703911,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "http://www.vanderbiltstallworthrehab.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-vanderbilt-stallworth-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018053718",
      "name": "UW HEALTH REHABILITATION HOSPITAL",
      "address": "5115 N BILTMORE LN",
      "city": "MADISON",
      "state": "WI",
      "zip": "53718",
      "county": "DANE",
      "latitude": 43.153038980199,
      "longitude": -89.2967025195973,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "http://www.uwhealth.org/locations/detail.jsp?locationid=286",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-uw-health-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-wi-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-chc-management-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018062278",
      "name": "RED BUD ILLINOIS COMPANY, LLC",
      "address": "325 SPRING STREET",
      "city": "RED BUD",
      "state": "IL",
      "zip": "62278",
      "county": "RANDOLPH",
      "latitude": 38.2090372099428,
      "longitude": -89.9968530497928,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "red bud regional hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
      "parentSystemId": "entity-deaconess-regional-healthcare-services-illinois-inc",
      "siblingGroupId": "siblings-il-deaconess-regional-healthcare-services-illinois-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018138301",
      "name": "WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL JACKSON - A PAR",
      "address": "616 WEST FOREST AVENUE",
      "city": "JACKSON",
      "state": "TN",
      "zip": "38301",
      "county": "MADISON",
      "latitude": 35.6348766801405,
      "longitude": -88.8284203703661,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018148201",
      "name": "VIBRA HOSPITAL OF SOUTHEASTERN MICHIGAN - DMC CAMPU",
      "address": "261 MACK AVENUE, 7TH FLOOR",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3494531501984,
      "longitude": -83.0561026098286,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-mi-vibra-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018148201",
        "external-resolution-0018148201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018164116",
      "name": "SIGNATURE PSYCHIATRIC HOSPITAL",
      "address": "2900 CLAY EDWARDS DRIVE",
      "city": "NORTH KANSAS CITY",
      "state": "MO",
      "zip": "64116",
      "county": "CLAY",
      "latitude": 39.151348010179,
      "longitude": -94.5518278595647,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "http://www.signaturepsychiatrichospitalkc.com/new-psychiatric-hospital-kansas-city/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-kansas-city-signature-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-mo-acadia-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018164116",
        "external-resolution-0018164116"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 264030. The tracker parent candidate was corroborated against Acadia Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 264030. The tracker parent candidate was corroborated against Acadia Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0018170128",
      "name": "BLIANT SPECIALTY HOSPITAL",
      "address": "14500 HAYNE BLVD, SUITE 100",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70128",
      "county": "ORLEANS",
      "latitude": 30.0712499499358,
      "longitude": -89.9485333902105,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "website": "https://bliantspecialtyhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BLIANT SPECIALTY HOSPITAL  LLC",
      "parentSystemId": "entity-bliant-specialty-hospital-llc",
      "siblingGroupId": "siblings-la-bliant-specialty-hospital-llc",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-08-31",
      "ownershipSourceIds": [
        "hifld-location-0018170128",
        "external-resolution-0018170128"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 192030; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 192030; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0018179902",
      "name": "THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS",
      "address": "1625 MEDICAL CENTER DRIVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7774924303736,
      "longitude": -106.480867450359,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 283,
      "rating": null,
      "website": "http://www.sphn.com",
      "status": "corporate_chain",
      "parentSystem": "HEALTH SERVICES NETWORK HOSPITALS, INC.",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-the-hospitals-of-providence-sierra-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-health-services-network-hospitals-inc",
      "siblingGroupId": "siblings-tx-health-services-network-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-tenet-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.tenethealth.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH SERVICES NETWORK HOSPITALS, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH SERVICES NETWORK HOSPITALS, INC., ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH SERVICES NETWORK HOSPITALS, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH SERVICES NETWORK HOSPITALS, INC., ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018230901",
      "name": "UNIVERSITY HOSPITAL",
      "address": "1350 WALTON WAY",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30901",
      "county": "RICHMOND",
      "latitude": 33.4706848497797,
      "longitude": -81.982510569941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 812,
      "rating": null,
      "website": "http://www.universityhealth.org/universityhospital",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018248180",
      "name": "VIBRA HOSPITAL OF SOUTHEASTERN MI - TAYLOR CAMPUS",
      "address": "10000 TELEGRAPH ROAD",
      "city": "TAYLOR",
      "state": "MI",
      "zip": "48180",
      "county": "WAYNE",
      "latitude": 42.2348020329432,
      "longitude": -83.277512430556,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.vhsemichigan.com/locations/taylor_campus.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-taylor-vibra-hospital-of-southeastern-mi---taylor-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VIBRA MANAGEMENT, LLC",
      "parentSystemId": "entity-vibra-management-llc",
      "siblingGroupId": "siblings-mi-vibra-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIBRA MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES A DIEBOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIBRA MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES A DIEBOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018265065",
      "name": "OSAGE BEACH CENTER FOR COGNITIVE DISOR",
      "address": "840 PASSOVER ROAD",
      "city": "OSAGE BEACH",
      "state": "MO",
      "zip": "65065",
      "county": "CAMDEN",
      "latitude": 38.1349635099781,
      "longitude": -92.6288893303405,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "National HealthCare Corporation",
      "parentSystemId": "entity-national-healthcare-corporation",
      "siblingGroupId": "siblings-mo-national-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-national-healthcare-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nhccare.com/investor-relations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NHC-OP LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent National HealthCare Corporation, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NHC-OP LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent National HealthCare Corporation, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018279936",
      "name": "HIGHLANDS REHABILITATION HOSPITAL",
      "address": "1395 GEORGE DIETER DRIVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79936",
      "county": "EL PASO",
      "latitude": 31.7321697296568,
      "longitude": -106.303027340249,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018279936",
        "external-resolution-0018279936"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 453086. The tracker parent candidate was corroborated against HCA Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 453086. The tracker parent candidate was corroborated against HCA Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0018319390",
      "name": "JENNERSVILLE HOSPITAL",
      "address": "1015 WEST BALTIMORE PIKE",
      "city": "WEST GROVE",
      "state": "PA",
      "zip": "19390",
      "county": "CHESTER",
      "latitude": 39.8220389998,
      "longitude": -75.8877350004053,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 52,
      "rating": null,
      "website": "https://jennersville.towerhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ChristianaCare",
      "parentSystemId": "entity-christianacare",
      "siblingGroupId": "siblings-pa-christianacare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018319390",
        "external-resolution-0018319390"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://christianacare.org/us/en/care/locations"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 390220. The tracker parent candidate was corroborated against ChristianaCare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 390220. The tracker parent candidate was corroborated against ChristianaCare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0018379902",
      "name": "PREMIER SPECIALTY HOSPITAL OF EL PASO",
      "address": "2311 NORTH OREGON STREET",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.773473729922,
      "longitude": -106.50225130042,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://www.encore-healthcare.com/mesa_hills/index.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-premier-specialty-hospital-of-el-paso/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PREMIER SPECIALTY HOSPITAL OF EL PASO",
      "parentSystemId": "entity-premier-specialty-hospital-of-el-paso",
      "siblingGroupId": "siblings-tx-premier-specialty-hospital-of-el-paso",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018379902",
        "external-resolution-0018379902"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.encore-healthcare.com/mesa_hills/index.aspx"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0018410003",
      "name": "NEW YORK EYE AND EAR INFIRMARY OF MOUNT SINAI",
      "address": "310 EAST 14TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10003",
      "county": "NEW YORK",
      "latitude": 40.731853060114,
      "longitude": -73.9844833102457,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 69,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mount Sinai Health System",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-health-system",
      "siblingGroupId": "siblings-ny-mount-sinai-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018410003",
        "external-resolution-0018410003"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018433136",
      "name": "JACKSON MEMORIAL HOSPITAL",
      "address": "1611 NW 12TH AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33136",
      "county": "MIAMI-DADE",
      "latitude": 25.7923473896228,
      "longitude": -80.2134877501573,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1547,
      "rating": null,
      "website": "http://www.jacksonhealth.org",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA",
      "affiliatedSystem": "Jacksonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Jacksonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-jackson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-health-trust-of-miami-dade-county-florida",
      "siblingGroupId": "siblings-fl-public-health-trust-of-miami-dade-county-florida",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018465721",
      "name": "MERCY ORTHOPEDIC HOSPITAL SPRINGFIELD",
      "address": "3050 E RIVERBLUFF BOULEVARD",
      "city": "OZARK",
      "state": "MO",
      "zip": "65721",
      "county": "GREENE",
      "latitude": 37.0989533900258,
      "longitude": -93.2347419498539,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "https://www.mercy.net/practice/mercy-orthopedic-hospital-springfield",
      "status": "corporate_chain",
      "parentSystem": "Mercy",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ozark-mercy-orthopedic-hospital-springfield/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy",
      "siblingGroupId": "siblings-mo-mercy",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018465721",
        "external-resolution-0018465721"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mercy.net/practice/mercy-orthopedic-hospital-springfield"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018470737",
      "name": "ST. ELIZABETH HOSPITAL",
      "address": "1125 W HIGHWAY 30",
      "city": "GONZALES",
      "state": "LA",
      "zip": "70737",
      "county": "ASCENSION",
      "latitude": 30.2097561598705,
      "longitude": -90.9317413802942,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "http://www.steh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gonzales-st.-elizabeth-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Providence",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-la-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018470737",
        "external-resolution-0018470737"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20190610001099 (190064A). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20190610001099 (190064A). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0018479902",
      "name": "KINDRED HOSPITAL EL PASO",
      "address": "1740 CURIE DRIVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7786272398279,
      "longitude": -106.477298849773,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "http://www.khelpaso.com",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-kindred-hospital-el-paso/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452079",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists AMERICA JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists AMERICA JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018565804",
      "name": "MERCY REHABILITATION HOSPITAL SPRINGFIEL",
      "address": "5904 S SOUTHWOOD ROAD",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65804",
      "county": "GREENE",
      "latitude": 37.1045860000269,
      "longitude": -93.2356021002132,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "263032",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-mo-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENT S YATES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENT S YATES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018610032",
      "name": "NEW YORK PRESBYTERIAN MORGAN STANLEY CHILDREN'S HOSPITAL",
      "address": "3959 BROADWAY",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10032",
      "county": "NEW YORK",
      "latitude": 40.8397632596935,
      "longitude": -73.9412825799358,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 190,
      "rating": null,
      "website": "http://www.nyp.org/morganstanley",
      "status": "corporate_chain",
      "parentSystem": "NewYork-Presbyterian",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-new-york-presbyterian-morgan-stanley-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newyork-presbyterian",
      "siblingGroupId": "siblings-ny-newyork-presbyterian",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018610032",
        "external-resolution-0018610032"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018633169",
      "name": "JACKSON NORTH MEDICAL CENTER",
      "address": "160 NW 170TH ST",
      "city": "NORTH MIAMI BEACH",
      "state": "FL",
      "zip": "33169",
      "county": "MIAMI-DADE",
      "latitude": 25.93041079012,
      "longitude": -80.2036856401025,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 382,
      "rating": null,
      "website": "https://jacksonhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "Jacksonhealth",
      "affiliatedSystem": "Jacksonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jacksonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jacksonhealth",
      "siblingGroupId": "siblings-fl-jacksonhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018633169",
        "external-resolution-0018633169"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://jacksonhealth.org/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018633874",
      "name": "SEABROOK EMERGENCY ROOM",
      "address": "603 LAFAYETTE RD",
      "city": "SEABROOK",
      "state": "NH",
      "zip": "03874",
      "county": "ROCKINGHAM",
      "latitude": 42.8924714202337,
      "longitude": -70.8736944597731,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://portsmouthhospital.com/locations/seabrook-er/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Portsmouthhospital",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Portsmouthhospital",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seabrook-seabrook-emergency-room/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nh-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018633874",
        "external-resolution-0018633874"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018664108",
      "name": "UNIVERSITY HEALTH TRUMAN MEDICAL CENTER",
      "address": "1000 E 24TH STREET, 2 CENTER",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64108",
      "county": "JACKSON",
      "latitude": 39.0842536996774,
      "longitude": -94.5728816101999,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "TRUMAN MEDICAL CENTER INCORPORATED",
      "parentSystemId": "entity-truman-medical-center-incorporated",
      "siblingGroupId": "siblings-mo-truman-medical-center-incorporated",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018664108",
        "external-resolution-0018664108"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20071220000356 (260048). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20071220000356 (260048). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0018731901",
      "name": "MIDTOWN MEDICAL CENTER WEST",
      "address": "616 19TH STREET",
      "city": "COLUMBUS",
      "state": "GA",
      "zip": "31901",
      "county": "MUSCOGEE",
      "latitude": 32.4801088697766,
      "longitude": -84.9850937700449,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 171,
      "rating": null,
      "website": "https://columbusregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-midtown-medical-center-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AFFABILIS LLC",
      "parentSystemId": "entity-affabilis-llc",
      "siblingGroupId": "siblings-ga-affabilis-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018731901",
        "external-resolution-0018731901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20170712001971 (112012). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20170712001971 (112012). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0018733157",
      "name": "JACKSON SOUTH MEDICAL CENTER",
      "address": "9333 SW 152ND ST",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33157",
      "county": "MIAMI-DADE",
      "latitude": 25.6297447496346,
      "longitude": -80.3446973199812,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 262,
      "rating": null,
      "website": "https://jacksonhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Jacksonhealth",
      "affiliatedSystem": "Jacksonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jacksonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jacksonhealth",
      "siblingGroupId": "siblings-fl-jacksonhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018733157",
        "external-resolution-0018733157"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://jacksonhealth.org"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018763110",
      "name": "SHRINERS HOSPITALS FOR CHILDREN",
      "address": "4400 CLAYTON AVE",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63110",
      "county": "ST. LOUIS",
      "latitude": 38.6322221797911,
      "longitude": -90.2581395297499,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-mo-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018779936",
      "name": "LEGENT HOSPITAL OF EL PASO",
      "address": "1416 GEORGE DIETER DRIVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79936",
      "county": "EL PASO",
      "latitude": 31.7348032697333,
      "longitude": -106.300612850225,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Legent Health (PSN)",
      "peFirm": "BTG Pactual, ZT Corporate",
      "acquiredDate": "July 2020",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Legent Health (PSN)",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-legent-health-psn",
      "siblingGroupId": "siblings-tx-legent-health-psn",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018779936",
        "external-resolution-0018779936"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://legenthealth.com/locations/"
      ],
      "ownershipProofNotes": "Legent Health (PSN) official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Legent Health (PSN) official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018863110",
      "name": "BARNES - JEWISH HOSPITAL - NORTH",
      "address": "PARKVIEW PLACE",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63110",
      "county": "ST. LOUIS",
      "latitude": 38.6363787897785,
      "longitude": -90.2645828102113,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 485,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-barnes-jewish-hospital---north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HealthCare",
      "parentSystemId": "entity-bjc-healthcare",
      "siblingGroupId": "siblings-mo-bjc-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018863110",
        "external-resolution-0018863110"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "BJC HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "BJC HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018879902",
      "name": "EL PASO LTAC HOSPITAL",
      "address": "1221 NORTH COTTON, 3RD FLOOR",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7836854302954,
      "longitude": -106.474325359708,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-el-paso-ltac-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EL PASO LTAC HOSPITAL",
      "parentSystemId": "entity-el-paso-ltac-hospital",
      "siblingGroupId": "siblings-tx-el-paso-ltac-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0018879902",
        "external-resolution-0018879902"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 452122; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 452122; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0018933612",
      "name": "JAMES A. HALEY VETERANS' HOSPITAL",
      "address": "13000 BRUCE B DOWNS BOULEVARD",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33612",
      "county": "HILLSBOROUGH",
      "latitude": 28.0644090996121,
      "longitude": -82.4292770197836,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 93,
      "rating": null,
      "website": "https://www.tampa.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-james-a-haley-veterans--hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TAMPA VA MEDICAL CENTER",
      "parentSystemId": "entity-tampa-va-medical-center",
      "siblingGroupId": "siblings-fl-tampa-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAMPA VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAMPA VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018946013",
      "name": "ASSURANCE HEALTH PSYCHIATRIC HOSPITAL",
      "address": "2725 ENTERPRISE DRIVE",
      "city": "ANDERSON",
      "state": "IN",
      "zip": "46013",
      "county": "MADISON",
      "latitude": 40.0378438901867,
      "longitude": -85.7250539002342,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "website": "http://www.assurancehealthsystem.com/",
      "status": "corporate_chain",
      "parentSystem": "Assurancehealthsystem",
      "affiliatedSystem": "Assurancehealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Assurancehealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anderson-assurance-health-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-assurancehealthsystem",
      "siblingGroupId": "siblings-in-assurancehealthsystem",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018946013",
        "external-resolution-0018946013"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.assurancehealthsystem.com/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018963112",
      "name": "BARNES - JEWISH HOSPITAL - PSYCHIATRIC SU",
      "address": "5355 DELMAR BLVD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63112",
      "county": "ST. LOUIS",
      "latitude": 38.6538783097708,
      "longitude": -90.2755016195891,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HealthCare",
      "parentSystemId": "entity-bjc-healthcare",
      "siblingGroupId": "siblings-mo-bjc-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018963112",
        "external-resolution-0018963112"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "BJC HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "BJC HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0018971434",
      "name": "TARAVISTA BEHAVIORAL HEALTH CENTER",
      "address": "85 PATTON ROAD",
      "city": "AYER",
      "state": "MA",
      "zip": "01434",
      "county": "WORCESTER",
      "latitude": 42.5302550300211,
      "longitude": -71.6149809803272,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 18,
      "rating": null,
      "website": "https://www.taravista.care/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ayer-taravista-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DEVENS TRC LLC",
      "parentSystemId": "entity-devens-trc-llc",
      "siblingGroupId": "siblings-ma-devens-trc-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-224043"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.taravista.care/"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEVENS TRC LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TRACY GOODMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: TaraVista official facility site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEVENS TRC LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEVENS TRC LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TRACY GOODMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: TaraVista official facility site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEVENS TRC LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0018992618",
      "name": "KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE",
      "address": "6640 ALTON PKWY",
      "city": "IRVINE",
      "state": "CA",
      "zip": "92618",
      "county": "ORANGE",
      "latitude": 33.6582356297649,
      "longitude": -117.774927790024,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 264,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kaiser Permanente",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-permanente",
      "siblingGroupId": "siblings-ca-kaiser-permanente",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0018992618",
        "external-resolution-0018992618"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthy.kaiserpermanente.org/doctors-locations"
      ],
      "ownershipProofNotes": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0019015238",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HARMARVILLE, LLC",
      "address": "320 GUYS RUN ROAD",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15238",
      "county": "ALLEGHENY",
      "latitude": 40.5568960001417,
      "longitude": -79.866065000337,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 162,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019020169",
      "name": "NOVANT HEALTH UVA HEALTH SYSTEM HAYMARKET MEDICAL CENTER",
      "address": "15225 HEALTHCOTE BLVD",
      "city": "HAYMARKET",
      "state": "VA",
      "zip": "20169",
      "county": "PRINCE WILLIAM",
      "latitude": 38.8207904101005,
      "longitude": -77.6428076198338,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "www.novanthealth.org/haymarket",
      "status": "corporate_chain",
      "parentSystem": "RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Novant Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-rector-and-visitors-of-the-university-of-virginia",
      "siblingGroupId": "siblings-va-rector-and-visitors-of-the-university-of-virginia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-rector-visitors-of-the-university-of-virginia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES CODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES CODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019123502",
      "name": "KEMPSVILLE CENTER FOR BEHAVIORAL HEALTH",
      "address": "860 KEMPSVILLE ROAD",
      "city": "NORFOLK",
      "state": "VA",
      "zip": "23502",
      "county": "NORFOLK",
      "latitude": 36.8530888796522,
      "longitude": -76.1894581502387,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 82,
      "rating": null,
      "website": "www.kempsvillecbh.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-kempsville-center-for-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-va-universal-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019123502",
        "external-resolution-0019123502"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0019131210",
      "name": "ATRIUM HEALTH NAVICENT REHABILITATION HOSPITAL",
      "address": "3351 NORTHSIDE DRIVE",
      "city": "MACON",
      "state": "GA",
      "zip": "31210",
      "county": "BIBB",
      "latitude": 32.8932720202973,
      "longitude": -83.6804699196744,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 58,
      "rating": null,
      "website": "https://www.navicenthealth.org/service-center/rehabilitation-hospital-navicent-health",
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macon-atrium-health-navicent-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-ga-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-atrium-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://atriumhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019133407",
      "name": "THE JEROME GOLDEN CENTER FOR BEHAVIORAL HEALTH",
      "address": "1041 45TH ST",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33407",
      "county": "PALM BEACH",
      "latitude": 26.7539581097573,
      "longitude": -80.0674690603109,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 44,
      "rating": null,
      "website": "http://www.jeromegoldencenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-palm-beach-the-jerome-golden-center-for-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Cedar Health Group",
      "parentSystemId": "entity-cedar-health-group",
      "siblingGroupId": "siblings-fl-cedar-health-group",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019133407",
        "external-resolution-0019133407"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://cedarhealthgroup.com/"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 104008. The tracker parent candidate was corroborated against Cedar Health Group's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 104008. The tracker parent candidate was corroborated against Cedar Health Group's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0019190012",
      "name": "KAISER FOUNDATION HOSP MENTAL HEALTH CTR D/P APH",
      "address": "765 W COLLEGE ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90012",
      "county": "LOS ANGELES",
      "latitude": 34.0668973402465,
      "longitude": -118.243401890366,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 68,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kaiser Permanente",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-permanente",
      "siblingGroupId": "siblings-ca-kaiser-permanente",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019190012",
        "external-resolution-0019190012"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthy.kaiserpermanente.org/doctors-locations"
      ],
      "ownershipProofNotes": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0019210304",
      "name": "RUMC - BAYLEY SETON",
      "address": "75 VANDERBILT AVENUE",
      "city": "STATEN ISLAND",
      "state": "NY",
      "zip": "10304",
      "county": "RICHMOND",
      "latitude": 40.622427820196,
      "longitude": -74.0753545999715,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Richmond University Medical Center",
      "parentSystemId": "entity-richmond-university-medical-center",
      "siblingGroupId": "siblings-ny-richmond-university-medical-center",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019210304",
        "external-resolution-0019210304"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.rumcsi.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Richmond University Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Richmond University Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0019219104",
      "name": "THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA",
      "address": "3400 SPRUCE STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19104",
      "county": "PHILADELPHIA",
      "latitude": 39.9499692001826,
      "longitude": -75.1942027299121,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 807,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA",
      "affiliatedSystem": "Penn Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Penn Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-hospital-of-the-university-of-pennsylvania/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-hospital-of-the-university-of-pennsylvania",
      "siblingGroupId": "siblings-pa-hospital-of-the-university-of-pennsylvania",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-hospital-of-the-university-of-pennsylvania"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019220176",
      "name": "NORTH SPRING BEHAVIORAL HEALTHCARE",
      "address": "42009 VICTORY LANE",
      "city": "LEESBURG",
      "state": "VA",
      "zip": "20176",
      "county": "LOUDOUN",
      "latitude": 39.1448159999172,
      "longitude": -77.546738349989,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "website": "www.northspringleesburg.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leesburg-north-spring-behavioral-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-va-universal-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019220176",
        "external-resolution-0019220176"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0019233462",
      "name": "HCA FLORIDA JFK HOSPITAL",
      "address": "5301 S CONGRESS AVE",
      "city": "ATLANTIS",
      "state": "FL",
      "zip": "33462",
      "county": "PALM BEACH",
      "latitude": 26.5985861503399,
      "longitude": -80.0911683000505,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 527,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/jfk-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100080",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlantis-hca-florida-jfk-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019316823",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NITTANY VALLEY",
      "address": "550 WEST COLLEGE AVENUE",
      "city": "PLEASANT GAP",
      "state": "PA",
      "zip": "16823",
      "county": "CENTRE",
      "latitude": 40.8602830003359,
      "longitude": -77.7557670001758,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 73,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019323820",
      "name": "DOVER EMERGENCY ROOM",
      "address": "10 CENTRAL AVENUE",
      "city": "DOVER",
      "state": "NH",
      "zip": "03820",
      "county": "STRAFFORD",
      "latitude": 43.1810142900236,
      "longitude": -70.8784789498584,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 11,
      "rating": null,
      "website": "https://portsmouthhospital.com/locations/dover-er/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Portsmouthhospital",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Portsmouthhospital",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dover-dover-emergency-room/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nh-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019323820",
        "external-resolution-0019323820"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0019423666",
      "name": "DUMFRIES HEALTH CENTER",
      "address": "3700 FETTLER PARK DRIVE",
      "city": "DUMFRIES",
      "state": "VA",
      "zip": "22025",
      "county": "HAMPTON",
      "latitude": 37.0536278600278,
      "longitude": -76.3957111400466,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 127,
      "rating": null,
      "website": "https://belvoirhospital.tricare.mil/clinics/dumfries-health-center",
      "status": "corporate_chain",
      "parentSystem": "Belvoirhospital Tricare",
      "affiliatedSystem": "Belvoirhospital Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Belvoirhospital Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-belvoirhospital-tricare",
      "siblingGroupId": "siblings-va-belvoirhospital-tricare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019423666",
        "external-resolution-0019423666"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://belvoirhospital.tricare.mil/clinics/dumfries-health-center"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0019470360",
      "name": "TERREBONNE GENERAL HEALTH SYSTEM",
      "address": "8166 MAIN STREET",
      "city": "HOUMA",
      "state": "LA",
      "zip": "70360",
      "county": "TERREBONNE",
      "latitude": 29.5969605100315,
      "longitude": -90.7139233097371,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 321,
      "rating": null,
      "website": "https://www.tghealthsystem.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1",
      "parentSystemId": "entity-terrebonne-parish-hospital-service-district-1",
      "siblingGroupId": "siblings-la-terrebonne-parish-hospital-service-district-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1 (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1 (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019523185",
      "name": "RIVERSIDE DOCTORS' HOSPITAL WILLIAMSBURG",
      "address": "1500 COMMONWEALTH AVENUE",
      "city": "WILLIAMSBURG",
      "state": "VA",
      "zip": "23185",
      "county": "WILLIAMSBURG",
      "latitude": 37.2508954800803,
      "longitude": -76.6683811997432,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "www.riversideonline.com/rdhw",
      "status": "corporate_chain",
      "parentSystem": "RIVERSIDE HEALTHCARE ASSOCIATION, INC.",
      "affiliatedSystem": "Riversideonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Riversideonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williamsburg-riverside-doctors--hospital-williamsburg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-riverside-healthcare-association-inc",
      "siblingGroupId": "siblings-va-riverside-healthcare-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-riverside-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.riversideonline.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019631601",
      "name": "REGIONAL PSYCHIATRIC DIVISION - CENTRAL STATE",
      "address": "620 BROAD STREET",
      "city": "MILLEDGEVILLE",
      "state": "GA",
      "zip": "31062",
      "county": "BALDWIN",
      "latitude": 33.0296809998588,
      "longitude": -83.2038570002125,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 225,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019631601",
        "external-resolution-0019631601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0019633175",
      "name": "HCA FLORIDA KENDALL HOSPITAL",
      "address": "11750 BIRD RD",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33175",
      "county": "MIAMI-DADE",
      "latitude": 25.7309701099019,
      "longitude": -80.3860672999118,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 447,
      "rating": 4,
      "website": "https://www.hcafloridahealthcare.com/locations/kendall-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100209",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-hca-florida-kendall-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019694804",
      "name": "KAISER FOUNDATION HOSPITAL - RICHMOND CAMPUS",
      "address": "901 NEVIN AVENUE",
      "city": "RICHMOND",
      "state": "CA",
      "zip": "94801",
      "county": "CONTRA COSTA",
      "latitude": 37.9371846599911,
      "longitude": -122.361378439965,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kaiser Permanente",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-permanente",
      "siblingGroupId": "siblings-ca-kaiser-permanente",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019694804",
        "external-resolution-0019694804"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthy.kaiserpermanente.org/doctors-locations"
      ],
      "ownershipProofNotes": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0019731602",
      "name": "SGMC SMITH NORTHVIEW HOSPITAL",
      "address": "4280 NORTH VALDOSTA ROAD",
      "city": "VALDOSTA",
      "state": "GA",
      "zip": "31602",
      "county": "LOWNDES",
      "latitude": 30.8986369299922,
      "longitude": -83.3355585198253,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "website": "http://www.smithhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SGMC SMITH NORTHVIEW HOSPITAL",
      "parentSystemId": "entity-sgmc-smith-northview-hospital",
      "siblingGroupId": "siblings-ga-sgmc-smith-northview-hospital",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0019731602",
        "external-resolution-0019731602"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.smithhospital.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0019732901",
      "name": "KINDRED HOSPITAL MELBOURNE",
      "address": "765 W NASA BLVD",
      "city": "MELBOURNE",
      "state": "FL",
      "zip": "32901",
      "county": "BREVARD",
      "latitude": 28.0928309996646,
      "longitude": -80.6324099996904,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "website": "www.khmelbourne.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-melbourne-kindred-hospital-melbourne/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-fl-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019811691",
      "name": "ST JOHNS EPISCOPAL HOSPITAL SO SHORE",
      "address": "327 BEACH 19TH STREET",
      "city": "FAR ROCKAWAY",
      "state": "NY",
      "zip": "11691",
      "county": "QUEENS",
      "latitude": 40.5987079797672,
      "longitude": -73.7535506198713,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 257,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE",
      "parentSystemId": "entity-st-john-s-episcopal-hospital-at-south-shore",
      "siblingGroupId": "siblings-ny-st-john-s-episcopal-hospital-at-south-shore",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019824201",
      "name": "RIDGEVIEW PAVILION (BRISTOL REGION)",
      "address": "103 NORTH STREET",
      "city": "BRISTOL",
      "state": "VA",
      "zip": "24201",
      "county": "BRISTOL",
      "latitude": 36.5971764897886,
      "longitude": -82.2164802495937,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "website": "https://www.balladhealth.org/behavioral-health/ridgeview-pavilion",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-va-encompass-health",
      "campusFamilyId": "campus-va-493034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019834474",
      "name": "KINDRED HOSPITAL OCALA",
      "address": "1500 SW 1ST AVE, 5TH FLR",
      "city": "OCALA",
      "state": "FL",
      "zip": "34474",
      "county": "MARION",
      "latitude": 29.1761036403216,
      "longitude": -82.1383737802051,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "http://www.kindredocala.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "102019",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ocala-kindred-hospital-ocala/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-fl-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019918017",
      "name": "LEHIGH VALLEY HOSPITAL-MUHLENBERG",
      "address": "2545 SCHOENERSVILLE ROAD",
      "city": "BETHLEHEM",
      "state": "PA",
      "zip": "18017",
      "county": "LEHIGH",
      "latitude": 40.6575909997343,
      "longitude": -75.4201090004205,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 184,
      "rating": null,
      "website": "http://www.lvhn.org/facilities_directions/hospital_locations/lehigh_valley_hospital_muhlenberg",
      "status": "corporate_chain",
      "parentSystem": "ALLENTOWN SPECIALTY HOSPITAL",
      "affiliatedSystem": "Lvhn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lvhn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethlehem-lehigh-valley-hospital-muhlenberg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-allentown-specialty-hospital",
      "siblingGroupId": "siblings-pa-allentown-specialty-hospital",
      "campusFamilyId": "campus-pa-392033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-allentown-specialty-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLENTOWN SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLENTOWN SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLENTOWN SPECIALTY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLENTOWN SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019922401",
      "name": "COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS",
      "address": "1355 RICHMOND RD",
      "city": "STAUNTON",
      "state": "VA",
      "zip": "22401",
      "county": "STAUNTON",
      "latitude": 38.1318458098896,
      "longitude": -79.0353305203191,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 48,
      "rating": null,
      "website": "http://www.ccca.dbhds.virginia.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-staunton-commonwealth-center-for-children-and-adolescents/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS",
      "parentSystemId": "entity-commonwealth-center-for-children-and-adolescents",
      "siblingGroupId": "siblings-va-commonwealth-center-for-children-and-adolescents",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-commonwealth-center-for-children-and-adolescents"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019933418",
      "name": "KINDRED HOSPITAL THE PALM BEACHES",
      "address": "5555 W BLUE HERON BLVD",
      "city": "RIVIERA BEACH",
      "state": "FL",
      "zip": "33418",
      "county": "PALM BEACH",
      "latitude": 26.7829789501782,
      "longitude": -80.1104593396043,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "website": "www.khthepalmbeaches.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riviera-beach-kindred-hospital-the-palm-beaches/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-fl-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019971446",
      "name": "TRI PARISH REHABILITATION HOSPITAL, LLC",
      "address": "8088 HAWKS ROAD",
      "city": "LEESVILLE",
      "state": "LA",
      "zip": "71446",
      "county": "VERNON",
      "latitude": 30.9408628101268,
      "longitude": -93.2843921401361,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "website": "https://clearskyhealth.com/rosepine/",
      "status": "corporate_chain",
      "parentSystem": "Titan Rehabilitation Institute of America",
      "affiliatedSystem": "Clearskyhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Clearskyhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leesville-tri-parish-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-titan-rehabilitation-institute-of-america",
      "siblingGroupId": "siblings-la-titan-rehabilitation-institute-of-america",
      "campusFamilyId": "campus-la-193050",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-titan-rehabilitation-institute-of-america"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "CMS owner candidate: TITAN REHABILITATION INSTITUTE OF AMERICA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Titan Rehabilitation Institute of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TITAN REHABILITATION INSTITUTE OF AMERICA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Titan Rehabilitation Institute of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0019976104",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH",
      "address": "1301 PENNSYLVANIA AVE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7367556699484,
      "longitude": -97.3389969796263,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 707,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-texas-health-harris-methodist-hospital-fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020019023",
      "name": "MERCY FITZGERALD HOSPITAL",
      "address": "1500 LANSDOWNE AVENUE",
      "city": "DARBY",
      "state": "PA",
      "zip": "19023",
      "county": "DELAWARE",
      "latitude": 39.9266997801659,
      "longitude": -75.2688068297047,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 183,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-darby-mercy-fitzgerald-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD",
      "parentSystemId": "entity-mercy-catholic-medical-center-mercy-fitzgerald",
      "siblingGroupId": "siblings-pa-mercy-catholic-medical-center-mercy-fitzgerald",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020023188",
      "name": "EASTERN STATE HOSPITAL",
      "address": "4601 IRONBOUND ROAD",
      "city": "WILLIAMSBURG",
      "state": "VA",
      "zip": "23188",
      "county": "JAMES CITY",
      "latitude": 37.2898228001618,
      "longitude": -76.7359916500459,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 300,
      "rating": null,
      "website": "http://www.esh.dbhds.virginia.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williamsburg-eastern-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Virginia state health authority",
      "parentSystemId": "entity-virginia-state-health-authority",
      "siblingGroupId": "siblings-va-virginia-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020023188",
        "external-resolution-0020023188"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.esh.dbhds.virginia.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0020033705",
      "name": "KINDRED HOSPITAL - BAY AREA - ST PETERSBURG",
      "address": "3030 SIXTH ST S",
      "city": "SAINT PETERSBURG",
      "state": "FL",
      "zip": "33705",
      "county": "PINELLAS",
      "latitude": 27.7407459899004,
      "longitude": -82.6399938604091,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 82,
      "rating": null,
      "website": "http://www.kindredstpete.com/",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-petersburg-kindred-hospital-bay-area---st-petersburg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-fl-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020033705",
        "external-resolution-0020033705"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0020070001",
      "name": "TULANE LAKESIDE HOSPITAL",
      "address": "4700 SOUTH I-10 SERVICE ROAD WEST",
      "city": "METAIRIE",
      "state": "LA",
      "zip": "70001",
      "county": "JEFFERSON",
      "latitude": 29.9970147801649,
      "longitude": -90.1865571299095,
      "hospitalType": "WOMEN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 94,
      "rating": null,
      "website": "https://tulanelakeside.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "LCMC Health",
      "parentSystemId": "entity-lcmc-health",
      "siblingGroupId": "siblings-la-lcmc-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020070001",
        "external-resolution-0020070001"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lcmchealth.org/our-locations/"
      ],
      "ownershipProofNotes": "LCMC Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "LCMC Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0020076104",
      "name": "JOHN PETER SMITH HOSPITAL",
      "address": "1500 S MAIN ST",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7270800297894,
      "longitude": -97.3271012802249,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 542,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "TARRANT COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-tarrant-county-hospital-district",
      "siblingGroupId": "siblings-tx-tarrant-county-hospital-district",
      "campusFamilyId": "campus-tx-450039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-tarrant-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: TARRANT COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TARRANT COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TARRANT COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TARRANT COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020092120",
      "name": "KAISER FOUNDATION HOSPITAL - ZION",
      "address": "4647 ZION AVE",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92120",
      "county": "SAN DIEGO",
      "latitude": 32.7915625799624,
      "longitude": -117.095159550331,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 368,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "campusFamilyId": "campus-ca-050515",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020133611",
      "name": "KINDRED HOSPITAL - BAY AREA - TAMPA",
      "address": "4555 S MANHATTAN AVE",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33611",
      "county": "HILLSBOROUGH",
      "latitude": 27.8980690902366,
      "longitude": -82.5190597903369,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 73,
      "rating": null,
      "website": "http://www.khtampa.com/",
      "status": "closed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "Florida WARN closure notice / Business Observer",
      "evidenceSourceUrl": "https://www.businessobserverfl.com/news/2025/feb/28/tampa-hospital-closing/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "historical",
      "classificationDepth": "baseline",
      "classificationReason": "KINDRED HOSPITAL - BAY AREA - TAMPA closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Florida WARN closure notice / Business Observer",
        "https://www.businessobserverfl.com/news/2025/feb/28/tampa-hospital-closing/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-kindred-hospital-bay-area---tampa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "hospitalId": "0020133611",
      "formerOperator": "ScionHealth / Kindred Hospitals",
      "acquiredDate": "2021-12",
      "closureDate": "2025-04-30",
      "closureSource": "Florida WARN closure notice / Business Observer",
      "closureSourceUrl": "https://www.businessobserverfl.com/news/2025/feb/28/tampa-hospital-closing/",
      "historicalPeOwnership": true,
      "closureYear": 2025,
      "closureStatusLabel": "Closed / shut down in 2025",
      "closureSummary": "KINDRED HOSPITAL - BAY AREA - TAMPA closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "The closure source documents cessation of hospital operations in 2025; it does not establish that private equity caused the closure.",
      "acquisitionSourceId": "pe-acquisition-0020133611",
      "closureSourceId": "closure-0020133611",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-fl-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020170112",
      "name": "TULANE MEDICAL CENTER",
      "address": "1415 TULANE AVENUE, HC-25",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70112",
      "county": "ORLEANS",
      "latitude": 29.9548001098785,
      "longitude": -90.0769039100374,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 235,
      "rating": null,
      "website": "https://medicine.tulane.edu/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-tulane-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UNIVERSITY HEALTHCARE SYSTEM, L.C.",
      "parentSystemId": "entity-university-healthcare-system-l-c",
      "siblingGroupId": "siblings-la-university-healthcare-system-l-c",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020170112",
        "external-resolution-0020170112"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 190176. That CCN bridged to CMS enrollment O20080103000478 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 190176. That CCN bridged to CMS enrollment O20080103000478 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0020211206",
      "name": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
      "address": "760 BROADWAY",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11206",
      "county": "KINGS",
      "latitude": 40.6995226698506,
      "longitude": -73.9423789800283,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 364,
      "rating": null,
      "website": "http://www.nyc.gov/html/hhc",
      "status": "corporate_chain",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "affiliatedSystem": "Nyc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nyc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-woodhull-medical-and-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020219355",
      "name": "DEVEREUX CHILDREN'S BEHAVIORAL HEALTH INSTITUTE",
      "address": "655 SUGARTOWN ROAD, BUILDING 150",
      "city": "MALVERN",
      "state": "PA",
      "zip": "19355",
      "county": "CHESTER",
      "latitude": 40.0083760697667,
      "longitude": -75.5091871396514,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Devereux Advanced Behavioral Health",
      "parentSystemId": "entity-devereux-advanced-behavioral-health",
      "siblingGroupId": "siblings-pa-devereux-advanced-behavioral-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020219355",
        "external-resolution-0020219355"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.devereux.org/site/SPageServer/?pagename=locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Devereux Advanced Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Devereux Advanced Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0020223922",
      "name": "PIEDMONT GERIATRIC HOSPITAL",
      "address": "5001 E. PATRICK HENRY HIGHWAY",
      "city": "BURKEVILLE",
      "state": "VA",
      "zip": "23922",
      "county": "NOTTOWAY",
      "latitude": 37.1923042003554,
      "longitude": -78.1750963796705,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 123,
      "rating": null,
      "website": "http://www.pgh.dbhds.virginia.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burkeville-piedmont-geriatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PIEDMONT GERIATRIC HOSPITAL",
      "parentSystemId": "entity-piedmont-geriatric-hospital",
      "siblingGroupId": "siblings-va-piedmont-geriatric-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020223922",
        "external-resolution-0020223922"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.pgh.dbhds.virginia.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0020233603",
      "name": "KINDRED HOSPITAL - CENTRAL TAMPA",
      "address": "4801 N HOWARD AVE",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33603",
      "county": "HILLSBOROUGH",
      "latitude": 27.9891407401335,
      "longitude": -82.4816084997292,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 102,
      "rating": null,
      "website": "http://www.kindredcentraltampa.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "102013",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-kindred-hospital-central-tampa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-fl-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020270506",
      "name": "LAFAYETTE BEHAVIORAL HEALTH UNIT",
      "address": "302 DULLES DR",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70506",
      "county": "LAFAYETTE",
      "latitude": 30.2199240896422,
      "longitude": -92.0572448398158,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "website": "http://www.lafayettegeneral.com/our_facilities/professional_centers/lafayette_behavioral_health_unit.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-lafayette-behavioral-health-unit/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAFAYETTE GENERAL MEDICAL CENTER INC",
      "parentSystemId": "entity-lafayette-general-medical-center-inc",
      "siblingGroupId": "siblings-la-lafayette-general-medical-center-inc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020270506",
        "external-resolution-0020270506"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20120514000593 (19S002). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20120514000593 (19S002). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0020332043",
      "name": "KINDRED HOSPITAL - NORTH FLORIDA",
      "address": "801 OAK ST",
      "city": "GREEN COVE SPRINGS",
      "state": "FL",
      "zip": "32043",
      "county": "CLAY",
      "latitude": 29.9878452096698,
      "longitude": -81.6820782102376,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 73,
      "rating": null,
      "website": "http://www.khnorthflorida.com/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-green-cove-springs-kindred-hospital-north-florida/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-fl-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020376115",
      "name": "TEXAS HEALTH HUGULEY HOSPITAL",
      "address": "11801 SOUTH FREEWAY",
      "city": "BURLESON",
      "state": "TX",
      "zip": "76028",
      "county": "TARRANT",
      "latitude": 32.5866280798717,
      "longitude": -97.3169551100264,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 327,
      "rating": null,
      "website": "http://www.texashealthhuguley.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists JESSE SUTTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists JESSE SUTTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020433134",
      "name": "KINDRED HOSPITAL - SOUTH FLORIDA - CORAL GABLES",
      "address": "5190 SW 8TH ST",
      "city": "CORAL GABLES",
      "state": "FL",
      "zip": "33134",
      "county": "MIAMI-DADE",
      "latitude": 25.7637167901171,
      "longitude": -80.2789477100266,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "website": "http://www.khcoralgables.com/",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coral-gables-kindred-hospital-south-florida---coral-gables/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-fl-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020433134",
        "external-resolution-0020433134"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0020470403",
      "name": "UNITED MEDICAL REHABILITATION HOSPITAL",
      "address": "15717 BELLE DRIVE",
      "city": "HAMMOND",
      "state": "LA",
      "zip": "70403",
      "county": "TANGIPAHOA",
      "latitude": 30.4652173698497,
      "longitude": -90.4610694402177,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "https://umrhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hammond-united-medical-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ROSEMILL LLC",
      "parentSystemId": "entity-rosemill-llc",
      "siblingGroupId": "siblings-la-rosemill-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020470403",
        "external-resolution-0020470403"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 193079. That CCN bridged to CMS enrollment O20240415001508 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 193079. That CCN bridged to CMS enrollment O20240415001508 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0020476132",
      "name": "LIFECARE HOSPITALS OF FT WORTH",
      "address": "6201 OVERTON RIDGE BOULEVARD",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76132",
      "county": "TARRANT",
      "latitude": 32.6790541501683,
      "longitude": -97.4212044604079,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifeCare Health Partners",
      "parentSystemId": "entity-lifecare-health-partners",
      "siblingGroupId": "siblings-tx-lifecare-health-partners",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020476132",
        "external-resolution-0020476132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifecare-hospitals.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to LifeCare Health Partners and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to LifeCare Health Partners and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0020518071",
      "name": "PALMERTON HOSPITAL",
      "address": "135 LAFAYETTE AVENUE",
      "city": "PALMERTON",
      "state": "PA",
      "zip": "18071",
      "county": "CARBON",
      "latitude": 40.8029709998876,
      "longitude": -75.6150280001875,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "http://www.ghmh.org/content/palmertoncampus.htm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PALMERTON HOSPITAL",
      "parentSystemId": "entity-palmerton-hospital",
      "siblingGroupId": "siblings-pa-palmerton-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2016-10-31",
      "ownershipSourceIds": [
        "hifld-location-0020518071",
        "external-resolution-0020518071"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 390019; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 390019; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0020533301",
      "name": "KINDRED HOSPITAL - SOUTH FLORIDA - FT LAUDERDALE",
      "address": "1516 E LAS OLAS BLVD",
      "city": "FORT LAUDERDALE",
      "state": "FL",
      "zip": "33301",
      "county": "BROWARD",
      "latitude": 26.1190866501843,
      "longitude": -80.1275500600742,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "http://www.khfortlauderdale.com/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-lauderdale-kindred-hospital-south-florida-ft.-lauderdale/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-fl-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020630909",
      "name": "LIGHTHOUSE CARE CENTER OF AUGUSTA",
      "address": "3100 PERIMETER PARKWAY",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30909",
      "county": "RICHMOND",
      "latitude": 33.4908290201472,
      "longitude": -82.087428660356,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "website": "http://www.lighthousecarecenters.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-augusta-lighthouse-care-center-of-augusta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020630909",
        "external-resolution-0020630909"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0020633020",
      "name": "KINDRED HOSPITAL - SOUTH FLORIDA - HOLLYWOOD",
      "address": "1859 VAN BUREN ST",
      "city": "HOLLYWOOD",
      "state": "FL",
      "zip": "33020",
      "county": "BROWARD",
      "latitude": 26.0097990799152,
      "longitude": -80.1442552496753,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 119,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/transitional-care-hospitals/kindred-hospital-south-florida-hollywood",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hollywood-kindred-hospital-south-florida---hollywood/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-fl-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020633020",
        "external-resolution-0020633020"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0020670748",
      "name": "VILLA FELICIANA MEDICAL COMPLEX",
      "address": "5002 HWY 10",
      "city": "JACKSON",
      "state": "LA",
      "zip": "70748",
      "county": "EAST FELICIANA",
      "latitude": 30.8354991197428,
      "longitude": -91.1585266999189,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 297,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-villa-feliciana-medical-complex/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "VILLA FELICIANA MEDICAL COMPLEX",
      "parentSystemId": "entity-villa-feliciana-medical-complex",
      "siblingGroupId": "siblings-la-villa-feliciana-medical-complex",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-06-30",
      "ownershipSourceIds": [
        "hifld-location-0020670748",
        "external-resolution-0020670748"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 190199; Type of Control 10 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 190199; Type of Control 10 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0020676104",
      "name": "TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH",
      "address": "1301 PENNSYLVANIA AVENUE 4TH FLOOR",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7367091102508,
      "longitude": -97.3398860099237,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "http://www.texashealth.org/specialtyhospital",
      "status": "corporate_chain",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texashealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Texashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-texas-health-specialty-hospital-fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020717901",
      "name": "LEHIGH VALLEY HOSPITAL - SCHUYLKILL",
      "address": "420 SOUTH JACKSON STREET",
      "city": "POTTSVILLE",
      "state": "PA",
      "zip": "17901",
      "county": "SCHUYLKILL",
      "latitude": 40.6837949901177,
      "longitude": -76.188270050122,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 186,
      "rating": null,
      "website": "https://www.lvhn.org",
      "status": "corporate_chain",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "affiliatedSystem": "Lvhn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Lvhn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pottsville-lehigh-valley-hospital-schuylkill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020732751",
      "name": "LA AMISTAD RESIDENTIAL TREATMENT CENTER",
      "address": "1650 PARK AVE N",
      "city": "MAITLAND",
      "state": "FL",
      "zip": "32751",
      "county": "ORANGE",
      "latitude": 28.6133360501438,
      "longitude": -81.3647607598228,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.lamistad.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-maitland-la-amistad-residential-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020732751",
        "external-resolution-0020732751"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0020795823",
      "name": "KAISER FOUNDATION HOSPITAL - SOUTH SACRAMENTO",
      "address": "6600 BRUCEVILLE ROAD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95823",
      "county": "SACRAMENTO",
      "latitude": 38.4706378898428,
      "longitude": -121.422546700301,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 241,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020830281",
      "name": "SO CRESCENT BEH HLTH SYS - CRESCENT PINES CAMPUS",
      "address": "1000 EAGLES LANDING PARKWAY",
      "city": "STOCKBRIDGE",
      "state": "GA",
      "zip": "30281",
      "county": "HENRY",
      "latitude": 33.5129767803308,
      "longitude": -84.2217831997711,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stockbridge-so-crescent-beh-hlth-sys---crescent-pines-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020830281",
        "external-resolution-0020830281"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0020876132",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CITY VIEW",
      "address": "6701 OAKMONT BOULEVARD",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76132",
      "county": "TARRANT",
      "latitude": 32.6620117999428,
      "longitude": -97.4127900803804,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 77,
      "rating": null,
      "website": "http://www.healthsouthcityview.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020914209",
      "name": "MILLARD FILLMORE SUBURBAN HOSPITAL",
      "address": "1540 MAPLE ROAD",
      "city": "AMHERST",
      "state": "NY",
      "zip": "14221",
      "county": "ERIE",
      "latitude": 42.9940394798318,
      "longitude": -78.7302382902166,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 265,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kaleida Health",
      "parentSystemId": "entity-kaleida-health",
      "siblingGroupId": "siblings-ny-kaleida-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020914209",
        "external-resolution-0020914209"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kaleidahealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0020932055",
      "name": "HCA FLORIDA LAKE CITY HOSPITAL",
      "address": "340 NW COMMERCE DR",
      "city": "LAKE CITY",
      "state": "FL",
      "zip": "32055",
      "county": "COLUMBIA",
      "latitude": 30.1837290001171,
      "longitude": -82.6877447498726,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 103,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/lake-city-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100156",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-city-hca-florida-lake-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0020976132",
      "name": "KINDRED HOSPITAL - TARRANT COUNTY",
      "address": "7800 OAKMONT BOULEVARD",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76132",
      "county": "TARRANT",
      "latitude": 32.6656970002601,
      "longitude": -97.4237053800404,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 92,
      "rating": null,
      "website": "http://www.kindredhospitalfwsw.com/",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0020976132",
        "external-resolution-0020976132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0021032025",
      "name": "LAKE CITY VA MEDICAL CENTER",
      "address": "619 SOUTH MARION AVENUE",
      "city": "LAKE CITY",
      "state": "FL",
      "zip": "32025",
      "county": "COLUMBIA",
      "latitude": 30.1818205396121,
      "longitude": -82.6360534695856,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 180,
      "rating": null,
      "website": "https://www.northflorida.va.gov/locations/lakecity.asp",
      "status": "verified_independent",
      "parentSystem": "VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SYSTEM - LAKE CITY",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-city-lake-city-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-va-north-florida-south-georgia-healthcare-system-lake-city",
      "siblingGroupId": "siblings-fl-va-north-florida-south-georgia-healthcare-system-lake-city",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SYSTEM - LAKE CITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA NORTH FLORIDA/SOUTH GEORGIA HEALTHCARE SYSTEM - LAKE CITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0021216602",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ALTOONA, LLC",
      "address": "2005 VALLEY VIEW BOULEVARD",
      "city": "ALTOONA",
      "state": "PA",
      "zip": "16602",
      "county": "BLAIR",
      "latitude": 40.4964640002623,
      "longitude": -78.3915340001474,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-altoona-encompass-health-rehabilitation-hospital-of-altoona/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0021276104",
      "name": "BAYLOR SURGICAL HOSPITAL AT FORT WORTH",
      "address": "750 12TH AVENUE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7368576399611,
      "longitude": -97.3489794597121,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://bshfw.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-baylor-surgical-hospital-at-fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baylor Scott & White Health",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0021276104",
        "external-resolution-0021276104"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://bshfw.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page identifies or redirects into Baylor Scott & White Health. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page identifies or redirects into Baylor Scott & White Health. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0021371118",
      "name": "WILLIS-KNIGHTON SOUTH AND CENTER FOR WOMEN'S HEALTH",
      "address": "2510 BERT KOUNS INDUSTRIAL LOOP",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71118",
      "county": "CADDO",
      "latitude": 32.4047091696899,
      "longitude": -93.7955488800251,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 85,
      "rating": null,
      "website": "http://www.wkhs.com/locations/south.aspx",
      "status": "corporate_chain",
      "parentSystem": "Wkhs",
      "affiliatedSystem": "Wkhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wkhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shreveport-willis-knighton-south-&-center-for-women-s-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wkhs",
      "siblingGroupId": "siblings-la-wkhs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0021371118",
        "external-resolution-0021371118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wkhs.com/locations/south.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0021395356",
      "name": "KAISER FOUNDATION HOSPITAL MODESTO",
      "address": "4601 DALE ROAD",
      "city": "MODESTO",
      "state": "CA",
      "zip": "95356",
      "county": "STANISLAUS",
      "latitude": 37.7065222803437,
      "longitude": -121.051778450232,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 152,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kaiser Permanente",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-permanente",
      "siblingGroupId": "siblings-ca-kaiser-permanente",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0021395356",
        "external-resolution-0021395356"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthy.kaiserpermanente.org/doctors-locations"
      ],
      "ownershipProofNotes": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0021518015",
      "name": "SAINT LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA",
      "address": "801 OSTRUM STREET",
      "city": "BETHLEHEM",
      "state": "PA",
      "zip": "18015",
      "county": "LEHIGH",
      "latitude": 40.6093570002432,
      "longitude": -75.3933630004273,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 563,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0021530909",
      "name": "SELECT SPECIALTY HOSPITAL - AUGUSTA, INC",
      "address": "1537 WALTON WAY",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30904",
      "county": "RICHMOND",
      "latitude": 33.4763331298979,
      "longitude": -81.9903140901854,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/company/locations/augusta.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-augusta-select-specialty-hospital---augusta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ga-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CYNTHIA GREENE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CYNTHIA GREENE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0021571111",
      "name": "WK BOSSIER HEALTH CENTER",
      "address": "2400 HOSPITAL DR",
      "city": "BOSSIER CITY",
      "state": "LA",
      "zip": "71111",
      "county": "BOSSIER",
      "latitude": 32.5583302698137,
      "longitude": -93.7182058600504,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 134,
      "rating": null,
      "website": "http://www.wkhs.com/wkb/",
      "status": "corporate_chain",
      "parentSystem": "Wkhs",
      "affiliatedSystem": "Wkhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wkhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bossier-city-wk-bossier-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wkhs",
      "siblingGroupId": "siblings-la-wkhs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0021571111",
        "external-resolution-0021571111"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.wkhs.com/wkb/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0021575035",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - CENTENNIAL",
      "address": "12505 LEBANON RD",
      "city": "FRISCO",
      "state": "TX",
      "zip": "75035",
      "county": "COLLIN",
      "latitude": 33.1142739799061,
      "longitude": -96.7709146604444,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 118,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-frisco-baylor-scott-&-white-medical-center---centennial/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE MILAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE MILAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0021671115",
      "name": "PAM SPECIALTY HOSPITAL OF SHREVEPORT SOUTH",
      "address": "8001 YOUREE DRIVE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71115",
      "county": "CADDO",
      "latitude": 32.4319783500238,
      "longitude": -93.7090423596362,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 54,
      "rating": null,
      "website": "https://pamhealth.com/index.php/facilities/find-facility/specialty-hospitals/pam-specialty-hospital-of-shreveport-south",
      "status": "corporate_chain",
      "parentSystem": "Pamhealth",
      "affiliatedSystem": "Pamhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Pamhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-pamhealth",
      "siblingGroupId": "siblings-la-pamhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0021671115",
        "external-resolution-0021671115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/index.php/facilities/find-facility/specialty-hospitals/pam-specialty-hospital-of-shreveport-south"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0021679035",
      "name": "PARMER MEDICAL CENTER",
      "address": "1307 CLEVELAND STREET",
      "city": "FRIONA",
      "state": "TX",
      "zip": "79035",
      "county": "PARMER",
      "latitude": 34.6442741603506,
      "longitude": -102.721824240423,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.parmermedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-friona-parmer-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Preferred Management Corporation",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0021833770",
      "name": "HCA FLORIDA LARGO HOSPITAL",
      "address": "201 14TH ST SW",
      "city": "LARGO",
      "state": "FL",
      "zip": "33770",
      "county": "PINELLAS",
      "latitude": 27.9141474896061,
      "longitude": -82.8036486603923,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 286,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/largo-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100248",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-largo-hca-florida-largo-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0021891761",
      "name": "KAISER FOUNDATION HOSPITAL - ONTARIO",
      "address": "2295 S VINEYARD AVE",
      "city": "ONTARIO",
      "state": "CA",
      "zip": "91761",
      "county": "SAN BERNARDINO",
      "latitude": 34.0320795602273,
      "longitude": -117.608599329769,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 176,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kaiser Permanente",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-permanente",
      "siblingGroupId": "siblings-ca-kaiser-permanente",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0021891761",
        "external-resolution-0021891761"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthy.kaiserpermanente.org/doctors-locations"
      ],
      "ownershipProofNotes": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Kaiser Permanente official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0021970508",
      "name": "WOMEN'S AND CHILDREN'S HOSPITAL",
      "address": "4600 AMBASSADOR CAFFERY PKWY",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1526780602919,
      "longitude": -92.0462196797898,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 23,
      "rating": null,
      "website": "http://womens-childrens.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC.",
      "parentSystemId": "entity-our-lady-of-lourdes-regional-medical-center-inc",
      "siblingGroupId": "siblings-la-our-lady-of-lourdes-regional-medical-center-inc",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-03-01",
      "ownershipSourceIds": [
        "hifld-location-0021970508",
        "external-resolution-0021970508"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in LA. The latest transaction effective 03/01/2019 identifies OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. as buyer/current legal organization; the seller was THE REGIONAL HEALTH SYSTEM OF ACADIANA, LLC.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in LA. The latest transaction effective 03/01/2019 identifies OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. as buyer/current legal organization; the seller was THE REGIONAL HEALTH SYSTEM OF ACADIANA, LLC."
    },
    {
      "id": "0021976132",
      "name": "USMD HOSPITAL AT FORT WORTH",
      "address": "5900 DIRKS ROAD",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76132",
      "county": "TARRANT",
      "latitude": 32.6465307200287,
      "longitude": -97.418690139708,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "website": "http://www.usmdfortworth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "USMD HOSPITAL AT FORT WORTH",
      "parentSystemId": "entity-usmd-hospital-at-fort-worth",
      "siblingGroupId": "siblings-tx-usmd-hospital-at-fort-worth",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0021976132",
        "external-resolution-0021976132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 670046; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 670046; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0022093277",
      "name": "KAWEAH HEALTH MENTAL HEALTH HOSPITAL",
      "address": "1100 S AKERS ST",
      "city": "VISALIA",
      "state": "CA",
      "zip": "93277",
      "county": "TULARE",
      "latitude": 36.3208439499509,
      "longitude": -119.348234530397,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 63,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "KAWEAH DELTA HEALTH CARE DISTRICT",
      "parentSystemId": "entity-kaweah-delta-health-care-district",
      "siblingGroupId": "siblings-ca-kaweah-delta-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0022093277",
        "external-resolution-0022093277"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20071205000537 (05S057). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20071205000537 (05S057). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0022134950",
      "name": "HCA FLORIDA LAWNWOOD HOSPITAL",
      "address": "1700 S 23RD ST",
      "city": "FORT PIERCE",
      "state": "FL",
      "zip": "34950",
      "county": "ST. LUCIE",
      "latitude": 27.4319697303608,
      "longitude": -80.3457183100988,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 398,
      "rating": 1,
      "website": "https://www.hcafloridahealthcare.com/locations/lawnwood-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100246",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-pierce-hca-florida-lawnwood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0022319335",
      "name": "ST JOHN VIANNEY HOSPITAL",
      "address": "151 WOODBINE ROAD",
      "city": "DOWNINGTOWN",
      "state": "PA",
      "zip": "19335",
      "county": "CHESTER",
      "latitude": 40.0123090000503,
      "longitude": -75.6835050004476,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0022319335",
        "external-resolution-0022319335"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pa.gov/agencies/health/facilities/healthcare-facilities-and-licensing/hospitals"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0022590011",
      "name": "KEDREN COMMUNITY MENTAL HEALTH CENTER",
      "address": "4211 AVALON BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90011",
      "county": "LOS ANGELES",
      "latitude": 34.0072994801924,
      "longitude": -118.266210080396,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-kedren-community-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KEDREN COMMUNITY MENTAL HEALTH CENTER",
      "parentSystemId": "entity-kedren-community-mental-health-center",
      "siblingGroupId": "siblings-ca-kedren-community-mental-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-kedren-community-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kedren.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Kedren official about page. Resolved parent/control boundary: Kedren Community Health Center, Inc.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEDREN COMMUNITY MENTAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Kedren official about page. Resolved parent/control boundary: Kedren Community Health Center, Inc.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEDREN COMMUNITY MENTAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0022676051",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - GRAPEVINE",
      "address": "1650 W COLLEGE ST",
      "city": "GRAPEVINE",
      "state": "TX",
      "zip": "76051",
      "county": "TARRANT",
      "latitude": 32.9344302300311,
      "longitude": -97.0943834999387,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 302,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0022694914",
      "name": "KENTFIELD HOSPITAL",
      "address": "1125 SIR FRANCIS DRAKE BLVD",
      "city": "KENTFIELD",
      "state": "CA",
      "zip": "94904",
      "county": "MARIN",
      "latitude": 37.9587062198893,
      "longitude": -122.55249586018,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KENTFIELD AND SAN FRANCISCO SPECIALTY HOSPITAL INC",
      "parentSystemId": "entity-kentfield-and-san-francisco-specialty-hospital-inc",
      "siblingGroupId": "siblings-ca-kentfield-and-san-francisco-specialty-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.scionhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ScionHealth official about page. Resolved parent/control boundary: ScionHealth. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KENTFIELD AND SAN FRANCISCO SPECIALTY HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ScionHealth official about page. Resolved parent/control boundary: ScionHealth. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KENTFIELD AND SAN FRANCISCO SPECIALTY HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0022719355",
      "name": "BRYN MAWR REHABILITATION HOSPITAL",
      "address": "414 PAOLI PIKE",
      "city": "MALVERN",
      "state": "PA",
      "zip": "19355",
      "county": "CHESTER",
      "latitude": 40.0103590002885,
      "longitude": -75.5285529998852,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 148,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-malvern-bryn-mawr-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIN LINE HEALTH, INC.",
      "parentSystemId": "entity-main-line-health-inc",
      "siblingGroupId": "siblings-pa-main-line-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-main-line-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainlinehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIN LINE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIN LINE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0022733936",
      "name": "HCA FLORIDA LEHIGH HOSPITAL",
      "address": "1500 LEE BLVD",
      "city": "LEHIGH ACRES",
      "state": "FL",
      "zip": "33936",
      "county": "LEE",
      "latitude": 26.6157346303532,
      "longitude": -81.6594763299912,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/lehigh-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100107",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0022816701",
      "name": "BRADFORD REGIONAL MEDICAL CENTER",
      "address": "116 INTERSTATE PARKWAY",
      "city": "BRADFORD",
      "state": "PA",
      "zip": "16701",
      "county": "MCKEAN",
      "latitude": 41.9611930002901,
      "longitude": -78.6594309999224,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "website": "http://www.brmc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bradford-bradford-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OLEAN GENERAL HOSPITAL",
      "parentSystemId": "entity-olean-general-hospital",
      "siblingGroupId": "siblings-pa-olean-general-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0022816701",
        "external-resolution-0022816701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20180808002538 (33010301). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20180808002538 (33010301). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0022990637",
      "name": "KINDRED HOSPITAL - LA MIRADA",
      "address": "14900 IMPERIAL HWY",
      "city": "LA MIRADA",
      "state": "CA",
      "zip": "90638",
      "county": "LOS ANGELES",
      "latitude": 33.9163642402261,
      "longitude": -118.013353910291,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 118,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052038",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-mirada-kindred-hospital---la-mirada/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023090056",
      "name": "KINDRED HOSPITAL - LOS ANGELES",
      "address": "5525 W SLAUSON AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90056",
      "county": "LOS ANGELES",
      "latitude": 33.9901305901743,
      "longitude": -118.378451110345,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 81,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052032",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-kindred-hospital---los-angeles/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023132608",
      "name": "MALCOM RANDALL DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1601 SOUTHWEST ARCHER ROAD",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32608",
      "county": "ALACHUA",
      "latitude": 29.6376984801673,
      "longitude": -82.3446690797645,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 222,
      "rating": null,
      "website": "https://www.northflorida.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-fl-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0023132608",
        "external-resolution-0023132608"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0023195630",
      "name": "VIBRA HOSPITAL OF SACRAMENTO",
      "address": "330 MONTROSE DRIVE",
      "city": "FOLSOM",
      "state": "CA",
      "zip": "95630",
      "county": "SACRAMENTO",
      "latitude": 38.6811805798286,
      "longitude": -121.158209099668,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-folsom-vibra-hospital-of-sacramento/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-ca-vibra-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023216509",
      "name": "MILLCREEK COMMUNITY HOSPITAL",
      "address": "5515 PEACH STREET",
      "city": "ERIE",
      "state": "PA",
      "zip": "16509",
      "county": "ERIE",
      "latitude": 42.0742600000371,
      "longitude": -80.0920419996992,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 161,
      "rating": null,
      "website": "http://lecomhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erie-millcreek-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MILLCREEK COMMUNITY HOSPITAL",
      "parentSystemId": "entity-millcreek-community-hospital",
      "siblingGroupId": "siblings-pa-millcreek-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLCREEK COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLCREEK COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023275140",
      "name": "VAN ZANDT REGIONAL HOSPITAL",
      "address": "707 NORTH WALDRIP ST",
      "city": "GRAND SALINE",
      "state": "TX",
      "zip": "75140",
      "county": "VAN ZANDT",
      "latitude": 32.6793913303756,
      "longitude": -95.7225574503245,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0023275140",
        "external-resolution-0023275140"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0023292104",
      "name": "KINDRED HOSPITAL - SAN DIEGO",
      "address": "1940 EL CAJON BLVD",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92104",
      "county": "SAN DIEGO",
      "latitude": 32.7563836596733,
      "longitude": -117.14464540012,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052036",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-kindred-hospital-san-diego/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023376450",
      "name": "GRAHAM HOSPITAL DISTRICT",
      "address": "1301 MONTGOMERY ROAD",
      "city": "GRAHAM",
      "state": "TX",
      "zip": "76450",
      "county": "YOUNG",
      "latitude": 33.0895821102547,
      "longitude": -98.5839674202239,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.grahamrmc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "GRAHAM HOSPITAL DISTRICT",
      "parentSystemId": "entity-graham-hospital-district",
      "siblingGroupId": "siblings-tx-graham-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-graham-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: GRAHAM HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT S. KERNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAHAM HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GRAHAM HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT S. KERNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAHAM HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023394577",
      "name": "KINDRED HOSPITAL - SAN FRANCISCO BAY AREA",
      "address": "2800 BENEDICT DRIVE",
      "city": "SAN LEANDRO",
      "state": "CA",
      "zip": "94577",
      "county": "ALAMEDA",
      "latitude": 37.7162325996741,
      "longitude": -122.130563969679,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 99,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052034",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-leandro-kindred-hospital-san-francisco-bay-area/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023491791",
      "name": "KINDRED HOSPITAL - SAN GABRIEL VALLEY",
      "address": "845 N LARK ELLEN AVE",
      "city": "WEST COVINA",
      "state": "CA",
      "zip": "91791",
      "county": "LOS ANGELES",
      "latitude": 34.0871916001448,
      "longitude": -117.917251209643,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 76,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-covina-kindred-hospital-san-gabriel-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-ca-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0023491791",
        "external-resolution-0023491791"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0023592706",
      "name": "KINDRED HOSPITAL - SANTA ANA",
      "address": "1901 COLLEGE AVE",
      "city": "SANTA ANA",
      "state": "CA",
      "zip": "92706",
      "county": "ORANGE",
      "latitude": 33.7621496999924,
      "longitude": -117.891594750207,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-ana-kindred-hospital-santa-ana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-ca-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0023592706",
        "external-resolution-0023592706"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0023615221",
      "name": "EAST END BEHAVIORAL HEALTH HOSPITAL",
      "address": "225 PENN AVENUE, 2ND FLOOR",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15221",
      "county": "ALLEGHENY",
      "latitude": 40.4467350001742,
      "longitude": -79.8917519997979,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EAST END BEHAVIORAL HEALTH HOSPITAL",
      "parentSystemId": "entity-east-end-behavioral-health-hospital",
      "siblingGroupId": "siblings-pa-east-end-behavioral-health-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-20",
      "ownershipSourceIds": [
        "hifld-location-0023615221",
        "external-resolution-0023615221"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 394054; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 394054; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0023691706",
      "name": "KINDRED HOSPITAL BALDWIN PARK",
      "address": "14148 FRANCISQUITO AVE",
      "city": "BALDWIN PARK",
      "state": "CA",
      "zip": "91706",
      "county": "LOS ANGELES",
      "latitude": 34.0630389301108,
      "longitude": -117.96743779027,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 91,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052045",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baldwin-park-kindred-hospital-baldwin-park/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-ca-052045",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023717901",
      "name": "SCHUYLKILL MEDICAL CENTER EAST NORWEGIAN STREET",
      "address": "700 EAST NORWEGIAN STREET",
      "city": "POTTSVILLE",
      "state": "PA",
      "zip": "17901",
      "county": "SCHUYLKILL",
      "latitude": 40.6908760000064,
      "longitude": -76.1882399996792,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 136,
      "rating": null,
      "website": "http://www.schuylkillhealth.com/index.php?id=192&fid=1",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LEHIGH VALLEY HOSPITAL - SCHUYLKILL",
      "parentSystemId": "entity-lehigh-valley-hospital-schuylkill",
      "siblingGroupId": "siblings-pa-lehigh-valley-hospital-schuylkill",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0023717901",
        "external-resolution-0023717901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20090202000051 (39S030). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20090202000051 (39S030). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0023792621",
      "name": "KINDRED HOSPITAL BREA",
      "address": "875 N BREA BLVD",
      "city": "BREA",
      "state": "CA",
      "zip": "92821",
      "county": "ORANGE",
      "latitude": 33.934495889743,
      "longitude": -117.893948789901,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052039",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brea-kindred-hospital-brea/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023834997",
      "name": "CLEVELAND CLINIC MARTIN SOUTH HOSPITAL",
      "address": "2100 SE SALERNO RD",
      "city": "STUART",
      "state": "FL",
      "zip": "34997",
      "county": "MARTIN",
      "latitude": 27.1336514401502,
      "longitude": -80.2242166197514,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "website": "http://www.martinhealth.org",
      "status": "corporate_chain",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-fl-the-cleveland-clinic-foundation",
      "campusFamilyId": "campus-fl-100044",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0023918848",
      "name": "GUTHRIE TOWANDA MEMORIAL HOSPITAL",
      "address": "91 HOSPITAL DRIVE",
      "city": "TOWANDA",
      "state": "PA",
      "zip": "18848",
      "county": "BRADFORD",
      "latitude": 41.7840523398723,
      "longitude": -76.4481489302161,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "website": "http://www.guthrie.org/location/guthrie-towanda-memorial-hospital",
      "status": "corporate_chain",
      "parentSystem": "Guthrie",
      "affiliatedSystem": "Guthrie",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Guthrie",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-towanda-guthrie-towanda-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-guthrie",
      "siblingGroupId": "siblings-pa-guthrie",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0023918848",
        "external-resolution-0023918848"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.guthrie.org/location/guthrie-towanda-memorial-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0023991764",
      "name": "KINDRED HOSPITAL ONTARIO",
      "address": "550 N MONTEREY AVE",
      "city": "ONTARIO",
      "state": "CA",
      "zip": "91764",
      "county": "SAN BERNARDINO",
      "latitude": 34.0691758600182,
      "longitude": -117.642479320354,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 91,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052037",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ontario-kindred-hospital-ontario/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024015213",
      "name": "UPMC MAGEE - WOMENS HOSPITAL",
      "address": "300 HALKET STREET",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15213",
      "county": "ALLEGHENY",
      "latitude": 40.4369625201175,
      "longitude": -79.9610524704076,
      "hospitalType": "WOMEN",
      "sourceOwner": "NON-PROFIT",
      "beds": 383,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-upmc-magee-womens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024030322",
      "name": "EMORY REHABILITATION HOSPITAL",
      "address": "1441 CLIFTON ROAD NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30322",
      "county": "DEKALB",
      "latitude": 33.7948823398379,
      "longitude": -84.3205310697233,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 66,
      "rating": null,
      "website": "http://www.emoryhealthcare.org/rehabilitation/",
      "status": "corporate_chain",
      "parentSystem": "EMORY HEALTHCARE INC",
      "affiliatedSystem": "Emoryhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Emoryhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-emory-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-emory-healthcare-inc",
      "siblingGroupId": "siblings-ga-emory-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-emory-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.emoryhealthcare.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMORY HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EMORY HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024091730",
      "name": "KINDRED HOSPITAL RANCHO",
      "address": "10841 WHITE OAK AVE",
      "city": "RANCHO CUCAMONGA",
      "state": "CA",
      "zip": "91730",
      "county": "SAN BERNARDINO",
      "latitude": 34.1037143099256,
      "longitude": -117.566293779623,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052049",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rancho-cucamonga-kindred-hospital-rancho/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024130265",
      "name": "REHABILITATION HOSPITAL OF NEWNAN",
      "address": "2101 EAST NEWNAN CROSSING BLVD",
      "city": "NEWNAN",
      "state": "GA",
      "zip": "30265",
      "county": "COWETA",
      "latitude": 33.3628745996355,
      "longitude": -84.7516267202516,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC",
      "parentSystemId": "entity-piedmont-encompass-rehabilitation-hospitals-llc",
      "siblingGroupId": "siblings-ga-piedmont-encompass-rehabilitation-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024178551",
      "name": "VALLEY BAPTIST MEDICAL CENTER",
      "address": "2101 PEASE ST",
      "city": "HARLINGEN",
      "state": "TX",
      "zip": "78550",
      "county": "CAMERON",
      "latitude": 26.1749648400081,
      "longitude": -97.6699566501877,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 578,
      "rating": null,
      "website": "http://www.valleybaptist.net/harlingen/index.htm",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VHS VALLEY HEALTH SYSTEM LLC",
      "parentSystemId": "entity-vhs-valley-health-system-llc",
      "siblingGroupId": "siblings-tx-vhs-valley-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-vhs-valley-health-system-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: VHS VALLEY HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to VHS VALLEY HEALTH SYSTEM LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VHS VALLEY HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VHS VALLEY HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to VHS VALLEY HEALTH SYSTEM LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VHS VALLEY HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024192571",
      "name": "KINDRED HOSPITAL RIVERSIDE",
      "address": "2224 MEDICAL CENTER DR",
      "city": "PERRIS",
      "state": "CA",
      "zip": "92571",
      "county": "RIVERSIDE",
      "latitude": 33.8124777096969,
      "longitude": -117.222339479912,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052052",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-perris-kindred-hospital-riverside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024231405",
      "name": "LANDMARK HOSPITAL OF SAVANNAH",
      "address": "800 E 68TH STREET",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31405",
      "county": "CHATHAM",
      "latitude": 32.0285715799307,
      "longitude": -81.0951091104477,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.landmarkhospitals.com/savannah.aspx",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Landmarkhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Landmarkhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-savannah-landmark-hospital-of-savannah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ga-select-medical",
      "campusFamilyId": "campus-ga-112011",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CANDICE R CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CANDICE R CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024290247",
      "name": "KINDRED HOSPITAL SOUTH BAY",
      "address": "1246 W 155TH ST",
      "city": "GARDENA",
      "state": "CA",
      "zip": "90247",
      "county": "LOS ANGELES",
      "latitude": 33.8900864402154,
      "longitude": -118.297438260432,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052050",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gardena-kindred-hospital-south-bay/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024317405",
      "name": "MEMORIAL HOSPITAL - YORK",
      "address": "325 SOUTH BELMONT STREET, BOX 15118",
      "city": "YORK",
      "state": "PA",
      "zip": "17405",
      "county": "YORK",
      "latitude": 39.9673609997589,
      "longitude": -76.6925730001261,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "website": "http://www.mhyork.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0024317405",
        "external-resolution-0024317405"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mhyork.org/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0024378550",
      "name": "SOLARA SPECIALTY HOSPITALS HARLINGEN",
      "address": "508 VICTORIA LANE",
      "city": "HARLINGEN",
      "state": "TX",
      "zip": "78550",
      "county": "CAMERON",
      "latitude": 26.1598265701205,
      "longitude": -97.6727452597815,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harlingen-solara-specialty-hospitals-harlingen/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CORNERSTONE HEALTHCARE GROUP HOLDING INC",
      "parentSystemId": "entity-cornerstone-healthcare-group-holding-inc",
      "siblingGroupId": "siblings-tx-cornerstone-healthcare-group-holding-inc",
      "campusFamilyId": "campus-tx-452101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024392683",
      "name": "KINDRED HOSPITAL WESTMINSTER",
      "address": "200 HOSPITAL CIR",
      "city": "WESTMINSTER",
      "state": "CA",
      "zip": "92683",
      "county": "ORANGE",
      "latitude": 33.7635332103005,
      "longitude": -117.995255960097,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 109,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "052035",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westminster-kindred-hospital-westminster/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024431404",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF SAVANNAH",
      "address": "6510 SEAWRIGHT DRIVE",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31404",
      "county": "CHATHAM",
      "latitude": 32.0075433097289,
      "longitude": -81.0937437502676,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ga-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024590805",
      "name": "LA CASA PSYCHIATRIC HEALTH FACILITY",
      "address": "6060 PARAMOUNT BLVD.",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90805",
      "county": "LOS ANGELES",
      "latitude": 33.8650814599841,
      "longitude": -118.156274110398,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.telecarecorp.com/",
      "status": "corporate_chain",
      "parentSystem": "Telecare Corporation",
      "affiliatedSystem": "Telecarecorp",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Telecarecorp",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-beach-la-casa-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-telecare-corporation",
      "siblingGroupId": "siblings-ca-telecare-corporation",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0024590805",
        "external-resolution-0024590805"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.telecarecorp.com/program-locations"
      ],
      "ownershipProofNotes": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0024619607",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF READING, LLC",
      "address": "1623 MORGANTOWN ROAD",
      "city": "READING",
      "state": "PA",
      "zip": "19607",
      "county": "BERKS",
      "latitude": 40.2885470002515,
      "longitude": -75.9247149997806,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-pa-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024630824",
      "name": "UNIVERSITY HOSPITAL MCDUFFIE",
      "address": "2460 WASHINGTON ROAD",
      "city": "THOMSON",
      "state": "GA",
      "zip": "30824",
      "county": "MCDUFFIE",
      "latitude": 33.5230685400233,
      "longitude": -82.501938759811,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thomson-university-hospital-mcduffie/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024634655",
      "name": "HCA FLORIDA TRINITY HOSPITAL",
      "address": "9330 SR 54",
      "city": "TRINITY",
      "state": "FL",
      "zip": "34655",
      "county": "PASCO",
      "latitude": 28.203933419712,
      "longitude": -82.6600605898209,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 278,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/trinity-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100191",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-trinity-hca-florida-trinity-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024730141",
      "name": "WELLSTAR PAULDING HOSPITAL",
      "address": "2518 JIMMY LEE SMITH PARKWAY",
      "city": "HIRAM",
      "state": "GA",
      "zip": "30141",
      "county": "PAULDING",
      "latitude": 33.9007282996664,
      "longitude": -84.7807259101321,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 112,
      "rating": null,
      "website": "https://www.wellstar.org/locations/pages/wellstar-paulding-hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hiram-wellstar-paulding-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024734652",
      "name": "MEDICAL CENTER OF TRINITY WEST PASCO CAMPUS",
      "address": "5637 MARINE PKWY",
      "city": "NEW PORT RICHEY",
      "state": "FL",
      "zip": "34652",
      "county": "PASCO",
      "latitude": 28.2357015298229,
      "longitude": -82.7207661603534,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "website": "medicalcentertrinity.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0024734652",
        "external-resolution-0024734652"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0024790033",
      "name": "LAC USC MEDICAL CENTER",
      "address": "1200 N STATE ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90033",
      "county": "LOS ANGELES",
      "latitude": 34.0595615898766,
      "longitude": -118.208356609687,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 600,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-lacusc-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Los Angeles County Department of Health Services",
      "parentSystemId": "entity-los-angeles-county-department-of-health-services",
      "siblingGroupId": "siblings-ca-los-angeles-county-department-of-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-06-30",
      "ownershipSourceIds": [
        "hifld-location-0024790033",
        "external-resolution-0024790033"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050373; Type of Control 9 supports the ownership class. The CCN bridged to current CMS enrollment O20110715000580 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050373; Type of Control 9 supports the ownership class. The CCN bridged to current CMS enrollment O20110715000580 and 1 owner/control organization row(s)."
    },
    {
      "id": "0024819122",
      "name": "GIRARD MEDICAL CENTER",
      "address": "801 WEST GIRARD AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19130",
      "county": "PHILADELPHIA",
      "latitude": 39.9714501601412,
      "longitude": -75.1501782498765,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 189,
      "rating": null,
      "website": "https://bewellctr.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-girard-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GIRARD MEDICAL CENTER",
      "parentSystemId": "entity-girard-medical-center",
      "siblingGroupId": "siblings-pa-girard-medical-center",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0024819122",
        "external-resolution-0024819122"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://bewellctr.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0024890502",
      "name": "LAC - HARBOR UCLA MEDICAL CENTER",
      "address": "1000 W CARSON ST",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90502",
      "county": "LOS ANGELES",
      "latitude": 33.8304737702816,
      "longitude": -118.291713810064,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 415,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COUNTY OF LOS ANGELES",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-los-angeles",
      "siblingGroupId": "siblings-ca-county-of-los-angeles",
      "campusFamilyId": "campus-ca-050376",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-los-angeles-county-department-of-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dhs.lacounty.gov/our-services/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024915236",
      "name": "JEFFERSON HOSPITAL",
      "address": "565 COAL VALLEY ROAD",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15236",
      "county": "ALLEGHENY",
      "latitude": 40.3174455898714,
      "longitude": -79.9336497696023,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 341,
      "rating": null,
      "website": "https://www.ahn.org",
      "status": "corporate_chain",
      "parentSystem": "Allegheny Health Network",
      "affiliatedSystem": "Ahn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ahn",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allegheny-health-network",
      "siblingGroupId": "siblings-pa-allegheny-health-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-allegheny-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGHENY HEALTH NETWORK (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegheny Health Network, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGHENY HEALTH NETWORK (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegheny Health Network, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0024990242",
      "name": "LAC - RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER",
      "address": "7601 IMPERIAL HWY",
      "city": "DOWNEY",
      "state": "CA",
      "zip": "90242",
      "county": "LOS ANGELES",
      "latitude": 33.9284014997044,
      "longitude": -118.158878680343,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 158,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF LOS ANGELES",
      "parentSystemId": "entity-county-of-los-angeles",
      "siblingGroupId": "siblings-ca-county-of-los-angeles",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-los-angeles-county-department-of-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dhs.lacounty.gov/our-services/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025019104",
      "name": "CORPORAL MICHAEL J. CRESCENZ DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "3900 WOODLAND AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19104",
      "county": "PHILADELPHIA",
      "latitude": 39.9483470000673,
      "longitude": -75.1998673201425,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.philadelphia.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-pa-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025032216",
      "name": "HCA FLORIDA MEMORIAL HOSPITAL",
      "address": "3625 UNIVERSITY BLVD S",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32216",
      "county": "DUVAL",
      "latitude": 30.2880617798494,
      "longitude": -81.601508030334,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 454,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/memorial-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100179",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-hca-florida-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025094116",
      "name": "LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER",
      "address": "375 LAGUNA HONDA BLVD",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94116",
      "county": "SAN FRANCISCO",
      "latitude": 37.7743640801331,
      "longitude": -122.425873349607,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-laguna-honda-hospital-and-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY & COUNTY OF SAN FRANCISCO",
      "parentSystemId": "entity-city-and-county-of-san-francisco",
      "siblingGroupId": "siblings-ca-city-and-county-of-san-francisco",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY & COUNTY OF SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY & COUNTY OF SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025190712",
      "name": "LAKEWOOD REGIONAL MEDICAL CENTER",
      "address": "3700 SOUTH ST",
      "city": "LAKEWOOD",
      "state": "CA",
      "zip": "90712",
      "county": "LOS ANGELES",
      "latitude": 33.859706620173,
      "longitude": -118.148402970369,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 172,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakewood-lakewood-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF CALIFORNIA IRVINE",
      "parentSystemId": "entity-university-of-california-irvine",
      "siblingGroupId": "siblings-ca-university-of-california-irvine",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-university-of-california-irvine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA IRVINE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA IRVINE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025294143",
      "name": "LANGLEY PORTER PSYCHIATRIC INSTITUTE",
      "address": "401 PARNASSUS AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94143",
      "county": "SAN FRANCISCO",
      "latitude": 37.7634723497544,
      "longitude": -122.456850620302,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 56,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-langley-porter-psychiatric-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "University of California Health",
      "parentSystemId": "entity-university-of-california-health",
      "siblingGroupId": "siblings-ca-university-of-california-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0025294143",
        "external-resolution-0025294143"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 054144. That CCN bridged to CMS enrollment O20160317000039 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 054144. That CCN bridged to CMS enrollment O20160317000039 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0025315601",
      "name": "EXCELA HEALTH WESTMORELAND HOSPITAL",
      "address": "532 WEST PITTSBURGH STREET",
      "city": "GREENSBURG",
      "state": "PA",
      "zip": "15601",
      "county": "WESTMORELAND",
      "latitude": 40.3007951998645,
      "longitude": -79.5545132895552,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 375,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensburg-excela-health-westmoreland-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EB HEALTH PARTNERS",
      "parentSystemId": "entity-eb-health-partners",
      "siblingGroupId": "siblings-pa-eb-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS ALBANESI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS ALBANESI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025416365",
      "name": "WARREN STATE HOSPITAL",
      "address": "33 MAIN DRIVE",
      "city": "WARREN",
      "state": "PA",
      "zip": "16365",
      "county": "WARREN",
      "latitude": 41.8794740001494,
      "longitude": -79.146869000342,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 152,
      "rating": null,
      "website": "http://www.dhs.pa.gov/citizens/statehospitals",
      "status": "corporate_chain",
      "parentSystem": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
      "affiliatedSystem": "Dhs Pa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dhs Pa",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-pennsylvania-department-of-human-services",
      "siblingGroupId": "siblings-pa-pennsylvania-department-of-human-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-department-of-human-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY DARLING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY DARLING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025477008",
      "name": "THE HEIGHTS HOSPITAL",
      "address": "1917 ASHLAND STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77008",
      "county": "HARRIS",
      "latitude": 29.8036716199661,
      "longitude": -95.4041461698972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "website": "http://www.sjmctx.com/the-heights/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-the-heights-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0025477008",
        "external-resolution-0025477008"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20190808000928 (673072). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20190808000928 (673072). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0025515065",
      "name": "ALLEGHENY VALLEY HOSPITAL",
      "address": "1301 CARLISLE STREET",
      "city": "NATRONA HEIGHTS",
      "state": "PA",
      "zip": "15065",
      "county": "ALLEGHENY",
      "latitude": 40.6182848199237,
      "longitude": -79.736751350073,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 188,
      "rating": null,
      "website": "http://www.ahn.org",
      "status": "corporate_chain",
      "parentSystem": "ALLE-KISKI MEDICAL CENTER",
      "affiliatedSystem": "Ahn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ahn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-natrona-heights-allegheny-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-alle-kiski-medical-center",
      "siblingGroupId": "siblings-pa-alle-kiski-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-alle-kiski-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLE-KISKI MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLE-KISKI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLE-KISKI MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLE-KISKI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025611701",
      "name": "THE LONG ISLAND HOME",
      "address": "400 SUNRISE HIGHWAY VALENTINE HALL",
      "city": "AMITYVILLE",
      "state": "NY",
      "zip": "11701",
      "county": "SUFFOLK",
      "latitude": 40.6857660401215,
      "longitude": -73.4226325098666,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 232,
      "rating": null,
      "website": "http://www.longislandhome.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amityville-the-long-island-home/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northwell Health",
      "parentSystemId": "entity-northwell-health",
      "siblingGroupId": "siblings-ny-northwell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0025611701",
        "external-resolution-0025611701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20051031000242 (334027). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20051031000242 (334027). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0025718103",
      "name": "THE GOOD SHEPHERD REHABILITATION HOSPITAL",
      "address": "850 SOUTH FIFTH STREET, GOOD SHEPHERD PLAZA",
      "city": "ALLENTOWN",
      "state": "PA",
      "zip": "18103",
      "county": "LEHIGH",
      "latitude": 40.5926084798087,
      "longitude": -75.463855350366,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 94,
      "rating": null,
      "website": "http://www.goodshepherdrehab.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-allentown-good-shepherd-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GOOD SHEPHERD REHABILITATION HOSPITAL",
      "parentSystemId": "entity-good-shepherd-rehabilitation-hospital",
      "siblingGroupId": "siblings-pa-good-shepherd-rehabilitation-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0025718103",
        "external-resolution-0025718103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 393035. That CCN bridged to CMS enrollment O20040206000039 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 393035. That CCN bridged to CMS enrollment O20040206000039 and 1 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0025792373",
      "name": "LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER",
      "address": "1710 BARTON RD",
      "city": "REDLANDS",
      "state": "CA",
      "zip": "92373",
      "county": "SAN BERNARDINO",
      "latitude": 34.0494388299577,
      "longitude": -117.214083139594,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 89,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redlands-loma-linda-university-behavioral-medicine-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Loma Linda University Health",
      "parentSystemId": "entity-loma-linda-university-health",
      "siblingGroupId": "siblings-ca-loma-linda-university-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0025792373",
        "external-resolution-0025792373"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20230620001229 (05S327). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20230620001229 (05S327). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0025812866",
      "name": "FOUR WINDS HOSPITAL SARATOGA",
      "address": "30 CRESCENT AVENUE",
      "city": "SARATOGA SPRINGS",
      "state": "NY",
      "zip": "12866",
      "county": "SARATOGA",
      "latitude": 43.0581304703185,
      "longitude": -73.7853960601867,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 88,
      "rating": null,
      "website": "http://www.fourwindshospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saratoga-springs-four-winds-hospital-saratoga/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FW OF SARATOGA INC",
      "parentSystemId": "entity-fw-of-saratoga-inc",
      "siblingGroupId": "siblings-ny-fw-of-saratoga-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-fw-of-saratoga-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists SARAH D KLAGSBURN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to FW OF SARATOGA INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FW OF SARATOGA INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SARAH D KLAGSBURN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to FW OF SARATOGA INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FW OF SARATOGA INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025815370",
      "name": "WASHINGTON HEALTH SYSTEM GREENE",
      "address": "350 BONAR AVENUE",
      "city": "WAYNESBURG",
      "state": "PA",
      "zip": "15370",
      "county": "GREENE",
      "latitude": 39.9006210000707,
      "longitude": -80.173196000096,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "website": "http://southwestregionalmedical.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UPMC",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0025892373",
      "name": "LOMA LINDA UNIVERSITY SURGICAL HOSPITAL",
      "address": "26780 BARTON RD",
      "city": "REDLANDS",
      "state": "CA",
      "zip": "92373",
      "county": "SAN BERNARDINO",
      "latitude": 34.0489404101878,
      "longitude": -117.220216360247,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 28,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Loma Linda University Health",
      "parentSystemId": "entity-loma-linda-university-health",
      "siblingGroupId": "siblings-ca-loma-linda-university-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0025892373",
        "external-resolution-0025892373"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://lluh.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Loma Linda University Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Loma Linda University Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0025977030",
      "name": "UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER",
      "address": "1515 HOLCOMBE BOULEVARD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7070313602732,
      "longitude": -95.3970771697213,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 631,
      "rating": null,
      "website": "http://www.mdanderson.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-the-university-of-texas-m.d.-anderson-cancer-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER",
      "parentSystemId": "entity-university-of-texas-m-d-anderson-cancer-center",
      "siblingGroupId": "siblings-tx-university-of-texas-m-d-anderson-cancer-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists CHRISTOPHER SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTOPHER SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0026233133",
      "name": "MERCY HOSPITAL",
      "address": "3663 S MIAMI AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33133",
      "county": "MIAMI-DADE",
      "latitude": 25.7401586199557,
      "longitude": -80.2143532904083,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 488,
      "rating": null,
      "website": "http://www.mercymiami.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0026233133",
        "external-resolution-0026233133"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 100167. That CCN bridged to CMS enrollment O20070920000906 and 14 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 100167. That CCN bridged to CMS enrollment O20070920000906 and 14 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0026277008",
      "name": "MEMORIAL HERMANN GREATER HEIGHTS HOSPITAL",
      "address": "1635 NORTH LOOP WEST",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77008",
      "county": "HARRIS",
      "latitude": 29.810735660134,
      "longitude": -95.4303355503842,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 260,
      "rating": null,
      "website": "http://www.memorialhermann.org/locations/northwest/",
      "status": "corporate_chain",
      "parentSystem": "MEMORIAL HERMANN HEALTH SYSTEM",
      "affiliatedSystem": "Memorialhermann",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-memorial-hermann-greater-heights-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0026377030",
      "name": "CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER",
      "address": "6720 BERTNER",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7077311596829,
      "longitude": -95.4004449698912,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 879,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "campusFamilyId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0026433126",
      "name": "CHILDREN AND FAMILY HOSPITAL OF SOUTH FLORIDA",
      "address": "5959 NW 7TH ST",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33126",
      "county": "MIAMI-DADE",
      "latitude": 25.7783158903456,
      "longitude": -80.2935879701319,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 69,
      "rating": null,
      "website": "www.nicklauschildrens.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Nicklaus Children's Health System",
      "parentSystemId": "entity-nicklaus-children-s-health-system",
      "siblingGroupId": "siblings-fl-nicklaus-children-s-health-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0026433126",
        "external-resolution-0026433126"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nicklauschildrens.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nicklaus Children's Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nicklaus Children's Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0026477030",
      "name": "SHRINERS HOSPITALS FOR CHILDREN",
      "address": "6977 MAIN STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7043106700706,
      "longitude": -95.4057714504183,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "http://www.shrinershospitalsforchildren.org/locations/houston",
      "status": "corporate_chain",
      "parentSystem": "Shrinershospitalsforchildren",
      "affiliatedSystem": "Shrinershospitalsforchildren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Shrinershospitalsforchildren",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shrinershospitalsforchildren",
      "siblingGroupId": "siblings-tx-shrinershospitalsforchildren",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0026477030",
        "external-resolution-0026477030"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.shrinershospitalsforchildren.org/locations/houston"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0026490720",
      "name": "LOS ALAMITOS MEDICAL CENTER",
      "address": "3751 KATELLA AVE",
      "city": "LOS ALAMITOS",
      "state": "CA",
      "zip": "90720",
      "county": "ORANGE",
      "latitude": 33.8044134897658,
      "longitude": -118.067149760033,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 172,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-alamitos-los-alamitos-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
      "parentSystemId": "entity-the-regents-of-the-university-of-california",
      "siblingGroupId": "siblings-ca-the-regents-of-the-university-of-california",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-the-regents-of-the-university-of-california"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ucop.edu/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0026577030",
      "name": "TIRR MEMORIAL HERMANN",
      "address": "1333 MOURSUND STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7093368003465,
      "longitude": -95.3940389596326,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 134,
      "rating": null,
      "website": "http://www.memorialhermann.org/locations/tirr.html",
      "status": "corporate_chain",
      "parentSystem": "MEMORIAL HERMANN HEALTH SYSTEM",
      "affiliatedSystem": "Memorialhermann",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-tirr-memorial-hermann/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY A ASHWORTH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY A ASHWORTH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0026677024",
      "name": "MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER",
      "address": "921 GESSNER ROAD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77024",
      "county": "HARRIS",
      "latitude": 29.7814474700466,
      "longitude": -95.5467596896579,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 444,
      "rating": null,
      "website": "http://www.memorialhermann.org/locations/memorial-city/",
      "status": "corporate_chain",
      "parentSystem": "MEMORIAL HERMANN HEALTH SYSTEM",
      "affiliatedSystem": "Memorialhermann",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0026691342",
      "name": "LOS ANGELES COUNTY OLIVE VIEW - UCLA MED CTR D/P APH",
      "address": "14445 OLIVE VIEW DR",
      "city": "SYLMAR",
      "state": "CA",
      "zip": "91342",
      "county": "LOS ANGELES",
      "latitude": 34.3258717198091,
      "longitude": -118.445764099711,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 52,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COUNTY OF LOS ANGELES",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-los-angeles",
      "siblingGroupId": "siblings-ca-county-of-los-angeles",
      "campusFamilyId": "campus-ca-050040",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0026733125",
      "name": "MIAMI VA HEALTHCARE SYSTEM",
      "address": "1201 NW 16TH STREET",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33125",
      "county": "MIAMI-DADE",
      "latitude": 25.7912225202993,
      "longitude": -80.2167249200135,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 281,
      "rating": null,
      "website": "http://www.miami.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-miami-va-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MIAMI VA HEALTHCARE SYSTEM",
      "parentSystemId": "entity-miami-va-healthcare-system",
      "siblingGroupId": "siblings-fl-miami-va-healthcare-system",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0026733125",
        "external-resolution-0026733125"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.miami.va.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0026790250",
      "name": "COLLEGE MEDICAL CENTER HAWTHORNE CAMPUS",
      "address": "13300 HAWTHORNE BLVD",
      "city": "HAWTHORNE",
      "state": "CA",
      "zip": "90250",
      "county": "LOS ANGELES",
      "latitude": 33.9117287998874,
      "longitude": -118.352043939605,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hawthorne-college-medical-center-hawthorne-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "College Hospital",
      "parentSystemId": "entity-college-hospital",
      "siblingGroupId": "siblings-ca-college-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0026790250",
        "external-resolution-0026790250"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://collegehospital.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to College Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to College Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0026877089",
      "name": "MEMORIAL HERMANN SOUTHEAST HOSPITAL",
      "address": "11800 ASTORIA BOULEVARD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77089",
      "county": "HARRIS",
      "latitude": 29.5824847397164,
      "longitude": -95.2074211701335,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 295,
      "rating": null,
      "website": "https://memorialhermann.org/locations/southeast",
      "status": "corporate_chain",
      "parentSystem": "Memorialhermann",
      "affiliatedSystem": "Memorialhermann",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-memorial-hermann-southeast-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorialhermann",
      "siblingGroupId": "siblings-tx-memorialhermann",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0026877089",
        "external-resolution-0026877089"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://memorialhermann.org/locations/southeast"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0026991360",
      "name": "LOS ROBLES HOSPITAL AND MEDICAL CENTER",
      "address": "215 W JANSS RD",
      "city": "THOUSAND OAKS",
      "state": "CA",
      "zip": "91360",
      "county": "VENTURA",
      "latitude": 34.2079705096966,
      "longitude": -118.882894890134,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 325,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thousand-oaks-los-robles-hospital-&-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0027094304",
      "name": "LUCILE SALTER PACKARD CHILDREN'S HOSPITAL STANFORD",
      "address": "725 WELCH RD",
      "city": "PALO ALTO",
      "state": "CA",
      "zip": "94304",
      "county": "SANTA CLARA",
      "latitude": 37.4360045800837,
      "longitude": -122.175390039799,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 456,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY",
      "parentSystemId": "entity-the-board-of-trustees-of-the-leland-stanford-junior-university",
      "siblingGroupId": "siblings-ca-the-board-of-trustees-of-the-leland-stanford-junior-university",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0027177074",
      "name": "MEMORIAL HERMANN SOUTHWEST HOSPITAL",
      "address": "7600 BEECHNUT",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77074",
      "county": "HARRIS",
      "latitude": 29.692718070383,
      "longitude": -95.5211531100762,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 543,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-memorial-hermann-southwest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Memorial Hermann Health System",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0027177074",
        "external-resolution-0027177074"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0027233549",
      "name": "MORTON PLANT NORTH BAY HOSPITAL RECOVERY CENTER",
      "address": "21808 STATE RD 54",
      "city": "LUTZ",
      "state": "FL",
      "zip": "33549",
      "county": "PASCO",
      "latitude": 28.1871830996346,
      "longitude": -82.4549554600966,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 72,
      "rating": null,
      "website": "https://baycare.org/locations/m/morton-plant-north-bay-hospital--recovery-center",
      "status": "corporate_chain",
      "parentSystem": "Baycare",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lutz-morton-plant-north-bay-hospital-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare",
      "siblingGroupId": "siblings-fl-baycare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0027233549",
        "external-resolution-0027233549"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://baycare.org/locations"
      ],
      "ownershipProofNotes": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0027577090",
      "name": "INTRACARE NORTH HOSPITAL",
      "address": "1120 CYPRESS STATION",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77090",
      "county": "HARRIS",
      "latitude": 30.0236562598024,
      "longitude": -95.4402749302009,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 90,
      "rating": null,
      "website": "http://www.intracare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-intracare-north-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTRACARE NORTH HOSPITAL",
      "parentSystemId": "entity-intracare-north-hospital",
      "siblingGroupId": "siblings-tx-intracare-north-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0027577090",
        "external-resolution-0027577090"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 454083; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 454083; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0027595340",
      "name": "MARIE GREEN PSYCHIATRIC CENTER - PHF",
      "address": "300 EAST 15TH STREET",
      "city": "MERCED",
      "state": "CA",
      "zip": "95340",
      "county": "MERCED",
      "latitude": 37.293784079708,
      "longitude": -120.473474740421,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MARIE GREEN PSYCHIATRIC CENTER - PHF",
      "parentSystemId": "entity-marie-green-psychiatric-center-phf",
      "siblingGroupId": "siblings-ca-marie-green-psychiatric-center-phf",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0027595340",
        "external-resolution-0027595340"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0027719403",
      "name": "EINSTEIN MEDICAL CENTER MONTGOMERY",
      "address": "559 W GERMANTOWN PIKE",
      "city": "EAST NORRITON",
      "state": "PA",
      "zip": "19403",
      "county": "MONTGOMERY",
      "latitude": 40.1531434798647,
      "longitude": -75.3433941804088,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 195,
      "rating": null,
      "website": "http://www.einstein.edu",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-norriton-einstein-medical-center-montgomery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0027734110",
      "name": "NCH HEALTHCARE SYSTEM NORTH NAPLES HOSPITAL CAMPUS",
      "address": "11190 HEALTHPARK BLVD",
      "city": "NAPLES",
      "state": "FL",
      "zip": "34110",
      "county": "COLLIER",
      "latitude": 26.274308899607,
      "longitude": -81.7887450096937,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 322,
      "rating": null,
      "website": "http://www.nchmd.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-naples-nch-healthcare-system-north-naples-hospital-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NCH Healthcare System",
      "parentSystemId": "entity-nch-healthcare-system",
      "siblingGroupId": "siblings-fl-nch-healthcare-system",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0027734110",
        "external-resolution-0027734110"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nchmd.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to NCH Healthcare System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to NCH Healthcare System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0027743906",
      "name": "ACUITY SPECIALTY HOSPITAL - OHIO VALLEY AT BELMONT",
      "address": "4697 HARRISON STREET",
      "city": "BELLAIRE",
      "state": "OH",
      "zip": "43906",
      "county": "BELMONT",
      "latitude": 40.0305210799049,
      "longitude": -80.7409107798677,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 39,
      "rating": null,
      "website": "http://belmont.acuityhealthcare.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Acuity Healthcare",
      "parentSystemId": "entity-acuity-healthcare",
      "siblingGroupId": "siblings-oh-acuity-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0027743906",
        "external-resolution-0027743906"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://belmont.acuityhealthcare.net/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Acuity Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Acuity Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0027790291",
      "name": "CEDARS - SINAI MARINA DEL REY HOSPITAL",
      "address": "4650 LINCOLN BLVD",
      "city": "MARINA DEL REY",
      "state": "CA",
      "zip": "90292",
      "county": "LOS ANGELES",
      "latitude": 33.9821616202992,
      "longitude": -118.439232239972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 103,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CEDARS-SINAI MARINA HOSPITAL",
      "parentSystemId": "entity-cedars-sinai-marina-hospital",
      "siblingGroupId": "siblings-ca-cedars-sinai-marina-hospital",
      "campusFamilyId": "campus-ca-050740",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MARINA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MARINA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0027832605",
      "name": "NORTH FLORIDA REGIONAL MEDICAL CENTER",
      "address": "6500 NEWBERRY RD",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32605",
      "county": "ALACHUA",
      "latitude": 29.6606130396146,
      "longitude": -82.4121661599834,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 523,
      "rating": null,
      "website": "http://www.nfrmc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0027832605",
        "external-resolution-0027832605"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0027877030",
      "name": "KINDRED HOSPITAL HOUSTON MEDICAL CENTER",
      "address": "6441 MAIN STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7128504297747,
      "longitude": -95.3991702299603,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 108,
      "rating": null,
      "website": "http://www.khhouston.com/",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452023",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0027944130",
      "name": "REGENCY HOSPITAL OF CLEVELAND WEST",
      "address": "6990 ENGLE ROAD",
      "city": "MIDDLEBURG HEIGHTS",
      "state": "OH",
      "zip": "44130",
      "county": "CUYAHOGA",
      "latitude": 41.3773574901475,
      "longitude": -81.827592709851,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 43,
      "rating": null,
      "website": "http://clevelandwest.regencyhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middleburg-heights-regency-hospital-of-cleveland-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0027944130",
        "external-resolution-0027944130"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0028017109",
      "name": "HELEN M. SIMPSON REHABILITATION HOSPITAL",
      "address": "4300 LONDONDERRY ROAD",
      "city": "HARRISBURG",
      "state": "PA",
      "zip": "17109",
      "county": "DAUPHIN",
      "latitude": 40.2846476098951,
      "longitude": -76.8165008002058,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "website": "http://www.simpson-rehab.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "campusFamilyId": "campus-pa-393056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRETT MCCHESNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRETT MCCHESNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028044122",
      "name": "HIGHLAND SPRINGS HOSPITAL",
      "address": "4199 MILL POND DRIVE",
      "city": "HIGHLAND HILLS",
      "state": "OH",
      "zip": "44122",
      "county": "CUYAHOGA",
      "latitude": 41.450390940237,
      "longitude": -81.5222809602391,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "http://www.highlandspringshealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-highland-hills-highland-springs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-oh-lifepoint-health",
      "campusFamilyId": "campus-oh-364053",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028144155",
      "name": "SELECT SPECIALTY HOSPITAL - CLEVELAND GATEWAY",
      "address": "2351 EAST 22ND STREET, 7TH FLOOR",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44115",
      "county": "CUYAHOGA",
      "latitude": 41.4964787198918,
      "longitude": -81.6728436000838,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 75,
      "rating": null,
      "website": "http://clevelandgateway.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "INTENSIVA HEALTHCARE CORPORATION",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-select-specialty-hospital---cleveland-gateway/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-intensiva-healthcare-corporation",
      "siblingGroupId": "siblings-oh-intensiva-healthcare-corporation",
      "campusFamilyId": "campus-oh-362026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTENSIVA HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JULLIE IDOINE-FRIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTENSIVA HEALTHCARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTENSIVA HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JULLIE IDOINE-FRIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTENSIVA HEALTHCARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028170072",
      "name": "BRIDGEPOINT CONTINUING CARE HOSPITAL",
      "address": "1101 MEDICAL CENTER BLVD, 4TH FLOOR",
      "city": "MARRERO",
      "state": "LA",
      "zip": "70072",
      "county": "JEFFERSON",
      "latitude": 29.8924990699235,
      "longitude": -90.0948711203233,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 44,
      "rating": null,
      "website": "https://www.bridgepointhealthcare.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BRIDGEPOINT HEALTHCARE LLC",
      "peFirm": "Silver Point Capital",
      "acquiredDate": "December 2014",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "192007",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Bridgepoint Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marrero-bridgepoint-continuing-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-bridgepoint-healthcare-llc",
      "siblingGroupId": "siblings-la-bridgepoint-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRIDGEPOINT HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Bridgepoint Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bridgepoint Healthcare. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRIDGEPOINT HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRIDGEPOINT HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Bridgepoint Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bridgepoint Healthcare. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRIDGEPOINT HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028217101",
      "name": "SELECT SPECIALTY HOSPITAL - CENTRAL PENNSYLVANIA HARRISBURG",
      "address": "111 SOUTH FRONT STREET",
      "city": "HARRISBURG",
      "state": "PA",
      "zip": "17101",
      "county": "DAUPHIN",
      "latitude": 40.2580478202554,
      "longitude": -76.8803139801743,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 92,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "campusFamilyId": "campus-pa-392039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TINA CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TINA CARROLL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028233313",
      "name": "STEWARD FLORIDA MEDICAL CENTER - A CAMPUS OF NORTH SHORE",
      "address": "5000 W OAKLAND PARK BLVD",
      "city": "LAUDERDALE LAKES",
      "state": "FL",
      "zip": "33313",
      "county": "BROWARD",
      "latitude": 26.1633674501069,
      "longitude": -80.2185788999278,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 459,
      "rating": null,
      "website": "www.floridamedctr.com",
      "status": "corporate_chain",
      "parentSystem": "Steward Health Care",
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Steward Health Care",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-steward-health-care",
      "siblingGroupId": "siblings-fl-steward-health-care",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0028233313",
        "external-resolution-0028233313"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1639691/000119312517297890/d371311dex991.htm"
      ],
      "ownershipProofNotes": "Steward Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Steward Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0028244870",
      "name": "FIRELANDS REG. MED CTR - MAIN CAMPUS",
      "address": "1111 HAYES AVE",
      "city": "SANDUSKY",
      "state": "OH",
      "zip": "44870",
      "county": "ERIE",
      "latitude": 41.4369978298514,
      "longitude": -82.712010070175,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 287,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FIRELANDS REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-firelands-regional-medical-center",
      "siblingGroupId": "siblings-oh-firelands-regional-medical-center",
      "campusFamilyId": "campus-oh-360025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-firelands-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists JEREMY L NORMINGTON-SLAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FIRELANDS REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRELANDS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEREMY L NORMINGTON-SLAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FIRELANDS REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRELANDS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028277065",
      "name": "KINDRED HOSPITAL HOUSTON NW",
      "address": "11297 FALLBROOK DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77065",
      "county": "HARRIS",
      "latitude": 29.9244096202373,
      "longitude": -95.5882461298769,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 84,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TRACY KOHLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TRACY KOHLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028315650",
      "name": "SELECT SPECIALTY HOSPITAL - LAUREL HIGHLANDS, INC",
      "address": "1 MELLON WAY, 3RD FLOOR",
      "city": "LATROBE",
      "state": "PA",
      "zip": "15650",
      "county": "WESTMORELAND",
      "latitude": 40.3212748098209,
      "longitude": -79.3935774500869,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-latrobe-select-specialty-hospital-laurel-highlands-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-pa-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA MCEWEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA MCEWEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028343205",
      "name": "THE OHIO STATE UNIVERSITY HOSP - EAST",
      "address": "181 TAYLOR AVENUE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43203",
      "county": "FRANKLIN",
      "latitude": 39.9705176898635,
      "longitude": -82.9628756203226,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 384,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-ohio-state-university-hospital-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "The Ohio State University",
      "parentSystemId": "entity-the-ohio-state-university",
      "siblingGroupId": "siblings-oh-the-ohio-state-university",
      "campusFamilyId": "campus-oh-369803",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-verified-parent-the-ohio-state-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://wexnermedical.osu.edu/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent The Ohio State University, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent The Ohio State University, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028418045",
      "name": "ST. LUKE'S HOSPITAL - ANDERSON CAMPUS",
      "address": "1872 ST LUKE'S BLVD",
      "city": "EASTON",
      "state": "PA",
      "zip": "18045",
      "county": "NORTHAMPTON",
      "latitude": 40.6491477599854,
      "longitude": -75.2878209096732,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 181,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-easton-st-luke-s-hospital-anderson-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "campusFamilyId": "campus-pa-390162",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028543205",
      "name": "REGENCY HOSPITAL OF COLUMBUS, LLC",
      "address": "181 TAYLOR AVENUE, 6TH FLOOR",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "45203",
      "county": "FRANKLIN",
      "latitude": 39.970791330262,
      "longitude": -82.96286372034,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 23,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0028543205",
        "external-resolution-0028543205"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0028645224",
      "name": "CHILDREN'S HOSP MC - COLLEGE HILL",
      "address": "5642 HAMILTON AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45224",
      "county": "HAMILTON",
      "latitude": 39.1926339401489,
      "longitude": -84.5438764499692,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 94,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-children-s-hospital-mc---college-hill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Cincinnati Children's",
      "parentSystemId": "entity-cincinnati-children-s",
      "siblingGroupId": "siblings-oh-cincinnati-children-s",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0028645224",
        "external-resolution-0028645224"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cincinnatichildrens.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Cincinnati Children's and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Cincinnati Children's and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0028677004",
      "name": "CORNERSTONE SPECIALTY HOSPITALS HOUSTON MEDICAL CENTER",
      "address": "1300 BINZ",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77004",
      "county": "HARRIS",
      "latitude": 29.7232392299934,
      "longitude": -95.3870226896655,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 65,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0028677004",
        "external-resolution-0028677004"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0028694025",
      "name": "MENLO PARK SURGICAL HOSPITAL",
      "address": "570 WILLOW ROAD",
      "city": "MENLO PARK",
      "state": "CA",
      "zip": "94025",
      "county": "SAN MATEO",
      "latitude": 37.4616440998126,
      "longitude": -122.159183349603,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "website": "http://www.pamf.org/mpsh",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-menlo-park-menlo-park-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MENLO PARK SURGICAL HOSPITAL",
      "parentSystemId": "entity-menlo-park-surgical-hospital",
      "siblingGroupId": "siblings-ca-menlo-park-surgical-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0028694025",
        "external-resolution-0028694025"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050754; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050754; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0028777082",
      "name": "HEALTHBRIDGE CHILDRENS HOSPITAL - HOUSTON LTD",
      "address": "2929 WOODLAND PARK DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77082",
      "county": "HARRIS",
      "latitude": 29.7324501499952,
      "longitude": -95.5799847203659,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-healthbridge-children-s-hospital---houston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHBRIDGE CHILDREN'S HOSPITAL - HOUSTON, LTD.",
      "parentSystemId": "entity-healthbridge-children-s-hospital-houston-ltd",
      "siblingGroupId": "siblings-tx-healthbridge-children-s-hospital-houston-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-healthbridge-children-s-hospital-houston-ltd"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists ERIN CASSIDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HEALTHBRIDGE CHILDREN'S HOSPITAL - HOUSTON, LTD.; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHBRIDGE CHILDREN'S HOSPITAL - HOUSTON, LTD., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ERIN CASSIDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HEALTHBRIDGE CHILDREN'S HOSPITAL - HOUSTON, LTD.; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHBRIDGE CHILDREN'S HOSPITAL - HOUSTON, LTD., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028833063",
      "name": "HCA FLORIDA NORTHWEST HOSPITAL",
      "address": "2801 N STATE RD 7",
      "city": "MARGATE",
      "state": "FL",
      "zip": "33063",
      "county": "BROWARD",
      "latitude": 26.2629748097033,
      "longitude": -80.2028860299052,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 289,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/northwest-hospital",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100189",
      "relationshipType": "corporate_chain",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-margate-hca-florida-northwest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0028844094",
      "name": "LAKE HEALTH WEST MEDICAL CENTER",
      "address": "36000 EUCLID AVENUE",
      "city": "WILLOUGHBY",
      "state": "OH",
      "zip": "44094",
      "county": "LAKE",
      "latitude": 41.6257184498759,
      "longitude": -81.4322059201132,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 237,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "University Hospitals",
      "parentSystemId": "entity-university-hospitals",
      "siblingGroupId": "siblings-oh-university-hospitals",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0028844094",
        "external-resolution-0028844094"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080112000144 (360098). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080112000144 (360098). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0028943055",
      "name": "SELECT SPECIALTY HOSPITAL SOUTHEAST OHIO",
      "address": "2000 TAMARACK ROAD, 2ND FLOOR",
      "city": "NEWARK",
      "state": "OH",
      "zip": "43055",
      "county": "LICKING",
      "latitude": 40.0425593602254,
      "longitude": -82.4646617899791,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://southeastohio.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-select-specialty-hospital-southeast-ohio/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EMILY BLEVINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EMILY BLEVINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029034474",
      "name": "OCALA REGIONAL MEDICAL CENTER",
      "address": "1431 SW 1ST AVE",
      "city": "OCALA",
      "state": "FL",
      "zip": "34474",
      "county": "MARION",
      "latitude": 29.1753964202719,
      "longitude": -82.1367917796161,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 288,
      "rating": null,
      "website": "https://ocalahealthsystem.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Ocalahealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ocalahealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "campusFamilyId": "campus-fl-100212",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029043055",
      "name": "SHEPHERD HILL HOSPITAL",
      "address": "200 MESSIMER DRIVE",
      "city": "NEWARK",
      "state": "OH",
      "zip": "43055",
      "county": "LICKING",
      "latitude": 40.0410727203016,
      "longitude": -82.4536751003052,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 14,
      "rating": null,
      "website": "https://www.shepherdhill.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Licking Memorial Health Systems",
      "parentSystemId": "entity-licking-memorial-health-systems",
      "siblingGroupId": "siblings-oh-licking-memorial-health-systems",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029043055",
        "external-resolution-0029043055"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://lmhealth.org/reports/cc_05_12.pdf"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Licking Memorial Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Licking Memorial Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0029144011",
      "name": "CLEVELAND CLINIC REHABILITATION HOSPITALS, LLC",
      "address": "33355 HEALTH CAMPUS BOULEVARD",
      "city": "AVON",
      "state": "OH",
      "zip": "44011",
      "county": "LORAIN",
      "latitude": 41.4731324800393,
      "longitude": -81.9858162902365,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JULLIE IDOINE-FRIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JULLIE IDOINE-FRIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029232073",
      "name": "HCA FLORIDA ORANGE PARK HOSPITAL",
      "address": "2001 KINGSLEY AVE",
      "city": "ORANGE PARK",
      "state": "FL",
      "zip": "32073",
      "county": "CLAY",
      "latitude": 30.1658402398161,
      "longitude": -81.7375896400507,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 365,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/orange-park-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100226",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orange-park-hca-florida-orange-park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029243615",
      "name": "PROMEDICA WILDWOOD ORTHOPEDIC AND SPINE HOSPITAL",
      "address": "2901 N REYNOLDS RD",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43615",
      "county": "LUCAS",
      "latitude": 41.6738422098611,
      "longitude": -83.6735523404211,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 42,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-toledo-promedica-wildwood-orthopedic-and-spine-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ProMedica",
      "parentSystemId": "entity-promedica",
      "siblingGroupId": "siblings-oh-promedica",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029243615",
        "external-resolution-0029243615"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.promedica.org/location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to ProMedica and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to ProMedica and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0029296067",
      "name": "MERCY MEDICAL CENTER MT. SHASTA",
      "address": "914 PINE ST",
      "city": "MOUNT SHASTA",
      "state": "CA",
      "zip": "96067",
      "county": "SISKIYOU",
      "latitude": 41.3186573803364,
      "longitude": -122.321125690262,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 33,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-shasta-mercy-medical-center-mt.-shasta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029344512",
      "name": "SELECT SPECIALTY HOSPITAL - YOUNGSTOWN",
      "address": "8401 MARKET STREET, 7TH FLOOR",
      "city": "BOARDMAN",
      "state": "OH",
      "zip": "44512",
      "county": "MAHONING",
      "latitude": 40.9943139097028,
      "longitude": -80.6596952799083,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029344512",
        "external-resolution-0029344512"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0029444484",
      "name": "MERCY HEALTH ST. JOSEPH WARREN HOSPITAL",
      "address": "667 EASTLAND AVENUE SE",
      "city": "WARREN",
      "state": "OH",
      "zip": "44484",
      "county": "TRUMBULL",
      "latitude": 41.2304477499453,
      "longitude": -80.7770838998784,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 220,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029493311",
      "name": "MERCY SOUTHWEST HOSPITAL",
      "address": "400 OLD RIVER RD",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93311",
      "county": "KERN",
      "latitude": 35.3515042898763,
      "longitude": -119.112450470365,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 85,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bakersfield-mercy-southwest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029493311",
        "external-resolution-0029493311"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hcai.ca.gov/equity-measures/system/commonspirit-health-also-known-as-dignity-health-in-california/"
      ],
      "ownershipProofNotes": "California HCAI lists Mercy Southwest Hospital among Dignity Health hospitals and identifies CommonSpirit Health as the system. This state filing corrects the generic nonprofit baseline to a verified system parent.",
      "parentSystemEvidence": "California HCAI lists Mercy Southwest Hospital among Dignity Health hospitals and identifies CommonSpirit Health as the system. This state filing corrects the generic nonprofit baseline to a verified system parent."
    },
    {
      "id": "0029645459",
      "name": "MIAMI VALLEY HOSPITAL SOUTH",
      "address": "2400 MIAMI VALLEY DRIVE",
      "city": "CENTERVILLE",
      "state": "OH",
      "zip": "45459",
      "county": "MONTGOMERY",
      "latitude": 39.6527605097194,
      "longitude": -84.1145871803232,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 123,
      "rating": null,
      "website": "https://www.miamivalleyhospital.org/locations/miami-valley-hospital-south/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-centerville-miami-valley-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Premier Health",
      "parentSystemId": "entity-premier-health",
      "siblingGroupId": "siblings-oh-premier-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029645459",
        "external-resolution-0029645459"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.premierhealth.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Premier Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Premier Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0029677070",
      "name": "UNITED MEMORIAL MEDICAL CENTER",
      "address": "510 WEST TIDWELL ROAD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77091",
      "county": "HARRIS",
      "latitude": 29.8478127703629,
      "longitude": -95.408457769749,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 117,
      "rating": null,
      "website": "http://www.ummc.care/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-united-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UNITED MEMORIAL MEDICAL CENTER",
      "parentSystemId": "entity-united-memorial-medical-center-tx-houston-0029677070",
      "siblingGroupId": "siblings-tx-united-memorial-medical-center-tx-houston-0029677070",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029677070",
        "external-resolution-0029677070"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ummc.care/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0029691007",
      "name": "METHODIST HOSPITAL OF SOUTHERN CALIFORNIA",
      "address": "300 W HUNTINGTON DR",
      "city": "ARCADIA",
      "state": "CA",
      "zip": "91007",
      "county": "LOS ANGELES",
      "latitude": 34.1344874601401,
      "longitude": -118.041711750212,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 348,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "USC HEALTH SYSTEM",
      "parentSystemId": "entity-usc-health-system",
      "siblingGroupId": "siblings-ca-usc-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029732803",
      "name": "BRUCE W. CARTER DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "1201 NORTHWEST 16TH STREET",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33125",
      "county": "ORANGE",
      "latitude": 28.5803597096789,
      "longitude": -81.3217761399157,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.miami.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-fl-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029732803",
        "external-resolution-0029732803"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0029745439",
      "name": "KETTERING BEHAVIORAL MEDICINE CENTER",
      "address": "5350 LAMME ROAD",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45439",
      "county": "MONTGOMERY",
      "latitude": 39.6753956801788,
      "longitude": -84.2110107304447,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kettering Health",
      "parentSystemId": "entity-kettering-health",
      "siblingGroupId": "siblings-oh-kettering-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029745439",
        "external-resolution-0029745439"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "Kettering Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Kettering Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0029834741",
      "name": "OSCEOLA REGIONAL MEDICAL CENTER",
      "address": "700 W OAK ST",
      "city": "KISSIMMEE",
      "state": "FL",
      "zip": "34741",
      "county": "OSCEOLA",
      "latitude": 28.2996803902855,
      "longitude": -81.4091903099829,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 404,
      "rating": null,
      "website": "http://www.osceolaregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "campusFamilyId": "campus-fl-100110",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0029894401",
      "name": "MILLS HEALTH CENTER D/P APH",
      "address": "100 S SAN MATEO DRIVE",
      "city": "SAN MATEO",
      "state": "CA",
      "zip": "94401",
      "county": "SAN MATEO",
      "latitude": 37.5651847800105,
      "longitude": -122.326509370117,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029894401",
        "external-resolution-0029894401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20160614001955 (05S007). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20160614001955 (05S007). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0029944646",
      "name": "AULTMAN HOSPITAL WEST",
      "address": "2021 WALES AVENUE NW",
      "city": "MASSILLON",
      "state": "OH",
      "zip": "44646",
      "county": "STARK",
      "latitude": 40.8221933403126,
      "longitude": -81.5045106103579,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 8,
      "rating": null,
      "website": "https://aultman.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-massillon-aultman-hospital-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Aultman Health System",
      "parentSystemId": "entity-aultman-health-system",
      "siblingGroupId": "siblings-oh-aultman-health-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0029944646",
        "external-resolution-0029944646"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://aultman.org/home/find-a-location/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Aultman Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Aultman Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0030077338",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HUMBLE",
      "address": "19002 MCKAY DRIVE",
      "city": "HUMBLE",
      "state": "TX",
      "zip": "77338",
      "county": "HARRIS",
      "latitude": 29.9937352202826,
      "longitude": -95.2773292998289,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 90,
      "rating": null,
      "website": "http://www.healthsouthhumble.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-humble-encompass-health-rehabilitation-hospital-of-humble/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0030144482",
      "name": "VIBRA HOSP OF MAHONING VALLEY - TRUMBULL CAMPUS",
      "address": "1350 E MARKET ST, 9TH FLOOR",
      "city": "WARREN",
      "state": "OH",
      "zip": "44482",
      "county": "TRUMBULL",
      "latitude": 41.2357678302908,
      "longitude": -80.799432589962,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-oh-vibra-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0030144482",
        "external-resolution-0030144482"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0030177338",
      "name": "SE TEXAS ER AND HOSPITAL",
      "address": "19211 MCKAY BLVD",
      "city": "HUMBLE",
      "state": "TX",
      "zip": "77338",
      "county": "HARRIS",
      "latitude": 29.9986754703188,
      "longitude": -95.2762226598405,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-humble-se-texas-er-and-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SE TEXAS ER & HOSPITAL",
      "parentSystemId": "entity-se-texas-er-and-hospital",
      "siblingGroupId": "siblings-tx-se-texas-er-and-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2024-02-01",
      "ownershipSourceIds": [
        "hifld-location-0030177338",
        "external-resolution-0030177338"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 670310; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 670310; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0030245040",
      "name": "CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER AT T",
      "address": "4075 OLD WESTERN ROW ROAD",
      "city": "MASON",
      "state": "OH",
      "zip": "45040",
      "county": "WARREN",
      "latitude": 39.3311304797102,
      "longitude": -84.2954072196224,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CRAIG AND FRANCES LINDNER CENTER OF HOPE",
      "parentSystemId": "entity-the-craig-and-frances-lindner-center-of-hope",
      "siblingGroupId": "siblings-oh-the-craig-and-frances-lindner-center-of-hope",
      "campusFamilyId": "campus-oh-364044",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-the-craig-and-frances-lindner-center-of-hope"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to THE CRAIG AND FRANCES LINDNER CENTER OF HOPE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CRAIG AND FRANCES LINDNER CENTER OF HOPE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to THE CRAIG AND FRANCES LINDNER CENTER OF HOPE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CRAIG AND FRANCES LINDNER CENTER OF HOPE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0030392677",
      "name": "PROVIDENCE MISSION HOSPITAL - LAGUNA BEACH",
      "address": "31872 COAST HWY",
      "city": "LAGUNA BEACH",
      "state": "CA",
      "zip": "92651",
      "county": "ORANGE",
      "latitude": 33.500661160299,
      "longitude": -117.740906610327,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 123,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laguna-beach-providence-mission-hospital-laguna-beach/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0030392677",
        "external-resolution-0030392677"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0030412208",
      "name": "CAPITAL DISTRICT PSYCHIATRIC CENTER",
      "address": "75 NEW SCOTLAND AVE",
      "city": "ALBANY",
      "state": "NY",
      "zip": "12208",
      "county": "ALBANY",
      "latitude": 42.6544907100311,
      "longitude": -73.7802028501219,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 110,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/cdpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albany-capital-district-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0030433707",
      "name": "HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID",
      "address": "1501 PASADENA AVE S",
      "city": "SAINT PETERSBURG",
      "state": "FL",
      "zip": "33707",
      "county": "PINELLAS",
      "latitude": 27.7530805103907,
      "longitude": -82.7401414600842,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 307,
      "rating": 4,
      "website": "https://www.hcafloridahealthcare.com/locations/pasadena-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100126",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0030511714",
      "name": "ST JOHN'S EPISCOPAL HOSPITAL SOUTH SHORE",
      "address": "700 HICKSVILLE RD, STE 210",
      "city": "BETHPAGE",
      "state": "NY",
      "zip": "11714",
      "county": "NASSAU",
      "latitude": 40.7392337197439,
      "longitude": -73.4945666001408,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 257,
      "rating": null,
      "website": "http://www.ehs.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethpage-st-john-s-episcopal-hospital-south-shore/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Episcopal Health Services",
      "parentSystemId": "entity-episcopal-health-services",
      "siblingGroupId": "siblings-ny-episcopal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0030511714",
        "external-resolution-0030511714"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ehs.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Episcopal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Episcopal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0030576054",
      "name": "COOK CHILDREN'S NORTHEAST HOSPITAL",
      "address": "6316 PRECINCT LINE ROAD",
      "city": "HURST",
      "state": "TX",
      "zip": "76054",
      "county": "TARRANT",
      "latitude": 32.8632298299544,
      "longitude": -97.1854156797285,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "http://www.cookchildrens.org/aboutus/companies/pages/northeasthospital.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hurst-cook-children-s-northeast-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Cook Children's Health Care System",
      "parentSystemId": "entity-cook-children-s-health-care-system",
      "siblingGroupId": "siblings-tx-cook-children-s-health-care-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0030576054",
        "external-resolution-0030576054"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cookchildrens.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Cook Children's Health Care System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Cook Children's Health Care System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0030595032",
      "name": "MISSION OAKS HOSPITAL",
      "address": "15891 LOS GATOS ALMADEN RD",
      "city": "LOS GATOS",
      "state": "CA",
      "zip": "95032",
      "county": "SANTA CLARA",
      "latitude": 37.2447147302472,
      "longitude": -121.948073809553,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-gatos-mission-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0030595032",
        "external-resolution-0030595032"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070212000634 (05T380). 8 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070212000634 (05T380). 8 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0030775061",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - IRVING",
      "address": "1901 N MACARTHUR BLVD",
      "city": "IRVING",
      "state": "TX",
      "zip": "75061",
      "county": "DALLAS",
      "latitude": 32.8345893900925,
      "longitude": -96.9602494000287,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 293,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-irving-baylor-scott-&-white-medical-center---irving/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0030791016",
      "name": "MONROVIA MEMORIAL HOSPITAL",
      "address": "323 S HELIOTROPE AVE",
      "city": "MONROVIA",
      "state": "CA",
      "zip": "91016",
      "county": "LOS ANGELES",
      "latitude": 34.1487586602041,
      "longitude": -117.992667660439,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monrovia-monrovia-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALAKOR HEALTHCARE LLC",
      "parentSystemId": "entity-alakor-healthcare-llc",
      "siblingGroupId": "siblings-ca-alakor-healthcare-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAKOR HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAKOR HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0030991364",
      "name": "MOTION PICTURE AND TELEVISION HOSPITAL",
      "address": "23388 MULHOLLAND DR",
      "city": "WOODLAND HILLS",
      "state": "CA",
      "zip": "91364",
      "county": "LOS ANGELES",
      "latitude": 34.1579782499026,
      "longitude": -118.636635870221,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodland-hills-motion-picture-and-television-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOTION PICTURE AND TELEVISION FUND",
      "parentSystemId": "entity-motion-picture-and-television-fund",
      "siblingGroupId": "siblings-ca-motion-picture-and-television-fund",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0030991364",
        "external-resolution-0030991364"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20150109002110 (054156). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20150109002110 (054156). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0031194609",
      "name": "MPI CHEMICAL DEPENDENCY RECOVERY HOSPITAL",
      "address": "3012 SUMMIT STREET",
      "city": "OAKLAND",
      "state": "CA",
      "zip": "94609",
      "county": "ALAMEDA",
      "latitude": 37.8193271002253,
      "longitude": -122.264087470317,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2011-12-31",
      "ownershipSourceIds": [
        "hifld-location-0031194609",
        "external-resolution-0031194609"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://lfis.hcai.ca.gov/Utilization/Report/51475"
      ],
      "ownershipProofNotes": "The California HCAI filing names Sutter Hospitals East Bay as parent and identifies nonprofit control. The filing is historical, so the edge is labeled historical rather than implying an active hospital license.",
      "parentSystemEvidence": "The California HCAI filing names Sutter Hospitals East Bay as parent and identifies nonprofit control. The filing is historical, so the edge is labeled historical rather than implying an active hospital license."
    },
    {
      "id": "0031294558",
      "name": "DEPARTMENT OF STATE HOSPITALS - NAPA",
      "address": "2100 NAPA VALLEJO HWY",
      "city": "NAPA",
      "state": "CA",
      "zip": "94558",
      "county": "NAPA",
      "latitude": 38.2780398698004,
      "longitude": -122.267033409952,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 151,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "DEPARTMENT OF STATE HOSPITALS",
      "parentSystemId": "entity-department-of-state-hospitals",
      "siblingGroupId": "siblings-ca-department-of-state-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF STATE HOSPITALS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF STATE HOSPITALS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031375951",
      "name": "CHRISTUS SOUTHEAST TEXAS - JASPER MEMORIAL",
      "address": "1275 MARVIN HANCOCK DRIVE",
      "city": "JASPER",
      "state": "TX",
      "zip": "75951",
      "county": "JASPER",
      "latitude": 30.9078945301216,
      "longitude": -94.0095533102488,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 59,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Christus Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031433952",
      "name": "BAYFRONT HEALTH PORT CHARLOTTE",
      "address": "2500 HARBOR BLVD",
      "city": "PORT CHARLOTTE",
      "state": "FL",
      "zip": "33952",
      "county": "CHARLOTTE",
      "latitude": 26.9889251902525,
      "longitude": -82.0956902603099,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 254,
      "rating": null,
      "website": "https://www.bayfrontcharlotte.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031478026",
      "name": "METHODIST HOSPITAL SOUTH",
      "address": "1905 HIGHWAY 97 EAST",
      "city": "JOURDANTON",
      "state": "TX",
      "zip": "78026",
      "county": "ATASCOSA",
      "latitude": 28.9329849700253,
      "longitude": -98.5262851001357,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 67,
      "rating": null,
      "website": "http://www.strmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031492663",
      "name": "NEWPORT BAY HOSPITAL",
      "address": "1501 E 16TH ST",
      "city": "NEWPORT BEACH",
      "state": "CA",
      "zip": "92663",
      "county": "ORANGE",
      "latitude": 33.622285160108,
      "longitude": -117.907535779827,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-beach-newport-bay-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NEWPORT BAY HOSPITAL",
      "parentSystemId": "entity-newport-bay-hospital",
      "siblingGroupId": "siblings-ca-newport-bay-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-04-30",
      "ownershipSourceIds": [
        "hifld-location-0031492663",
        "external-resolution-0031492663"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 054135; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 054135; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0031534114",
      "name": "PHYSICIANS REGIONAL MEDICAL CENTER - COLLIER",
      "address": "8300 COLLIER BLVD",
      "city": "NAPLES",
      "state": "FL",
      "zip": "34114",
      "county": "COLLIER",
      "latitude": 26.1055354197195,
      "longitude": -81.6848847699674,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "website": "http://www.physiciansregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "campusFamilyId": "campus-fl-100286",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001108109"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001108109.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031733317",
      "name": "HCA FLORIDA MERCY HOSPITAL",
      "address": "401 NW 42ND AVE",
      "city": "PLANTATION",
      "state": "FL",
      "zip": "33317",
      "county": "BROWARD",
      "latitude": 26.1264094502651,
      "longitude": -80.2052676595561,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 264,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/mercy-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100167",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031777450",
      "name": "HOUSTON METHODIST CONTINUING CARE HOSPITAL",
      "address": "701 S FRY RD",
      "city": "KATY",
      "state": "TX",
      "zip": "77450",
      "county": "HARRIS",
      "latitude": 29.7767970496704,
      "longitude": -95.7168441597276,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 102,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-katy-houston-methodist-continuing-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE METHODIST HOSPITAL",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031795687",
      "name": "NORTHBAY VACAVALLEY HOSPITAL",
      "address": "1000 NUT TREE RD",
      "city": "VACAVILLE",
      "state": "CA",
      "zip": "95687",
      "county": "SOLANO",
      "latitude": 38.3557970601858,
      "longitude": -121.9517490204,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NorthBay Health",
      "parentSystemId": "entity-northbay-health",
      "siblingGroupId": "siblings-ca-northbay-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0031795687",
        "external-resolution-0031795687"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northbay.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to NorthBay Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to NorthBay Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0031877450",
      "name": "MEMORIAL HERMANN REHABILITATION HOSPITAL KATY",
      "address": "21720 KINGSLAND BLVD, SUITE 102",
      "city": "KATY",
      "state": "TX",
      "zip": "77450",
      "county": "HARRIS",
      "latitude": 29.7757654801548,
      "longitude": -95.7457993299052,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-katy-memorial-hermann-rehabilitation-hospital-katy/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MH KATY REHAB HOSPITAL, LLC",
      "parentSystemId": "entity-mh-katy-rehab-hospital-llc",
      "siblingGroupId": "siblings-tx-mh-katy-rehab-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MH KATY REHAB HOSPITAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 74.68%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MH KATY REHAB HOSPITAL, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MH KATY REHAB HOSPITAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 74.68%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MH KATY REHAB HOSPITAL, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0031895993",
      "name": "NORTH VALLEY BEHAVIORAL HEALTH",
      "address": "1535 PLUMAS COURT",
      "city": "YUBA CITY",
      "state": "CA",
      "zip": "95993",
      "county": "SUTTER",
      "latitude": 39.1536036298999,
      "longitude": -121.617549549715,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.nvbh.com/nvbh/home.html",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yuba-city-north-valley-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "North Valley Behavioral Health, LLC",
      "parentSystemId": "entity-north-valley-behavioral-health-llc",
      "siblingGroupId": "siblings-ca-north-valley-behavioral-health-llc",
      "ownershipRelationship": "self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0031895993",
        "external-resolution-0031895993"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hcai.ca.gov/facility/north-valley-behavioral-health/"
      ],
      "ownershipProofNotes": "California HCAI confirms the exact Plumas Court facility is open, and the state psychiatric-facility roster identifies North Valley Behavioral Health, LLC as licensee. No unsupported higher owner is assigned.",
      "parentSystemEvidence": "California HCAI confirms the exact Plumas Court facility is open, and the state psychiatric-facility roster identifies North Valley Behavioral Health, LLC as licensee. No unsupported higher owner is assigned."
    },
    {
      "id": "0032034484",
      "name": "SELECT SPECIALTY HOSPITAL - THE VILLAGES INC",
      "address": "5050 COUNTY ROAD 472",
      "city": "OXFORD",
      "state": "FL",
      "zip": "34484",
      "county": "SUMTER",
      "latitude": 28.9098084002397,
      "longitude": -82.0195542401071,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "www.promise-villages.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0032232177",
      "name": "HCA FLORIDA PUTNAM HOSPITAL",
      "address": "611 ZEAGLER DR",
      "city": "PALATKA",
      "state": "FL",
      "zip": "32177",
      "county": "PUTNAM",
      "latitude": 29.6423617101718,
      "longitude": -81.6924158500508,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 99,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/putnam-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100232",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palatka-hca-florida-putnam-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0032290650",
      "name": "NORWALK COMMUNITY HOSPITAL",
      "address": "13222 BLOOMFIELD AVE",
      "city": "NORWALK",
      "state": "CA",
      "zip": "90650",
      "county": "LOS ANGELES",
      "latitude": 33.9106711902728,
      "longitude": -118.064124350038,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norwalk-norwalk-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0032290650",
        "external-resolution-0032290650"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0032432054",
      "name": "RECEPTION AND MEDICAL CENTER HOSPITAL",
      "address": "7765 S COUNTY RD 231",
      "city": "LAKE BUTLER",
      "state": "FL",
      "zip": "32054",
      "county": "UNION",
      "latitude": 29.9884352498313,
      "longitude": -82.357635250286,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "website": "http://www.dc.state.fl.us/facilities/region2/209.html",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-butler-reception-and-medical-center-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Florida Department of Corrections",
      "parentSystemId": "entity-florida-department-of-corrections",
      "siblingGroupId": "siblings-fl-florida-department-of-corrections",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0032432054",
        "external-resolution-0032432054"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.fdc.myflorida.com/content/download/1447/file/RMC2016.pdf"
      ],
      "ownershipProofNotes": "The official audit identifies Reception and Medical Center as a state facility operated by the Florida Department of Corrections. This corrects the source baseline from nonprofit to government.",
      "parentSystemEvidence": "The official audit identifies Reception and Medical Center as a state facility operated by the Florida Department of Corrections. This corrects the source baseline from nonprofit to government."
    },
    {
      "id": "0032495128",
      "name": "O'CONNOR HOSPITAL",
      "address": "2105 FOREST AVE",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95128",
      "county": "SANTA CLARA",
      "latitude": 37.327924739693,
      "longitude": -121.938392009966,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 334,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-jose-o-connor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SANTA CLARA",
      "parentSystemId": "entity-county-of-santa-clara",
      "siblingGroupId": "siblings-ca-county-of-santa-clara",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-03-01",
      "ownershipSourceIds": [
        "hifld-location-0032495128",
        "external-resolution-0032495128"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in CA. The latest transaction effective 03/01/2019 identifies COUNTY OF SANTA CLARA as buyer/current legal organization; the seller was O'CONNOR HOSPITAL.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in CA. The latest transaction effective 03/01/2019 identifies COUNTY OF SANTA CLARA as buyer/current legal organization; the seller was O'CONNOR HOSPITAL."
    },
    {
      "id": "0032533880",
      "name": "WINTER HAVEN WOMEN'S HOSPITAL",
      "address": "101 AVE O SE",
      "city": "WINTER HAVEN",
      "state": "FL",
      "zip": "33880",
      "county": "POLK",
      "latitude": 28.0089756896433,
      "longitude": -81.7261778603979,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 61,
      "rating": null,
      "website": "https://baycare.org/whwh",
      "status": "corporate_chain",
      "parentSystem": "Baycare",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winter-haven-winter-haven-women-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare",
      "siblingGroupId": "siblings-fl-baycare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0032533880",
        "external-resolution-0032533880"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://baycare.org/locations"
      ],
      "ownershipProofNotes": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0032578028",
      "name": "KERRVILLE STATE HOSPITAL",
      "address": "721 THOMPSON DRIVE",
      "city": "KERRVILLE",
      "state": "TX",
      "zip": "78028",
      "county": "KERR",
      "latitude": 30.0468550202352,
      "longitude": -99.1562539896829,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 202,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/kerrvillesh/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "Dshs State Tx",
      "affiliatedSystem": "Dshs State Tx",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kerrville-kerrville-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dshs-state-tx",
      "siblingGroupId": "siblings-tx-dshs-state-tx",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0032578028",
        "external-resolution-0032578028"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.dshs.state.tx.us/mhhospitals/kerrvillesh/default.shtm"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0032595361",
      "name": "OAKDALE NURSING AND REHABILITATION CENTER",
      "address": "275 SOUTH OAK STREET",
      "city": "OAKDALE",
      "state": "CA",
      "zip": "95361",
      "county": "STANISLAUS",
      "latitude": 37.7591674802028,
      "longitude": -120.860298869719,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 115,
      "rating": null,
      "website": "http://www.oriolhealthcare.com/oakdale-rehabilitation-and-skilled-nursing-center/",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakdale-oakdale-nursing-and-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0032595361",
        "external-resolution-0032595361"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.oriolhealthcare.com/oakdale-rehabilitation-and-skilled-nursing-center/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0032734667",
      "name": "HCA FLORIDA BAYONET POINT HOSPITAL",
      "address": "14000 FIVAY RD",
      "city": "HUDSON",
      "state": "FL",
      "zip": "34667",
      "county": "PASCO",
      "latitude": 28.361960489628,
      "longitude": -82.6882559200154,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 290,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/bayonet-point-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100256",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hudson-hca-florida-bayonet-point-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0032792201",
      "name": "TELECARE RIVERSIDE COUNTY PSYCHIATRIC HEALTH FACILITY",
      "address": "47-915 OASIS STREET",
      "city": "INDIO",
      "state": "CA",
      "zip": "92201",
      "county": "RIVERSIDE",
      "latitude": 33.7008646196646,
      "longitude": -116.221625709967,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.telecarecorp.com/programs/164",
      "status": "corporate_chain",
      "parentSystem": "Telecare Corporation",
      "affiliatedSystem": "Telecarecorp",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Telecarecorp",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indio-telecare-riverside-county-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-telecare-corporation",
      "siblingGroupId": "siblings-ca-telecare-corporation",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0032792201",
        "external-resolution-0032792201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.telecarecorp.com/program-locations"
      ],
      "ownershipProofNotes": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0032832541",
      "name": "THE REHABILITATION INSTITUTE OF NORTHWEST FLORIDA",
      "address": "996 AIRPORT RD",
      "city": "DESTIN",
      "state": "FL",
      "zip": "32541",
      "county": "OKALOOSA",
      "latitude": 30.3941219899818,
      "longitude": -86.4719111900721,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "www.fwbmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-destin-rehabilitation-institute-of-northwest-florida/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0032832541",
        "external-resolution-0032832541"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070727000266 (10T223). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070727000266 (10T223). 6 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0032877339",
      "name": "MEMORIAL HERMANN SPECIALTY HOSPITAL KINGWOOD LLC",
      "address": "300 KINGWOOD MEDICAL DRIVE",
      "city": "KINGWOOD",
      "state": "TX",
      "zip": "77339",
      "county": "MONTGOMERY",
      "latitude": 30.0479438403411,
      "longitude": -95.2590859096955,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "website": "http://www.memorialhermannkingwood.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MH/ USP KINGWOOD LLC",
      "parentSystemId": "entity-mh-usp-kingwood-llc",
      "siblingGroupId": "siblings-tx-mh-usp-kingwood-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MH/ USP KINGWOOD LLC (OPERATIONAL/MANAGERIAL CONTROL, 50.18%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MH/ USP KINGWOOD LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MH/ USP KINGWOOD LLC (OPERATIONAL/MANAGERIAL CONTROL, 50.18%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MH/ USP KINGWOOD LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0032993023",
      "name": "OJAI VALLEY COMMUNITY HOSPITAL",
      "address": "1306 MARICOPA HWY",
      "city": "OJAI",
      "state": "CA",
      "zip": "93023",
      "county": "VENTURA",
      "latitude": 34.4429151900139,
      "longitude": -119.264384310337,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ojai-ojai-valley-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEMORIAL HEALTH SYSTEM",
      "parentSystemId": "entity-community-memorial-health-system",
      "siblingGroupId": "siblings-ca-community-memorial-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-community-memorial-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mycmh.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Community Memorial Healthcare official about page. Resolved parent/control boundary: Community Memorial Healthcare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Community Memorial Healthcare official about page. Resolved parent/control boundary: Community Memorial Healthcare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0033090036",
      "name": "OLYMPIA MEDICAL CENTER",
      "address": "5900 WEST OLYMPIA BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90036",
      "county": "LOS ANGELES",
      "latitude": 34.0572922700589,
      "longitude": -118.360527349772,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 204,
      "rating": null,
      "website": "http://www.olympiamc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-olympia-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "OLYMPIA MEDICAL CENTER",
      "parentSystemId": "entity-olympia-medical-center",
      "siblingGroupId": "siblings-ca-olympia-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-manual-050742"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ucop.edu/about/"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI Olympia Medical Center license. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Residual remediation: facility-specific primary-source resolution to The Regents of the University of California; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLYMPIA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI Olympia Medical Center license. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Residual remediation: facility-specific primary-source resolution to The Regents of the University of California; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLYMPIA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0033132550",
      "name": "ASCENSION SACRED HEART EMERALD COAST",
      "address": "7800 US HIGHWAY 98 W",
      "city": "MIRAMAR BEACH",
      "state": "FL",
      "zip": "32550",
      "county": "WALTON",
      "latitude": 30.3785746699151,
      "longitude": -86.3068563100231,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 86,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/florida/flpen/miramar-beach-ascension-sacred-heart-emerald-coast",
      "status": "corporate_chain",
      "parentSystem": "SACRED HEART HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miramar-beach-ascension-sacred-heart-emerald-coast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sacred-heart-health-system-inc",
      "siblingGroupId": "siblings-fl-sacred-heart-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0033478945",
      "name": "ST MARKS MEDICAL CENTER",
      "address": "1 ST MARKS PLACE",
      "city": "LA GRANGE",
      "state": "TX",
      "zip": "78945",
      "county": "FAYETTE",
      "latitude": 29.9357527997484,
      "longitude": -96.8762470601566,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 65,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-grange-st.-mark-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. MARKS MEDICAL CENTER",
      "parentSystemId": "entity-st-marks-medical-center",
      "siblingGroupId": "siblings-tx-st-marks-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-10-11",
      "ownershipSourceIds": [
        "hifld-location-0033478945",
        "external-resolution-0033478945"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 670782; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 670782; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0033778041",
      "name": "LAREDO SPECIALTY HOSPITAL",
      "address": "2005 BUSTAMANTE ST",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78041",
      "county": "WEBB",
      "latitude": 27.5335293797945,
      "longitude": -99.4736369704011,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LAREDO SPECIALTY HOSPITAL",
      "parentSystemId": "entity-laredo-specialty-hospital",
      "siblingGroupId": "siblings-tx-laredo-specialty-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2024-01-31",
      "ownershipSourceIds": [
        "hifld-location-0033778041",
        "external-resolution-0033778041"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 452096; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 452096; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0033895472",
      "name": "SONOMA SPECIALTY HOSPITAL",
      "address": "501 PETALUMA AVE",
      "city": "SEBASTOPOL",
      "state": "CA",
      "zip": "95472",
      "county": "SONOMA",
      "latitude": 38.3971743400207,
      "longitude": -122.819026240337,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 37,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SONOMA SPECIALTY HOSPITAL, LLC",
      "parentSystemId": "entity-sonoma-specialty-hospital-llc",
      "siblingGroupId": "siblings-ca-sonoma-specialty-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-sonoma-specialty-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://lfis.hcai.ca.gov/License/110000091"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI current license record. Resolved parent/control boundary: Sonoma Specialty Hospital, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SONOMA SPECIALTY HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI current license record. Resolved parent/control boundary: Sonoma Specialty Hospital, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SONOMA SPECIALTY HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0033932958",
      "name": "SEBASTIAN RIVER MEDICAL CENTER",
      "address": "13695 US HIGHWAY 1",
      "city": "SEBASTIAN",
      "state": "FL",
      "zip": "32958",
      "county": "INDIAN RIVER",
      "latitude": 27.8436910399499,
      "longitude": -80.4887868103813,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 145,
      "rating": null,
      "website": "www.sebastianrivermedical.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sebastian-sebastian-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Orlando Health",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0033977573",
      "name": "DEVEREUX TEXAS TREATMENT NETWORK",
      "address": "1150 DEVEREUX DRIVE",
      "city": "LEAGUE CITY",
      "state": "TX",
      "zip": "77573",
      "county": "GALVESTON",
      "latitude": 29.5068355998938,
      "longitude": -95.1067211299149,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 44,
      "rating": null,
      "website": "http://www.devereux.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-league-city-devereux-texas-treatment-network/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Devereux Advanced Behavioral Health",
      "parentSystemId": "entity-devereux-advanced-behavioral-health",
      "siblingGroupId": "siblings-tx-devereux-advanced-behavioral-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0033977573",
        "external-resolution-0033977573"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.devereux.org/site/SPageServer/?pagename=locations"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 454085. The tracker parent candidate was corroborated against Devereux Advanced Behavioral Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 454085. The tracker parent candidate was corroborated against Devereux Advanced Behavioral Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0034032308",
      "name": "SELECT SPECIALTY HOSPITAL - TALLAHASSEE",
      "address": "1554 SURGEONS DR",
      "city": "TALLAHASSEE",
      "state": "FL",
      "zip": "32308",
      "county": "LEON",
      "latitude": 30.4616885601291,
      "longitude": -84.2529291399411,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "selectmedical.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tallahassee-select-specialty-hospital---tallahassee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034132608",
      "name": "SELECT SPECIALTY HOSPITAL GAINESVILLE",
      "address": "1600 SW ARCHER RD, 5TH FLOOR",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32610",
      "county": "ALACHUA",
      "latitude": 29.6321334502515,
      "longitude": -82.3639505801083,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "http://gainesville.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gainesville-select-specialty-hospital-gainesville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034232803",
      "name": "SELECT SPECIALTY HOSPITAL - ORLANDO - NORTH CAMPUS",
      "address": "2250 BEDFORD RD",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32803",
      "county": "ORANGE",
      "latitude": 28.5722967301729,
      "longitude": -81.3704418000027,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "website": "http://orlandonorth.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "campusFamilyId": "campus-fl-102003",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034292025",
      "name": "PALOMAR MEDICAL CENTER D/P APH",
      "address": "555 E VALLEY PKWY",
      "city": "ESCONDIDO",
      "state": "CA",
      "zip": "92025",
      "county": "SAN DIEGO",
      "latitude": 33.1250851202686,
      "longitude": -117.075294700212,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 288,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "PALOMAR HEALTH",
      "parentSystemId": "entity-palomar-health",
      "siblingGroupId": "siblings-ca-palomar-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-palomar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to PALOMAR HEALTH; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALOMAR HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to PALOMAR HEALTH; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALOMAR HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034332809",
      "name": "SELECT SPECIALTY HOSPITAL - ORLANDO - SOUTH CAMPUS",
      "address": "5579 S ORANGE AVE",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32809",
      "county": "ORANGE",
      "latitude": 28.4773874997194,
      "longitude": -81.370175230332,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "http://www.orlandosouth.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "campusFamilyId": "campus-fl-102003",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034433461",
      "name": "SELECT SPECIALTY HOSPITAL - PALM BEACH",
      "address": "3060 MELALEUCA LANE",
      "city": "LAKE WORTH",
      "state": "FL",
      "zip": "33461",
      "county": "PALM BEACH",
      "latitude": 26.6090440796207,
      "longitude": -80.0914500296899,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://palmbeach.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-worth-select-specialty-hospital---palm-beach/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034491911",
      "name": "PARADISE VALLEY HOSP D/P APH BAYVIEW BEHAVIORAL HEALTH",
      "address": "330 MOSS ST",
      "city": "CHULA VISTA",
      "state": "CA",
      "zip": "91911",
      "county": "SAN DIEGO",
      "latitude": 32.6174940102837,
      "longitude": -117.071712129925,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0034491911",
        "external-resolution-0034491911"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Prime Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Prime Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0034532401",
      "name": "SELECT SPECIALTY HOSPITAL - PANAMA CITY",
      "address": "615 N BONITA AVE",
      "city": "PANAMA CITY",
      "state": "FL",
      "zip": "32401",
      "county": "BAY",
      "latitude": 30.1597687079804,
      "longitude": -85.6476277061456,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://panamacity.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-panama-city-select-specialty-hospital---panama-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034592503",
      "name": "DOCTORS HOSPITAL OF RIVERSIDE",
      "address": "3865 JACKSON ST",
      "city": "RIVERSIDE",
      "state": "CA",
      "zip": "92503",
      "county": "RIVERSIDE",
      "latitude": 33.9272164502255,
      "longitude": -117.439374300389,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 193,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHMC HEALTHCARE, LP",
      "parentSystemId": "entity-ahmc-healthcare-lp",
      "siblingGroupId": "siblings-ca-ahmc-healthcare-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC HEALTHCARE, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC HEALTHCARE, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034632504",
      "name": "SELECT SPECIALTY HOSPITAL PENSACOLA",
      "address": "7000 COBBLE CREEK DR",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32504",
      "county": "ESCAMBIA",
      "latitude": 30.4786590896711,
      "longitude": -87.2156864697646,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 75,
      "rating": null,
      "website": "http://pensacola.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pensacola-select-specialty-hospital-pensacola/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034733128",
      "name": "SELECT SPECIALTY HOSPITAL - MIAMI",
      "address": "955 NW 3RD ST",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33128",
      "county": "MIAMI-DADE",
      "latitude": 25.776845540065,
      "longitude": -80.2106365396663,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "website": "http://miami.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-select-specialty-hospital-miami/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034792369",
      "name": "DEPARTMENT OF STATE HOSPITALS - PATTON",
      "address": "3102 E HIGHLAND AVE",
      "city": "PATTON",
      "state": "CA",
      "zip": "92369",
      "county": "SAN BERNARDINO",
      "latitude": 34.138100980159,
      "longitude": -117.217582359696,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 427,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "California Department of State Hospitals",
      "parentSystemId": "entity-california-department-of-state-hospitals",
      "siblingGroupId": "siblings-ca-california-department-of-state-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0034792369",
        "external-resolution-0034792369"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20090129000379 (05124E). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20090129000379 (05124E). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0034834428",
      "name": "BAYFRONT HEALTH SEVEN RIVERS",
      "address": "6201 N SUNCOAST BLVD",
      "city": "CRYSTAL RIVER",
      "state": "FL",
      "zip": "34428",
      "county": "CITRUS",
      "latitude": 28.9519580498686,
      "longitude": -82.6245027403213,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 128,
      "rating": null,
      "website": "https://www.sevenriversregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "FLORIDA HEALTH SCIENCES CENTER INC",
      "parentSystemId": "entity-florida-health-sciences-center-inc",
      "siblingGroupId": "siblings-fl-florida-health-sciences-center-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0034975601",
      "name": "SELECT SPECIALTY HOSPITAL - LONGVIEW, INC",
      "address": "700 EAST MARSHALL AVENUE, 1ST AND GROUND FLOORS",
      "city": "LONGVIEW",
      "state": "TX",
      "zip": "75601",
      "county": "GREGG",
      "latitude": 32.500511910184,
      "longitude": -94.7306669896949,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longview-select-specialty-hospital---longview/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tx-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0034975601",
        "external-resolution-0034975601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0035092670",
      "name": "PLACENTIA LINDA HOSPITAL",
      "address": "1301 N ROSE DR",
      "city": "PLACENTIA",
      "state": "CA",
      "zip": "92870",
      "county": "ORANGE",
      "latitude": 33.8870517498446,
      "longitude": -117.843204829793,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 114,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-placentia-placentia-linda-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
      "parentSystemId": "entity-the-regents-of-the-university-of-california",
      "siblingGroupId": "siblings-ca-the-regents-of-the-university-of-california",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0035092670",
        "external-resolution-0035092670"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20240625000242 (050589). 3 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20240625000242 (050589). 3 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0035332209",
      "name": "UF HEALTH JACKSONVILLE",
      "address": "655 W 8TH ST",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32209",
      "county": "DUVAL",
      "latitude": 30.3485052402356,
      "longitude": -81.6642748203202,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 603,
      "rating": null,
      "website": "http://ufhealthjax.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-uf-health-jacksonville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHANDS JACKSONVILLE HEALTHCARE INC",
      "parentSystemId": "entity-shands-jacksonville-healthcare-inc",
      "siblingGroupId": "siblings-fl-shands-jacksonville-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-shands-jacksonville-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SHANDS JACKSONVILLE HEALTHCARE INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANDS JACKSONVILLE HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SHANDS JACKSONVILLE HEALTHCARE INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANDS JACKSONVILLE HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0035379412",
      "name": "GRACE MEDICAL CENTER",
      "address": "2412 50TH STREET",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79412",
      "county": "LUBBOCK",
      "latitude": 33.5494901599483,
      "longitude": -101.869586650007,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 123,
      "rating": null,
      "website": "http://www.gracehealthsystem.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-grace-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Providence",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "campusFamilyId": "campus-tx-450162",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0035632055",
      "name": "SHANDS LAKE SHORE REGIONAL MEDICAL CENTER",
      "address": "368 NE FRANKLIN ST",
      "city": "LAKE CITY",
      "state": "FL",
      "zip": "32055",
      "county": "COLUMBIA",
      "latitude": 30.1931335696213,
      "longitude": -82.6327561197919,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 99,
      "rating": null,
      "website": "http://www.northflorida.va.gov/",
      "status": "closed",
      "parentSystem": "CHS + Lake Shore Hospital Authority lease",
      "affiliatedSystem": "Northflorida Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule",
        "https://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/",
        "https://www.bringbackcarefl.org/home-2"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "expandedClosureResearch": {
        "sourceRow": 34,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2020",
        "careLevel": "Rural community",
        "hospitalType": "Acute care (rural)",
        "traumaLevel": "",
        "licensedBeds": "needs verification",
        "patientsServedNote": "",
        "ruralUrban": "Rural",
        "ownershipCategory": "Publicly traded chain (Community Health Systems, NYSE: CYH)",
        "historicalSponsorOrOwner": "Community Health Systems (publicly traded)",
        "parentCompany": "CHS + Lake Shore Hospital Authority lease",
        "acquiredYear": "needs verification",
        "acquisitionDealNote": "CHS and Lake Shore Hospital Authority agreed to close facility citing unsustainable losses and declining volume",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Part of same CHS divestiture/closure wave as Live Oak and Starke",
        "degradationRecord": "Ceased operations 2020",
        "communityImpact": "North central Florida residents travel long distances for care; community listening events (\"What Happened to Our Hospitals?\") documented access gaps",
        "buildingFate": "needs verification",
        "peLinkConfidence": "Corporate chain (publicly traded)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/",
          "https://www.bringbackcarefl.org/home-2"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "formerOperator": "CHS + Lake Shore Hospital Authority lease",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "needs verification",
      "closureDate": "2020",
      "closureYear": 2020,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Shands Lake Shore Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: CHS + Lake Shore Hospital Authority lease. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-34",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://riverbendnews.org/florida-voices-for-health-pushes-for-stronger-rural-healthcare-access/",
      "closureEvidenceNote": "Ceased operations 2020",
      "acquisitionSourceId": "expanded-ownership-row-34",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.bringbackcarefl.org/home-2",
      "acquisitionEvidenceNote": "CHS and Lake Shore Hospital Authority agreed to close facility citing unsustainable losses and declining volume",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "government",
      "parentSystemId": "entity-chs-lake-shore-hospital-authority-lease",
      "siblingGroupId": "siblings-fl-chs-lake-shore-hospital-authority-lease",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0035632055",
        "external-resolution-0035632055"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.northflorida.va.gov/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0035632714",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ALTAMONTE SPRINGS",
      "address": "831 S STATE RD 434",
      "city": "ALTAMONTE SPRINGS",
      "state": "FL",
      "zip": "32714",
      "county": "SEMINOLE",
      "latitude": 28.6463305598536,
      "longitude": -81.4130590799255,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "website": "https://encompasshealth.com/altamontespringsrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-altamonte-springs-encompass-health-rehabilitation-hospital-of-altamonte-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0035732060",
      "name": "LAKE CITY MEDICAL CENTER SUWANNEE CAMPUS",
      "address": "1100 SW 11TH ST",
      "city": "LIVE OAK",
      "state": "FL",
      "zip": "32060",
      "county": "SUWANNEE",
      "latitude": 30.2912675899287,
      "longitude": -83.0029484302879,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 2,
      "rating": null,
      "website": "www.lakecitymedical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.politico.com/states/florida/story/2020/04/16/as-the-coronavirus-penetrates-rural-florida-2-hospitals-will-close-1276826",
        "https://www.jacksonville.com/story/news/2020/02/28/hospitals-in-live-oak-starke-shutting-down-inpatient-non-emergency-services/112241360/"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "expandedClosureResearch": {
        "sourceRow": 32,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "converted_to_freestanding_emergency_department",
        "closureType": "Conversion (inpatient closed; sold to HCA as ER-only)",
        "closureDate": "Apr 30 2020",
        "careLevel": "Rural community",
        "hospitalType": "Acute care (rural)",
        "traumaLevel": "",
        "licensedBeds": "~25 (50 combined with Starke)",
        "patientsServedNote": "",
        "ruralUrban": "Rural",
        "ownershipCategory": "Publicly traded chain (Community Health Systems, NYSE: CYH)",
        "historicalSponsorOrOwner": "Community Health Systems (publicly traded)",
        "parentCompany": "CHS",
        "acquiredYear": "needs verification",
        "acquisitionDealNote": "CHS suspended all inpatient/non-emergency services then sold substantially all assets to HCA Healthcare North Florida Division",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Closure was part of CHS multi-year divestiture program to pay down ~$13B debt from leveraged acquisitions",
        "degradationRecord": "Inpatient and non-emergency services ended with ~2 months notice, during COVID-19 onset",
        "communityImpact": "370 workers (with Starke) lost jobs; EMS drew plans to transport patients up to 80 miles to Tallahassee",
        "buildingFate": "Operated as HCA freestanding emergency department",
        "peLinkConfidence": "Corporate chain (publicly traded)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.politico.com/states/florida/story/2020/04/16/as-the-coronavirus-penetrates-rural-florida-2-hospitals-will-close-1276826",
          "https://www.jacksonville.com/story/news/2020/02/28/hospitals-in-live-oak-starke-shutting-down-inpatient-non-emergency-services/112241360/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0035732060",
        "external-resolution-0035732060"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0035733472",
      "name": "BETHESDA HOSPITAL WEST",
      "address": "9655 W BOYNTON BEACH BLVD",
      "city": "BOYNTON BEACH",
      "state": "FL",
      "zip": "33472",
      "county": "PALM BEACH",
      "latitude": 26.5297280496076,
      "longitude": -80.1997677197375,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "website": "https://www.bethesdawest.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boynton-beach-bethesda-hospital-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "campusFamilyId": "campus-fl-100002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0035832117",
      "name": "SELECT SPECIALTY HOSPITAL - DAYTONA BEACH",
      "address": "301 MEMORIAL MEDICAL PARKWAY",
      "city": "DAYTONA BEACH",
      "state": "FL",
      "zip": "32117",
      "county": "VOLUSIA",
      "latitude": 29.2425623296792,
      "longitude": -81.1074188397704,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://daytonabeach.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-daytona-beach-select-specialty-hospital---daytona-beach/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0035832606",
      "name": "UF HEALTH SHANDS REHAB HOSPITAL",
      "address": "4101 NW 89TH BLVD",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32606",
      "county": "ALACHUA",
      "latitude": 29.6916031101811,
      "longitude": -82.4362244895797,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "https://ufhealth.org/uf-health-shands-rehabilitation-hospital/welcome-uf-health-shands-rehab-hospital",
      "status": "corporate_chain",
      "parentSystem": "Ufhealth",
      "affiliatedSystem": "Ufhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ufhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ufhealth",
      "siblingGroupId": "siblings-fl-ufhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0035832606",
        "external-resolution-0035832606"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ufhealth.org/uf-health-shands-rehabilitation-hospital/welcome-uf-health-shands-rehab-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0035879416",
      "name": "LUBBOCK HEART AND SURGICAL HOSPITAL",
      "address": "4810 NORTH LOOP 289",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79416",
      "county": "LUBBOCK",
      "latitude": 33.6032101101573,
      "longitude": -101.915568819558,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 73,
      "rating": 2,
      "website": "http://www.lubbockhearthospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SP Management Services",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "450876",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-lubbock-heart-&-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Surgery Partners",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SP MANAGEMENT SERVICES INC; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sp-management-services",
      "siblingGroupId": "siblings-tx-sp-management-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-sp-management-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SP MANAGEMENT SERVICES INC; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0035932091",
      "name": "NORTH FLORIDA REGIONAL MEDICAL CENTER STARKE CAMPUS",
      "address": "922 E CALL ST",
      "city": "STARKE",
      "state": "FL",
      "zip": "32091",
      "county": "BRADFORD",
      "latitude": 29.9402788099199,
      "longitude": -82.101698130048,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 5,
      "rating": null,
      "website": "www.shandsstarke.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.jacksonville.com/story/news/2020/02/28/hospitals-in-live-oak-starke-shutting-down-inpatient-non-emergency-services/112241360/",
        "https://www.wcjb.com/content/news/Two-North-Central-Florida-Hospitals-will-close-on-April-30th-568501111.html"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "expandedClosureResearch": {
        "sourceRow": 33,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "converted_to_freestanding_emergency_department",
        "closureType": "Conversion (inpatient closed; sold to HCA as ER-only)",
        "closureDate": "Apr 30 2020",
        "careLevel": "Rural community",
        "hospitalType": "Acute care (rural)",
        "traumaLevel": "",
        "licensedBeds": "~25 (50 combined with Live Oak)",
        "patientsServedNote": "",
        "ruralUrban": "Rural",
        "ownershipCategory": "Publicly traded chain (Community Health Systems, NYSE: CYH)",
        "historicalSponsorOrOwner": "Community Health Systems (publicly traded)",
        "parentCompany": "CHS",
        "acquiredYear": "needs verification",
        "acquisitionDealNote": "Same CHS-to-HCA transaction as Live Oak",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Part of CHS debt-driven divestiture wave",
        "degradationRecord": "Inpatient/non-emergency services suspended late Apr 2020",
        "communityImpact": "Bradford County job losses; longer travel for inpatient care",
        "buildingFate": "HCA emergency-only operation",
        "peLinkConfidence": "Corporate chain (publicly traded)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.jacksonville.com/story/news/2020/02/28/hospitals-in-live-oak-starke-shutting-down-inpatient-non-emergency-services/112241360/",
          "https://www.wcjb.com/content/news/Two-North-Central-Florida-Hospitals-will-close-on-April-30th-568501111.html"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0035932091",
        "external-resolution-0035932091"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0035933905",
      "name": "SELECT SPECIALTY HOSPITAL - FORT MYERS",
      "address": "3050 CHAMPION RING RD",
      "city": "FORT MYERS",
      "state": "FL",
      "zip": "33905",
      "county": "LEE",
      "latitude": 26.6304104997224,
      "longitude": -81.8029505804229,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "www.fortmyers.selectspecialtyhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0035979410",
      "name": "COVENANT SPECIALTY HOSPITAL",
      "address": "3815 20TH STREET",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79410",
      "county": "LUBBOCK",
      "latitude": 33.5766576000792,
      "longitude": -101.897061530445,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "website": "http://www.covenanthealth.org/view/facilities/specialty_hospital",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Covenanthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Covenanthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-covenant-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036033612",
      "name": "SHRINERS HOSPITALS FOR CHILDREN - TAMPA",
      "address": "12502 USF PINE DR",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33612",
      "county": "HILLSBOROUGH",
      "latitude": 28.0615605198148,
      "longitude": -82.4228416103608,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "http://www.shrinershospitalsforchildren.org/hospitals/locations/tam",
      "status": "corporate_chain",
      "parentSystem": "Shrinershospitalsforchildren",
      "affiliatedSystem": "Shrinershospitalsforchildren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Shrinershospitalsforchildren",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-shriners-hospitals-for-children---tampa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shrinershospitalsforchildren",
      "siblingGroupId": "siblings-fl-shrinershospitalsforchildren",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0036033612",
        "external-resolution-0036033612"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.shrinershospitalsforchildren.org/hospitals/locations/tam"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0036034758",
      "name": "HCA FLORIDA POINCIANA HOSPITAL",
      "address": "325 CYPRESS PKWY",
      "city": "KISSIMMEE",
      "state": "FL",
      "zip": "34758",
      "county": "OSCEOLA",
      "latitude": 28.1447807602477,
      "longitude": -81.4766878600207,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 76,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/poinciana-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100320",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kissimmee-hca-florida-poinciana-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036133016",
      "name": "SELECT SPECIALTY HOSPITAL - MIAMI LAKES",
      "address": "14001 NW 82ND AVE",
      "city": "MIAMI LAKES",
      "state": "FL",
      "zip": "33016",
      "county": "MIAMI-DADE",
      "latitude": 25.9003369196708,
      "longitude": -80.3315233700327,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "https://miamilakes.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036175904",
      "name": "PAM SPECIALTY HOSPITAL OF LUFKIN",
      "address": "1201 W FRANK AVE, 5TH AND 6TH FLOORS",
      "city": "LUFKIN",
      "state": "TX",
      "zip": "75904",
      "county": "ANGELINA",
      "latitude": 31.3362899796721,
      "longitude": -94.7408470596172,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "website": "http://www.memorialhealth.us/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lufkin-pam-specialty-hospital-of-lufkin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0036175904",
        "external-resolution-0036175904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0036190732",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO",
      "address": "1300 W 7TH ST",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90732",
      "county": "LOS ANGELES",
      "latitude": 33.738423070176,
      "longitude": -118.305004360438,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 158,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "campusFamilyId": "campus-ca-050078",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036233573",
      "name": "HCA FLORIDA SOUTH SHORE HOSPITAL",
      "address": "4016 SUN CITY CENTER BLVD",
      "city": "SUN CITY CENTER",
      "state": "FL",
      "zip": "33573",
      "county": "HILLSBOROUGH",
      "latitude": 27.7135511301298,
      "longitude": -82.365391409552,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 138,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/south-shore-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100259",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sun-city-center-hca-florida-south-shore-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036279415",
      "name": "TRUSTPOINT REHABILITATION HOSPITAL OF LUBBOCK",
      "address": "4302 PRINCETON STREET",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79415",
      "county": "LUBBOCK",
      "latitude": 33.6170940197051,
      "longitude": -101.903157039822,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 93,
      "rating": null,
      "website": "http://trustpointhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-trustpoint-rehabilitation-hospital-of-lubbock/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EPOCH ACQUISITION INC",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "campusFamilyId": "campus-tx-673063",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036290503",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE",
      "address": "4101 TORRANCE BLVD",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90503",
      "county": "LOS ANGELES",
      "latitude": 33.8384928997423,
      "longitude": -118.357297239776,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 327,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036334471",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF OCALA",
      "address": "2275 SW 22ND LANE",
      "city": "OCALA",
      "state": "FL",
      "zip": "34471",
      "county": "MARION",
      "latitude": 29.1658755398093,
      "longitude": -82.1623349399354,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "https://encompasshealth.com/ocalarehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ocala-encompass-health-rehabilitation-hospital-of-ocala/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036434987",
      "name": "CLEVELAND CLINIC TRADITION HOSPITAL",
      "address": "10000 SW INNOVATION WAY",
      "city": "PORT SAINT LUCIE",
      "state": "FL",
      "zip": "34987",
      "county": "ST. LUCIE",
      "latitude": 27.2612467702159,
      "longitude": -80.4260695301436,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 177,
      "rating": null,
      "website": "https://www.martinhealth.org/mhs-tradition-medical-center",
      "status": "corporate_chain",
      "parentSystem": "Cleveland Clinic",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-saint-lucie-cleveland-clinic-tradition-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cleveland-clinic",
      "siblingGroupId": "siblings-fl-cleveland-clinic",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0036434987",
        "external-resolution-0036434987"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0036533578",
      "name": "ST JOSEPHS HOSPITAL SOUTH",
      "address": "6901 SIMMONS LOOP",
      "city": "RIVERVIEW",
      "state": "FL",
      "zip": "33578",
      "county": "HILLSBOROUGH",
      "latitude": 27.7877812098808,
      "longitude": -82.3451046396081,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 223,
      "rating": null,
      "website": "https://baycare.org/sjhs",
      "status": "corporate_chain",
      "parentSystem": "Baycare",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverview-st.-joseph-s-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare",
      "siblingGroupId": "siblings-fl-baycare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0036533578",
        "external-resolution-0036533578"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://baycare.org/locations"
      ],
      "ownershipProofNotes": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0036591505",
      "name": "PROVIDENCE SAINT JOSEPH MEDICAL CENTER",
      "address": "501 S BUENA VISTA ST",
      "city": "BURBANK",
      "state": "CA",
      "zip": "91505",
      "county": "LOS ANGELES",
      "latitude": 34.1570435298853,
      "longitude": -118.328869110277,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 392,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burbank-providence-saint-joseph-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036633034",
      "name": "SOUTH FLORIDA EVALUATION AND TREATMENT CENTER",
      "address": "18680 SW 376TH ST",
      "city": "FLORIDA CITY",
      "state": "FL",
      "zip": "33034",
      "county": "MIAMI-DADE",
      "latitude": 25.4194064499977,
      "longitude": -80.4914297500669,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 249,
      "rating": null,
      "website": "www.wellpathcare.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-florida-city-south-florida-evaluation-and-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0036633034",
        "external-resolution-0036633034"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.wellpathcare.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0036634997",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL AN AFFILIATE OF MARTIN HEALTH",
      "address": "5850 SE COMMUNITY DR",
      "city": "STUART",
      "state": "FL",
      "zip": "34997",
      "county": "MARTIN",
      "latitude": 27.1334372901307,
      "longitude": -80.2224558202849,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "https://encompasshealth.com/martinrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036678648",
      "name": "PAM SPECIALTY HOSPITAL OF LULING",
      "address": "200 MEMORIAL DRIVE",
      "city": "LULING",
      "state": "TX",
      "zip": "78648",
      "county": "CALDWELL",
      "latitude": 29.6740859197844,
      "longitude": -97.6550844001603,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://www.warmsprings.org/our-facilities/hospitals/warm-springs-specialty-hospital-luling/",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-luling-pam-specialty-hospital-of-luling/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036777864",
      "name": "CHI ST JOSEPH HEALTH MADISON HOSPITAL",
      "address": "100 WEST CROSS STREET",
      "city": "MADISONVILLE",
      "state": "TX",
      "zip": "77864",
      "county": "MADISON",
      "latitude": 30.9420820002104,
      "longitude": -95.911105909812,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madisonville-chi-st-joseph-health-madison-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-luke-s-community-development-corporation-pmc",
      "siblingGroupId": "siblings-tx-st-luke-s-community-development-corporation-pmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-st-luke-s-community-development-corporation-pmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN WALTERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN WALTERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0036876063",
      "name": "KINDRED HOSPITAL - MANSFIELD",
      "address": "1802 HIGHWAY 157 NORTH",
      "city": "MANSFIELD",
      "state": "TX",
      "zip": "76063",
      "county": "TARRANT",
      "latitude": 32.5990386300682,
      "longitude": -97.1443535704121,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "website": "http://www.kindredmansfield.com",
      "status": "disputed",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0036876063",
        "external-resolution-0036876063"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0037175671",
      "name": "CHRISTUS GOOD SHEPHERD MEDICAL CENTER - MARSHALL",
      "address": "811 SOUTH WASHINGTON",
      "city": "MARSHALL",
      "state": "TX",
      "zip": "75670",
      "county": "HARRISON",
      "latitude": 32.5368064997128,
      "longitude": -94.3694619202729,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 149,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marshall-christus-good-shepherd-medical-center---marshall/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0037175671",
        "external-resolution-0037175671"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0037332750",
      "name": "ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL",
      "address": "555 W STATE RD 434",
      "city": "LONGWOOD",
      "state": "FL",
      "zip": "32750",
      "county": "SEMINOLE",
      "latitude": 28.6992065800683,
      "longitude": -81.3529116704082,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 206,
      "rating": null,
      "website": "https://www.orlandohealth.com/facilities/south-seminole-hospital",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longwood-orlando-health-south-seminole-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0037332750",
        "external-resolution-0037332750"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.orlandohealth.com/facilities"
      ],
      "ownershipProofNotes": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0037393105",
      "name": "COTTAGE REHABILITATION HOSPITAL",
      "address": "2415 DE LA VINA ST",
      "city": "SANTA BARBARA",
      "state": "CA",
      "zip": "93105",
      "county": "SANTA BARBARA",
      "latitude": 34.4329679000755,
      "longitude": -119.722743120069,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 38,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-barbara-cottage-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANTA BARBARA COTTAGE HOSPITAL",
      "parentSystemId": "entity-santa-barbara-cottage-hospital",
      "siblingGroupId": "siblings-ca-santa-barbara-cottage-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0037393105",
        "external-resolution-0037393105"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070723000868 (05T396). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070723000868 (05T396). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0037475069",
      "name": "MEDICAL CITY MCKINNEY",
      "address": "4500 MEDICAL CENTER DR",
      "city": "MCKINNEY",
      "state": "TX",
      "zip": "75069",
      "county": "COLLIN",
      "latitude": 33.1597266403635,
      "longitude": -96.6366933799343,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 281,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mckinney-medical-city-mckinney/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-450403",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0037532207",
      "name": "CURAHEALTH JACKSONVILLE LLC",
      "address": "4901 RICHARD ST",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32207",
      "county": "DUVAL",
      "latitude": 30.2716243996357,
      "longitude": -81.6154618904256,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 107,
      "rating": null,
      "website": "http://curahealth.com/our-hospital/jacksonville/",
      "status": "corporate_chain",
      "parentSystem": "CURAHEALTH JACKSONVILLE HOLDCO LLC",
      "affiliatedSystem": "Curahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Curahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-curahealth-jacksonville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-curahealth-jacksonville-holdco-llc",
      "siblingGroupId": "siblings-fl-curahealth-jacksonville-holdco-llc",
      "campusFamilyId": "campus-fl-102012",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH JACKSONVILLE HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH JACKSONVILLE HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0037578503",
      "name": "SOLARA SPECIALTY HOSPITALS MCALLEN",
      "address": "301 WEST EXPRESSWAY 83, 8TH FLOOR",
      "city": "MCALLEN",
      "state": "TX",
      "zip": "78503",
      "county": "HIDALGO",
      "latitude": 26.186596439611,
      "longitude": -98.225780090082,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 53,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcallen-solara-specialty-hospitals-mcallen/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-tx-chg-hospital-operations-company-llc",
      "campusFamilyId": "campus-tx-452095",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0037634609",
      "name": "BAYFRONT HEALTH SPRING HILL",
      "address": "10461 QUALITY DR",
      "city": "SPRING HILL",
      "state": "FL",
      "zip": "34609",
      "county": "HERNANDO",
      "latitude": 28.4374872103793,
      "longitude": -82.5403749498215,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 124,
      "rating": null,
      "website": "www.bayfronthealthspringhill.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0037634609",
        "external-resolution-0037634609"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.bayfronthealthspringhill.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0037775070",
      "name": "VICTORY MEDICAL CENTER CRAIG RANCH",
      "address": "6045 ALMA ROAD, SUITE 100",
      "city": "MCKINNEY",
      "state": "TX",
      "zip": "75070",
      "county": "COLLIN",
      "latitude": 33.1426168303009,
      "longitude": -96.7072052502642,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "website": "http://victory-healthcare.com/craig-ranch/",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mckinney-victory-medical-center-craig-ranch/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0037775070",
        "external-resolution-0037775070"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://victory-healthcare.com/craig-ranch/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0038033311",
      "name": "ST ANTHONY'S REHABILITATION HOSPITAL",
      "address": "3487 NW 30TH ST",
      "city": "LAUDERDALE LAKES",
      "state": "FL",
      "zip": "33311",
      "county": "BROWARD",
      "latitude": 26.1636182898407,
      "longitude": -80.1934804496915,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 26,
      "rating": null,
      "website": "http://www.catholichealthservices.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lauderdale-lakes-st-anthony-s-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARCHDIOCESE OF MIAMI INC",
      "parentSystemId": "entity-archdiocese-of-miami-inc",
      "siblingGroupId": "siblings-fl-archdiocese-of-miami-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCHDIOCESE OF MIAMI INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCHDIOCESE OF MIAMI INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0038075149",
      "name": "MESQUITE SPECIALTY HOSPITAL",
      "address": "1024 NORTH GALLOWAY AVENUE",
      "city": "MESQUITE",
      "state": "TX",
      "zip": "75149",
      "county": "DALLAS",
      "latitude": 32.7781339100559,
      "longitude": -96.5986590997752,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.msh.ernesthealth.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "452100",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesquite-mesquite-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0038092503",
      "name": "RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER D/P APH",
      "address": "9990 COUNTY FARM RD",
      "city": "RIVERSIDE",
      "state": "CA",
      "zip": "92503",
      "county": "RIVERSIDE",
      "latitude": 33.9190011997025,
      "longitude": -117.459856099971,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 77,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Riverside University Health System",
      "parentSystemId": "entity-riverside-university-health-system",
      "siblingGroupId": "siblings-ca-riverside-university-health-system",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0038092503",
        "external-resolution-0038092503"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0038133161",
      "name": "ST CATHERINE'S REHABILITATION HOSPITAL",
      "address": "1050 NE 125TH ST",
      "city": "NORTH MIAMI",
      "state": "FL",
      "zip": "33161",
      "county": "MIAMI-DADE",
      "latitude": 25.8898723100478,
      "longitude": -80.177659569741,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 22,
      "rating": null,
      "website": "catholichealthservices.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-miami-st-catherine-s-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARCHDIOCESE OF MIAMI INC",
      "parentSystemId": "entity-archdiocese-of-miami-inc",
      "siblingGroupId": "siblings-fl-archdiocese-of-miami-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCHDIOCESE OF MIAMI INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCHDIOCESE OF MIAMI INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0038233018",
      "name": "ST CATHERINE'S WEST REHABILITATION HOSPITAL",
      "address": "8850 NW 122ND ST",
      "city": "HIALEAH GARDENS",
      "state": "FL",
      "zip": "33018",
      "county": "MIAMI-DADE",
      "latitude": 25.8837555198056,
      "longitude": -80.3429732301688,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "www.catholichealthservices.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hialeah-gardens-st-catherine-s-west-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Catholic Health Services of Long Island",
      "parentSystemId": "entity-catholic-health-services-of-long-island",
      "siblingGroupId": "siblings-fl-catholic-health-services-of-long-island",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0038233018",
        "external-resolution-0038233018"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Catholic Health Services of Long Island and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Catholic Health Services of Long Island and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0038275149",
      "name": "MESQUITE REHABILITATION INSTITUTE",
      "address": "1023 NORTH BELT LINE ROAD",
      "city": "MESQUITE",
      "state": "TX",
      "zip": "75149",
      "county": "DALLAS",
      "latitude": 32.7784211997817,
      "longitude": -96.5984919295891,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ERNEST HEALTH HOLDINGS LLC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673045",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ERNEST HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ERNEST HEALTH HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ernest-health-holdings-llc",
      "siblingGroupId": "siblings-tx-ernest-health-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ERNEST HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ERNEST HEALTH HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0038295817",
      "name": "SACRAMENTO MENTAL HEALTH TREATMENT CENTER",
      "address": "2150 STOCKTON BOULEVARD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95817",
      "county": "SACRAMENTO",
      "latitude": 38.5571953699401,
      "longitude": -121.460876960075,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 50,
      "rating": null,
      "website": "http://www.namisacramento.org/resources/locallinks-saccounty.html",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SACRAMENTO MENTAL HEALTH TREATMENT CENTER",
      "parentSystemId": "entity-sacramento-mental-health-treatment-center",
      "siblingGroupId": "siblings-ca-sacramento-mental-health-treatment-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0038295817",
        "external-resolution-0038295817"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.namisacramento.org/resources/locallinks-saccounty.html"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0038479707",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MIDLAND ODESSA",
      "address": "1800 HERITAGE BOULEVARD",
      "city": "MIDLAND",
      "state": "TX",
      "zip": "79707",
      "county": "MIDLAND",
      "latitude": 31.9995633097505,
      "longitude": -102.15594820963,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midland-encompass-health-rehabilitation-hospital-of-midland/odessa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0038792110",
      "name": "SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL",
      "address": "3853 ROSECRANS ST",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92110",
      "county": "SAN DIEGO",
      "latitude": 32.7536780902798,
      "longitude": -117.202065590012,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 109,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-san-diego-county-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL",
      "parentSystemId": "entity-san-diego-county-psychiatric-hospital",
      "siblingGroupId": "siblings-ca-san-diego-county-psychiatric-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-county-of-san-diego"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.sandiegocounty.gov/content/sdc/hhsa/programs/bhs/psychiatric_hospital.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 07. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus County of San Diego Psychiatric Hospital page. Resolved parent/control boundary: County of San Diego. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 07. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus County of San Diego Psychiatric Hospital page. Resolved parent/control boundary: County of San Diego. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0038833558",
      "name": "ST JOSEPHS HOSPITAL NORTH",
      "address": "4211 VAN DYKE RD",
      "city": "LUTZ",
      "state": "FL",
      "zip": "33558",
      "county": "HILLSBOROUGH",
      "latitude": 28.1295801201582,
      "longitude": -82.509675590027,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 216,
      "rating": null,
      "website": "https://baycare.org/sjhn",
      "status": "corporate_chain",
      "parentSystem": "Baycare",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lutz-st.-joseph-s-hospital-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare",
      "siblingGroupId": "siblings-fl-baycare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0038833558",
        "external-resolution-0038833558"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://baycare.org/locations"
      ],
      "ownershipProofNotes": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baycare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0039094110",
      "name": "PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER",
      "address": "1001 POTRERO AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94110",
      "county": "SAN FRANCISCO",
      "latitude": 37.7565756197729,
      "longitude": -122.405762120351,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 284,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-priscilla-chan-&-mark-zuckerberg-san-francisco-general-hospital-&-trauma-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY & COUNTY OF SAN FRANCISCO",
      "parentSystemId": "entity-city-and-county-of-san-francisco",
      "siblingGroupId": "siblings-ca-city-and-county-of-san-francisco",
      "campusFamilyId": "campus-ca-050228",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY & COUNTY OF SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY & COUNTY OF SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0039333710",
      "name": "HCA FLORIDA ST PETERSBURG HOSPITAL",
      "address": "6500 38TH AVE N",
      "city": "SAINT PETERSBURG",
      "state": "FL",
      "zip": "33710",
      "county": "PINELLAS",
      "latitude": 27.8054392099133,
      "longitude": -82.7275387398418,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 215,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/st-petersburg-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100180",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0039377058",
      "name": "HOUSTON METHODIST CLEAR LAKE HOSPITAL",
      "address": "18300 HOUSTON METHODIST DR",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77058",
      "county": "HARRIS",
      "latitude": 29.5492485203137,
      "longitude": -95.0867636302518,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 178,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE METHODIST HOSPITAL",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0039475457",
      "name": "EAST TEXAS MEDICAL CENTER MOUNT VERNON",
      "address": "500 TEXAS 37",
      "city": "MOUNT VERNON",
      "state": "TX",
      "zip": "75457",
      "county": "FRANKLIN",
      "latitude": 33.1767163897565,
      "longitude": -95.2349457902891,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "website": "http://www.etmc.org/etmcmountvernon/",
      "status": "corporate_chain",
      "parentSystem": "Etmc",
      "affiliatedSystem": "Etmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Etmc",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-etmc",
      "siblingGroupId": "siblings-tx-etmc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0039475457",
        "external-resolution-0039475457"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.etmc.org/etmcmountvernon/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0039495202",
      "name": "SAN JOAQUIN PHF",
      "address": "1212 NORTH CALIFORNIA",
      "city": "STOCKTON",
      "state": "CA",
      "zip": "95202",
      "county": "SAN JOAQUIN",
      "latitude": 37.9671297801516,
      "longitude": -121.287601599556,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "website": "https://www.sjgov.org/mhs/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SAN JOAQUIN PHF",
      "parentSystemId": "entity-san-joaquin-phf",
      "siblingGroupId": "siblings-ca-san-joaquin-phf",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0039495202",
        "external-resolution-0039495202"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sjgov.org/mhs/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0039632308",
      "name": "TALLAHASSEE MEMORIAL HOSPITAL",
      "address": "1300 MICCOSUKEE RD",
      "city": "TALLAHASSEE",
      "state": "FL",
      "zip": "32308",
      "county": "LEON",
      "latitude": 30.456880929711,
      "longitude": -84.2614072895739,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 772,
      "rating": null,
      "website": "http://www.tmh.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tallahassee-tallahassee-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TALLAHASSEE MEMORIAL HEALTHCARE INC",
      "parentSystemId": "entity-tallahassee-memorial-healthcare-inc",
      "siblingGroupId": "siblings-fl-tallahassee-memorial-healthcare-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-591917016"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/591917016"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Tallahassee Memorial Healthcare Inc. Resolved parent/control boundary: TALLAHASSEE MEMORIAL HEALTHCARE INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TALLAHASSEE MEMORIAL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Tallahassee Memorial Healthcare Inc. Resolved parent/control boundary: TALLAHASSEE MEMORIAL HEALTHCARE INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TALLAHASSEE MEMORIAL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0039693720",
      "name": "SAN JOAQUIN VALLEY REHABILITATION HOSPITAL",
      "address": "7173 N SHARON AVE",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93720",
      "county": "FRESNO",
      "latitude": 36.8399745097895,
      "longitude": -119.760553489754,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital Enrollments local cache",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "For-profit rehab hospital with Vibra direct ownership and Vibra Management operational control; CMS owner rows also show MPT of Fresno-Vibra LP security interest. Remaining limitation: Need public-data CCN/entity reconciliation because project row lacked CCN while CMS enrollment has 053032.",
      "classificationSources": [
        "CMS Hospital Enrollments local cache",
        "CMS Hospital All Owners local cache",
        "San Joaquin Valley Rehabilitation Hospital profile"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain / rehabilitation hospital",
      "operatorName": "7173 North Sharon Avenue Operating Company LLC / Vibra Healthcare / Vibra Management",
      "publicControlBadge": "For-profit / Corporate chain / rehabilitation hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-san-joaquin-valley-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ccn": "053032",
      "relationshipType": "corporate_chain",
      "parentSystem": "Vibra Healthcare",
      "affiliatedSystem": "Vibra Healthcare",
      "affiliatedSystemEvidence": "cms_enroll_sjvrehab|cms_owner_sjvrehab|hcai_sjvrehab",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-ca-vibra-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0039794578",
      "name": "SAN LEANDRO HOSPITAL",
      "address": "13855 E 14TH STREET",
      "city": "SAN LEANDRO",
      "state": "CA",
      "zip": "94578",
      "county": "ALAMEDA",
      "latitude": 37.7122883499975,
      "longitude": -122.14349369016,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 91,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-leandro-san-leandro-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SAN LEANDRO HOSPITAL",
      "parentSystemId": "entity-san-leandro-hospital",
      "siblingGroupId": "siblings-ca-san-leandro-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-08-31",
      "ownershipSourceIds": [
        "hifld-location-0039794578",
        "external-resolution-0039794578"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050773; Type of Control 9 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050773; Type of Control 9 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0039878130",
      "name": "PAM SPECIALTY HOSPITAL OF NEW BRAUNFELS",
      "address": "1445 HANZ DRIVE",
      "city": "NEW BRAUNFELS",
      "state": "TX",
      "zip": "78130",
      "county": "COMAL",
      "latitude": 29.7292693696768,
      "longitude": -98.1027418898316,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://www.warmsprings.org/our-facilities/hospitals/warm-springs-specialty-hospital-new-braunfels",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0039893401",
      "name": "SAN LUIS OBISPO CO PSYCHIATRIC HEALTH FACILITY",
      "address": "2178 JOHNSON AVE",
      "city": "SAN LUIS OBISPO",
      "state": "CA",
      "zip": "93401",
      "county": "SAN LUIS OBISPO",
      "latitude": 35.2756603202895,
      "longitude": -120.646790710181,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "website": "http://www.slocounty.ca.gov/health/mentalhealthservices.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-luis-obispo-san-luis-obispo-co-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SAN LUIS OBISPO CO PSYCHIATRIC HEALTH FACILITY",
      "parentSystemId": "entity-san-luis-obispo-co-psychiatric-health-facility",
      "siblingGroupId": "siblings-ca-san-luis-obispo-co-psychiatric-health-facility",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0039893401",
        "external-resolution-0039893401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.slocounty.ca.gov/health/mentalhealthservices.htm"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0039977868",
      "name": "CHI ST JOSEPH HEALTH GRIMES HOSPITAL",
      "address": "210 SOUTH JUDSON",
      "city": "NAVASOTA",
      "state": "TX",
      "zip": "77868",
      "county": "GRIMES",
      "latitude": 30.3924490797132,
      "longitude": -96.0776721801737,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-navasota-chi-st-joseph-health-grimes-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0039977868",
        "external-resolution-0039977868"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0040077627",
      "name": "MID - JEFFERSON EXTENDED CARE HOSPITAL",
      "address": "2600 HIGHWAY 365",
      "city": "NEDERLAND",
      "state": "TX",
      "zip": "77627",
      "county": "JEFFERSON",
      "latitude": 29.9555985799428,
      "longitude": -93.986876579678,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "http://www.midjeffextendedcare.com/index.php",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nederland-mid-jefferson-extended-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Mid-Jefferson Extended Care Hospital",
      "parentSystemId": "entity-mid-jefferson-extended-care-hospital",
      "siblingGroupId": "siblings-tx-mid-jefferson-extended-care-hospital",
      "ownershipRelationship": "self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0040077627",
        "external-resolution-0040077627"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.midjeffextendedcare.com/about"
      ],
      "ownershipProofNotes": "The active hospital page confirms the named stand-alone operator. No credible higher chain parent was found after CMS, state, live-site, and archived-site checks, so the operator is retained without inventing a system.",
      "parentSystemEvidence": "The active hospital page confirms the named stand-alone operator. No credible higher chain parent was found after CMS, state, live-site, and archived-site checks, so the operator is retained without inventing a system."
    },
    {
      "id": "0040433615",
      "name": "HCA FL WEST TAMPA HOSPITAL PART OF HCA FL SOUTH TAMPA HOSPITAL",
      "address": "6001 WEBB RD",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33615",
      "county": "HILLSBOROUGH",
      "latitude": 28.0023845700099,
      "longitude": -82.5741747495977,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 201,
      "rating": null,
      "website": "https://memorialhospitaltampa.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0040433615",
        "external-resolution-0040433615"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0040933321",
      "name": "HCA FLORIDA WOODMONT HOSPITAL",
      "address": "7201 N UNIVERSITY DR",
      "city": "TAMARAC",
      "state": "FL",
      "zip": "33321",
      "county": "BROWARD",
      "latitude": 26.2121503299626,
      "longitude": -80.2541542998131,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 317,
      "rating": null,
      "website": "http://www.uhmchealth.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tamarac-hca-florida-woodmont-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0041033136",
      "name": "UNIVERSITY OF MIAMI HOSPITAL AND CLINICS - UHEALTH TOWER",
      "address": "1400 NW 12TH AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33136",
      "county": "MIAMI-DADE",
      "latitude": 25.7890723896355,
      "longitude": -80.2159355901363,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 560,
      "rating": null,
      "website": "www.umiamihealth.org",
      "status": "corporate_chain",
      "affiliatedSystem": "Umiamihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umiamihealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0041033136",
        "external-resolution-0041033136"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.umiamihealth.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0041233136",
      "name": "UNIVERSITY OF MIAMI HOSPITAL AND CLINICS - SYLVESTER COMPREHENSIVE",
      "address": "1475 NW 12TH AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33136",
      "county": "MIAMI-DADE",
      "latitude": 25.7883105501477,
      "longitude": -80.2159084295737,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "www.umiamihealth.org",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF MIAMI",
      "affiliatedSystem": "Umiamihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umiamihealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-university-of-miami",
      "siblingGroupId": "siblings-fl-university-of-miami",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-manual-100079"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://umiamihealth.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to University of Miami Health System; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MIAMI, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to University of Miami Health System; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MIAMI, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0041334285",
      "name": "VENICE REGIONAL BAYFRONT HEALTH",
      "address": "540 THE RIALTO",
      "city": "VENICE",
      "state": "FL",
      "zip": "34285",
      "county": "SARASOTA",
      "latitude": 27.0911641599224,
      "longitude": -82.4450891797877,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 312,
      "rating": null,
      "website": "http://www.veniceregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VENICE REGIONAL BAYFRONT HEALTH",
      "parentSystemId": "entity-venice-regional-bayfront-health",
      "siblingGroupId": "siblings-fl-venice-regional-bayfront-health",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0041334285",
        "external-resolution-0041334285"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 100070; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 100070; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0041391910",
      "name": "SCRIPPS MERCY HOSPITAL CHULA VISTA",
      "address": "435 H ST",
      "city": "CHULA VISTA",
      "state": "CA",
      "zip": "91910",
      "county": "SAN DIEGO",
      "latitude": 32.6337464599918,
      "longitude": -117.083258729634,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 173,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chula-vista-scripps-mercy-hospital---chula-vista/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Scripps Health",
      "parentSystemId": "entity-scripps-health",
      "siblingGroupId": "siblings-ca-scripps-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0041391910",
        "external-resolution-0041391910"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scripps.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Scripps Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Scripps Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0041493662",
      "name": "ADVENTIST HEALTH SELMA",
      "address": "1141 ROSE AVE",
      "city": "SELMA",
      "state": "CA",
      "zip": "93662",
      "county": "FRESNO",
      "latitude": 36.5678670399843,
      "longitude": -119.598667360276,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 62,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist Health",
      "parentSystemId": "entity-adventist-health",
      "siblingGroupId": "siblings-ca-adventist-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0041493662",
        "external-resolution-0041493662"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Adventist Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Adventist Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0041632159",
      "name": "UF HEALTH THE VILLAGES HOSPITAL",
      "address": "1451 EL CAMINO REAL",
      "city": "THE VILLAGES",
      "state": "FL",
      "zip": "32159",
      "county": "SUMTER",
      "latitude": 28.9501587803195,
      "longitude": -81.9583353497633,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 307,
      "rating": null,
      "website": "www.thevillagesregionalhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL FLORIDA HEALTH INC",
      "parentSystemId": "entity-central-florida-health-inc",
      "siblingGroupId": "siblings-fl-central-florida-health-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL FLORIDA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL FLORIDA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0041777504",
      "name": "SURGERY SPECIALTY HOSPITALS OF AMERICA SOUTHEAST HOUSTON",
      "address": "4301-B VISTA",
      "city": "PASADENA",
      "state": "TX",
      "zip": "77504",
      "county": "HARRIS",
      "latitude": 29.6591219301243,
      "longitude": -95.1779565096628,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 37,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pasadena-surgery-specialty-hospitals-of-america-southeast-houston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DYNACQ INTERNATIONAL, INC",
      "parentSystemId": "entity-dynacq-international-inc",
      "siblingGroupId": "siblings-tx-dynacq-international-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-dynacq-international-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DYNACQ INTERNATIONAL, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ELLA YUK TAI CHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DYNACQ INTERNATIONAL, INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DYNACQ INTERNATIONAL, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DYNACQ INTERNATIONAL, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ELLA YUK TAI CHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DYNACQ INTERNATIONAL, INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DYNACQ INTERNATIONAL, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0041994038",
      "name": "AHMC SETON MEDICAL CENTER COASTSIDE",
      "address": "600 MARINE BLVD",
      "city": "MOSS BEACH",
      "state": "CA",
      "zip": "94038",
      "county": "SAN MATEO",
      "latitude": 37.5263914501475,
      "longitude": -122.507276619918,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 5,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-ca-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0041994038",
        "external-resolution-0041994038"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0042192118",
      "name": "SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER",
      "address": "250 PROSPECT PL",
      "city": "CORONADO",
      "state": "CA",
      "zip": "92118",
      "county": "SAN DIEGO",
      "latitude": 32.6941428001575,
      "longitude": -117.168592210162,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 59,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coronado-sharp-coronado-hospital-and-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-sharp-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sharp.com/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Sharp HealthCare; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Sharp HealthCare; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0042232514",
      "name": "WEST FLORIDA HOSPITAL",
      "address": "8383 N DAVIS HWY",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32514",
      "county": "ESCAMBIA",
      "latitude": 30.5156806398057,
      "longitude": -87.2178951395874,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 515,
      "rating": null,
      "website": "http://www.westfloridahospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "campusFamilyId": "campus-fl-100231",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0042292123",
      "name": "SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS",
      "address": "3003 HEALTH CENTER DR",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.79829577995,
      "longitude": -117.154977819823,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 206,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-sharp-mary-birch-hospital-for-women-and-newborns/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0042292123",
        "external-resolution-0042292123"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sharp.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Sharp HealthCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Sharp HealthCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0042333155",
      "name": "WEST GABLES REHABILITATION HOSPITAL",
      "address": "2525 SW 75TH AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33155",
      "county": "MIAMI-DADE",
      "latitude": 25.7469825596561,
      "longitude": -80.3167173599778,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.westgablesrehabhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-west-gables-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0042392111",
      "name": "SHARP MCDONALD CENTER",
      "address": "7989 LINDA VISTA RD",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92111",
      "county": "SAN DIEGO",
      "latitude": 32.8060116099021,
      "longitude": -117.154476209552,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-sharp-mcdonald-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0042392111",
        "external-resolution-0042392111"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sharp.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Sharp HealthCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Sharp HealthCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0042534474",
      "name": "WEST MARION COMMUNITY HOSPITAL",
      "address": "1431 SW 1ST AVE",
      "city": "OCALA",
      "state": "FL",
      "zip": "34471",
      "county": "MARION",
      "latitude": 29.1411010303001,
      "longitude": -82.2000811196031,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 186,
      "rating": null,
      "website": "http://ocalahealthsystem.com/home/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Ocalahealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ocalahealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "campusFamilyId": "campus-fl-100212",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0042575075",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PLANO",
      "address": "2800 WEST 15TH STREET",
      "city": "PLANO",
      "state": "TX",
      "zip": "75075",
      "county": "COLLIN",
      "latitude": 33.0184205497472,
      "longitude": -96.7482431302207,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 83,
      "rating": null,
      "website": "http://www.healthsouthplano.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-encompass-health-rehabilitation-hospital-of-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0042633410",
      "name": "WEST PALM BEACH VA MEDICAL CENTER",
      "address": "7305 NORTH MILITARY TRAIL",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33410",
      "county": "PALM BEACH",
      "latitude": 26.7849280297122,
      "longitude": -80.1124752399503,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 236,
      "rating": null,
      "website": "https://www.westpalmbeach.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "W PALM BEACH VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-palm-beach-west-palm-beach-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-w-palm-beach-va-medical-center",
      "siblingGroupId": "siblings-fl-w-palm-beach-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent W PALM BEACH VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent W PALM BEACH VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0042975093",
      "name": "TEXAS HEALTH SEAY BEHAVIORAL HEALTH HOSPITAL",
      "address": "6110 WEST PARKER ROAD",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.0432927896636,
      "longitude": -96.835096219748,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "campusFamilyId": "campus-tx-450771",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0043075024",
      "name": "LIFECARE HOSPITALS OF PLANO",
      "address": "6800 PRESTON ROAD",
      "city": "PLANO",
      "state": "TX",
      "zip": "75024",
      "county": "COLLIN",
      "latitude": 33.0654910497217,
      "longitude": -96.7951149795511,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 66,
      "rating": null,
      "website": "http://lifecare-hospitals.com/hospital/plano",
      "status": "corporate_chain",
      "parentSystem": "Lifecare Hospitals",
      "affiliatedSystem": "Lifecare Hospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lifecare Hospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-lifecare-hospitals-of-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifecare-hospitals",
      "siblingGroupId": "siblings-tx-lifecare-hospitals",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0043075024",
        "external-resolution-0043075024"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://lifecare-hospitals.com/hospital/plano"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0043175093",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - PLANO",
      "address": "4700 ALLIANCE BLVD",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.013292200303,
      "longitude": -96.7903660304117,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 160,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-baylor-scott-&-white-medical-center---plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0043275093",
      "name": "TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY PLANO",
      "address": "6020 WEST PARKER ROAD",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.0440705602164,
      "longitude": -96.8317681502666,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-texas-health-center-for-diagnostics-&-surgery-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0043375093",
      "name": "BAYLOR SCOTT AND WHITE THE HEART HOSPITAL - PLANO",
      "address": "1100 ALLIED DR",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.0145994901535,
      "longitude": -96.7893949003856,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 105,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-baylor-scott-and-white-the-heart-hospital-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK VALENTINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK VALENTINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0043493405",
      "name": "TENET HEALTH CENTRAL COAST SIERRA VISTA REGIONAL MEDICAL CENTER",
      "address": "1010 MURRAY AVE",
      "city": "SAN LUIS OBISPO",
      "state": "CA",
      "zip": "93405",
      "county": "SAN LUIS OBISPO",
      "latitude": 35.2917967896459,
      "longitude": -120.666050679704,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 162,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tenet Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0043493405",
        "external-resolution-0043493405"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0043632792",
      "name": "ADVENTHEALTH WINTER PARK",
      "address": "200 N LAKEMONT AVE",
      "city": "WINTER PARK",
      "state": "FL",
      "zip": "32792",
      "county": "ORANGE",
      "latitude": 28.5986447897666,
      "longitude": -81.3269111400484,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 373,
      "rating": null,
      "website": "www.adventhealthwinterpark.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0043632792",
        "external-resolution-0043632792"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0043691770",
      "name": "L.A. DOWNTOWN MEDICAL CENTER - INGLESIDE CAMPUS D/P APH",
      "address": "7500 HELLMAN AVE",
      "city": "ROSEMEAD",
      "state": "CA",
      "zip": "91770",
      "county": "LOS ANGELES",
      "latitude": 34.0695660697778,
      "longitude": -118.105688449614,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 118,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Pipeline Health",
      "parentSystemId": "entity-pipeline-health",
      "siblingGroupId": "siblings-ca-pipeline-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0043691770",
        "external-resolution-0043691770"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pipelinehealth.us/our-hospitals/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Pipeline Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Pipeline Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0043932935",
      "name": "MELBOURNE REGIONAL MEDICAL CENTER",
      "address": "250 N WICKHAM RD",
      "city": "MELBOURNE",
      "state": "FL",
      "zip": "32935",
      "county": "BREVARD",
      "latitude": 28.1093198696632,
      "longitude": -80.6748236701659,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 119,
      "rating": null,
      "website": "http://www.melbourneregional.org",
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "https://www.beckershospitalreview.com/finance/closures-bids-layoffs-where-stewards-31-hospitals-stand/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-melbourne-melbourne-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "expandedClosureResearch": {
        "sourceRow": 12,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (nonoperational at bankruptcy; formal closure notice Oct 2024)",
        "closureDate": "2024-10",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "119 (approx, needs verification)",
        "patientsServedNote": "Served south Brevard County",
        "ruralUrban": "Suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Steward filed Oct 7 2024 closure notice for the already nonoperational hospital plus four satellite facilities",
        "yearsPeToClosure": "7",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Already nonoperational by the time of the bankruptcy closure notice",
        "communityImpact": "Loss of hospital capacity in Brevard County alongside Rockledge",
        "buildingFate": "Closed",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.beckershospitalreview.com/finance/closures-bids-layoffs-where-stewards-31-hospitals-stand/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Orlando Health",
      "formerOperator": "Steward Health Care",
      "peFirm": "Cerberus Capital Management",
      "historicalPeOwnership": true,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2017",
      "closureDate": "2024-10",
      "closureYear": 2024,
      "closureStatusLabel": "Full closure (nonoperational at bankruptcy; formal closure notice Oct 2024)",
      "closureSummary": "Melbourne Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-12",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.beckershospitalreview.com/finance/closures-bids-layoffs-where-stewards-31-hospitals-stand/",
      "closureEvidenceNote": "Already nonoperational by the time of the bankruptcy closure notice",
      "acquisitionSourceId": "expanded-ownership-row-12",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.beckershospitalreview.com/finance/closures-bids-layoffs-where-stewards-31-hospitals-stand/",
      "acquisitionEvidenceNote": "Steward filed Oct 7 2024 closure notice for the already nonoperational hospital plus four satellite facilities",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0044032955",
      "name": "ROCKLEDGE REGIONAL MEDICAL CENTER",
      "address": "110 LONGWOOD AVE",
      "city": "ROCKLEDGE",
      "state": "FL",
      "zip": "32955",
      "county": "BREVARD",
      "latitude": 28.3349938001016,
      "longitude": -80.7228254402236,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 298,
      "rating": null,
      "website": "www.rockledgeregional.org",
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP — Steward bankruptcy one year later",
      "evidenceSourceUrl": "https://pestakeholder.org/news/steward-health-cares-bankruptcy-one-year-later/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "ROCKLEDGE REGIONAL MEDICAL CENTER closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "PESP — Steward bankruptcy one year later",
        "https://pestakeholder.org/news/steward-health-cares-bankruptcy-one-year-later/",
        "https://www.healthcaredive.com/news/rockledge-hospital-close-april-orlando-steward/740631/",
        "https://www.orlandohealth.com/rockledge"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rockledge-rockledge-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "hospitalId": "0044032955",
      "peFirm": "Cerberus Capital Management",
      "formerOperator": "Steward Health Care (closed by Orlando Health post-purchase)",
      "acquiredDate": "2017",
      "closureDate": "2025-04-23",
      "closureSource": "PESP — Steward bankruptcy one year later",
      "closureSourceUrl": "https://pestakeholder.org/news/steward-health-cares-bankruptcy-one-year-later/",
      "historicalPeOwnership": true,
      "closureYear": 2025,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Rockledge Hospital (fmr Rockledge Regional Medical Center) is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care (closed by Orlando Health post-purchase). Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "Years of deferred maintenance under Steward: mold, structural damage, failed critical systems documented by Orlando Health",
      "acquisitionSourceId": "pe-acquisition-0044032955",
      "closureSourceId": "closure-0044032955",
      "expandedClosureResearch": {
        "sourceRow": 11,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2025-04-23",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "298",
        "patientsServedNote": "Served central Brevard County",
        "ruralUrban": "Suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care (closed by Orlando Health post-purchase)",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Steward-era hospital; Orlando Health bought it in Steward's Oct 2024 bankruptcy sale, then closed it citing Steward-era neglect",
        "yearsPeToClosure": "8",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Years of deferred maintenance under Steward: mold, structural damage, failed critical systems documented by Orlando Health",
        "communityImpact": "Community lost its hospital and ER; $750M replacement hospital planned but years away (first phase ~2030)",
        "buildingFate": "Demolition begun; new hospital planned on different site",
        "peLinkConfidence": "Direct PE (documented; degradation under PE, closure by successor)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.healthcaredive.com/news/rockledge-hospital-close-april-orlando-steward/740631/",
          "https://www.orlandohealth.com/rockledge"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0044032955",
        "external-resolution-0044032955"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.rockledgeregional.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0044132214",
      "name": "NAVAL HOSPITAL JACKSONVILLE",
      "address": "2080 CHILD ST",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32214",
      "county": "DUVAL",
      "latitude": 30.2088370398038,
      "longitude": -81.6841057796991,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 64,
      "rating": null,
      "website": "https://jacksonville.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-naval-hospital-jacksonville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-fl-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://jacksonville.tricare.mil/About-Us"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Naval Hospital Jacksonville official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Naval Hospital Jacksonville official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0044275080",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF RICHARDSON",
      "address": "3351 WATERVIEW PARKWAY",
      "city": "RICHARDSON",
      "state": "TX",
      "zip": "75080",
      "county": "COLLIN",
      "latitude": 32.9979827503269,
      "longitude": -96.7549375796356,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.healthsouthrichardson.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0044492562",
      "name": "SOUTHWEST HEALTHCARE SYSTEM",
      "address": "25500 MEDICAL CENTER DR",
      "city": "MURRIETA",
      "state": "CA",
      "zip": "92562",
      "county": "RIVERSIDE",
      "latitude": 33.5587769097537,
      "longitude": -117.18406774987,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 120,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0044592595",
      "name": "SOUTHWEST HEALTHCARE SYSTEM",
      "address": "36485 INLAND VALLEY DR",
      "city": "WILDOMAR",
      "state": "CA",
      "zip": "92595",
      "county": "RIVERSIDE",
      "latitude": 33.5916816199225,
      "longitude": -117.237601069665,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 120,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0044592595",
        "external-resolution-0044592595"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050701; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20040927000433 and 2 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050701; Type of Control 4 supports the ownership class. The CCN bridged to current CMS enrollment O20040927000433 and 2 owner/control organization row(s)."
    },
    {
      "id": "0044775032",
      "name": "TEXAS HEALTH HOSPITAL ROCKWALL",
      "address": "3150 HORIZON ROAD",
      "city": "ROCKWALL",
      "state": "TX",
      "zip": "75032",
      "county": "ROCKWALL",
      "latitude": 32.884289499933,
      "longitude": -96.4662255097997,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TEXAS HEALTH PARTNERS LLC",
      "parentSystemId": "entity-texas-health-partners-llc",
      "siblingGroupId": "siblings-tx-texas-health-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-partners-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH PARTNERS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH PARTNERS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0044878665",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - ROUND ROCK",
      "address": "300 UNIVERSITY BLVD",
      "city": "ROUND ROCK",
      "state": "TX",
      "zip": "78665",
      "county": "WILLIAMSON",
      "latitude": 30.5633958397881,
      "longitude": -97.6847822902283,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 101,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0044990262",
      "name": "ST. FRANCIS MEDICAL CENTER",
      "address": "3630 E IMPERIAL HWY",
      "city": "LYNWOOD",
      "state": "CA",
      "zip": "90262",
      "county": "LOS ANGELES",
      "latitude": 33.9295718402783,
      "longitude": -118.203279569754,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 314,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lynwood-st.-francis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050104",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0045094109",
      "name": "SAINT FRANCIS MEMORIAL HOSPITAL",
      "address": "900 HYDE ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94109",
      "county": "SAN FRANCISCO",
      "latitude": 37.7493223699533,
      "longitude": -122.456896369703,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 259,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-st.-francis-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050152",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0045178681",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ROUND ROCK",
      "address": "1400 HESTERS CROSSING",
      "city": "ROUND ROCK",
      "state": "TX",
      "zip": "78681",
      "county": "WILLIAMSON",
      "latitude": 30.4835232996259,
      "longitude": -97.6934350903187,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 75,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0045593010",
      "name": "ST. JOHN'S HOSPITAL CAMARILLO",
      "address": "2309 ANTONIO AVE",
      "city": "CAMARILLO",
      "state": "CA",
      "zip": "93010",
      "county": "VENTURA",
      "latitude": 34.243679119893,
      "longitude": -119.019447669811,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 58,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dignityhealth.org/central-coast/locations/stjohnsregional/about-us"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 01. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Dignity Health official hospital page. Resolved parent/control boundary: CommonSpirit Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 01. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Dignity Health official hospital page. Resolved parent/control boundary: CommonSpirit Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0045878229",
      "name": "UNIVERSITY HOSPITAL",
      "address": "4502 MEDICAL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5070095700218,
      "longitude": -98.5783370396362,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1034,
      "rating": null,
      "website": "http://www.universityhealthsystem.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BEXAR COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-bexar-county-hospital-district",
      "siblingGroupId": "siblings-tx-bexar-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-bexar-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEXAR COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEXAR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEXAR COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEXAR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0046078223",
      "name": "SAN ANTONIO STATE HOSPITAL",
      "address": "6711 SOUTH NEW BRAUNFELS, SUITE 100",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78223",
      "county": "BEXAR",
      "latitude": 29.360235250067,
      "longitude": -98.4579837995654,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 302,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/sanantoniosh/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "Dshs State Tx",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-san-antonio-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0046295020",
      "name": "ST. LOUISE REGIONAL HOSPITAL",
      "address": "9400 NO NAME UNO",
      "city": "GILROY",
      "state": "CA",
      "zip": "95020",
      "county": "SANTA CLARA",
      "latitude": 37.036558360192,
      "longitude": -121.571371039884,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 72,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gilroy-st.-louise-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LOUISE REGIONAL HOSPITAL",
      "parentSystemId": "entity-st-louise-regional-hospital",
      "siblingGroupId": "siblings-ca-st-louise-regional-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-06-30",
      "ownershipSourceIds": [
        "hifld-location-0046295020",
        "external-resolution-0046295020"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050688; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050688; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0046478224",
      "name": "SOUTHWEST GENERAL HOSPITAL",
      "address": "7400 BARLITE BOULEVARD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78224",
      "county": "BEXAR",
      "latitude": 29.3535371498089,
      "longitude": -98.544707720338,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 327,
      "rating": null,
      "website": "http://www.swgeneralhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-southwest-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHWEST GENERAL HOSPITAL",
      "parentSystemId": "entity-southwest-general-hospital",
      "siblingGroupId": "siblings-tx-southwest-general-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-09-30",
      "ownershipSourceIds": [
        "hifld-location-0046478224",
        "external-resolution-0046478224"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 450697; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 450697; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0046594117",
      "name": "ST. MARY'S MEDICAL CENTER",
      "address": "450 STANYAN ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94117",
      "county": "SAN FRANCISCO",
      "latitude": 37.774088760209,
      "longitude": -122.453751640083,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 240,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UCSF HEALTH COMMUNITY HOSPITALS",
      "parentSystemId": "entity-ucsf-health-community-hospitals",
      "siblingGroupId": "siblings-ca-ucsf-health-community-hospitals",
      "campusFamilyId": "campus-ca-050457",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCSF HEALTH COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCSF HEALTH COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0046678240",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SAN ANTONIO",
      "address": "9119 CINNAMON HILL",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78240",
      "county": "BEXAR",
      "latitude": 29.5272691503482,
      "longitude": -98.5841298598818,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 108,
      "rating": null,
      "website": "http://www.hsriosa.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-encompass-health-rehabilitation-hospital-of-san-antonio/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0046778229",
      "name": "CLARITY CHILD GUIDANCE CENTER",
      "address": "8535 TOM SLICK DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5201067501567,
      "longitude": -98.5761995100957,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 66,
      "rating": null,
      "website": "http://www.claritycgc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-clarity-child-guidance-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Clarity Child Guidance Center",
      "parentSystemId": "entity-clarity-child-guidance-center",
      "siblingGroupId": "siblings-tx-clarity-child-guidance-center",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0046778229",
        "external-resolution-0046778229"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/741153067"
      ],
      "ownershipProofNotes": "The normalized facility name exactly matches the IRS-recognized organization Clarity Child Guidance Center (EIN 741153067) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented.",
      "parentSystemEvidence": "The normalized facility name exactly matches the IRS-recognized organization Clarity Child Guidance Center (EIN 741153067) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented."
    },
    {
      "id": "0046878229",
      "name": "KINDRED HOSPITAL - SAN ANTONIO",
      "address": "3636 MEDICAL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5224857896518,
      "longitude": -98.5563788103757,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "website": "http://www.khsanantonio.com/",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452016",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0046978229",
      "name": "WARM SPRINGS REHABILITATION HOSPITAL OF SAN ANTONIO",
      "address": "5101 MEDICAL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5139089901123,
      "longitude": -98.5869581498583,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 65,
      "rating": null,
      "website": "http://postacutemedical.com/our-facilities/outpatient-rehabilitation/warm-springs-rehabilitation-hospital-san-antonio/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-warm-springs-rehabilitation-hospital-of-san-antonio/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: POST ACUTE MEDICAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 68.87%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POST ACUTE MEDICAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 68.87%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0047078240",
      "name": "METHODIST AMBULATORY SURGERY HOSPITAL - NORTHWEST",
      "address": "9150 HUEBNER ROAD, SUITE 100",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78240",
      "county": "BEXAR",
      "latitude": 29.5268803899737,
      "longitude": -98.594971769878,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "http://sahealth.com/locations/methodistambulatory/",
      "status": "corporate_chain",
      "parentSystem": "Sahealth",
      "affiliatedSystem": "Sahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Sahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-methodist-ambulatory-surgery-hospital---northwest/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sahealth",
      "siblingGroupId": "siblings-tx-sahealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0047078240",
        "external-resolution-0047078240"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://sahealth.com/locations/methodistambulatory/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0047090505",
      "name": "STAR VIEW ADOLESCENT - PHF",
      "address": "4025 WEST 226 STREET",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90505",
      "county": "LOS ANGELES",
      "latitude": 33.8239144599172,
      "longitude": -118.356096950419,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.starsinc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STAR VIEW ADOLESCENT - PHF",
      "parentSystemId": "entity-star-view-adolescent-phf",
      "siblingGroupId": "siblings-ca-star-view-adolescent-phf",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0047090505",
        "external-resolution-0047090505"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.starsinc.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0047278240",
      "name": "PAM SPECIALTY HOSPITAL OF SAN ANTONIO MEDICAL CENTER",
      "address": "8902 FLOYD CURL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78240",
      "county": "BEXAR",
      "latitude": 29.5266002397682,
      "longitude": -98.589666300047,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM CUBED LLC",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0047378205",
      "name": "KINDRED HOSPITAL - SAN ANTONIO CENTRAL",
      "address": "111 DALLAS STREET, 4TH FLOOR",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78205",
      "county": "BEXAR",
      "latitude": 29.4329780701441,
      "longitude": -98.4922097403494,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "website": "http://www.kindredsanantoniocentral.com/",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0048095065",
      "name": "SUTTER MATERNITY AND SURGERY CENTER OF SANTA CRUZ",
      "address": "2900 CHANTICLEER AVE",
      "city": "SANTA CRUZ",
      "state": "CA",
      "zip": "95065",
      "county": "SANTA CRUZ",
      "latitude": 36.9876997602065,
      "longitude": -121.977416619844,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-cruz-sutter-maternity-and-surgery-center-of-santa-cruz/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0048777384",
      "name": "NEXUS SPECIALTY HOSPITAL - THE WOODLANDS LTD - SHENANDOAH CAMPUS",
      "address": "123 VISION PARK BLVD",
      "city": "SHENANDOAH",
      "state": "TX",
      "zip": "77384",
      "county": "MONTGOMERY",
      "latitude": 30.1887497699561,
      "longitude": -95.4601801398296,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Nexus Health Systems",
      "parentSystemId": "entity-nexus-health-systems",
      "siblingGroupId": "siblings-tx-nexus-health-systems",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0048777384",
        "external-resolution-0048777384"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nexushealthsystems.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nexus Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nexus Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0048877384",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL VISION PARK",
      "address": "117 VISION PARK BLVD",
      "city": "SHENANDOAH",
      "state": "TX",
      "zip": "77384",
      "county": "MONTGOMERY",
      "latitude": 30.189938389789,
      "longitude": -95.4585083104072,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shenandoah-encompass-health-rehabilitation-hospital-vision-park/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0048895991",
      "name": "SUTTER-YUBA PSYCHIATRIC HEALTH FACILITY",
      "address": "1965 LIVE OAK BOULEVARD",
      "city": "YUBA CITY",
      "state": "CA",
      "zip": "95991",
      "county": "SUTTER",
      "latitude": 39.155595609824,
      "longitude": -121.618435700014,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "website": "https://www.co.sutter.ca.us/doc/government/depts/hs/mh/hs_mental_health",
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yuba-city-sutter-yuba-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0048895991",
        "external-resolution-0048895991"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sutterhealth.org/find-location"
      ],
      "ownershipProofNotes": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0049075090",
      "name": "BEHAVIORAL HEALTH SERVICES AT NWTHS",
      "address": "7201 EVANS",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "GRAYSON",
      "latitude": 33.6738740702709,
      "longitude": -96.6044910901605,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 106,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0049075090",
        "external-resolution-0049075090"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0049175092",
      "name": "CARRUS SPECIALTY HOSPITAL",
      "address": "1810 US HWY 82 WEST, SUITE 200",
      "city": "SHERMAN",
      "state": "TX",
      "zip": "75092",
      "county": "GRAYSON",
      "latitude": 33.669725570363,
      "longitude": -96.6343861900777,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sherman-carrus-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CARRUS HEALTHCARE, LLC",
      "parentSystemId": "entity-carrus-healthcare-llc",
      "siblingGroupId": "siblings-tx-carrus-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARRUS HEALTHCARE, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JON M RAINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARRUS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARRUS HEALTHCARE, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JON M RAINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARRUS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0049275092",
      "name": "CARRUS REHABILITATION HOSPITAL",
      "address": "1810 WEST HIGHWAY 82, SUITE 100",
      "city": "SHERMAN",
      "state": "TX",
      "zip": "75092",
      "county": "GRAYSON",
      "latitude": 33.6697089096416,
      "longitude": -96.6351595101799,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sherman-carrus-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CARRUS HEALTHCARE, LLC",
      "parentSystemId": "entity-carrus-healthcare-llc",
      "siblingGroupId": "siblings-tx-carrus-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARRUS HEALTHCARE, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JON M RAINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARRUS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARRUS HEALTHCARE, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JON M RAINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARRUS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0049395661",
      "name": "CIRBY HILLS BEHAVIORAL HEALTH",
      "address": "101 CIRBY HILLS DRIVE",
      "city": "ROSEVILLE",
      "state": "CA",
      "zip": "95678",
      "county": "PLACER",
      "latitude": 38.7303997802974,
      "longitude": -121.286174770356,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.telecarecorp.com/programs/30",
      "status": "corporate_chain",
      "parentSystem": "Telecare Corporation",
      "affiliatedSystem": "Telecarecorp",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Telecarecorp",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roseville-cirby-hills-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-telecare-corporation",
      "siblingGroupId": "siblings-ca-telecare-corporation",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0049395661",
        "external-resolution-0049395661"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.telecarecorp.com/program-locations"
      ],
      "ownershipProofNotes": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0049477479",
      "name": "KINDRED HOSPITAL SUGAR LAND",
      "address": "1550 FIRST COLONY BOULEVARD",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77479",
      "county": "FORT BEND",
      "latitude": 29.6002324802591,
      "longitude": -95.6382611798949,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 98,
      "rating": null,
      "website": "http://www.khsugarland.com/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sugar-land-kindred-hospital-sugar-land/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0049494578",
      "name": "TELECARE WILLOW ROCK CENTER",
      "address": "2050 FAIRMONT DRIVE",
      "city": "ALAMEDA",
      "state": "CA",
      "zip": "94578",
      "county": "ALAMEDA",
      "latitude": 37.7094100301005,
      "longitude": -122.118545890092,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.telecarecorp.com/articles1-271/thewillowrockcenterisnowopen",
      "status": "corporate_chain",
      "parentSystem": "TELECARE CORPORATION",
      "affiliatedSystem": "Telecarecorp",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Telecarecorp",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alameda-telecare-willow-rock-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-telecare-corporation",
      "siblingGroupId": "siblings-ca-telecare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-telecare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.telecarecorp.com/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Telecare official locations directory. Resolved parent/control boundary: Telecare Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TELECARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Telecare official locations directory. Resolved parent/control boundary: Telecare Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TELECARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0049577478",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SUGAR LAND",
      "address": "1325 HIGHWAY 6",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77478",
      "county": "FORT BEND",
      "latitude": 29.6043995697684,
      "longitude": -95.63326381963,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0049691361",
      "name": "THOUSAND OAKS SURGICAL HOSPITAL - A CAMPUS OF LOS ROBLES HOSPIAL AND MEDICAL CENTER",
      "address": "401 ROLLING OAKS DR",
      "city": "THOUSAND OAKS",
      "state": "CA",
      "zip": "91361",
      "county": "VENTURA",
      "latitude": 34.1748609696949,
      "longitude": -118.869384189633,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0049691361",
        "external-resolution-0049691361"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0049890813",
      "name": "TOM REDGATE MEMORIAL RECOVERY CENTER",
      "address": "1775 CHESTNUT AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90813",
      "county": "LOS ANGELES",
      "latitude": 33.7893675199073,
      "longitude": -118.196646469883,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 63,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-beach-tom-redgate-memorial-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0049890813",
        "external-resolution-0049890813"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0050378957",
      "name": "ASCENSION SETON SMITHVILLE",
      "address": "1201 HILL ROAD",
      "city": "SMITHVILLE",
      "state": "TX",
      "zip": "78957",
      "county": "BASTROP",
      "latitude": 30.0039007601055,
      "longitude": -97.1360404296188,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-smithville-ascension-seton-smithville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN THRESHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN THRESHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0050493465",
      "name": "TENET HEALTH CENTRAL COAST TWIN CITIES COMMUNITY HOSPITAL",
      "address": "1100 LAS TABLAS ROAD",
      "city": "TEMPLETON",
      "state": "CA",
      "zip": "93465",
      "county": "SAN LUIS OBISPO",
      "latitude": 35.555237889833,
      "longitude": -120.71958842999,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 122,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Tenet Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0050579553",
      "name": "STAMFORD MEMORIAL HOSPITAL",
      "address": "1601 COLUMBIA STREET",
      "city": "STAMFORD",
      "state": "TX",
      "zip": "79553",
      "county": "JONES",
      "latitude": 32.9278458096863,
      "longitude": -99.783295010106,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 25,
      "rating": null,
      "website": "http://stamfordhosp.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stamford-stamford-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STAMFORD MEMORIAL HOSPITAL",
      "parentSystemId": "entity-stamford-memorial-hospital",
      "siblingGroupId": "siblings-tx-stamford-memorial-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2017-12-31",
      "ownershipSourceIds": [
        "hifld-location-0050579553",
        "external-resolution-0050579553"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 450306; Type of Control 11 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 450306; Type of Control 11 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0050592037",
      "name": "UC SAN DIEGO HEALTH LA JOLLA - JACOBS MEDICAL CENTER AND SULPIZIO CARDIOVASCU",
      "address": "9300 CAMPUS POINT DR",
      "city": "LA JOLLA",
      "state": "CA",
      "zip": "92037",
      "county": "SAN DIEGO",
      "latitude": 32.8780233096357,
      "longitude": -117.225598869596,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 418,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "University of California Health",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-california-health",
      "siblingGroupId": "siblings-ca-university-of-california-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0050592037",
        "external-resolution-0050592037"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://health.universityofcalifornia.edu/patient-care/academic-health-centers"
      ],
      "ownershipProofNotes": "University of California Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "University of California Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0050776502",
      "name": "BAYLOR SCOTT AND WHITE MCLANE CHILDRENS MEDICAL CENTER",
      "address": "1901 SW H K DODGEN LOOP",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76502",
      "county": "BELL",
      "latitude": 31.0725498896484,
      "longitude": -97.375465059664,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-temple-baylor-scott-&-white-mclane-children-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0050776502",
        "external-resolution-0050776502"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0051092103",
      "name": "UC SAN DIEGO HEALTH HILLCREST - HILLCREST MEDICAL CENTER",
      "address": "200 W ARBOR DR",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92103",
      "county": "SAN DIEGO",
      "latitude": 32.7547702299477,
      "longitude": -117.165731379613,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 381,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-uc-san-diego-health-hillcrest---hillcrest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-regents-of-the-university-of-california",
      "siblingGroupId": "siblings-ca-regents-of-the-university-of-california",
      "campusFamilyId": "campus-ca-050025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-verified-parent-regents-of-the-university-of-california"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ucop.edu/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0051276574",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - TAYLOR",
      "address": "305 MALLARD LN",
      "city": "TAYLOR",
      "state": "TX",
      "zip": "76574",
      "county": "WILLIAMSON",
      "latitude": 30.5909437601873,
      "longitude": -97.415381659788,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0051292668",
      "name": "UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER",
      "address": "101 THE CITY DR S",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92868",
      "county": "ORANGE",
      "latitude": 33.7887867199679,
      "longitude": -117.888663349805,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 459,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orange-university-of-california-irvine-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER",
      "parentSystemId": "entity-university-of-california-irvine-medical-center",
      "siblingGroupId": "siblings-ca-university-of-california-irvine-medical-center",
      "campusFamilyId": "campus-ca-050348",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-verified-parent-university-of-california-irvine-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0051390033",
      "name": "USC KENNETH NORRIS JR. CANCER HOSPITAL",
      "address": "1441 EASTLAKE AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90089",
      "county": "LOS ANGELES",
      "latitude": 34.0613554099521,
      "longitude": -118.204785509988,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF SOUTHERN CALIFORNIA",
      "parentSystemId": "entity-university-of-southern-california",
      "siblingGroupId": "siblings-ca-university-of-southern-california",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0051476508",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - TEMPLE",
      "address": "2401 S 31ST ST",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76508",
      "county": "BELL",
      "latitude": 31.0774474497431,
      "longitude": -97.3634479897828,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 574,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-temple-baylor-scott-&-white-medical-center-temple/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0051494550",
      "name": "VALLEY MEMORIAL HOSPITAL",
      "address": "1111 E STANLEY BOULEVARD",
      "city": "LIVERMORE",
      "state": "CA",
      "zip": "94550",
      "county": "ALAMEDA",
      "latitude": 37.6773201398919,
      "longitude": -121.781791650265,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "STANFORD HEALTH CARE TRI-VALLEY",
      "parentSystemId": "entity-stanford-health-care-tri-valley",
      "siblingGroupId": "siblings-ca-stanford-health-care-tri-valley",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-08-31",
      "ownershipSourceIds": [
        "hifld-location-0051494550",
        "external-resolution-0051494550"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050283; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20030718000025 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050283; Type of Control 2 supports the ownership class. The CCN bridged to current CMS enrollment O20030718000025 and 1 owner/control organization row(s)."
    },
    {
      "id": "0051577591",
      "name": "HCA HOUSTON HEALTHCARE MAINLAND",
      "address": "6801 EMMETT F LOWERY EXPRESSWAY",
      "city": "TEXAS CITY",
      "state": "TX",
      "zip": "77591",
      "county": "GALVESTON",
      "latitude": 29.3940873798364,
      "longitude": -94.9860489798334,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 222,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-texas-city-hca-houston-healthcare-mainland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0051577591",
        "external-resolution-0051577591"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0051694588",
      "name": "STANFORD HEALTH CARE - VALLEYCARE",
      "address": "5555 W LAS POSITAS BOULEVARD",
      "city": "PLEASANTON",
      "state": "CA",
      "zip": "94588",
      "county": "ALAMEDA",
      "latitude": 37.6935964700787,
      "longitude": -121.880307610245,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 167,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "STANFORD HEALTH CARE",
      "parentSystemId": "entity-stanford-health-care",
      "siblingGroupId": "siblings-ca-stanford-health-care",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0051875501",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TEXARKANA",
      "address": "515 WEST 12TH STREET",
      "city": "TEXARKANA",
      "state": "TX",
      "zip": "75501",
      "county": "BOWIE",
      "latitude": 33.430077470077,
      "longitude": -94.0482278098294,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.healthsouthtexarkana.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-texarkana-encompass-health-rehabilitation-hospital-of-texarkana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0051977380",
      "name": "MEMORIAL HERMANN THE WOODLANDS MEDICAL CENTER",
      "address": "9250 PINECROFT",
      "city": "THE WOODLANDS",
      "state": "TX",
      "zip": "77380",
      "county": "MONTGOMERY",
      "latitude": 30.174335450281,
      "longitude": -95.4543419995779,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 397,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Memorial Hermann Health System",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0051977380",
        "external-resolution-0051977380"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0052075503",
      "name": "PAM SPECIALTY HOSPITAL OF TEXARKANA NORTH",
      "address": "2400 ST MICHAEL DRIVE, 2ND FLOOR",
      "city": "TEXARKANA",
      "state": "TX",
      "zip": "75503",
      "county": "BOWIE",
      "latitude": 33.4652835696268,
      "longitude": -94.0710372700767,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://www.warmsprings.org/our-facilities/hospitals/post-acute-medical-specialty-hospital-texarkana-north/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-texarkana-pam-specialty-hospital-of-texarkana-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM SQUARED, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM SQUARED, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0052092103",
      "name": "SELECT SPECIALTY HOSPITAL - SAN DIEGO",
      "address": "555 WASHINGTON ST",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92103",
      "county": "SAN DIEGO",
      "latitude": 32.7496280703635,
      "longitude": -117.159769439837,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 110,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ca-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0052691307",
      "name": "WEST HILLS HOSPITAL AND MEDICAL CENTER",
      "address": "7300 MEDICAL CENTER DR",
      "city": "WEST HILLS",
      "state": "CA",
      "zip": "91307",
      "county": "LOS ANGELES",
      "latitude": 34.2028594202841,
      "longitude": -118.628623670438,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 260,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-hills-west-hills-hospital-and-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REGENTS UNIV OF CALIF LOS ANGELES",
      "parentSystemId": "entity-regents-univ-of-calif-los-angeles",
      "siblingGroupId": "siblings-ca-regents-univ-of-calif-los-angeles",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS UNIV OF CALIF LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS UNIV OF CALIF LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0052975504",
      "name": "CHRISTUS ST MICHAEL REHABILITATION HOSPITAL",
      "address": "2400 ST MICHAEL DRIVE",
      "city": "TEXARKANA",
      "state": "TX",
      "zip": "75503",
      "county": "BOWIE",
      "latitude": 33.465030550314,
      "longitude": -94.0707252196015,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "http://www.christusstmichael.org/rehab",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-texarkana-christus-st.-michael-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Christus Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450801",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0053391362",
      "name": "LOS ROBLES HOSPITAL AND MEDICAL CENTER - EAST CAMPUS",
      "address": "150 VIA MERIDA",
      "city": "WESTLAKE VILLAGE",
      "state": "CA",
      "zip": "91362",
      "county": "VENTURA",
      "latitude": 34.1549388698397,
      "longitude": -118.815736390336,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0053391362",
        "external-resolution-0053391362"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20060915000180 (05T549). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20060915000180 (05T549). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0053476262",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - TROPHY CLUB",
      "address": "2850 EAST STATE HWY 114",
      "city": "TROPHY CLUB",
      "state": "TX",
      "zip": "76262",
      "county": "TARRANT",
      "latitude": 32.9885118599266,
      "longitude": -97.1748998698585,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "THVG PARK CITIES TROPHY CLUB GP LLC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-thvg-park-cities-trophy-club-gp-llc",
      "siblingGroupId": "siblings-tx-thvg-park-cities-trophy-club-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THVG PARK CITIES TROPHY CLUB GP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THVG PARK CITIES TROPHY CLUB GP LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THVG PARK CITIES TROPHY CLUB GP LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THVG PARK CITIES TROPHY CLUB GP LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0053675701",
      "name": "CHRISTUS TRINITY MOTHER FRANCES REHAB HOSP - PARTNER OF ENCOMPASS",
      "address": "3131 TROUP HIGHWAY",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.3148766399125,
      "longitude": -95.2777701004439,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 94,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Christus Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0053775701",
      "name": "UT HEALTH EAST TEXAS REHABILITATION HOSPITAL",
      "address": "701 OLYMPIC PLAZA CIRCLE",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.3368877597494,
      "longitude": -95.291955999865,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 49,
      "rating": null,
      "website": "http://www.etmc.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "453072",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tyler-ut-health-east-texas-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0054075711",
      "name": "UT HEALTH EAST TEXAS LONG TERM ACUTE CARE",
      "address": "1000 S BECKHAM AVENUE 5TH FLOOR",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.3383556797877,
      "longitude": -95.2910368795989,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHS Management",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "campusFamilyId": "campus-tx-450083",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0054175701",
      "name": "BAYLOR SCOTT AND WHITE TEXAS SPINE AND JOINT HOSPITAL",
      "address": "1814 ROSELAND BOULEVARD",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.3291515800376,
      "longitude": -95.298522910069,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "http://www.tsjh.org",
      "status": "corporate_chain",
      "parentSystem": "TEXAS HEALTH VENTURES GROUP LLC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tyler-baylor-scott-and-white-texas-spine-and-joint-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-ventures-group-llc",
      "siblingGroupId": "siblings-tx-texas-health-ventures-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0054275701",
      "name": "TYLER CONTINUE CARE HOSPITAL",
      "address": "800 E DAWSON 4TH FLOOR",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.3426274303483,
      "longitude": -95.2908500201383,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 51,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Community Hospital Corporation / CHC ContinueCARE",
      "parentSystemId": "entity-community-hospital-corporation-chc-continuecare",
      "siblingGroupId": "siblings-tx-community-hospital-corporation-chc-continuecare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0054275701",
        "external-resolution-0054275701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://continuecare.org/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Community Hospital Corporation / CHC ContinueCARE and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Community Hospital Corporation / CHC ContinueCARE and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0054676384",
      "name": "NORTH TEXAS STATE HOSPITAL",
      "address": "4730 COLLEGE DRIVE",
      "city": "VERNON",
      "state": "TX",
      "zip": "76384",
      "county": "WILBARGER",
      "latitude": 34.1553529500709,
      "longitude": -99.3259827502563,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 640,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/northtexassh/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "Dshs State Tx",
      "affiliatedSystem": "Dshs State Tx",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vernon-north-texas-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dshs-state-tx",
      "siblingGroupId": "siblings-tx-dshs-state-tx",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0054676384",
        "external-resolution-0054676384"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.dshs.state.tx.us/mhhospitals/northtexassh/default.shtm"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0054877902",
      "name": "DETAR HEALTHCARE SYSTEM",
      "address": "506 EAST SAN ANTONIO STREET",
      "city": "VICTORIA",
      "state": "TX",
      "zip": "77901",
      "county": "VICTORIA",
      "latitude": 28.808069859619,
      "longitude": -96.9983440496698,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 163,
      "rating": null,
      "website": "http://www.detar.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tx-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0054977901",
      "name": "PAM SPECIALTY HOSPITAL OF VICTORIA SOUTH",
      "address": "506 EAST SAN ANTONIO STREET, 3RD FLOOR",
      "city": "VICTORIA",
      "state": "TX",
      "zip": "77901",
      "county": "VICTORIA",
      "latitude": 28.8079826800332,
      "longitude": -96.9988380503125,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 23,
      "rating": null,
      "website": "http://www.warmsprings.org/our-facilities/hospitals/post-acute-medical-specialty-hospital-victoria/",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-victoria-pam-specialty-hospital-of-victoria-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "campusFamilyId": "campus-tx-452094",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0055077904",
      "name": "PAM SPECIALTY HOSPITAL OF VICTORIA NORTH",
      "address": "102 MEDICAL DRIVE",
      "city": "VICTORIA",
      "state": "TX",
      "zip": "77904",
      "county": "VICTORIA",
      "latitude": 28.8549970897686,
      "longitude": -97.0219610702047,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "website": "http://www.warmsprings.org/our-facilities/hospitals/post-acute-medical-specialty-hospital-victoria/",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-victoria-pam-specialty-hospital-of-victoria-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "campusFamilyId": "campus-tx-452094",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0056378596",
      "name": "WESLACO REGIONAL REHABILITATION HOSPITAL",
      "address": "906 SOUTH JAMES STREET",
      "city": "WESLACO",
      "state": "TX",
      "zip": "78596",
      "county": "HIDALGO",
      "latitude": 26.1510038997266,
      "longitude": -97.977070529854,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://www.weslacorehabhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "453091",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0056576302",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF WICHITA FALLS",
      "address": "3901 ARMORY ROAD",
      "city": "WICHITA FALLS",
      "state": "TX",
      "zip": "76302",
      "county": "WICHITA",
      "latitude": 33.8738758702264,
      "longitude": -98.484675930286,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 63,
      "rating": null,
      "website": "http://www.healthsouthwichitafalls.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-falls-encompass-health-rehabilitation-hospital-of-wichita-falls/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0056776301",
      "name": "KPC PROMISE HOSPITAL OF WICHITA FALLS",
      "address": "1103 GRACE STREET",
      "city": "WICHITA FALLS",
      "state": "TX",
      "zip": "76301",
      "county": "WICHITA",
      "latitude": 33.9027583200218,
      "longitude": -98.4993951100839,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "http://www.promise-wichitafalls.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HHN HOLDCO LLC",
      "parentSystemId": "entity-hhn-holdco-llc",
      "siblingGroupId": "siblings-tx-hhn-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HHN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NETANEL MYEROWITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HHN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HHN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NETANEL MYEROWITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HHN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0056877488",
      "name": "OAKBEND MEDICAL CENTER - WHARTON HOSPITAL CAMPUS",
      "address": "10141 HWY 59 ROAD",
      "city": "WHARTON",
      "state": "TX",
      "zip": "77488",
      "county": "WHARTON",
      "latitude": 29.3285698299783,
      "longitude": -96.1175046395966,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 45,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "OakBend Medical Center",
      "parentSystemId": "entity-oakbend-medical-center",
      "siblingGroupId": "siblings-tx-oakbend-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0056877488",
        "external-resolution-0056877488"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.oakbendmedcenter.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to OakBend Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to OakBend Medical Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0057277665",
      "name": "WINNIE COMMUNITY HOSPITAL LLC",
      "address": "538 BROADWAY",
      "city": "WINNIE",
      "state": "TX",
      "zip": "77665",
      "county": "CHAMBERS",
      "latitude": 29.8196971098201,
      "longitude": -94.3764686896575,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://www.winniehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winnie-winnie-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RICELAND MEDICAL HOLDING COMPANY LP",
      "parentSystemId": "entity-riceland-medical-holding-company-lp",
      "siblingGroupId": "siblings-tx-riceland-medical-holding-company-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-riceland-medical-holding-company-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: RICELAND MEDICAL HOLDING COMPANY LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 99%). CMS lists M ISRAR AHMAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to RICELAND MEDICAL HOLDING COMPANY LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICELAND MEDICAL HOLDING COMPANY LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RICELAND MEDICAL HOLDING COMPANY LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 99%). CMS lists M ISRAR AHMAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to RICELAND MEDICAL HOLDING COMPANY LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICELAND MEDICAL HOLDING COMPANY LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0057875235",
      "name": "WILLIAM P. CLEMENTS JR. UNIVERSITY HOSPITAL",
      "address": "6161 HARRY HINES BOULEVARD, SUITE 100",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75235",
      "county": "DALLAS",
      "latitude": 32.8189672197543,
      "longitude": -96.8488374899344,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 460,
      "rating": null,
      "website": "http://www.utswmedicine.org/hospitals-clinics/clements/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-william-p.-clements-jr.-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UT Southwestern Medical Center",
      "parentSystemId": "entity-ut-southwestern-medical-center",
      "siblingGroupId": "siblings-tx-ut-southwestern-medical-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0057875235",
        "external-resolution-0057875235"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.utswmedicine.org/hospitals-clinics/clements/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0057975231",
      "name": "TEXAS INSTITUTE FOR SURGERY AT TEXAS HEALTH PRESBYTERIAN DALLAS",
      "address": "7115 GREENVILLE AVENUE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75231",
      "county": "DALLAS",
      "latitude": 32.8768776399794,
      "longitude": -96.7622615701981,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 9,
      "rating": null,
      "website": "http://www.texasinstituteforsurgery.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-texas-institute-for-surgery-at-texas-health-presbyterian-dallas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TEXAS INSTITUTE FOR SURGERY, LLP",
      "parentSystemId": "entity-texas-institute-for-surgery-llp",
      "siblingGroupId": "siblings-tx-texas-institute-for-surgery-llp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-texas-institute-for-surgery-llp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS INSTITUTE FOR SURGERY, LLP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS INSTITUTE FOR SURGERY, LLP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS INSTITUTE FOR SURGERY, LLP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS INSTITUTE FOR SURGERY, LLP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0058075246",
      "name": "BAYLOR SCOTT AND WHITE INSTITUTE FOR REHABILITATION",
      "address": "909 NORTH WASHINGTON AVENUE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75246",
      "county": "DALLAS",
      "latitude": 32.7915785502006,
      "longitude": -96.780436739574,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 92,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "KESSLER REHABILITATION SERVICES INC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kessler-rehabilitation-services-inc",
      "siblingGroupId": "siblings-tx-kessler-rehabilitation-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: KESSLER REHABILITATION SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NIGEL SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KESSLER REHABILITATION SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KESSLER REHABILITATION SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NIGEL SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KESSLER REHABILITATION SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0058490232",
      "name": "EXODUS RECOVERY PHF",
      "address": "9808 VENICE BLVD",
      "city": "CULVER CITY",
      "state": "CA",
      "zip": "90232",
      "county": "LOS ANGELES",
      "latitude": 34.0234136601904,
      "longitude": -118.397947169701,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.exodusrecoveryinc.com/phf.html",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-culver-city-exodus-recovery-phf/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0058490232",
        "external-resolution-0058490232"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.exodusrecoveryinc.com/phf.html"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0058575218",
      "name": "CITY HOSPITAL AT WHITE ROCK",
      "address": "9440 POPPY DRIVE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75218",
      "county": "DALLAS",
      "latitude": 32.8347829100126,
      "longitude": -96.7049320203186,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 218,
      "rating": null,
      "website": "http://www.baylorhealth.com/physicianslocations/whiterock/pages/default.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEIGHTS HEALTHCARE OF TEXAS",
      "parentSystemId": "entity-heights-healthcare-of-texas",
      "siblingGroupId": "siblings-tx-heights-healthcare-of-texas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-heights-healthcare-of-texas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEIGHTS HEALTHCARE OF TEXAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RASHID SYED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HEIGHTS HEALTHCARE OF TEXAS; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEIGHTS HEALTHCARE OF TEXAS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEIGHTS HEALTHCARE OF TEXAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RASHID SYED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HEIGHTS HEALTHCARE OF TEXAS; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEIGHTS HEALTHCARE OF TEXAS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0058775235",
      "name": "KPC PROMISE HOSPITAL OF DALLAS",
      "address": "7955 HARRY HINES BOULEVARD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75235",
      "county": "DALLAS",
      "latitude": 32.8325811701274,
      "longitude": -96.8620384701898,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 66,
      "rating": null,
      "website": "http://www.promise-dallas.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Promise Healthcare",
      "parentSystemId": "entity-promise-healthcare",
      "siblingGroupId": "siblings-tx-promise-healthcare",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-08-31",
      "ownershipSourceIds": [
        "hifld-location-0058775235",
        "external-resolution-0058775235"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 452067; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 452067; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0058796001",
      "name": "RESTPADD PSYCHIATRIC HEALTH FACILITY",
      "address": "2750 EUREKA WAY",
      "city": "REDDING",
      "state": "CA",
      "zip": "96001",
      "county": "SHASTA",
      "latitude": 40.5865953898572,
      "longitude": -122.411974109779,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.restpadd.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redding-restpadd-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RESTPADD PSYCHIATRIC HEALTH FACILITY",
      "parentSystemId": "entity-restpadd-psychiatric-health-facility",
      "siblingGroupId": "siblings-ca-restpadd-psychiatric-health-facility",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0058796001",
        "external-resolution-0058796001"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.restpadd.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0058893555",
      "name": "BELLA SERA",
      "address": "1131 NO. CHINA LAKE BOULEVARD",
      "city": "RIDGECREST",
      "state": "CA",
      "zip": "93555",
      "county": "KERN",
      "latitude": 35.6409004498374,
      "longitude": -117.672631050083,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 99,
      "rating": null,
      "website": "http://rrh.org/hospital-services/tcru/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLA SERA",
      "parentSystemId": "entity-bella-sera",
      "siblingGroupId": "siblings-ca-bella-sera",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0058893555",
        "external-resolution-0058893555"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://rrh.org/hospital-services/tcru/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0059075226",
      "name": "BAYLOR SCOTT AND WHITE HEART AND VASCULAR HOSPITAL - DALLAS",
      "address": "621 NORTH HALL STREET",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75226",
      "county": "DALLAS",
      "latitude": 32.7881706502614,
      "longitude": -96.7811941100883,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0059192354",
      "name": "TOTALLY KIDS REHABILITATION HOSPITAL",
      "address": "1720 MOUNTAIN VIEW AVENUE",
      "city": "LOMA LINDA",
      "state": "CA",
      "zip": "92354",
      "county": "SAN BERNARDINO",
      "latitude": 34.0702324496999,
      "longitude": -117.244697509779,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MOUNTAIN VIEW CHILD CARE, INC.",
      "parentSystemId": "entity-mountain-view-child-care-inc",
      "siblingGroupId": "siblings-ca-mountain-view-child-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-manual-053038"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hcai.ca.gov/equity-measures/hospital/totally-kids-rehabilitation-hospital/"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Mountain View Child Care, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTAIN VIEW CHILD CARE, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Mountain View Child Care, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTAIN VIEW CHILD CARE, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0060099702",
      "name": "354TH MEDICAL GROUP",
      "address": "2630 CENTRAL AVENUE",
      "city": "EIELSON AFB",
      "state": "AK",
      "zip": "99702",
      "county": "FAIRBANKS NORTH STAR",
      "latitude": 64.6784067098511,
      "longitude": -147.092624529768,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://eielson.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ak-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0060099702",
        "external-resolution-0060099702"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0060399588",
      "name": "CROSS ROAD MEDICAL CENTER",
      "address": "187 GLENN HWY, PO BOX 5",
      "city": "GLENNALLEN",
      "state": "AK",
      "zip": "99588",
      "county": "COPPER RIVER",
      "latitude": 62.1089320001024,
      "longitude": -145.540927999636,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "website": "http://www.crossroadmc.org/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glennallen-cross-road-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Cross Road Health Ministries",
      "parentSystemId": "entity-cross-road-health-ministries",
      "siblingGroupId": "siblings-ak-cross-road-health-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0060399588",
        "external-resolution-0060399588"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/920126047"
      ],
      "ownershipProofNotes": "The exact operator is an IRS-recognized nonprofit organization.",
      "parentSystemEvidence": "The exact operator is an IRS-recognized nonprofit organization."
    },
    {
      "id": "0060599723",
      "name": "SAMUEL SIMMONDS MEMORIAL HOSPITAL",
      "address": "7000 UULA ST",
      "city": "UTQIAGVIK",
      "state": "AK",
      "zip": "99723",
      "county": "NORTH SLOPE",
      "latitude": 71.2977250400775,
      "longitude": -156.729036969815,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 10,
      "rating": null,
      "website": "www.arcticslope.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ARCTIC SLOPE NATIVE ASSOCIATION LTD",
      "parentSystemId": "entity-arctic-slope-native-association-ltd",
      "siblingGroupId": "siblings-ak-arctic-slope-native-association-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS lists ANDREW STEMP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARCTIC SLOPE NATIVE ASSOCIATION LTD; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCTIC SLOPE NATIVE ASSOCIATION LTD, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ANDREW STEMP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARCTIC SLOPE NATIVE ASSOCIATION LTD; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCTIC SLOPE NATIVE ASSOCIATION LTD, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0060699546",
      "name": "ADAK MEDICAL CENTER - EAT",
      "address": "100 MECHANIC ROAD",
      "city": "ADAK",
      "state": "AK",
      "zip": "99546",
      "county": "ALEUTIANS WEST",
      "latitude": 51.8680049998462,
      "longitude": -176.640262999552,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "www.eatribes.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-adak-adak-medical-center---eat/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Eastern Aleutian Tribes",
      "parentSystemId": "entity-eastern-aleutian-tribes",
      "siblingGroupId": "siblings-ak-eastern-aleutian-tribes",
      "ownershipRelationship": "tribally_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0060699546",
        "external-resolution-0060699546"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.eatribes.org/about/"
      ],
      "ownershipProofNotes": "The Adak clinic is operated by Eastern Aleutian Tribes, a tribal nonprofit health organization; it is not classified as federal IHS ownership.",
      "parentSystemEvidence": "The Adak clinic is operated by Eastern Aleutian Tribes, a tribal nonprofit health organization; it is not classified as federal IHS ownership."
    },
    {
      "id": "0061172112",
      "name": "UNITY HEALTH HARRIS MEDICAL CENTER",
      "address": "1205 MCLAIN STREET",
      "city": "NEWPORT",
      "state": "AR",
      "zip": "72112",
      "county": "JACKSON",
      "latitude": 35.608568849891,
      "longitude": -91.2650600600294,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 133,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-unity-health---harris-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ar-unity-health-arkansas",
      "campusFamilyId": "campus-ar-041332",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0061272401",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF JONESBORO",
      "address": "1201 FLEMING AVENUE",
      "city": "JONESBORO",
      "state": "AR",
      "zip": "72401",
      "county": "CRAIGHEAD",
      "latitude": 35.8326774997798,
      "longitude": -90.6930359100245,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 80,
      "rating": null,
      "website": "http://www.encompasshealth.com/jonesbororehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ar-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0061672703",
      "name": "NORTHWEST HEALTH PHYSICIANS' SPECIALTY HOSPITAL",
      "address": "3873 NORTH PARKVIEW DRIVE",
      "city": "FAYETTEVILLE",
      "state": "AR",
      "zip": "72703",
      "county": "WASHINGTON",
      "latitude": 36.1213263603457,
      "longitude": -94.1340396001271,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-northwest-health-physicians--specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ar-community-health-systems",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0061672703",
        "external-resolution-0061672703"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "Community Health Systems primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Community Health Systems primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0061772211",
      "name": "PINNACLE POINTE BEHAVIORAL HEALTHCARE SYSTEM",
      "address": "11501 FINANCIAL CENTRE PARKWAY",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72211",
      "county": "PULASKI",
      "latitude": 34.7461006002101,
      "longitude": -92.4017145299548,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 127,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-pinnacle-pointe-behavioral-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ar-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0061872764",
      "name": "REGENCY HOSPITAL OF SPRINGDALE",
      "address": "609 WEST MAPLE AVENUE",
      "city": "SPRINGDALE",
      "state": "AR",
      "zip": "72764",
      "county": "WASHINGTON",
      "latitude": 36.1805384603,
      "longitude": -94.1369787799389,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springdale-regency-hospital-of-springdale/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0061972901",
      "name": "SELECT SPECIALTY HOSPITAL - FORT SMITH, INC",
      "address": "1001 TOWSON AVENUE, SIXTH FLOOR",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72901",
      "county": "SEBASTIAN",
      "latitude": 35.3750165702768,
      "longitude": -94.4197330099098,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-smith-select-specialty-hospital---fort-smith-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ar-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0061972901",
        "external-resolution-0061972901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0062272903",
      "name": "CHRISTUS DUBUIS HOSPITAL OF FORT SMITH",
      "address": "7301 ROGERS AVENUE, 4TH FLOOR",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72903",
      "county": "SEBASTIAN",
      "latitude": 35.3558693502813,
      "longitude": -94.35252745995,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-ar-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0062272903",
        "external-resolution-0062272903"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0062372143",
      "name": "ADVANCED CARE HOSPITAL OF WHITE COUNTY",
      "address": "1200 SOUTH MAIN STREET",
      "city": "SEARCY",
      "state": "AR",
      "zip": "72143",
      "county": "WHITE",
      "latitude": 35.2336399501267,
      "longitude": -91.7312016802454,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 27,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-searcy-advanced-care-hospital-of-white-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ADVANCED CARE HOSPITAL OF WHITE COUNTY",
      "parentSystemId": "entity-advanced-care-hospital-of-white-county",
      "siblingGroupId": "siblings-ar-advanced-care-hospital-of-white-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVANCED CARE HOSPITAL OF WHITE COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ADVANCED CARE HOSPITAL OF WHITE COUNTY; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED CARE HOSPITAL OF WHITE COUNTY, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVANCED CARE HOSPITAL OF WHITE COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ADVANCED CARE HOSPITAL OF WHITE COUNTY; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED CARE HOSPITAL OF WHITE COUNTY, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0063972205",
      "name": "BAPTIST HEALTH EXTENDED CARE HOSPTIAL - LITTLE ROCK, INC",
      "address": "9601 BAPTIST HEALTH DRIVE, 10TH FLOOR",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.7441788999171,
      "longitude": -92.3812100003012,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTH EXTENDED CARE HOSPITAL - LITTLE ROCK, INC.",
      "parentSystemId": "entity-baptist-health-extended-care-hospital-little-rock-inc",
      "siblingGroupId": "siblings-ar-baptist-health-extended-care-hospital-little-rock-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH EXTENDED CARE HOSPITAL - LITTLE ROCK, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH EXTENDED CARE HOSPITAL - LITTLE ROCK, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH EXTENDED CARE HOSPITAL - LITTLE ROCK, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH EXTENDED CARE HOSPITAL - LITTLE ROCK, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0064072205",
      "name": "BAPTIST HEALTH REHABILITATION INSTITUTE",
      "address": "9601 BAPTIST HEALTH DRIVE",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.7442960796734,
      "longitude": -92.3818160900301,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-baptist-health-rehabilitation-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTH",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0064585016",
      "name": "ABRAZO ARIZONA HEART HOSPITAL",
      "address": "1930 EAST THOMAS ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85016",
      "county": "MARICOPA",
      "latitude": 33.4808672299063,
      "longitude": -112.039667730439,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "website": "https://www.abrazohealth.com",
      "status": "corporate_chain",
      "parentSystem": "Abrazohealth",
      "affiliatedSystem": "Abrazohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Abrazohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-abrazo-arizona-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-abrazohealth",
      "siblingGroupId": "siblings-az-abrazohealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0064585016",
        "external-resolution-0064585016"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.abrazohealth.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0064985006",
      "name": "BANNER GOOD SAMARITAN MEDICAL CENTER",
      "address": "1300 NORTH 12TH STREET, SUITE 404",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4628877596489,
      "longitude": -112.056997620166,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-az-banner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0064985006",
        "external-resolution-0064985006"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "Banner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Banner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0065285251",
      "name": "GREENBAUM SPECIALITY SURGICAL HOSPITAL",
      "address": "3535 NORTH SCOTTSDALE ROAD",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85251",
      "county": "MARICOPA",
      "latitude": 33.4901910396325,
      "longitude": -111.925551620048,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 26,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "HonorHealth",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0065285251",
        "external-resolution-0065285251"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.honorhealth.com/company"
      ],
      "ownershipProofNotes": "HonorHealth’s official directory identifies the facility, and HonorHealth is a nonprofit health system.",
      "parentSystemEvidence": "HonorHealth’s official directory identifies the facility, and HonorHealth is a nonprofit health system."
    },
    {
      "id": "0065385007",
      "name": "HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC",
      "address": "1201 SOUTH 7TH AVENUE, SUITE 200",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85007",
      "county": "MARICOPA",
      "latitude": 33.435631349889,
      "longitude": -112.081175629613,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 57,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "parentSystemId": "entity-haven-behavioral-healthcare-inc",
      "siblingGroupId": "siblings-az-haven-behavioral-healthcare-inc",
      "campusFamilyId": "campus-az-034020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HAVEN BEHAVIORAL HEALTHCARE INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HAVEN BEHAVIORAL HEALTHCARE INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0065485704",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTHWEST TUCSON",
      "address": "1921 WEST HOSPITAL DRIVE",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85704",
      "county": "PIMA",
      "latitude": 32.3185910302162,
      "longitude": -111.008469289968,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-encompass-health-rehabilitation-hospital-of-northwest-tucson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-az-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0065585304",
      "name": "ENCOMPASS HEALTH VALLEY OF THE SUN REHABILITATION HOSPITAL, LLC",
      "address": "13460 NORTH 67TH AVENUE",
      "city": "GLENDALE",
      "state": "AZ",
      "zip": "85304",
      "county": "MARICOPA",
      "latitude": 33.6078044301709,
      "longitude": -112.203895819965,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 75,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-az-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0065986314",
      "name": "MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL",
      "address": "3700 NORTH WINDSONG DRIVE",
      "city": "PRESCOTT VALLEY",
      "state": "AZ",
      "zip": "86314",
      "county": "YAVAPAI",
      "latitude": 34.5961893301727,
      "longitude": -112.328410539725,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 44,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "033036",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-prescott-valley-mountain-valley-regional-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-az-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0066485281",
      "name": "TEMPE ST LUKE'S HOSPITAL",
      "address": "1500 SOUTH MILL AVENUE",
      "city": "TEMPE",
      "state": "AZ",
      "zip": "85281",
      "county": "MARICOPA",
      "latitude": 33.4125968598799,
      "longitude": -111.940612500115,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 74,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HonorHealth",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0066485281",
        "external-resolution-0066485281"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.honorhealth.com/sites/default/files/2025-07/honorhealth-volunteer-handbook-2025.pdf"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HonorHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HonorHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0066685351",
      "name": "NORTHWEST HOSPITAL, LLC",
      "address": "6200 NORTH LA CHOLLA BOULEVARD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85741",
      "county": "MARICOPA",
      "latitude": 33.6090404100136,
      "longitude": -112.298460830324,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 300,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0066785008",
      "name": "ARIZONA STATE FORENSIC HOSPITAL",
      "address": "501 NORTH 24TH STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85008",
      "county": "MARICOPA",
      "latitude": 33.4550443802085,
      "longitude": -112.029343610271,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 143,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-arizona-state-forensic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Arizona state health authority",
      "parentSystemId": "entity-arizona-state-health-authority",
      "siblingGroupId": "siblings-az-arizona-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0066785008",
        "external-resolution-0066785008"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.az.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0067185224",
      "name": "DIGNITY COMMUNITY CARE",
      "address": "1955 WEST FRYE ROAD",
      "city": "CHANDLER",
      "state": "AZ",
      "zip": "85224",
      "county": "MARICOPA",
      "latitude": 33.2973907696967,
      "longitude": -111.874611860446,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 429,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0067685305",
      "name": "ST JOSEPH'S WESTGATE MEDICAL CENTER",
      "address": "7300 NORTH 99TH AVENUE",
      "city": "GLENDALE",
      "state": "AZ",
      "zip": "85307",
      "county": "MARICOPA",
      "latitude": 33.5424265199608,
      "longitude": -112.275531869889,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glendale-st-joseph-s-westgate-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0067685305",
        "external-resolution-0067685305"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to CommonSpirit Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to CommonSpirit Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0067985724",
      "name": "BANNER UNIVERSITY MEDICAL CENTER AT THE ARIZONA HEALTH SC",
      "address": "1501 NORTH CAMPBELL AVENUE",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85724",
      "county": "PIMA",
      "latitude": 32.2413526897285,
      "longitude": -110.946855120238,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BANNER UNIVERSITY MEDICAL CTR AT THE AZ HEALTH SC",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-banner-university-medical-ctr-at-the-az-health-sc",
      "siblingGroupId": "siblings-az-banner-university-medical-ctr-at-the-az-health-sc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to BANNER UNIVERSITY MEDICAL CTR AT THE AZ HEALTH SC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BANNER UNIVERSITY MEDICAL CTR AT THE AZ HEALTH SC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to BANNER UNIVERSITY MEDICAL CTR AT THE AZ HEALTH SC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BANNER UNIVERSITY MEDICAL CTR AT THE AZ HEALTH SC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0068485634",
      "name": "DHHS PHS IHS TUCSON AREA IHS TUCSON",
      "address": "PO BOX 548",
      "city": "SELLS",
      "state": "AZ",
      "zip": "85634",
      "county": "PIMA",
      "latitude": 32.1075246296507,
      "longitude": -110.981182499682,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sells-dhhs-phs-ihs-tucson-area-ihs-tucson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Indian Health Service",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-az-indian-health-service",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0068485634",
        "external-resolution-0068485634"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0068985258",
      "name": "GLOBALREHAB - SCOTTSDALE, LLC",
      "address": "8850 EAST PIMA CENTER PARKWAY",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85258",
      "county": "MARICOPA",
      "latitude": 33.561122250195,
      "longitude": -111.890261449638,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-az-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ASHLIE ADAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ASHLIE ADAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0069485613",
      "name": "RAYMOND W. BLISS ARMY HEALTH CENTER",
      "address": "2240 E WINROW AVENUE, BUILDING 45001",
      "city": "FORT HUACHUCA",
      "state": "AZ",
      "zip": "85613",
      "county": "COCHISE",
      "latitude": 31.5491681397898,
      "longitude": -110.3522736599,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://raymond-bliss.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-az-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0069485613",
        "external-resolution-0069485613"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0069585707",
      "name": "355TH MEDICAL GROUP",
      "address": "4175 SOUTH ALAMO AVENUE",
      "city": "DAVIS-MONTHAN AFB",
      "state": "AZ",
      "zip": "85707",
      "county": "PIMA",
      "latitude": 32.1732604299294,
      "longitude": -110.859809669967,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://davismonthan.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-az-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0069585707",
        "external-resolution-0069585707"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0069686047",
      "name": "US PHS WINSLOW INDIAN HOSPITAL",
      "address": "500 INDIANA AVE",
      "city": "WINSLOW",
      "state": "AZ",
      "zip": "86047",
      "county": "NAVAJO",
      "latitude": 35.0323107500001,
      "longitude": -110.714116819736,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winslow-us-phs-winslow-indian-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Indian Health Service",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-az-indian-health-service",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0069686047",
        "external-resolution-0069686047"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0069985338",
      "name": "WESTERN REGIONAL MEDICAL CENTER",
      "address": "14200 WEST CELEBRATE LIFE WAY",
      "city": "GOODYEAR",
      "state": "AZ",
      "zip": "85338",
      "county": "MARICOPA",
      "latitude": 33.4538635803161,
      "longitude": -112.364401870367,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 38,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC",
      "parentSystemId": "entity-cancer-treatment-centers-of-america-global-inc",
      "siblingGroupId": "siblings-az-cancer-treatment-centers-of-america-global-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM LAING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM LAING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0070094501",
      "name": "PARK BRIDGE REHABILITATION AND WELLNESS CENTER",
      "address": "2401 BLANDING AVENUE",
      "city": "ALAMEDA",
      "state": "CA",
      "zip": "94501",
      "county": "ALAMEDA",
      "latitude": 37.770628629932,
      "longitude": -122.23702430035,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 120,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alameda-park-bridge-rehabilitation-and-wellness-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PARK BRIDGE REHABILITATION AND WELLNESS CENTER",
      "parentSystemId": "entity-park-bridge-rehabilitation-and-wellness-center",
      "siblingGroupId": "siblings-ca-park-bridge-rehabilitation-and-wellness-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0070094501",
        "external-resolution-0070094501"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0070192120",
      "name": "ALVARADO HOSPITAL MEDICAL CENTER",
      "address": "6645 ALVARADO RD",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92120",
      "county": "SAN DIEGO",
      "latitude": 32.7768583501755,
      "longitude": -117.057681269841,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALVARADO HOSPITAL MEDICAL CENTER",
      "parentSystemId": "entity-alvarado-hospital-medical-center",
      "siblingGroupId": "siblings-ca-alvarado-hospital-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0070192120",
        "external-resolution-0070192120"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 050757; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 050757; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0070494117",
      "name": "CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS",
      "address": "601 DUBOCE AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94117",
      "county": "SAN FRANCISCO",
      "latitude": 37.7688860921097,
      "longitude": -122.434360050303,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 153,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-california-pacific-med-ctr-davies-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SUTTER BAY HOSPITALS",
      "parentSystemId": "entity-sutter-bay-hospitals",
      "siblingGroupId": "siblings-ca-sutter-bay-hospitals",
      "campusFamilyId": "campus-ca-050008",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0070494118",
      "name": "CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS HOSPITAL D/P APH",
      "address": "601 DUBOCE AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94117",
      "county": "SAN FRANCISCO",
      "latitude": 37.768556301254,
      "longitude": -122.434800079265,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 191,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SUTTER BAY HOSPITALS",
      "parentSystemId": "entity-sutter-bay-hospitals",
      "siblingGroupId": "siblings-ca-sutter-bay-hospitals",
      "campusFamilyId": "campus-ca-050008",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0070695354",
      "name": "CENTRAL VALLEY SPECIALTY HOSPITAL",
      "address": "730 17TH ST",
      "city": "MODESTO",
      "state": "CA",
      "zip": "95354",
      "county": "STANISLAUS",
      "latitude": 37.6435662801961,
      "longitude": -120.99090489025,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 96,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-modesto-central-valley-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CENTRAL VALLEY SPECIALTY HOSPITAL INC",
      "parentSystemId": "entity-central-valley-specialty-hospital-inc",
      "siblingGroupId": "siblings-ca-central-valley-specialty-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-manual-052055"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hcai.ca.gov/data/supplier-diversity-reports/hospital/central-valley-specialty-hospital/?report_year=2022"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Central Valley Specialty Hospital, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL VALLEY SPECIALTY HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Central Valley Specialty Hospital, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL VALLEY SPECIALTY HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0070790067",
      "name": "CALIFORNIA REHABILITATION INSTITUTE, LLC",
      "address": "2070 CENTURY PARK E",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90067",
      "county": "LOS ANGELES",
      "latitude": 34.0591029299689,
      "longitude": -118.411868049943,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 138,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-california-rehabilitation-institute-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ca-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0071176549",
      "name": "ADVENTHEALTH BEHAVIORAL HEALTH CENTER",
      "address": "2407 SOUTH CLEAR CREEK ROAD",
      "city": "KILLEEN",
      "state": "TX",
      "zip": "76549",
      "county": "BELL",
      "latitude": 31.1116653097463,
      "longitude": -97.8027415703725,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-tx-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071176549",
        "external-resolution-0071176549"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0071276504",
      "name": "BAYLOR SCOTT AND WHITE PAVILION - TEMPLE",
      "address": "1815 S 31ST ST",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76504",
      "county": "BELL",
      "latitude": 31.0815996096299,
      "longitude": -97.3628935801322,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 2,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071276504",
        "external-resolution-0071276504"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0071295817",
      "name": "CRESTWOOD PSYCHIATRIC HEALTH FACILITY-SACRAMENTO",
      "address": "2600 STOCKTON BLVD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95817",
      "county": "SACRAMENTO",
      "latitude": 38.5519858399836,
      "longitude": -121.456443439975,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.crestwoodbehavioralhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Crestwoodbehavioralhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-crestwood-psychiatric-health-facility-sacramento/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-crestwoodbehavioralhealth",
      "siblingGroupId": "siblings-ca-crestwoodbehavioralhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071295817",
        "external-resolution-0071295817"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://crestwoodbehavioralhealth.com/locations/"
      ],
      "ownershipProofNotes": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0071378232",
      "name": "BAPTIST NEIGHBORHOOD HOSPITAL WESTOVER HILLS",
      "address": "10811 TOWN CENTER DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78251",
      "county": "BEXAR",
      "latitude": 29.461718079627,
      "longitude": -98.6899138202295,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071378232",
        "external-resolution-0071378232"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0071394589",
      "name": "CRESTWOOD SOLANO PSYCHIATRIC HEALTH FACILITY",
      "address": "2201 TUOLUMNE ST",
      "city": "VALLEJO",
      "state": "CA",
      "zip": "94589",
      "county": "SOLANO",
      "latitude": 38.1306130999718,
      "longitude": -122.240998780442,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.crestwoodbehavioralhealth.com",
      "status": "corporate_chain",
      "parentSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystem": "Crestwoodbehavioralhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Crestwoodbehavioralhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vallejo-crestwood-solano-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-crestwoodbehavioralhealth",
      "siblingGroupId": "siblings-ca-crestwoodbehavioralhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071394589",
        "external-resolution-0071394589"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://crestwoodbehavioralhealth.com/locations/"
      ],
      "ownershipProofNotes": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Crestwoodbehavioralhealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0071472858",
      "name": "BAPTIST NEIGHBORHOOD HOSPITAL OVERLOOK PARKWAY",
      "address": "25615 NORTH US HIGHWAY 281",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78258",
      "county": "BEXAR",
      "latitude": 29.6809155002087,
      "longitude": -98.4552139000824,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071472858",
        "external-resolution-0071472858"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0071578249",
      "name": "BAPTIST NEIGHBORHOOD HOSPITAL HAUSMAN",
      "address": "8230 NORTH 1604 WEST",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78249",
      "county": "BEXAR",
      "latitude": 29.5707837202892,
      "longitude": -98.6488210298529,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EMERUS BHS SA LLC",
      "parentSystemId": "entity-emerus-bhs-sa-llc",
      "siblingGroupId": "siblings-tx-emerus-bhs-sa-llc",
      "campusFamilyId": "campus-tx-670078",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-emerus-bhs-sa-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMERUS BHS SA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptist Health/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EMERUS BHS SA LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS BHS SA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EMERUS BHS SA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptist Health/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EMERUS BHS SA LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS BHS SA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0071678224",
      "name": "BAPTIST NEIGHBORHOOD HOSPITAL ZARZAMORA",
      "address": "7719 IH 35 SOUTH",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78224",
      "county": "BEXAR",
      "latitude": 29.3518245501312,
      "longitude": -98.5330211702942,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071678224",
        "external-resolution-0071678224"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0071778209",
      "name": "CHRISTUS SANTA ROSA HOSPITAL - ALAMO HEIGHTS",
      "address": "403 TREELINE PARK",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78209",
      "county": "BEXAR",
      "latitude": 29.5058017698408,
      "longitude": -98.4760476398298,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-christus-santa-rosa-hospital---alamo-heights/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071778209",
        "external-resolution-0071778209"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0071893436",
      "name": "LAC - USC MEDICAL CENTER D/P APH",
      "address": "1200 N STATE ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90033",
      "county": "SANTA BARBARA",
      "latitude": 34.6413308498608,
      "longitude": -120.444777119931,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 76,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Los Angeles County Department of Health Services",
      "parentSystemId": "entity-los-angeles-county-department-of-health-services",
      "siblingGroupId": "siblings-ca-los-angeles-county-department-of-health-services",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071893436",
        "external-resolution-0071893436"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0071993420",
      "name": "MARIAN REGIONAL MEDICAL CENTER - ARROYO GRANDE",
      "address": "345 S HALCYON RD",
      "city": "ARROYO GRANDE",
      "state": "CA",
      "zip": "93420",
      "county": "SAN LUIS OBISPO",
      "latitude": 35.1131080899238,
      "longitude": -120.590936200286,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 67,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arroyo-grande-marian-regional-medical-center-arroyo-grande/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0071993420",
        "external-resolution-0071993420"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20140703002033 (05T107). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20140703002033 (05T107). 4 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0072178247",
      "name": "WARM SPRINGS REHABILITATION HOSPITAL OF THOUSAND OAKS",
      "address": "14747 JONES MALTSBERGER ROAD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78247",
      "county": "BEXAR",
      "latitude": 29.576365559675,
      "longitude": -98.4448548399413,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "website": "http://postacutemedical.com/our-facilities/outpatient-rehabilitation/warm-springs-rehabilitation-hospital-thousand-oaks/",
      "status": "corporate_chain",
      "parentSystem": "Postacutemedical",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-warm-springs-rehabilitation-hospital-of-thousand-oaks/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-postacutemedical",
      "siblingGroupId": "siblings-tx-postacutemedical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0072178247",
        "external-resolution-0072178247"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://postacutemedical.com/our-facilities/outpatient-rehabilitation/warm-springs-rehabilitation-hospital-thousand-oaks/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0072278251",
      "name": "WARM SPRINGS REHABILITATION HOSPITAL OF WESTOVER HILLS",
      "address": "10323 STATE HWY 151",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78251",
      "county": "BEXAR",
      "latitude": 29.4519078500586,
      "longitude": -98.6845763101873,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://postacutemedical.com/our-facilities/outpatient-rehabilitation/warm-springs-rehabilitation-hospital-westover-hills/",
      "status": "corporate_chain",
      "parentSystem": "Postacutemedical",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-warm-springs-rehabilitation-hospital-of-westover-hills/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-postacutemedical",
      "siblingGroupId": "siblings-tx-postacutemedical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0072278251",
        "external-resolution-0072278251"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://postacutemedical.com/our-facilities/outpatient-rehabilitation/warm-springs-rehabilitation-hospital-westover-hills/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0072292025",
      "name": "PALOMAR MEDICAL CENTER",
      "address": "2185 CITRACADO PKWY",
      "city": "ESCONDIDO",
      "state": "CA",
      "zip": "92029",
      "county": "SAN DIEGO",
      "latitude": 33.1222169396324,
      "longitude": -117.121370859593,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 286,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-escondido-palomar-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PALOMAR HEALTH",
      "parentSystemId": "entity-palomar-health",
      "siblingGroupId": "siblings-ca-palomar-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0072292025",
        "external-resolution-0072292025"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20110330000785 (050115). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20110330000785 (050115). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0072390241",
      "name": "PIH HEALTH HOSPITAL - DOWNEY",
      "address": "11500 BROOKSHIRE AVE",
      "city": "DOWNEY",
      "state": "CA",
      "zip": "90241",
      "county": "LOS ANGELES",
      "latitude": 33.9343518001492,
      "longitude": -118.130903960213,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 199,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIH HEALTH INC",
      "parentSystemId": "entity-pih-health-inc",
      "siblingGroupId": "siblings-ca-pih-health-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIH HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIH HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0072477584",
      "name": "MEMORIAL HERMANN PEARLAND HOSPITAL",
      "address": "16100 SOUTH FREEWAY",
      "city": "PEARLAND",
      "state": "TX",
      "zip": "77584",
      "county": "BRAZORIA",
      "latitude": 29.5635004498251,
      "longitude": -95.388679720242,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 64,
      "rating": null,
      "website": "https://memorialhermann.org/locations/pearland",
      "status": "corporate_chain",
      "parentSystem": "Memorialhermann",
      "affiliatedSystem": "Memorialhermann",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pearland-memorial-hermann-pearland-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorialhermann",
      "siblingGroupId": "siblings-tx-memorialhermann",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0072477584",
        "external-resolution-0072477584"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://memorialhermann.org/locations/pearland"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0072590723",
      "name": "KINDRED HOSPITAL PARAMOUNT",
      "address": "16453 COLORADO AVE",
      "city": "PARAMOUNT",
      "state": "CA",
      "zip": "90723",
      "county": "LOS ANGELES",
      "latitude": 33.8846318602339,
      "longitude": -118.162267069899,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 177,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paramount-kindred-hospital-paramount/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0072690732",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER",
      "address": "1322 WEST 6TH STREET",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90732",
      "county": "LOS ANGELES",
      "latitude": 33.7390182300506,
      "longitude": -118.306273759885,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 125,
      "rating": null,
      "website": "http://california.providence.org/",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-pedro-providence-little-company-of-mary-subacute-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "campusFamilyId": "campus-ca-050078",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0072778654",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - MARBLE FALLS",
      "address": "810 W HIGHWAY 71",
      "city": "MARBLE FALLS",
      "state": "TX",
      "zip": "78654",
      "county": "BURNET",
      "latitude": 30.5128112499798,
      "longitude": -98.3045379602225,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 46,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marble-falls-baylor-scott-&-white-medical-center---marble-falls/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0072978520",
      "name": "SOLARA SPECIALTY HOSPITALS HARLINGEN - BROWNSVILLE",
      "address": "333 LORENALY DRIVE",
      "city": "BROWNSVILLE",
      "state": "TX",
      "zip": "78520",
      "county": "CAMERON",
      "latitude": 25.973809339739,
      "longitude": -97.5098892103079,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ScionHealth",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0072978520",
        "external-resolution-0072978520"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 452101. That CCN bridged to CMS enrollment O20060829000256 and 9 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 452101. That CCN bridged to CMS enrollment O20060829000256 and 9 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0072990231",
      "name": "SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY",
      "address": "3828 DELMAS TER",
      "city": "CULVER CITY",
      "state": "CA",
      "zip": "90232",
      "county": "LOS ANGELES",
      "latitude": 34.0232026298389,
      "longitude": -118.397066100274,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 311,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-culver-city-southern-california-hospital-at-culver-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prospect Medical Holdings",
      "parentSystemId": "entity-prospect-medical-holdings",
      "siblingGroupId": "siblings-ca-prospect-medical-holdings",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0072990231",
        "external-resolution-0072990231"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20130801000631 (05T135). 11 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20130801000631 (05T135). 11 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0073075094",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL MURPHY",
      "address": "511 FM 544 SUITE 100",
      "city": "MURPHY",
      "state": "TX",
      "zip": "75094",
      "county": "COLLIN",
      "latitude": 33.0122339300699,
      "longitude": -96.6243528204311,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073075094",
        "external-resolution-0073075094"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0073191401",
      "name": "SOUTHERN CALIFORNIA HOSPITAL AT VAN NUYS D/P APH",
      "address": "14433 EMELITA ST",
      "city": "VAN NUYS",
      "state": "CA",
      "zip": "91401",
      "county": "LOS ANGELES",
      "latitude": 34.1769006999416,
      "longitude": -118.447490829672,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 59,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prospect Medical Holdings",
      "parentSystemId": "entity-prospect-medical-holdings",
      "siblingGroupId": "siblings-ca-prospect-medical-holdings",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073191401",
        "external-resolution-0073191401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pmh.com/hospitals"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Prospect Medical Holdings and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Prospect Medical Holdings and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0073275080",
      "name": "EMINENT MEDICAL CENTER",
      "address": "1351 W PRESIDENT BUSH HWY",
      "city": "RICHARDSON",
      "state": "TX",
      "zip": "75080",
      "county": "COLLIN",
      "latitude": 32.9991962800577,
      "longitude": -96.7557941798528,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 5,
      "rating": null,
      "website": "http://eminentmedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richardson-eminent-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EMINENT MEDICAL CENTER",
      "parentSystemId": "entity-eminent-medical-center",
      "siblingGroupId": "siblings-tx-eminent-medical-center",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073275080",
        "external-resolution-0073275080"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://eminentmedicalcenter.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0073375070",
      "name": "MEDICAL CITY OF MCKINNEY - WYSONG CAMPUS",
      "address": "130 SOUTH CENTRAL EXPRESSWAY",
      "city": "MCKINNEY",
      "state": "TX",
      "zip": "75070",
      "county": "COLLIN",
      "latitude": 33.1972974798051,
      "longitude": -96.6405323204195,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "website": "http://medicalcenterofmckinney.com/service/psychiatry",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mckinney-medical-city-of-mckinney---wysong-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073375070",
        "external-resolution-0073375070"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0073395307",
      "name": "TELECARE STANISLAUS COUNTY PHF",
      "address": "1904 RICHLAND AVENUE",
      "city": "CERES",
      "state": "CA",
      "zip": "95307",
      "county": "STANISLAUS",
      "latitude": 37.6002665899173,
      "longitude": -120.96297304042,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "website": "http://www.telecarecorp.com/programs/157",
      "status": "corporate_chain",
      "parentSystem": "Telecare Corporation",
      "affiliatedSystem": "Telecarecorp",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Telecarecorp",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ceres-telecare-stanislaus-county-phf/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-telecare-corporation",
      "siblingGroupId": "siblings-ca-telecare-corporation",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073395307",
        "external-resolution-0073395307"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.telecarecorp.com/program-locations"
      ],
      "ownershipProofNotes": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Telecare Corporation official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0073575075",
      "name": "LEGENT HOSPITAL FOR SPECIAL SURGERY",
      "address": "4100 MAPLESHADE LANE",
      "city": "PLANO",
      "state": "TX",
      "zip": "75075",
      "county": "COLLIN",
      "latitude": 33.0014018499008,
      "longitude": -96.7718015599379,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 7,
      "rating": null,
      "website": "http://starmedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-legent-hospital-for-special-surgery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STAR MEDICAL CENTER LLC",
      "parentSystemId": "entity-star-medical-center-llc",
      "siblingGroupId": "siblings-tx-star-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-star-medical-center-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: STAR MEDICAL CENTER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 72%). CMS lists CHRISTOPHER DUNLEAVY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to STAR MEDICAL CENTER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STAR MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STAR MEDICAL CENTER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 72%). CMS lists CHRISTOPHER DUNLEAVY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to STAR MEDICAL CENTER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STAR MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0073693210",
      "name": "DEPARTMENT OF STATE HOSPITALS - COALINGA",
      "address": "24511 W JAYNE AVE",
      "city": "COALINGA",
      "state": "CA",
      "zip": "93210",
      "county": "FRESNO",
      "latitude": 36.1335482902426,
      "longitude": -120.24044595979,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "California Department of State Hospitals",
      "parentSystemId": "entity-california-department-of-state-hospitals",
      "siblingGroupId": "siblings-ca-california-department-of-state-hospitals",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073693210",
        "external-resolution-0073693210"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0073778154",
      "name": "BAPTIST NEIGHBORHOOD HOSPITAL SCHERTZ PARKWAY",
      "address": "16977 I-35 NORTH",
      "city": "SCHERTZ",
      "state": "TX",
      "zip": "78154",
      "county": "GUADALUPE",
      "latitude": 29.5942753101449,
      "longitude": -98.2900848200892,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073778154",
        "external-resolution-0073778154"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0073790650",
      "name": "DEPARTMENT OF STATE HOSPITALS - METROPOLITAN",
      "address": "11401 SOUTH BLOOMFIELD AVE",
      "city": "NORWALK",
      "state": "CA",
      "zip": "90650",
      "county": "LOS ANGELES",
      "latitude": 33.9280313502587,
      "longitude": -118.067989669552,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 1004,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "California Department of State Hospitals",
      "parentSystemId": "entity-california-department-of-state-hospitals",
      "siblingGroupId": "siblings-ca-california-department-of-state-hospitals",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073790650",
        "external-resolution-0073790650"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0073975093",
      "name": "EATING RECOVERY CENTER",
      "address": "4708 ALLIANCE BOULEVARD THIRD FLOOR",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.0135206297706,
      "longitude": -96.7920506796916,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "website": "https://www.eatingrecoverycenter.com",
      "status": "corporate_chain",
      "parentSystem": "Eatingrecoverycenter",
      "affiliatedSystem": "Eatingrecoverycenter",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Eatingrecoverycenter",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-eating-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-eatingrecoverycenter",
      "siblingGroupId": "siblings-tx-eatingrecoverycenter",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0073975093",
        "external-resolution-0073975093"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.eatingrecoverycenter.com"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0074075034",
      "name": "HAVEN BEHAVIORAL HOSPITAL OF FRISCO",
      "address": "5680 FRISCO SQUARE BLVD, SUITE 3000",
      "city": "FRISCO",
      "state": "TX",
      "zip": "75034",
      "county": "COLLIN",
      "latitude": 33.1511386097061,
      "longitude": -96.837858109852,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "HCA Healthcare",
      "peFirm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Haven Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-frisco-haven-behavioral-hospital-of-frisco/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-454161",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0074175093",
      "name": "WELLBRIDGE HEALTHCARE GREATER DALLAS",
      "address": "4301 MAPLESHADE LANE",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.00580642002,
      "longitude": -96.7769530001386,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "https://www.wellbridgedallas.com/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tx-lifepoint-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0074175093",
        "external-resolution-0074175093"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "LifePoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "LifePoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0074275231",
      "name": "FIRST BAPTIST MEDICAL CENTER",
      "address": "8111 MEADOW RD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75231",
      "county": "DALLAS",
      "latitude": 32.8884379496913,
      "longitude": -96.766554300039,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-first-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0074275231",
        "external-resolution-0074275231"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0074290404",
      "name": "SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL",
      "address": "1250 16TH ST",
      "city": "SANTA MONICA",
      "state": "CA",
      "zip": "90404",
      "county": "LOS ANGELES",
      "latitude": 34.0277086801722,
      "longitude": -118.486892399592,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 281,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "REGENTS OF THE UNIV OF CALIFORNIA",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-regents-of-the-univ-of-california",
      "siblingGroupId": "siblings-ca-regents-of-the-univ-of-california",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIV OF CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIV OF CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0074375006",
      "name": "LEGENT ORTHOPEDIC HOSPITAL",
      "address": "1401 E TRINITY MILLS RD",
      "city": "CARROLLTON",
      "state": "TX",
      "zip": "75006",
      "county": "DALLAS",
      "latitude": 32.9855301697427,
      "longitude": -96.8984164402213,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ETHICUS HOSPITAL DFW LLC",
      "parentSystemId": "entity-ethicus-hospital-dfw-llc",
      "siblingGroupId": "siblings-tx-ethicus-hospital-dfw-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0074375006",
        "external-resolution-0074375006"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20200805001731 (670265). 28 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20200805001731 (670265). 28 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0074475042",
      "name": "GARLAND BEHAVIORAL HOSPITAL",
      "address": "2300 MARIE CURIE BLVD, 5TH FLOOR",
      "city": "GARLAND",
      "state": "TX",
      "zip": "75042",
      "county": "DALLAS",
      "latitude": 32.9197757302977,
      "longitude": -96.6621031898413,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "http://garlandbehavioralhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GARLAND BEHAVIORAL HOSPITAL",
      "parentSystemId": "entity-garland-behavioral-hospital",
      "siblingGroupId": "siblings-tx-garland-behavioral-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-09-15",
      "ownershipSourceIds": [
        "hifld-location-0074475042",
        "external-resolution-0074475042"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 454138; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 454138; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0074575246",
      "name": "SELECT SPECIALTY HOSPITAL - DOWNTOWN DALLAS",
      "address": "3500 GASTON AVENUE, 3RD AND 4TH FLOORS",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75246",
      "county": "DALLAS",
      "latitude": 32.7902650897253,
      "longitude": -96.7802904103024,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tx-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0074575246",
        "external-resolution-0074575246"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0074693060",
      "name": "VENTURA COUNTY MEDICAL CENTER - SANTA PAULA HOSPITAL",
      "address": "825 N 10TH ST",
      "city": "SANTA PAULA",
      "state": "CA",
      "zip": "93060",
      "county": "VENTURA",
      "latitude": 34.3664467001028,
      "longitude": -119.064914810057,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-paula-ventura-county-medical-center---santa-paula-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "VENTURA COUNTY public health authority",
      "parentSystemId": "entity-ventura-county-public-health-authority",
      "siblingGroupId": "siblings-ca-ventura-county-public-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0074693060",
        "external-resolution-0074693060"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0074796001",
      "name": "VIBRA HOSPITAL OF NORTHERN CALIFORNIA",
      "address": "2801 EUREKA WAY",
      "city": "REDDING",
      "state": "CA",
      "zip": "96001",
      "county": "SHASTA",
      "latitude": 40.5851742099808,
      "longitude": -122.413549649685,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redding-vibra-hospital-of-northern-california/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-ca-vibra-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Vibra Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0074875080",
      "name": "VIBRA HOSPITAL OF RICHARDSON",
      "address": "401 WEST CAMPBELL ROAD SUITE 300",
      "city": "RICHARDSON",
      "state": "TX",
      "zip": "75080",
      "county": "DALLAS",
      "latitude": 32.9741380697232,
      "longitude": -96.7271198401011,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "http://www.vibrahealthcare.com/",
      "status": "corporate_chain",
      "parentSystem": "CORALVITA RICHARDSON",
      "affiliatedSystem": "Vibrahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Vibrahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richardson-vibra-hospital-of-richardson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-coralvita-richardson",
      "siblingGroupId": "siblings-tx-coralvita-richardson",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-452097"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.coralvita.ai/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: facility-specific primary-source resolution to CoralVita Healthcare Group; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORALVITA RICHARDSON, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: facility-specific primary-source resolution to CoralVita Healthcare Group; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORALVITA RICHARDSON, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0075076208",
      "name": "HORIZON MEDICAL CENTER OF DENTON",
      "address": "2813 S MAYHILL RD",
      "city": "DENTON",
      "state": "TX",
      "zip": "76208",
      "county": "DENTON",
      "latitude": 33.1741468300751,
      "longitude": -97.0867480499924,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 22,
      "rating": null,
      "website": "http://www.atriumhealthcare.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denton-horizon-medical-center-of-denton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baylor Scott & White Health",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0075179761",
      "name": "CONTINUECARE HOSPITAL AT MEDICAL CENTER ODESSA",
      "address": "500 W 4TH STREET 4TH FLOOR",
      "city": "ODESSA",
      "state": "TX",
      "zip": "79761",
      "county": "ECTOR",
      "latitude": 31.8454514498501,
      "longitude": -102.3738874198,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://continuecare.org/odessa/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-odessa-continuecare-hospital-at-medical-center-odessa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-tx-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-chc-community-care-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC COMMUNITY CARE, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC COMMUNITY CARE, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC COMMUNITY CARE, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC COMMUNITY CARE, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0075279925",
      "name": "DEL SOL MEDICAL CENTER A CAMPUS OF LPDS HEALTHCARE",
      "address": "10301 GATEWAY BOULEVARD WEST",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79925",
      "county": "EL PASO",
      "latitude": 31.7564919501806,
      "longitude": -106.349951880263,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 315,
      "rating": null,
      "website": "http://laspalmasdelsolhealthcare.com/location/del-sol-medical-center",
      "status": "corporate_chain",
      "parentSystem": "Laspalmasdelsolhealthcare",
      "affiliatedSystem": "Laspalmasdelsolhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Laspalmasdelsolhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-laspalmasdelsolhealthcare",
      "siblingGroupId": "siblings-tx-laspalmasdelsolhealthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0075279925",
        "external-resolution-0075279925"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://laspalmasdelsolhealthcare.com/location/del-sol-medical-center"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0075320017",
      "name": "HOSPITAL FOR SICK CHILDREN AND PEDIATRIC CENTER",
      "address": "1731 BUNKER HILL RD NE",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20017",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9411639402452,
      "longitude": -76.9808448002513,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 114,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Children's National Hospital",
      "parentSystemId": "entity-children-s-national-hospital",
      "siblingGroupId": "siblings-dc-children-s-national-hospital",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0075320017",
        "external-resolution-0075320017"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.childrensnational.org/about-us/our-health-system"
      ],
      "ownershipProofNotes": "Children's National Hospital official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Children's National Hospital official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0075379902",
      "name": "LAS PALMAS REHABILITATION HOSPITAL A CAMPUS OF LPDS HEALTHCARE",
      "address": "300 WAYMORE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7890532301408,
      "longitude": -106.50882604034,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "website": "http://laspalmasdelsolhealthcare.com/",
      "status": "corporate_chain",
      "parentSystem": "Laspalmasdelsolhealthcare",
      "affiliatedSystem": "Laspalmasdelsolhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Laspalmasdelsolhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-laspalmasdelsolhealthcare",
      "siblingGroupId": "siblings-tx-laspalmasdelsolhealthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0075379902",
        "external-resolution-0075379902"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://laspalmasdelsolhealthcare.com/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0075520032",
      "name": "BRIDGEPOINT HOSPITAL NATIONAL HARBOR",
      "address": "4601 MARTIN LUTHER KING JR AVE SW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20032",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.8251289601598,
      "longitude": -77.0131483903448,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 53,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-092003",
        "official-dc-092003"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://bridgepointhealthcare.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "0075577479",
      "name": "MEMORIAL HERMANN SURGICAL HOSPITAL FIRST COLONY",
      "address": "16906 SOUTH WEST FREEWAY",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77479",
      "county": "FORT BEND",
      "latitude": 29.5899031600603,
      "longitude": -95.6364361499872,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 6,
      "rating": null,
      "website": "http://memorialhermannfirstcolony.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sugar-land-memorial-hermann-surgical-hospital-first-colony/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Memorial Hermann Health System",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0075577479",
        "external-resolution-0075577479"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0075875020",
      "name": "REBA MCENTIRE CENTER FOR REHABILITATION",
      "address": "1200 REBA MCENTIRE LANE",
      "city": "DENISON",
      "state": "TX",
      "zip": "75020",
      "county": "GRAYSON",
      "latitude": 33.7702176799551,
      "longitude": -96.5512810704435,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "website": "https://www.texomamedicalcenter.net/services/rehabilitation/inpatient-rehabilitation",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denison-reba-mcentire-center-for-rehabilitation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0075875020",
        "external-resolution-0075875020"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20070309000024 (45T324). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20070309000024 (45T324). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0075934239",
      "name": "BAYSIDE CENTER FOR BEHAVIORAL HEALTH",
      "address": "1650 S OSPREY AVE",
      "city": "SARASOTA",
      "state": "FL",
      "zip": "34239",
      "county": "SARASOTA",
      "latitude": 27.3187217499575,
      "longitude": -82.5341225397984,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 86,
      "rating": null,
      "website": "http://www.smh.com/p.aspx?p=17",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sarasota-bayside-center-for-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Sarasota County Public Hospital District",
      "parentSystemId": "entity-sarasota-county-public-hospital-district",
      "siblingGroupId": "siblings-fl-sarasota-county-public-hospital-district",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0075934239",
        "external-resolution-0075934239"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.smh.com/Portals/0/Documents/Financial/SCPHD_2024_FS.pdf"
      ],
      "ownershipProofNotes": "Bayside is a behavioral-health location of the publicly owned Sarasota Memorial system.",
      "parentSystemEvidence": "Bayside is a behavioral-health location of the publicly owned Sarasota Memorial system."
    },
    {
      "id": "0075975090",
      "name": "TMC BEHAVIORAL HEALTH CENTER",
      "address": "2601 CORNERSTONE DRIVE",
      "city": "SHERMAN",
      "state": "TX",
      "zip": "75090",
      "county": "GRAYSON",
      "latitude": 33.6635435498252,
      "longitude": -96.6133592802049,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://tmcbehavioralhealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sherman-tmc-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TMC BEHAVIORAL HEALTH CENTER",
      "parentSystemId": "entity-tmc-behavioral-health-center",
      "siblingGroupId": "siblings-tx-tmc-behavioral-health-center",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0075975090",
        "external-resolution-0075975090"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://tmcbehavioralhealth.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0076077521",
      "name": "ALTUS BAYTOWN HOSPITAL - BAYTOWN MEDICAL CENTER",
      "address": "1626 W BAKER RD",
      "city": "BAYTOWN",
      "state": "TX",
      "zip": "77521",
      "county": "HARRIS",
      "latitude": 29.7719620996228,
      "longitude": -94.9813441604324,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 14,
      "rating": null,
      "website": "http://www.altusbaytownhospital.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BAYTOWN MEDICAL CENTER LP",
      "parentSystemId": "entity-baytown-medical-center-lp",
      "siblingGroupId": "siblings-tx-baytown-medical-center-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-baytown-medical-center-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BAYTOWN MEDICAL CENTER LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYTOWN MEDICAL CENTER LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BAYTOWN MEDICAL CENTER LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYTOWN MEDICAL CENTER LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0076232505",
      "name": "CONSULATE HEALTH CARE OF PENSACOLA",
      "address": "235 W AIRPORT BLVD",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32505",
      "county": "ESCAMBIA",
      "latitude": 30.4714432702913,
      "longitude": -87.2526172199029,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 120,
      "rating": null,
      "website": "http://www.consulatehealthcare.com/facilitybystate.aspx?locid=110",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pensacola-consulate-health-care-of-pensacola/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Consulate Health Care",
      "parentSystemId": "entity-consulate-health-care",
      "siblingGroupId": "siblings-fl-consulate-health-care",
      "ownershipRelationship": "historically_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0076232505",
        "external-resolution-0076232505"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://quality.healthfinder.fl.gov/Facility-Provider/Profile/?LID=28450"
      ],
      "ownershipProofNotes": "This is a skilled-nursing facility, not a hospital. The legacy map label is retained with its historical private Consulate operator; the current licensee differs and is documented in the state profile.",
      "parentSystemEvidence": "This is a skilled-nursing facility, not a hospital. The legacy map label is retained with its historical private Consulate operator; the current licensee differs and is documented in the state profile."
    },
    {
      "id": "0076277389",
      "name": "CHI ST LUKES HEALTH - SPRINGWOODS VILLAGE",
      "address": "2255 E MOSSY OAKS ROAD",
      "city": "SPRING",
      "state": "TX",
      "zip": "77389",
      "county": "HARRIS",
      "latitude": 30.0906012900323,
      "longitude": -95.4489939603823,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spring-chi-st-lukes-health---springwoods-village/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0076277389",
        "external-resolution-0076277389"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0076577070",
      "name": "FIRST TEXAS HOSPITAL",
      "address": "9922 LOUETTA RD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77070",
      "county": "HARRIS",
      "latitude": 30.0005391002256,
      "longitude": -95.5627448301515,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://firsttexashospitalcyfair.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FIRST TEXAS HOSPITAL",
      "parentSystemId": "entity-first-texas-hospital",
      "siblingGroupId": "siblings-tx-first-texas-hospital",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0076577070",
        "external-resolution-0076577070"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://firsttexashospitalcyfair.com/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0076977598",
      "name": "KINDRED HOSPITAL CLEAR LAKE",
      "address": "350 BLOSSOM STREET",
      "city": "WEBSTER",
      "state": "TX",
      "zip": "77598",
      "county": "HARRIS",
      "latitude": 29.5436648002203,
      "longitude": -95.1277080701475,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 110,
      "rating": null,
      "website": "http://www.khclearlake.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "452075",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-webster-kindred-hospital-clear-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANGEL GRADNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANGEL GRADNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0077232960",
      "name": "INDIAN RIVER MEDICAL CENTER - BEHAVIORAL HEALTH CENTER",
      "address": "1190 37TH ST",
      "city": "VERO BEACH",
      "state": "FL",
      "zip": "32960",
      "county": "INDIAN RIVER",
      "latitude": 27.6611555696697,
      "longitude": -80.3962427902229,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 46,
      "rating": null,
      "website": "http://indian-river.fl.us/health/hospitals/emotional.html",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vero-beach-indian-river-medical-center-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Cleveland Clinic",
      "parentSystemId": "entity-cleveland-clinic",
      "siblingGroupId": "siblings-fl-cleveland-clinic",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0077232960",
        "external-resolution-0077232960"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0077333136",
      "name": "JACKSON WEST MEDICAL CENTER",
      "address": "2801 NW 79 AVE",
      "city": "DORAL",
      "state": "FL",
      "zip": "33122",
      "county": "MIAMI-DADE",
      "latitude": 25.7911616501644,
      "longitude": -80.2095350703807,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 98,
      "rating": null,
      "website": "www.jacksonhealth.org",
      "status": "corporate_chain",
      "affiliatedSystem": "Jacksonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jacksonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0077333136",
        "external-resolution-0077333136"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.jacksonhealth.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0077477598",
      "name": "PAM REHABILITATION HOSPITAL OF CLEAR LAKE",
      "address": "110 EAST MEDICAL CENTER BOULEVARD",
      "city": "WEBSTER",
      "state": "TX",
      "zip": "77598",
      "county": "HARRIS",
      "latitude": 29.5432769398791,
      "longitude": -95.1200485803859,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "website": "http://www.bayarearehab.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-webster-pam-rehabilitation-hospital-of-clear-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM REHABILITATION HOSPITAL AT WEBSTER, LLC",
      "parentSystemId": "entity-pam-rehabilitation-hospital-at-webster-llc",
      "siblingGroupId": "siblings-tx-pam-rehabilitation-hospital-at-webster-llc",
      "campusFamilyId": "campus-tx-673061",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM REHABILITATION HOSPITAL AT WEBSTER, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM REHABILITATION HOSPITAL AT WEBSTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM REHABILITATION HOSPITAL AT WEBSTER, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM REHABILITATION HOSPITAL AT WEBSTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0077677090",
      "name": "UNITED MEMORIAL MEDICAL CENTER - NORTH HOSPITAL",
      "address": "16750 RED OAK DR",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77090",
      "county": "HARRIS",
      "latitude": 30.0143687602315,
      "longitude": -95.4407691401511,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0077677090",
        "external-resolution-0077677090"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0077978640",
      "name": "WARM SPRINGS REHABILITATION HOSPITAL OF KYLE",
      "address": "5980 KYLE PARKWAY",
      "city": "KYLE",
      "state": "TX",
      "zip": "78640",
      "county": "HAYS",
      "latitude": 30.0083909500461,
      "longitude": -97.8562801399216,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.warmsprings.org/our-facilities/outpatient-rehabilitation/warm-springs-rehabilitation-center-kyle/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kyle-warm-springs-rehabilitation-hospital-of-kyle/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: POST ACUTE MEDICAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KARICK E STOBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POST ACUTE MEDICAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KARICK E STOBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0078078539",
      "name": "BEHAVIORAL MEDICINE AT RENAISSANCE",
      "address": "5510 RAPHAEL DRIVE",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78539",
      "county": "HIDALGO",
      "latitude": 26.2531026698756,
      "longitude": -98.2011559098916,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 87,
      "rating": null,
      "website": "http://www.dhr-rgv.com/healthcare-services/behavioral-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edinburg-behavioral-medicine-at-renaissance/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DOCTORS HOSPITAL AT RENAISSANCE, LTD",
      "parentSystemId": "entity-doctors-hospital-at-renaissance-ltd",
      "siblingGroupId": "siblings-tx-doctors-hospital-at-renaissance-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0078078539",
        "external-resolution-0078078539"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20071120000648 (45S869). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20071120000648 (45S869). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0078178503",
      "name": "SOUTH TEXAS HEALTH SYSTEM MCALLEN",
      "address": "301 WEST EXPRESSWAY 83",
      "city": "MCALLEN",
      "state": "TX",
      "zip": "78503",
      "county": "HIDALGO",
      "latitude": 26.1869500497017,
      "longitude": -98.2259454402814,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 431,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcallen-south-texas-health-system---mcallen/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0078178503",
        "external-resolution-0078178503"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0078278539",
      "name": "REHAB CENTER AT RENAISSANCE",
      "address": "5403 DOCTORS DRIVE",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78539",
      "county": "HIDALGO",
      "latitude": 26.2551870800572,
      "longitude": -98.2063336204245,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "website": "http://www.dhr-rgv.com/healthcare-services/rehabilitation-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edinburg-rehab-center-at-renaissance/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DOCTORS HOSPITAL AT RENAISSANCE, LTD",
      "parentSystemId": "entity-doctors-hospital-at-renaissance-ltd",
      "siblingGroupId": "siblings-tx-doctors-hospital-at-renaissance-ltd",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0078278539",
        "external-resolution-0078278539"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080328000669 (45T869). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080328000669 (45T869). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0078578539",
      "name": "WOMENS HOSPITAL AT RENAISSANCE",
      "address": "5502 SOUTH MC COLL",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78539",
      "county": "HIDALGO",
      "latitude": 26.2526743702684,
      "longitude": -98.2030975501063,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 151,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edinburg-women-s-hospital-at-renaissance/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0078578539",
        "external-resolution-0078578539"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "No ownership edge is published: fuzzy_crosswalk_withheld."
    },
    {
      "id": "0078777701",
      "name": "BAPTIST HOSPITALS OF SOUTHEAST TEXAS FANNIN BEHAVIORAL CENTER",
      "address": "3250 FANNIN",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77701",
      "county": "JEFFERSON",
      "latitude": 30.0729048799014,
      "longitude": -94.1229545404381,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "website": "http://www.bhset.net/health-services/behavioral-health-services.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaumont-baptist-hospitals-of-southeast-texas-fannin-behavioral-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HOSPITALS OF SOUTHEAST TEXAS FANNIN BEHAVIORAL CENTER",
      "parentSystemId": "entity-baptist-hospitals-of-southeast-texas-fannin-behavioral-center",
      "siblingGroupId": "siblings-tx-baptist-hospitals-of-southeast-texas-fannin-behavioral-center",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0078777701",
        "external-resolution-0078777701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.bhset.net/health-services/behavioral-health-services.aspx"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0078834981",
      "name": "NEW HORIZONS OF TREASURE COAST - MENTAL HEALTH CENTER",
      "address": "4500 W MIDWAY RD",
      "city": "FORT PIERCE",
      "state": "FL",
      "zip": "34981",
      "county": "ST. LUCIE",
      "latitude": 27.3759496702005,
      "longitude": -80.3714153096055,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 150,
      "rating": null,
      "website": "http://www.nhtcinc.org/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "New Horizons of the Treasure Coast and Okeechobee",
      "parentSystemId": "entity-new-horizons-of-the-treasure-coast-and-okeechobee",
      "siblingGroupId": "siblings-fl-new-horizons-of-the-treasure-coast-and-okeechobee",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0078834981",
        "external-resolution-0078834981"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/596153749"
      ],
      "ownershipProofNotes": "The exact behavioral-health entity is an IRS-recognized nonprofit. The map row is a mental-health center rather than a general hospital.",
      "parentSystemEvidence": "The exact behavioral-health entity is an IRS-recognized nonprofit. The map row is a mental-health center rather than a general hospital."
    },
    {
      "id": "0079033612",
      "name": "NORTHSIDE MENTAL HEALTH",
      "address": "12512 BRUCE B DOWNS BLVD",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33612",
      "county": "HILLSBOROUGH",
      "latitude": 28.0614677899414,
      "longitude": -82.4279948804297,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "http://www.northsidemhc.org/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-northside-mental-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BayCare Health System",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079033612",
        "external-resolution-0079033612"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://baycare.org/newsroom/2023/january/baycare-acquires-northside"
      ],
      "ownershipProofNotes": "BayCare acquired the not-for-profit Northside Behavioral Health Center effective January 1, 2023. The record is a community mental-health center, not an acute-care hospital.",
      "parentSystemEvidence": "BayCare acquired the not-for-profit Northside Behavioral Health Center effective January 1, 2023. The record is a community mental-health center, not an acute-care hospital."
    },
    {
      "id": "0079177380",
      "name": "NEXUS CHILDRENS HOSPITAL - THE WOODLANDS",
      "address": "9182 SIX PINES DRIVE",
      "city": "SPRING",
      "state": "TX",
      "zip": "77380",
      "county": "MONTGOMERY",
      "latitude": 30.1723723900614,
      "longitude": -95.4606594700854,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Nexus Health Systems",
      "parentSystemId": "entity-nexus-health-systems",
      "siblingGroupId": "siblings-tx-nexus-health-systems",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079177380",
        "external-resolution-0079177380"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nexushealthsystems.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nexus Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nexus Health Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0079233950",
      "name": "RIVERSIDE BEHAVIORAL CENTER",
      "address": "733 E OLYMPIA AVE",
      "city": "PUNTA GORDA",
      "state": "FL",
      "zip": "33950",
      "county": "CHARLOTTE",
      "latitude": 26.9394444298651,
      "longitude": -82.0405261398468,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 52,
      "rating": null,
      "website": "http://www.charlotteregional.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-punta-gorda-riverside-behavioral-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "ownershipRelationship": "historically_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079233950",
        "external-resolution-0079233950"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://quality.healthfinder.fl.gov/Facility-Provider/Profile/?LID=9865"
      ],
      "ownershipProofNotes": "Florida licensing records connect the former Riverside Behavioral Center to the Bayfront/Charlotte Regional hospital operation, historically a CHS subsidiary. The location is retained as a closed historical campus.",
      "parentSystemEvidence": "Florida licensing records connect the former Riverside Behavioral Center to the Bayfront/Charlotte Regional hospital operation, historically a CHS subsidiary. The location is retained as a closed historical campus."
    },
    {
      "id": "0079277386",
      "name": "WOODLANDS SPECIALTY HOSPITAL LLC",
      "address": "25440 I 45 NORTH",
      "city": "THE WOODLANDS",
      "state": "TX",
      "zip": "77386",
      "county": "MONTGOMERY",
      "latitude": 30.1309006903681,
      "longitude": -95.443022580211,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 6,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WOODLANDS SPECIALTY HOSPITAL",
      "parentSystemId": "entity-woodlands-specialty-hospital",
      "siblingGroupId": "siblings-tx-woodlands-specialty-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-woodlands-specialty-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists RAVI KUMAR MOPARTY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to WOODLANDS SPECIALTY HOSPITAL; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOODLANDS SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RAVI KUMAR MOPARTY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to WOODLANDS SPECIALTY HOSPITAL; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOODLANDS SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0079333469",
      "name": "SANDY PINES PSYCHIATRIC HOSPITAL",
      "address": "11301 SE TEQUESTA TER",
      "city": "TEQUESTA",
      "state": "FL",
      "zip": "33469",
      "county": "MARTIN",
      "latitude": 26.9770683797413,
      "longitude": -80.1016992402448,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 80,
      "rating": null,
      "website": "http://www.sandypineshospital.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tequesta-sandy-pines-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079333469",
        "external-resolution-0079333469"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded.",
      "parentSystemEvidence": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded."
    },
    {
      "id": "0079375961",
      "name": "CECIL R BOMAR REHABILITATION CENTER",
      "address": "707 WOODS STREET",
      "city": "NACOGDOCHES",
      "state": "TX",
      "zip": "75961",
      "county": "NACOGDOCHES",
      "latitude": 31.6119748399141,
      "longitude": -94.6466525899401,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nacogdoches-cecil-r-bomar-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NACOGDOCHES COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-nacogdoches-county-hospital-district",
      "siblingGroupId": "siblings-tx-nacogdoches-county-hospital-district",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079375961",
        "external-resolution-0079375961"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20250210000320 (45T508). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20250210000320 (45T508). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0079632606",
      "name": "UF HEALTH SHANDS PSYCHIATRIC HOSPITAL",
      "address": "4101 NW 89TH BLVD",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32606",
      "county": "ALACHUA",
      "latitude": 29.6919894199931,
      "longitude": -82.436215250407,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 81,
      "rating": null,
      "website": "https://ufhealth.org/uf-health-shands-hospital",
      "status": "corporate_chain",
      "parentSystem": "Ufhealth",
      "affiliatedSystem": "Ufhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ufhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ufhealth",
      "siblingGroupId": "siblings-fl-ufhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079632606",
        "external-resolution-0079632606"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ufhealth.org/uf-health-shands-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0079776086",
      "name": "WEATHERFORD REHABILITATION HOSPITAL LLC",
      "address": "703 EUREKA ST",
      "city": "WEATHERFORD",
      "state": "TX",
      "zip": "76086",
      "county": "PARKER",
      "latitude": 32.7506214197684,
      "longitude": -97.7877426399238,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "website": "http://www.weatherfordrehab.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weatherford-weatherford-rehabilitation-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ClearSky Health",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-tx-clearsky-health",
      "campusFamilyId": "campus-tx-673062",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0079879106",
      "name": "PHYSICIANS SURGICAL HOSPITAL - PANHANDLE CAMPUS",
      "address": "7100 WEST 9TH AVENUE",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "POTTER",
      "latitude": 35.2066169102971,
      "longitude": -101.918690149861,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amarillo-physicians-surgical-hospital---panhandle-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Physicians Surgical Hospitals, LLC",
      "parentSystemId": "entity-physicians-surgical-hospitals-llc",
      "siblingGroupId": "siblings-tx-physicians-surgical-hospitals-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079879106",
        "external-resolution-0079879106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.texascancer.info/scripts/mgwns.html?Hid=701&MGWLPN=TCDC&PgmName=JHosp1"
      ],
      "ownershipProofNotes": "The Texas hospital record confirms the exact Panhandle campus, while the Physicians Surgical Hospitals operator materials identify the two-campus surgical-hospital family. No public-company parent is inferred.",
      "parentSystemEvidence": "The Texas hospital record confirms the exact Panhandle campus, while the Physicians Surgical Hospitals operator materials identify the two-campus surgical-hospital family. No public-company parent is inferred."
    },
    {
      "id": "0079979106",
      "name": "THE PAVILION",
      "address": "7201 EVANS",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "POTTER",
      "latitude": 35.20065635978,
      "longitude": -101.918535479732,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 106,
      "rating": null,
      "website": "http://pavilionnwtexashealthcare.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0079979106",
        "external-resolution-0079979106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Universal Health Services and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0080175087",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL ROCKWALL",
      "address": "1975 ALPHA SUITE 100",
      "city": "ROCKWALL",
      "state": "TX",
      "zip": "75087",
      "county": "ROCKWALL",
      "latitude": 32.9140951998257,
      "longitude": -96.4446976903413,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080175087",
        "external-resolution-0080175087"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0080275701",
      "name": "UT HEALTH EAST TEXAS BEHAVIORAL HEALTH CENTER",
      "address": "4101 UNIVERSITY BOULEVARD",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.3111978101419,
      "longitude": -95.2487672997933,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 75,
      "rating": null,
      "website": "http://www.etmc.org/location/etmc-behavioral-health-center-in-tyler/",
      "status": "corporate_chain",
      "parentSystem": "Etmc",
      "affiliatedSystem": "Etmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Etmc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tyler-ut-health-east-texas-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-etmc",
      "siblingGroupId": "siblings-tx-etmc",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080275701",
        "external-resolution-0080275701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.etmc.org/location/etmc-behavioral-health-center-in-tyler/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0080332563",
      "name": "THE FRIARY OF LAKEVIEW CENTER",
      "address": "4400 HICKORY SHORES BLVD",
      "city": "GULF BREEZE",
      "state": "FL",
      "zip": "32563",
      "county": "SANTA ROSA",
      "latitude": 30.3977763199952,
      "longitude": -87.0394330898742,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "website": "http://thefriary.bhcpns.org/thefriary/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gulf-breeze-the-friary-of-lakeview-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LifeView Group / Lakeview Center",
      "parentSystemId": "entity-lifeview-group-lakeview-center",
      "siblingGroupId": "siblings-fl-lifeview-group-lakeview-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080332563",
        "external-resolution-0080332563"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://elakeviewcenter.org/2022/09/23/new-parent-company-name-and-brand/"
      ],
      "ownershipProofNotes": "The Friary is a residential addiction-treatment program within nonprofit Lakeview Center/LifeView Group, not a separately owned hospital.",
      "parentSystemEvidence": "The Friary is a residential addiction-treatment program within nonprofit Lakeview Center/LifeView Group, not a separately owned hospital."
    },
    {
      "id": "0080376248",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL KELLER",
      "address": "620 SOUTH MAIN, SUITE 100",
      "city": "KELLER",
      "state": "TX",
      "zip": "76248",
      "county": "TARRANT",
      "latitude": 32.9281637403229,
      "longitude": -97.2547307003508,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080376248",
        "external-resolution-0080376248"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0080433484",
      "name": "FAIR OAKS PAVILION - PSYCHIATRIC HOSPITAL",
      "address": "5440 LINTON BLVD",
      "city": "DELRAY BEACH",
      "state": "FL",
      "zip": "33484",
      "county": "PALM BEACH",
      "latitude": 26.436348539802,
      "longitude": -80.1294921395651,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 53,
      "rating": null,
      "website": "http://www.delraymedicalctr.com/en-us/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Delraymedicalctr",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Delraymedicalctr",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-delray-beach-fair-oaks-pavilion---psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-fl-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080433484",
        "external-resolution-0080433484"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0080533073",
      "name": "THE RENFREW CENTER OF FLORIDA",
      "address": "7700 RENFREW LANE",
      "city": "COCONUT CREEK",
      "state": "FL",
      "zip": "33073",
      "county": "BROWARD",
      "latitude": 26.327308270187,
      "longitude": -80.1888075896533,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "http://www.renfrewcenter.com/locations/coconut-creek.asp",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coconut-creek-the-renfrew-center-of-florida/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "The Renfrew Center",
      "parentSystemId": "entity-the-renfrew-center",
      "siblingGroupId": "siblings-fl-the-renfrew-center",
      "ownershipRelationship": "owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080533073",
        "external-resolution-0080533073"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://renfrewcenter.com/about/"
      ],
      "ownershipProofNotes": "Renfrew describes itself as a privately and family-owned treatment network. This is a specialty treatment location rather than a general hospital.",
      "parentSystemEvidence": "Renfrew describes itself as a privately and family-owned treatment network. This is a specialty treatment location rather than a general hospital."
    },
    {
      "id": "0080576063",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL MANSFIELD",
      "address": "1776 NORTH US 287 SUITE 100",
      "city": "MANSFIELD",
      "state": "TX",
      "zip": "76063",
      "county": "TARRANT",
      "latitude": 32.5967224101244,
      "longitude": -97.1448770501692,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080576063",
        "external-resolution-0080576063"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0080676034",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL COLLEYVILLE",
      "address": "5500 COLLEYVILLE BOULEVARD",
      "city": "COLLEYVILLE",
      "state": "TX",
      "zip": "76034",
      "county": "TARRANT",
      "latitude": 32.8887952701237,
      "longitude": -97.1511153000484,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080676034",
        "external-resolution-0080676034"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0080834950",
      "name": "LAWNWOOD PAVILION - PSYCHIATRIC HOSPITAL",
      "address": "1860 N LAWNWOOD CIR",
      "city": "FORT PIERCE",
      "state": "FL",
      "zip": "34950",
      "county": "ST. LUCIE",
      "latitude": 27.4338006597141,
      "longitude": -80.3456378803382,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "website": "http://lawnwoodmed.com/home/index.dot",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-pierce-lawnwood-pavilion---psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0080834950",
        "external-resolution-0080834950"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The named behavioral facility is a service line or campus of an HCA hospital; HCA is publicly traded.",
      "parentSystemEvidence": "The named behavioral facility is a service line or campus of an HCA hospital; HCA is publicly traded."
    },
    {
      "id": "0081076177",
      "name": "WISE HEALTH SURGICAL HOSPITAL",
      "address": "3200 NORTH TARRANT PARKWAY",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76177",
      "county": "TARRANT",
      "latitude": 32.8968779897735,
      "longitude": -97.3129055496413,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Wise Health System / Medical City Healthcare",
      "parentSystemId": "entity-wise-health-system-medical-city-healthcare",
      "siblingGroupId": "siblings-tx-wise-health-system-medical-city-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0081076177",
        "external-resolution-0081076177"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.medicalcityhealthcare.com/about-us/newsroom/medical-city-healthcare-completes-acquisition-of-wise-health-system"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 670116. The tracker parent candidate was corroborated against Wise Health System / Medical City Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 670116. The tracker parent candidate was corroborated against Wise Health System / Medical City Healthcare's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0081176109",
      "name": "TEXAS HEALTH HOSPITAL CLEARFORK",
      "address": "5400 CLEARFORK MAIN ST",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76109",
      "county": "TARRANT",
      "latitude": 32.7072748196422,
      "longitude": -97.4021271695861,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 54,
      "rating": null,
      "website": "https://www.texashealth.org/clearfork/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Texashealth",
      "affiliatedSystem": "Texashealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Texashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-texas-health-hospital-clearfork/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texashealth",
      "siblingGroupId": "siblings-tx-texashealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0081176109",
        "external-resolution-0081176109"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.texashealth.org/clearfork/pages/default.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0081276015",
      "name": "TEXAS REHABILITATION HOSPITAL OF ARLINGTON",
      "address": "900 W ARBROOK BLVD",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76015",
      "county": "TARRANT",
      "latitude": 32.6821216397183,
      "longitude": -97.1193698197662,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.texasrehabarlington.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673060",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-texas-rehabilitation-hospital-of-arlington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA J HUFFMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-tx-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-chc-management-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA J HUFFMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0081333484",
      "name": "PINECREST REHAB HOSPITAL",
      "address": "5360 LINTON BLVD",
      "city": "DELRAY BEACH",
      "state": "FL",
      "zip": "33484",
      "county": "PALM BEACH",
      "latitude": 26.4366253002021,
      "longitude": -80.1284734895588,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 90,
      "rating": null,
      "website": "http://www.delraymedicalctr.com/en-us/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Delraymedicalctr",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Delraymedicalctr",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-delray-beach-pinecrest-rehab-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-fl-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0081333484",
        "external-resolution-0081333484"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0081478751",
      "name": "CENTRAL TEXAS REHABILITATION HOSPITAL",
      "address": "700 W 45TH STREET",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78751",
      "county": "TRAVIS",
      "latitude": 30.3122704801489,
      "longitude": -97.7347933696927,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673027",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists STEVEN PIERCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-tx-dsb-acquisition-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists STEVEN PIERCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0081532026",
      "name": "BAPTIST HEALTH HOSPITAL AT DORAL",
      "address": "9500 NW 58TH ST",
      "city": "DORAL",
      "state": "FL",
      "zip": "33178",
      "county": "UNION",
      "latitude": 30.0670519096817,
      "longitude": -82.1938503796396,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "https:baptisthealth.net/locations/hospitals/south-miami-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Health South Florida",
      "parentSystemId": "entity-baptist-health-south-florida",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0081532026",
        "external-resolution-0081532026"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Baptist Health South Florida and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Baptist Health South Florida and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0081632806",
      "name": "WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES",
      "address": "83 W MILLER ST",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32806",
      "county": "ORANGE",
      "latitude": 28.5243398699367,
      "longitude": -81.3791535996443,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 285,
      "rating": null,
      "website": "http://orlandohealth.com/orlandohealth/index.aspx",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-winnie-palmer-hospital-for-women-&-babies/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0081632806",
        "external-resolution-0081632806"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.orlandohealth.com/facilities"
      ],
      "ownershipProofNotes": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0081678745",
      "name": "TEXAS NEUROREHAB CENTER",
      "address": "1106 WEST DITTMAR, BUILDING 15",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78745",
      "county": "TRAVIS",
      "latitude": 30.1894415599372,
      "longitude": -97.806279439592,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "website": "http://www.texasneurorehab.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "campusFamilyId": "campus-tx-452038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0081778734",
      "name": "BAYLOR SCOTT AND WHITE INSTITUTE FOR REHABILITATION - LAKEWAY",
      "address": "2000 MEDICAL DRIVE",
      "city": "LAKEWAY",
      "state": "TX",
      "zip": "78734",
      "county": "TRAVIS",
      "latitude": 30.3451048401995,
      "longitude": -97.9701022299231,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "http://www.vrhlaketravis.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakeway-baylor-scott-and-white-institute-for-rehabilitation---lakeway/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tx-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RYAN SEYMOUR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RYAN SEYMOUR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0081832207",
      "name": "WOLFSON CHILDREN'S HOSPITAL",
      "address": "800 PRUDENTIAL DR",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32207",
      "county": "DUVAL",
      "latitude": 30.3153924899072,
      "longitude": -81.6633172701263,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 202,
      "rating": null,
      "website": "www.baptistjax.com",
      "status": "corporate_chain",
      "parentSystem": "SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC",
      "affiliatedSystem": "Baptistjax",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistjax",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-southern-baptist-hospital-of-florida-inc",
      "siblingGroupId": "siblings-fl-southern-baptist-hospital-of-florida-inc",
      "campusFamilyId": "campus-fl-100088",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0081879778",
      "name": "RANKIN COUNTY HOSPITAL DISTRICT",
      "address": "1611 SPUR 576, BROADWAY STREET",
      "city": "RANKIN",
      "state": "TX",
      "zip": "79778",
      "county": "UPTON",
      "latitude": 31.2328878701939,
      "longitude": -101.935366059774,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rankin-rankin-county-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RANKIN COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-rankin-county-hospital-district",
      "siblingGroupId": "siblings-tx-rankin-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0081879778",
        "external-resolution-0081879778"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 451329; Type of Control 11 supports the ownership class. The CCN bridged to current CMS enrollment O20051201000347 and 1 owner/control organization row(s).",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 451329; Type of Control 11 supports the ownership class. The CCN bridged to current CMS enrollment O20051201000347 and 1 owner/control organization row(s)."
    },
    {
      "id": "0081977904",
      "name": "DETAR HEALTHCARE SYSTEM",
      "address": "101 MEDICAL DRIVE",
      "city": "VICTORIA",
      "state": "TX",
      "zip": "77904",
      "county": "VICTORIA",
      "latitude": 28.8543403599457,
      "longitude": -97.0196863104282,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 115,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tx-community-health-systems",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0081977904",
        "external-resolution-0081977904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 45T147. That CCN bridged to CMS enrollment O20070905000294 and 9 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 45T147. That CCN bridged to CMS enrollment O20070905000294 and 9 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0082032514",
      "name": "HCA FLORIDA WEST HOSPITAL",
      "address": "8383 N DAVIS HWY",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32514",
      "county": "ESCAMBIA",
      "latitude": 30.5163401201754,
      "longitude": -87.2168630202417,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 58,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/west-hospital",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ccn": "100231",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pensacola-hca-florida-west-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "campusFamilyId": "campus-fl-100231",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0082078041",
      "name": "LAREDO REHABILITATION HOSPITAL",
      "address": "2005 A BUSTAMANTE STREET",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78041",
      "county": "WEBB",
      "latitude": 27.5338971997239,
      "longitude": -99.4736660201207,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EPOCH ACQUISITION INC",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "campusFamilyId": "campus-tx-673059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0082178041",
      "name": "PROVIDENCE HOSPITAL",
      "address": "230 CALLE DEL NORTE",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78041",
      "county": "WEBB",
      "latitude": 27.5563704197811,
      "longitude": -99.4919593197531,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "http://www.doctorshosplaredo.com/hospital-services/doctors-hospital-of-laredo-clinics/rehabilitation-at-providence-health-center",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laredo-providence-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0082178041",
        "external-resolution-0082178041"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0082278665",
      "name": "CORNERSTONE SPECIALTY HOSPITALS ROUND ROCK",
      "address": "4681 COLLEGE PARK DRIVE",
      "city": "ROUND ROCK",
      "state": "TX",
      "zip": "78665",
      "county": "WILLIAMSON",
      "latitude": 30.5664667801694,
      "longitude": -97.6576615104036,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "website": "http://www.chghospitals.com/roundrock/",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0082278665",
        "external-resolution-0082278665"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0082578681",
      "name": "ST DAVIDS SURGICAL HOSPITAL A CAMPUS OF NORTH AUSTIN MEDICAL CTR",
      "address": "1201 W LOUIS HENNA BLVD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78681",
      "county": "WILLIAMSON",
      "latitude": 30.4771409602701,
      "longitude": -97.6904586196428,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "website": "http://stdavids.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0082578681",
        "external-resolution-0082578681"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0082633607",
      "name": "ST JOSEPH'S WOMEN'S HOSPITAL",
      "address": "3030 W DR ML KING JR BLVD",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33607",
      "county": "HILLSBOROUGH",
      "latitude": 27.9802308802978,
      "longitude": -82.4922087197948,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.sjbhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-st-joseph-s-women-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BayCare Health System",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "campusFamilyId": "campus-fl-100075",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0082676234",
      "name": "WISE HEALTH SYSTEM",
      "address": "2000 SOUTH FM 51",
      "city": "DECATUR",
      "state": "TX",
      "zip": "76234",
      "county": "WISE",
      "latitude": 33.217812849676,
      "longitude": -97.5976608101452,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 51,
      "rating": null,
      "website": "https://www.wisehealthsystem.com/locations/inpatient-rehabilitation/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Wise Health System / Medical City Healthcare",
      "parentSystemId": "entity-wise-health-system-medical-city-healthcare",
      "siblingGroupId": "siblings-tx-wise-health-system-medical-city-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0082676234",
        "external-resolution-0082676234"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.medicalcityhealthcare.com/about-us/newsroom/medical-city-healthcare-completes-acquisition-of-wise-health-system"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Wise Health System / Medical City Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Wise Health System / Medical City Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0083230901",
      "name": "WALTON REHAB HOSPITAL - AFFILIATE OF ENCOMPASS HLTH",
      "address": "1355 INDEPENDENCE DRIVE",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30901",
      "county": "RICHMOND",
      "latitude": 33.474703920104,
      "longitude": -81.9803055302103,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC",
      "parentSystemId": "entity-piedmont-encompass-rehabilitation-hospitals-llc",
      "siblingGroupId": "siblings-ga-piedmont-encompass-rehabilitation-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT ENCOMPASS REHABILITATION HOSPITALS, LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0083331093",
      "name": "HOUSTON MEDICAL CENTER",
      "address": "1601 WATSON BOULEVARD",
      "city": "WARNER ROBINS",
      "state": "GA",
      "zip": "31093",
      "county": "HOUSTON",
      "latitude": 32.617593910171,
      "longitude": -83.6309347901054,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 237,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warner-robins-houston-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOUSTON HOSPITALS INC",
      "parentSystemId": "entity-houston-hospitals-inc",
      "siblingGroupId": "siblings-ga-houston-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-houston-hospitals-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOUSTON HOSPITALS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HOUSTON HOSPITALS INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOUSTON HOSPITALS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HOUSTON HOSPITALS INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0083430092",
      "name": "LAKEVIEW BEHAVIORAL HEALTH SYSTEM",
      "address": "1 TECHNOLOGY PARKWAY SOUTH",
      "city": "NORCROSS",
      "state": "GA",
      "zip": "30092",
      "county": "GWINNETT",
      "latitude": 33.9569129096821,
      "longitude": -84.2181357396802,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 118,
      "rating": null,
      "website": "https://www.lakeviewbehavioralhealth.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norcross-lakeview-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ga-acadia-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0083430092",
        "external-resolution-0083430092"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "Acadia Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Acadia Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0083630076",
      "name": "WELLSTAR NORTH FULTON HOSPITAL",
      "address": "3000 HOSPITAL BOULEVARD",
      "city": "ROSWELL",
      "state": "GA",
      "zip": "30076",
      "county": "FULTON",
      "latitude": 34.0633213199291,
      "longitude": -84.3199724703302,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 202,
      "rating": null,
      "website": "https://www.wellstar.org/locations/pages/wellstar-north-fulton-hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roswell-wellstar-north-fulton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0084231217",
      "name": "REGENCY HOSPITAL COMPANY OF MACON, LLC",
      "address": "535 COLISEUM DRIVE",
      "city": "MACON",
      "state": "GA",
      "zip": "31217",
      "county": "BIBB",
      "latitude": 32.8477052397095,
      "longitude": -83.6152774700119,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 34,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macon-regency-hospital-company-of-macon-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ga-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LORRAINE SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LORRAINE SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0084330344",
      "name": "WELLSTAR ATLANTA MEDICAL CENTER , INC",
      "address": "1170 CLEVELAND AVE",
      "city": "EAST POINT",
      "state": "GA",
      "zip": "30344",
      "county": "FULTON",
      "latitude": 33.6802717102907,
      "longitude": -84.4268947398733,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "https://www.wellstar.org/locations/pages/wellstar-atlanta-medical-center-south.aspx",
      "status": "corporate_chain",
      "parentSystem": "Wellstar Health System",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system",
      "siblingGroupId": "siblings-ga-wellstar-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0084330344",
        "external-resolution-0084330344"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.wellstar.org/locations"
      ],
      "ownershipProofNotes": "Wellstar Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Wellstar Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0085131603",
      "name": "SOUTH GEORGIA MEDICAL CENTER",
      "address": "2501 NORTH PATTERSON STREET, PO BOX 1727",
      "city": "VALDOSTA",
      "state": "GA",
      "zip": "31602",
      "county": "LOWNDES",
      "latitude": 30.8622704400504,
      "longitude": -83.2864703596023,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 330,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valdosta-south-georgia-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH GEORGIA MEDICAL CENTER INC",
      "parentSystemId": "entity-south-georgia-medical-center-inc",
      "siblingGroupId": "siblings-ga-south-georgia-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-south-georgia-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTH GEORGIA MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH GEORGIA MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTH GEORGIA MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH GEORGIA MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0085231201",
      "name": "COLISEUM PSYCHIATRIC HOSPITAL",
      "address": "340 HOSPITAL DRIVE",
      "city": "MACON",
      "state": "GA",
      "zip": "31217",
      "county": "BIBB",
      "latitude": 32.8471895301977,
      "longitude": -83.6198519699163,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.coliseumhealthsystem.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macon-coliseum-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0085231201",
        "external-resolution-0085231201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "No ownership edge is published: fuzzy_crosswalk_withheld."
    },
    {
      "id": "0085330223",
      "name": "WELLSTAR SPALDING REGIONAL HOSPITAL",
      "address": "601 SOUTH 8TH STREET",
      "city": "GRIFFIN",
      "state": "GA",
      "zip": "30223",
      "county": "SPALDING",
      "latitude": 33.2392302299286,
      "longitude": -84.267699050298,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 160,
      "rating": null,
      "website": "https://www.wellstar.org/locations/pages/wellstar-spalding-regional-hospital.aspx?modal=true",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-griffin-wellstar-spalding-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0086730606",
      "name": "LANDMARK HOSPITAL OF ATHENS, LLC",
      "address": "775 SUNSET DRIVE",
      "city": "ATHENS",
      "state": "GA",
      "zip": "30606",
      "county": "CLARKE",
      "latitude": 33.9664334097343,
      "longitude": -83.4115710297613,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "website": "http://www.landmarkhospitals.com/athens.aspx",
      "status": "corporate_chain",
      "parentSystem": "LANDMARK HOLDINGS OF FLORIDA, LLC",
      "affiliatedSystem": "Landmarkhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Landmarkhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athens-landmark-hospital-of-athens-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-landmark-holdings-of-florida-llc",
      "siblingGroupId": "siblings-ga-landmark-holdings-of-florida-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-remediation-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0087230912",
      "name": "AU MEDICAL CENTER",
      "address": "1120 15TH STREET",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30912",
      "county": "RICHMOND",
      "latitude": 33.4708763299419,
      "longitude": -81.9897057196339,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 632,
      "rating": null,
      "website": "http://www.augustahealth.org/locations-and-maps/medical-center",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-augusta-au-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AU HEALTH SYSTEM INC",
      "parentSystemId": "entity-au-health-system-inc",
      "siblingGroupId": "siblings-ga-au-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: AU HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AU HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AU HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AU HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0087931830",
      "name": "ROOSEVELT WARM SPRINGS LTAC HOSPITAL",
      "address": "6135 ROOSEVELT HIGHWAY, PO BOX 280",
      "city": "WARM SPRINGS",
      "state": "GA",
      "zip": "31830",
      "county": "MERIWETHER",
      "latitude": 32.8879807396798,
      "longitude": -84.6923449003926,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 32,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warm-springs-roosevelt-warm-springs-ltac-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0087931830",
        "external-resolution-0087931830"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "GA official facility and ownership cross-check for DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "GA official facility and ownership cross-check for DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0088031830",
      "name": "ROOSEVELT WARM SPRINGS REHABILITATION HOSPITAL",
      "address": "6135 ROOSEVELT HIGHWAY, PO BOX 280",
      "city": "WARM SPRINGS",
      "state": "GA",
      "zip": "31830",
      "county": "MERIWETHER",
      "latitude": 32.8873263898936,
      "longitude": -84.6940700097928,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 52,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warm-springs-roosevelt-warm-springs-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0088031830",
        "external-resolution-0088031830"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "GA official facility and ownership cross-check for DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "GA official facility and ownership cross-check for DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0088239840",
      "name": "SOUTHWEST GEORGIA REGIONAL MEDICAL",
      "address": "361 RANDOLPH STREET",
      "city": "CUTHBERT",
      "state": "GA",
      "zip": "39840",
      "county": "RANDOLPH",
      "latitude": 31.7753655197632,
      "longitude": -84.7934916000384,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Hospital Authority of Randolph County",
      "parentSystemId": "entity-hospital-authority-of-randolph-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-randolph-county",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0088239840",
        "external-resolution-0088239840"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://dch.georgia.gov/document/document/2020-hospital-financial-survey-report/download"
      ],
      "ownershipProofNotes": "Southwest Georgia Regional Medical Center was owned by the local public hospital authority and closed in 2020.",
      "parentSystemEvidence": "Southwest Georgia Regional Medical Center was owned by the local public hospital authority and closed in 2020."
    },
    {
      "id": "0088330046",
      "name": "SUMMITRIDGE CENTER - PSYCHIATRY AND ADDICTIVE MED",
      "address": "250 SCENIC HIGHWAY",
      "city": "LAWRENCEVILLE",
      "state": "GA",
      "zip": "30046",
      "county": "GWINNETT",
      "latitude": 33.9423860199489,
      "longitude": -83.9895999296554,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 106,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrenceville-summitridge-center--psychiatry-&-addictive-med/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0088430233",
      "name": "WELLSTAR SYLVAN GROVE HOSPITAL",
      "address": "1050 MCDONOUGH ROAD",
      "city": "JACKSON",
      "state": "GA",
      "zip": "30233",
      "county": "BUTTS",
      "latitude": 33.3038136700099,
      "longitude": -83.9777873801132,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "https://www.wellstar.org/locations/pages/wellstar-sylvan-grove-hospital.aspx?modal=true",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-wellstar-sylvan-grove-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0088830553",
      "name": "ST MARY'S SACRED HEART HOSPITAL, INC",
      "address": "367 CLEAR CREEK PARKWAY",
      "city": "LAVONIA",
      "state": "GA",
      "zip": "30553",
      "county": "FRANKLIN",
      "latitude": 34.4397219101661,
      "longitude": -83.1323938400479,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 56,
      "rating": null,
      "website": "http://www.stmaryssacredheart.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lavonia-st-mary-s-sacred-heart-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ga-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTOINETTE M PRATT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTOINETTE M PRATT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0089331635",
      "name": "SGMC LANIER CAMPUS",
      "address": "116 WEST THIGPEN AVENUE",
      "city": "LAKELAND",
      "state": "GA",
      "zip": "31635",
      "county": "LANIER",
      "latitude": 31.0422352203442,
      "longitude": -83.0860520200913,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "https://www.sgmc.org/locations/sgmc_lanier_campus.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakeland-sgmc-lanier-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH GEORGIA MEDICAL CENTER INC",
      "parentSystemId": "entity-south-georgia-medical-center-inc",
      "siblingGroupId": "siblings-ga-south-georgia-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-south-georgia-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH GEORGIA MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTH GEORGIA MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH GEORGIA MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH GEORGIA MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTH GEORGIA MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH GEORGIA MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0089531901",
      "name": "COLUMBUS SPECIALTY HOSPITAL, INC",
      "address": "616 19TH STREEET",
      "city": "COLUMBUS",
      "state": "GA",
      "zip": "31901",
      "county": "MUSCOGEE",
      "latitude": 32.4802109300807,
      "longitude": -84.9846184804112,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-columbus-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RCOG LLC",
      "parentSystemId": "entity-rcog-llc",
      "siblingGroupId": "siblings-ga-rcog-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-remediation-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: RCOG LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5%). CMS lists MICHAEL PEREZ MENDEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RCOG LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RCOG LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 5%). CMS lists MICHAEL PEREZ MENDEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RCOG LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0089630535",
      "name": "HABERSHAM COUNTY MEDICAL CTR",
      "address": "541 HISTORIC HIGHWAY 441 NORTH",
      "city": "DEMOREST",
      "state": "GA",
      "zip": "30535",
      "county": "HABERSHAM",
      "latitude": 34.5814420797343,
      "longitude": -83.5368590498611,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 53,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-demorest-habersham-county-medical-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEAST GEORGIA HEALTH SYSTEM",
      "parentSystemId": "entity-northeast-georgia-health-system",
      "siblingGroupId": "siblings-ga-northeast-georgia-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northeast-georgia-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nghs.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEAST GEORGIA HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEAST GEORGIA HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0089831008",
      "name": "MEDICAL CENTER OF PEACH COUNTY - NAVICENT HEALTH",
      "address": "1960 HIGHWAY 247 CONNECTOR",
      "city": "BYRON",
      "state": "GA",
      "zip": "31008",
      "county": "PEACH",
      "latitude": 32.6046568399391,
      "longitude": -83.7589568498403,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Advocate Health",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-ga-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-atrium-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://atriumhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0090235801",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTH ALABAMA",
      "address": "107 GOVERNORS DRIVE SW",
      "city": "HUNTSVILLE",
      "state": "AL",
      "zip": "35801",
      "county": "MADISON",
      "latitude": 34.7192094296649,
      "longitude": -86.5798688703881,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 70,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "PRIORITY HOSPITAL GROUP LLC",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-priority-hospital-group-llc",
      "siblingGroupId": "siblings-al-priority-hospital-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-priority-hospital-group-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to PRIORITY HOSPITAL GROUP LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIORITY HOSPITAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to PRIORITY HOSPITAL GROUP LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRIORITY HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0090535401",
      "name": "NOLAND HOSPITAL TUSCALOOSA II, LLC",
      "address": "809 UNIVERSITY BLVD EAST, 4TH FLOOR",
      "city": "TUSCALOOSA",
      "state": "AL",
      "zip": "35401",
      "county": "TUSCALOOSA",
      "latitude": 33.2051744499611,
      "longitude": -87.5263643802864,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NOLAND HEALTH SERVICES, INC",
      "parentSystemId": "entity-noland-health-services-inc",
      "siblingGroupId": "siblings-al-noland-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-noland-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nolandhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0090736604",
      "name": "USA HEALTH CHILDREN'S AND WOMEN'S HOSPITAL",
      "address": "1700 CENTER STREET",
      "city": "MOBILE",
      "state": "AL",
      "zip": "36604",
      "county": "MOBILE",
      "latitude": 30.6976838197074,
      "longitude": -88.0778076402452,
      "hospitalType": "CHILDREN",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 152,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF SOUTH ALABAMA",
      "parentSystemId": "entity-university-of-south-alabama",
      "siblingGroupId": "siblings-al-university-of-south-alabama",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-usa-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.usahealthsystem.com/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to USA Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTH ALABAMA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to USA Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTH ALABAMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0091036116",
      "name": "CROSSBRIDGE BEHAVIORAL HEALTH A BAPTIST SOUTH FACILITY",
      "address": "4385 NARROW LANE ROAD",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36116",
      "county": "MONTGOMERY",
      "latitude": 32.3234632698306,
      "longitude": -86.2813448296906,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montgomery-crossbridge-behavioral-health-a-baptist-south-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
      "parentSystemId": "entity-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "siblingGroupId": "siblings-al-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0091036116",
        "external-resolution-0091036116"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070613000565 (01S023). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070613000565 (01S023). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0091336302",
      "name": "NOLAND HOSPITAL DOTHAN II, LLC",
      "address": "1108 ROSS CLARK CIRCLE, 4TH FLOOR, PO BOX 6845",
      "city": "DOTHAN",
      "state": "AL",
      "zip": "36302",
      "county": "HOUSTON",
      "latitude": 31.2162891703429,
      "longitude": -85.3629442102531,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NOLAND HEALTH SERVICES, INC",
      "parentSystemId": "entity-noland-health-services-inc",
      "siblingGroupId": "siblings-al-noland-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-noland-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nolandhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0091436106",
      "name": "NOLAND HOSPITAL MONTGOMERY II, LLC",
      "address": "1725 PINE STREET, 5TH FLOOR, NORTH WING, PO BOX 11649",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36106",
      "county": "MONTGOMERY",
      "latitude": 32.3669693303011,
      "longitude": -86.2857900503476,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 65,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NOLAND HOSPITAL MONTGOMERY II",
      "parentSystemId": "entity-noland-hospital-montgomery-ii",
      "siblingGroupId": "siblings-al-noland-hospital-montgomery-ii",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-08-31",
      "ownershipSourceIds": [
        "hifld-location-0091436106",
        "external-resolution-0091436106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 012007; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 012007; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0091951555",
      "name": "ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL",
      "address": "631 N 8TH ST",
      "city": "MISSOURI VALLEY",
      "state": "IA",
      "zip": "51555",
      "county": "HARRISON",
      "latitude": 41.5629436503069,
      "longitude": -95.8856184701931,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "website": "http://www.alegentcreighton.com/community-memorial",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-missouri-valley-alegent-health-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ia-chi-nebraska",
      "campusFamilyId": "campus-ia-161309",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0093251246",
      "name": "SANFORD ROCK RAPIDS MEDICAL CENTER",
      "address": "801 SOUTH GREENE STREET",
      "city": "ROCK RAPIDS",
      "state": "IA",
      "zip": "51246",
      "county": "LYON",
      "latitude": 43.4238300098683,
      "longitude": -96.1719895896873,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "website": "http://www.sanfordmerrill.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sanford Health",
      "parentSystemId": "entity-sanford-health",
      "siblingGroupId": "siblings-ia-sanford-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0093251246",
        "external-resolution-0093251246"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "Sanford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Sanford Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0093650310",
      "name": "DES MOINES VA MEDICAL CENTER",
      "address": "3600 30TH STREET",
      "city": "DES MOINES",
      "state": "IA",
      "zip": "50310",
      "county": "POLK",
      "latitude": 41.6277514498434,
      "longitude": -93.6606721599377,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 51,
      "rating": null,
      "website": "https://www.centraliowa.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ia-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0094952556",
      "name": "JEFFERSON COUNTY HOSPITAL CAH",
      "address": "2000 S MAIN",
      "city": "FAIRFIELD",
      "state": "IA",
      "zip": "52556",
      "county": "JEFFERSON",
      "latitude": 40.9864624301534,
      "longitude": -91.9655486999281,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "JEFFERSON COUNTY HOSPITAL",
      "parentSystemId": "entity-jefferson-county-hospital",
      "siblingGroupId": "siblings-ia-jefferson-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0096760540",
      "name": "NAPERVILLE PSYCHIATRIC VENTURES",
      "address": "852 S WEST ST",
      "city": "NAPERVILLE",
      "state": "IL",
      "zip": "60540",
      "county": "DUPAGE",
      "latitude": 41.759071769981,
      "longitude": -88.1563119896428,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 100,
      "rating": null,
      "website": "https://www.eehealth.org/locations/naperville/linden-oaks-behavioral-health/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "NAPERVILLE PSYCHIATRIC VENTURES",
      "parentSystemId": "entity-naperville-psychiatric-ventures",
      "siblingGroupId": "siblings-il-naperville-psychiatric-ventures",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-naperville-psychiatric-ventures"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to NAPERVILLE PSYCHIATRIC VENTURES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAPERVILLE PSYCHIATRIC VENTURES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to NAPERVILLE PSYCHIATRIC VENTURES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAPERVILLE PSYCHIATRIC VENTURES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0097160618",
      "name": "KINDRED CHICAGO NORTHLAKE, LLC",
      "address": "2544 W MONTROSE AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60618",
      "county": "COOK",
      "latitude": 41.9615025800095,
      "longitude": -87.693297180352,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 94,
      "rating": null,
      "website": "https://www.kindredhealthcare.com/locations/ltac/kindred-hospital-chicago-northlake-campus",
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-il-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0097160618",
        "external-resolution-0097160618"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0097262906",
      "name": "ANNA HOSPITAL CORPORATION",
      "address": "517 NORTH MAIN STREET",
      "city": "ANNA",
      "state": "IL",
      "zip": "62906",
      "county": "UNION",
      "latitude": 37.4650266301297,
      "longitude": -89.2455412004122,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 47,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
      "parentSystemId": "entity-deaconess-regional-healthcare-services-illinois-inc",
      "siblingGroupId": "siblings-il-deaconess-regional-healthcare-services-illinois-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0097460611",
      "name": "ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO",
      "address": "225 EAST CHICAGO AVENUE, PO BOX 140",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60611",
      "county": "COOK",
      "latitude": 41.8964504799708,
      "longitude": -87.6217185201981,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 364,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-ann-&-robert-h-lurie-children-s-hospital-of-chicago/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDRENS MEMORIAL MEDICAL CENTER",
      "parentSystemId": "entity-childrens-memorial-medical-center",
      "siblingGroupId": "siblings-il-childrens-memorial-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-childrens-memorial-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILDRENS MEMORIAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to CHILDRENS MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHILDRENS MEMORIAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to CHILDRENS MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0099460631",
      "name": "PRESENCE CHICAGO HOSPITALS NETWORK",
      "address": "7435 W TALCOTT AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60631",
      "county": "COOK",
      "latitude": 41.9875392002665,
      "longitude": -87.8135655404082,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 305,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140117",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0099760622",
      "name": "PRESENCE ST MARY AND ELIZABETH",
      "address": "1431 N CLAREMONT AVENUE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60622",
      "county": "COOK",
      "latitude": 41.9075855798113,
      "longitude": -87.6863101002418,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 455,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0099760622",
        "external-resolution-0099760622"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Prime Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Prime Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0099962703",
      "name": "SPRINGFIELD HOSPITAL INC",
      "address": "5230 SOUTH SIXTH STREET",
      "city": "SPRINGFIELD",
      "state": "IL",
      "zip": "62703",
      "county": "SANGAMON",
      "latitude": 39.7255619597322,
      "longitude": -89.64077394974,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 88,
      "rating": null,
      "website": "https://lincolnprairiebhc.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-il-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0099962703",
        "external-resolution-0099962703"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded.",
      "parentSystemEvidence": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded."
    },
    {
      "id": "010001",
      "ccn": "010001",
      "name": "SOUTHEAST HEALTH MEDICAL CENTER",
      "address": "1108 ROSS CLARK CIRCLE, PO BOX 6987",
      "city": "DOTHAN",
      "state": "AL",
      "zip": "36301",
      "county": "HOUSTON",
      "latitude": 31.2163036496336,
      "longitude": -85.3636311196116,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 420,
      "rating": 4,
      "website": "http://www.samc.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "HOUSTON COUNTY HEALTHCARE AUTHORITY",
      "affiliatedSystem": "HOUSTON COUNTY HEALTHCARE AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HOUSTON COUNTY HEALTHCARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON COUNTY HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-houston-county-healthcare-authority",
      "siblingGroupId": "siblings-al-houston-county-healthcare-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-houston-county-healthcare-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HOUSTON COUNTY HEALTHCARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON COUNTY HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010005",
      "ccn": "010005",
      "name": "MARSHALL MEDICAL CENTERS SOUTH CAMPUS",
      "address": "2505 US HIGHWAY 431 SOUTH, PO DRAWER 758",
      "city": "BOAZ",
      "state": "AL",
      "zip": "35957",
      "county": "MARSHALL",
      "latitude": 34.2214658500526,
      "longitude": -86.1606281698834,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 150,
      "rating": 3,
      "website": "http://www.mmcenters.com//index.php/facilities/marshall_south",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-huntsville",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-huntsville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010006",
      "ccn": "010006",
      "name": "NORTH ALABAMA MEDICAL CENTER",
      "address": "1701 VETERANS DRIVE",
      "city": "FLORENCE",
      "state": "AL",
      "zip": "35630",
      "county": "LAUDERDALE",
      "latitude": 34.8050981599782,
      "longitude": -87.6508272097628,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 263,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-florence-north-alabama-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Lifepoint Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-al-dsb-acquisition-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Lifepoint Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010007",
      "ccn": "010007",
      "name": "MIZELL MEMORIAL HOSPITAL",
      "address": "702 MAIN STREET, PO BOX 1010",
      "city": "OPP",
      "state": "AL",
      "zip": "36467",
      "county": "COVINGTON",
      "latitude": 31.2919582399428,
      "longitude": -86.2545269195589,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 99,
      "rating": 1,
      "website": "http://www.mizellmh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-opp-mizell-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MIZELL MEMORIAL HOSPITAL, INC.",
      "affiliatedSystem": "MIZELL MEMORIAL HOSPITAL, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to MIZELL MEMORIAL HOSPITAL, INC.; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIZELL MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mizell-memorial-hospital-inc",
      "siblingGroupId": "siblings-al-mizell-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-mizell-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to MIZELL MEMORIAL HOSPITAL, INC.; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIZELL MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010011",
      "ccn": "010011",
      "name": "ST. VINCENT'S EAST",
      "address": "50 MEDICAL PARK EAST DRIVE",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35235",
      "county": "JEFFERSON",
      "latitude": 33.5961545198784,
      "longitude": -86.6676110198571,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 362,
      "rating": 3,
      "website": "http://www.stvhs.com/east/",
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT'S HEALTH SYSTEM",
      "affiliatedSystem": "UAB St. Vincent's",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Stvhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-st.-vincent-s-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-st-vincent-s-health-system",
      "siblingGroupId": "siblings-al-st-vincent-s-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-uab-st-vincent-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uab.edu/news/health-medicine/uab-medicine-celebrates-first-anniversary-of-uab-st-vincents-acquisition"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010012",
      "ccn": "010012",
      "name": "DEKALB REGIONAL MEDICAL CENTER",
      "address": "200 MEDICAL CENTER DRIVE, PO BOX 680778",
      "city": "FORT PAYNE",
      "state": "AL",
      "zip": "35968",
      "county": "DEKALB",
      "latitude": 34.4412798398413,
      "longitude": -85.7562183699535,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 134,
      "rating": 2,
      "website": "http://www.dekalbregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-payne-dekalb-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-huntsville",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-huntsville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010016",
      "ccn": "010016",
      "name": "SHELBY BAPTIST MEDICAL CENTER",
      "address": "1000 FIRST STREET NORTH",
      "city": "ALABASTER",
      "state": "AL",
      "zip": "35007",
      "county": "SHELBY",
      "latitude": 33.2523648699589,
      "longitude": -86.81304301011,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 252,
      "rating": 2,
      "website": "http://www.bhsala.com/shelby/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlando Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bhsala",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alabaster-shelby-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-al-orlando-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-orlando-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.orlandohealth.com/network"
      ],
      "ownershipProofNotes": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010018",
      "ccn": "010018",
      "name": "UAB CALLAHAN EYE HOSPITAL AUTHORITY",
      "address": "1720 UNIVERSITY BOULEVARD",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35233",
      "county": "JEFFERSON",
      "latitude": 33.5040061001891,
      "longitude": -86.8028919099572,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": null,
      "website": "http://www.uabmedicine.org/eye#/1213770818351/?keyword=&submit=submit&reset=reset&page=1&articles=true",
      "status": "signal",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "UAB CALLAHAN EYE HOSPITAL AUTHORITY",
      "affiliatedSystem": "UAB Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to UAB Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UAB CALLAHAN EYE HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-uab-callahan-eye-hospital-authority",
      "siblingGroupId": "siblings-al-uab-callahan-eye-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-verified-parent-uab-callahan-eye-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.uabmedicine.org/about-uab-medicine/community-networks/"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to UAB Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UAB CALLAHAN EYE HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010021",
      "ccn": "010021",
      "name": "DALE MEDICAL CENTER",
      "address": "126 HOSPITAL AVENUE",
      "city": "OZARK",
      "state": "AL",
      "zip": "36360",
      "county": "DALE",
      "latitude": 31.4515766596957,
      "longitude": -85.6320880402015,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 89,
      "rating": null,
      "website": "http://www.dalemedical.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ozark-dale-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DALE MEDICAL CENTER",
      "affiliatedSystem": "DALE MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to DALE MEDICAL CENTER; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dale-medical-center",
      "siblingGroupId": "siblings-al-dale-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-dale-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to DALE MEDICAL CENTER; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010022",
      "ccn": "010022",
      "name": "FLOYD CHEROKEE MEDICAL CENTER",
      "address": "400 NORTHWOOD DRIVE",
      "city": "CENTRE",
      "state": "AL",
      "zip": "35960",
      "county": "CHEROKEE",
      "latitude": 34.1614582999918,
      "longitude": -85.651088780188,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "website": "http://www.cherokeemedicalcenter.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health Floyd",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Atrium Health Floyd; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-al-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-atrium-health-floyd"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.atriumhealthfloyd.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Atrium Health Floyd; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010023",
      "ccn": "010023",
      "name": "BAPTIST MEDICAL CENTER SOUTH",
      "address": "2105 EAST SOUTH BOULEVARD, PO BOX 11010",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36111",
      "county": "MONTGOMERY",
      "latitude": 32.3281539498506,
      "longitude": -86.2775493496988,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 432,
      "rating": 2,
      "website": "http://www.baptistfirst.org",
      "status": "corporate_chain",
      "parentSystem": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
      "affiliatedSystem": "Baptist Health Montgomery (UAB Health System affiliate)",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistfirst",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montgomery-baptist-medical-center-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINE E BRUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistfirst. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Baptist Health Montgomery (UAB Health System affiliate); the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "siblingGroupId": "siblings-al-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-baptist-health-montgomery-uab-health-system-affiliate"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uabmedicine.org/about-uab-medicine/community-networks/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINE E BRUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistfirst. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Baptist Health Montgomery (UAB Health System affiliate); the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010033",
      "ccn": "010033",
      "name": "UNIVERSITY OF ALABAMA HOSPITAL",
      "address": "619 SOUTH NINETEENTH STREET",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35233",
      "county": "JEFFERSON",
      "latitude": 33.5056032899714,
      "longitude": -86.8020353995714,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 1157,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - State",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-university-of-alabama-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "UNIVERSITY AT BIRMINGHAM HEALTH SYSTEM INC",
      "affiliatedSystem": "UAB Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY AT BIRMINGHAM HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY AT BIRMINGHAM HEALTH SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-at-birmingham-health-system-inc",
      "siblingGroupId": "siblings-al-university-at-birmingham-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-uab-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uabmedicine.org/about-uab-medicine/community-networks/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY AT BIRMINGHAM HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY AT BIRMINGHAM HEALTH SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010034",
      "ccn": "010034",
      "name": "COMMUNITY HOSPITAL, INC",
      "address": "805 FRIENDSHIP ROAD",
      "city": "TALLASSEE",
      "state": "AL",
      "zip": "36078",
      "county": "ELMORE",
      "latitude": 32.533909829636,
      "longitude": -85.9122466097184,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 69,
      "rating": null,
      "website": "http://chal.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tallassee-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COMMUNITY HOSPITAL INC",
      "affiliatedSystem": "COMMUNITY HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to COMMUNITY HOSPITAL INC; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-community-hospital-inc-al-tallassee-010034",
      "siblingGroupId": "siblings-al-community-hospital-inc-al-tallassee-010034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to COMMUNITY HOSPITAL INC; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010035",
      "ccn": "010035",
      "name": "CULLMAN REGIONAL MEDICAL CENTER",
      "address": "1912 ALABAMA HIGHWAY 157",
      "city": "CULLMAN",
      "state": "AL",
      "zip": "35058",
      "county": "CULLMAN",
      "latitude": 34.2013271998581,
      "longitude": -86.8057295702604,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 150,
      "rating": 2,
      "website": "http://www.crmchospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cullman-cullman-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HEALTH CARE AUTHORITY OF CULLMAN",
      "affiliatedSystem": "HEALTH CARE AUTHORITY OF CULLMAN",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH CARE AUTHORITY OF CULLMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HEALTH CARE AUTHORITY OF CULLMAN; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY OF CULLMAN, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-care-authority-of-cullman",
      "siblingGroupId": "siblings-al-health-care-authority-of-cullman",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-health-care-authority-of-cullman"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH CARE AUTHORITY OF CULLMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HEALTH CARE AUTHORITY OF CULLMAN; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY OF CULLMAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010036",
      "ccn": "010036",
      "name": "ANDALUSIA HEALTH",
      "address": "849 SOUTH THREE NOTCH STREET, PO BOX 760",
      "city": "ANDALUSIA",
      "state": "AL",
      "zip": "36420",
      "county": "COVINGTON",
      "latitude": 31.2957953301185,
      "longitude": -86.4945491098294,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": 2,
      "website": "http://www.andalusiaregionalhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ScionHealth; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-al-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ScionHealth; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0100361265",
      "name": "TRINITY MEDICAL CENTER - 7TH ST CAMPUS",
      "address": "500 JOHN DEERE RD, 7TH ST CAMPUS",
      "city": "MOLINE",
      "state": "IL",
      "zip": "61265",
      "county": "ROCK ISLAND",
      "latitude": 41.4683074001692,
      "longitude": -90.5309796899372,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 38,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-il-unitypoint-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0100361265",
        "external-resolution-0100361265"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitypoint.org/find-a-location"
      ],
      "ownershipProofNotes": "UnityPoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UnityPoint Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "010039",
      "ccn": "010039",
      "name": "THE HUNTSVILLE HOSPITAL",
      "address": "101 SIVLEY ROAD",
      "city": "HUNTSVILLE",
      "state": "AL",
      "zip": "35801",
      "county": "MADISON",
      "latitude": 34.7214331003237,
      "longitude": -86.5808055095989,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 881,
      "rating": 3,
      "website": "http://www.huntsvillehospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntsville-huntsville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-huntsville",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-huntsville",
      "campusFamilyId": "campus-al-010039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010039-loc-al-huntsville-huntsville-hospital-women-and-children-e",
      "ccn": "010039",
      "name": "HUNTSVILLE HOSPITAL WOMEN AND CHILDREN-ER",
      "address": "245 GOVERNORS DR SE",
      "city": "HUNTSVILLE",
      "state": "AL",
      "zip": "35801",
      "county": "MADISON",
      "latitude": 34.7206375903232,
      "longitude": -86.5746174000855,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": null,
      "rating": 3,
      "website": "http://www.huntsvillehospital.org/womenchildren/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntsville-huntsville-hospital-women-&-children-er/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-huntsville",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-huntsville",
      "campusFamilyId": "campus-al-010039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "010039"
    },
    {
      "id": "010040",
      "ccn": "010040",
      "name": "GADSDEN REGIONAL MEDICAL CENTER",
      "address": "1007 GOODYEAR AVENUE",
      "city": "GADSDEN",
      "state": "AL",
      "zip": "35903",
      "county": "ETOWAH",
      "latitude": 34.0077362797467,
      "longitude": -85.9659821402834,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 346,
      "rating": 2,
      "website": "http://www.gadsdenregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gadsden-gadsden-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-al-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "010045",
      "ccn": "010045",
      "name": "FAYETTE MEDICAL CENTER",
      "address": "1653 TEMPLE AVENUE NORTH, PO DRAWER 710",
      "city": "FAYETTE",
      "state": "AL",
      "zip": "35555",
      "county": "FAYETTE",
      "latitude": 33.7081781396303,
      "longitude": -87.8246889797195,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 61,
      "rating": 4,
      "website": "http://www.dchsystem.com/body.cfm?id=36928",
      "status": "corporate_chain",
      "parentSystem": "THE DCH HEALTHCARE AUTHORITY",
      "affiliatedSystem": "DCH Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dchsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayette-fayette-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: THE DCH HEALTHCARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Dchsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to DCH Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE DCH HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-dch-healthcare-authority",
      "siblingGroupId": "siblings-al-the-dch-healthcare-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-dch-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dchsystem.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE DCH HEALTHCARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Dchsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to DCH Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE DCH HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010046",
      "ccn": "010046",
      "name": "RIVERVIEW REGIONAL MEDICAL CENTER",
      "address": "600 SOUTH THIRD STREET",
      "city": "GADSDEN",
      "state": "AL",
      "zip": "35901",
      "county": "ETOWAH",
      "latitude": 34.0043255402743,
      "longitude": -86.0034270600391,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 281,
      "rating": 3,
      "website": "http://www.riverviewregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gadsden-riverview-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Prime Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Prime Healthcare; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-al-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Prime Healthcare; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010049",
      "ccn": "010049",
      "name": "MEDICAL CENTER ENTERPRISE",
      "address": "400 NORTH EDWARDS STREET",
      "city": "ENTERPRISE",
      "state": "AL",
      "zip": "36330",
      "county": "COFFEE",
      "latitude": 31.3187723999666,
      "longitude": -85.8553697397752,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 131,
      "rating": 4,
      "website": "http://www.mcehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-enterprise-medical-center-enterprise/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-al-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "010052",
      "ccn": "010052",
      "name": "LAKE MARTIN COMMUNITY HOSPITAL",
      "address": "201 MARIARDEN ROAD, PO BOX 629",
      "city": "DADEVILLE",
      "state": "AL",
      "zip": "36853",
      "county": "TALLAPOOSA",
      "latitude": 32.8185985702565,
      "longitude": -85.741139909856,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 46,
      "rating": null,
      "website": "http://www.lakemartincommunityhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dadeville-lake-martin-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "IVY CREEK OF TALLAPOOSA LLC",
      "affiliatedSystem": "Ivy Creek Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists MICHAEL DAVID BRUCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Ivy Creek Healthcare; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IVY CREEK OF TALLAPOOSA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ivy-creek-of-tallapoosa-llc",
      "siblingGroupId": "siblings-al-ivy-creek-of-tallapoosa-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-ivy-creek-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ivycreekhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS lists MICHAEL DAVID BRUCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Ivy Creek Healthcare; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IVY CREEK OF TALLAPOOSA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010055",
      "ccn": "010055",
      "name": "FLOWERS HOSPITAL",
      "address": "4370 WEST MAIN STREET, PO BOX 6907",
      "city": "DOTHAN",
      "state": "AL",
      "zip": "36305",
      "county": "HOUSTON",
      "latitude": 31.2374299898768,
      "longitude": -85.4570424595836,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 235,
      "rating": 2,
      "website": "http://www.flowershospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dothan-flowers-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-al-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "010056",
      "ccn": "010056",
      "name": "ST. VINCENT'S BIRMINGHAM",
      "address": "810 ST VINCENT'S DRIVE",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35205",
      "county": "JEFFERSON",
      "latitude": 33.5074771700047,
      "longitude": -86.789121529864,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 409,
      "rating": 3,
      "website": "http://www.stvhs.com",
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT'S HEALTH SYSTEM",
      "affiliatedSystem": "UAB St. Vincent's",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Stvhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-st.-vincent-s-birmingham/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-st-vincent-s-health-system",
      "siblingGroupId": "siblings-al-st-vincent-s-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-uab-st-vincent-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uab.edu/news/health-medicine/uab-medicine-celebrates-first-anniversary-of-uab-st-vincents-acquisition"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010058",
      "ccn": "010058",
      "name": "BIBB MEDICAL CENTER",
      "address": "208 PIERSON AVENUE",
      "city": "CENTREVILLE",
      "state": "AL",
      "zip": "35042",
      "county": "BIBB",
      "latitude": 32.9513583700711,
      "longitude": -87.1483112298444,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 35,
      "rating": null,
      "website": "http://www.bibbmedicalcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-centreville-bibb-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CAHABA VALLEY HEALTH SERVICES INC",
      "affiliatedSystem": "CAHABA VALLEY HEALTH SERVICES INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CAHABA VALLEY HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to CAHABA VALLEY HEALTH SERVICES INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAHABA VALLEY HEALTH SERVICES INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-cahaba-valley-health-services-inc",
      "siblingGroupId": "siblings-al-cahaba-valley-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-cahaba-valley-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAHABA VALLEY HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to CAHABA VALLEY HEALTH SERVICES INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAHABA VALLEY HEALTH SERVICES INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010061",
      "ccn": "010061",
      "name": "HIGHLANDS MEDICAL CENTER",
      "address": "380 WOODS COVE ROAD, PO BOX 1050",
      "city": "SCOTTSBORO",
      "state": "AL",
      "zip": "35768",
      "county": "JACKSON",
      "latitude": 34.6620379299333,
      "longitude": -86.0474908000459,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 170,
      "rating": 3,
      "website": "http://www.highlandsmedcenter.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scottsboro-highlands-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JOHN ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-huntsville",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-huntsville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JOHN ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010065",
      "ccn": "010065",
      "name": "RUSSELL MEDICAL CENTER",
      "address": "3316 HIGHWAY 280, PO BOX 939",
      "city": "ALEXANDER CITY",
      "state": "AL",
      "zip": "35010",
      "county": "TALLAPOOSA",
      "latitude": 32.9302132697856,
      "longitude": -85.9695661496708,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 81,
      "rating": 3,
      "website": "http://www.russellmedcenter.com/index.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "RUSSELL HOSPITAL CORPORATION",
      "affiliatedSystem": "RUSSELL HOSPITAL CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists LOTHER PEACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to RUSSELL HOSPITAL CORPORATION; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSSELL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-russell-hospital-corporation",
      "siblingGroupId": "siblings-al-russell-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-russell-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists LOTHER PEACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to RUSSELL HOSPITAL CORPORATION; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSSELL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010073",
      "ccn": "010073",
      "name": "CLAY COUNTY HOSPITAL",
      "address": "83825 HIGHWAY 9, PO BOX 1270",
      "city": "ASHLAND",
      "state": "AL",
      "zip": "36251",
      "county": "CLAY",
      "latitude": 33.2775639403051,
      "longitude": -85.8239827798178,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 53,
      "rating": null,
      "website": "http://www.claycountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ashland-clay-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CLAY COUNTY HOSPITAL",
      "affiliatedSystem": "Government - Hospital District or Authority",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Government - Hospital District or Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-clay-county-hospital",
      "siblingGroupId": "siblings-al-clay-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-government-hospital-district-or-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Government - Hospital District or Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010078",
      "ccn": "010078",
      "name": "NORTHEAST ALABAMA REGIONAL MEDICAL CENTER",
      "address": "400 EAST 10TH STREET, PO BOX 2208",
      "city": "ANNISTON",
      "state": "AL",
      "zip": "36202",
      "county": "CALHOUN",
      "latitude": 33.6555752599155,
      "longitude": -85.8232421404256,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 338,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anniston-northeast-alabama-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
      "affiliatedSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HINTON B OWSLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-anniston",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-anniston",
      "campusFamilyId": "campus-al-010078",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-the-health-care-authority-of-the-city-of-anniston"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HINTON B OWSLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010078-loc-al-anniston-stringfellow-campus-of-northeast-alabama-r",
      "ccn": "010078",
      "name": "STRINGFELLOW CAMPUS OF NORTHEAST ALABAMA REGIONAL MEDICAL CENTER",
      "address": "301 EAST 18TH STREET",
      "city": "ANNISTON",
      "state": "AL",
      "zip": "36207",
      "county": "CALHOUN",
      "latitude": 33.6682420642054,
      "longitude": -85.8238010551274,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 125,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
      "affiliatedSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HINTON B OWSLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-anniston",
      "siblingGroupId": "siblings-al-the-health-care-authority-of-the-city-of-anniston",
      "campusFamilyId": "campus-al-010078",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-the-health-care-authority-of-the-city-of-anniston"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HINTON B OWSLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "010078"
    },
    {
      "id": "010079",
      "ccn": "010079",
      "name": "ATHENS LIMESTONE HOSPITAL",
      "address": "700 WEST MARKET STREET",
      "city": "ATHENS",
      "state": "AL",
      "zip": "35611",
      "county": "LIMESTONE",
      "latitude": 34.8041639296724,
      "longitude": -86.9784072097557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 71,
      "rating": 2,
      "website": "http://www.athenslimestonehospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athens-athens-limestone-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HH-HEALTH SYSTEM - ATHENS LIMESTONE LLC",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH-HEALTH SYSTEM - ATHENS LIMESTONE LLC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hh-health-system-athens-limestone-llc",
      "siblingGroupId": "siblings-al-hh-health-system-athens-limestone-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH-HEALTH SYSTEM - ATHENS LIMESTONE LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010085",
      "ccn": "010085",
      "name": "DECATUR MORGAN HOSPITAL - DECATUR CAMPUS",
      "address": "1201 SEVENTH STREET SOUTHEAST",
      "city": "DECATUR",
      "state": "AL",
      "zip": "35601",
      "county": "MORGAN",
      "latitude": 34.5903440896709,
      "longitude": -86.9714815303935,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 273,
      "rating": 3,
      "website": "http://www.decaturgeneral.org/",
      "status": "corporate_chain",
      "parentSystem": "HH HEALTH SYSTEM - MORGAN, LLC",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Decaturgeneral",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-decatur-decatur-morgan-hospital---decatur-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Decaturgeneral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Decaturgeneral. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH HEALTH SYSTEM - MORGAN, LLC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hh-health-system-morgan-llc",
      "siblingGroupId": "siblings-al-hh-health-system-morgan-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Decaturgeneral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Decaturgeneral. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH HEALTH SYSTEM - MORGAN, LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010086",
      "ccn": "010086",
      "name": "NORTHWEST MEDICAL CENTER",
      "address": "1530 U S HWY 43",
      "city": "WINFIELD",
      "state": "AL",
      "zip": "35594",
      "county": "MARION",
      "latitude": 33.9305376697681,
      "longitude": -87.8245247398378,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": 4,
      "website": "http://www.northwestmedcenter.com",
      "status": "corporate_chain",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "affiliatedSystem": "North Mississippi Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winfield-northwest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Community Health Systems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to North Mississippi Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-al-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Community Health Systems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to North Mississippi Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010087",
      "ccn": "010087",
      "name": "USA HEALTH UNIVERSITY HOSPITAL",
      "address": "2451 FILLINGIM STREET",
      "city": "MOBILE",
      "state": "AL",
      "zip": "36617",
      "county": "MOBILE",
      "latitude": 30.7070619801315,
      "longitude": -88.0983348604447,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 406,
      "rating": 2,
      "website": "http://www.usahealthsystem.com/usamc",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "UNIVERSITY OF SOUTH ALABAMA",
      "affiliatedSystem": "USA Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to USA Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTH ALABAMA, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-south-alabama",
      "siblingGroupId": "siblings-al-university-of-south-alabama",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-usa-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.usahealthsystem.com/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to USA Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTH ALABAMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010089",
      "ccn": "010089",
      "name": "WALKER BAPTIST MEDICAL CENTER",
      "address": "3400 HIGHWAY 78, EAST, PO BOX 3547",
      "city": "JASPER",
      "state": "AL",
      "zip": "35502",
      "county": "WALKER",
      "latitude": 33.8427289003145,
      "longitude": -87.2359995801094,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 267,
      "rating": 3,
      "website": "http://www.bhsala.com/home_walker.cfm?id=41",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlando Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bhsala",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jasper-walker-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-al-orlando-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-orlando-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.orlandohealth.com/network"
      ],
      "ownershipProofNotes": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010090",
      "ccn": "010090",
      "name": "PROVIDENCE HOSPITAL",
      "address": "6801 AIRPORT BOULEVARD, PO BOX 850429",
      "city": "MOBILE",
      "state": "AL",
      "zip": "36685",
      "county": "MOBILE",
      "latitude": 30.67932766033,
      "longitude": -88.1990793699648,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 349,
      "rating": 3,
      "website": "http://www.providencehospital.org",
      "status": "signal",
      "parentSystem": "UNIVERSITY OF SOUTH ALABAMA",
      "affiliatedSystem": "USA Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Providence",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mobile-providence-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF SOUTH ALABAMA (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to USA Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTH ALABAMA, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-south-alabama",
      "siblingGroupId": "siblings-al-university-of-south-alabama",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-usa-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.usahealthsystem.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF SOUTH ALABAMA (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to USA Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTH ALABAMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010091",
      "ccn": "010091",
      "name": "GROVE HILL MEMORIAL HOSPITAL",
      "address": "295 JACKSON HIGHWAY S, PO BOX 935",
      "city": "GROVE HILL",
      "state": "AL",
      "zip": "36451",
      "county": "CLARKE",
      "latitude": 31.6943023002393,
      "longitude": -87.7760246302745,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 50,
      "rating": null,
      "website": "http://www.grovehillmemorial.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grove-hill-grove-hill-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "GROVE HILL MEMORIAL HOSPITAL, INC",
      "affiliatedSystem": "GROVE HILL MEMORIAL HOSPITAL, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GROVE HILL MEMORIAL HOSPITAL, INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROVE HILL MEMORIAL HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-grove-hill-memorial-hospital-inc",
      "siblingGroupId": "siblings-al-grove-hill-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-grove-hill-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GROVE HILL MEMORIAL HOSPITAL, INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROVE HILL MEMORIAL HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010092",
      "ccn": "010092",
      "name": "DCH REGIONAL MEDICAL CENTER",
      "address": "809 UNIVERSITY BOULEVARD EAST",
      "city": "TUSCALOOSA",
      "state": "AL",
      "zip": "35401",
      "county": "TUSCALOOSA",
      "latitude": 33.2048205297185,
      "longitude": -87.5274194695539,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 583,
      "rating": 2,
      "website": "http://www.dchsystem.com",
      "status": "corporate_chain",
      "parentSystem": "THE DCH HEALTHCARE AUTHORITY",
      "affiliatedSystem": "DCH Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dchsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tuscaloosa-dch-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Dchsystem. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to DCH Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE DCH HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-dch-healthcare-authority",
      "siblingGroupId": "siblings-al-the-dch-healthcare-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-dch-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dchsystem.com/locations/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Dchsystem. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to DCH Health System; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE DCH HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010095",
      "ccn": "010095",
      "name": "HALE COUNTY HOSPITAL",
      "address": "508 GREENE STREET",
      "city": "GREENSBORO",
      "state": "AL",
      "zip": "36744",
      "county": "HALE",
      "latitude": 32.6953722396702,
      "longitude": -87.5869341902267,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 39,
      "rating": null,
      "website": "http://www.halecountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensboro-hale-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HALE COUNTY HEALTHCARE AUTHORITY",
      "affiliatedSystem": "HALE COUNTY HEALTHCARE AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HALE COUNTY HEALTHCARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIFFANY LASHAY FONDREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HALE COUNTY HEALTHCARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HALE COUNTY HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hale-county-healthcare-authority",
      "siblingGroupId": "siblings-al-hale-county-healthcare-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-hale-county-healthcare-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HALE COUNTY HEALTHCARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIFFANY LASHAY FONDREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HALE COUNTY HEALTHCARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HALE COUNTY HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010097",
      "ccn": "010097",
      "name": "ELMORE COMMUNITY HOSPITAL",
      "address": "500 HOSPITAL DRIVE, PO BOX 130",
      "city": "WETUMPKA",
      "state": "AL",
      "zip": "36092",
      "county": "ELMORE",
      "latitude": 32.5522669701332,
      "longitude": -86.1863964498095,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 69,
      "rating": null,
      "website": "http://www.elmorehospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wetumpka-elmore-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "IVY CREEK OF ELMORE LLC",
      "affiliatedSystem": "Ivy Creek Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: IVY CREEK OF ELMORE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT L ENGLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Ivy Creek Healthcare; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IVY CREEK OF ELMORE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ivy-creek-of-elmore-llc",
      "siblingGroupId": "siblings-al-ivy-creek-of-elmore-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-ivy-creek-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ivycreekhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IVY CREEK OF ELMORE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT L ENGLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Ivy Creek Healthcare; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IVY CREEK OF ELMORE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010099",
      "ccn": "010099",
      "name": "D. W. MCMILLAN MEMORIAL HOSPITAL",
      "address": "1301 BELLEVILLE AVENUE, PO DRAWER 908",
      "city": "BREWTON",
      "state": "AL",
      "zip": "36427",
      "county": "ESCAMBIA",
      "latitude": 31.1270339100898,
      "longitude": -87.0734993003192,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 91,
      "rating": 1,
      "website": "http://www.dwmmh.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brewton-d.-w.-mcmillan-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "D.W. MCMILLAN MEMORIAL HOSPITAL",
      "affiliatedSystem": "D.W. MCMILLAN MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to D.W. MCMILLAN MEMORIAL HOSPITAL; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent D.W. MCMILLAN MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-d-w-mcmillan-memorial-hospital",
      "siblingGroupId": "siblings-al-d-w-mcmillan-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-d-w-mcmillan-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to D.W. MCMILLAN MEMORIAL HOSPITAL; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent D.W. MCMILLAN MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010100",
      "ccn": "010100",
      "name": "THOMAS HOSPITAL",
      "address": "750 MORPHY AVENUE, PO DRAWER 929",
      "city": "FAIRHOPE",
      "state": "AL",
      "zip": "36532",
      "county": "BALDWIN",
      "latitude": 30.5188790297694,
      "longitude": -87.8894474397936,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 176,
      "rating": 2,
      "website": "http://www.thomashospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairhope-thomas-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "GULF HEALTH HOSPITALS INC",
      "affiliatedSystem": "GULF HEALTH HOSPITALS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: GULF HEALTH HOSPITALS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GULF HEALTH HOSPITALS INC; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GULF HEALTH HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-gulf-health-hospitals-inc",
      "siblingGroupId": "siblings-al-gulf-health-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-gulf-health-hospitals-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: GULF HEALTH HOSPITALS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GULF HEALTH HOSPITALS INC; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GULF HEALTH HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010101",
      "ccn": "010101",
      "name": "CITIZENS BAPTIST MEDICAL CENTER",
      "address": "604 STONE AVENUE, PO BOX 978",
      "city": "TALLADEGA",
      "state": "AL",
      "zip": "35161",
      "county": "TALLADEGA",
      "latitude": 33.4402768201654,
      "longitude": -86.0907834001616,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 122,
      "rating": 1,
      "website": "http://www.bhsala.com/home_citizens.cfm?id=38",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlando Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bhsala",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-talladega-citizens-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-al-orlando-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-orlando-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.orlandohealth.com/network"
      ],
      "ownershipProofNotes": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010103",
      "ccn": "010103",
      "name": "PRINCETON BAPTIST MEDICAL CENTER",
      "address": "701 PRINCETON AVENUE SW",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35211",
      "county": "JEFFERSON",
      "latitude": 33.4980065302688,
      "longitude": -86.8471877800233,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 505,
      "rating": 3,
      "website": "http://www.bhsala.com/princeton/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlando Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bhsala",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-al-orlando-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-orlando-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.orlandohealth.com/network"
      ],
      "ownershipProofNotes": "CMS owner candidate: ORLANDO HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bhsala; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bhsala. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Orlando Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010104",
      "ccn": "010104",
      "name": "GRANDVIEW MEDICAL CENTER",
      "address": "3690 GRANDVIEW PARKWAY",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35243",
      "county": "JEFFERSON",
      "latitude": 33.4329335501151,
      "longitude": -86.717441459796,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 434,
      "rating": 3,
      "website": "http://www.grandviewhealth.com/grandview/default.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-grandview-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-al-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "010108",
      "ccn": "010108",
      "name": "PRATTVILLE BAPTIST HOSPITAL",
      "address": "124 SOUTH MEMORIAL DRIVE",
      "city": "PRATTVILLE",
      "state": "AL",
      "zip": "36067",
      "county": "AUTAUGA",
      "latitude": 32.463891719671,
      "longitude": -86.4522529300099,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 107,
      "rating": 3,
      "website": "http://www.baptistfirst.org/facilities/prattville-baptisthospital/ default.aspx",
      "status": "corporate_chain",
      "parentSystem": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
      "affiliatedSystem": "Baptist Health Montgomery (UAB Health System affiliate)",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistfirst",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-prattville-prattville-baptist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINE E BRUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistfirst. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Baptist Health Montgomery (UAB Health System affiliate); the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "siblingGroupId": "siblings-al-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-baptist-health-montgomery-uab-health-system-affiliate"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uabmedicine.org/about-uab-medicine/community-networks/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINE E BRUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistfirst. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Baptist Health Montgomery (UAB Health System affiliate); the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010112",
      "ccn": "010112",
      "name": "WHITFIELD REGIONAL HOSPITAL",
      "address": "105 US HIGHWAY 80 EAST",
      "city": "DEMOPOLIS",
      "state": "AL",
      "zip": "36732",
      "county": "MARENGO",
      "latitude": 32.5047885302134,
      "longitude": -87.8363987997224,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 99,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "TOMBIGBEE HEALTHCARE AUTHORITY",
      "affiliatedSystem": "TOMBIGBEE HEALTHCARE AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists DOUGLAS BREWER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to TOMBIGBEE HEALTHCARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOMBIGBEE HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-tombigbee-healthcare-authority",
      "siblingGroupId": "siblings-al-tombigbee-healthcare-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-tombigbee-healthcare-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists DOUGLAS BREWER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to TOMBIGBEE HEALTHCARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOMBIGBEE HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010113",
      "ccn": "010113",
      "name": "MOBILE INFIRMARY MEDICAL CENTER",
      "address": "5 MOBILE INFIRMARY CIRCLE, PO BOX 2144",
      "city": "MOBILE",
      "state": "AL",
      "zip": "36607",
      "county": "MOBILE",
      "latitude": 30.695724959904,
      "longitude": -88.0797761903925,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 681,
      "rating": 2,
      "website": "https://www.infirmaryhealth.org/hospitals/mobile-infirmary",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mobile-mobile-infirmary-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "INFIRMARY HEALTH SYSTEM",
      "affiliatedSystem": "Infirmary Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: INFIRMARY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Infirmary Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INFIRMARY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-infirmary-health-system",
      "siblingGroupId": "siblings-al-infirmary-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-infirmary-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.infirmaryhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: INFIRMARY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Infirmary Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INFIRMARY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010118",
      "ccn": "010118",
      "name": "VAUGHAN REGIONAL MEDICAL CENTER - PARKWAY CAMPUS",
      "address": "1015 MEDICAL CENTER PARKWAY",
      "city": "SELMA",
      "state": "AL",
      "zip": "36701",
      "county": "DALLAS",
      "latitude": 32.4294652102267,
      "longitude": -87.0559730496501,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 175,
      "rating": 2,
      "website": "http://www.vaughanregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-selma-vaughan-regional-medical-center-parkway-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ScionHealth; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-al-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ScionHealth; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010120",
      "ccn": "010120",
      "name": "MONROE COUNTY HOSPITAL",
      "address": "2016 SOUTH ALABAMA AVENUE, PO BOX 886",
      "city": "MONROEVILLE",
      "state": "AL",
      "zip": "36460",
      "county": "MONROE",
      "latitude": 31.4978172000655,
      "longitude": -87.3207666297316,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 94,
      "rating": 1,
      "website": "http://www.mchcare.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroeville-monroe-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MONROE COUNTY HOSPITAL",
      "affiliatedSystem": "Government - Hospital District or Authority",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Government - Hospital District or Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONROE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-monroe-county-hospital",
      "siblingGroupId": "siblings-al-monroe-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-government-hospital-district-or-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Government - Hospital District or Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONROE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010125",
      "ccn": "010125",
      "name": "LAKELAND COMMUNITY HOSPITAL",
      "address": "42024 HIGHWAY 195, PO BOX 780",
      "city": "HALEYVILLE",
      "state": "AL",
      "zip": "35565",
      "county": "WINSTON",
      "latitude": 34.2419118702558,
      "longitude": -87.5913657996105,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": 3,
      "website": "http://www.lifepointhospitals.com/serving-communities/community/lakeland-community-hospital/",
      "status": "corporate_chain",
      "parentSystem": "LAKELAND COMMUNITY HOSPITAL",
      "affiliatedSystem": "Proprietary",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-haleyville-lakeland-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Proprietary; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKELAND COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lakeland-community-hospital",
      "siblingGroupId": "siblings-al-lakeland-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-proprietary"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Proprietary; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKELAND COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010126",
      "ccn": "010126",
      "name": "TROY REGIONAL MEDICAL CENTER",
      "address": "1330 HIGHWAY 231 SOUTH",
      "city": "TROY",
      "state": "AL",
      "zip": "36081",
      "county": "PIKE",
      "latitude": 31.7815156502178,
      "longitude": -85.9455662500938,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 97,
      "rating": 4,
      "website": "http://www.troymedicalcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-troy-troy-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TROY HOSPITAL HEALTH CARE AUTHORITY",
      "affiliatedSystem": "TROY HOSPITAL HEALTH CARE AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TROY HOSPITAL HEALTH CARE AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to TROY HOSPITAL HEALTH CARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TROY HOSPITAL HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-troy-hospital-health-care-authority",
      "siblingGroupId": "siblings-al-troy-hospital-health-care-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-troy-hospital-health-care-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: TROY HOSPITAL HEALTH CARE AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to TROY HOSPITAL HEALTH CARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TROY HOSPITAL HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0101262864",
      "name": "GOOD SAMARITAN REGIONAL HEALTH CENTER",
      "address": "1 GOOD SAMARITAN WAY",
      "city": "MT. VERNON",
      "state": "IL",
      "zip": "62864",
      "county": "JEFFERSON",
      "latitude": 38.2974176997083,
      "longitude": -88.938580390077,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 134,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-il-ssm-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010128",
      "ccn": "010128",
      "name": "JACKSON MEDICAL CENTER",
      "address": "220 HOSPITAL DRIVE, PO BOX 428",
      "city": "JACKSON",
      "state": "AL",
      "zip": "36545",
      "county": "CLARKE",
      "latitude": 31.5310684600563,
      "longitude": -87.8951345597713,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 35,
      "rating": null,
      "website": "http://www.jacksonmedicalcenter.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-jackson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CITY OF JACKSON HEALTH CARE AUTHORITY",
      "affiliatedSystem": "City of Jackson Health Care Authority",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CITY OF JACKSON HEALTH CARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to City of Jackson Health Care Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF JACKSON HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-city-of-jackson-health-care-authority",
      "siblingGroupId": "siblings-al-city-of-jackson-health-care-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-city-of-jackson-health-care-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF JACKSON HEALTH CARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to City of Jackson Health Care Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF JACKSON HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010129",
      "ccn": "010129",
      "name": "NORTH BALDWIN INFIRMARY",
      "address": "1815 HAND AVENUE, PO BOX 1409",
      "city": "BAY MINETTE",
      "state": "AL",
      "zip": "36507",
      "county": "BALDWIN",
      "latitude": 30.9039343601335,
      "longitude": -87.785022500215,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 78,
      "rating": 3,
      "website": "http://www.mobileinfirmary.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bay-minette-north-baldwin-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "INFIRMARY HEALTH SYSTEM",
      "affiliatedSystem": "Infirmary Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: INFIRMARY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Infirmary Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INFIRMARY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-infirmary-health-system",
      "siblingGroupId": "siblings-al-infirmary-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-infirmary-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.infirmaryhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: INFIRMARY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Infirmary Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INFIRMARY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010130",
      "ccn": "010130",
      "name": "ST. VINCENT'S ST.CLAIR",
      "address": "7063 VETERANS PARKWAY",
      "city": "PELL CITY",
      "state": "AL",
      "zip": "35125",
      "county": "ST. CLAIR",
      "latitude": 33.6039924202216,
      "longitude": -86.3022392901613,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 3,
      "website": "http://www.stvhs.com",
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT'S HEALTH SYSTEM",
      "affiliatedSystem": "UAB St. Vincent's",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Stvhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pell-city-st.-vincent-s-st.clair/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JASON P ALEXANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-st-vincent-s-health-system",
      "siblingGroupId": "siblings-al-st-vincent-s-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-uab-st-vincent-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uab.edu/news/health-medicine/uab-medicine-celebrates-first-anniversary-of-uab-st-vincents-acquisition"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JASON P ALEXANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010131",
      "ccn": "010131",
      "name": "CRESTWOOD MEDICAL CENTER",
      "address": "1 HOSPITAL DRIVE",
      "city": "HUNTSVILLE",
      "state": "AL",
      "zip": "35801",
      "county": "MADISON",
      "latitude": 34.6936114000742,
      "longitude": -86.5721715399934,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 180,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntsville-crestwood-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-al-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Community Health Systems; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "010138",
      "ccn": "010138",
      "name": "HILL HOSPITAL OF SUMTER COUNTY",
      "address": "751 DERBY DRIVE",
      "city": "YORK",
      "state": "AL",
      "zip": "36925",
      "county": "SUMTER",
      "latitude": 32.4919942196874,
      "longitude": -88.2955237601025,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 33,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-york-hill-hospital-of-sumter-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HILL HOSPITAL OF YORK",
      "affiliatedSystem": "HILL HOSPITAL OF YORK",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HILL HOSPITAL OF YORK; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILL HOSPITAL OF YORK, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hill-hospital-of-york",
      "siblingGroupId": "siblings-al-hill-hospital-of-york",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-hill-hospital-of-york"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HILL HOSPITAL OF YORK; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILL HOSPITAL OF YORK, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010148",
      "ccn": "010148",
      "name": "EVERGREEN MEDICAL CENTER",
      "address": "101 CRESTVIEW AVENUE, PO BOX 706",
      "city": "EVERGREEN",
      "state": "AL",
      "zip": "36401",
      "county": "CONECUH",
      "latitude": 31.4307985697708,
      "longitude": -86.9404835903615,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 58,
      "rating": 3,
      "website": "http://www.evergreenmedical.org",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-evergreen-evergreen-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "EVERGREEN MEDICAL CENTER LLC",
      "affiliatedSystem": "EVERGREEN MEDICAL CENTER LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: EVERGREEN MEDICAL CENTER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to EVERGREEN MEDICAL CENTER LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EVERGREEN MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-evergreen-medical-center-llc",
      "siblingGroupId": "siblings-al-evergreen-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-evergreen-medical-center-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: EVERGREEN MEDICAL CENTER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to EVERGREEN MEDICAL CENTER LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EVERGREEN MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010149",
      "ccn": "010149",
      "name": "BAPTIST MEDICAL CENTER EAST",
      "address": "400 TAYLOR ROAD, PO BOX 241267",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36117",
      "county": "MONTGOMERY",
      "latitude": 32.3763994997251,
      "longitude": -86.1749300202481,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 150,
      "rating": 4,
      "website": "http://www.baptistfirst.org",
      "status": "corporate_chain",
      "parentSystem": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
      "affiliatedSystem": "Baptist Health Montgomery (UAB Health System affiliate)",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistfirst",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montgomery-baptist-medical-center-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINE E BRUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistfirst. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Baptist Health Montgomery (UAB Health System affiliate); the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "siblingGroupId": "siblings-al-health-care-authority-for-baptist-health-an-affiliate-of-uabhs",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-baptist-health-montgomery-uab-health-system-affiliate"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uabmedicine.org/about-uab-medicine/community-networks/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINE E BRUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistfirst. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Baptist Health Montgomery (UAB Health System affiliate); the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "01014F",
      "ccn": "01014F",
      "name": "BIRMINGHAM VA MEDICAL CENTER",
      "address": "700 SOUTH 19TH STREET",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35233",
      "county": "JEFFERSON",
      "latitude": 33.5044482603354,
      "longitude": -86.801346119559,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 313,
      "rating": 4,
      "website": "https://www.birmingham.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Veterans Health Administration",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Veterans Health Administration; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-al-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Veterans Health Administration; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0101561342",
      "name": "MENDOTA COMMUNITY HOSPITAL",
      "address": "1401 EAST 12TH STREET",
      "city": "MENDOTA",
      "state": "IL",
      "zip": "61342",
      "county": "LASALLE",
      "latitude": 41.5530529101568,
      "longitude": -89.0878077498289,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010157",
      "ccn": "010157",
      "name": "SHOALS HOSPITAL",
      "address": "201 W AVALON AVENUE, PO BOX 3359",
      "city": "MUSCLE SHOALS",
      "state": "AL",
      "zip": "35661",
      "county": "COLBERT",
      "latitude": 34.7471929602188,
      "longitude": -87.6762134200289,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 198,
      "rating": null,
      "website": "http://www.shoalshospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muscle-shoals-shoals-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Lifepoint Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-al-dsb-acquisition-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Lifepoint Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010158",
      "ccn": "010158",
      "name": "RUSSELLVILLE HOSPITAL",
      "address": "15155 HIGHWAY 43, PO BOX 1089",
      "city": "RUSSELLVILLE",
      "state": "AL",
      "zip": "35653",
      "county": "FRANKLIN",
      "latitude": 34.5108181199028,
      "longitude": -87.7183860698187,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": 4,
      "website": "http://www.russellvillehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-russellville-russellville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "JAVA MEDICAL GROUP LLC",
      "affiliatedSystem": "JAVA MEDICAL GROUP LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: JAVA MEDICAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARTHA MCCORMICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to JAVA MEDICAL GROUP LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAVA MEDICAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-java-medical-group-llc",
      "siblingGroupId": "siblings-al-java-medical-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-java-medical-group-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: JAVA MEDICAL GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARTHA MCCORMICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to JAVA MEDICAL GROUP LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAVA MEDICAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010164",
      "ccn": "010164",
      "name": "COOSA VALLEY MEDICAL CENTER",
      "address": "315 WEST HICKORY STREET",
      "city": "SYLACAUGA",
      "state": "AL",
      "zip": "35150",
      "county": "TALLADEGA",
      "latitude": 33.1645602299261,
      "longitude": -86.2554875797203,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 168,
      "rating": 3,
      "website": "http://www.cvhealth.net",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sylacauga-coosa-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE SYLACAUGA HEALTH CARE AUTHORITY",
      "affiliatedSystem": "THE SYLACAUGA HEALTH CARE AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists GLENN CHAMBLEE SISK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE SYLACAUGA HEALTH CARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE SYLACAUGA HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-sylacauga-health-care-authority",
      "siblingGroupId": "siblings-al-the-sylacauga-health-care-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-the-sylacauga-health-care-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists GLENN CHAMBLEE SISK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE SYLACAUGA HEALTH CARE AUTHORITY; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE SYLACAUGA HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "010168",
      "ccn": "010168",
      "name": "JACK HUGHSTON MEMORIAL HOSPITAL",
      "address": "4401 RIVER CHASE DRIVE",
      "city": "PHENIX CITY",
      "state": "AL",
      "zip": "36867",
      "county": "RUSSELL",
      "latitude": 32.5080142603406,
      "longitude": -85.0088847403514,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 70,
      "rating": 4,
      "website": "http://www.jackhughstonmemorialhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - State",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phenix-city-jack-hughston-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "RUSSELL COUNTY COMMUNITY HOSPITAL, LLC",
      "affiliatedSystem": "Jack Hughston Memorial Hospital",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists CHAMP L BAKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Jack Hughston Memorial Hospital; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSSELL COUNTY COMMUNITY HOSPITAL, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-russell-county-community-hospital-llc",
      "siblingGroupId": "siblings-al-russell-county-community-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-jack-hughston-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists CHAMP L BAKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Jack Hughston Memorial Hospital; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSSELL COUNTY COMMUNITY HOSPITAL, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010169",
      "ccn": "010169",
      "name": "ATMORE COMMUNITY HOSPITAL",
      "address": "401 MEDICAL PARK DR",
      "city": "ATMORE",
      "state": "AL",
      "zip": "36502",
      "county": "ESCAMBIA",
      "latitude": 31.0170238701971,
      "longitude": -87.4787985096355,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 51,
      "rating": 3,
      "website": "http://www.ebaptisthealthcare.org/atmorecommunityhospital/",
      "status": "corporate_chain",
      "parentSystem": "ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC",
      "affiliatedSystem": "Escambia County Alabama Community Hospitals",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ebaptisthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atmore-atmore-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS lists CHARLES W NALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Ebaptisthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Escambia County Alabama Community Hospitals; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-escambia-county-alabama-community-hospitals-inc",
      "siblingGroupId": "siblings-al-escambia-county-alabama-community-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-escambia-county-alabama-community-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists CHARLES W NALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Ebaptisthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Escambia County Alabama Community Hospitals; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "010173",
      "ccn": "010173",
      "name": "ST. VINCENT'S CHILTON",
      "address": "2030 LAY DAM ROAD",
      "city": "CLANTON",
      "state": "AL",
      "zip": "35046",
      "county": "CHILTON",
      "latitude": 32.8802860002751,
      "longitude": -86.6227900000658,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clanton-st-vincents-chilton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ST VINCENT'S HEALTH SYSTEM",
      "affiliatedSystem": "UAB St. Vincent's",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-st-vincent-s-health-system",
      "siblingGroupId": "siblings-al-st-vincent-s-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-uab-st-vincent-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uab.edu/news/health-medicine/uab-medicine-celebrates-first-anniversary-of-uab-st-vincents-acquisition"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "01021F",
      "ccn": "01021F",
      "name": "TUSCALOOSA VA MEDICAL CENTER",
      "address": "3701 LOOP ROAD EAST",
      "city": "TUSCALOOSA",
      "state": "AL",
      "zip": "35404",
      "county": "TUSCALOOSA",
      "latitude": 33.1899356701443,
      "longitude": -87.4883178498018,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Veterans Health Administration",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Veterans Health Administration; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-al-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Veterans Health Administration; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0102442431",
      "name": "BAPTIST HEALTH MADISONVILLE",
      "address": "900 HOSPITAL DRIVE",
      "city": "MADISONVILLE",
      "state": "KY",
      "zip": "42431",
      "county": "HOPKINS",
      "latitude": 37.3405978401512,
      "longitude": -87.493349450252,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 390,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTH DEACONESS, LLC",
      "parentSystemId": "entity-baptist-health-deaconess-llc",
      "siblingGroupId": "siblings-ky-baptist-health-deaconess-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH DEACONESS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH DEACONESS, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH DEACONESS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH DEACONESS, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0103221207",
      "name": "UMD REHABILITATION AND ORTHOPAEDIC INSTITUTE",
      "address": "2200 KERNAN DRIVE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21207",
      "county": "BALTIMORE",
      "latitude": 39.3137642397806,
      "longitude": -76.707963499919,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 136,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
      "parentSystemId": "entity-university-of-maryland-medical-system-corporation",
      "siblingGroupId": "siblings-md-university-of-maryland-medical-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KRISHNAJ GOURAB as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KRISHNAJ GOURAB as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0103520850",
      "name": "ADVENTIST HEALTHCARE REHABILITATION AT ROCKVILLE",
      "address": "9909 MEDICAL CENTER DRIVE",
      "city": "ROCKVILLE",
      "state": "MD",
      "zip": "20850",
      "county": "MONTGOMERY",
      "latitude": 39.0985937201702,
      "longitude": -77.2006772098825,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 87,
      "rating": null,
      "website": "http://www.adventisthealthcare.com/",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTHCARE, INC.",
      "affiliatedSystem": "Adventisthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Adventisthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-healthcare-inc",
      "siblingGroupId": "siblings-md-adventist-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-adventist-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealthcare.com/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0103821061",
      "name": "UMD BALTIMORE WASHINGTON MEDICAL CENTER",
      "address": "301 HOSPITAL DRIVE",
      "city": "GLEN BURNIE",
      "state": "MD",
      "zip": "21061",
      "county": "ANNE ARUNDEL",
      "latitude": 39.1376676800863,
      "longitude": -76.6232388597613,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 285,
      "rating": null,
      "website": "https://www.umms.org/bwmc/locations/um-baltimore-washington-medical-center?utm_campaign=website-link&utm_medium=organic&utm_source=local-listing",
      "status": "corporate_chain",
      "parentSystem": "UM BW MEDICAL SYSTEM, INC.",
      "affiliatedSystem": "Umms",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umms",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-um-bw-medical-system-inc",
      "siblingGroupId": "siblings-md-um-bw-medical-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UM BW MEDICAL SYSTEM, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UM BW MEDICAL SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UM BW MEDICAL SYSTEM, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UM BW MEDICAL SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0104021078",
      "name": "UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL",
      "address": "501 SOUTH UNION AVENUE",
      "city": "HAVRE DE GRACE",
      "state": "MD",
      "zip": "21078",
      "county": "HARFORD",
      "latitude": 39.5430934799169,
      "longitude": -76.0908360004088,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 82,
      "rating": null,
      "website": "https://www.umms.org/uch/locations/um-harford-memorial-hospital",
      "status": "corporate_chain",
      "parentSystem": "Umms",
      "affiliatedSystem": "Umms",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umms",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-umms",
      "siblingGroupId": "siblings-md-umms",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0104021078",
        "external-resolution-0104021078"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.umms.org/uch/locations/um-harford-memorial-hospital"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0104868506",
      "name": "MADONNA REHABILITATION HOSPITAL LINCOLN",
      "address": "5401 SOUTH ST",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68506",
      "county": "LANCASTER",
      "latitude": 40.7898798097503,
      "longitude": -96.6468178603103,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 67,
      "rating": null,
      "website": "http://www.madonna.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADONNA REHABILITATION HOSPITAL",
      "parentSystemId": "entity-madonna-rehabilitation-hospital",
      "siblingGroupId": "siblings-ne-madonna-rehabilitation-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-madonna-rehabilitation-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://madonna.org/locations/"
      ],
      "ownershipProofNotes": "CMS lists KENNETH L HOPKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Madonna Rehabilitation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADONNA REHABILITATION HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KENNETH L HOPKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Madonna Rehabilitation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADONNA REHABILITATION HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0104968122",
      "name": "ALEGENT HEALTH",
      "address": "6901 NORTH 72ND ST",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68122",
      "county": "DOUGLAS",
      "latitude": 41.3222431497282,
      "longitude": -96.0202890197363,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 352,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALEGENT HEALTH IMMANUEL MEDICAL CENTER",
      "parentSystemId": "entity-alegent-health-immanuel-medical-center",
      "siblingGroupId": "siblings-ne-alegent-health-immanuel-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALEGENT HEALTH IMMANUEL MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT HEALTH IMMANUEL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALEGENT HEALTH IMMANUEL MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT HEALTH IMMANUEL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0105068661",
      "name": "ALEGENT CREIGHTON HEALTH MEMORIAL HOSP SCHUYLER",
      "address": "104 WEST 17TH ST",
      "city": "SCHUYLER",
      "state": "NE",
      "zip": "68661",
      "county": "COLFAX",
      "latitude": 41.4557691502658,
      "longitude": -97.0606970001777,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0105168410",
      "name": "ST. MARY'S COMMUNITY HOSPITAL",
      "address": "1301 GRUNDMAN BLVD",
      "city": "NEBRASKA CITY",
      "state": "NE",
      "zip": "68410",
      "county": "OTOE",
      "latitude": 40.6563713599896,
      "longitude": -95.8624831002624,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0105668124",
      "name": "ALEGENT HEALTH",
      "address": "7500 MERCY RD",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68124",
      "county": "DOUGLAS",
      "latitude": 41.2396380198734,
      "longitude": -96.0310703302817,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 396,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM",
      "parentSystemId": "entity-alegent-health-bergan-mercy-health-system",
      "siblingGroupId": "siblings-ne-alegent-health-bergan-mercy-health-system",
      "campusFamilyId": "campus-ne-280060",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE GOEBEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE GOEBEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0105868526",
      "name": "NEBRASKA HEART HOSPITAL",
      "address": "7500 SOUTH 91ST ST",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68526",
      "county": "LANCASTER",
      "latitude": 40.7366810297507,
      "longitude": -96.5935130503645,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 63,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DEREK O VANCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DEREK O VANCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0105968510",
      "name": "CATHOLIC HEALTH INITIATIVES",
      "address": "555 SOUTH 70TH ST",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68510",
      "county": "LANCASTER",
      "latitude": 40.8083794699768,
      "longitude": -96.6271786499221,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 258,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0106068803",
      "name": "CATHOLIC HEALTH INITIATIVES",
      "address": "2620 WEST FAIDLEY AVE",
      "city": "GRAND ISLAND",
      "state": "NE",
      "zip": "68803",
      "county": "HALL",
      "latitude": 40.9260594797866,
      "longitude": -98.3716427102242,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 155,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "campusFamilyId": "campus-ne-280023",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0106368130",
      "name": "ALEGENT HEALTH",
      "address": "16901 LAKESIDE HILLS CT",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68130",
      "county": "DOUGLAS",
      "latitude": 41.2377526500913,
      "longitude": -96.1803950000367,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 157,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0106468046",
      "name": "ALEGENT HEALTH",
      "address": "11111 SOUTH 84TH ST",
      "city": "PAPILLION",
      "state": "NE",
      "zip": "68046",
      "county": "SARPY",
      "latitude": 41.1358535200177,
      "longitude": -96.040104590076,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHI NEBRASKA",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0106769154",
      "name": "REGIONAL WEST GARDEN COUNTY",
      "address": "1100 WEST 2ND ST",
      "city": "OSHKOSH",
      "state": "NE",
      "zip": "69154",
      "county": "GARDEN",
      "latitude": 41.4126848298696,
      "longitude": -102.348334779559,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "GARDEN COUNTY HEALTH SERVICES",
      "parentSystemId": "entity-garden-county-health-services",
      "siblingGroupId": "siblings-ne-garden-county-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NE resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARDEN COUNTY HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NE resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARDEN COUNTY HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0106868502",
      "name": "SELECT SPECIALTY HOSPITAL - LINCOLN, INC",
      "address": "2300 SOUTH 16TH STREET, 7TH FLOOR",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68502",
      "county": "LANCASTER",
      "latitude": 40.7896144201148,
      "longitude": -96.6991566300844,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "website": "http://www.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lincoln-select-specialty-hospital---lincoln/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ne-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0106868502",
        "external-resolution-0106868502"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0106968847",
      "name": "GOOD SAMARITAN HOSPITAL",
      "address": "1755 PRAIRIE VIEW PL, PO BOX 1750",
      "city": "KEARNEY",
      "state": "NE",
      "zip": "68847",
      "county": "BUFFALO",
      "latitude": 40.7204552498707,
      "longitude": -99.1067383903865,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 61,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ne-trinity-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0106968847",
        "external-resolution-0106968847"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0107703062",
      "name": "NORTHEAST REHAB. HOSP. AT SNHMC - WEST",
      "address": "29 NORTHWEST BLVD",
      "city": "NASHUA",
      "state": "NH",
      "zip": "03062",
      "county": "HILLSBOROUGH",
      "latitude": 42.800105179825,
      "longitude": -71.5455062203828,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Northeast Rehabilitation Hospital Network",
      "parentSystemId": "entity-northeast-rehabilitation-hospital-network",
      "siblingGroupId": "siblings-nh-northeast-rehabilitation-hospital-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0107703062",
        "external-resolution-0107703062"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northeastrehab.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Northeast Rehabilitation Hospital Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Northeast Rehabilitation Hospital Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "010779",
      "ccn": "010779",
      "name": "BULLOCK COUNTY HOSPITAL",
      "address": "102 WEST CONECUH AVENUE",
      "city": "UNION SPRINGS",
      "state": "AL",
      "zip": "36089",
      "county": "BULLOCK",
      "latitude": 32.1466351099076,
      "longitude": -85.7170093296597,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Proprietary",
      "beds": 61,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-union-springs-bullock-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "R&R PARTNERS LLC",
      "affiliatedSystem": "R&R PARTNERS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: R&R PARTNERS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT LUBIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to R&R PARTNERS LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent R&R PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-r-and-r-partners-llc",
      "siblingGroupId": "siblings-al-r-and-r-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-r-r-partners-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: R&R PARTNERS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT LUBIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to R&R PARTNERS LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent R&R PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "010780",
      "ccn": "010780",
      "name": "EAMC - LANIER",
      "address": "4800 48TH STREET",
      "city": "VALLEY",
      "state": "AL",
      "zip": "36854",
      "county": "CHAMBERS",
      "latitude": 32.8245981099179,
      "longitude": -85.1687026695677,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 115,
      "rating": null,
      "website": "http://www.lanierhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valley-eamc---lanier/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
      "affiliatedSystem": "East Alabama Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE EAST ALABAMA HEALTH CARE AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to East Alabama Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE EAST ALABAMA HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-east-alabama-health-care-authority",
      "siblingGroupId": "siblings-al-the-east-alabama-health-care-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-east-alabama-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.eastalabamahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE EAST ALABAMA HEALTH CARE AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to East Alabama Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE EAST ALABAMA HEALTH CARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0107807962",
      "name": "ATLANTIC REHABILITATION INSTITUTE",
      "address": "95 MT KEMBLE AVENUE",
      "city": "MORRISTOWN",
      "state": "NJ",
      "zip": "07962",
      "county": "MORRIS",
      "latitude": 40.7896209200845,
      "longitude": -74.4891805398111,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 38,
      "rating": null,
      "website": "http://www.atlantichealth.org/morristown/our+services/physical+rehabilitation/",
      "status": "corporate_chain",
      "parentSystem": "Atlantichealth",
      "affiliatedSystem": "Atlantichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Atlantichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morristown-atlantic-rehabilitation-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atlantichealth",
      "siblingGroupId": "siblings-nj-atlantichealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0107807962",
        "external-resolution-0107807962"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.atlantichealth.org/morristown/our+services/physical+rehabilitation/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "010781",
      "ccn": "010781",
      "name": "J. PAUL JONES HOSPITAL",
      "address": "317 MCWILLIAMS AVENUE",
      "city": "CAMDEN",
      "state": "AL",
      "zip": "36726",
      "county": "WILCOX",
      "latitude": 31.997525149936,
      "longitude": -87.3002578402669,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-camden-j.-paul-jones-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "J PAUL JONES HOSPITAL",
      "affiliatedSystem": "J PAUL JONES HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to J PAUL JONES HOSPITAL; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent J PAUL JONES HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-j-paul-jones-hospital",
      "siblingGroupId": "siblings-al-j-paul-jones-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-j-paul-jones-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to J PAUL JONES HOSPITAL; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent J PAUL JONES HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0108007306",
      "name": "CAREPOINT HEALTH - CHRIST HOSPITAL",
      "address": "176 PALISADE AVE",
      "city": "JERSEY CITY",
      "state": "NJ",
      "zip": "07306",
      "county": "HUDSON",
      "latitude": 40.7342676200068,
      "longitude": -74.0499582701836,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 349,
      "rating": null,
      "website": "https://www.carepointhealth.org/christ-hospital",
      "status": "corporate_chain",
      "parentSystem": "CAREPOINT HEALTH SYSTEM, INC",
      "affiliatedSystem": "Carepointhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carepointhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jersey-city-carepoint-health-christ-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carepoint-health-system-inc",
      "siblingGroupId": "siblings-nj-carepoint-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-carepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carepointhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAREPOINT HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER P DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to CarePoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAREPOINT HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAREPOINT HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER P DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to CarePoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAREPOINT HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0108307724",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TINTON FALLS",
      "address": "2 CENTRE PLAZA",
      "city": "TINTON FALLS",
      "state": "NJ",
      "zip": "07724",
      "county": "MONMOUTH",
      "latitude": 40.2828346498058,
      "longitude": -74.0797254401229,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.rehabnjtintonfalls.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tinton-falls-encompass-health-rehabilitation-hospital-of-tinton-falls/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nj-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0108408096",
      "name": "INSPIRA MEDICAL CENTER WOODBURY",
      "address": "509 N BROAD ST",
      "city": "WOODBURY",
      "state": "NJ",
      "zip": "08096",
      "county": "GLOUCESTER",
      "latitude": 39.8438558401239,
      "longitude": -75.1494659900608,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 311,
      "rating": null,
      "website": "http://www.inspirahealthnetwork.org/woodbury",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodbury-inspira-medical-center-woodbury/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Inspira Health",
      "parentSystemId": "entity-inspira-health",
      "siblingGroupId": "siblings-nj-inspira-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0108408096",
        "external-resolution-0108408096"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.inspirahealthnetwork.org/locations"
      ],
      "ownershipProofNotes": "Inspira Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Inspira Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0108808701",
      "name": "SPECIALTY HOSPITAL OF CENTRAL JERSEY",
      "address": "600 RIVER AVENUE, 4 WEST",
      "city": "LAKEWOOD",
      "state": "NJ",
      "zip": "08701",
      "county": "OCEAN",
      "latitude": 40.0730650298768,
      "longitude": -74.219005590342,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.acutecarehs.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakewood-specialty-hospital-of-central-jersey/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ACUTECARE HEALTH SYSTEM, LLC",
      "parentSystemId": "entity-acutecare-health-system-llc",
      "siblingGroupId": "siblings-nj-acutecare-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists LEON GOLDENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACUTECARE HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LEON GOLDENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACUTECARE HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0108908401",
      "name": "ACUITY SPECIALTY HOSPITAL OF NEW JERSEY",
      "address": "1925 PACIFIC AVENUE 5TH FLOOR",
      "city": "ATLANTIC CITY",
      "state": "NJ",
      "zip": "08401",
      "county": "ATLANTIC",
      "latitude": 39.3581193396898,
      "longitude": -74.4343698597001,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://atlanticcity.acuityhealthcare.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nj-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOANN MCGOVERN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOANN MCGOVERN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0109107675",
      "name": "CARE ONE AT HUMC PASCACK VALLEY",
      "address": "250 OLD HOOK ROAD, 4TH FLOOR",
      "city": "WESTWOOD",
      "state": "NJ",
      "zip": "07675",
      "county": "BERGEN",
      "latitude": 40.9855294000314,
      "longitude": -74.0150213200387,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westwood-care-one-at-humc-pascack-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CareOne",
      "parentSystemId": "entity-careone",
      "siblingGroupId": "siblings-nj-careone",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0109107675",
        "external-resolution-0109107675"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.care-one.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to CareOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to CareOne and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0109507675",
      "name": "PASCACK VALLEY MEDICAL CENTER, HACKENSACK MERIDIAN HEALTH",
      "address": "250 OLD HOOK ROAD",
      "city": "WESTWOOD",
      "state": "NJ",
      "zip": "07675",
      "county": "BERGEN",
      "latitude": 40.9856164402281,
      "longitude": -74.0156813796516,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 128,
      "rating": null,
      "website": "https://pascackmedicalcenter.com/",
      "status": "corporate_chain",
      "parentSystem": "AHS Management",
      "affiliatedSystem": "Hackensack Meridian Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Hackensack Meridian Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nj-ahs-management",
      "campusFamilyId": "campus-nj-310130",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0109608360",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF VINELAND",
      "address": "1237 W SHERMAN AVENUE",
      "city": "VINELAND",
      "state": "NJ",
      "zip": "08360",
      "county": "CUMBERLAND",
      "latitude": 39.4451618902005,
      "longitude": -75.0525934098581,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "website": "http://www.healthsouthvineland.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vineland-encompass-health-rehabilitation-hospital-of-vineland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nj-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0109908818",
      "name": "JFK JOHNSON REHABILITATION INSTITUTE",
      "address": "65 JAMES STREET",
      "city": "EDISON",
      "state": "NJ",
      "zip": "08818",
      "county": "MIDDLESEX",
      "latitude": 40.5565949896723,
      "longitude": -74.350116659895,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 94,
      "rating": null,
      "website": "https://www.jfkmc.org/clinical-services/jfk-johnson-rehabilitation-institute/",
      "status": "corporate_chain",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "affiliatedSystem": "Jfkmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jfkmc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edison-jfk-johnson-rehabilitation-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "campusFamilyId": "campus-nj-310108",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK S STAUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jfkmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jfkmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK S STAUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jfkmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jfkmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0110207042",
      "name": "HACKENSACK-UMC MOUNTAINSIDE",
      "address": "BAY AND HIGHLAND AVE",
      "city": "MONTCLAIR",
      "state": "NJ",
      "zip": "07042",
      "county": "ESSEX",
      "latitude": 40.8114273499645,
      "longitude": -74.2040387396304,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 347,
      "rating": null,
      "website": "http://www.mountainsidehosp.com/home.aspx",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Ardent Health Services",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "031054",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montclair-hackensack-umc-mountainside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ardent-health-services",
      "siblingGroupId": "siblings-nj-ardent-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0110207042",
        "facility-site-0110207042"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mountainsidehosp.com/home.aspx"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0110508536",
      "name": "PENN MEDICINE PRINCETON MEDICAL CENTER",
      "address": "ONE-FIVE PLAINSBORO ROAD",
      "city": "PLAINSBORO",
      "state": "NJ",
      "zip": "08536",
      "county": "MIDDLESEX",
      "latitude": 40.3403616399534,
      "longitude": -74.6241641701972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 435,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "PRINCETON HEALTHCARE SYSTEM HOLDING INC",
      "affiliatedSystem": "Penn Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Penn Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-princeton-healthcare-system-holding-inc",
      "siblingGroupId": "siblings-nj-princeton-healthcare-system-holding-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-princeton-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.princetonhcs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRINCETON HEALTHCARE SYSTEM HOLDING INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JULIA PUCHTLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Princeton Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRINCETON HEALTHCARE SYSTEM HOLDING INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRINCETON HEALTHCARE SYSTEM HOLDING INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JULIA PUCHTLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Princeton Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRINCETON HEALTHCARE SYSTEM HOLDING INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0110987106",
      "name": "LOVELACE UNM OUTPATIENT REHABILITATION",
      "address": "7910 WYOMING BLVD NE, SUITE C",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87109",
      "county": "BERNALILLO",
      "latitude": 35.0927104796378,
      "longitude": -106.621534199626,
      "hospitalType": "CHILDREN",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 62,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "University of New Mexico Health System",
      "parentSystemId": "entity-university-of-new-mexico-health-system",
      "siblingGroupId": "siblings-nm-university-of-new-mexico-health-system",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0110987106",
        "external-resolution-0110987106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nm.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0111487106",
      "name": "UNM AHF PRIMARY CARE CLINIC",
      "address": "2600 MARBLE AVE NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87106",
      "county": "BERNALILLO",
      "latitude": 35.0902577298435,
      "longitude": -106.616245789701,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 47,
      "rating": null,
      "website": "http://hospitals.unm.edu/about/about-unmpc.shtml",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-unm-ahf-primary-care-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "University of New Mexico Health System",
      "parentSystemId": "entity-university-of-new-mexico-health-system",
      "siblingGroupId": "siblings-nm-university-of-new-mexico-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0111487106",
        "external-resolution-0111487106"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20080929000558 (32S001). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20080929000558 (32S001). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0111587144",
      "name": "UNM SANDOVAL REGIONAL MEDICAL CENTER",
      "address": "3001 BROADMOOR BLVD NE",
      "city": "RIO RANCHO",
      "state": "NM",
      "zip": "87144",
      "county": "SANDOVAL",
      "latitude": 35.3087657998715,
      "longitude": -106.680232940102,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 60,
      "rating": null,
      "website": "http://www.unmsrmc.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rio-rancho-unm-sandoval-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNM SANDOVAL REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-unm-sandoval-regional-medical-center",
      "siblingGroupId": "siblings-nm-unm-sandoval-regional-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0111587144",
        "external-resolution-0111587144"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 320089; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 320089; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0111989102",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAS VEGAS",
      "address": "1250 S VALLEY VIEW BLVD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89102",
      "county": "CLARK",
      "latitude": 36.1567317701708,
      "longitude": -115.194223440293,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 79,
      "rating": null,
      "website": "http://www.healthsouthlasvegas.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-encompass-health-rehabilitation-hospital-of-las-vegas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nv-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "011300",
      "ccn": "011300",
      "name": "WASHINGTON COUNTY HOSPITAL",
      "address": "14600 ST STEPHENS AVENUE, PO BOX 1299",
      "city": "CHATOM",
      "state": "AL",
      "zip": "36518",
      "county": "WASHINGTON",
      "latitude": 31.4595381503466,
      "longitude": -88.2350798903718,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.wchnh.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chatom-washington-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC",
      "affiliatedSystem": "WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-washington-county-healthcare-authority-inc",
      "siblingGroupId": "siblings-al-washington-county-healthcare-authority-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-washington-county-healthcare-authority-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "011302",
      "ccn": "011302",
      "name": "RED BAY HOSPITAL",
      "address": "211 HOSPITAL ROAD, PO BOX 490",
      "city": "RED BAY",
      "state": "AL",
      "zip": "35582",
      "county": "FRANKLIN",
      "latitude": 34.4581057602765,
      "longitude": -88.1473250602842,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://redbayhospital.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-red-bay-red-bay-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HH HEALTH SYSTEM - SHOALS, LLC",
      "affiliatedSystem": "HH Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists CLINTON P CARTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH HEALTH SYSTEM - SHOALS, LLC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hh-health-system-shoals-llc",
      "siblingGroupId": "siblings-al-hh-health-system-shoals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-hh-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hh.health/who-we-are/about-hh-health/"
      ],
      "ownershipProofNotes": "CMS lists CLINTON P CARTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to HH Health; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HH HEALTH SYSTEM - SHOALS, LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "011305",
      "ccn": "011305",
      "name": "ST. VINCENT'S BLOUNT",
      "address": "150 GILBREATH DRIVE, PO BOX 1000",
      "city": "ONEONTA",
      "state": "AL",
      "zip": "35121",
      "county": "BLOUNT",
      "latitude": 33.9296507300027,
      "longitude": -86.4941186299587,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": null,
      "website": "http://www.stvhs.com",
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT'S HEALTH SYSTEM",
      "affiliatedSystem": "UAB St. Vincent's",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Stvhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oneonta-st.-vincent-s-blount/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-st-vincent-s-health-system",
      "siblingGroupId": "siblings-al-st-vincent-s-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-uab-st-vincent-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uab.edu/news/health-medicine/uab-medicine-celebrates-first-anniversary-of-uab-st-vincents-acquisition"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT'S HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Stvhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stvhs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to UAB St. Vincent's; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT'S HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "011306",
      "ccn": "011306",
      "name": "TANNER MEDICAL CENTER - EAST ALABAMA",
      "address": "1032 MAIN STREET SOUTH",
      "city": "WEDOWEE",
      "state": "AL",
      "zip": "36278",
      "county": "RANDOLPH",
      "latitude": 33.2953320002364,
      "longitude": -85.480688999657,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 15,
      "rating": null,
      "website": "https://www.tanner.org/tanner-medical-center-east-alabama",
      "status": "signal",
      "parentSystem": "TANNER MEDICAL CENTER ALABAMA INC",
      "affiliatedSystem": "Tanner Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Tanner",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wedowee-tanner-medical-center---east-alabama/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS lists CAROL CREWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Tanner Health System; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER ALABAMA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tanner-medical-center-alabama-inc",
      "siblingGroupId": "siblings-al-tanner-medical-center-alabama-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-tanner-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists CAROL CREWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Tanner Health System; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER ALABAMA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "011307",
      "ccn": "011307",
      "name": "MEDICAL CENTER BARBOUR",
      "address": "820 WEST WASHINGTON STREET",
      "city": "EUFAULA",
      "state": "AL",
      "zip": "36027",
      "county": "BARBOUR",
      "latitude": 31.8886450799336,
      "longitude": -85.156405419641,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 74,
      "rating": null,
      "website": "http://www.medctrbarbour.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eufaula-medical-center-barbour/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MCBH LLC",
      "affiliatedSystem": "Health Care Authority of the City of Eufaula",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MCBH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL ANDREW KOZAR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Health Care Authority of the City of Eufaula; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCBH LLC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-mcbh-llc",
      "siblingGroupId": "siblings-al-mcbh-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-health-care-authority-of-the-city-of-eufaula"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCBH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL ANDREW KOZAR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Health Care Authority of the City of Eufaula; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCBH LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "011308",
      "ccn": "011308",
      "name": "CRENSHAW COMMUNITY HOSPITAL",
      "address": "101 HOSPITAL CIRCLE",
      "city": "LUVERNE",
      "state": "AL",
      "zip": "36049",
      "county": "CRENSHAW",
      "latitude": 31.6935440698576,
      "longitude": -86.2650457001574,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 65,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-luverne-crenshaw-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BLUE MANAGEMENT SERVICES LLC",
      "affiliatedSystem": "Crenshaw County Health Care Authority",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: BLUE MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Crenshaw County Health Care Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUE MANAGEMENT SERVICES LLC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-blue-management-services-llc",
      "siblingGroupId": "siblings-al-blue-management-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-crenshaw-county-health-care-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BLUE MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Crenshaw County Health Care Authority; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUE MANAGEMENT SERVICES LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "011309",
      "ccn": "011309",
      "name": "WIREGRASS MEDICAL CENTER",
      "address": "1200 WEST MAPLE AVENUE",
      "city": "GENEVA",
      "state": "AL",
      "zip": "36340",
      "county": "GENEVA",
      "latitude": 31.0487939898497,
      "longitude": -85.8925366902392,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 83,
      "rating": null,
      "website": "http://www.alaweb.com/ tgarske",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-geneva-wiregrass-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "GENEVA COUNTY HEALTHCARE AUTHORITY INC",
      "affiliatedSystem": "GENEVA COUNTY HEALTHCARE AUTHORITY INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: GENEVA COUNTY HEALTHCARE AUTHORITY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GENEVA COUNTY HEALTHCARE AUTHORITY INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENEVA COUNTY HEALTHCARE AUTHORITY INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-geneva-county-healthcare-authority-inc",
      "siblingGroupId": "siblings-al-geneva-county-healthcare-authority-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-geneva-county-healthcare-authority-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: GENEVA COUNTY HEALTHCARE AUTHORITY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to GENEVA COUNTY HEALTHCARE AUTHORITY INC; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENEVA COUNTY HEALTHCARE AUTHORITY INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0113689832",
      "name": "PUBLIC HEALTH SERV INDIAN HOSP",
      "address": "1623 HOSPITAL LOOP",
      "city": "OWYHEE",
      "state": "NV",
      "zip": "89832",
      "county": "ELKO",
      "latitude": 41.9498916297282,
      "longitude": -116.097797000352,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.shopaitribes.org/spochf/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-owyhee-public-health-serv-indian-hosp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Indian Health Service",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-nv-indian-health-service",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0113689832",
        "external-resolution-0113689832"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0114611203",
      "name": "KINGSBROOK JEWISH MEDICAL CENTER",
      "address": "585 SCHENECTADY AVENUE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11203",
      "county": "KINGS",
      "latitude": 40.6594404496916,
      "longitude": -73.9335453104436,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "website": "http://www.kingsbrook.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-kingsbrook-jewish-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KINGSBROOK JEWISH MEDICAL CENTER",
      "parentSystemId": "entity-kingsbrook-jewish-medical-center",
      "siblingGroupId": "siblings-ny-kingsbrook-jewish-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-12-31",
      "ownershipSourceIds": [
        "hifld-location-0114611203",
        "external-resolution-0114611203"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 330201; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 330201; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0115014127",
      "name": "MERCY HOSPITAL - MERCY HOSPITAL ORCHARD PARK DIVISION",
      "address": "3669 SOUTHWESTERN BLVD",
      "city": "ORCHARD PARK",
      "state": "NY",
      "zip": "14127",
      "county": "ERIE",
      "latitude": 42.7805450901606,
      "longitude": -78.7725727903694,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 2,
      "rating": null,
      "website": "http://www.chsbuffalo.org/facilities/diagnostic/mercyambulatorycarecenter",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orchard-park-mercy-hospital---mercy-hospital-orchard-park-division/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Catholic Health Buffalo",
      "parentSystemId": "entity-catholic-health-buffalo",
      "siblingGroupId": "siblings-ny-catholic-health-buffalo",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0115014127",
        "external-resolution-0115014127"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.chsbuffalo.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Catholic Health Buffalo and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Catholic Health Buffalo and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0115113501",
      "name": "MOHAWK VALLEY HEART INSTITUTE, INC",
      "address": "2209 GENESEE STREET",
      "city": "UTICA",
      "state": "NY",
      "zip": "13501",
      "county": "ONEIDA",
      "latitude": 43.0814904598173,
      "longitude": -75.2666017100239,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 201,
      "rating": null,
      "website": "http://www.mvheart.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mohawk Valley Health System",
      "parentSystemId": "entity-mohawk-valley-health-system",
      "siblingGroupId": "siblings-ny-mohawk-valley-health-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0115113501",
        "external-resolution-0115113501"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mvhealthsystem.org/history/"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 330245. The tracker parent candidate was corroborated against Mohawk Valley Health System's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 330245. The tracker parent candidate was corroborated against Mohawk Valley Health System's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0115411234",
      "name": "MOUNT SINAI BROOKLYN",
      "address": "3201 KINGS HIGHWAY",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11234",
      "county": "KINGS",
      "latitude": 40.6188200998409,
      "longitude": -73.9429012398732,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 212,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mount Sinai Health System",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-health-system",
      "siblingGroupId": "siblings-ny-mount-sinai-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0115411234",
        "external-resolution-0115411234"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0115511102",
      "name": "MOUNT SINAI HOSPITAL - MOUNT SINAI HOSPITAL OF QUEENS",
      "address": "25-10 30TH AVENUE",
      "city": "LONG ISLAND CITY",
      "state": "NY",
      "zip": "11102",
      "county": "QUEENS",
      "latitude": 40.7682950602161,
      "longitude": -73.9248843401757,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 228,
      "rating": null,
      "website": "http://www.mshq.org/",
      "status": "corporate_chain",
      "parentSystem": "Mount Sinai Health System",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-island-city-mount-sinai-hospital---mount-sinai-hospital-of-queens/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-health-system",
      "siblingGroupId": "siblings-ny-mount-sinai-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0115511102",
        "external-resolution-0115511102"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0115710605",
      "name": "NEW YORK - PRESBYTERIAN WESTCHESTER BEHAVIORAL HEALTH CENTER",
      "address": "21 BLOOMINGDALE ROAD",
      "city": "WHITE PLAINS",
      "state": "NY",
      "zip": "10605",
      "county": "WESTCHESTER",
      "latitude": 41.0275795102714,
      "longitude": -73.7539098804079,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 247,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NewYork-Presbyterian",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newyork-presbyterian",
      "siblingGroupId": "siblings-ny-newyork-presbyterian",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0115710605",
        "external-resolution-0115710605"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0115910567",
      "name": "NEWYORK - PRESBYTERIAN - HUDSON VALLEY HOSPITAL",
      "address": "1980 CROMPOND ROAD",
      "city": "CORTLANDT MANOR",
      "state": "NY",
      "zip": "10567",
      "county": "WESTCHESTER",
      "latitude": 41.2924646596752,
      "longitude": -73.8926009900239,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 128,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HUDSON VALLEY HOSPITAL CENTER",
      "parentSystemId": "entity-hudson-valley-hospital-center",
      "siblingGroupId": "siblings-ny-hudson-valley-hospital-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-hudson-valley-hospital-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HUDSON VALLEY HOSPITAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUDSON VALLEY HOSPITAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HUDSON VALLEY HOSPITAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUDSON VALLEY HOSPITAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0116610021",
      "name": "ROCKEFELLER UNIVERSITY HOSPITAL",
      "address": "1230 YORK AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10021",
      "county": "NEW YORK",
      "latitude": 40.7630474396616,
      "longitude": -73.9546231700644,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "https://www.rucares.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-rockefeller-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ROCKEFELLER UNIVERSITY HOSPITAL",
      "parentSystemId": "entity-rockefeller-university-hospital",
      "siblingGroupId": "siblings-ny-rockefeller-university-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0116610021",
        "external-resolution-0116610021"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 330387; Type of Control 3 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 330387; Type of Control 3 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0116810035",
      "name": "HENRY J. CARTER SPECIALTY HOSPITAL",
      "address": "1752 PARK AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10035",
      "county": "NEW YORK",
      "latitude": 40.8032851102282,
      "longitude": -73.9416238499122,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 201,
      "rating": null,
      "website": "http://www.nychealthandhospitals.org/carter/html/home/home.shtml",
      "status": "corporate_chain",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "affiliatedSystem": "Nychealthandhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nychealthandhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-henry-j.-carter-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0116910457",
      "name": "SBH HEALTH SYSTEM",
      "address": "4422 THIRD AVENUE",
      "city": "BRONX",
      "state": "NY",
      "zip": "10457",
      "county": "BRONX",
      "latitude": 40.8526890102129,
      "longitude": -73.891362879797,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 422,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST BARNABAS COMMUNITY ENTERPRISES",
      "parentSystemId": "entity-st-barnabas-community-enterprises",
      "siblingGroupId": "siblings-ny-st-barnabas-community-enterprises",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-st-barnabas-community-enterprises"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST BARNABAS COMMUNITY ENTERPRISES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST BARNABAS COMMUNITY ENTERPRISES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST BARNABAS COMMUNITY ENTERPRISES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST BARNABAS COMMUNITY ENTERPRISES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST BARNABAS COMMUNITY ENTERPRISES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST BARNABAS COMMUNITY ENTERPRISES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0117510021",
      "name": "MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES",
      "address": "1275 YORK AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10065",
      "county": "NEW YORK",
      "latitude": 40.7642743197899,
      "longitude": -73.9565955200854,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 514,
      "rating": null,
      "website": "https://www.mskcc.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-memorial-hospital-for-cancer-and-allied-diseases/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES",
      "parentSystemId": "entity-memorial-hospital-for-cancer-and-allied-diseases",
      "siblingGroupId": "siblings-ny-memorial-hospital-for-cancer-and-allied-diseases",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-memorial-hospital-for-cancer-and-allied-diseases"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0117712180",
      "name": "THE BURDETT CARE CENTER",
      "address": "2215 BURDETT AVENUE",
      "city": "TROY",
      "state": "NY",
      "zip": "12180",
      "county": "RENSSELAER",
      "latitude": 42.7332256969077,
      "longitude": -73.6728576887773,
      "hospitalType": "WOMEN",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "website": "http://www.burdettcarecenter.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST PETERS HEALTH PARTNERS",
      "parentSystemId": "entity-st-peters-health-partners",
      "siblingGroupId": "siblings-ny-st-peters-health-partners",
      "campusFamilyId": "campus-ny-330180",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-albany-med-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.albanymed.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST PETERS HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 3; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST PETERS HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 3; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0118012601",
      "name": "MID - HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER",
      "address": "241 NORTH ROAD",
      "city": "POUGHKEEPSIE",
      "state": "NY",
      "zip": "12601",
      "county": "DUTCHESS",
      "latitude": 41.7178383902415,
      "longitude": -73.9277093504031,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 243,
      "rating": null,
      "website": "http://www.midhudsonregional.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-poughkeepsie-mid-hudson-valley-division-of-westchester-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MID - HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER",
      "parentSystemId": "entity-mid-hudson-valley-division-of-westchester-medical-center",
      "siblingGroupId": "siblings-ny-mid-hudson-valley-division-of-westchester-medical-center",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0118012601",
        "external-resolution-0118012601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.midhudsonregional.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0118110461",
      "name": "MONTEFIORE MED CENTER - JACK D WEILER HOSP OF A EINSTEIN COLLEGE DIV",
      "address": "1825 EASTCHESTER ROAD",
      "city": "BRONX",
      "state": "NY",
      "zip": "10461",
      "county": "BRONX",
      "latitude": 40.8498892101426,
      "longitude": -73.845890220302,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 421,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-montefiore-med-center---jack-d-weiler-hosp-of-a-einstein-college-div/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Montefiore Health System",
      "parentSystemId": "entity-montefiore-health-system",
      "siblingGroupId": "siblings-ny-montefiore-health-system",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0118110461",
        "external-resolution-0118110461"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Montefiore Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Montefiore Health System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0118413838",
      "name": "A.O. FOX MEMORIAL HOSPITAL - TRI - TOWN CAMPUS",
      "address": "43 PEARL STREET WEST",
      "city": "SIDNEY",
      "state": "NY",
      "zip": "13838",
      "county": "DELAWARE",
      "latitude": 42.3041546998573,
      "longitude": -75.3954690197626,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 67,
      "rating": null,
      "website": "https://www.bassett.org/locations/ao-fox-hospital-tri-town-campus",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Bassett Healthcare Network",
      "parentSystemId": "entity-bassett-healthcare-network",
      "siblingGroupId": "siblings-ny-bassett-healthcare-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0118413838",
        "external-resolution-0118413838"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bassett.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Bassett Healthcare Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Bassett Healthcare Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0118710025",
      "name": "MOUNT SINAI MORNINGSIDE",
      "address": "1111 AMSTERDAM AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10025",
      "county": "NEW YORK",
      "latitude": 40.8049225398546,
      "longitude": -73.9615903497961,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 495,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mount Sinai Health System",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-mount-sinai-morningside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-health-system",
      "siblingGroupId": "siblings-ny-mount-sinai-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0118710025",
        "external-resolution-0118710025"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0119310038",
      "name": "NEW YORK - PRESBYTERIAN - LOWER MANHATTAN HOSPITAL",
      "address": "170 WILLIAM STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10038",
      "county": "NEW YORK",
      "latitude": 40.710516789887,
      "longitude": -74.0052978296393,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 180,
      "rating": null,
      "website": "http://www.nyp.org/lowermanhattan",
      "status": "corporate_chain",
      "parentSystem": "NewYork-Presbyterian",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-new-york-presbyterian/lower-manhattan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newyork-presbyterian",
      "siblingGroupId": "siblings-ny-newyork-presbyterian",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0119310038",
        "external-resolution-0119310038"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0119511201",
      "name": "NYU LANGONE HEALTH - COBBLE HILL",
      "address": "83 AMITY STREET",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11201",
      "county": "KINGS",
      "latitude": 40.689873420196,
      "longitude": -73.9977657102052,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NYU Langone Health",
      "affiliatedSystem": "NYU Langone Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NYU Langone Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-nyu-langone-health---cobble-hill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nyu-langone-health",
      "siblingGroupId": "siblings-ny-nyu-langone-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0119511201",
        "external-resolution-0119511201"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nyulangone.org/locations"
      ],
      "ownershipProofNotes": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0119614420",
      "name": "URMC STRONG WEST",
      "address": "156 WEST AVENUE",
      "city": "BROCKPORT",
      "state": "NY",
      "zip": "14420",
      "county": "MONROE",
      "latitude": 43.2216117799191,
      "longitude": -77.9445751096113,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://www.urmc.rochester.edu/strong-west.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brockport-urmc-strong-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UR Medicine",
      "parentSystemId": "entity-ur-medicine",
      "siblingGroupId": "siblings-ny-ur-medicine",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0119614420",
        "external-resolution-0119614420"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.urmc.rochester.edu/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to UR Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to UR Medicine and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0119710701",
      "name": "SJRH - ST JOHNS DIVISION",
      "address": "967 NORTH BROADWAY",
      "city": "YONKERS",
      "state": "NY",
      "zip": "10701",
      "county": "WESTCHESTER",
      "latitude": 40.9689135303364,
      "longitude": -73.8861469198976,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 225,
      "rating": null,
      "website": "http://www.riversidehealth.org/facilities/andrus.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yonkers-sjrh---st-johns-division/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0119710701",
        "external-resolution-0119710701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "No ownership edge is published: fuzzy_crosswalk_withheld."
    },
    {
      "id": "0119810605",
      "name": "WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL",
      "address": "785 MAMARONECK AVENUE",
      "city": "WHITE PLAINS",
      "state": "NY",
      "zip": "10605",
      "county": "WESTCHESTER",
      "latitude": 41.0168086797827,
      "longitude": -73.7515055000241,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 150,
      "rating": null,
      "website": "http://www.burke.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL",
      "parentSystemId": "entity-winifred-masterson-burke-rehabilitation-hospital",
      "siblingGroupId": "siblings-ny-winifred-masterson-burke-rehabilitation-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-winifred-masterson-burke-rehabilitation-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0120114222",
      "name": "WOMEN AND CHILDREN'S HOSPITAL OF BUFFALO",
      "address": "219 BRYANT STREET",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14222",
      "county": "ERIE",
      "latitude": 42.9092085097137,
      "longitude": -78.8752090099441,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 200,
      "rating": null,
      "website": "http://www.kaleidahealth.org/childrens/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-women-and-children-s-hospital-of-buffalo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kaleida Health",
      "parentSystemId": "entity-kaleida-health",
      "siblingGroupId": "siblings-ny-kaleida-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0120114222",
        "external-resolution-0120114222"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kaleidahealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0120511501",
      "name": "NYU LANGONE HOSPITAL - LONG ISLAND",
      "address": "259 FIRST STREET",
      "city": "MINEOLA",
      "state": "NY",
      "zip": "11501",
      "county": "NASSAU",
      "latitude": 40.7406974802043,
      "longitude": -73.6430084002446,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 591,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NYU Langone Health",
      "affiliatedSystem": "NYU Langone Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NYU Langone Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mineola-nyu-langone-hospital-long-island/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nyu-langone-health",
      "siblingGroupId": "siblings-ny-nyu-langone-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0120511501",
        "external-resolution-0120511501"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nyulangone.org/locations"
      ],
      "ownershipProofNotes": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0120712946",
      "name": "ADIRONDACK MEDICAL CENTER - LAKE PLACID SITE",
      "address": "203 OLD MILITARY ROAD",
      "city": "LAKE PLACID",
      "state": "NY",
      "zip": "12946",
      "county": "ESSEX",
      "latitude": 44.2672450302898,
      "longitude": -73.9818692801426,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adirondack Health",
      "parentSystemId": "entity-adirondack-health",
      "siblingGroupId": "siblings-ny-adirondack-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0120712946",
        "external-resolution-0120712946"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adirondackhealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Adirondack Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Adirondack Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0121013326",
      "name": "MARY IMOGENE BASSETT HOSPITAL",
      "address": "1 ATWELL ROAD",
      "city": "COOPERSTOWN",
      "state": "NY",
      "zip": "13326",
      "county": "OTSEGO",
      "latitude": 42.6952551397657,
      "longitude": -74.9229555701845,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 180,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cooperstown-mary-imogene-bassett-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Bassett Healthcare Network",
      "parentSystemId": "entity-bassett-healthcare-network",
      "siblingGroupId": "siblings-ny-bassett-healthcare-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0121013326",
        "external-resolution-0121013326"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20071121000089 (330136). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20071121000089 (330136). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0121310703",
      "name": "SJRH - PARK CARE PAVILION",
      "address": "2 PARK AVENUE",
      "city": "YONKERS",
      "state": "NY",
      "zip": "10703",
      "county": "WESTCHESTER",
      "latitude": 40.9403860702251,
      "longitude": -73.8916523897451,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 141,
      "rating": null,
      "website": "http://www.riversidehealth.org/facilities/parkcare.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yonkers-sjrh---park-care-pavilion/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "St. John's Riverside Hospital",
      "parentSystemId": "entity-st-john-s-riverside-hospital",
      "siblingGroupId": "siblings-ny-st-john-s-riverside-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0121310703",
        "external-resolution-0121310703"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://riversidehealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to St. John's Riverside Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to St. John's Riverside Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0121514081",
      "name": "BROOKS TLC HOSPITAL SYSTEMS INC",
      "address": "845 ROUTES 5&20",
      "city": "IRVING",
      "state": "NY",
      "zip": "14081",
      "county": "CHAUTAUQUA",
      "latitude": 42.5584886200967,
      "longitude": -79.1258387496346,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 45,
      "rating": null,
      "website": "http://tlchealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-irving-brooks-tlc-hospital-systems-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Brooks-TLC Hospital System",
      "parentSystemId": "entity-brooks-tlc-hospital-system",
      "siblingGroupId": "siblings-ny-brooks-tlc-hospital-system",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0121514081",
        "external-resolution-0121514081"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.brookshospital.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Brooks-TLC Hospital System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Brooks-TLC Hospital System and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0121614901",
      "name": "ST. JOSEPH'S HOSPITAL",
      "address": "555 ST JOSEPH'S BOULEVARD",
      "city": "ELMIRA",
      "state": "NY",
      "zip": "14901",
      "county": "CHEMUNG",
      "latitude": 42.091950350119,
      "longitude": -76.7984345003542,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 125,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elmira-st-josephs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARNOT OGDEN MEDICAL CENTER",
      "parentSystemId": "entity-arnot-ogden-medical-center",
      "siblingGroupId": "siblings-ny-arnot-ogden-medical-center",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-03-01",
      "ownershipSourceIds": [
        "hifld-location-0121614901",
        "external-resolution-0121614901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in NY. The latest transaction effective 03/01/2019 identifies ARNOT OGDEN MEDICAL CENTER as buyer/current legal organization; the seller was ST. JOSEPH'S HOSPITAL.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in NY. The latest transaction effective 03/01/2019 identifies ARNOT OGDEN MEDICAL CENTER as buyer/current legal organization; the seller was ST. JOSEPH'S HOSPITAL."
    },
    {
      "id": "0121843614",
      "name": "ADVANCED SPECIALTY HOSPITAL OF TOLEDO",
      "address": "1015 GARDEN LAKE PARKWAY",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43614",
      "county": "LUCAS",
      "latitude": 41.6202062602543,
      "longitude": -83.5962440996209,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.communicarehealth.com/facility/advanced-specialty-hospitals-of-toledo/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEALTH CARE FACILITY MANAGEMENT, LLC",
      "parentSystemId": "entity-health-care-facility-management-llc",
      "siblingGroupId": "siblings-oh-health-care-facility-management-llc",
      "campusFamilyId": "campus-oh-362038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH CARE FACILITY MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE FACILITY MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH CARE FACILITY MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE FACILITY MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0122145229",
      "name": "CHILDREN'S HOSP. MEDICAL CENTER",
      "address": "3333 BURNET AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45229",
      "county": "HAMILTON",
      "latitude": 39.1409063701423,
      "longitude": -84.5023581797447,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 476,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-children-s-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITAL MEDICAL CENTER",
      "parentSystemId": "entity-children-s-hospital-medical-center",
      "siblingGroupId": "siblings-oh-children-s-hospital-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-children-s-hospital-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists STEPHEN J DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEPHEN J DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0122343543",
      "name": "COMM. HOSP. OF WILL.CO - MONTPELIER",
      "address": "909 SNYDER AVENUE",
      "city": "MONTPELIER",
      "state": "OH",
      "zip": "43543",
      "county": "WILLIAMS",
      "latitude": 41.5901335199931,
      "longitude": -84.5953124703749,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0122343543",
        "external-resolution-0122343543"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "No ownership edge is published: fuzzy_crosswalk_withheld."
    },
    {
      "id": "0122645216",
      "name": "DANIEL DRAKE CENTER FOR POST - ACUTE CARE LLC",
      "address": "151 W GALBRAITH ROAD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45216",
      "county": "HAMILTON",
      "latitude": 39.2126396997551,
      "longitude": -84.4811486603409,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 211,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-daniel-drake-center-for-post-acute-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-oh-encompass-health",
      "campusFamilyId": "campus-oh-363034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0122944113",
      "name": "GRACE HOSPITAL",
      "address": "2307 WEST 14TH STREET",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44113",
      "county": "CUYAHOGA",
      "latitude": 41.4806953000838,
      "longitude": -81.6908684696345,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Grace Hospital",
      "parentSystemId": "entity-grace-hospital",
      "siblingGroupId": "siblings-oh-grace-hospital",
      "ownershipRelationship": "self_operated_nonprofit",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0122944113",
        "external-resolution-0122944113"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/340714479"
      ],
      "ownershipProofNotes": "The exact address and EIN identify Grace Hospital as an independent 501(c)(3) hospital; no higher parent was reported.",
      "parentSystemEvidence": "The exact address and EIN identify Grace Hospital as an independent 501(c)(3) hospital; no higher parent was reported."
    },
    {
      "id": "0123145216",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CINCINNATI",
      "address": "151 WEST GALBRAITH RD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45216",
      "county": "HAMILTON",
      "latitude": 39.2127586702181,
      "longitude": -84.4802325602108,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-encompass-health-rehabilitation-hospital-of-cincinnati-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-oh-encompass-health",
      "campusFamilyId": "campus-oh-363034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0123244024",
      "name": "REHAB HOSPITAL AT HEATHER HILL CARE COMMUNITIES",
      "address": "12340 BASS LAKE ROAD",
      "city": "CHARDON",
      "state": "OH",
      "zip": "44024",
      "county": "GEAUGA",
      "latitude": 41.5357085998809,
      "longitude": -81.2230122898329,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "website": "http://www.heatherhillcare.com/",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chardon-rehab-hospital-at-heather-hill-care-communities/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0123244024",
        "external-resolution-0123244024"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.heatherhillcare.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0123344484",
      "name": "HILLSIDE REHABILITATION HOSPITAL",
      "address": "8747 SQUIRES LANE NE",
      "city": "WARREN",
      "state": "OH",
      "zip": "44484",
      "county": "TRUMBULL",
      "latitude": 41.2507535400509,
      "longitude": -80.732462100366,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 69,
      "rating": null,
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "The Vindicator — dormant since March 2025",
      "evidenceSourceUrl": "https://www.vindy.com/news/local-news/2026/04/insight-seems-no-closer-to-reopening/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "HILLSIDE REHABILITATION HOSPITAL closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care / Insight Health System. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "The Vindicator — dormant since March 2025",
        "https://www.vindy.com/news/local-news/2026/04/insight-seems-no-closer-to-reopening/",
        "https://www.ideastream.org/health/2024-08-22/trumbull-regional-hillside-rehabilitation-hospitals-announce-september-closure-date",
        "https://ohnurses.org/ona-demands-insight-address-hillside/",
        "https://www.cms.gov/medicare/health-safety-standards/certification-compliance/public-notices/hillside-rehab-hospital"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "hospitalId": "0123344484",
      "peFirm": "Cerberus Capital Management",
      "formerOperator": "Steward Health Care",
      "acquiredDate": "2017",
      "closureDate": "2024-09-20",
      "closureSource": "The Vindicator — dormant since March 2025",
      "closureSourceUrl": "https://www.vindy.com/news/local-news/2026/04/insight-seems-no-closer-to-reopening/",
      "historicalPeOwnership": true,
      "closureYear": 2024,
      "closureStatusLabel": "Closed; Medicare agreement terminated October 2025",
      "closureSummary": "Hillside Rehabilitation Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "CMS published a termination notice for CCN 363026 after the facility remained shut.",
      "acquisitionSourceId": "pe-acquisition-0123344484",
      "closureSourceId": "closure-0123344484",
      "expandedClosureResearch": {
        "sourceRow": 9,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (reopening unresolved)",
        "closureDate": "2024-09-20",
        "careLevel": "Specialty",
        "hospitalType": "Inpatient rehabilitation hospital",
        "traumaLevel": "None",
        "licensedBeds": "69",
        "patientsServedNote": "Regional inpatient rehab capacity for Mahoning Valley",
        "ruralUrban": "Small city",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Acquired via IASIS-era expansion",
        "yearsPeToClosure": "7",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Closed with Trumbull in Sept 2024; nurses union demanded answers on reopening through 2025",
        "communityImpact": "Part of 900+ layoffs in Warren/Youngstown closures",
        "buildingFate": "Still shut; Insight silent on reopening as of mid-2025",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "https://www.cms.gov/medicare/health-safety-standards/certification-compliance/public-notices/hillside-rehab-hospital",
        "statusEvidenceNote": "CMS published a termination notice for CCN 363026 after the facility remained shut.",
        "sourceUrls": [
          "https://www.ideastream.org/health/2024-08-22/trumbull-regional-hillside-rehabilitation-hospitals-announce-september-closure-date",
          "https://ohnurses.org/ona-demands-insight-address-hillside/",
          "https://www.cms.gov/medicare/health-safety-standards/certification-compliance/public-notices/hillside-rehab-hospital"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "Steward Health Care",
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-steward-health-care",
      "siblingGroupId": "siblings-oh-steward-health-care",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0123344484",
        "external-resolution-0123344484"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1639691/000119312517297890/d371311dex991.htm"
      ],
      "ownershipProofNotes": "Steward Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Steward Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0123444120",
      "name": "SELECT SPECIALTY HOSPITAL - CLEVELAND FAIRHILL",
      "address": "11900 FAIRHILL ROAD",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44120",
      "county": "CUYAHOGA",
      "latitude": 41.4899792603304,
      "longitude": -81.5984828197657,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 68,
      "rating": null,
      "website": "http://clevelandfairhill.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "INTENSIVA HEALTHCARE CORPORATION",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-select-specialty-hospital---cleveland-fairhill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-intensiva-healthcare-corporation",
      "siblingGroupId": "siblings-oh-intensiva-healthcare-corporation",
      "campusFamilyId": "campus-oh-362026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTENSIVA HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JULLIE IDOINE-FRIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTENSIVA HEALTHCARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTENSIVA HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JULLIE IDOINE-FRIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTENSIVA HEALTHCARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0123645801",
      "name": "KINDRED HOSPITAL LIMA",
      "address": "730 W MARKET STREET",
      "city": "LIMA",
      "state": "OH",
      "zip": "45801",
      "county": "ALLEN",
      "latitude": 40.7410677302702,
      "longitude": -84.1179881202422,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "362020",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lima-kindred-hospital-lima/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-oh-kentucky-hospital-holdings-jv-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN L KRINKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN L KRINKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0123845504",
      "name": "MENTAL HEALTH SERVICES FOR CLARK COUNTY, INC",
      "address": "474 N YELLOW SPRINGS STREET",
      "city": "SPRINGFIELD",
      "state": "OH",
      "zip": "45504",
      "county": "CLARK",
      "latitude": 39.9311398397569,
      "longitude": -83.8179715502597,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MENTAL HEALTH SERVICES FOR CLARK CO INC",
      "parentSystemId": "entity-mental-health-services-for-clark-co-inc",
      "siblingGroupId": "siblings-oh-mental-health-services-for-clark-co-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-mental-health-services-for-clark-co-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY HUGHES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MENTAL HEALTH SERVICES FOR CLARK CO INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MENTAL HEALTH SERVICES FOR CLARK CO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY HUGHES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MENTAL HEALTH SERVICES FOR CLARK CO INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MENTAL HEALTH SERVICES FOR CLARK CO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0124543201",
      "name": "OHRH, LLC",
      "address": "1087 DENNISON AVENUE, 4TH FLOOR",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43201",
      "county": "FRANKLIN",
      "latitude": 39.9839275900822,
      "longitude": -83.0088894698605,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0124643223",
      "name": "TORII BEHAVIORAL HEALTH",
      "address": "765 PIERCE DRIVE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43223",
      "county": "FRANKLIN",
      "latitude": 39.9467027696677,
      "longitude": -83.018182180352,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Sequel Youth & Family Services",
      "parentSystemId": "entity-sequel-youth-and-family-services",
      "siblingGroupId": "siblings-oh-sequel-youth-and-family-services",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0124643223",
        "external-resolution-0124643223"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.justice.gov/opa/pr/sequel-youth-and-family-services-agrees-resolve-false-claims-act-allegations"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 364045. The tracker parent candidate was corroborated against Sequel Youth & Family Services's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 364045. The tracker parent candidate was corroborated against Sequel Youth & Family Services's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0124844128",
      "name": "REGENCY HOSPITAL OF CLEVELAND EAST",
      "address": "4200 INTERCHANGE CORPORATE CENTER ROAD",
      "city": "WARRENSVILLE HEIGHTS",
      "state": "OH",
      "zip": "44128",
      "county": "CUYAHOGA",
      "latitude": 41.4322546902812,
      "longitude": -81.5065860303796,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "website": "http://clevelandeast.regencyhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER M SLOAT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER M SLOAT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0124943560",
      "name": "REGENCY HOSPITAL OF TOLEDO, LLC",
      "address": "5220 ALEXIS RD",
      "city": "SYLVANIA",
      "state": "OH",
      "zip": "43560",
      "county": "LUCAS",
      "latitude": 41.7191904502938,
      "longitude": -83.6690702798543,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sylvania-regency-hospital-of-toledo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID MUGGLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID MUGGLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0125244460",
      "name": "TRUMBULL REGIONAL MEDICAL CENTER",
      "address": "1350 EAST MARKET STREET",
      "city": "WARREN",
      "state": "OH",
      "zip": "44482",
      "county": "COLUMBIANA",
      "latitude": 40.9004919497584,
      "longitude": -80.8324394100059,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 280,
      "rating": null,
      "status": "closed",
      "affiliationConfidence": "medium",
      "evidenceSource": "The Vindicator — license surrendered and no reopening date",
      "evidenceSourceUrl": "https://www.vindy.com/news/local-news/2026/04/insight-seems-no-closer-to-reopening/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "TRUMBULL REGIONAL MEDICAL CENTER closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care / Insight Health System. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "The Vindicator — license surrendered and no reopening date",
        "https://www.vindy.com/news/local-news/2026/04/insight-seems-no-closer-to-reopening/",
        "https://www.chiefhealthcareexecutive.com/view/two-ohio-hospitals-are-slated-to-close-their-doors",
        "https://www.healthpolicyohio.org/health-policy-news/2024/08/30/warren-youngstown-hospital-closures-to-lead-to-900-layoffs",
        "https://trumbullregional.org/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "hospitalId": "0125244460",
      "peFirm": "Cerberus Capital Management",
      "formerOperator": "Steward Health Care",
      "acquiredDate": "2017",
      "closureDate": "2025-11-26",
      "closureSource": "The Vindicator — license surrendered and no reopening date",
      "closureSourceUrl": "https://www.vindy.com/news/local-news/2026/04/insight-seems-no-closer-to-reopening/",
      "historicalPeOwnership": true,
      "closureYear": 2025,
      "closureStatusLabel": "All services on diversion / suspended since November 2025",
      "closureSummary": "Trumbull Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "The hospital reopened in October 2025, then its official site reported diversion for all services beginning November 26, 2025.",
      "acquisitionSourceId": "pe-acquisition-0125244460",
      "closureSourceId": "closure-0125244460",
      "expandedClosureResearch": {
        "sourceRow": 8,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (reopened by new owner 2025; on diversion late 2025)",
        "closureDate": "2024-09-20",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "326",
        "patientsServedNote": "Major hospital for Trumbull County",
        "ruralUrban": "Small city",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Acquired via IASIS-era expansion",
        "yearsPeToClosure": "7",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Staffing shortages and service-cut rumors for years before closure",
        "communityImpact": "Part of 900+ layoffs in Warren/Youngstown closures (Aug 2024)",
        "buildingFate": "Reopened June 2025 by Insight Health System; on full diversion as of Nov 2025",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "https://trumbullregional.org/",
        "statusEvidenceNote": "The hospital reopened in October 2025, then its official site reported diversion for all services beginning November 26, 2025.",
        "sourceUrls": [
          "https://www.chiefhealthcareexecutive.com/view/two-ohio-hospitals-are-slated-to-close-their-doors",
          "https://www.healthpolicyohio.org/health-policy-news/2024/08/30/warren-youngstown-hospital-closures-to-lead-to-900-layoffs",
          "https://trumbullregional.org/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL",
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-insight-hospital-and-medical-center-trumbull",
      "siblingGroupId": "siblings-oh-insight-hospital-and-medical-center-trumbull",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0125744501",
      "name": "SELECT SPECIALTY HOSP - YOUNGSTOWN",
      "address": "1044 BELMONT AVENUE",
      "city": "YOUNGSTOWN",
      "state": "OH",
      "zip": "44501",
      "county": "MAHONING",
      "latitude": 41.1139341899049,
      "longitude": -80.6584063798336,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-youngstown-select-specialty-hospital---youngstown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "campusFamilyId": "campus-oh-360064",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0125943207",
      "name": "REGENCY HOSPITAL OF COLUMBUS",
      "address": "1430 S HIGH STREET, 2ND FLOOR",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43207",
      "county": "FRANKLIN",
      "latitude": 39.9330840202733,
      "longitude": -82.9953413401552,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 43,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0125943207",
        "external-resolution-0125943207"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0126044308",
      "name": "SELECT SPECIALTY HOSPITAL - AKRON LLC",
      "address": "200 EAST MARKET STREET",
      "city": "AKRON",
      "state": "OH",
      "zip": "44308",
      "county": "SUMMIT",
      "latitude": 41.0829158899945,
      "longitude": -81.5117741002844,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://akron.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-akron-select-specialty-hospital-akron/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWNE CHANEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWNE CHANEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0126345220",
      "name": "SELECT SPECIALTY HOSP - CINCINNATI",
      "address": "2139 AUBURN AVENUE, 3 WEST",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45219",
      "county": "HAMILTON",
      "latitude": 39.140054380239,
      "longitude": -84.5208035704429,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-select-specialty-hospital-cincinnati-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "campusFamilyId": "campus-oh-362019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID MUGGLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID MUGGLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0126443201",
      "name": "SELECT SPECIALTY HOSP - COLUMBUS INC",
      "address": "1087 DENNISON AVENUE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43201",
      "county": "FRANKLIN",
      "latitude": 39.9845986002157,
      "longitude": -83.0088323702461,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 162,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-select-specialty-hospital-columbus-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA PETTREY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA PETTREY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0126543537",
      "name": "ARROWHEAD BEHAVORIAL HEALTH",
      "address": "1725 TIMBERLINE ROAD",
      "city": "MAUMEE",
      "state": "OH",
      "zip": "43537",
      "county": "LUCAS",
      "latitude": 41.5897573001689,
      "longitude": -83.6892456703811,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-oh-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0126744708",
      "name": "SELECT SPECIALTY HOSP NEOH CANTON",
      "address": "1320 MERCY DR NW, 6TH FLOOR",
      "city": "CANTON",
      "state": "OH",
      "zip": "44708",
      "county": "STARK",
      "latitude": 40.8122408898845,
      "longitude": -81.3958719298014,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBORAH HAURITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBORAH HAURITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0127045229",
      "name": "SHRINERS HOSP FOR CHILDREN",
      "address": "3229 BURNETT AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45229",
      "county": "HAMILTON",
      "latitude": 39.1372678798538,
      "longitude": -84.5012739697907,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "website": "http://shrinershospitalcincinnati.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Shriners Children's",
      "parentSystemId": "entity-shriners-children-s",
      "siblingGroupId": "siblings-oh-shriners-children-s",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0127045229",
        "external-resolution-0127045229"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.shrinerschildrens.org/en/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Shriners Children's and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Shriners Children's and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0127945417",
      "name": "KINDRED HOSPITAL - DAYTON",
      "address": "707 S EDWIN C MOSES BLVD",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45417",
      "county": "MONTGOMERY",
      "latitude": 39.7467039499559,
      "longitude": -84.1979114403778,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 67,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-kindred-hospital-dayton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-oh-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-oh-362033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0128145342",
      "name": "SYCAMORE MEDICAL CENTER",
      "address": "4000 MIAMISBURG-CENTERVILLE ROAD",
      "city": "MIAMISBURG",
      "state": "OH",
      "zip": "45342",
      "county": "MONTGOMERY",
      "latitude": 39.6377029298744,
      "longitude": -84.249325970387,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 154,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miamisburg-sycamore-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "campusFamilyId": "campus-oh-360239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0128643614",
      "name": "BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL",
      "address": "2575 SOUTH BELVOIR BOULEVARD",
      "city": "UNIVERSITY HEIGHTS",
      "state": "OH",
      "zip": "44118",
      "county": "LUCAS",
      "latitude": 41.6213750898349,
      "longitude": -83.5994797198832,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BELLEFAIRE JEWISH CHILDREN'S BUREAU",
      "parentSystemId": "entity-bellefaire-jewish-children-s-bureau",
      "siblingGroupId": "siblings-oh-bellefaire-jewish-children-s-bureau",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bellefaire-jewish-children-s-bureau"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLEFAIRE JEWISH CHILDREN'S BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to BELLEFAIRE JEWISH CHILDREN'S BUREAU; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLEFAIRE JEWISH CHILDREN'S BUREAU, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLEFAIRE JEWISH CHILDREN'S BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to BELLEFAIRE JEWISH CHILDREN'S BUREAU; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLEFAIRE JEWISH CHILDREN'S BUREAU, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0128844512",
      "name": "VIBRA HOSPITAL OF MAHONING VALLEY",
      "address": "8049 SOUTH AVE",
      "city": "BOARDMAN",
      "state": "OH",
      "zip": "44512",
      "county": "MAHONING",
      "latitude": 41.005169299867,
      "longitude": -80.632972310024,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boardman-vibra-hospital-of-mahoning-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CARL NICHOLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CARL NICHOLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0129144304",
      "name": "SUMMA REHAB HOSPITAL",
      "address": "29 NORTH ADAMS STREET",
      "city": "AKRON",
      "state": "OH",
      "zip": "44304",
      "county": "SUMMIT",
      "latitude": 41.0781769899826,
      "longitude": -81.498049270166,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.summahealth.org/locations/hospitals/summarehabhospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-akron-summa-rehab-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AKRON ASSURANCE HOSPITAL COMPANY LLC",
      "parentSystemId": "entity-akron-assurance-hospital-company-llc",
      "siblingGroupId": "siblings-oh-akron-assurance-hospital-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: AKRON ASSURANCE HOSPITAL COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 52%). CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AKRON ASSURANCE HOSPITAL COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AKRON ASSURANCE HOSPITAL COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 52%). CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AKRON ASSURANCE HOSPITAL COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0129444122",
      "name": "UNIVERSITY HOSPITALS REHABILITATION HOSPITAL",
      "address": "23333 HARVARD ROAD",
      "city": "BEACHWOOD",
      "state": "OH",
      "zip": "44122",
      "county": "CUYAHOGA",
      "latitude": 41.4519197202594,
      "longitude": -81.5101741297964,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "363036",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beachwood-university-hospitals-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-oh-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN ZEDAKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN ZEDAKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0129644094",
      "name": "WINDSOR - LAURELWOOD CENTER FOR BEHAVIORAL MEDICINE",
      "address": "35900 EUCLID AVENUE",
      "city": "WILLOUGHBY",
      "state": "OH",
      "zip": "44094",
      "county": "LAKE",
      "latitude": 41.6247428699575,
      "longitude": -81.4335622198854,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 160,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-oh-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0130473104",
      "name": "OU HEALTH UNIVERSITY OF OKLAHOMA MEDICAL CENTER",
      "address": "700 NE 13TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73104",
      "county": "OKLAHOMA",
      "latitude": 35.480779519851,
      "longitude": -97.5015588003016,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 874,
      "rating": null,
      "website": "https://www.oumedicine.com/",
      "status": "corporate_chain",
      "parentSystem": "OU MEDICINE INC",
      "affiliatedSystem": "Oumedicine",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Oumedicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-ou-medicine-inc",
      "siblingGroupId": "siblings-ok-ou-medicine-inc",
      "campusFamilyId": "campus-ok-370093",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-ou-medicine-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists RICHARD LOFGREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oumedicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oumedicine. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OU MEDICINE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OU MEDICINE INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD LOFGREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oumedicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oumedicine. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OU MEDICINE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OU MEDICINE INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0130774801",
      "name": "CORNERSTONE SPECIALTY HOSPITALS SHAWNEE",
      "address": "1900 GORDON COOPER DRIVE, 2ND FLOOR",
      "city": "SHAWNEE",
      "state": "OK",
      "zip": "74801",
      "county": "POTTAWATOMIE",
      "latitude": 35.2972616101097,
      "longitude": -96.9270956901644,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shawnee-cornerstone-specialty-hospitals-shawnee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-ok-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0130774801",
        "external-resolution-0130774801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0130874401",
      "name": "CORNERSTONE SPECIALTY HOSPITALS MUSKOGEE",
      "address": "351 SOUTH 40TH STREET",
      "city": "MUSKOGEE",
      "state": "OK",
      "zip": "74401",
      "county": "MUSKOGEE",
      "latitude": 35.7519222298178,
      "longitude": -95.4121531899945,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CORNERSTONE HEALTHCARE GROUP HOLDING INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "372022",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muskogee-cornerstone-specialty-hospitals-muskogee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-cornerstone-healthcare-group-holding-inc",
      "siblingGroupId": "siblings-ok-cornerstone-healthcare-group-holding-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0131074538",
      "name": "MARY HURLEY HOSPITAL",
      "address": "6 NORTH COVINGTON AVENUE",
      "city": "COALGATE",
      "state": "OK",
      "zip": "74538",
      "county": "COAL",
      "latitude": 34.5393468396747,
      "longitude": -96.223731499922,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "website": "http://www.ccghospital.com/hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coalgate-mary-hurley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Coal County General Hospital",
      "parentSystemId": "entity-coal-county-general-hospital",
      "siblingGroupId": "siblings-ok-coal-county-general-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0131074538",
        "external-resolution-0131074538"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ccghospital.com/hospital/"
      ],
      "ownershipProofNotes": "The exact source supplied for the map location resolves the legacy Mary Hurley name to Coal County General Hospital. The nonprofit source class is retained; no higher system parent is inferred.",
      "parentSystemEvidence": "The exact source supplied for the map location resolves the legacy Mary Hurley name to Coal County General Hospital. The nonprofit source class is retained; no higher system parent is inferred."
    },
    {
      "id": "0131774145",
      "name": "PAM SPECIALTY HOSPITAL OF TULSA",
      "address": "3219 SOUTH 79TH EAST AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74145",
      "county": "TULSA",
      "latitude": 36.1148197401134,
      "longitude": -95.8904931098104,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://postacutemedical.com/",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-pam-specialty-hospital-of-tulsa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-ok-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0132574120",
      "name": "SELECT SPECIALTY HOSPITAL - TULSA/MIDTOWN",
      "address": "1125 SOUTH TRENTON, 2ND & 3RD FLOOR",
      "city": "TULSA",
      "state": "OK",
      "zip": "74120",
      "county": "TULSA",
      "latitude": 36.1469881897271,
      "longitude": -95.9693859203813,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 56,
      "rating": null,
      "website": "http://tulsa.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ok-select-medical",
      "campusFamilyId": "campus-ok-372007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAYTIE WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAYTIE WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "013300",
      "ccn": "013300",
      "name": "CHILDREN'S HOSPITAL OF ALABAMA",
      "address": "1600 SEVENTH AVENUE SOUTH",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35233",
      "county": "JEFFERSON",
      "latitude": 33.5040481500316,
      "longitude": -86.805159140055,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 332,
      "rating": null,
      "website": "http://www.childrensal.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-children-s-hospital-of-alabama/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE CHILDREN'S HOSPITAL OF ALABAMA",
      "affiliatedSystem": "THE CHILDREN'S HOSPITAL OF ALABAMA",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE CHILDREN'S HOSPITAL OF ALABAMA; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDREN'S HOSPITAL OF ALABAMA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-children-s-hospital-of-alabama",
      "siblingGroupId": "siblings-al-the-children-s-hospital-of-alabama",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-the-children-s-hospital-of-alabama"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to THE CHILDREN'S HOSPITAL OF ALABAMA; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDREN'S HOSPITAL OF ALABAMA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0133097239",
      "name": "OHSU TRANSPLANT HOSPITAL",
      "address": "3181 SW SAM JACKSON PARK ROAD",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97239",
      "county": "MULTNOMAH",
      "latitude": 45.4990101501149,
      "longitude": -122.685714719648,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "OHSU TRANSPLANT HOSPITAL",
      "parentSystemId": "entity-ohsu-transplant-hospital",
      "siblingGroupId": "siblings-or-ohsu-transplant-hospital",
      "campusFamilyId": "siblings-or-oregon-health-science-university",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-oregon-health-science-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ohsu.edu/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OR resolution: normalized CMS owner/operator to Oregon Health & Science University; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHSU TRANSPLANT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. OR resolution: normalized CMS owner/operator to Oregon Health & Science University; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHSU TRANSPLANT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0133978746",
      "name": "ARISE AUSTIN MEDICAL CENTER",
      "address": "3003 BEE CAVE ROAD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78746",
      "county": "TRAVIS",
      "latitude": 30.2707596503235,
      "longitude": -97.7959670199805,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 19,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-arise-austin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ARISE HEALTHCARE SYSTEM, LLC",
      "parentSystemId": "entity-arise-healthcare-system-llc",
      "siblingGroupId": "siblings-tx-arise-healthcare-system-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0133978746",
        "external-resolution-0133978746"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20140117001228 (450871). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20140117001228 (450871). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0134276132",
      "name": "BAYLOR SCOTT AND WHITE INSTITUTE FOR REHABILITATION - FORT WORTH",
      "address": "6601 HARRIS PARKWAY",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76132",
      "county": "TARRANT",
      "latitude": 32.654210340335,
      "longitude": -97.4180383796301,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tx-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN MICHAEL DELEON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN MICHAEL DELEON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0134375034",
      "name": "BAYLOR SCOTT AND WHITE INSTITUTE FOR REHABILITATION - FRISCO",
      "address": "2990 LEGACY DRIVE",
      "city": "FRISCO",
      "state": "TX",
      "zip": "75034",
      "county": "COLLIN",
      "latitude": 33.102954189715,
      "longitude": -96.8403865296102,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "KESSLER REHABILITATION SERVICES INC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kessler-rehabilitation-services-inc",
      "siblingGroupId": "siblings-tx-kessler-rehabilitation-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: KESSLER REHABILITATION SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KATHARINE POWERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KESSLER REHABILITATION SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KESSLER REHABILITATION SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KATHARINE POWERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KESSLER REHABILITATION SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0134978229",
      "name": "CHRISTUS SANTA ROSA HOSPITAL - MEDICAL CENTER",
      "address": "2827 BABCOCK ROAD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5128125699708,
      "longitude": -98.5901372696825,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 174,
      "rating": null,
      "website": "http://www.christussantarosa.org/medicalcenter",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "Christussantarosa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christussantarosa",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450237",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0135275022",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF FLOWER MOUND",
      "address": "3100 PETERS COLONY ROAD",
      "city": "FLOWER MOUND",
      "state": "TX",
      "zip": "75022",
      "county": "DENTON",
      "latitude": 33.0353640903596,
      "longitude": -97.0772619196438,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ClearSky Health",
      "peFirm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673076",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ClearSky Health",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "ClearSky Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-tx-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0135478414",
      "name": "CORPUS CHRISTI REHABILITATION HOSPITAL",
      "address": "5726 ESPLANADE DRIVE",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78414",
      "county": "NUECES",
      "latitude": 27.6884488402748,
      "longitude": -97.3780554802449,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "CORPUS CHRISTI REHABILITATION HOSPITAL HOLDINGS LLC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-corpus-christi-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-corpus-christi-rehabilitation-hospital-holdings-llc",
      "siblingGroupId": "siblings-tx-corpus-christi-rehabilitation-hospital-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-corpus-christi-rehabilitation-hospital-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CORPUS CHRISTI REHABILITATION HOSPITAL HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CORPUS CHRISTI REHABILITATION HOSPITAL HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORPUS CHRISTI REHABILITATION HOSPITAL HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CORPUS CHRISTI REHABILITATION HOSPITAL HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CORPUS CHRISTI REHABILITATION HOSPITAL HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORPUS CHRISTI REHABILITATION HOSPITAL HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0135975093",
      "name": "ACCEL REHABILITATION HOSPITAL OF PLANO",
      "address": "2301 MARSH LANE, SUITE 200",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "DENTON",
      "latitude": 33.0313959500144,
      "longitude": -96.8543516698469,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "website": "http://accelrehab.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-accel-rehabilitation-hospital-of-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STONEGATE SENIOR LIVING, LP",
      "parentSystemId": "entity-stonegate-senior-living-lp",
      "siblingGroupId": "siblings-tx-stonegate-senior-living-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: STONEGATE SENIOR LIVING, LP (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN P TAYLOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STONEGATE SENIOR LIVING, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STONEGATE SENIOR LIVING, LP (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN P TAYLOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STONEGATE SENIOR LIVING, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0136578130",
      "name": "CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS",
      "address": "600 NORTH UNION AVENUE",
      "city": "NEW BRAUNFELS",
      "state": "TX",
      "zip": "78130",
      "county": "COMAL",
      "latitude": 29.7153551300464,
      "longitude": -98.123087580275,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 132,
      "rating": null,
      "website": "http://www.christussantarosa.org/newbraunfels",
      "status": "corporate_chain",
      "parentSystem": "Christussantarosa",
      "affiliatedSystem": "Christussantarosa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christussantarosa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-braunfels-christus-santa-rosa-hospital---new-braunfels/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christussantarosa",
      "siblingGroupId": "siblings-tx-christussantarosa",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0136578130",
        "external-resolution-0136578130"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.christussantarosa.org/newbraunfels"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0137577065",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CYPRESS",
      "address": "13031 WORTHAM CENTER DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77065",
      "county": "HARRIS",
      "latitude": 29.9203379597588,
      "longitude": -95.6134096100549,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "www.healthsouth.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-encompass-health-rehabilitation-hospital-of-cypress/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0138577338",
      "name": "PAM REHABILITATION HOSPITAL OF HUMBLE",
      "address": "18839 MCKAY BLVD",
      "city": "HUMBLE",
      "state": "TX",
      "zip": "77338",
      "county": "HARRIS",
      "latitude": 29.9920681999213,
      "longitude": -95.2790150001377,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0138577338",
        "external-resolution-0138577338"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0138977301",
      "name": "MONTGOMERY COUNTY MENTAL HEALTH TREATMENT FACILITY",
      "address": "700 HILBIG ROAD",
      "city": "CONROE",
      "state": "TX",
      "zip": "77301",
      "county": "MONTGOMERY",
      "latitude": 30.3357827903584,
      "longitude": -95.4451105595787,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 100,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conroe-montgomery-county-mental-health-treatment-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MONTGOMERY COUNTY public health authority",
      "parentSystemId": "entity-montgomery-county-public-health-authority",
      "siblingGroupId": "siblings-tx-montgomery-county-public-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0138977301",
        "external-resolution-0138977301"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0139378704",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF AUSTIN",
      "address": "330 WEST BEN WHITE BLVD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78704",
      "county": "TRAVIS",
      "latitude": 30.2257136598722,
      "longitude": -97.7663230099649,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.healthsouthaustin.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-encompass-health-rehabilitation-hospital-of-austin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH ACQUISITION HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0139675063",
      "name": "BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL - LAS COLINAS",
      "address": "400 WEST INTERSTATE 635",
      "city": "IRVING",
      "state": "TX",
      "zip": "75063",
      "county": "DALLAS",
      "latitude": 32.9122917702487,
      "longitude": -96.9522132296004,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "TEXAS HEALTH VENTURES GROUP LLC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-ventures-group-llc",
      "siblingGroupId": "siblings-tx-texas-health-ventures-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0139778613",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK",
      "address": "900 E WHITESTONE BLVD",
      "city": "CEDAR PARK",
      "state": "TX",
      "zip": "78613",
      "county": "WILLIAMSON",
      "latitude": 30.5233138996463,
      "longitude": -97.8198463099508,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0139778613",
        "external-resolution-0139778613"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0139878738",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - LAKEWAY",
      "address": "100 MEDICAL PKWY",
      "city": "LAKEWAY",
      "state": "TX",
      "zip": "78738",
      "county": "TRAVIS",
      "latitude": 30.3329410303082,
      "longitude": -97.9715299098278,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 106,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0139878738",
        "external-resolution-0139878738"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0139976502",
      "name": "BAYLOR SCOTT AND WHITE CONTINUING CARE HOSPITAL",
      "address": "546 N KEGLEY RD",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76502",
      "county": "BELL",
      "latitude": 31.1182849296625,
      "longitude": -97.3992927099802,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-temple-baylor-scott-&-white-continuing-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "014000",
      "ccn": "014000",
      "name": "HILL CREST BEHAVIORAL HEALTH SERVICES",
      "address": "6869 FIFTH AVENUE, SOUTH",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35212",
      "county": "JEFFERSON",
      "latitude": 33.5488342800268,
      "longitude": -86.7301833003299,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 94,
      "rating": null,
      "website": "http://www.hillcrestbhs.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-birmingham-hill-crest-behavioral-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Universal Health Services; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-al-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Universal Health Services; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "014006",
      "ccn": "014006",
      "name": "MOUNTAIN VIEW HOSPITAL",
      "address": "3001 SCENIC HIGHWAY",
      "city": "GADSDEN",
      "state": "AL",
      "zip": "35904",
      "county": "ETOWAH",
      "latitude": 34.0724257501412,
      "longitude": -86.0197660702793,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 68,
      "rating": null,
      "website": "http://www.mtnviewhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gadsden-mountain-view-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Southeastern Psychiatric Management",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists GEORGE M SHEHI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Southeastern Psychiatric Management; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-southeastern-psychiatric-management-inc",
      "siblingGroupId": "siblings-al-southeastern-psychiatric-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-southeastern-psychiatric-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists GEORGE M SHEHI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Southeastern Psychiatric Management; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "014007",
      "ccn": "014007",
      "name": "BRYCE HOSPITAL",
      "address": "200 UNIVERSITY BOULEVARD",
      "city": "TUSCALOOSA",
      "state": "AL",
      "zip": "35401",
      "county": "TUSCALOOSA",
      "latitude": 33.2163030901367,
      "longitude": -87.5381580202918,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tuscaloosa-bryce-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION",
      "affiliatedSystem": "STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA L BYRD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-alabama-dept-of-mental-health-and-mental-retardation",
      "siblingGroupId": "siblings-al-state-of-alabama-dept-of-mental-health-and-mental-retardation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-state-of-alabama-dept-of-mental-health-mental-retardation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA L BYRD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "014012",
      "ccn": "014012",
      "name": "MARY S. HARPER GERIATRIC PSYCHIATRY CENTER",
      "address": "201 UNIVERSITY BOULEVARD, PO BOX 21231",
      "city": "TUSCALOOSA",
      "state": "AL",
      "zip": "35402",
      "county": "TUSCALOOSA",
      "latitude": 33.2190659999751,
      "longitude": -87.5339809997477,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 96,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tuscaloosa-mary-s.-harper-geriatric-psychiatry-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION",
      "affiliatedSystem": "STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONNELL AMERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-alabama-dept-of-mental-health-and-mental-retardation",
      "siblingGroupId": "siblings-al-state-of-alabama-dept-of-mental-health-and-mental-retardation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-state-of-alabama-dept-of-mental-health-mental-retardation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONNELL AMERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ALABAMA DEPT OF MENTAL HEALTH & MENTAL RETARDATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "014014",
      "ccn": "014014",
      "name": "BAYPOINTE BEHAVIORAL HEALTH",
      "address": "5800 SOUTHLAND DRIVE",
      "city": "MOBILE",
      "state": "AL",
      "zip": "36693",
      "county": "MOBILE",
      "latitude": 30.6248084900161,
      "longitude": -88.1780081300293,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 60,
      "rating": null,
      "website": "http://www.altapointe.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mobile-baypointe-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ALTAPOINTE HEALTH SYSTEMS INC",
      "affiliatedSystem": "AltaPointe Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to AltaPointe Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTAPOINTE HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-altapointe-health-systems-inc",
      "siblingGroupId": "siblings-al-altapointe-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-altapointe-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://altapointe.org/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to AltaPointe Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTAPOINTE HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "014016",
      "ccn": "014016",
      "name": "SANCTUARY AT THE WOODLANDS, THE",
      "address": "1910 CHEROKEE AVENUE, SW",
      "city": "CULLMAN",
      "state": "AL",
      "zip": "35055",
      "county": "CULLMAN",
      "latitude": 34.1509213198641,
      "longitude": -86.8459848603993,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 40,
      "rating": null,
      "website": "https://thesanctuaryatthewoodlands.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cullman-sanctuary-at-the-woodlands-the/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ALABAMA OPCO MANAGER LLC",
      "affiliatedSystem": "ALABAMA OPCO MANAGER LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ALABAMA OPCO MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists YISROEL E HERZKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ALABAMA OPCO MANAGER LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALABAMA OPCO MANAGER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-alabama-opco-manager-llc",
      "siblingGroupId": "siblings-al-alabama-opco-manager-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-alabama-opco-manager-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALABAMA OPCO MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists YISROEL E HERZKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ALABAMA OPCO MANAGER LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALABAMA OPCO MANAGER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "014017",
      "ccn": "014017",
      "name": "EASTPOINTE HOSPITAL",
      "address": "7400 ROPER LANE",
      "city": "DAPHNE",
      "state": "AL",
      "zip": "36526",
      "county": "BALDWIN",
      "latitude": 30.6352891497734,
      "longitude": -87.8951390998567,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 66,
      "rating": null,
      "website": "http://www.altapointe.org/eastpointe.php",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-daphne-eastpointe-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ALTAPOINTE HEALTH SYSTEMS INC",
      "affiliatedSystem": "AltaPointe Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to AltaPointe Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTAPOINTE HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-altapointe-health-systems-inc",
      "siblingGroupId": "siblings-al-altapointe-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-altapointe-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://altapointe.org/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to AltaPointe Health; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTAPOINTE HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "014018",
      "ccn": "014018",
      "name": "UNITY PSYCHIATRIC CARE - HUNTSVILLE",
      "address": "5315 MILLENNIUM DRIVE",
      "city": "HUNTSVILLE",
      "state": "AL",
      "zip": "35806",
      "county": "MADISON",
      "latitude": 34.7531702403623,
      "longitude": -86.6656963497622,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "website": "http://www.tnhealthmanagement.com/bhc/huntsville",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AMERICAN HEALTH PARTNERS MANAGEMENT LLC",
      "peFirm": "Mitchell Family Office",
      "acquiredDate": "April 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "American Health Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "American Health Partners",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KYLE SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to American Health Partners; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-health-partners-management-llc",
      "siblingGroupId": "siblings-al-american-health-partners-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-american-health-partners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://amhealthpartners.com/our-divisions/unity-psychiatric-care/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KYLE SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to American Health Partners; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0140678130",
      "name": "NEW BRAUNFELS REGIONAL REHABILITATION HOSPITAL",
      "address": "2041 SUNDANCE PARKWAY",
      "city": "NEW BRAUNFELS",
      "state": "TX",
      "zip": "78130",
      "county": "COMAL",
      "latitude": 29.7351397296332,
      "longitude": -98.0951513996669,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://nbrrh.ernesthealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673049",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-braunfels-new-braunfels-regional-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0141077070",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL - THE VINTAGE",
      "address": "20180 CHASEWOOD PARK DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77070",
      "county": "HARRIS",
      "latitude": 29.9901765500984,
      "longitude": -95.5711086404184,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "http://www.healthsouththevintage.com/",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-encompass-health-rehabilitation-hospital-the-vintage/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0141177845",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - COLLEGE STATION",
      "address": "700 SCOTT AND WHITE DR",
      "city": "COLLEGE STATION",
      "state": "TX",
      "zip": "77845",
      "county": "BRAZOS",
      "latitude": 30.5823183999456,
      "longitude": -96.2793953495843,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 142,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-college-station-baylor-scott-&-white-medical-center---college-station/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0141277379",
      "name": "SPRING HOSPITAL",
      "address": "20635 KUYKENDAHL ROAD",
      "city": "SPRING",
      "state": "TX",
      "zip": "77379",
      "county": "HARRIS",
      "latitude": 30.0709755497933,
      "longitude": -95.5119491100156,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "website": "https://www.springhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Spring Hospital",
      "parentSystemId": "entity-spring-hospital",
      "siblingGroupId": "siblings-tx-spring-hospital",
      "ownershipRelationship": "self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0141277379",
        "external-resolution-0141277379"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/sites/default/files/documents/general-special-hospital-list.pdf"
      ],
      "ownershipProofNotes": "The Texas hospital roster confirms the current license at the exact Kuykendahl Road address. The licensed stand-alone operator is retained because no credible higher chain parent was documented.",
      "parentSystemEvidence": "The Texas hospital roster confirms the current license at the exact Kuykendahl Road address. The licensed stand-alone operator is retained because no credible higher chain parent was documented."
    },
    {
      "id": "0141375051",
      "name": "TEXAS GENERAL HOSPITAL",
      "address": "2709 HOSPITAL BOULEVARD",
      "city": "GRAND PRAIRIE",
      "state": "TX",
      "zip": "75051",
      "county": "TARRANT",
      "latitude": 32.7329414700177,
      "longitude": -97.049379199575,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-prairie-texas-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TEXAS GENERAL HOSPITAL",
      "parentSystemId": "entity-texas-general-hospital",
      "siblingGroupId": "siblings-tx-texas-general-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2016-12-31",
      "ownershipSourceIds": [
        "hifld-location-0141375051",
        "external-resolution-0141375051"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 670083; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 670083; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0141876022",
      "name": "TEXAS HEALTH SPRINGWOOD BEHAVIORAL HEALTH HOSPITAL",
      "address": "2717 TIBBETS DRIVE",
      "city": "BEDFORD",
      "state": "TX",
      "zip": "76022",
      "county": "TARRANT",
      "latitude": 32.8345883703578,
      "longitude": -97.1224690497173,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 70,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Texas Health Resources",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0141876022",
        "external-resolution-0141876022"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20081229000363 (45S639). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20081229000363 (45S639). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0141976104",
      "name": "TEXAS REHABILITATION HOSPITAL OF FORT WORTH",
      "address": "425 ALABAMA AVENUE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7407423100376,
      "longitude": -97.3413768395962,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 66,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673048",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-texas-rehabilitation-hospital-of-fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACOB B DAGGETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-tx-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-chc-management-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACOB B DAGGETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0142777904",
      "name": "PAM REHABILITATION HOSPITAL OF VICTORIA",
      "address": "101 JAMES COLEMAN DRIVE",
      "city": "VICTORIA",
      "state": "TX",
      "zip": "77904",
      "county": "VICTORIA",
      "latitude": 28.8557836000579,
      "longitude": -97.0226521702039,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "website": "http://www.warmsprings.org/",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Warmsprings",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Warmsprings",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-victoria-pam-rehabilitation-hospital-of-victoria/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0142877035",
      "name": "THE MENNINGER CLINIC",
      "address": "12301 MAIN",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77035",
      "county": "HARRIS",
      "latitude": 29.6463701399955,
      "longitude": -95.4575801899203,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-the-menninger-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "The Menninger Clinic",
      "parentSystemId": "entity-the-menninger-clinic",
      "siblingGroupId": "siblings-tx-the-menninger-clinic",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0142877035",
        "external-resolution-0142877035"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/371453409"
      ],
      "ownershipProofNotes": "The normalized facility name exactly matches the IRS-recognized organization The Menninger Clinic (EIN 371453409) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented.",
      "parentSystemEvidence": "The normalized facility name exactly matches the IRS-recognized organization The Menninger Clinic (EIN 371453409) in the same state. HIFLD independently identifies the location and nonprofit source-owner class. A higher system parent is not inferred unless separately documented."
    },
    {
      "id": "0143178249",
      "name": "LEGENT ORTHOPEDIC AND SPINE",
      "address": "5330 NORTH LOOP 1604 WEST",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78249",
      "county": "BEXAR",
      "latitude": 29.5907386699557,
      "longitude": -98.5903568700402,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "http://cumberlandsh.com/",
      "status": "disputed",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "PSN AFFILIATES, LLC- NORTH LOOP SERIES",
      "peFirm": "BTG Pactual, ZT Corporate",
      "acquiredDate": "July 2020",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-psn-affiliates-llc-north-loop-series",
      "siblingGroupId": "siblings-tx-psn-affiliates-llc-north-loop-series",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-psn-affiliates-llc-north-loop-series"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PSN AFFILIATES, LLC- NORTH LOOP SERIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PSN AFFILIATES, LLC- NORTH LOOP SERIES; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PSN AFFILIATES, LLC- NORTH LOOP SERIES, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PSN AFFILIATES, LLC- NORTH LOOP SERIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PSN AFFILIATES, LLC- NORTH LOOP SERIES; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PSN AFFILIATES, LLC- NORTH LOOP SERIES, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0143275093",
      "name": "TEXAS SURGICAL HOSPITAL",
      "address": "2301 MARSH LANE",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "DENTON",
      "latitude": 33.0317290697234,
      "longitude": -96.8540185404035,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0143275093",
        "external-resolution-0143275093"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0143475115",
      "name": "VIBRA SPECIALTY HOSPITAL",
      "address": "2700 WALKER WAY",
      "city": "DESOTO",
      "state": "TX",
      "zip": "75115",
      "county": "DALLAS",
      "latitude": 32.6446529598902,
      "longitude": -96.8834789401649,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://www.vibrahealthcare.com/",
      "status": "corporate_chain",
      "parentSystem": "Vibrahealthcare",
      "affiliatedSystem": "Vibrahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Vibrahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-vibrahealthcare",
      "siblingGroupId": "siblings-tx-vibrahealthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0143475115",
        "external-resolution-0143475115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.vibrahealthcare.com/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0143677706",
      "name": "THE MEDICAL CENTER OF SOUTHEAST TEXAS BEAUMONT CAMPUS",
      "address": "6025 METROPOLITAN DR",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77706",
      "county": "JEFFERSON",
      "latitude": 30.1121410998688,
      "longitude": -94.1697561702593,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaumont-the-medical-center-of-southeast-texas-beaumont-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0143677706",
        "external-resolution-0143677706"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to CHRISTUS Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to CHRISTUS Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0143777027",
      "name": "RIVER OAKS HOSPITALS AND CLINICS",
      "address": "4200 TWELVE OAKS DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77027",
      "county": "HARRIS",
      "latitude": 29.7310669797585,
      "longitude": -95.4450385003199,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0143777027",
        "external-resolution-0143777027"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0144124501",
      "name": "LYNCHBURG GENERAL HOSPITAL",
      "address": "1901 TATE SPRINGS ROAD",
      "city": "LYNCHBURG",
      "state": "VA",
      "zip": "24501",
      "county": "LYNCHBURG",
      "latitude": 37.4170152701875,
      "longitude": -79.1715779895801,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 358,
      "rating": null,
      "website": "www.centrahealth.com",
      "status": "corporate_chain",
      "parentSystem": "Centra Health",
      "affiliatedSystem": "Centrahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Centrahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-centra-health",
      "siblingGroupId": "siblings-va-centra-health",
      "campusFamilyId": "campus-va-490021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-centra-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.centrahealth.com/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Centrahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centrahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Centra Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRA HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Centrahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centrahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Centra Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRA HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0145323116",
      "name": "SHELTERING ARMS HOSPITAL",
      "address": "8254 ATLEE ROAD",
      "city": "MECHANICSVILLE",
      "state": "VA",
      "zip": "23116",
      "county": "HANOVER",
      "latitude": 37.6276713302661,
      "longitude": -77.3871322498049,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "www.shelteringarms.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHELTERING ARMS HOSPITAL",
      "parentSystemId": "entity-sheltering-arms-hospital",
      "siblingGroupId": "siblings-va-sheltering-arms-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2019-09-30",
      "ownershipSourceIds": [
        "hifld-location-0145323116",
        "external-resolution-0145323116"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 493025; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 493025; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0145622601",
      "name": "WINCHESTER REHABILITATION CENTER",
      "address": "333 WEST CORK STREET",
      "city": "WINCHESTER",
      "state": "VA",
      "zip": "22601",
      "county": "WINCHESTER",
      "latitude": 39.18315585978,
      "longitude": -78.1723949803211,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 495,
      "rating": null,
      "website": "http://www.valleyhealthlink.com/our-locations/inpatient-outpatient-rehabilitation/winchester-rehabilitation-center-inpatient-.aspx",
      "status": "corporate_chain",
      "parentSystem": "Valley Health",
      "affiliatedSystem": "Valleyhealthlink",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Valleyhealthlink",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winchester-winchester-rehabilitation-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-valley-health",
      "siblingGroupId": "siblings-va-valley-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0145622601",
        "external-resolution-0145622601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.valleyhealthlink.com/our-locations/inpatient-outpatient-rehabilitation/winchester-rehabilitation-center-inpatient-.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0145924503",
      "name": "CENTRA SPECIALTY HOSPITAL",
      "address": "3300 RIVERMONT AVENUE",
      "city": "LYNCHBURG",
      "state": "VA",
      "zip": "24503",
      "county": "LYNCHBURG",
      "latitude": 37.4382583299409,
      "longitude": -79.1877939800336,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lynchburg-centra-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Centra Health",
      "parentSystemId": "entity-centra-health",
      "siblingGroupId": "siblings-va-centra-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-centra-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centrahealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRA HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MORTEZA SAJADIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Centra Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRA HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MORTEZA SAJADIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Centra Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0146222401",
      "name": "ENCOMPASS HEALTH REHAB HOSP OF FREDERICKSBURG",
      "address": "300 PARK HILL DRIVE",
      "city": "FREDERICKSBURG",
      "state": "VA",
      "zip": "22401",
      "county": "FREDERICKSBURG",
      "latitude": 38.3126122197325,
      "longitude": -77.486992770373,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "website": "www.fredericksburgrehabhospital.com/leadership_staff.asp",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-va-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0146320105",
      "name": "ENCOMPASS HEALTH REHAB HOSP OF NORTHERN VIRGINIA",
      "address": "24430 MILLSTREAM DRIVE",
      "city": "ALDIE",
      "state": "VA",
      "zip": "20105",
      "county": "LOUDOUN",
      "latitude": 38.9391260403352,
      "longitude": -77.5528218695522,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "www.encompasshealth.com",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-va-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0147224201",
      "name": "REHABILITATION HOSPITAL OF BRISTOL, LLC",
      "address": "103 NORTH STREET",
      "city": "BRISTOL",
      "state": "VA",
      "zip": "24201",
      "county": "BRISTOL",
      "latitude": 36.597071799653,
      "longitude": -82.2168276496736,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "website": "https://encompasshealth.com/locations/bristolrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompasshealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompasshealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-va-encompass-health",
      "campusFamilyId": "campus-va-493034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0147922908",
      "name": "UVA TRANSITIONAL CARE HOSPITAL",
      "address": "2965 IVY ROAD",
      "city": "CHARLOTTESVILLE",
      "state": "VA",
      "zip": "22903",
      "county": "ALBEMARLE",
      "latitude": 38.0515001199493,
      "longitude": -78.5497153399516,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "website": "http://uvahealth.com/services/transitional-care-hospital/referrals",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlottesville-uva-transitional-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UVA TRANSITIONAL CARE HOSPITAL",
      "parentSystemId": "entity-uva-transitional-care-hospital",
      "siblingGroupId": "siblings-va-uva-transitional-care-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-08-30",
      "ownershipSourceIds": [
        "hifld-location-0147922908",
        "external-resolution-0147922908"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 492011; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 492011; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0149198168",
      "name": "NAVOS PSYCHIATRIC HOSPITAL",
      "address": "2600 SW HOLDEN",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98168",
      "county": "KING",
      "latitude": 47.5340712101465,
      "longitude": -122.36617182966,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 28,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=143",
      "status": "corporate_chain",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0150554451",
      "name": "ASPIRUS MEDFORD HOSPITAL AND CLINICS, INC",
      "address": "135 S GIBSON ST",
      "city": "MEDFORD",
      "state": "WI",
      "zip": "54451",
      "county": "TAYLOR",
      "latitude": 45.135115770179,
      "longitude": -90.3560711203664,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-medford-aspirus-medford-hospital-&-clinics-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0151453097",
      "name": "ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE",
      "address": "13111 N PORT WASHINGTON RD",
      "city": "MEQUON",
      "state": "WI",
      "zip": "53097",
      "county": "OZAUKEE",
      "latitude": 43.2559793901647,
      "longitude": -87.926216559656,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 182,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mequon-ascension-columbia-st-marys-hospital-ozaukee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-wi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0151453097",
        "external-resolution-0151453097"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0152826062",
      "name": "ACUITY SPECIALTY HOSPITAL OHIO VALLEY",
      "address": "601 COLLIERS WAY, 9TH FLOOR",
      "city": "WEIRTON",
      "state": "WV",
      "zip": "26062",
      "county": "BROOKE",
      "latitude": 40.3932551902613,
      "longitude": -80.5278979495805,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-wv-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0153580112",
      "name": "CENTENNIAL HOSPITAL A CAMPUS OF TMCA",
      "address": "14200 E ARAPAHOE RD",
      "city": "CENTENNIAL",
      "state": "CO",
      "zip": "80112",
      "county": "ARAPAHOE",
      "latitude": 39.594182720344,
      "longitude": -104.823784750056,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0153580112",
        "external-resolution-0153580112"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0154280109",
      "name": "CASTLE ROCK ADVENTIST HOSPITAL",
      "address": "2350 MEADOWS BLVD",
      "city": "CASTLE ROCK",
      "state": "CO",
      "zip": "80109",
      "county": "DOUGLAS",
      "latitude": 39.4051195597011,
      "longitude": -104.884563749779,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 90,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-castle-rock-castle-rock-adventist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-co-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0154780120",
      "name": "ENCOMPASS HEALTH REHAB HOSPITAL OF LITTLETON",
      "address": "1001 W MINERAL AVE",
      "city": "LITTLETON",
      "state": "CO",
      "zip": "80120",
      "county": "ARAPAHOE",
      "latitude": 39.5745418297943,
      "longitude": -105.000098159866,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-co-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0155080909",
      "name": "UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL CENTRAL",
      "address": "1400 E BOULDER ST",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80909",
      "county": "EL PASO",
      "latitude": 38.8394666302114,
      "longitude": -104.799453610193,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 583,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UCHealth",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0155180045",
      "name": "UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT",
      "address": "12605 EAST 16TH AVENUE",
      "city": "AURORA",
      "state": "CO",
      "zip": "80045",
      "county": "ADAMS",
      "latitude": 39.7423044996726,
      "longitude": -104.841122079631,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 678,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "campusFamilyId": "campus-co-060024",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060024, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0155583642",
      "name": "ST. LUKE'S MERIDIAN MEDICAL CENTER",
      "address": "520 S. EAGLE ROAD",
      "city": "MERIDIAN",
      "state": "ID",
      "zip": "83642",
      "county": "ADA",
      "latitude": 43.5996965200758,
      "longitude": -116.352608289892,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meridian-st.-luke-s-meridian-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "St. Luke's Health System Idaho",
      "parentSystemId": "entity-st-luke-s-health-system-idaho",
      "siblingGroupId": "siblings-id-st-luke-s-health-system-idaho",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0155583642",
        "external-resolution-0155583642"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.stlukesonline.org/health-services/service-groups/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to St. Luke's Health System Idaho and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to St. Luke's Health System Idaho and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0155683702",
      "name": "ST. LUKE'S REHABILITATION",
      "address": "600 N. ROBBINS ROAD",
      "city": "BOISE",
      "state": "ID",
      "zip": "83702",
      "county": "ADA",
      "latitude": 43.6155876500807,
      "longitude": -116.191576460046,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://www.stlukesonline.org/health-services/service-groups/rehabilitation.",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-st.-luke-s-rehabilitation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "St. Luke's University Health Network",
      "parentSystemId": "entity-st-luke-s-university-health-network",
      "siblingGroupId": "siblings-id-st-luke-s-university-health-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0155683702",
        "external-resolution-0155683702"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20140701001199 (13T006). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20140701001199 (13T006). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0155883252",
      "name": "NELL J REDFIELD MEMORIAL HOSPITAL",
      "address": "150 N 200 W",
      "city": "MALAD",
      "state": "ID",
      "zip": "83252",
      "county": "ONEIDA",
      "latitude": 42.1894198098802,
      "longitude": -112.250332459795,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 11,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF ONEIDA",
      "parentSystemId": "entity-county-of-oneida",
      "siblingGroupId": "siblings-id-county-of-oneida",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF ONEIDA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF ONEIDA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF ONEIDA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF ONEIDA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0156146250",
      "name": "KINDRED HOSPITAL INDIANAPOLIS NORTH",
      "address": "8060 KNUE ROAD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46250",
      "county": "MARION",
      "latitude": 39.9021178001545,
      "longitude": -86.0604934897787,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-in-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-in-152013",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.scionhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NAKIA TREMBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NAKIA TREMBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0156346805",
      "name": "PARKVIEW HOSPITAL RANDALLIA",
      "address": "2200 RANDALLIA DRIVE",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46805",
      "county": "ALLEN",
      "latitude": 41.0961714600417,
      "longitude": -85.1102190297882,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 174,
      "rating": null,
      "website": "https://www.parkview.com/locations/parkview-hospital-randallia/parkview-hospital-randallia",
      "status": "corporate_chain",
      "parentSystem": "Parkview",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview",
      "siblingGroupId": "siblings-in-parkview",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0156346805",
        "external-resolution-0156346805"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.parkview.com/locations/parkview-hospital-randallia/parkview-hospital-randallia"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0156446250",
      "name": "COMMUNITY HEALTH NETWORK REHABILITATION HOSPITAL",
      "address": "7343 CLEARVISTA DRIVE",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46256",
      "county": "MARION",
      "latitude": 39.8989209398147,
      "longitude": -86.0379107104102,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-community-health-network-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-in-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNETTE SEABROOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNETTE SEABROOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0156747905",
      "name": "LAFAYETTE REGIONAL REHABILITATION HOSPITAL",
      "address": "950 PARK EAST BLVD",
      "city": "LAFAYETTE",
      "state": "IN",
      "zip": "47905",
      "county": "TIPPECANOE",
      "latitude": 40.404630949932,
      "longitude": -86.8300326898733,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "153042",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-lafayette-regional-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-in-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ernest-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ernesthealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0156846947",
      "name": "LOGANSPORT STATE HOSPITAL",
      "address": "1098 S SR 25",
      "city": "LOGANSPORT",
      "state": "IN",
      "zip": "46947",
      "county": "CASS",
      "latitude": 40.7416966398492,
      "longitude": -86.4006138696887,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 170,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-logansport-logansport-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Indiana state health authority",
      "parentSystemId": "entity-indiana-state-health-authority",
      "siblingGroupId": "siblings-in-indiana-state-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0156846947",
        "external-resolution-0156846947"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.in.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0157046032",
      "name": "FRANCISCAN ST FRANCIS HEALTH - CARMEL",
      "address": "12188 B NORTH MERIDIAN STREET",
      "city": "CARMEL",
      "state": "IN",
      "zip": "46032",
      "county": "HAMILTON",
      "latitude": 39.9680320500243,
      "longitude": -86.1587070202403,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 6,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carmel-franciscan-st-francis-health---carmel/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Franciscan Health",
      "parentSystemId": "entity-franciscan-health",
      "siblingGroupId": "siblings-in-franciscan-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0157046032",
        "external-resolution-0157046032"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.franciscanhealth.org/find-a-location"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Franciscan Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Franciscan Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0157366536",
      "name": "COMMUNITY HOSPITAL ONAGA LTCU",
      "address": "206 GRAND AVE",
      "city": "ST MARYS",
      "state": "KS",
      "zip": "66536",
      "county": "POTTAWATOMIE",
      "latitude": 39.1885902700521,
      "longitude": -96.0611054200595,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-marys-community-hospital-onaga-ltcu/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Community HealthCare System",
      "parentSystemId": "entity-community-healthcare-system",
      "siblingGroupId": "siblings-ks-community-healthcare-system",
      "ownershipRelationship": "long_term_care_unit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0157366536",
        "external-resolution-0157366536"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.chcsks.org/about-us"
      ],
      "ownershipProofNotes": "This map record is the long-term-care unit of the Onaga nonprofit community hospital system, not a separate hospital owner.",
      "parentSystemEvidence": "This map record is the long-term-care unit of the Onaga nonprofit community hospital system, not a separate hospital owner."
    },
    {
      "id": "0157966871",
      "name": "COFFEY COUNTY HOSPITAL LTCU",
      "address": "128 S PEARSON AVE",
      "city": "WAVERLY",
      "state": "KS",
      "zip": "66871",
      "county": "COFFEY",
      "latitude": 38.3881820201735,
      "longitude": -95.5996299395851,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waverly-coffey-county-hospital-ltcu/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COFFEY COUNTY public health authority",
      "parentSystemId": "entity-coffey-county-public-health-authority",
      "siblingGroupId": "siblings-ks-coffey-county-public-health-authority",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0157966871",
        "external-resolution-0157966871"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ks.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0159371301",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ALEXANDRIA",
      "address": "104 NORTH 3RD STREET",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71301",
      "county": "RAPIDES",
      "latitude": 31.3175358503005,
      "longitude": -92.4522104202966,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 47,
      "rating": null,
      "website": "https://encompasshealth.com/alexandriarehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-encompass-health-rehabilitation-hospital-of-alexandria/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-la-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 69.75%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 69.75%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0159470360",
      "name": "HOUMA - AMG SPECIALTY HOSPITAL",
      "address": "629 DUNN STREET",
      "city": "HOUMA",
      "state": "LA",
      "zip": "70360",
      "county": "TERREBONNE",
      "latitude": 29.5929878401288,
      "longitude": -90.7120430603889,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "www.amghouma.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 HOLDCO INC",
      "parentSystemId": "entity-amg-2-0-holdco-inc",
      "siblingGroupId": "siblings-la-amg-2-0-holdco-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0159570526",
      "name": "COMPASS BEHAVIORAL HEALTH - CROWLEY",
      "address": "713 NORTH AVENUE L",
      "city": "CROWLEY",
      "state": "LA",
      "zip": "70527",
      "county": "ACADIA",
      "latitude": 30.2193372099028,
      "longitude": -92.3689427801561,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crowley-compass-behavioral-health---crowley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Compass Health",
      "parentSystemId": "entity-compass-health",
      "siblingGroupId": "siblings-la-compass-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0159570526",
        "external-resolution-0159570526"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lhaonline.org/common/Uploaded%20files/About/Membership%20Directory/LHA2022Directory.pdf"
      ],
      "ownershipProofNotes": "The state hospital directory connects the Crowley and Jennings behavioral/senior-care hospitals to the Compass network, a privately held operator.",
      "parentSystemEvidence": "The state hospital directory connects the Crowley and Jennings behavioral/senior-care hospitals to the Compass network, a privately held operator."
    },
    {
      "id": "0159871112",
      "name": "PATHWAY REHABILITATION HOSPITAL OF BOSSIER",
      "address": "4900 MEDICAL DRIVE",
      "city": "BOSSIER CITY",
      "state": "LA",
      "zip": "71112",
      "county": "BOSSIER",
      "latitude": 32.4608122298427,
      "longitude": -93.669821340308,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "website": "https://pathrehab.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TRIGON HEALTHCARE LLC",
      "parentSystemId": "entity-trigon-healthcare-llc",
      "siblingGroupId": "siblings-la-trigon-healthcare-llc",
      "campusFamilyId": "campus-la-192006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIGON HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES MANNING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIGON HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIGON HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES MANNING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIGON HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0159970816",
      "name": "PROMISE HOSPITAL OF BATON ROUGE, INC.",
      "address": "17000 MEDICAL CENTER DRIVE, 3RD FLOOR",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70816",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4427957396934,
      "longitude": -90.9998043003275,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 54,
      "rating": null,
      "website": "http://www.promise-batonrougeochsner.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-promise-hospital-of-baton-rouge-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Health",
      "parentSystemId": "entity-kpc-health",
      "siblingGroupId": "siblings-la-kpc-health",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0159970816",
        "external-resolution-0159970816"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lhaonline.org/common/Uploaded%20files/About/Membership%20Directory/LHA2022Directory.pdf"
      ],
      "ownershipProofNotes": "The Louisiana directory identifies Promise Hospital of Baton Rouge as investor-owned and ties it to KPC Health.",
      "parentSystemEvidence": "The Louisiana directory identifies Promise Hospital of Baton Rouge as investor-owned and ties it to KPC Health."
    },
    {
      "id": "0160170458",
      "name": "SLIDELL -AMG SPECIALTY HOSPTIAL",
      "address": "1400 LINDBERG DRIVE",
      "city": "SLIDELL",
      "state": "LA",
      "zip": "70458",
      "county": "ST. TAMMANY",
      "latitude": 30.2808042702662,
      "longitude": -89.7537501600189,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 223,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-slidell-slidell--amg-specialty-hosptial/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG Integrated Healthcare Management",
      "parentSystemId": "entity-amg-integrated-healthcare-management",
      "siblingGroupId": "siblings-la-amg-integrated-healthcare-management",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0160170458",
        "external-resolution-0160170458"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://npiprofile.com/npi/1396970810"
      ],
      "ownershipProofNotes": "The exact facility is operated through LTAC Hospital of Washington-St. Tammany, LLC in the privately held AMG network.",
      "parentSystemEvidence": "The exact facility is operated through LTAC Hospital of Washington-St. Tammany, LLC in the privately held AMG network."
    },
    {
      "id": "0160471220",
      "name": "STERLINGTON REHABILITATION HOSPITAL",
      "address": "370 W HICKORY STREET",
      "city": "STERLINGTON",
      "state": "LA",
      "zip": "71280",
      "county": "MOREHOUSE",
      "latitude": 32.7763761299925,
      "longitude": -91.9194578198546,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Sterlington Rehabilitation Hospital, LLC",
      "parentSystemId": "entity-sterlington-rehabilitation-hospital-llc",
      "siblingGroupId": "siblings-la-sterlington-rehabilitation-hospital-llc",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0160471220",
        "external-resolution-0160471220"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ldh.la.gov/directory/category/169?pn=3"
      ],
      "ownershipProofNotes": "The state directory confirms the specialty hospital identity; the operating entity is a private LLC and no higher public, nonprofit, or government parent was supported.",
      "parentSystemEvidence": "The state directory confirms the specialty hospital identity; the operating entity is a private LLC and no higher public, nonprofit, or government parent was supported."
    },
    {
      "id": "0160571270",
      "name": "RUSTON REGIONAL SPECIALTY HOSPITAL",
      "address": "1401 EZELL STREET",
      "city": "RUSTON",
      "state": "LA",
      "zip": "71270",
      "county": "LINCOLN",
      "latitude": 32.5141377900772,
      "longitude": -92.6315891702146,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 55,
      "rating": null,
      "website": "https://www.rustonregional.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ruston-ruston-regional-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Priority Hospital Group",
      "parentSystemId": "entity-priority-hospital-group",
      "siblingGroupId": "siblings-la-priority-hospital-group",
      "ownershipRelationship": "historically_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0160571270",
        "external-resolution-0160571270"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://lincolnparishjournal.com/2024/12/18/ruston-regional-ceo-announces-january-closure/"
      ],
      "ownershipProofNotes": "The closure report identifies Priority Hospital Group as operator; the hospital closed January 31, 2025 and is retained as a historical private hospital.",
      "parentSystemEvidence": "The closure report identifies Priority Hospital Group as operator; the hospital closed January 31, 2025 and is retained as a historical private hospital."
    },
    {
      "id": "0160670810",
      "name": "THE NEUROMEDICAL CENTER REHABILITATION HOSPITAL, LLC",
      "address": "10101 PARK ROWE AVENUE, SUITE 600",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70810",
      "county": "EAST BATON ROUGE",
      "latitude": 30.3799165603401,
      "longitude": -91.0941424699073,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 27,
      "rating": null,
      "website": "https://www.theneuromedicalcenter.com/rehabilitation-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-the-neuromedical-center-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "REHAB HOLDING SERVICES LLC",
      "parentSystemId": "entity-rehab-holding-services-llc",
      "siblingGroupId": "siblings-la-rehab-holding-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: REHAB HOLDING SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHAB HOLDING SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REHAB HOLDING SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHAB HOLDING SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0160770812",
      "name": "BETHESDA REHABILITATION HOSPITAL",
      "address": "7414 SUMRALL DRIVE, SUITE A",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70812",
      "county": "EAST BATON ROUGE",
      "latitude": 30.5153656096377,
      "longitude": -91.1168349003344,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BETHESDA REHABILITATION HOSPITAL INC",
      "parentSystemId": "entity-bethesda-rehabilitation-hospital-inc",
      "siblingGroupId": "siblings-la-bethesda-rehabilitation-hospital-inc",
      "campusFamilyId": "campus-la-193092",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-bethesda-rehabilitation-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists LIONEL MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BETHESDA REHABILITATION HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETHESDA REHABILITATION HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LIONEL MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BETHESDA REHABILITATION HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETHESDA REHABILITATION HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0160970056",
      "name": "UNITED MEDICAL HEALTHWEST - NEW ORLEANS",
      "address": "3201 WALL BOULEVARD, SUITE B",
      "city": "GRETNA",
      "state": "LA",
      "zip": "70056",
      "county": "JEFFERSON",
      "latitude": 29.865979470317,
      "longitude": -90.030691849927,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 14,
      "rating": null,
      "website": "http://umrhospital.com/locations/new-orleans/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gretna-united-medical-healthwest-new-orleans/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UNITED MEDICAL HEALTHWEST NEW ORLEANS LLC",
      "parentSystemId": "entity-united-medical-healthwest-new-orleans-llc",
      "siblingGroupId": "siblings-la-united-medical-healthwest-new-orleans-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists JOHN MILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED MEDICAL HEALTHWEST NEW ORLEANS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOHN MILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED MEDICAL HEALTHWEST NEW ORLEANS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0161170812",
      "name": "BETHESDA REHABILITATION HOSPITAL",
      "address": "8225 SUMMA AVE.",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70812",
      "county": "EAST BATON ROUGE",
      "latitude": 30.3992267703729,
      "longitude": -91.0993803702592,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 14,
      "rating": null,
      "website": "http://www.bethesdarh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BETHESDA REHABILITATION HOSPITAL INC",
      "parentSystemId": "entity-bethesda-rehabilitation-hospital-inc",
      "siblingGroupId": "siblings-la-bethesda-rehabilitation-hospital-inc",
      "campusFamilyId": "campus-la-193092",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-bethesda-rehabilitation-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists LIONEL MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BETHESDA REHABILITATION HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETHESDA REHABILITATION HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LIONEL MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BETHESDA REHABILITATION HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETHESDA REHABILITATION HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0161471301",
      "name": "CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA",
      "address": "3330 MASONIC DRIVE, 4TH FLOOR UNIT",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71301",
      "county": "RAPIDES",
      "latitude": 31.2836491197413,
      "longitude": -92.4624635502011,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "website": "https://lhcgroup.com/locations/christus-dubuis-hospital-of-alexandria/",
      "status": "corporate_chain",
      "parentSystem": "UnitedHealth Group / Optum (LHC Group)",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-unitedhealth-group-optum-lhc-group",
      "siblingGroupId": "siblings-la-unitedhealth-group-optum-lhc-group",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0161471301",
        "external-resolution-0161471301"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitedhealthgroup.com/investors/sec-filings.html"
      ],
      "ownershipProofNotes": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0161970601",
      "name": "EXTENDED CARE OF SOUTHWEST LOUISIANA",
      "address": "2837 ERNEST STREET",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70601",
      "county": "CALCASIEU",
      "latitude": 30.2050534001421,
      "longitude": -93.2226202298354,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 29,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-charles-extended-care-of-southwest-louisiana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Extended Care Hospital of Southwest Louisiana, LLC",
      "parentSystemId": "entity-extended-care-hospital-of-southwest-louisiana-llc",
      "siblingGroupId": "siblings-la-extended-care-hospital-of-southwest-louisiana-llc",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0161970601",
        "external-resolution-0161970601"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://lhaonline.org/LHA/LHA/ContentAreas/Hospital_Search.aspx"
      ],
      "ownershipProofNotes": "The specialty hospital is operated through a private LLC; the official hospital directory did not support a higher public, nonprofit, or government parent.",
      "parentSystemEvidence": "The specialty hospital is operated through a private LLC; the official hospital directory did not support a higher public, nonprofit, or government parent."
    },
    {
      "id": "0162070722",
      "name": "FELICIANA-AMG SPECIALTY HOSPITAL",
      "address": "9725 GRACE LANE, BLDG B",
      "city": "CLINTON",
      "state": "LA",
      "zip": "70722",
      "county": "EAST FELICIANA",
      "latitude": 30.8372818303855,
      "longitude": -91.0006407198919,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://www.amgfeliciana.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-feliciana-amg-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG Integrated Healthcare Management",
      "parentSystemId": "entity-amg-integrated-healthcare-management",
      "siblingGroupId": "siblings-la-amg-integrated-healthcare-management",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0162070722",
        "external-resolution-0162070722"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.amgfeliciana.com/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to AMG Integrated Healthcare Management and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to AMG Integrated Healthcare Management and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0162571457",
      "name": "LOUISIANA EXTENDED CARE HOSPITAL OF NATCHITOCHES",
      "address": "501 KEYSER AVENUE, 4TH FLOOR",
      "city": "NATCHITOCHES",
      "state": "LA",
      "zip": "71457",
      "county": "NATCHITOCHES",
      "latitude": 31.7526674801782,
      "longitude": -93.0785929702266,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 21,
      "rating": null,
      "website": "http://lhcgroup.com/locations/louisiana-extended-care-hospital-of-natchitoches",
      "status": "corporate_chain",
      "parentSystem": "NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-natchitoches-louisiana-extended-care-hospital-of-natchitoches/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-natchitoches-parish-hospital-service-district",
      "siblingGroupId": "siblings-la-natchitoches-parish-hospital-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0162671291",
      "name": "LOUISIANA EXTENDED CARE HOSPITAL OF WEST MONROE",
      "address": "503 MCMILLAN ROAD, 3RD FLOOR",
      "city": "WEST MONROE",
      "state": "LA",
      "zip": "71291",
      "county": "OUACHITA",
      "latitude": 32.5131598901552,
      "longitude": -92.1563147297462,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 21,
      "rating": null,
      "website": "http://lhcgroup.com/locations/louisiana-extended-care-hospital-of-west-monroe",
      "status": "corporate_chain",
      "parentSystem": "UnitedHealth Group / Optum (LHC Group)",
      "affiliatedSystem": "Lhcgroup",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Lhcgroup",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-monroe-louisiana-extended-care-hospital-of-west-monroe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-unitedhealth-group-optum-lhc-group",
      "siblingGroupId": "siblings-la-unitedhealth-group-optum-lhc-group",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0162671291",
        "external-resolution-0162671291"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitedhealthgroup.com/investors/sec-filings.html"
      ],
      "ownershipProofNotes": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UnitedHealth Group / Optum (LHC Group) primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0162870764",
      "name": "ACCORD REHABILITATION HOSPITAL",
      "address": "59213 RIVER WEST DRIVE",
      "city": "PLAQUEMINE",
      "state": "LA",
      "zip": "70764",
      "county": "IBERVILLE",
      "latitude": 30.2619104297608,
      "longitude": -91.2450327900148,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ACCORD HEALTHCARE GROUP LLC",
      "parentSystemId": "entity-accord-healthcare-group-llc",
      "siblingGroupId": "siblings-la-accord-healthcare-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACCORD HEALTHCARE GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SOUNDRA JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACCORD HEALTHCARE GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACCORD HEALTHCARE GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SOUNDRA JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACCORD HEALTHCARE GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0163770503",
      "name": "LAFAYETTE - AMG SPECIALTY HOSPITAL",
      "address": "4811 AMBASSADOR CAFFERY PARKWAY, 4TH FLOOR",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70506",
      "county": "LAFAYETTE",
      "latitude": 30.1504090803038,
      "longitude": -92.0362093600151,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 18,
      "rating": null,
      "website": "https://amgihm.com/locations/lafayette-specialty/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-lafayette-amg-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 HOLDCO INC",
      "parentSystemId": "entity-amg-2-0-holdco-inc",
      "siblingGroupId": "siblings-la-amg-2-0-holdco-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0163870403",
      "name": "PAM SPECIALTY HOSPITAL OF HAMMOND",
      "address": "42074 VETERANS AVENUE",
      "city": "HAMMOND",
      "state": "LA",
      "zip": "70403",
      "county": "TANGIPAHOA",
      "latitude": 30.4678416802046,
      "longitude": -90.4551443196903,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "https://pamhealth.com/index.php/facilities/find-facility/specialty-hospitals/pam-specialty-hospital-hammond",
      "status": "corporate_chain",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "Pamhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Pamhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hammond-pam-specialty-hospital-of-hammond/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-la-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0163970508",
      "name": "SAGE REHAB OF LAFAYETTE",
      "address": "204 ENERGY PKWY, SUITE B",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1803440901129,
      "longitude": -92.0115763996911,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 48,
      "rating": null,
      "website": "https://www.thecarpenterhealthnetwork.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PCM HOLDINGS I, INC.",
      "parentSystemId": "entity-pcm-holdings-i-inc",
      "siblingGroupId": "siblings-la-pcm-holdings-i-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK THOMAS MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK THOMAS MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0164170809",
      "name": "SAGE REHABILITATION HOSPITAL",
      "address": "8000 SUMMA AVENUE",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70809",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4004236102322,
      "longitude": -91.1038170901587,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "https://www.sage-rehab.org/our-facilities/inpatient-rehabilitation-nursing-facility/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PCM HOLDINGS I, INC.",
      "parentSystemId": "entity-pcm-holdings-i-inc",
      "siblingGroupId": "siblings-la-pcm-holdings-i-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK THOMAS MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK THOMAS MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0164470570",
      "name": "OCHSNER EXTENDED CARE HOSPITAL",
      "address": "2614 JEFFERSON HWY, 2ND FLOOR",
      "city": "JEFFERSON",
      "state": "LA",
      "zip": "70121",
      "county": "ST. LANDRY",
      "latitude": 30.4717162900158,
      "longitude": -92.0796131500034,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 32,
      "rating": null,
      "website": "https://www.ochsner.org/services/ochsner-extended-care-hospital",
      "status": "corporate_chain",
      "parentSystem": "OMC-KENNER HOLDINGS, L.L.C.",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-omc-kenner-holdings-l-l-c",
      "siblingGroupId": "siblings-la-omc-kenner-holdings-l-l-c",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OMC-KENNER HOLDINGS, L.L.C. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OMC-KENNER HOLDINGS, L.L.C., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OMC-KENNER HOLDINGS, L.L.C. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OMC-KENNER HOLDINGS, L.L.C., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0164770546",
      "name": "WESTEND HOSPITAL",
      "address": "1530 HIGHWAY 90 WEST",
      "city": "JENNINGS",
      "state": "LA",
      "zip": "70546",
      "county": "JEFFERSON DAVIS",
      "latitude": 30.2319504602617,
      "longitude": -92.6783757604414,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jennings-westend-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Compass Health",
      "parentSystemId": "entity-compass-health",
      "siblingGroupId": "siblings-la-compass-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0164770546",
        "external-resolution-0164770546"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lhaonline.org/common/Uploaded%20files/About/Membership%20Directory/LHA2022Directory.pdf"
      ],
      "ownershipProofNotes": "The state hospital directory connects the Crowley and Jennings behavioral/senior-care hospitals to the Compass network, a privately held operator.",
      "parentSystemEvidence": "The state hospital directory connects the Crowley and Jennings behavioral/senior-care hospitals to the Compass network, a privately held operator."
    },
    {
      "id": "0164970748",
      "name": "FELICIANA FORENSIC FACILITY",
      "address": "4502 HWY 951",
      "city": "JACKSON",
      "state": "LA",
      "zip": "70748",
      "county": "EAST FELICIANA",
      "latitude": 30.8326356902574,
      "longitude": -91.2106604903148,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 164,
      "rating": null,
      "website": "http://new.dhh.louisiana.gov/index.cfm/directory/detail/219",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-feliciana-forensic-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EAST LOUISIANA STATE HOSPITAL",
      "parentSystemId": "entity-east-louisiana-state-hospital",
      "siblingGroupId": "siblings-la-east-louisiana-state-hospital",
      "campusFamilyId": "campus-la-194008",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-east-louisiana-state-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists BRANDI CASTIGLONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to EAST LOUISIANA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST LOUISIANA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRANDI CASTIGLONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to EAST LOUISIANA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST LOUISIANA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0166184097",
      "name": "CENTER FOR CHANGE",
      "address": "1790 NORTH STATE STREET",
      "city": "OREM",
      "state": "UT",
      "zip": "84057",
      "county": "UTAH",
      "latitude": 40.3299345499721,
      "longitude": -111.708427639982,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 58,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orem-center-for-change/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Odyssey Behavioral Healthcare",
      "parentSystemId": "entity-odyssey-behavioral-healthcare",
      "siblingGroupId": "siblings-ut-odyssey-behavioral-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0166184097",
        "external-resolution-0166184097"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://odysseybehavioralhealth.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Odyssey Behavioral Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Odyssey Behavioral Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0166484604",
      "name": "UTAH VALLEY SPECIALTY HOSPITAL",
      "address": "306 WEST RIVER BEND LANE",
      "city": "PROVO",
      "state": "UT",
      "zip": "84604",
      "county": "UTAH",
      "latitude": 40.3054339599403,
      "longitude": -111.662583059993,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EPOCH ACQUISITION INC",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-ut-epoch-acquisition-inc",
      "campusFamilyId": "campus-ut-462005",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-epoch-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to EPOCH ACQUISITION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to EPOCH ACQUISITION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0167184097",
      "name": "PROVO CANYON BEHAVIORAL HOSPITAL",
      "address": "1350 EAST 750 NORTH",
      "city": "OREM",
      "state": "UT",
      "zip": "84097",
      "county": "UTAH",
      "latitude": 40.3106690197255,
      "longitude": -111.663795609556,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "http://www.pcbh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orem-provo-canyon-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ut-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0167684095",
      "name": "SOUTH JORDAN HEALTH CENTER",
      "address": "5126 WEST DAYBREAK PARKWAY",
      "city": "SOUTH JORDAN",
      "state": "UT",
      "zip": "84095",
      "county": "SALT LAKE",
      "latitude": 40.5417438701408,
      "longitude": -112.013352670254,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-jordan-south-jordan-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "University of Utah Health",
      "parentSystemId": "entity-university-of-utah-health",
      "siblingGroupId": "siblings-ut-university-of-utah-health",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0167684095",
        "external-resolution-0167684095"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.utah.edu/locations/south-jordan"
      ],
      "ownershipProofNotes": "South Jordan is a University of Utah Health campus within Utah’s public university health system.",
      "parentSystemEvidence": "South Jordan is a University of Utah Health campus within Utah’s public university health system."
    },
    {
      "id": "0168089146",
      "name": "DIGNITY HEALTH - ST. ROSE DOMINICAN SAHARA CAMPUS",
      "address": "4980 W SAHARA AVENUE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89102",
      "county": "CLARK",
      "latitude": 36.1459360003375,
      "longitude": -115.209097000064,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-dignity-health-st.-rose-dominican-sahara-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nv-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0168089146",
        "external-resolution-0168089146"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0168327610",
      "name": "HOLLY HILL HOSPITAL, LLC",
      "address": "3019 FALSTAFF RD",
      "city": "RALEIGH",
      "state": "NC",
      "zip": "27610",
      "county": "WAKE",
      "latitude": 35.7827737500751,
      "longitude": -78.5839211297272,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 285,
      "rating": null,
      "website": "https://hollyhillhospital.com/",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Universal Health Services",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raleigh-holly-hill-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0168494117",
      "name": "KENTFIELD HOSPITAL SAN FRANCISCO",
      "address": "450 STANYAN ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94117",
      "county": "SAN FRANCISCO",
      "latitude": 37.7740387899134,
      "longitude": -122.454030039667,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-kentfield-hospital-san-francisco/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UCSF HEALTH COMMUNITY HOSPITALS",
      "parentSystemId": "entity-ucsf-health-community-hospitals",
      "siblingGroupId": "siblings-ca-ucsf-health-community-hospitals",
      "campusFamilyId": "campus-ca-050457",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCSF HEALTH COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCSF HEALTH COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0168695355",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MODESTO",
      "address": "1303 MABLE AVENUE",
      "city": "MODESTO",
      "state": "CA",
      "zip": "95355",
      "county": "STANISLAUS",
      "latitude": 37.6970277300003,
      "longitude": -120.975785319652,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ca-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 02; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0168770791",
      "name": "ZACHARY - AMG SPECIALTY HOSPITAL",
      "address": "4601 MCHUGH ROAD, BLDG B",
      "city": "ZACHARY",
      "state": "LA",
      "zip": "70791",
      "county": "EAST BATON ROUGE",
      "latitude": 30.6472205798134,
      "longitude": -91.1396944901678,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "http://amgzachary.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 HOLDCO INC",
      "parentSystemId": "entity-amg-2-0-holdco-inc",
      "siblingGroupId": "siblings-la-amg-2-0-holdco-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK C MOUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK C MOUTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0168975247",
      "name": "OUR CHILDRENS HOUSE",
      "address": "1340 EMPIRE CENTRAL DRIVE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75247",
      "county": "DALLAS",
      "latitude": 32.8259201699094,
      "longitude": -96.8696083503068,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 39,
      "rating": null,
      "website": "https://www.childrens.com/location-landing/locations-and-directions/och/dallas",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-our-childrens-house/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OUR CHILDRENS HOUSE",
      "parentSystemId": "entity-our-childrens-house",
      "siblingGroupId": "siblings-tx-our-childrens-house",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2021-12-31",
      "ownershipSourceIds": [
        "hifld-location-0168975247",
        "external-resolution-0168975247"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 453308; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 453308; Type of Control 1 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0169277384",
      "name": "TEXAS CHILDRENS HOSPITAL - THE WOODLANDS",
      "address": "17600 INTERSTATE 45 SOUTH",
      "city": "THE WOODLANDS",
      "state": "TX",
      "zip": "77384",
      "county": "MONTGOMERY",
      "latitude": 30.2005193002424,
      "longitude": -95.4575739699852,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 74,
      "rating": null,
      "website": "https://www.texaschildrens.org/departments/texas-childrens-hospital-woodlands",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-the-woodlands-texas-childrens-hospital-the-woodlands/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Texas Children's Hospital",
      "parentSystemId": "entity-texas-children-s-hospital",
      "siblingGroupId": "siblings-tx-texas-children-s-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0169277384",
        "external-resolution-0169277384"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.texaschildrens.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Texas Children's Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Texas Children's Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0169477059",
      "name": "SACRED OAK MEDICAL CENTER",
      "address": "11500 SPACE CENTER BLVD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77059",
      "county": "HARRIS",
      "latitude": 29.6241462803665,
      "longitude": -95.1426038596286,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "website": "http://www.sacredoakmedical.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-sacred-oak-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SACRED OAK MEDICAL CENTER",
      "parentSystemId": "entity-sacred-oak-medical-center",
      "siblingGroupId": "siblings-tx-sacred-oak-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2018-12-31",
      "ownershipSourceIds": [
        "hifld-location-0169477059",
        "external-resolution-0169477059"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 454142; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 454142; Type of Control 6 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0169610461",
      "name": "NEW YORK CITY CHILDREN'S CENTER - INPATIENT",
      "address": "1300 WATERS PLACE",
      "city": "BRONX",
      "state": "NY",
      "zip": "10461",
      "county": "BRONX",
      "latitude": 40.8465936501472,
      "longitude": -73.8385019903152,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/nyccc/bcpc/",
      "status": "corporate_chain",
      "parentSystem": "Omh Ny",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-new-york-city-children-s-center---inpatient/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-omh-ny",
      "siblingGroupId": "siblings-ny-omh-ny",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0169610461",
        "external-resolution-0169610461"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.omh.ny.gov/omhweb/facilities/nyccc/bcpc/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0169844122",
      "name": "SOUTH POINTE HOSPITAL",
      "address": "20000 HARVARD ROAD",
      "city": "WARRENSVILLE HTS",
      "state": "OH",
      "zip": "44122",
      "county": "CUYAHOGA",
      "latitude": 41.4482301900491,
      "longitude": -81.5370908402363,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 344,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0170014901",
      "name": "ELMIRA PSYCHIATRIC CENTER",
      "address": "100 WASHINGTON STREET",
      "city": "ELMIRA",
      "state": "NY",
      "zip": "14901",
      "county": "CHEMUNG",
      "latitude": 42.0916112699233,
      "longitude": -76.7950497103474,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 80,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/elpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elmira-elmira-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0170214224",
      "name": "WESTERN NEW YORK CHILDREN'S PSYCHIATRIC CENTER",
      "address": "1010 EAST AND WEST ROAD",
      "city": "WEST SENECA",
      "state": "NY",
      "zip": "14224",
      "county": "ERIE",
      "latitude": 42.8238695300241,
      "longitude": -78.7315492897456,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 46,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/wcpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-seneca-western-new-york-children-s-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0170311203",
      "name": "KINGSBORO PSYCHIATRIC CENTER",
      "address": "681 CLARKSON AVE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11203",
      "county": "KINGS",
      "latitude": 40.6564855100683,
      "longitude": -73.9391347503123,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 163,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/kbpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-kingsboro-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0170510035",
      "name": "KIRBY FORENSIC PSYCHIATRIC CENTER",
      "address": "600 EAST 125TH STREET",
      "city": "WARDS ISLAND",
      "state": "NY",
      "zip": "10035",
      "county": "NEW YORK",
      "latitude": 40.7900043702442,
      "longitude": -73.9291273500622,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 218,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/krpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wards-island-kirby-forensic-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0170610035",
      "name": "DAVID H. KOCH CENTER FOR CANCER CARE",
      "address": "530 EAST 74TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10021",
      "county": "NEW YORK",
      "latitude": 40.7883054300899,
      "longitude": -73.9307691802457,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Memorial Sloan Kettering Cancer Center",
      "parentSystemId": "entity-memorial-sloan-kettering-cancer-center",
      "siblingGroupId": "siblings-ny-memorial-sloan-kettering-cancer-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0170610035",
        "external-resolution-0170610035"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mskcc.org/locations/directory/david-koch-center-cancer-care-at-msk"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Memorial Sloan Kettering Cancer Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Memorial Sloan Kettering Cancer Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0170744011",
      "name": "UNIVERSITY HOSPITALS AVON REHABILITATION HOSPITAL",
      "address": "37900 CHESTER ROAD",
      "city": "AVON",
      "state": "OH",
      "zip": "44011",
      "county": "LORAIN",
      "latitude": 41.4680400199042,
      "longitude": -82.0440421701234,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://www.uhhospitals.org/uh-avon-rehabilitation-hospital",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "363039",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-avon-university-hospitals-avon-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-oh-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0170843699",
      "name": "REHABILITATION HOSPITAL OF NORTHWEST OHIO",
      "address": "1455 WEST MEDICAL LOOP",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43614",
      "county": "LUCAS",
      "latitude": 41.6148161397792,
      "longitude": -83.6197172396917,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "http://rhno.ernesthealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ERNEST HEALTH, INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "363040",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-toledo-rehabilitation-hospital-of-northwest-ohio-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ernest-health-inc",
      "siblingGroupId": "siblings-oh-ernest-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ERNEST HEALTH, INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ERNEST HEALTH, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ERNEST HEALTH, INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ERNEST HEALTH, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0171078701",
      "name": "DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS",
      "address": "1500 RED RIVER STREET",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78701",
      "county": "TRAVIS",
      "latitude": 30.2763898799382,
      "longitude": -97.7338477302611,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 210,
      "rating": null,
      "website": "https://www.seton.net/locations/dell-seton/",
      "status": "corporate_chain",
      "parentSystem": "DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEX",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-dell-seton-medical-center-at-the-university-of-texas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-dell-seton-medical-center-at-the-university-of-tex",
      "siblingGroupId": "siblings-tx-dell-seton-medical-center-at-the-university-of-tex",
      "campusFamilyId": "siblings-tx-regional-nonprofit-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEX, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEX, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0171110032",
      "name": "NEW YORK PSYCHIATRIC INSTITUTE",
      "address": "1051 RIVERSIDE DRIVE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10032",
      "county": "NEW YORK",
      "latitude": 40.8424020399887,
      "longitude": -73.9445483898798,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 21,
      "rating": null,
      "website": "https://nyspi.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-new-york-psychiatric-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "New York State Office of Mental Health",
      "parentSystemId": "entity-new-york-state-office-of-mental-health",
      "siblingGroupId": "siblings-ny-new-york-state-office-of-mental-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0171110032",
        "external-resolution-0171110032"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20150522001195 (334009). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20150522001195 (334009). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0171213403",
      "name": "CENTRAL NEW YORK PSYCHIATRIC CENTER",
      "address": "9005 OLD RIVER RD",
      "city": "MARCY",
      "state": "NY",
      "zip": "13403",
      "county": "ONEIDA",
      "latitude": 43.1674367302172,
      "longitude": -75.3023214898367,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 220,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/cnpc/",
      "status": "corporate_chain",
      "parentSystem": "Omh Ny",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marcy-central-new-york-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-omh-ny",
      "siblingGroupId": "siblings-ny-omh-ny",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0171213403",
        "external-resolution-0171213403"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.omh.ny.gov/omhweb/facilities/cnpc/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0171539328",
      "name": "JOHN C. STENNIS MEMORIAL HOSPITAL",
      "address": "14365 HIGHWAY 16 WEST",
      "city": "DEKALB",
      "state": "MS",
      "zip": "39328",
      "county": "KEMPER",
      "latitude": 32.7778222902579,
      "longitude": -88.6796219696371,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "http://www.johncstennismemorialhospital.com/jcsmh/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dekalb-john-c-stennis-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-ms-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0171613210",
      "name": "HUTCHINGS PSYCHIATRIC CENTER",
      "address": "620 MADISON STREET",
      "city": "SYRACUSE",
      "state": "NY",
      "zip": "13210",
      "county": "ONONDAGA",
      "latitude": 43.0451937501257,
      "longitude": -76.1405444500304,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 154,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/hupc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-syracuse-hutchings-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0171710958",
      "name": "MID HUDSON FORENSIC PSYCHIATRIC CENTER",
      "address": "2834 ROUTE 17-M",
      "city": "NEW HAMPTON",
      "state": "NY",
      "zip": "10958",
      "county": "ORANGE",
      "latitude": 41.4056717203362,
      "longitude": -74.3925227997934,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 285,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/mhpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-hampton-mid-hudson-forensic-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0172728451",
      "name": "CAROLINA DUNES BEHAVIORAL HEALTH",
      "address": "2050 MERCANTILE DRIVE",
      "city": "LELAND",
      "state": "NC",
      "zip": "28451",
      "county": "BRUNSWICK",
      "latitude": 34.2607578100648,
      "longitude": -78.0637137097387,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 112,
      "rating": null,
      "website": "http://sbcwilmington.com/",
      "status": "corporate_chain",
      "parentSystem": "SBHC HOLDINGS LLC",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-nc-sbhc-holdings-llc",
      "campusFamilyId": "campus-nc-344030",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-sbhc-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0172870433",
      "name": "COVINGTON - AMG PHYSICAL REHABILITATION HOSPITAL",
      "address": "5025 KEYSTONE BLVD, SUITE 200",
      "city": "COVINGTON",
      "state": "LA",
      "zip": "70433",
      "county": "ST. TAMMANY",
      "latitude": 30.4123215198695,
      "longitude": -90.0808629903104,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "website": "http://amgcovingtonprh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 HOLDCO INC",
      "parentSystemId": "entity-amg-2-0-holdco-inc",
      "siblingGroupId": "siblings-la-amg-2-0-holdco-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 HOLDCO INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 HOLDCO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0172970065",
      "name": "LAKE PINES HOSPITAL",
      "address": "3639 LOYOLA AVE",
      "city": "KENNER",
      "state": "LA",
      "zip": "70065",
      "county": "JEFFERSON",
      "latitude": 30.0317431602612,
      "longitude": -90.2700868697038,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "website": "https://www.lakepineshospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kenner-lake-pines-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Perimeter Behavioral Health",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-la-perimeter-behavioral-health",
      "campusFamilyId": "campus-la-194113",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBORAH M TULLIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBORAH M TULLIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0173070119",
      "name": "RIVERBEND REHABILITATION HOSPITAL",
      "address": "4310 SOUTH GRAND STREET",
      "city": "MONROE",
      "state": "LA",
      "zip": "71202",
      "county": "ORLEANS",
      "latitude": 29.973534579696,
      "longitude": -90.0940307400868,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 12,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WELLNESS ENTERPRISES, LLC",
      "parentSystemId": "entity-wellness-enterprises-llc",
      "siblingGroupId": "siblings-la-wellness-enterprises-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLNESS ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM MEANS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLNESS ENTERPRISES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLNESS ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM MEANS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLNESS ENTERPRISES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0173186504",
      "name": "FORT DEFIANCE INDIAN HOSPITAL",
      "address": "HWY 12 AND BONITO DR, BLDG FD 3002",
      "city": "FORT DEFIANCE",
      "state": "AZ",
      "zip": "86504",
      "county": "APACHE",
      "latitude": 35.7591087603456,
      "longitude": -109.048474509672,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "www.fdihb.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-defiance-fort-defiance-indian-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FORT DEFIANCE INDIAN HOSPITAL",
      "parentSystemId": "entity-fort-defiance-indian-hospital",
      "siblingGroupId": "siblings-az-fort-defiance-indian-hospital",
      "campusFamilyId": "campus-az-030071",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORT DEFIANCE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORT DEFIANCE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0173421201",
      "name": "BALTIMORE VA MEDICAL CENTER",
      "address": "10 NORTH GREENE STREET",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21201",
      "county": "BALTIMORE",
      "latitude": 39.2896495901047,
      "longitude": -76.6245581103162,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 100,
      "rating": null,
      "website": "https://www.maryland.va.gov/locations/baltimore_va_medical_center.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-baltimore-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-md-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0173521218",
      "name": "LOCH RAVEN VA MEDICAL CENTER",
      "address": "3900 LOCH RAVEN BOULEVARD",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21218",
      "county": "BALTIMORE",
      "latitude": 39.3363409998161,
      "longitude": -76.5956989996869,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 120,
      "rating": null,
      "website": "https://www.maryland.va.gov/locations/loch_raven_va_community_living_and_rehabilitation_center.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-loch-raven-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-md-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0173521218",
        "external-resolution-0173521218"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0173640206",
      "name": "ROBLEY REX DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "800 ZORN AVENUE",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40206",
      "county": "JEFFERSON",
      "latitude": 38.270258999854,
      "longitude": -85.6968950003177,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 109,
      "rating": null,
      "website": "https://www.louisville.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ky-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0173741075",
      "name": "CINCINNATI VA MEDICAL CENTER - FORT THOMAS",
      "address": "1000 S FT THOMAS AVE",
      "city": "FT THOMAS",
      "state": "KY",
      "zip": "41075",
      "county": "CAMPBELL",
      "latitude": 39.064603000011,
      "longitude": -84.4456409997163,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.va.gov/directory/guide/facility.asp?id=6479",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ft-thomas-cincinnati-va-medical-center---fort-thomas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ky-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0173741075",
        "external-resolution-0173741075"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0173871360",
      "name": "ALEXANDRIA VA HEALTH CARE SYSTEM",
      "address": "2495 SHREVEPORT HIGHWAY",
      "city": "PINEVILLE",
      "state": "LA",
      "zip": "71360",
      "county": "RAPIDES",
      "latitude": 31.3559499997006,
      "longitude": -92.4377219997289,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 54,
      "rating": null,
      "website": "https://www.alexandria.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pineville-alexandria-va-health-care-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-la-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0173946545",
      "name": "ST JOSEPH COUNTY VA HEALTH CARE CENTER",
      "address": "1540 TRINITY PLACE",
      "city": "MISHAWAKA",
      "state": "IN",
      "zip": "46545",
      "county": "ST. JOSEPH",
      "latitude": 41.7073430003161,
      "longitude": -86.1631100003161,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.northernindiana.va.gov/",
      "status": "corporate_chain",
      "parentSystem": "Northernindiana Va",
      "affiliatedSystem": "Northernindiana Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Northernindiana Va",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mishawaka-st-joseph-county-va-health-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-northernindiana-va",
      "siblingGroupId": "siblings-in-northernindiana-va",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0173946545",
        "external-resolution-0173946545"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northernindiana.va.gov/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0174071101",
      "name": "OVERTON BROOKS VETERANS' ADMINISTRATION MEDICAL CENTER",
      "address": "510 EAST STONER AVENUE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71101",
      "county": "CADDO",
      "latitude": 32.5030302698764,
      "longitude": -93.7220220003954,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 111,
      "rating": null,
      "website": "https://www.va.gov/shreveport-health-care/locations/overton-brooks-veterans-administration-medical-center/",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Va",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-la-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0174170119",
      "name": "NEW ORLEANS VA MEDICAL CENTER",
      "address": "2400 CANAL STREET",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70119",
      "county": "ORLEANS",
      "latitude": 29.9621957302581,
      "longitude": -90.084172010118,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 120,
      "rating": null,
      "website": "https://www.va.gov/southeast-louisiana-health-care/locations/new-orleans-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-la-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0174272114",
      "name": "EUGENE J. TOWBIN VETERAN'S HEALTHCARE CENTER",
      "address": "2200 FORT ROOTS DRIVE NORTH",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72114",
      "county": "PULASKI",
      "latitude": 34.7781580000282,
      "longitude": -92.2974239999024,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 256,
      "rating": null,
      "website": "https://www.littlerock.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-eugene-j.-towbin-veteran-s-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ar-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0174272114",
        "external-resolution-0174272114"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0174380220",
      "name": "VA HOSPITAL",
      "address": "1055 CLERMONT ST",
      "city": "DENVER",
      "state": "CO",
      "zip": "80220",
      "county": "DENVER",
      "latitude": 39.7320120101037,
      "longitude": -104.936481959778,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-co-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0174380220",
        "external-resolution-0174380220"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0174496819",
      "name": "SPARK M. MATSUNAGA VA MEDICAL CENTER",
      "address": "459 PATTERSON ROAD",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96819",
      "county": "HONOLULU",
      "latitude": 21.3613430003372,
      "longitude": -157.88940200005,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 92,
      "rating": null,
      "website": "https://www.hawaii.va.gov/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-spark-m.-matsunaga-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-hi-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0174496819",
        "external-resolution-0174496819"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0174568803",
      "name": "VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM",
      "address": "2201 NO. BROADWELL AVENUE",
      "city": "GRAND ISLAND",
      "state": "NE",
      "zip": "68803",
      "county": "HALL",
      "latitude": 40.9430510002098,
      "longitude": -98.3572210003461,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.nebraska.va.gov/locations/grand_island.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-island-va-nebraska-western-iowa-health-care-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM",
      "parentSystemId": "entity-va-nebraska-western-iowa-health-care-system",
      "siblingGroupId": "siblings-ne-va-nebraska-western-iowa-health-care-system",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0174568803",
        "external-resolution-0174568803"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nebraska.va.gov/locations/grand_island.asp"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0174743229",
      "name": "COLUMBUS BEHAVIORAL HEALTH",
      "address": "900 EAST DUBLIN GRANVILLE ROAD",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43229",
      "county": "FRANKLIN",
      "latitude": 40.0891415603126,
      "longitude": -82.9935111799689,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 126,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SUN BEHAVIORAL HEALTH INC",
      "parentSystemId": "entity-sun-behavioral-health-inc",
      "siblingGroupId": "siblings-oh-sun-behavioral-health-inc",
      "campusFamilyId": "campus-oh-364058",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUN BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SUN BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0174932218",
      "name": "UF HEALTH NORTH",
      "address": "15255 MAX LEGGETT PARKWAY",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32218",
      "county": "DUVAL",
      "latitude": 30.4839979999819,
      "longitude": -81.6334190000544,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 92,
      "rating": null,
      "website": "https://ufhealthjax.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-uf-health-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0174932218",
        "external-resolution-0174932218"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "No ownership edge is published: fuzzy_crosswalk_withheld."
    },
    {
      "id": "0175158122",
      "name": "SANFORD TRANSPLANT CENTER",
      "address": "736 BROADWAY",
      "city": "FARGO",
      "state": "ND",
      "zip": "58122",
      "county": "CASS",
      "latitude": 46.8842980002555,
      "longitude": -96.7884219997801,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "http://www.sanfordhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "SANFORD TRANSPLANT CENTER",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fargo-sanford-transplant-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sanford-transplant-center",
      "siblingGroupId": "siblings-nd-sanford-transplant-center",
      "campusFamilyId": "siblings-nd-sanford-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD TRANSPLANT CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD TRANSPLANT CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0175245207",
      "name": "TRIHEALTH REHABILITATION HOSPITAL, LLC",
      "address": "2155 DANA AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45207",
      "county": "HAMILTON",
      "latitude": 39.1447047501218,
      "longitude": -84.4591653402363,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "https://www.trihealthrehab.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-trihealth-rehabilitation-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trihealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NEIL FEDDERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NEIL FEDDERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0175344053",
      "name": "CLEARVISTA HEALTH AND WELLNESS",
      "address": "3364 KOLBE ROAD",
      "city": "LORAIN",
      "state": "OH",
      "zip": "44053",
      "county": "LORAIN",
      "latitude": 41.4392418802164,
      "longitude": -82.2360451800877,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 52,
      "rating": null,
      "website": "http://clearvistahealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEALTH CARE FACILITY MANAGEMENT, LLC",
      "parentSystemId": "entity-health-care-facility-management-llc",
      "siblingGroupId": "siblings-oh-health-care-facility-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH CARE FACILITY MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RICHARD ODENTHAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE FACILITY MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH CARE FACILITY MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RICHARD ODENTHAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE FACILITY MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0175520422",
      "name": "WASHINGTON VA MEDICAL CENTER",
      "address": "50 IRVING STREET NORTHWEST",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20422",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9289230002707,
      "longitude": -77.0107320003839,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.washingtondc.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-09002F",
        "official-dc-09002F"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.va.gov/washington-dc-health-care/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "0175640502",
      "name": "TROY BOWLING CAMPUS",
      "address": "1101 VETERANS DRIVE",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40502",
      "county": "FAYETTE",
      "latitude": 38.0298040002778,
      "longitude": -84.5064040004433,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.lexington.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ky-veterans-health-administration",
      "campusFamilyId": "campus-ky-18007f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0175872205",
      "name": "JOHN L. MCCLELLAN MEMORIAL VETERANS' HOSPITAL",
      "address": "4300 WEST SEVENTH STREET",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.7460360002742,
      "longitude": -92.3202130001208,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 538,
      "rating": null,
      "website": "https://www.va.gov/central-arkansas-health-care/locations/john-l-mcclellan-memorial-veterans-hospital",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Va",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Va",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-john-l-mcclellan-memorial-veterans-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ar-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0176106810",
      "name": "CONNECTICUT CHILDBIRTH AND WOMEN'S CENTER",
      "address": "94 LOCUST AVE",
      "city": "DANBURY",
      "state": "CT",
      "zip": "06810",
      "county": "WESTERN CONNECTICUT",
      "latitude": 41.404394999959,
      "longitude": -73.4471809998078,
      "hospitalType": "WOMEN",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "https://ctbirthcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danbury-connecticut-childbirth-&-women-s-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Connecticut Childbirth and Women's Center",
      "parentSystemId": "entity-connecticut-childbirth-and-women-s-center",
      "siblingGroupId": "siblings-ct-connecticut-childbirth-and-women-s-center",
      "ownershipRelationship": "self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0176106810",
        "external-resolution-0176106810"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ctbirthcenter.com/birth-center/"
      ],
      "ownershipProofNotes": "The active official page confirms the exact Danbury maternity facility, and the Connecticut legislature record confirms state licensure. No higher system parent is documented.",
      "parentSystemEvidence": "The active official page confirms the exact Danbury maternity facility, and the Connecticut legislature record confirms state licensure. No higher system parent is documented."
    },
    {
      "id": "0176289139",
      "name": "DIGNITY HEALTH - ST. ROSE DOMINICAN BLUE DIAMOND CAMPUS",
      "address": "4855 BLUE DIAMOND ROAD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89139",
      "county": "CLARK",
      "latitude": 36.0321170001026,
      "longitude": -115.207116000165,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nv-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0176289139",
        "external-resolution-0176289139"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0176389149",
      "name": "PAM REHABILITATION HOSPITAL OF CENTENNIAL HILLS",
      "address": "6166 N DURANGO DRIVE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89149",
      "county": "CLARK",
      "latitude": 36.2751343301874,
      "longitude": -115.280355489871,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "website": "http://www.postacutemedical.com/our-facilities/outpatient-rehabilitation/pam-rehab-centennial-hills/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Postacutemedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Postacutemedical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-pam-rehabilitation-hospital-of-centennial-hills/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-nv-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM SQUARED, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM SQUARED, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0176466604",
      "name": "FREEDOM BEHAVIORAL",
      "address": "1334 SW BUCHANAN ST",
      "city": "TOPEKA",
      "state": "KS",
      "zip": "66604",
      "county": "SHAWNEE",
      "latitude": 39.0412189996998,
      "longitude": -95.6926350003002,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "website": "https://freedomtopeka.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-topeka-freedom-behavioral/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Freedom Behavioral Health, LLC",
      "parentSystemId": "entity-freedom-behavioral-health-llc",
      "siblingGroupId": "siblings-ks-freedom-behavioral-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0176466604",
        "external-resolution-0176466604"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://freedombehavioral.com/"
      ],
      "ownershipProofNotes": "The facility is operated through a privately held LLC; no public-company or nonprofit parent was supported.",
      "parentSystemEvidence": "The facility is operated through a privately held LLC; no public-company or nonprofit parent was supported."
    },
    {
      "id": "0176593702",
      "name": "CENTRAL STAR PSYCHIATRIC HEALTH FACILITY FRESNO",
      "address": "4411 E. KINGS CANYON ROAD",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93702",
      "county": "FRESNO",
      "latitude": 36.737288689666,
      "longitude": -119.752187689719,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "website": "https://www.exodusrecovery.com/fresno-programs/fresno-csc-in-patient/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "Central Star Psychiatric Health Facility profile",
      "evidenceSourceUrl": "https://hcai.ca.gov/facility/central-star-psychiatric-health-facility/",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "HCAI still lists Central Star PHF open at Kings Canyon; Fresno County materials also show youth PHF relocation to Millbrook and a separate 2026-2030 CRT contract at 496 S Barton. Remaining limitation: Potential stale address/program conflation across PHF and CRT records requires state/county reconciliation.",
      "classificationSources": [
        "Central Star Psychiatric Health Facility profile",
        "Fresno County File 24-1280",
        "Fresno County meeting item 25-0467",
        "Agreement with Central Star Behavioral Health Inc. for Crisis Residential Treatment Services",
        "Fresno County System of Care",
        "Central Star Behavioral Health"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Behavioral health contractor",
      "operatorName": "Central Star Behavioral Health Inc.",
      "publicControlBadge": "For-profit / contractor pending license verification / Behavioral health contractor",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-central-star-psychiatric-health-facility-fresno/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "corporate_chain",
      "parentSystem": "Stars Behavioral Health Group / Central Star Behavioral Health",
      "affiliatedSystem": "Stars Behavioral Health Group / Central Star Behavioral Health",
      "affiliatedSystemEvidence": "hcai_central_star_open_2026|fresno_county_central_star_2024|fresno_county_central_star_2025|fresno_county_central_star_2026_crt|fresno_system_of_care|stars_central_star",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-stars-behavioral-health-group-central-star-behavioral-health",
      "siblingGroupId": "siblings-ca-stars-behavioral-health-group-central-star-behavioral-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0176593702",
        "facility-site-0176593702"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.exodusrecovery.com/fresno-programs/fresno-csc-in-patient/"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0176627403",
      "name": "BEHAVIORAL HEALTH HOSPITAL",
      "address": "700 WALTER REED DRIVE",
      "city": "GREENSBORO",
      "state": "NC",
      "zip": "27403",
      "county": "GUILFORD",
      "latitude": 36.082795500061,
      "longitude": -79.8224561501221,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "website": "https://www.conehealth.com/locations/behavioral-health-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Cone Health",
      "affiliatedSystem": "Cone Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Cone Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensboro-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cone-health",
      "siblingGroupId": "siblings-nc-cone-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0176627403",
        "facility-site-0176627403"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.conehealth.com/locations/behavioral-health-hospital/"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0176828211",
      "name": "CAROLINAS MEDICAL CENTER - CENTER FOR MENTAL HEALTH",
      "address": "501 BILLINGSLEY RD, PO BOX 32861",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28211",
      "county": "MECKLENBURG",
      "latitude": 35.1920501702158,
      "longitude": -80.8038939802941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 1211,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0176828211"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0176936109",
      "name": "CAVHCS EAST CAMPUS",
      "address": "8105 VETERANS WAY",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36109",
      "county": "MONTGOMERY",
      "latitude": 32.3578505401949,
      "longitude": -86.1286248003511,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.centralalabama.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montgomery-cavhcs-east-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CAVHCS EAST CAMPUS",
      "parentSystemId": "entity-cavhcs-east-campus",
      "siblingGroupId": "siblings-al-cavhcs-east-campus",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0176936109",
        "external-resolution-0176936109"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.centralalabama.va.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0177180020",
      "name": "COBALT REHABILITATION HOSPITAL WESTMINSTER",
      "address": "6500 W 104TH AVE",
      "city": "WESTMINSTER",
      "state": "CO",
      "zip": "80020",
      "county": "JEFFERSON",
      "latitude": 39.8876372701979,
      "longitude": -105.068197960233,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-co-pam-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0177280123",
      "name": "SCL HEALTH COMMUNITY HOSPITAL - SOUTHWEST",
      "address": "8515 WEST COAL MINE AVENUE",
      "city": "LITTLETON",
      "state": "CO",
      "zip": "80123",
      "county": "JEFFERSON",
      "latitude": 39.5958838300687,
      "longitude": -105.092486410357,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "website": "http://www.sclhealthcommunity.org/locations/southwest/",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-co-intermountain-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0177280123",
        "external-resolution-0177280123"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0177380233",
      "name": "SCL HEALTH COMMUNITY HOSPITAL - NORTHGLENN",
      "address": "11900 GRANT STREET",
      "city": "DENVER",
      "state": "CO",
      "zip": "80233",
      "county": "ADAMS",
      "latitude": 39.9124074499744,
      "longitude": -104.984073330006,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "website": "http://www.sclhealthcommunity.org/locations/northglenn/",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-co-intermountain-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0177380233",
        "external-resolution-0177380233"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0177462269",
      "name": "METRO-EAST SERVICES INC - DBA MEMORIAL HOSPITAL EAST",
      "address": "1404 CROSS ST",
      "city": "SHILOH",
      "state": "IL",
      "zip": "62269",
      "county": "ST. CLAIR",
      "latitude": 38.5736900200627,
      "longitude": -89.9054263398117,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 94,
      "rating": null,
      "website": "https://www.memhospeast.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HealthCare",
      "parentSystemId": "entity-bjc-healthcare",
      "siblingGroupId": "siblings-il-bjc-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0177462269",
        "external-resolution-0177462269"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to BJC HealthCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to BJC HealthCare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0177611426",
      "name": "NEW YORK CITY CHILDREN'S CENTER QUEENS INPATIENT",
      "address": "74-03 COMMONWEALTH BLVD",
      "city": "BELLEROSE",
      "state": "NY",
      "zip": "11426",
      "county": "QUEENS",
      "latitude": 40.7455367501022,
      "longitude": -73.7257432100643,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 65,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/nyccc/qcpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bellerose-new-york-city-children-s-center-queens-inpatient/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 5%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 5%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0177702254",
      "name": "BOSTON CHILDREN'S",
      "address": "9 HOPE AVENUE",
      "city": "WALTHAM",
      "state": "MA",
      "zip": "02254",
      "county": "MIDDLESEX",
      "latitude": 42.3691240003236,
      "longitude": -71.2496070003516,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 11,
      "rating": null,
      "website": "http://www.childrenshospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BOSTON CHILDREN'S",
      "parentSystemId": "entity-boston-children-s",
      "siblingGroupId": "siblings-ma-boston-children-s",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0177702254",
        "external-resolution-0177702254"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.childrenshospital.org/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0177827006",
      "name": "DAVIE MEDICAL CENTER",
      "address": "329 NC-801 N",
      "city": "BERMUDA RUN",
      "state": "NC",
      "zip": "27006",
      "county": "DAVIE",
      "latitude": 36.0094646002174,
      "longitude": -80.4478195999898,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Atrium Health Wake Forest Baptist",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Unknown",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health Wake Forest Baptist",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bermuda-run-davie-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0177827006"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved, insufficient_structured_sources."
    },
    {
      "id": "0178127610",
      "name": "UNC HOSPITALS AT WAKEBROOK",
      "address": "111 SUNNYBROOK RAOD",
      "city": "RALEIGH",
      "state": "NC",
      "zip": "27610",
      "county": "WAKE",
      "latitude": 35.7828974798955,
      "longitude": -78.5817986496627,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raleigh-unc-hospitals-at-wakebrook/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0178127610"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0178592656",
      "name": "LAGUNA TREATMENT HOSPITAL, LLC",
      "address": "24552 PACIFIC PARK DRIVE",
      "city": "ALISO VIEJO",
      "state": "CA",
      "zip": "92656",
      "county": "ORANGE",
      "latitude": 33.5711714197661,
      "longitude": -117.701246930171,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 93,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aliso-viejo-laguna-treatment-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "American Addiction Centers",
      "parentSystemId": "entity-american-addiction-centers",
      "siblingGroupId": "siblings-ca-american-addiction-centers",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0178592656",
        "external-resolution-0178592656"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://americanaddictioncenters.org/treatment-centers"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to American Addiction Centers and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to American Addiction Centers and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0178727705",
      "name": "VERITAS COLLABORATIVE - NORTH CAROLINA, LLC",
      "address": "615 DOUGLAS STREET",
      "city": "DURHAM",
      "state": "NC",
      "zip": "27705",
      "county": "DURHAM",
      "latitude": 36.0099403798486,
      "longitude": -78.942325379654,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://veritascollaborative.com/eating-disorder-treatment-levels-of-care/inpatient",
      "status": "corporate_chain",
      "parentSystem": "Veritas Collaborative",
      "affiliatedSystem": "Veritas Collaborative",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Veritas Collaborative",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durham-veritas-collaborative-north-carolina-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-veritas-collaborative",
      "siblingGroupId": "siblings-nc-veritas-collaborative",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0178727705",
        "facility-site-0178727705"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://veritascollaborative.com/eating-disorder-treatment-levels-of-care/inpatient"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0178959701",
      "name": "ACADIA MONTANA",
      "address": "55 BASIN CREEK ROAD",
      "city": "BUTTE",
      "state": "MT",
      "zip": "59701",
      "county": "SILVER BOW",
      "latitude": 45.9332820000811,
      "longitude": -112.510929000376,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 108,
      "rating": null,
      "website": "http://www.acadiamontana.com/",
      "status": "corporate_chain",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-butte-acadia-montana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-mt-acadia-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0178959701",
        "external-resolution-0178959701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "Acadia Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Acadia Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0179339501",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL",
      "address": "4500 13TH ST, 3RD FLOOR, EAST TOWER, SUITE 900",
      "city": "GULFPORT",
      "state": "MS",
      "zip": "39501",
      "county": "HARRISON",
      "latitude": 30.3674184302206,
      "longitude": -89.1160359799223,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 33,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gulfport-encompass-health-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ms-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0179519047",
      "name": "ST. MARY REHABILITATION HOSPITAL LLP",
      "address": "1208 LANGHORNE NEWTOWN RD",
      "city": "LANGHORNE",
      "state": "PA",
      "zip": "19047",
      "county": "BUCKS",
      "latitude": 40.200727000127,
      "longitude": -74.9337010002209,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://www.stmaryhealthcare.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-pa-chc-community-care",
      "campusFamilyId": "campus-pa-393055",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA A STABACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA A STABACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0179848912",
      "name": "SPARROW SPECIALTY HOSPITAL",
      "address": "1215 E MICHIGAN AVE, 8W SPARROW HOSPITAL",
      "city": "LANSING",
      "state": "MI",
      "zip": "48912",
      "county": "INGHAM",
      "latitude": 42.7341945201196,
      "longitude": -84.5359626202011,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lansing-sparrow-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "University of Michigan Health",
      "parentSystemId": "entity-university-of-michigan-health",
      "siblingGroupId": "siblings-mi-university-of-michigan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0179848912",
        "external-resolution-0179848912"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20040217000571 (232037). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20040217000571 (232037). 2 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0179968118",
      "name": "MADONNA REHABILITATION HOSPITAL",
      "address": "17500 BURKE STREET",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68118",
      "county": "DOUGLAS",
      "latitude": 41.2600073502202,
      "longitude": -96.1903902802169,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 108,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADONNA REHABILITATION HOSPITAL",
      "parentSystemId": "entity-madonna-rehabilitation-hospital",
      "siblingGroupId": "siblings-ne-madonna-rehabilitation-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-madonna-rehabilitation-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://madonna.org/locations/"
      ],
      "ownershipProofNotes": "CMS lists KENNETH L HOPKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Madonna Rehabilitation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADONNA REHABILITATION HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KENNETH L HOPKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Madonna Rehabilitation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADONNA REHABILITATION HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0180274012",
      "name": "ST. JOHN REHABILITATION HOSPITAL - AN AFFILIATE OF ENCOMPASS HEALTH",
      "address": "1200 W ALBANY DRIVE",
      "city": "BROKEN ARROW",
      "state": "OK",
      "zip": "74012",
      "county": "TULSA",
      "latitude": 36.0773405500548,
      "longitude": -95.8042956898292,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ok-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0180374133",
      "name": "PAM REHABILITATION HOSPITAL OF TULSA",
      "address": "10020 E 91ST STREET",
      "city": "TULSA",
      "state": "OK",
      "zip": "74133",
      "county": "TULSA",
      "latitude": 36.0306198198619,
      "longitude": -95.8648225396377,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 55,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-pam-rehabilitation-hospital-of-tulsa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-ok-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM SQUARED AT TULSA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM SQUARED AT TULSA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0180443082",
      "name": "MOUNT CARMEL REHABILITATION HOSPITAL AN AFFILIATE OF ENCOMPASS HEALTH",
      "address": "597 EXECUTIVE CAMPUS DRIVE",
      "city": "WESTERVILLE",
      "state": "OH",
      "zip": "43082",
      "county": "DELAWARE",
      "latitude": 40.1446557401665,
      "longitude": -82.9485274402454,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-oh-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 79.5%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 79.5%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0180930904",
      "name": "CHARLIE NORWOOD DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "950 15TH STREET",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30904",
      "county": "RICHMOND",
      "latitude": 33.4646159998287,
      "longitude": -82.0254469997247,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.augusta.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-ga-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0180930904",
        "external-resolution-0180930904"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0181032827",
      "name": "OLANDO VA MEDICAL CENTER",
      "address": "13800 VETERANS WAY",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32827",
      "county": "ORANGE",
      "latitude": 28.3661400000577,
      "longitude": -81.2757110001683,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 134,
      "rating": null,
      "website": "https://www.orlando.va.gov/",
      "status": "verified_independent",
      "parentSystem": "ORLANDO VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-olando-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-orlando-va-medical-center",
      "siblingGroupId": "siblings-fl-orlando-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORLANDO VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORLANDO VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0181172703",
      "name": "FAYETTEVILLE VA MEDICAL CENTER",
      "address": "1100 NORTH COLLEGE AVENUE",
      "city": "FAYETTEVILLE",
      "state": "AR",
      "zip": "72703",
      "county": "WASHINGTON",
      "latitude": 36.0814189999074,
      "longitude": -94.1601270002698,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 78,
      "rating": null,
      "website": "https://www.fayettevillear.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ar-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0181228719",
      "name": "UNITY HEALING CENTER",
      "address": "448 SEQUOYAH TRAIL DR",
      "city": "CHEROKEE",
      "state": "NC",
      "zip": "28719",
      "county": "SWAIN",
      "latitude": 35.4822731598927,
      "longitude": -83.3186158201546,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/nashville/index.cfm?module=dsp_nsh_unity",
      "status": "verified_independent",
      "affiliatedSystem": "The Cherokee Indian Hospital Authority",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Unknown",
      "operatorType": "Government / public",
      "operatorName": "The Cherokee Indian Hospital Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cherokee-unity-healing-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0181228719",
        "facility-site-0181228719"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.ihs.gov/nashville/index.cfm?module=dsp_nsh_unity"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0181671459",
      "name": "BAYNE JONES ARMY COMMUNITY HOSPITAL",
      "address": "1585 3RD STREET, BUILDING 285",
      "city": "FORT POLK",
      "state": "LA",
      "zip": "71459",
      "county": "VERNON",
      "latitude": 31.0624556996261,
      "longitude": -93.2138014004192,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 22,
      "rating": null,
      "website": "https://bayne-jones.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-polk-bayne-jones-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-la-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0181671459",
        "external-resolution-0181671459"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0181742223",
      "name": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
      "address": "650 JOEL DRIVE",
      "city": "FORT CAMPBELL",
      "state": "KY",
      "zip": "42223",
      "county": "MONTGOMERY",
      "latitude": 36.6366409001584,
      "longitude": -87.4474845000657,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 41,
      "rating": null,
      "website": "https://blanchfield.tricare.mil/",
      "status": "corporate_chain",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "Blanchfield Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Blanchfield Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-campbell-blanchfield-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ky-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0181840121",
      "name": "IRELAND ARMY COMMUNITY HOSPITAL",
      "address": "289 IRELAND AVE.",
      "city": "FORT KNOX",
      "state": "KY",
      "zip": "40121",
      "county": "HARDIN",
      "latitude": 37.9003531997909,
      "longitude": -85.9414374996232,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-knox-ireland-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ky-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0181840121",
        "external-resolution-0181840121"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0181992055",
      "name": "NAVAL HOSPITAL CAMP PENDLETON",
      "address": "200 MERCY CIRCLE",
      "city": "CAMP PENDLETON",
      "state": "CA",
      "zip": "92055",
      "county": "SAN DIEGO",
      "latitude": 33.2213160999911,
      "longitude": -117.388804500259,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 42,
      "rating": null,
      "website": "https://www.camp-pendleton.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ca-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://camp-pendleton.tricare.mil/About-Us"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Naval Hospital Camp Pendleton official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Naval Hospital Camp Pendleton official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0182120889",
      "name": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
      "address": "8901 ROCKVILLE PIKE",
      "city": "BETHESDA",
      "state": "MD",
      "zip": "20889",
      "county": "MONTGOMERY",
      "latitude": 39.0012869499882,
      "longitude": -77.0935897203957,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 244,
      "rating": null,
      "website": "https://walterreed.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethesda-walter-reed-national-military-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-md-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0182271306",
      "name": "RIVERSIDE HOSPITAL OF LOUISIANA, INC",
      "address": "13 HEYMAN LANE",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71303",
      "county": "RAPIDES",
      "latitude": 31.3013319999217,
      "longitude": -92.4873020001463,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "website": "https://www.riversidehospital.net/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-riverside-hospital-of-louisiana-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RIVERSIDE HOSPITAL, LLC",
      "parentSystemId": "entity-riverside-hospital-llc",
      "siblingGroupId": "siblings-la-riverside-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERSIDE HOSPITAL, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DOUGLAS B BOULWARE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERSIDE HOSPITAL, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DOUGLAS B BOULWARE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0182444321",
      "name": "CLEVELAND CLINIC REHABILITATION HOSPITALS - EDWIN S",
      "address": "4389 MEDINA ROAD",
      "city": "AKRON",
      "state": "OH",
      "zip": "44321",
      "county": "SUMMIT",
      "latitude": 41.136711999842,
      "longitude": -81.662341999765,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Cleveland Clinic",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cleveland-clinic",
      "siblingGroupId": "siblings-oh-cleveland-clinic",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0182444321",
        "external-resolution-0182444321"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0182663376",
      "name": "THE REHABILITATION INSTITUTE OF ST. LOUIS",
      "address": "10 HOSPITAL DRIVE, 3RD FLOOR",
      "city": "ST. PETERS",
      "state": "MO",
      "zip": "63376",
      "county": "ST. CHARLES",
      "latitude": 38.7938099798353,
      "longitude": -90.579854810199,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 35,
      "rating": null,
      "website": "https://encompasshealth.com/locations/rehabinstitutestl-stpeters",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompasshealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompasshealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-peters-the-rehabilitation-institute-of-st.-louis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-mo-encompass-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0182663376",
        "external-resolution-0182663376"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0182786001",
      "name": "REHABILITATION HOSPITAL OF NORTHERN ARIZONA, LLC",
      "address": "1851 NORTH GEMINI DRIVE",
      "city": "FLAGSTAFF",
      "state": "AZ",
      "zip": "86001",
      "county": "COCONINO",
      "latitude": 35.2100865598672,
      "longitude": -111.630419469641,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "http://rhna.ernesthealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "033041",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flagstaff-rehabilitation-hospital-of-northern-arizona-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-az-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0182977642",
      "name": "CHRISTUS ST MARY OUTPATIENT CENTER MID COUNTY",
      "address": "8801 9TH AVENUE",
      "city": "PORT ARTHUR",
      "state": "TX",
      "zip": "77642",
      "county": "JEFFERSON",
      "latitude": 29.953221070012,
      "longitude": -93.9863910797928,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 2,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-arthur-christus-st-mary-outpatient-center-mid-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0182977642",
        "external-resolution-0182977642"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0183163367",
      "name": "SSM HEALTH REHABILITATION HOSPITAL - LA",
      "address": "100 MEDICAL PLAZA, 5TH FLOOR",
      "city": "LAKE ST. LOUIS",
      "state": "MO",
      "zip": "63367",
      "county": "ST. CHARLES",
      "latitude": 38.8025340002005,
      "longitude": -90.7758640000049,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "website": "https://www.ssm-rehab.com/",
      "status": "corporate_chain",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0183163367",
        "external-resolution-0183163367"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0183364068",
      "name": "SIGNATURE PSYCHIATRIC HOSPITAL LIBERTY",
      "address": "2525 GLENN HENDREN DR",
      "city": "LIBERTY",
      "state": "MO",
      "zip": "64068",
      "county": "CLAY",
      "latitude": 39.2745055200616,
      "longitude": -94.424104179743,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "https://sphkc.net/locations/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-liberty-signature-psychiatric-hospital-liberty/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
      "parentSystemId": "entity-university-of-kansas-hospital-authority",
      "siblingGroupId": "siblings-mo-university-of-kansas-hospital-authority",
      "campusFamilyId": "campus-mo-260177",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-university-of-kansas-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to UNIVERSITY OF KANSAS HOSPITAL AUTHORITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to UNIVERSITY OF KANSAS HOSPITAL AUTHORITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0183678401",
      "name": "PAM SPECIALTY HOSPITAL OF CORPUS CHRISTI BAYFRONT",
      "address": "345 S WATER ST 3RD FLOOR",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78401",
      "county": "NUECES",
      "latitude": 27.7893791399783,
      "longitude": -97.3952416799514,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 19,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-pam-specialty-hospital-of-corpus-christi-bayfront/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0183678401",
        "external-resolution-0183678401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0183729461",
      "name": "ROPER ST FRANCIS BERKELEY HOSPITAL",
      "address": "100 CALLEN BLVD",
      "city": "SUMMERVILLE",
      "state": "SC",
      "zip": "29486",
      "county": "BERKELEY",
      "latitude": 33.0688979996263,
      "longitude": -80.0953020002383,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://www.rsfh.com/berkeley-hospital/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-sc-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0183875052",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL GRAND PRAIRIE",
      "address": "3095 KINGSWOOD BOULEVARD, SUITE 100",
      "city": "GRAND PRAIRIE",
      "state": "TX",
      "zip": "75052",
      "county": "TARRANT",
      "latitude": 32.660947599891,
      "longitude": -97.0608224903313,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-prairie-baylor-scott-&-white-emergency-hospital-grand-prairie/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0183875052",
        "external-resolution-0183875052"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0184076226",
      "name": "WISE HEALTH SURGICAL HOSPITAL",
      "address": "7218 CRAWFORD ROAD",
      "city": "ARGYLE",
      "state": "TX",
      "zip": "76226",
      "county": "DENTON",
      "latitude": 33.1321371399499,
      "longitude": -97.2047260600103,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 12,
      "rating": null,
      "website": "https://www.wisehealthsurgicalhospital.com/argyle/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Wise Health System / Medical City Healthcare",
      "parentSystemId": "entity-wise-health-system-medical-city-healthcare",
      "siblingGroupId": "siblings-tx-wise-health-system-medical-city-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0184076226",
        "external-resolution-0184076226"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.medicalcityhealthcare.com/about-us/newsroom/medical-city-healthcare-completes-acquisition-of-wise-health-system"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Wise Health System / Medical City Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Wise Health System / Medical City Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0184270605",
      "name": "AVAIL HOSPITAL LAKE CHARLES",
      "address": "3730 NELSON ROAD",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70605",
      "county": "CALCASIEU",
      "latitude": 30.1903783696624,
      "longitude": -93.2503701600407,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "website": "https://www.availhospitals.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Avail Hospital Lake Charles, LLC",
      "parentSystemId": "entity-avail-hospital-lake-charles-llc",
      "siblingGroupId": "siblings-la-avail-hospital-lake-charles-llc",
      "ownershipRelationship": "historically_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0184270605",
        "external-resolution-0184270605"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://americanpress.com/2023/09/27/hunter-comments-on-closure-of-avail-hospital/"
      ],
      "ownershipProofNotes": "The closure report identifies Avail as a for-profit hospital; the privately owned hospital closed in 2023.",
      "parentSystemEvidence": "The closure report identifies Avail as a for-profit hospital; the privately owned hospital closed in 2023."
    },
    {
      "id": "0184378640",
      "name": "KYLE ER AND HOSPITAL",
      "address": "5615 KYLE CENTER DR",
      "city": "KYLE",
      "state": "TX",
      "zip": "78640",
      "county": "HAYS",
      "latitude": 30.0077211697685,
      "longitude": -97.8649880103322,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kyle-kyle-er-&-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-tx-nutex-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0184378640",
        "external-resolution-0184378640"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0184575605",
      "name": "EVEREST REHABILITATION HOSPITAL LONGVIEW",
      "address": "701 E LOOP 281",
      "city": "LONGVIEW",
      "state": "TX",
      "zip": "75605",
      "county": "GREGG",
      "latitude": 32.5346366899248,
      "longitude": -94.7123013801737,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longview-everest-rehabilitation-hospital-longview/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CENTERRE HEALTHCARE LLC",
      "parentSystemId": "entity-centerre-healthcare-llc",
      "siblingGroupId": "siblings-tx-centerre-healthcare-llc",
      "campusFamilyId": "campus-tx-673073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0184632504",
      "name": "ASCENSION SACRED HEART PENSACOLA",
      "address": "5151 N NORTH NINTH AVENUE",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32504",
      "county": "ESCAMBIA",
      "latitude": 30.4757070000174,
      "longitude": -87.2118429999738,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 547,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/florida/flpen/pensacola-ascension-sacred-heart-pensacola",
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-fl-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0184632504",
        "external-resolution-0184632504"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0184759101",
      "name": "RIMROCK FOUNDATION",
      "address": "1231 N 29TH ST",
      "city": "BILLINGS",
      "state": "MT",
      "zip": "59101",
      "county": "YELLOWSTONE",
      "latitude": 45.7943126201489,
      "longitude": -108.519052829964,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://www.rimrock.org/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rimrock Foundation",
      "parentSystemId": "entity-rimrock-foundation",
      "siblingGroupId": "siblings-mt-rimrock-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0184759101",
        "external-resolution-0184759101"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/810302870"
      ],
      "ownershipProofNotes": "The exact entity is an IRS-recognized 501(c)(3).",
      "parentSystemEvidence": "The exact entity is an IRS-recognized 501(c)(3)."
    },
    {
      "id": "0184889032",
      "name": "DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGAS CAMPUS",
      "address": "1550 W CRAIG RANCH",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89032",
      "county": "CLARK",
      "latitude": 36.2402631697598,
      "longitude": -115.162714400187,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "website": "https://www.strosenh.org/",
      "status": "corporate_chain",
      "parentSystem": "DE JV LLC",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-dignity-health-st.-rose-dominican-north-las-vegas-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-de-jv-llc",
      "siblingGroupId": "siblings-nv-de-jv-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: DE JV LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HOMER D KIRBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DE JV LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DE JV LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HOMER D KIRBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DE JV LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0184927103",
      "name": "NOVANT HEALTH REHABILITATION HOSPITAL",
      "address": "2475 HILLCREST CENTER CIRCLE",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "zip": "27103",
      "county": "FORSYTH",
      "latitude": 36.0511396301719,
      "longitude": -80.3269699401133,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 68,
      "rating": null,
      "website": "https://www.encompasshealth.com/locations/novanthealthrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winston-salem-novant-health-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0185768137",
      "name": "HENRY HIGGINS",
      "address": "14404 STONEY BROOK BLVD",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68137",
      "county": "DOUGLAS",
      "latitude": 41.1987269598779,
      "longitude": -96.1400144200685,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Family Hospital Systems",
      "parentSystemId": "entity-family-hospital-systems",
      "siblingGroupId": "siblings-ne-family-hospital-systems",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0185768137",
        "external-resolution-0185768137"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.papillion.org/DocumentCenter/View/4130/F8-R18-0126-Assignment-and-Assumption-Agreement-Family-ER-and-Nebraska-Family-Health-System"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Family Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Family Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0185838852",
      "name": "NORTH MS MEDICAL CENTER - IUKA",
      "address": "177 CURTIS DRIVE",
      "city": "IUKA",
      "state": "MS",
      "zip": "38852",
      "county": "TISHOMINGO",
      "latitude": 34.8018562399522,
      "longitude": -88.2083545103076,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "website": "https://www.nmhs.net/locations/profile/north-mississippi-medical-center-iuka/",
      "status": "corporate_chain",
      "parentSystem": "Nmhs",
      "affiliatedSystem": "Nmhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nmhs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nmhs",
      "siblingGroupId": "siblings-ms-nmhs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0185838852",
        "external-resolution-0185838852"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nmhs.net/locations/profile/north-mississippi-medical-center-iuka/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0186080230",
      "name": "EATING RECOVERY CENTER",
      "address": "8199 E 1ST AVE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80230",
      "county": "DENVER",
      "latitude": 39.723221119817,
      "longitude": -104.892018659912,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "https://www.eatingrecoverycenter.com/recovery-centers/denver?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link",
      "status": "corporate_chain",
      "parentSystem": "Eatingrecoverycenter",
      "affiliatedSystem": "Eatingrecoverycenter",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Eatingrecoverycenter",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-eating-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-eatingrecoverycenter",
      "siblingGroupId": "siblings-co-eatingrecoverycenter",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0186080230",
        "external-resolution-0186080230"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.eatingrecoverycenter.com/recovery-centers/denver?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0186179416",
      "name": "SOUTH PLAINS REHAB HOSPITAL - AN AFFILIATE OF UMC AND ENCOMPASS",
      "address": "5406 COLGATE STREET",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79416",
      "county": "LUBBOCK",
      "latitude": 33.6028898396558,
      "longitude": -101.928458370074,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 66,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-south-plains-rehab-hospital-an-affiliate-of-umc-and-encompass/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0186281641",
      "name": "PIONEERS MEDICAL CENTER",
      "address": "100 PIONEERS MEDICAL CENTER DR",
      "city": "MEEKER",
      "state": "CO",
      "zip": "81641",
      "county": "RIO BLANCO",
      "latitude": 40.0464033203429,
      "longitude": -107.881263430336,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 16,
      "rating": null,
      "website": "https://www.pioneershospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meeker-pioneers-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT",
      "parentSystemId": "entity-eastern-rio-blanco-county-health-service-district",
      "siblingGroupId": "siblings-co-eastern-rio-blanco-county-health-service-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0186432746",
      "name": "ARNOLD PALMER HOSPITAL FOR CHILDREN",
      "address": "392 RINEHART ROAD",
      "city": "LAKE MARY",
      "state": "FL",
      "zip": "32746",
      "county": "SEMINOLE",
      "latitude": 28.769980560274,
      "longitude": -81.3487449104213,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "arnoldpalmerhospital.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-mary-arnold-palmer-hospital-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Orlando Health",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0186432746",
        "external-resolution-0186432746"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.orlandohealth.com/about-us"
      ],
      "ownershipProofNotes": "The facility is an Orlando Health hospital or campus within the nonprofit system.",
      "parentSystemEvidence": "The facility is an Orlando Health hospital or campus within the nonprofit system."
    },
    {
      "id": "0186557625",
      "name": "CHEYENNE RIVER HOSPITAL",
      "address": "317 MAIN STREET",
      "city": "EAGLE BUTTE",
      "state": "SD",
      "zip": "57625",
      "county": "ZIEBACH",
      "latitude": 44.9917386298945,
      "longitude": -101.244010509622,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 8,
      "rating": null,
      "website": "http://www.ihs.gov/greatplains/healthcarefacilities/cheyenneriver",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eagle-butte-cheyenne-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-sd-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0186557625",
        "external-resolution-0186557625"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0186685248",
      "name": "PHOENIX ER AND MEDICAL HOSPITAL",
      "address": "3050 SOUTH DOBSON ROAD",
      "city": "CHANDLER",
      "state": "AZ",
      "zip": "85248",
      "county": "MARICOPA",
      "latitude": 33.2609326999923,
      "longitude": -111.882071430141,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 3,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chandler-phoenix-er-&-medical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-az-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0186685248",
        "external-resolution-0186685248"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0186777072",
      "name": "ALTUS HOUSTON HOSPITAL - CELESTIAL HOSPITAL - ODYSSEY HOSPITAL",
      "address": "6011 W SAM HOUSTON PKWY SOUTH",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77072",
      "county": "HARRIS",
      "latitude": 29.7117075101473,
      "longitude": -95.5557088996561,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "ALTUS HEALTHCARE MANAGEMENT L.P.",
      "peFirm": "BTG Pactual, ZT Corporate",
      "acquiredDate": "July 2020",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Altus Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-altus-houston-hospital-celestial-hospital-odyssey-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-altus-healthcare-management-l-p",
      "siblingGroupId": "siblings-tx-altus-healthcare-management-l-p",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-altus-healthcare-management-l-p"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALTUS HEALTHCARE MANAGEMENT L.P. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 19.47%). CMS lists MARZIA KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ALTUS HEALTHCARE MANAGEMENT L.P.; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTUS HEALTHCARE MANAGEMENT L.P., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALTUS HEALTHCARE MANAGEMENT L.P. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 19.47%). CMS lists MARZIA KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ALTUS HEALTHCARE MANAGEMENT L.P.; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTUS HEALTHCARE MANAGEMENT L.P., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0186839531",
      "name": "GULF OAKS BEHAVIORAL HOSPITAL",
      "address": "180 DE BUYS ROAD",
      "city": "BILOXI",
      "state": "MS",
      "zip": "39531",
      "county": "HARRISON",
      "latitude": 30.3922440003138,
      "longitude": -88.9995922600703,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 45,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oceans Healthcare",
      "parentSystemId": "entity-oceans-healthcare",
      "siblingGroupId": "siblings-ms-oceans-healthcare",
      "ownershipRelationship": "acquired_and_renamed_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0186839531",
        "external-resolution-0186839531"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.dinancompany.com/press-release/oceans-healthcare-completes-acquisition-of-merit-health-gulf-oaks"
      ],
      "ownershipProofNotes": "Oceans acquired Gulf Oaks from CHS in 2019 and renamed it Oceans Behavioral Hospital Biloxi; current private ownership is used while the former CHS edge remains historical.",
      "parentSystemEvidence": "Oceans acquired Gulf Oaks from CHS in 2019 and renamed it Oceans Behavioral Hospital Biloxi; current private ownership is used while the former CHS edge remains historical."
    },
    {
      "id": "0186963131",
      "name": "SELECT SPECIALTY HOSPITAL - TOWN AND CO",
      "address": "3015 N BALLAS RD, 5TH FLOOR",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63131",
      "county": "ST. LOUIS",
      "latitude": 38.6365577100563,
      "longitude": -90.4462494200376,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 38,
      "rating": null,
      "website": "https://townandcountry.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-select-specialty-hospital---town-and-co/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-mo-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0186963131",
        "external-resolution-0186963131"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0187429910",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF BLUFFTON",
      "address": "107 SEAGRASS STATION RD",
      "city": "BLUFFTON",
      "state": "SC",
      "zip": "29910",
      "county": "BEAUFORT",
      "latitude": 32.2857406603444,
      "longitude": -80.9404857702102,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "website": "https://www.encompasshealth.com/hiltonheadrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bluffton-encompass-health-rehabilitation-hospital-of-bluffton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0187529405",
      "name": "SHERIFF AL CANNON DETENTION CENTER",
      "address": "3841 LEEDS AVE",
      "city": "N CHARLESTON",
      "state": "SC",
      "zip": "29405",
      "county": "CHARLESTON",
      "latitude": 32.8456629999811,
      "longitude": -80.0135290004238,
      "hospitalType": "SPECIAL",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 22,
      "rating": null,
      "website": "https://www.charlestoncounty.org/departments/sheriff/detention.php",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-n-charleston-sheriff-al-cannon-detention-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SHERIFF AL CANNON DETENTION CENTER",
      "parentSystemId": "entity-sheriff-al-cannon-detention-center",
      "siblingGroupId": "siblings-sc-sheriff-al-cannon-detention-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0187529405",
        "external-resolution-0187529405"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.charlestoncounty.org/departments/sheriff/detention.php"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0187672401",
      "name": "ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO",
      "address": "3024 RED WOLF BOULEVARD, SUITE 1",
      "city": "JONESBORO",
      "state": "AR",
      "zip": "72401",
      "county": "CRAIGHEAD",
      "latitude": 35.8083930003458,
      "longitude": -90.6665679996972,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 99,
      "rating": null,
      "website": "https://arkansascontinuedcarehospital.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Arkansas Continued Care Hospital of Jonesboro, LLC",
      "parentSystemId": "entity-arkansas-continued-care-hospital-of-jonesboro-llc",
      "siblingGroupId": "siblings-ar-arkansas-continued-care-hospital-of-jonesboro-llc",
      "ownershipRelationship": "historically_operated_with_management_by_chc",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0187672401",
        "external-resolution-0187672401"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://chc.com/community-hospital-corporation-announces-management-of-arkansas-continued-care-hospital-of-jonesboro/"
      ],
      "ownershipProofNotes": "The hospital operated through a private facility LLC with Community Hospital Corporation as manager. A later property purchase by Methodist Family Health is not treated as proof that it owned the former LTAC operation.",
      "parentSystemEvidence": "The hospital operated through a private facility LLC with Community Hospital Corporation as manager. A later property purchase by Methodist Family Health is not treated as proof that it owned the former LTAC operation."
    },
    {
      "id": "0187833136",
      "name": "UNIVERSITY OF MIAMI HOSPITAL AND CLINICS - BASCOM PALMER EYE INST",
      "address": "900 NW 17TH ST",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33136",
      "county": "MIAMI-DADE",
      "latitude": 25.7911498800636,
      "longitude": -80.2107186897008,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 100,
      "rating": null,
      "website": "www.umiamihealth.org",
      "status": "corporate_chain",
      "affiliatedSystem": "Umiamihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umiamihealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-university-of-miami-hospital-and-clinics-bascom-palmer-eye-inst/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0187833136",
        "external-resolution-0187833136"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.umiamihealth.org"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0188077584",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PEARLAND",
      "address": "2121 BUSINESS CENTER DRIVE",
      "city": "PEARLAND",
      "state": "TX",
      "zip": "77584",
      "county": "BRAZORIA",
      "latitude": 29.5729058200786,
      "longitude": -95.3898333304416,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "https://encompasshealth.com/pearlandrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pearland-encompass-health-rehabilitation-hospital-of-pearland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0188586336",
      "name": "VERDE VALLEY MEDICAL CENTER - SEDONA CAMPUS",
      "address": "3700 W HWY 89A",
      "city": "SEDONA",
      "state": "AZ",
      "zip": "86336",
      "county": "YAVAPAI",
      "latitude": 34.8559549097016,
      "longitude": -111.823479430182,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://www.nahealth.com/emergency-department/emergencies-sedona",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sedona-verde-valley-medical-center---sedona-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northern Arizona Healthcare",
      "parentSystemId": "entity-northern-arizona-healthcare",
      "siblingGroupId": "siblings-az-northern-arizona-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0188586336",
        "external-resolution-0188586336"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nahealth.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Northern Arizona Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Northern Arizona Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0188838801",
      "name": "NMMC WOMEN'S HOSPITAL",
      "address": "4566 SOUTH EASON BOULEVARD",
      "city": "TUPELO",
      "state": "MS",
      "zip": "38801",
      "county": "LEE",
      "latitude": 34.2320670000735,
      "longitude": -88.7168700002421,
      "hospitalType": "WOMEN",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://www.nmhs.net/locations/profile/nmmc-womens-hospital/?searchid=a776ec61-218e-ea11-a82c-000d3a61151d&sort=15",
      "status": "corporate_chain",
      "parentSystem": "Nmhs",
      "affiliatedSystem": "Nmhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nmhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tupelo-nmmc-women-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nmhs",
      "siblingGroupId": "siblings-ms-nmhs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0188838801",
        "external-resolution-0188838801"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nmhs.net/locations/profile/nmmc-womens-hospital/?searchid=a776ec61-218e-ea11-a82c-000d3a61151d&sort=15"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0188985345",
      "name": "RECOVERY INNOVATIONS, INC.",
      "address": "11361 NORTH 99TH AVENUE",
      "city": "PEORIA",
      "state": "AZ",
      "zip": "85345",
      "county": "MARICOPA",
      "latitude": 33.5870317898042,
      "longitude": -112.271294680187,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-peoria-recovery-innovations-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Recovery Innovations, Inc.",
      "parentSystemId": "entity-recovery-innovations-inc",
      "siblingGroupId": "siblings-az-recovery-innovations-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0188985345",
        "external-resolution-0188985345"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/711018775"
      ],
      "ownershipProofNotes": "The exact legal entity is an IRS-recognized 501(c)(3).",
      "parentSystemEvidence": "The exact legal entity is an IRS-recognized 501(c)(3)."
    },
    {
      "id": "0189178840",
      "name": "STAT SPECIALTY HOSPITAL",
      "address": "2600 VETERANS BLVD",
      "city": "DEL RIO",
      "state": "TX",
      "zip": "78840",
      "county": "VAL VERDE",
      "latitude": 29.4000585397594,
      "longitude": -100.905900040092,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-del-rio-stat-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STAT Specialty Hospital",
      "parentSystemId": "entity-stat-specialty-hospital",
      "siblingGroupId": "siblings-tx-stat-specialty-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0189178840",
        "external-resolution-0189178840"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://statspecialtyhospital.com/about"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to STAT Specialty Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to STAT Specialty Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0189989147",
      "name": "DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGO CAMPUS",
      "address": "9880 WEST FLAMINGO ROAD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89147",
      "county": "CLARK",
      "latitude": 36.1158186200593,
      "longitude": -115.307503590158,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "website": "https://www.strosenh.org/",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-dignity-health--st.-rose-dominican-west-flamingo-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nv-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0189989147",
        "external-resolution-0189989147"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0190189109",
      "name": "ELITE MEDICAL CENTER",
      "address": "150 E HARMON AVENUE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89109",
      "county": "CLARK",
      "latitude": 36.1087670102928,
      "longitude": -115.165855039778,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 22,
      "rating": null,
      "website": "https://elitelv.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-elite-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ELITE MEDICAL CENTER",
      "parentSystemId": "entity-elite-medical-center",
      "siblingGroupId": "siblings-nv-elite-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELITE MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELITE MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0190270121",
      "name": "OCHSNER REHABILITATION HOSPITAL",
      "address": "2614 JEFFERSON HWY, 4TH AND 5TH FLOORS",
      "city": "JEFFERSON",
      "state": "LA",
      "zip": "70121",
      "county": "JEFFERSON",
      "latitude": 29.9615421998016,
      "longitude": -90.1542214996048,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 56,
      "rating": null,
      "website": "https://www.ochsner-rehab.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jefferson-ochsner-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-la-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EMILY WILTENMUTH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EMILY WILTENMUTH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0190470769",
      "name": "PRAIRIEVILLE FAMILY HOSPITAL",
      "address": "37358 MARKET PLACE DRIVE",
      "city": "PRAIRIEVILLE",
      "state": "LA",
      "zip": "70769",
      "county": "ASCENSION",
      "latitude": 30.3178788903391,
      "longitude": -90.9785566600163,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "website": "https://prairievillefamilyhospital.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PRAIRIEVILLE MANAGEMENT COMPANY LLC",
      "parentSystemId": "entity-prairieville-management-company-llc",
      "siblingGroupId": "siblings-la-prairieville-management-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRAIRIEVILLE MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM ANDY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIEVILLE MANAGEMENT COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRAIRIEVILLE MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists WILLIAM ANDY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIEVILLE MANAGEMENT COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0190684117",
      "name": "THE AUBERGE AT ASPEN PARK - A MEMORY CARE COMMUNITY",
      "address": "1430 EAST 4500 SOUTH",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84117",
      "county": "SALT LAKE",
      "latitude": 40.6732680996885,
      "longitude": -111.851046079815,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 136,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salt-lake-city-the-auberge-at-aspen-park-a-memory-care-community/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0190684117",
        "external-resolution-0190684117"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ut.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0190846037",
      "name": "IU HEALTH SAXONY HOSPITAL",
      "address": "13000 EAST 136TH STREET",
      "city": "FISHERS",
      "state": "IN",
      "zip": "46037",
      "county": "HAMILTON",
      "latitude": 39.9870969998161,
      "longitude": -85.9302890000104,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 44,
      "rating": null,
      "website": "iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "IU Health",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fishers-iu-health-saxony-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-iu-health",
      "siblingGroupId": "siblings-in-iu-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0190846037",
        "external-resolution-0190846037"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://iuhealth.org/find-locations"
      ],
      "ownershipProofNotes": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "IU Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0190996080",
      "name": "RESTPADD RED BLUFF PSYCHIATRIC HEALTH FACILITY",
      "address": "925 WALNUT STREET",
      "city": "RED BLUFF",
      "state": "CA",
      "zip": "96080",
      "county": "TEHAMA",
      "latitude": 40.174747609974,
      "longitude": -122.242448910144,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "https://restpaddredbluff.business.site/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-red-bluff-restpadd-red-bluff-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Restpadd, Inc.",
      "parentSystemId": "entity-restpadd-inc",
      "siblingGroupId": "siblings-ca-restpadd-inc",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0190996080",
        "external-resolution-0190996080"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hcai.ca.gov/facility/restpadd-red-bluff-psychiatric-health-facility/"
      ],
      "ownershipProofNotes": "California’s facility record identifies the private psychiatric-health-facility operator; no higher system parent was supported.",
      "parentSystemEvidence": "California’s facility record identifies the private psychiatric-health-facility operator; no higher system parent was supported."
    },
    {
      "id": "0191178732",
      "name": "LAKE TRAVIS ER LLC",
      "address": "5012 N FM 620 RD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78732",
      "county": "TRAVIS",
      "latitude": 30.3913469903297,
      "longitude": -97.8849345002431,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-lake-travis-er-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Emergency Hospital Systems",
      "parentSystemId": "entity-emergency-hospital-systems",
      "siblingGroupId": "siblings-tx-emergency-hospital-systems",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0191178732",
        "external-resolution-0191178732"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.emergencyhospitals.care/locations-ehs/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0191245069",
      "name": "THE CHRIST HOSPITAL MEDICAL CENTER LIBERTY TOWNSHIP",
      "address": "6939 COX ROAD",
      "city": "LIBERTY TOWNSHIP",
      "state": "OH",
      "zip": "45069",
      "county": "BUTLER",
      "latitude": 39.3748179999258,
      "longitude": -84.3629669995532,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-liberty-township-the-christ-hospital-medical-center---liberty-township/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "The Christ Hospital Health Network",
      "parentSystemId": "entity-the-christ-hospital-health-network",
      "siblingGroupId": "siblings-oh-the-christ-hospital-health-network",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0191245069",
        "external-resolution-0191245069"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.thechristhospital.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to The Christ Hospital Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to The Christ Hospital Health Network and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0191377479",
      "name": "SUGARLAND REHAB HOSPITAL",
      "address": "7622 BRANFORD PL",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77479",
      "county": "FORT BEND",
      "latitude": 29.5872573898481,
      "longitude": -95.6426943604321,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "website": "https://sugarlandrehabhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sugar-land-sugarland-rehab-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "campusFamilyId": "campus-tx-673068",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0191445373",
      "name": "KETTERING HEALTH NETWORK TROY HOSPITAL",
      "address": "600 WEST MAIN STREET",
      "city": "TROY",
      "state": "OH",
      "zip": "45373",
      "county": "MIAMI",
      "latitude": 40.0432322100964,
      "longitude": -84.2096864295613,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 28,
      "rating": null,
      "website": "https://www.ketteringhealth.org/troy/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0191778660",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - PFLUGERVILLE",
      "address": "2600 E PFLUGERVILLE PKWY, SUITE 100",
      "city": "PFLUGERVILLE",
      "state": "TX",
      "zip": "78660",
      "county": "TRAVIS",
      "latitude": 30.4516312497047,
      "longitude": -97.5914115100897,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pflugerville-baylor-scott-&-white-medical-center---pflugerville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0191989052",
      "name": "DIGNITY HEALTH REHABILITATION HOSPITAL",
      "address": "2930 SIENA HEIGHTS DRIVE",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89052",
      "county": "CLARK",
      "latitude": 36.0031157201388,
      "longitude": -115.116944150398,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "website": "https://www.dignityhealthrehab.com/",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-dignity-health-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nv-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH BELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH BELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0192185607",
      "name": "COPPER QUEEN DOUGLAS EMERGENCY DEPARTMENT",
      "address": "100 E. 5TH STREET",
      "city": "DOUGLAS",
      "state": "AZ",
      "zip": "85607",
      "county": "COCHISE",
      "latitude": 31.3395943702451,
      "longitude": -109.560682190409,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://cqch.org/cqch-clinics/copper-queen-douglas-rhc/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-douglas-copper-queen-douglas-emergency-department/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Copper Queen Community Hospital",
      "parentSystemId": "entity-copper-queen-community-hospital",
      "siblingGroupId": "siblings-az-copper-queen-community-hospital",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0192185607",
        "external-resolution-0192185607"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://cqch.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Copper Queen Community Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Copper Queen Community Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0192329566",
      "name": "TIDELANDS HEALTH REHABILITATION HOSPITAL AT LITTLE RIVER AN AFFILIATE OF ENCOMPA",
      "address": "100 WATER GRANDE BLVD",
      "city": "LITTLE RIVER",
      "state": "SC",
      "zip": "29566",
      "county": "HORRY",
      "latitude": 33.8664189997081,
      "longitude": -78.6602050000493,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "website": "https://www.encompasshealth.com/locations/tidelandshealth-murrellsinlet",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompasshealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompasshealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0192329566",
        "external-resolution-0192329566"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0192477802",
      "name": "CAPROCK HOSPITAL",
      "address": "3134 BRIARCREST DR",
      "city": "BRYAN",
      "state": "TX",
      "zip": "77802",
      "county": "BRAZOS",
      "latitude": 30.6659853598197,
      "longitude": -96.3237249298298,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bryan-caprock-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CAPROCK HOSPITAL",
      "parentSystemId": "entity-caprock-hospital",
      "siblingGroupId": "siblings-tx-caprock-hospital",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-09-30",
      "ownershipSourceIds": [
        "hifld-location-0192477802",
        "external-resolution-0192477802"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 670259; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 670259; Type of Control 4 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0192876063",
      "name": "TRUSTED MEDICAL CENTERS MANSFIELD",
      "address": "1710 HWY 287 N, SUITE 300",
      "city": "MANSFIELD",
      "state": "TX",
      "zip": "76063",
      "county": "TARRANT",
      "latitude": 32.590341399899,
      "longitude": -97.1399230803291,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mansfield-trusted-medical-centers-mansfield/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Emergency Hospital Systems",
      "parentSystemId": "entity-emergency-hospital-systems",
      "siblingGroupId": "siblings-tx-emergency-hospital-systems",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0192876063",
        "external-resolution-0192876063"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.emergencyhospitals.care/locations-ehs/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0192974132",
      "name": "TULSA ER AND HOSPITAL",
      "address": "717 W 71ST ST SOUTH",
      "city": "TULSA",
      "state": "OK",
      "zip": "74132",
      "county": "TULSA",
      "latitude": 36.0617022900332,
      "longitude": -96.0011783897393,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-tulsa-er-&-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-ok-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0192974132",
        "external-resolution-0192974132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0193114203",
      "name": "JOHN R. OISHEI CHILDREN'S HOSPITAL",
      "address": "818 ELLICOTT STREET",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14203",
      "county": "ERIE",
      "latitude": 42.9009219202495,
      "longitude": -78.8674917100007,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 185,
      "rating": null,
      "website": "https://www.ochbuffalo.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-john-r.-oishei-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kaleida Health",
      "parentSystemId": "entity-kaleida-health",
      "siblingGroupId": "siblings-ny-kaleida-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0193114203",
        "external-resolution-0193114203"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kaleidahealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0193339744",
      "name": "WEBSTER HEALTH SERVICES, INC",
      "address": "70 MEDICAL PLAZA",
      "city": "EUPORA",
      "state": "MS",
      "zip": "39744",
      "county": "WEBSTER",
      "latitude": 33.5339256102616,
      "longitude": -89.2663569900236,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 38,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-ms-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0193439503",
      "name": "GULFPORT BEHAVIORAL HEALTH SYSTEM",
      "address": "11150 US HIGHWAY 49 NORTH",
      "city": "GULFPORT",
      "state": "MS",
      "zip": "39503",
      "county": "HARRISON",
      "latitude": 30.4466879998936,
      "longitude": -89.0982629997739,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 109,
      "rating": null,
      "website": "https://gulfportbehavioral.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gulfport-gulfport-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ms-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0193711040",
      "name": "COHEN CHILDREN'S MEDICAL CENTER",
      "address": "269-01 76TH AVENUE",
      "city": "NEW HYDE PARK",
      "state": "NY",
      "zip": "11040",
      "county": "QUEENS",
      "latitude": 40.7530050896986,
      "longitude": -73.7084565400814,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 202,
      "rating": null,
      "website": "https://childrenshospital.northwell.edu/",
      "status": "corporate_chain",
      "parentSystem": "LONG ISLAND JEWISH MEDICAL CENTER T C",
      "affiliatedSystem": "Northwell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-hyde-park-cohen-childrens-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-long-island-jewish-medical-center-t-c",
      "siblingGroupId": "siblings-ny-long-island-jewish-medical-center-t-c",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-long-island-jewish-medical-center-t-c"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to LONG ISLAND JEWISH MEDICAL CENTER T C; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LONG ISLAND JEWISH MEDICAL CENTER T C, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NY resolution: normalized CMS owner/operator to LONG ISLAND JEWISH MEDICAL CENTER T C; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LONG ISLAND JEWISH MEDICAL CENTER T C, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0194058104",
      "name": "PAM REHABILITATION HOSPITAL OF FARGO",
      "address": "4671 38TH ST S",
      "city": "FARGO",
      "state": "ND",
      "zip": "58104",
      "county": "CASS",
      "latitude": 46.8101132897098,
      "longitude": -96.8408225404081,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 42,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM CUBED LLC",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-nd-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0194246032",
      "name": "INDIANA SPINE HOSPITAL, LLC",
      "address": "13219 N MERIDIAN STREET",
      "city": "CARMEL",
      "state": "IN",
      "zip": "46032",
      "county": "HAMILTON",
      "latitude": 39.9804199499056,
      "longitude": -86.1534726197248,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "website": "https://indianaspinehospital.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carmel-indiana-spine-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Indiana Spine Hospital, LLC",
      "parentSystemId": "entity-indiana-spine-hospital-llc",
      "siblingGroupId": "siblings-in-indiana-spine-hospital-llc",
      "ownershipRelationship": "physician_owned",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0194246032",
        "external-resolution-0194246032"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://secure.in.gov/health/reports/QAMIS/hosrpt/ha013878.htm"
      ],
      "ownershipProofNotes": "The state hospital report identifies the exact licensed LLC. State-filed financial statements describe the member/physician-owned private hospital and related entities.",
      "parentSystemEvidence": "The state hospital report identifies the exact licensed LLC. State-filed financial statements describe the member/physician-owned private hospital and related entities."
    },
    {
      "id": "0194484403",
      "name": "NORTHERN UTAH REHABILITATION HOSPITAL",
      "address": "5825 HARRISON BOULEVARD",
      "city": "SOUTH OGDEN",
      "state": "UT",
      "zip": "84403",
      "county": "WEBER",
      "latitude": 41.1572991502641,
      "longitude": -111.941258710402,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "463027",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-ogden-northern-utah-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-ut-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0194629210",
      "name": "SOUTH CAROLINA SEXUALLY VIOLENT PREDATOR TREATMENT PROGRAM",
      "address": "4546 BROAD RIVER RD",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29210",
      "county": "RICHLAND",
      "latitude": 34.0722657800632,
      "longitude": -81.1109434696191,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "website": "https://wellpathcare.com/recovery-solutions-locations/south-carolina-sexually-violent-predator-treatment-program-scvptp/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-south-carolina-sexually-violent-predator-treatment-program/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "South Carolina Department of Mental Health",
      "parentSystemId": "entity-south-carolina-department-of-mental-health",
      "siblingGroupId": "siblings-sc-south-carolina-department-of-mental-health",
      "ownershipRelationship": "government_owned_contract_operated",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0194629210",
        "external-resolution-0194629210"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://bhdd.sc.gov/office-mental-health/providers/hospitals/sexually-violent-predator-treatment-program-svptp"
      ],
      "ownershipProofNotes": "The treatment program is a state responsibility and is classified as government-owned/control; Wellpath is preserved only as the contracted operator, not the owner.",
      "parentSystemEvidence": "The treatment program is a state responsibility and is classified as government-owned/control; Wellpath is preserved only as the contracted operator, not the owner."
    },
    {
      "id": "0194779934",
      "name": "THE HOSPITALS OF PROVIDENCE NORTHEAST CAMPUS",
      "address": "11274 MCCOMBS STREET",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79934",
      "county": "EL PASO",
      "latitude": 31.9377937898491,
      "longitude": -106.406690759995,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HEALTHCARE NETWORK TEXAS INC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-the-hospitals-of-providence-northeast-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-healthcare-network-texas-inc",
      "siblingGroupId": "siblings-tx-healthcare-network-texas-inc",
      "campusFamilyId": "campus-tx-670047",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHCARE NETWORK TEXAS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK TEXAS INC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHCARE NETWORK TEXAS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK TEXAS INC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0194973013",
      "name": "OKLAHOMA ER AND HOSPITAL",
      "address": "15103 N PENNSYLVANIA AVE",
      "city": "EDMOND",
      "state": "OK",
      "zip": "73013",
      "county": "OKLAHOMA",
      "latitude": 35.6242102400031,
      "longitude": -97.5501537899252,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edmond-oklahoma-er-&-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-ok-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0194973013",
        "external-resolution-0194973013"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0195023298",
      "name": "VCU MEDICAL CENTER - MAIN",
      "address": "1250 EAST MARSHALL STREET",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23298",
      "county": "RICHMOND",
      "latitude": 37.5406119098609,
      "longitude": -77.4304593398377,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 815,
      "rating": null,
      "website": "www.vcuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
      "affiliatedSystem": "Vcuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Vcuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-virginia-commonwealth-university-health-system-authority",
      "siblingGroupId": "siblings-va-virginia-commonwealth-university-health-system-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-virginia-commonwealth-university-health-system-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists CHRISTOPHER BRETT MCMILLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTOPHER BRETT MCMILLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0195337650",
      "name": "UNICOI COUNTY HOSPITAL",
      "address": "2030 TEMPLE HILL ROAD",
      "city": "ERWIN",
      "state": "TN",
      "zip": "37650",
      "county": "UNICOI",
      "latitude": 36.1184450003604,
      "longitude": -82.4446489999086,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 10,
      "rating": null,
      "website": "https://www.balladhealth.org/hospitals/unicoi-county-hospital-erwin",
      "status": "corporate_chain",
      "parentSystem": "Balladhealth",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erwin-unicoi-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-balladhealth",
      "siblingGroupId": "siblings-tn-balladhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0195337650",
        "external-resolution-0195337650"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.balladhealth.org/hospitals/unicoi-county-hospital-erwin"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0195696859",
      "name": "TRIPLER ARMY MEDICAL CENTER",
      "address": "1 JARRETT WHITE ROAD",
      "city": "TRIPLER AMC",
      "state": "HI",
      "zip": "96859",
      "county": "HONOLULU",
      "latitude": 21.3596493403998,
      "longitude": -157.890273000261,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": 450,
      "rating": null,
      "website": "https://tripler.tricare.mil",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-hi-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hi-parent-u-s-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.army.mil/medical/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Hawaii resolution: normalized CMS legal owner/operator to U.S. Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Hawaii resolution: normalized CMS legal owner/operator to U.S. Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196260611",
      "name": "REHABILITATION INSTITUTE OF CHICAGO",
      "address": "355 E ERIE ST",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60611",
      "county": "COOK",
      "latitude": 41.8940027097076,
      "longitude": -87.6184377200669,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 242,
      "rating": null,
      "website": "https://www.sralab.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "REHABILITATION INSTITUTE OF CHICAGO",
      "parentSystemId": "entity-rehabilitation-institute-of-chicago",
      "siblingGroupId": "siblings-il-rehabilitation-institute-of-chicago",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-rehabilitation-institute-of-chicago"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to REHABILITATION INSTITUTE OF CHICAGO; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHABILITATION INSTITUTE OF CHICAGO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to REHABILITATION INSTITUTE OF CHICAGO; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHABILITATION INSTITUTE OF CHICAGO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196360451",
      "name": "SILVER OAKS BEHAVORIAL HOSPITAL",
      "address": "1004 PAWLAK PARKWAY",
      "city": "NEW LENOX",
      "state": "IL",
      "zip": "60451",
      "county": "WILL",
      "latitude": 41.5447159998968,
      "longitude": -87.9872220004068,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 110,
      "rating": null,
      "website": "https://www.silveroaksbehavioralhospital.com/",
      "status": "signal",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Ownership warning",
      "relationshipType": "venture_backing",
      "parentSystem": "US HEALTHVEST, LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-lenox-silver-oaks-behavorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-il-us-healthvest-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-us-healthvest"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196500984",
      "name": "DOCTOR CENTER HOSPITAL SAN FERNANDO DE LA CAROLINA",
      "address": "EDIF JESUS T PINEIRO AVE FERNANDEZ JUNCOS BO PUEBLO",
      "city": "CAROLINA",
      "state": "PR",
      "zip": "00979",
      "county": "CAROLINA",
      "latitude": 18.3804430002527,
      "longitude": -65.9557900002867,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 988,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0196600956",
      "name": "HOSPITAL PSIQUIATRICO DE NINOS Y ADOLESCENTES",
      "address": "100 AVE LAUREL 100, URB. SANTA JUANITA",
      "city": "BAYAMON",
      "state": "PR",
      "zip": "00956",
      "county": "BAYAMÓN",
      "latitude": 18.3675336302929,
      "longitude": -66.1542977399694,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched"
    },
    {
      "id": "0196706457",
      "name": "WHITING FORENSIC HOSPITAL",
      "address": "70 OBRIEN DR",
      "city": "MIDDLETOWN",
      "state": "CT",
      "zip": "06457",
      "county": "LOWER CONNECTICUT RIVER VALLEY",
      "latitude": 41.5520400002245,
      "longitude": -72.6258903996758,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 229,
      "rating": null,
      "website": "https://portal.ct.gov/dmhas/wfh/whiting-forensic-hospital",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middletown-whiting-forensic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WHITING FORENSIC HOSPITAL",
      "parentSystemId": "entity-whiting-forensic-hospital",
      "siblingGroupId": "siblings-ct-whiting-forensic-hospital",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196706457",
        "external-resolution-0196706457"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://portal.ct.gov/dmhas/wfh/whiting-forensic-hospital"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0196784108",
      "name": "UNIVERSITY ORTHOPAEDIC CENTER",
      "address": "590 WAKARA WAY",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84108",
      "county": "SALT LAKE",
      "latitude": 40.7563386901695,
      "longitude": -111.833183760415,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "website": "https://healthcare.utah.edu/orthopaedics/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salt-lake-city-university-orthopaedic-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY ORTHOPAEDIC CENTER",
      "parentSystemId": "entity-university-orthopaedic-center",
      "siblingGroupId": "siblings-ut-university-orthopaedic-center",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784108",
        "external-resolution-0196784108"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.utah.edu/orthopaedics/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0196784110",
      "name": "VIBRA REHABILITATION HOSPITAL OF RANCHO MIRAGE",
      "address": "70077 RAMON RD",
      "city": "RANCHO MIRAGE",
      "state": "CA",
      "zip": "92270",
      "county": "RIVERSIDE",
      "latitude": 33.8148700002811,
      "longitude": -116.439449999561,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "EISENHOWER MEDICAL CENTER",
      "parentSystemId": "entity-eisenhower-medical-center",
      "siblingGroupId": "siblings-ca-eisenhower-medical-center",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EISENHOWER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EISENHOWER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784111",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MURRIETA",
      "address": "35470 WHITEWOOD RD",
      "city": "MURRIETA",
      "state": "CA",
      "zip": "92563",
      "county": "RIVERSIDE",
      "latitude": 33.6065808903675,
      "longitude": -117.162020410428,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ca-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784112",
      "name": "CALIFORNIA PACIFIC MEDICAL CENTER - D/P APH",
      "address": "2323 SACRAMENTO ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94115",
      "county": "SAN FRANCISCO",
      "latitude": 37.7899396801011,
      "longitude": -122.43151197044,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CALIFORNIA PACIFIC MEDICAL CENTER",
      "parentSystemId": "entity-california-pacific-medical-center",
      "siblingGroupId": "siblings-ca-california-pacific-medical-center",
      "campusFamilyId": "campus-ca-050047",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALIFORNIA PACIFIC MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050047, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALIFORNIA PACIFIC MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784113",
      "name": "WESTLAND HOUSE",
      "address": "100 BARNET SEGAL LN",
      "city": "MONTEREY",
      "state": "CA",
      "zip": "93940",
      "county": "MONTEREY",
      "latitude": 36.5811829898242,
      "longitude": -121.885906070097,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "website": "https://www.chomp.org/services/hospice/westland-house/#.x47_unbkhpy",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Montage Health",
      "parentSystemId": "entity-montage-health",
      "siblingGroupId": "siblings-ca-montage-health",
      "ownershipRelationship": "service_location_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784113",
        "external-resolution-0196784113"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.chomp.org/services/hospice/westland-house/"
      ],
      "ownershipProofNotes": "Westland House is a hospice/residential service of nonprofit Montage Health/CHOMP and is not an independently owned hospital.",
      "parentSystemEvidence": "Westland House is a hospice/residential service of nonprofit Montage Health/CHOMP and is not an independently owned hospital."
    },
    {
      "id": "0196784114",
      "name": "EXODUS PSYCHIATRIC HEALTH FACILITY FRESNO",
      "address": "4411 E KINGS CANYON RD",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93702",
      "county": "FRESNO",
      "latitude": 36.7370571399577,
      "longitude": -119.752114370123,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "https://www.exodusrecovery.com/fresno-programs/fresno-csc-in-patient/",
      "status": "unknown",
      "evidenceSource": "Fresno County File 22-0665",
      "evidenceSourceUrl": "https://fresnocounty.legistar.com/LegislationDetail.aspx?From=RSS&GUID=765BDFCA-2D89-493F-886F-8C5609692170&ID=5717116",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "unresolved",
      "classificationDepth": "full_research",
      "classificationReason": "Fresno County approved Exodus adult PHF/CSU agreements through 2027 and amended adult PHF service location to 3127 N Millbrook in 2024; HCAI still lists Exodus PHF open at Kings Canyon. Remaining limitation: Conflict between HCAI Kings Canyon profile and county Millbrook relocation requires current license/operator verification.",
      "classificationSources": [
        "Fresno County File 22-0665",
        "Amendment due to Relocation of Psychiatric Health Facilities and associated Agreements",
        "Exodus Psychiatric Health Facility Fresno profile",
        "Psychiatric Health Facility - PHF - Fresno",
        "Fresno County System of Care"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Behavioral health contractor",
      "operatorName": "Exodus Recovery Inc.",
      "publicControlBadge": "Unknown / contractor pending license verification / Behavioral health contractor",
      "relationshipType": "",
      "parentSystem": "Exodus Recovery, Inc.",
      "affiliatedSystem": "Exodus Recovery Inc. / Fresno County contractor",
      "affiliatedSystemEvidence": "fresno_county_exodus_2022|fresno_county_exodus_2024_move|hcai_exodus|exodus_phf_page|fresno_system_of_care",
      "affiliationConfidence": "medium",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-exodus-recovery-inc",
      "siblingGroupId": "siblings-ca-exodus-recovery-inc",
      "ownershipRelationship": "county_contract_operator",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784114",
        "external-resolution-0196784114"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://lfpublicdocs.fresnocountyca.gov/PublicContracts/DocView.aspx?dbid=0&id=114840&repo=LFContracts"
      ],
      "ownershipProofNotes": "The county contract identifies Exodus Recovery as a for-profit California corporation. County contracting is not treated as county ownership.",
      "parentSystemEvidence": "The county contract identifies Exodus Recovery as a for-profit California corporation. County contracting is not treated as county ownership."
    },
    {
      "id": "0196784115",
      "name": "UP HEALTH SYSTEM - MARQUETTE",
      "address": "850 W BARAGA AVE",
      "city": "MARQUETTE",
      "state": "MI",
      "zip": "49855",
      "county": "MARQUETTE",
      "latitude": 46.5436915200227,
      "longitude": -87.4085306397031,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 179,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marquette-up-health-system---marquette/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-mi-lifepoint-health",
      "campusFamilyId": "campus-mi-230054",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784116",
      "name": "RIVERSIDE CORRECTIONAL FACILITY",
      "address": "777 W. RIVERSIDE DR.",
      "city": "IONIA",
      "state": "MI",
      "zip": "48846",
      "county": "IONIA",
      "latitude": 42.9626910002357,
      "longitude": -85.0866549999735,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Michigan Department of Corrections",
      "parentSystemId": "entity-michigan-department-of-corrections",
      "siblingGroupId": "siblings-mi-michigan-department-of-corrections",
      "ownershipRelationship": "historically_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784116",
        "external-resolution-0196784116"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.michigan.gov/corrections/about/history"
      ],
      "ownershipProofNotes": "Riverside was a state correctional facility and is retained as a historical government location, not a private hospital.",
      "parentSystemEvidence": "Riverside was a state correctional facility and is retained as a historical government location, not a private hospital."
    },
    {
      "id": "0196784117",
      "name": "PIONEER SPECIALTY HOSPITAL GARDEN CITY",
      "address": "6245 INKSTER ROAD, 3RD FLOOR",
      "city": "GARDEN CITY",
      "state": "MI",
      "zip": "48135",
      "county": "WAYNE",
      "latitude": 42.3325337476695,
      "longitude": -83.3153334452767,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "website": "http://www.pioneerhcm.com/pioneer-specialty-hospital/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Pioneer Health Care Management",
      "parentSystemId": "entity-pioneer-health-care-management",
      "siblingGroupId": "siblings-mi-pioneer-health-care-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784117",
        "external-resolution-0196784117"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pioneerhcm.com/"
      ],
      "ownershipProofNotes": "The specialty hospital was operated by privately held Pioneer Health Care Management; the host campus is not treated as its owner.",
      "parentSystemEvidence": "The specialty hospital was operated by privately held Pioneer Health Care Management; the host campus is not treated as its owner."
    },
    {
      "id": "0196784119",
      "name": "NORTHEAST GEORGIA MEDICAL CENTER INC.",
      "address": "1400 RIVER PLACE",
      "city": "BRASELTON",
      "state": "GA",
      "zip": "30517",
      "county": "HALL",
      "latitude": 34.1205360001857,
      "longitude": -83.8377000001866,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "www.nghs.com\\braselton",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northeast Georgia Health System",
      "parentSystemId": "entity-northeast-georgia-health-system",
      "siblingGroupId": "siblings-ga-northeast-georgia-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784119",
        "external-resolution-0196784119"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/581694098"
      ],
      "ownershipProofNotes": "The exact hospital entity is an IRS-recognized nonprofit within Northeast Georgia Health System.",
      "parentSystemEvidence": "The exact hospital entity is an IRS-recognized nonprofit within Northeast Georgia Health System."
    },
    {
      "id": "0196784120",
      "name": "HUGHES SPALDING CHILDRENS HOSP",
      "address": "35 JESSE HILL JR DR SE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30303",
      "county": "FULTON",
      "latitude": 33.7538959998892,
      "longitude": -84.3820669997854,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://www.choa.org/hughesspalding?cid=20809_na1_ch-yx_na3_na4_na5",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Fulton-DeKalb Hospital Authority / Grady Health System",
      "parentSystemId": "entity-fulton-dekalb-hospital-authority-grady-health-system",
      "siblingGroupId": "siblings-ga-fulton-dekalb-hospital-authority-grady-health-system",
      "ownershipRelationship": "publicly_owned_nonprofit_managed",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784120",
        "external-resolution-0196784120"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://thefdha.org/fdha-history-and-timeline/"
      ],
      "ownershipProofNotes": "Hughes Spalding is publicly owned through the Fulton-DeKalb/Grady structure and managed by Children’s Healthcare of Atlanta. The nonprofit manager is not substituted for the public owner.",
      "parentSystemEvidence": "Hughes Spalding is publicly owned through the Fulton-DeKalb/Grady structure and managed by Children’s Healthcare of Atlanta. The nonprofit manager is not substituted for the public owner."
    },
    {
      "id": "0196784121",
      "name": "ASPIRUS PLOVER HOSPITAL",
      "address": "5409 VERN HOLMES DR",
      "city": "STEVENS POINT",
      "state": "WI",
      "zip": "54482",
      "county": "PORTAGE",
      "latitude": 44.4989309998427,
      "longitude": -89.5165329996472,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Aspirus Health",
      "parentSystemId": "entity-aspirus-health",
      "siblingGroupId": "siblings-wi-aspirus-health",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784121",
        "external-resolution-0196784121"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.aspirus.org/Uploads/Public/Documents/CHNAs/2023/2023_Plover_Assessment.pdf"
      ],
      "ownershipProofNotes": "The facility is an Aspirus Health hospital within the nonprofit system.",
      "parentSystemEvidence": "The facility is an Aspirus Health hospital within the nonprofit system."
    },
    {
      "id": "0196784122",
      "name": "SELECT SPEC HOSPITAL - ST FRANCIS",
      "address": "3237 S 16TH ST, 5TH FLOOR",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53215",
      "county": "MILWAUKEE",
      "latitude": 42.9855329999564,
      "longitude": -87.9354279995637,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 29,
      "rating": null,
      "website": "https://milwaukeestfrancis.selectspecialtyhospitals.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-wi-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784122",
        "external-resolution-0196784122"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://milwaukeestfrancis.selectspecialtyhospitals.com/"
      ],
      "ownershipProofNotes": "The exact hospital-within-a-hospital location is branded and operated by publicly traded Select Medical.",
      "parentSystemEvidence": "The exact hospital-within-a-hospital location is branded and operated by publicly traded Select Medical."
    },
    {
      "id": "0196784123",
      "name": "METROHEALTH CLEVELAND HEIGHTS HOSPITAL",
      "address": "10 SEVERANCE CIRCLE",
      "city": "CLEVELAND HEIGHTS",
      "state": "OH",
      "zip": "44118",
      "county": "CUYAHOGA",
      "latitude": 41.5138985099057,
      "longitude": -81.5508718096701,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "The MetroHealth System",
      "parentSystemId": "entity-the-metrohealth-system",
      "siblingGroupId": "siblings-oh-the-metrohealth-system",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784123",
        "external-resolution-0196784123"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.oh.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0196784124",
      "name": "PICKERINGTON EMERGENCY CARE CENTER",
      "address": "1010 REFUGEE RD",
      "city": "PICKERINGTON",
      "state": "OH",
      "zip": "43147",
      "county": "FAIRFIELD",
      "latitude": 39.9118233300859,
      "longitude": -82.7830702101706,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "OhioHealth",
      "parentSystemId": "entity-ohiohealth",
      "siblingGroupId": "siblings-oh-ohiohealth",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784124",
        "external-resolution-0196784124"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ohiohealth.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to OhioHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to OhioHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784125",
      "name": "SELECT SPECIALTY HOSPITAL - CINCINNATI DBA SELECT",
      "address": "10500 MONTGOMERY RD FIRST FLOOR",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45242",
      "county": "HAMILTON",
      "latitude": 39.252260689845,
      "longitude": -84.3417084303382,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 41,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "campusFamilyId": "campus-oh-362019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID MUGGLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID MUGGLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784127",
      "name": "N MARKET BEHAVIORAL HOSPITAL, LLC",
      "address": "1223 MARKET AVE N",
      "city": "CANTON",
      "state": "OH",
      "zip": "44714",
      "county": "STARK",
      "latitude": 40.8099537101635,
      "longitude": -81.3724402703371,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HC REAL ESTATE HOLDINGS, LLC",
      "parentSystemId": "entity-hc-real-estate-holdings-llc",
      "siblingGroupId": "siblings-oh-hc-real-estate-holdings-llc",
      "campusFamilyId": "campus-oh-364064",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HC REAL ESTATE HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD NOBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HC REAL ESTATE HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HC REAL ESTATE HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD NOBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HC REAL ESTATE HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784128",
      "name": "METROHEALTH PARMA HOSPITAL",
      "address": "12301 SNOW ROAD",
      "city": "PARMA",
      "state": "OH",
      "zip": "44130",
      "county": "CUYAHOGA",
      "latitude": 41.404125330182,
      "longitude": -81.7744459099704,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "The MetroHealth System",
      "parentSystemId": "entity-the-metrohealth-system",
      "siblingGroupId": "siblings-oh-the-metrohealth-system",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784128",
        "external-resolution-0196784128"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.oh.gov/"
      ],
      "ownershipProofNotes": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge.",
      "parentSystemEvidence": "HIFLD classifies the location as government-owned. The official government/facility source identifies the responsible public facility or authority; no private system page is required for a government ownership edge."
    },
    {
      "id": "0196784129",
      "name": "MERCY HEALTH PERRYSBURG HOSPITAL",
      "address": "12623 ECKEL JUNCTION ROAD",
      "city": "PERRYSBURG",
      "state": "OH",
      "zip": "43551",
      "county": "WOOD",
      "latitude": 41.5348775699257,
      "longitude": -83.6374158303514,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 46,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784129",
        "external-resolution-0196784129"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784131",
      "name": "GROVE CITY METHODIST HOSPITAL",
      "address": "1375 STRINGTOWN ROAD",
      "city": "GROVE CITY",
      "state": "OH",
      "zip": "43123",
      "county": "FRANKLIN",
      "latitude": 39.8761181801313,
      "longitude": -83.0332954798111,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 26,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OhioHealth",
      "parentSystemId": "entity-ohiohealth",
      "siblingGroupId": "siblings-oh-ohiohealth",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784131",
        "external-resolution-0196784131"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ohiohealth.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to OhioHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to OhioHealth and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784132",
      "name": "COLUMBUS SPRINGS EAST",
      "address": "2085 CITYGATE DR",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43219",
      "county": "FRANKLIN",
      "latitude": 40.0126349100076,
      "longitude": -82.9142245300112,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-oh-lifepoint-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784132",
        "external-resolution-0196784132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to LifePoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to LifePoint Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784134",
      "name": "SPECIALTY HOSP. OF LORAIN",
      "address": "254 CLEVELAND AVE",
      "city": "AMHERST",
      "state": "OH",
      "zip": "44001",
      "county": "LORAIN",
      "latitude": 41.3991966297786,
      "longitude": -82.2235873500157,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amherst-specialty-hospital-of-lorain/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Specialty Hospital of Lorain",
      "parentSystemId": "entity-specialty-hospital-of-lorain",
      "siblingGroupId": "siblings-oh-specialty-hospital-of-lorain",
      "ownershipRelationship": "self_operated_nonprofit_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784134",
        "external-resolution-0196784134"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/341902731"
      ],
      "ownershipProofNotes": "The exact IRS Form 990 organization confirms nonprofit hospital status. No separately documented higher system parent was found, so the legal hospital entity is retained.",
      "parentSystemEvidence": "The exact IRS Form 990 organization confirms nonprofit hospital status. No separately documented higher system parent was found, so the legal hospital entity is retained."
    },
    {
      "id": "0196784136",
      "name": "OHIOHEALTH EMERGENCY CARE CENTER",
      "address": "260 POLARIS PKWY",
      "city": "WESTERVILLE",
      "state": "OH",
      "zip": "43082",
      "county": "DELAWARE",
      "latitude": 40.1471035199219,
      "longitude": -82.9372735996909,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "OhioHealth",
      "parentSystemId": "entity-ohiohealth",
      "siblingGroupId": "siblings-oh-ohiohealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784136",
        "external-resolution-0196784136"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ohiohealth.com/locations"
      ],
      "ownershipProofNotes": "OhioHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "OhioHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784137",
      "name": "AULTMAN SPECIALTY HOSPITAL, LLC",
      "address": "2600 6TH ST SW, 4TH FLOOR",
      "city": "CANTON",
      "state": "OH",
      "zip": "44710",
      "county": "STARK",
      "latitude": 40.7962361800983,
      "longitude": -81.4031945701961,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AULTMAN HEALTH FOUNDATION",
      "parentSystemId": "entity-aultman-health-foundation",
      "siblingGroupId": "siblings-oh-aultman-health-foundation",
      "campusFamilyId": "campus-oh-360084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-aultman-health-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://aultman.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784139",
      "name": "CLEVELAND CLINIC REHABILITATION HOSPITAL - BEACHWOOD",
      "address": "3025 SCIENCE PARK DRIVE",
      "city": "BEACHWOOD",
      "state": "OH",
      "zip": "44122",
      "county": "CUYAHOGA",
      "latitude": 41.4727439301254,
      "longitude": -81.4919747903496,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Cleveland Clinic",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beachwood-cleveland-clinic-rehabilitation-hospital-beachwood/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cleveland-clinic",
      "siblingGroupId": "siblings-oh-cleveland-clinic",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784139",
        "external-resolution-0196784139"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Cleveland Clinic official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784141",
      "name": "UC - MEDICAL CENTER - RIDGEWAY",
      "address": "3200 BURNET AVE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45229",
      "county": "HAMILTON",
      "latitude": 39.1370148398796,
      "longitude": -84.5029274502251,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC",
      "parentSystemId": "entity-university-of-cincinnati-medical-center-llc",
      "siblingGroupId": "siblings-oh-university-of-cincinnati-medical-center-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784141",
        "external-resolution-0196784141"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20071107000247 (36S003). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20071107000247 (36S003). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784143",
      "name": "PAM SPECIALTY HOSPITAL OF DAYTON",
      "address": "4000 MIAMISBURG CENTERVILLE RD",
      "city": "MIAMISBURG",
      "state": "OH",
      "zip": "45342",
      "county": "MONTGOMERY",
      "latitude": 39.6375868797619,
      "longitude": -84.2488473902245,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "campusFamilyId": "campus-oh-360239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784146",
      "name": "NCH BEHAVIORAL HEALTH PAVILION",
      "address": "444 BUTTERFLY GARDENS DR",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43215",
      "county": "FRANKLIN",
      "latitude": 39.9535436303252,
      "longitude": -82.987762040304,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Nationwide Children's Hospital",
      "parentSystemId": "entity-nationwide-children-s-hospital",
      "siblingGroupId": "siblings-oh-nationwide-children-s-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784146",
        "external-resolution-0196784146"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nationwidechildrens.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nationwide Children's Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nationwide Children's Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784147",
      "name": "ENCOMPASS HLTH. REHAB. HSPTL. OF CIN. AT NORWOOD",
      "address": "4953 SECTION AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45212",
      "county": "HAMILTON",
      "latitude": 39.1671538503283,
      "longitude": -84.4606167796818,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-oh-encompass-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784147",
        "external-resolution-0196784147"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Encompass Health primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784148",
      "name": "MOUNT CARMEL GROVE CITY",
      "address": "5300 N MEADOWS DRIVE",
      "city": "GROVE CITY",
      "state": "OH",
      "zip": "43123",
      "county": "FRANKLIN",
      "latitude": 39.8526678498616,
      "longitude": -83.0752022902606,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 253,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grove-city-mount-carmel-grove-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mount Carmel Health System",
      "parentSystemId": "entity-mount-carmel-health-system",
      "siblingGroupId": "siblings-oh-mount-carmel-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784148",
        "external-resolution-0196784148"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountcarmelhealth.com/location"
      ],
      "ownershipProofNotes": "Mount Carmel Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mount Carmel Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784149",
      "name": "ASSURANCE HEALTH CINCINNATI, LLC",
      "address": "610 W MAIN STREET",
      "city": "WILMINGTON",
      "state": "OH",
      "zip": "45177",
      "county": "CLINTON",
      "latitude": 39.4443311600255,
      "longitude": -83.839951390291,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 14,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "TriHealth",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "campusFamilyId": "campus-oh-360175",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trihealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIHEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIHEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784150",
      "name": "CINCINNATI CHILDREN'S HOSPITAL CENTER FOR SIMULATION AND RESEARCH",
      "address": "619 OAK ST, 2ND FL",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45206",
      "county": "HAMILTON",
      "latitude": 39.1294100000736,
      "longitude": -84.4971660000475,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Cincinnati Children's",
      "parentSystemId": "entity-cincinnati-children-s",
      "siblingGroupId": "siblings-oh-cincinnati-children-s",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784150",
        "external-resolution-0196784150"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cincinnatichildrens.org/locations"
      ],
      "ownershipProofNotes": "Cincinnati Children's official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Cincinnati Children's official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784151",
      "name": "EMH REGIONAL MEDICAL CENTER",
      "address": "630 E RIVER STREET",
      "city": "ELYRIA",
      "state": "OH",
      "zip": "44035",
      "county": "LORAIN",
      "latitude": 41.3668640000785,
      "longitude": -82.0976330000624,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 287,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elyria-emh-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784154",
      "name": "THE REHABILITATION INSTITUTE OF OHIO",
      "address": "835 S MAIN ST",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45202",
      "county": "MONTGOMERY",
      "latitude": 39.7473233496941,
      "longitude": -84.1891328195538,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-oh-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784156",
      "name": "RIVERVIEW HEALTH INSTITUTE",
      "address": "1 ELIZABETH PLACE",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45417",
      "county": "MONTGOMERY",
      "latitude": 39.7478649998516,
      "longitude": -84.1992300001283,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 10,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-riverview-health-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Riverview Health Institute, LLC",
      "parentSystemId": "entity-riverview-health-institute-llc",
      "siblingGroupId": "siblings-oh-riverview-health-institute-llc",
      "ownershipRelationship": "self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784156",
        "external-resolution-0196784156"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.riverviewhealthinstitute.com/about-4"
      ],
      "ownershipProofNotes": "The active hospital transparency page confirms the exact 1 Elizabeth Place facility. Public court records identify Riverview Health Institute, LLC as the private specialty-hospital legal entity; no higher parent is inferred.",
      "parentSystemEvidence": "The active hospital transparency page confirms the exact 1 Elizabeth Place facility. Public court records identify Riverview Health Institute, LLC as the private specialty-hospital legal entity; no higher parent is inferred."
    },
    {
      "id": "0196784157",
      "name": "CHILDREN'S HOSP. MED CTR OF AKRON",
      "address": "1 PERKINS SQUARE",
      "city": "AKRON",
      "state": "OH",
      "zip": "44308",
      "county": "SUMMIT",
      "latitude": 41.0796189799561,
      "longitude": -81.5251034003865,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 297,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON",
      "parentSystemId": "entity-children-s-hospital-medical-center-of-akron",
      "siblingGroupId": "siblings-oh-children-s-hospital-medical-center-of-akron",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-children-s-hospital-medical-center-of-akron"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784158",
      "name": "MIDLANDS REGIONAL REHABILITATION HOSPITAL",
      "address": "20 PINNACLE PKWY",
      "city": "ELGIN",
      "state": "SC",
      "zip": "29045",
      "county": "KERSHAW",
      "latitude": 34.1468981999459,
      "longitude": -80.7500672698294,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "423034",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-sc-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784159",
      "name": "UNIVERSITY HOSPITAL",
      "address": "1 CONVENTION BOULEVARD",
      "city": "ATLANTIC CITY",
      "state": "NJ",
      "zip": "08401",
      "county": "ATLANTIC",
      "latitude": 39.3630857999855,
      "longitude": -74.4385142004324,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "University Hospital New Jersey",
      "parentSystemId": "entity-university-hospital-new-jersey",
      "siblingGroupId": "siblings-nj-university-hospital-new-jersey",
      "ownershipRelationship": "service_location_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784159",
        "external-resolution-0196784159"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uhnj.org/about-us/"
      ],
      "ownershipProofNotes": "The map record is a University Hospital service location. University Hospital is a New Jersey public hospital; the satellite address is not treated as a separate owner.",
      "parentSystemEvidence": "The map record is a University Hospital service location. University Hospital is a New Jersey public hospital; the satellite address is not treated as a separate owner."
    },
    {
      "id": "0196784160",
      "name": "ST ELIZABETH MEDICAL CENTER NORTH",
      "address": "1 MEDICAL VILLAGE DRIVE",
      "city": "EDGEWOOD",
      "state": "KY",
      "zip": "41017",
      "county": "KENTON",
      "latitude": 39.0141615091031,
      "longitude": -84.5624868800496,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 103,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST ELIZABETH MEDICAL CENTER, INC",
      "parentSystemId": "entity-st-elizabeth-medical-center-inc",
      "siblingGroupId": "siblings-ky-st-elizabeth-medical-center-inc",
      "campusFamilyId": "campus-ky-180035",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-st-elizabeth-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.stelizabeth.com/about/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784162",
      "name": "VALLEY BAPTIST MICRO - HOSPITAL WESLACO",
      "address": "1021 W INTERSTATE 2",
      "city": "WESLACO",
      "state": "TX",
      "zip": "78596",
      "county": "HIDALGO",
      "latitude": 26.1718388698524,
      "longitude": -98.0004890802033,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784162",
        "external-resolution-0196784162"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784163",
      "name": "COMMUNITY STROKE AND REHABILITATION CENTER, INC",
      "address": "10215 BROADWAY AVENUE",
      "city": "CROWN POINT",
      "state": "IN",
      "zip": "46307",
      "county": "LAKE",
      "latitude": 41.4304060001181,
      "longitude": -87.3339102202168,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Powers Health",
      "parentSystemId": "entity-powers-health",
      "siblingGroupId": "siblings-in-powers-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-powers-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.powershealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784164",
      "name": "NORTHWESTERN MEDICINE - HUNTLEY",
      "address": "10400 HALIGUS ROAD",
      "city": "HUNTLEY",
      "state": "IL",
      "zip": "60142",
      "county": "MCHENRY",
      "latitude": 42.1780902997343,
      "longitude": -88.3996337000368,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 128,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784164",
        "external-resolution-0196784164"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nm.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196784165",
      "name": "CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE",
      "address": "10648 PARK ROAD",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28210",
      "county": "MECKLENBURG",
      "latitude": 35.0942578996467,
      "longitude": -80.8733216002457,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CHC Community Care",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlotte-carolinas-continuecare-hospital-at-pineville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-nc-chc-community-care",
      "campusFamilyId": "campus-nc-342015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-chc-community-care-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC COMMUNITY CARE, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CHC COMMUNITY CARE, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC COMMUNITY CARE, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to CHC COMMUNITY CARE, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784167",
      "name": "MAYO CLINIC HEALTH SYS ST JAMES",
      "address": "1101 MOULTON AND PARSONS DRIVE",
      "city": "ST. JAMES",
      "state": "MN",
      "zip": "56081",
      "county": "WATONWAN",
      "latitude": 43.9701417000607,
      "longitude": -94.6226301004287,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784168",
      "name": "MEDICAL CITY HEART AND SPINE HOSPITALS",
      "address": "11970 NORTH CENTRAL EXPRESSWAY",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75243",
      "county": "DALLAS",
      "latitude": 32.9120384999586,
      "longitude": -96.7667177997089,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 87,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784168",
        "external-resolution-0196784168"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784169",
      "name": "SANFORD BEHAVIORAL HLTH CENTER",
      "address": "120 LABREE AVENUE SOUTH",
      "city": "THIEF RIVER FALLS",
      "state": "MN",
      "zip": "56701",
      "county": "PENNINGTON",
      "latitude": 48.1161515002851,
      "longitude": -96.1795066003567,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784170",
      "name": "ACUITY SPECIALTY HOSPITAL OF MORGANTOWN",
      "address": "1200 JD ANDERSON DRIVE, 4TH FLOOR",
      "city": "MORGANTOWN",
      "state": "WV",
      "zip": "26505",
      "county": "MONONGALIA",
      "latitude": 39.6639249997116,
      "longitude": -79.9467491000934,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ACUITY GENERAL PARTNER LLC",
      "parentSystemId": "entity-acuity-general-partner-llc",
      "siblingGroupId": "siblings-wv-acuity-general-partner-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACUITY GENERAL PARTNER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL CHARLES DUNMYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACUITY GENERAL PARTNER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACUITY GENERAL PARTNER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL CHARLES DUNMYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACUITY GENERAL PARTNER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784171",
      "name": "UNITY HEALTH SPECIALTY CARE CAMPUS",
      "address": "1200 SOUTH MAIN STREET",
      "city": "SEARCY",
      "state": "AR",
      "zip": "72143",
      "county": "WHITE",
      "latitude": 35.2340138497173,
      "longitude": -91.731841780191,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 193,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health",
      "parentSystemId": "entity-unity-health",
      "siblingGroupId": "siblings-ar-unity-health",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784171",
        "external-resolution-0196784171"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unity-health.org/about-us/"
      ],
      "ownershipProofNotes": "The Specialty Care Campus is part of nonprofit Unity Health in Arkansas.",
      "parentSystemEvidence": "The Specialty Care Campus is part of nonprofit Unity Health in Arkansas."
    },
    {
      "id": "0196784172",
      "name": "UNITED MEMORIAL MEDICAL CENTER - SUGAR LAND HOSPITAL",
      "address": "1211 HWY 6, NUMBER 70",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77478",
      "county": "FORT BEND",
      "latitude": 29.6051323996152,
      "longitude": -95.6361436998532,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 6,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784172",
        "external-resolution-0196784172"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0196784178",
      "name": "AURORA PLAINS ACADEMY",
      "address": "1400 E 10TH ST",
      "city": "PLANKINTON",
      "state": "SD",
      "zip": "57368",
      "county": "AURORA",
      "latitude": 43.7251036103235,
      "longitude": -98.4657347503994,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 66,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Clinicare Corporation",
      "parentSystemId": "entity-clinicare-corporation",
      "siblingGroupId": "siblings-sd-clinicare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784178",
        "external-resolution-0196784178"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://auroraplains.com/about/"
      ],
      "ownershipProofNotes": "Aurora Plains states that it is owned and operated by privately held Clinicare Corporation. It is a youth residential treatment facility, not a general hospital.",
      "parentSystemEvidence": "Aurora Plains states that it is owned and operated by privately held Clinicare Corporation. It is a youth residential treatment facility, not a general hospital."
    },
    {
      "id": "0196784179",
      "name": "CORNERSTONE BEHAVIORAL HEALTH EL DORADO",
      "address": "1400 NORTH WILMOT ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85712",
      "county": "PIMA",
      "latitude": 32.2398468997636,
      "longitude": -110.85566450009,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 54,
      "rating": null,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-cornerstone-behavioral-health-el-dorado/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-az-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784180",
      "name": "COMMUNITY BEHAVIORAL HLTH HOSP",
      "address": "14241 GRAND OAKS DRIVE",
      "city": "BAXTER",
      "state": "MN",
      "zip": "56425",
      "county": "CROW WING",
      "latitude": 46.3591422001473,
      "longitude": -94.2576298995613,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET",
      "parentSystemId": "entity-state-of-minnesota-minnesota-management-and-budget",
      "siblingGroupId": "siblings-mn-state-of-minnesota-minnesota-management-and-budget",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-state-of-minnesota-minnesota-management-and-budget"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784181",
      "name": "DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL",
      "address": "1515 WEST CHANDLER BOULEVARD",
      "city": "CHANDLER",
      "state": "AZ",
      "zip": "85224",
      "county": "MARICOPA",
      "latitude": 33.3055290002528,
      "longitude": -111.868689300117,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "033040",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Unknown",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0196784183",
      "name": "COBALT REHABILITATION HOSPITAL EL PASO",
      "address": "1600 E CLIFF DRIVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7763306999533,
      "longitude": -106.479988400344,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM HEALTH BLOCKER PURCHASER INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM HEALTH BLOCKER PURCHASER INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784184",
      "name": "ST MICHAELS ELITE HOSPITAL",
      "address": "16000 SOUTHWEST FREEWAY, SUITE 100",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77479",
      "county": "FORT BEND",
      "latitude": 29.5981020997438,
      "longitude": -95.6243564001571,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 7,
      "rating": null,
      "status": "disputed",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "02 HOLDINGS, LLC",
      "peFirm": "Welsh, Carson, Anderson & Stowe",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-02-holdings-llc",
      "siblingGroupId": "siblings-tx-02-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-02-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: 02 HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists SHANNON M ORSAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to 02 HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent 02 HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: 02 HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists SHANNON M ORSAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to 02 HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent 02 HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784185",
      "name": "COMM BEHAVIORAL HEALTH HOSP",
      "address": "1610 8TH AVENUE EAST",
      "city": "ALEXANDRIA",
      "state": "MN",
      "zip": "56308",
      "county": "DOUGLAS",
      "latitude": 45.8825622198199,
      "longitude": -95.3540862104033,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COMMUNITY BEHAVIORAL HEALTH HOSPITAL ALEXANDRIA",
      "parentSystemId": "entity-community-behavioral-health-hospital-alexandria",
      "siblingGroupId": "siblings-mn-community-behavioral-health-hospital-alexandria",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-community-behavioral-health-hospital-alexandria"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY BEHAVIORAL HEALTH HOSPITAL ALEXANDRIA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to COMMUNITY BEHAVIORAL HEALTH HOSPITAL ALEXANDRIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY BEHAVIORAL HEALTH HOSPITAL ALEXANDRIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY BEHAVIORAL HEALTH HOSPITAL ALEXANDRIA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to COMMUNITY BEHAVIORAL HEALTH HOSPITAL ALEXANDRIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY BEHAVIORAL HEALTH HOSPITAL ALEXANDRIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784191",
      "name": "NH HOSPITAL",
      "address": "17506 RED OAK DR",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77090",
      "county": "HARRIS",
      "latitude": 30.02694400034,
      "longitude": -95.4498530004239,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NeuroPsychiatric Hospitals",
      "parentSystemId": "entity-neuropsychiatric-hospitals",
      "siblingGroupId": "siblings-tx-neuropsychiatric-hospitals",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784191",
        "external-resolution-0196784191"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://neuropsychiatrichospitals.net/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to NeuroPsychiatric Hospitals and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to NeuroPsychiatric Hospitals and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784192",
      "name": "THE HOSPITALS OF PROVIDENCE SPINE AND PAIN MANAGEMENT CENTER",
      "address": "1755 CURIE DRIVE SUITE A",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7804313997207,
      "longitude": -106.4774908997,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 23,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784192",
        "external-resolution-0196784192"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784194",
      "name": "COMM BEHAV HOSP FERGUS FALLS",
      "address": "1801 WEST ALCOTT AVENUE",
      "city": "FERGUS FALLS",
      "state": "MN",
      "zip": "56537",
      "county": "OTTER TAIL",
      "latitude": 46.2752393002254,
      "longitude": -96.1057156995767,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET",
      "parentSystemId": "entity-state-of-minnesota-minnesota-management-and-budget",
      "siblingGroupId": "siblings-mn-state-of-minnesota-minnesota-management-and-budget",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-state-of-minnesota-minnesota-management-and-budget"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784197",
      "name": "SOUTH TEXAS HEALTH SYSTEM HEART",
      "address": "1900 SOUTH D STREET",
      "city": "MCALLEN",
      "state": "TX",
      "zip": "78503",
      "county": "HIDALGO",
      "latitude": 26.1838146000343,
      "longitude": -98.2183073995938,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784197",
        "external-resolution-0196784197"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784198",
      "name": "COBALT REHABILITATION HOUSTON HEIGHTS",
      "address": "1917 ASHLAND STREET, 4TH FLOOR",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77008",
      "county": "HARRIS",
      "latitude": 29.8035807000156,
      "longitude": -95.404181300313,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 35,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784198",
        "external-resolution-0196784198"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to PAM Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to PAM Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784200",
      "name": "ATLANTIC REHABILITATION INSTITUTE",
      "address": "200 MADISON AVENUE",
      "city": "MADISON",
      "state": "NJ",
      "zip": "07940",
      "county": "MORRIS",
      "latitude": 40.7672624600339,
      "longitude": -74.4356699797327,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 38,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "313038",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-nj-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SAIF SALIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SAIF SALIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784201",
      "name": "DARDANELLE HOSPITAL",
      "address": "200 NORTH THIRD STREET",
      "city": "DARDANELLE",
      "state": "AR",
      "zip": "72834",
      "county": "YELL",
      "latitude": 35.2204871202875,
      "longitude": -93.1572646398291,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 35,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Conway Regional Health System",
      "parentSystemId": "entity-conway-regional-health-system",
      "siblingGroupId": "siblings-ar-conway-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CONWAY REGIONAL MEDICAL CENTER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CONWAY REGIONAL MEDICAL CENTER INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Conway Regional Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CONWAY REGIONAL MEDICAL CENTER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CONWAY REGIONAL MEDICAL CENTER INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Conway Regional Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784203",
      "name": "DHEW IND HLTH SV - HLTH SV AND MNTH HLTH ADM",
      "address": "200 WEST HOSPITAL DRIVE, PO BOX 860",
      "city": "WHITERIVER",
      "state": "AZ",
      "zip": "85941",
      "county": "NAVAJO",
      "latitude": 33.8765489996527,
      "longitude": -109.959066289941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "WHITERIVER PHS INDIAN HOSPITAL",
      "parentSystemId": "entity-whiteriver-phs-indian-hospital",
      "siblingGroupId": "siblings-az-whiteriver-phs-indian-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Government - Federal; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITERIVER PHS INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Government - Federal; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITERIVER PHS INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784204",
      "name": "BROOKWOOD BAPTIST MEDICAL CENTER",
      "address": "2010 BROOKWOOD MEDICAL CENTER DRIVE",
      "city": "HOMEWOOD",
      "state": "AL",
      "zip": "35209",
      "county": "JEFFERSON",
      "latitude": 33.4642599299252,
      "longitude": -86.7766651002656,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 595,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-al-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784204",
        "external-resolution-0196784204"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784206",
      "name": "COBALT REHABILITATION HOSPITAL CLARKSVILLE",
      "address": "2101 BROADWAY STREET",
      "city": "CLARKSVILLE",
      "state": "IN",
      "zip": "47129",
      "county": "CLARK",
      "latitude": 38.3295292999684,
      "longitude": -85.7655230999035,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-in-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CURAHEALTH REHABILITATION HOLDCO, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PAM Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CURAHEALTH REHABILITATION HOLDCO, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PAM Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784207",
      "name": "CABOT EMERGENCY HOSPITAL",
      "address": "212 WILLIE RAY DRIVE",
      "city": "CABOT",
      "state": "AR",
      "zip": "72023",
      "county": "LONOKE",
      "latitude": 34.9816286002566,
      "longitude": -92.0347837004215,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-ar-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784207",
        "external-resolution-0196784207"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196784208",
      "name": "HCA HOUSTON HEALTHCARE NORTH CYPRESS",
      "address": "21214 NORTHWEST FREEWAY",
      "city": "CYPRESS",
      "state": "TX",
      "zip": "77429",
      "county": "HARRIS",
      "latitude": 29.9257621001973,
      "longitude": -95.6315018002513,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 163,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784208",
        "external-resolution-0196784208"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784212",
      "name": "MAINE MEDICAL CENTER -TRANSPLANT CENTER",
      "address": "22 BRAMHALL ST",
      "city": "PORTLAND",
      "state": "ME",
      "zip": "04102",
      "county": "CUMBERLAND",
      "latitude": 43.6530935998074,
      "longitude": -70.2763086998661,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "campusFamilyId": "campus-me-200009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784217",
      "name": "CHILD AND ADOLESCENT BEHAV HLTH",
      "address": "2301 TRANSPORTATION DRIVE",
      "city": "WILLMAR",
      "state": "MN",
      "zip": "56201",
      "county": "KANDIYOHI",
      "latitude": 45.1457824800088,
      "longitude": -95.0071959100181,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES",
      "parentSystemId": "entity-child-and-adolescent-behavioral-health-services",
      "siblingGroupId": "siblings-mn-child-and-adolescent-behavioral-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-child-adolescent-behavioral-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784219",
      "name": "KINGWOOD EMERGENCY HOSPITAL",
      "address": "23330 HIGHWAY 59 N",
      "city": "KINGWOOD",
      "state": "TX",
      "zip": "77339",
      "county": "MONTGOMERY",
      "latitude": 30.0545024000208,
      "longitude": -95.2499181000628,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 6,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingwood-kingwood-emergency-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RADERA, LLC",
      "parentSystemId": "entity-radera-llc",
      "siblingGroupId": "siblings-tx-radera-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-radera-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: RADERA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 40%). CMS lists JEREMY BRYNES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to RADERA, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADERA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RADERA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 40%). CMS lists JEREMY BRYNES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to RADERA, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADERA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784220",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF KATY",
      "address": "23331 GRAND RESERVE DRIVE",
      "city": "KATY",
      "state": "TX",
      "zip": "77494",
      "county": "HARRIS",
      "latitude": 29.7686075602697,
      "longitude": -95.7780505598957,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784221",
      "name": "EVEREST REHABILITATION HOSPITAL TEMPLE",
      "address": "23621 SE H K DODGEN LOOP",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76504",
      "county": "BELL",
      "latitude": 31.0672987999947,
      "longitude": -97.3509742002415,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CENTERRE HEALTHCARE LLC",
      "parentSystemId": "entity-centerre-healthcare-llc",
      "siblingGroupId": "siblings-tx-centerre-healthcare-llc",
      "campusFamilyId": "campus-tx-673074",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN PIERCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN PIERCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784223",
      "name": "BLACK HILLS CHILDREN`S HOME",
      "address": "24100 S. ROCKERVILLE RD.",
      "city": "RAPID CITY",
      "state": "SD",
      "zip": "57702",
      "county": "PENNINGTON",
      "latitude": 43.9092188001302,
      "longitude": -103.377592199652,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 52,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Children's Home Society of South Dakota",
      "parentSystemId": "entity-children-s-home-society-of-south-dakota",
      "siblingGroupId": "siblings-sd-children-s-home-society-of-south-dakota",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784223",
        "external-resolution-0196784223"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://olapublic.sd.gov/youth-care-program-profile/79352?phone=6053435422"
      ],
      "ownershipProofNotes": "Black Hills Children’s Home is a residential-treatment campus of the nonprofit Children’s Home Society of South Dakota.",
      "parentSystemEvidence": "Black Hills Children’s Home is a residential-treatment campus of the nonprofit Children’s Home Society of South Dakota."
    },
    {
      "id": "0196784224",
      "name": "STAT SPECIALTY HOSPITAL OF LAREDO",
      "address": "2502 NE BOB BULLOCK LOOP",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78045",
      "county": "WEBB",
      "latitude": 27.6134895996583,
      "longitude": -99.4696118001743,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STAT Specialty Hospital",
      "parentSystemId": "entity-stat-specialty-hospital",
      "siblingGroupId": "siblings-tx-stat-specialty-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784224",
        "external-resolution-0196784224"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://statspecialtyhospital.com/about"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to STAT Specialty Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to STAT Specialty Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784225",
      "name": "COMM BEHAV HLTH HOSP ROCHESTER",
      "address": "251 WOOD LAKE DRIVE SE",
      "city": "ROCHESTER",
      "state": "MN",
      "zip": "55904",
      "county": "OLMSTED",
      "latitude": 43.9726956998772,
      "longitude": -92.456010600274,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET",
      "parentSystemId": "entity-state-of-minnesota-minnesota-management-and-budget",
      "siblingGroupId": "siblings-mn-state-of-minnesota-minnesota-management-and-budget",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-state-of-minnesota-minnesota-management-and-budget"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784226",
      "name": "CANYON HILLS CENTER",
      "address": "2519 WINDMILL DRIVE",
      "city": "SPEARFISH",
      "state": "SD",
      "zip": "57783",
      "county": "LAWRENCE",
      "latitude": 44.4844536001932,
      "longitude": -103.817805499685,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Lutheran Social Services of South Dakota",
      "parentSystemId": "entity-lutheran-social-services-of-south-dakota",
      "siblingGroupId": "siblings-sd-lutheran-social-services-of-south-dakota",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784226",
        "external-resolution-0196784226"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://olapublic.sd.gov/youth-care-program-profile/79356?phone=6052212346"
      ],
      "ownershipProofNotes": "The state licensing record connects the youth residential program to nonprofit Lutheran Social Services of South Dakota; it is not an acute-care hospital.",
      "parentSystemEvidence": "The state licensing record connects the youth residential program to nonprofit Lutheran Social Services of South Dakota; it is not an acute-care hospital."
    },
    {
      "id": "0196784231",
      "name": "PAM SPECIALTY HOSPITAL OF VICTORIA SOUTHEAST",
      "address": "2701 HOSPITAL DR, 6TH FLOOR",
      "city": "VICTORIA",
      "state": "TX",
      "zip": "77901",
      "county": "VICTORIA",
      "latitude": 28.8128289899927,
      "longitude": -96.9777863199884,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM CUBED LLC",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "campusFamilyId": "campus-tx-452094",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784232",
      "name": "UF HEALTH REHAB HOSPITAL",
      "address": "2708 SW ARCHER RD",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32608",
      "county": "ALACHUA",
      "latitude": 29.6322184999563,
      "longitude": -82.3640056001228,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "website": "selectmedical.com",
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Selectmedical",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Selectmedical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784233",
      "name": "MEMORIAL HERMANN CYPRESS HOSPITAL",
      "address": "27800 NORTHWEST FREEWAY",
      "city": "CYPRESS",
      "state": "TX",
      "zip": "77433",
      "county": "HARRIS",
      "latitude": 29.9864344998724,
      "longitude": -95.7322857997113,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 105,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cypress-memorial-hermann-cypress-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Memorial Hermann Health System",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784233",
        "external-resolution-0196784233"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Memorial Hermann Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784234",
      "name": "THOMASVILLE REGIONAL MEDICAL CENTER",
      "address": "300 MEDICAL PARK DRIVE",
      "city": "THOMASVILLE",
      "state": "AL",
      "zip": "36784",
      "county": "CLARKE",
      "latitude": 31.876184600277,
      "longitude": -87.745142999614,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 29,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thomasville-thomasville-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "THOMASVILLE REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-thomasville-regional-medical-center",
      "siblingGroupId": "siblings-al-thomasville-regional-medical-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2023-12-31",
      "ownershipSourceIds": [
        "hifld-location-0196784234",
        "external-resolution-0196784234"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 010174; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 010174; Type of Control 5 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0196784237",
      "name": "ANOKA METRO REG TREATMENT CTR",
      "address": "3301 7TH AVENUE NORTH",
      "city": "ANOKA",
      "state": "MN",
      "zip": "55303",
      "county": "ANOKA",
      "latitude": 45.2151039399013,
      "longitude": -93.3796573100037,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 175,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anoka-anoka-metro-reg-treatment-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET",
      "parentSystemId": "entity-state-of-minnesota-minnesota-management-and-budget",
      "siblingGroupId": "siblings-mn-state-of-minnesota-minnesota-management-and-budget",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-state-of-minnesota-minnesota-management-and-budget"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784239",
      "name": "PAM REHABILITATION HOSPITAL OF CORPUS CHRISTI",
      "address": "345 S WATER ST",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78401",
      "county": "NUECES",
      "latitude": 27.7894153302827,
      "longitude": -97.3956971401735,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM SQUARED REHABILITATION HOSPITAL AT CORPUS CHRISTI, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM SQUARED REHABILITATION HOSPITAL AT CORPUS CHRISTI, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784240",
      "name": "PAM REHABILITATION HOSPITAL OF ROUND ROCK",
      "address": "351 SETON PARKWAY",
      "city": "ROUND ROCK",
      "state": "TX",
      "zip": "78665",
      "county": "WILLIAMSON",
      "latitude": 30.5636703796504,
      "longitude": -97.6483238500119,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM SQUARED AT ROUND ROCK LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 75%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM SQUARED AT ROUND ROCK LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 75%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784243",
      "name": "COMM BEHAVORIAL HLTH HOSPITAL",
      "address": "400 ANNANDALE BOULEVARD",
      "city": "ANNANDALE",
      "state": "MN",
      "zip": "55302",
      "county": "WRIGHT",
      "latitude": 45.2550511999277,
      "longitude": -94.1013814000752,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET",
      "parentSystemId": "entity-state-of-minnesota-minnesota-management-and-budget",
      "siblingGroupId": "siblings-mn-state-of-minnesota-minnesota-management-and-budget",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-state-of-minnesota-minnesota-management-and-budget"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784245",
      "name": "PAM REHABILITATION HOSPITAL OF RICHARDSON",
      "address": "401 W CAMPBELL RD 5TH FLOOR",
      "city": "RICHARDSON",
      "state": "TX",
      "zip": "75080",
      "county": "DALLAS",
      "latitude": 32.9743456999571,
      "longitude": -96.7268630997962,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784245",
        "external-resolution-0196784245"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784246",
      "name": "VERITAS COLLABORATIVE, LLC",
      "address": "4024 STIRRUP CREEK DRIVE",
      "city": "DURHAM",
      "state": "NC",
      "zip": "27703",
      "county": "DURHAM",
      "latitude": 35.9182248001953,
      "longitude": -78.8409187003784,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Accanto Health",
      "affiliatedSystem": "Veritas Collaborative",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Veritas Collaborative",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-accanto-health",
      "siblingGroupId": "siblings-nc-accanto-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784246",
        "external-resolution-0196784246"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://accanto.com/newsroom/veritas-collaborative-rebrands-as-the-emily-program/"
      ],
      "ownershipProofNotes": "Accanto Health reports that Veritas Collaborative merged with The Emily Program and was rebranded under that name. The treatment network is privately held.",
      "parentSystemEvidence": "Accanto Health reports that Veritas Collaborative merged with The Emily Program and was rebranded under that name. The treatment network is privately held."
    },
    {
      "id": "0196784251",
      "name": "TUCSON ER AND HOSPITAL",
      "address": "4575 EAST BROADWAY BOULEVARD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85711",
      "county": "PIMA",
      "latitude": 32.2221730999088,
      "longitude": -110.894874199747,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-az-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784251",
        "external-resolution-0196784251"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196784252",
      "name": "TEXARKANA EMERGENCY CENTER AND HOSPITAL",
      "address": "4646 COWHORN CREEK RD",
      "city": "TEXARKANA",
      "state": "TX",
      "zip": "75503",
      "county": "BOWIE",
      "latitude": 33.4581109998401,
      "longitude": -94.0756592998429,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-tx-nutex-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784252",
        "external-resolution-0196784252"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 670301. The tracker parent candidate was corroborated against Nutex Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 670301. The tracker parent candidate was corroborated against Nutex Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0196784253",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SIOUX FALLS",
      "address": "4700 W 69TH STREET",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57108",
      "county": "LINCOLN",
      "latitude": 43.4904449999913,
      "longitude": -96.7852894001112,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sd-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SD resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SD resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784254",
      "name": "THE COLONY ER HOSPITAL",
      "address": "4780 STATE HWY 121",
      "city": "THE COLONY",
      "state": "TX",
      "zip": "75056",
      "county": "DENTON",
      "latitude": 33.0661757000495,
      "longitude": -96.8852838001995,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 2,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-tx-nutex-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784254",
        "external-resolution-0196784254"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784255",
      "name": "REHABILITATION HOSPITAL OF NORTHERN INDIANA, LLC",
      "address": "4807 EDISON LAKES PARKWAY",
      "city": "MISHAWAKA",
      "state": "IN",
      "zip": "46545",
      "county": "ST. JOSEPH",
      "latitude": 41.7033755198035,
      "longitude": -86.1807461499787,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "153047",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-in-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ernest-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ernesthealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784257",
      "name": "EATING RECOVERY CENTER - LEGACY",
      "address": "5120 LEGACY DRIVE",
      "city": "PLANO",
      "state": "TX",
      "zip": "75024",
      "county": "COLLIN",
      "latitude": 33.0707900997186,
      "longitude": -96.8017992995628,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Eating Recovery Center",
      "parentSystemId": "entity-eating-recovery-center",
      "siblingGroupId": "siblings-tx-eating-recovery-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784257",
        "external-resolution-0196784257"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.eatingrecoverycenter.com/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Eating Recovery Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Eating Recovery Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784258",
      "name": "FELLOWSHIP HALL",
      "address": "5140 DUNSTAN RD, PO BOX 13890",
      "city": "GREENSBORO",
      "state": "NC",
      "zip": "27415",
      "county": "GUILFORD",
      "latitude": 36.1478777000094,
      "longitude": -79.7287046001857,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "Fellowship Hall",
      "affiliatedSystem": "Fellowship Hall",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Fellowship Hall",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-fellowship-hall",
      "siblingGroupId": "siblings-nc-fellowship-hall",
      "ownershipRelationship": "self_operated_nonprofit",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784258",
        "external-resolution-0196784258"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/560949273"
      ],
      "ownershipProofNotes": "The exact legal entity is an IRS-recognized 501(c)(3).",
      "parentSystemEvidence": "The exact legal entity is an IRS-recognized 501(c)(3)."
    },
    {
      "id": "0196784259",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - AUSTIN",
      "address": "5245 W HIGHWAY 290",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78735",
      "county": "TRAVIS",
      "latitude": 30.2354115399304,
      "longitude": -97.8357340101854,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784260",
      "name": "BAYLOR SCOTT AND WHITE THE HEART HOSPITAL - MCKINNEY",
      "address": "5268 W UNIVERSITY DR",
      "city": "MCKINNEY",
      "state": "TX",
      "zip": "75071",
      "county": "COLLIN",
      "latitude": 33.2213402996336,
      "longitude": -96.683334399966,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "campusFamilyId": "campus-tx-670082",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY T BOWEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY T BOWEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784262",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - BUDA",
      "address": "5330 OVERPASS RD, SUITE 110",
      "city": "BUDA",
      "state": "TX",
      "zip": "78610",
      "county": "HAYS",
      "latitude": 30.077082599673,
      "longitude": -97.8200058004396,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buda-baylor-scott-&-white-medical-center---buda/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784263",
      "name": "PAM SPECIALTY HOSPITAL OF SAN ANTONIO",
      "address": "5418 N LOOP 1604 WEST",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78249",
      "county": "BEXAR",
      "latitude": 29.5902006998707,
      "longitude": -98.5915481996004,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-pam-specialty-hospital-of-san-antonio/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM CUBED LLC",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784265",
      "name": "CARONDELET MARANA HOSPITAL",
      "address": "5620 CORTARO FARMS ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85742",
      "county": "PIMA",
      "latitude": 32.3609004297801,
      "longitude": -111.085311860295,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-az-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784265",
        "external-resolution-0196784265"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784267",
      "name": "ABRAZO MESA HOSPITAL",
      "address": "5750 EAST BASELINE ROAD",
      "city": "MESA",
      "state": "AZ",
      "zip": "85206",
      "county": "MARICOPA",
      "latitude": 33.3802140003215,
      "longitude": -111.708273100108,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-az-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784267",
        "external-resolution-0196784267"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784270",
      "name": "SUMMIT OAKS CENTER",
      "address": "621 EAST PRESENTATION ST",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57104",
      "county": "MINNEHAHA",
      "latitude": 43.5776759997278,
      "longitude": -96.7193805997051,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 34,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Lutheran Social Services of South Dakota",
      "parentSystemId": "entity-lutheran-social-services-of-south-dakota",
      "siblingGroupId": "siblings-sd-lutheran-social-services-of-south-dakota",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784270",
        "external-resolution-0196784270"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://olapublic.sd.gov/youth-care-program-profile/79356?phone=6052212346"
      ],
      "ownershipProofNotes": "The state licensing record connects the youth residential program to nonprofit Lutheran Social Services of South Dakota; it is not an acute-care hospital.",
      "parentSystemEvidence": "The state licensing record connects the youth residential program to nonprofit Lutheran Social Services of South Dakota; it is not an acute-care hospital."
    },
    {
      "id": "0196784271",
      "name": "ASCENSION SETON BASTROP",
      "address": "630 W SH 71",
      "city": "BASTROP",
      "state": "TX",
      "zip": "78602",
      "county": "BASTROP",
      "latitude": 30.1084802899357,
      "longitude": -97.3447573096048,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NON-PROFIT",
      "beds": 7,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bastrop-ascension-seton-bastrop/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-tx-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784271",
        "external-resolution-0196784271"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784272",
      "name": "PAM REHABILITATION HOSPITAL OF CLEAR LAKE - NORTH CAMPUS",
      "address": "655 E MEDICAL CENTER BLVD",
      "city": "WEBSTER",
      "state": "TX",
      "zip": "77598",
      "county": "HARRIS",
      "latitude": 29.5477443996218,
      "longitude": -95.1175099997834,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM REHABILITATION HOSPITAL AT WEBSTER, LLC",
      "parentSystemId": "entity-pam-rehabilitation-hospital-at-webster-llc",
      "siblingGroupId": "siblings-tx-pam-rehabilitation-hospital-at-webster-llc",
      "campusFamilyId": "campus-tx-673061",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM REHABILITATION HOSPITAL AT WEBSTER, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM REHABILITATION HOSPITAL AT WEBSTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM REHABILITATION HOSPITAL AT WEBSTER, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY F MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM REHABILITATION HOSPITAL AT WEBSTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784273",
      "name": "VIBRA HOSPITAL OF BOISE",
      "address": "6651 W FRANKLIN RD",
      "city": "BOISE",
      "state": "ID",
      "zip": "83709",
      "county": "ADA",
      "latitude": 43.6034073999199,
      "longitude": -116.264465100141,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VIBRA MANAGEMENT, LLC",
      "parentSystemId": "entity-vibra-management-llc",
      "siblingGroupId": "siblings-id-vibra-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-vibra-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIBRA MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Vibra Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIBRA MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Vibra Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIBRA MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784274",
      "name": "INSPIRA MEDICAL CENTER MULLICA HILL",
      "address": "700 MULLICA HILL ROAD",
      "city": "MULLICA HILL",
      "state": "NJ",
      "zip": "08062",
      "county": "GLOUCESTER",
      "latitude": 39.7159936799245,
      "longitude": -75.1520594397608,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 220,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Inspira Health",
      "parentSystemId": "entity-inspira-health",
      "siblingGroupId": "siblings-nj-inspira-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784274",
        "external-resolution-0196784274"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.inspirahealthnetwork.org/locations"
      ],
      "ownershipProofNotes": "Inspira Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Inspira Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784275",
      "name": "UF HEALTH LEESBURG SENIOR BEHAVIORAL HEALTH CENTER",
      "address": "700 N PALMETTO ST",
      "city": "LEESBURG",
      "state": "FL",
      "zip": "34748",
      "county": "LAKE",
      "latitude": 28.8182072896148,
      "longitude": -81.8741056301231,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "website": "http://www.leesburgregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UF Health",
      "parentSystemId": "entity-uf-health",
      "siblingGroupId": "siblings-fl-uf-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784275",
        "external-resolution-0196784275"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ufhealth.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to UF Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to UF Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784276",
      "name": "SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL",
      "address": "711 N CURTIS RD",
      "city": "BOISE",
      "state": "ID",
      "zip": "83706",
      "county": "ADA",
      "latitude": 43.6112155202259,
      "longitude": -116.254382439935,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-id-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-saint-alphonsus-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintalphonsus.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784277",
      "name": "COMM BEHAV HLTH HOSP BEMIDJI",
      "address": "800 BEMIDJI AVENUE NORTH",
      "city": "BEMIDJI",
      "state": "MN",
      "zip": "56601",
      "county": "BELTRAMI",
      "latitude": 47.4763004002449,
      "longitude": -94.8785859999478,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET",
      "parentSystemId": "entity-state-of-minnesota-minnesota-management-and-budget",
      "siblingGroupId": "siblings-mn-state-of-minnesota-minnesota-management-and-budget",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-state-of-minnesota-minnesota-management-and-budget"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE R BROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784280",
      "name": "BAPTIST NEIGHBORHOOD HOSPITAL KELLY",
      "address": "806 CUPPLES ROAD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78237",
      "county": "BEXAR",
      "latitude": 29.403025500066,
      "longitude": -98.5482246004208,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784280",
        "external-resolution-0196784280"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784283",
      "name": "TALAS HARBOR AT BULLHEAD CITY",
      "address": "831 LANDON DRIVE",
      "city": "BULLHEAD CITY",
      "state": "AZ",
      "zip": "86429",
      "county": "MOHAVE",
      "latitude": 35.1863869999883,
      "longitude": -114.5286610004,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "030101",
      "affiliatedSystem": "BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-bullhead-city-hospital-investment-corporation",
      "siblingGroupId": "siblings-az-bullhead-city-hospital-investment-corporation",
      "campusFamilyId": "campus-az-030101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784285",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHELBY COUNTY",
      "address": "900 OAK MOUNTAIN COMMONS LANE",
      "city": "PELHAM",
      "state": "AL",
      "zip": "35124",
      "county": "SHELBY",
      "latitude": 33.2832999003184,
      "longitude": -86.7988100003405,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-al-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784286",
      "name": "SOUTHEAST REHABILITATION HOSPITAL",
      "address": "905 BORGOGNONI DRIVE",
      "city": "LAKE VILLAGE",
      "state": "AR",
      "zip": "71653",
      "county": "CHICOT",
      "latitude": 33.314762899911,
      "longitude": -91.2903316003495,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-village-southeast-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHEAST REHAB LLC.",
      "parentSystemId": "entity-southeast-rehab-llc",
      "siblingGroupId": "siblings-ar-southeast-rehab-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHEAST REHAB LLC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN M LIPKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHEAST REHAB LLC.; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST REHAB LLC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHEAST REHAB LLC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN M LIPKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHEAST REHAB LLC.; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST REHAB LLC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784287",
      "name": "ABBOTT HOUSE INC.",
      "address": "909 COURT MERRILL",
      "city": "MITCHELL",
      "state": "SD",
      "zip": "57301",
      "county": "DAVISON",
      "latitude": 43.7015817000093,
      "longitude": -98.0303393002889,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 38,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Abbott House, Inc.",
      "parentSystemId": "entity-abbott-house-inc",
      "siblingGroupId": "siblings-sd-abbott-house-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784287",
        "external-resolution-0196784287"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/460229822"
      ],
      "ownershipProofNotes": "The exact residential-services entity is an IRS-recognized nonprofit and is not treated as an acute-care hospital.",
      "parentSystemEvidence": "The exact residential-services entity is an IRS-recognized nonprofit and is not treated as an acute-care hospital."
    },
    {
      "id": "0196784288",
      "name": "ENCOMPASS HEALTH DEACONESS REHABILITATION HOSPITAL",
      "address": "9355 WARRICK TRAIL",
      "city": "NEWBURGH",
      "state": "IN",
      "zip": "47630",
      "county": "WARRICK",
      "latitude": 37.9789776600471,
      "longitude": -87.4200272203188,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newburgh-encompass-health-deaconess-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-in-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784289",
      "name": "PRAIRIECARE",
      "address": "9400 ZANE AVENUE NORTH",
      "city": "BROOKLYN PARK",
      "state": "MN",
      "zip": "55443",
      "county": "HENNEPIN",
      "latitude": 45.1252674998692,
      "longitude": -93.3540847002144,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 71,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "MONROE CAPITAL HOLDINGS LLC",
      "peFirm": "Onex",
      "acquiredDate": "November 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "244016",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Newport Academy",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-park-prairiecare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-monroe-capital-holdings-llc",
      "siblingGroupId": "siblings-mn-monroe-capital-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-monroe-capital-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONROE CAPITAL HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Newport Academy; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Newport Academy. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MONROE CAPITAL HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONROE CAPITAL HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONROE CAPITAL HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Newport Academy; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Newport Academy. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MONROE CAPITAL HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONROE CAPITAL HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784290",
      "name": "UNIVERSITY HOSPITAL",
      "address": "97 SUNFIELD AVENUE",
      "city": "EDISON",
      "state": "NJ",
      "zip": "08837",
      "county": "MIDDLESEX",
      "latitude": 40.500066699827,
      "longitude": -74.3472778003409,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "University Hospital New Jersey",
      "parentSystemId": "entity-university-hospital-new-jersey",
      "siblingGroupId": "siblings-nj-university-hospital-new-jersey",
      "ownershipRelationship": "service_location_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784290",
        "external-resolution-0196784290"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uhnj.org/about-us/"
      ],
      "ownershipProofNotes": "The map record is a University Hospital service location. University Hospital is a New Jersey public hospital; the satellite address is not treated as a separate owner.",
      "parentSystemEvidence": "The map record is a University Hospital service location. University Hospital is a New Jersey public hospital; the satellite address is not treated as a separate owner."
    },
    {
      "id": "0196784298",
      "name": "CHILDREN'S HOSPITAL OF COLORADO - COLORADO SPRINGS",
      "address": "4090 BRIARGATE PARKWAY",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80920",
      "county": "EL PASO",
      "latitude": 38.9687805002866,
      "longitude": -104.754826799878,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITAL COLORADO",
      "parentSystemId": "entity-children-s-hospital-colorado",
      "siblingGroupId": "siblings-co-children-s-hospital-colorado",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-children-s-hospital-colorado"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.childrenscolorado.org/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Children's Hospital Colorado official about page. Resolved parent/control boundary: Children's Hospital Colorado. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL COLORADO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Children's Hospital Colorado official about page. Resolved parent/control boundary: Children's Hospital Colorado. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL COLORADO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784299",
      "name": "60TH MEDICAL GROUP - DAVID GRANT USAF MEDICAL CENTER",
      "address": "101 BODIN CIRCLE, BUILDING 777",
      "city": "TRAVIS AFB",
      "state": "CA",
      "zip": "94535",
      "county": "SOLANO",
      "latitude": 38.2700214998934,
      "longitude": -121.963781299657,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://travis.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ca-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://travis.tricare.mil/About-Us/Directory"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus 60th Medical Group official directory. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus 60th Medical Group official directory. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784300",
      "name": "GILA RIVER HOSPITAL",
      "address": "3042 W QUEEN CREEK RD",
      "city": "CHANDLER",
      "state": "AZ",
      "zip": "85286",
      "county": "MARICOPA",
      "latitude": 33.265653610123,
      "longitude": -111.895666309971,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Gila River Health Care Corporation",
      "parentSystemId": "entity-gila-river-health-care-corporation",
      "siblingGroupId": "siblings-az-gila-river-health-care-corporation",
      "ownershipRelationship": "tribally_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784300",
        "external-resolution-0196784300"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.azahcccs.gov/Resources/Downloads/TRBHA/YH22000705GilaRiverIndianCommunityFullyExecuted.pdf"
      ],
      "ownershipProofNotes": "The state agreement identifies Gila River Health Care Corporation as a wholly owned subordinate entity of the federally recognized Gila River Indian Community. It is classified as tribal-government ownership, not direct federal IHS ownership.",
      "parentSystemEvidence": "The state agreement identifies Gila River Health Care Corporation as a wholly owned subordinate entity of the federally recognized Gila River Indian Community. It is classified as tribal-government ownership, not direct federal IHS ownership."
    },
    {
      "id": "0196784302",
      "name": "OCHSNER MEDICAL COMPLEX IBERVILLE",
      "address": "25455 LA-1",
      "city": "PLAQUEMINE",
      "state": "LA",
      "zip": "70764",
      "county": "IBERVILLE",
      "latitude": 30.2666256997806,
      "longitude": -91.2194173997568,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784302",
        "external-resolution-0196784302"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ochsner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784303",
      "name": "PAM REHAB HOSPITAL OF DOVER",
      "address": "1240 MCKEE RD",
      "city": "DOVER",
      "state": "DE",
      "zip": "19904",
      "county": "KENT",
      "latitude": 39.1773837997593,
      "longitude": -75.5555086001904,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 34,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BAYHEALTH MEDICAL CENTER, INC",
      "parentSystemId": "entity-bayhealth-medical-center-inc",
      "siblingGroupId": "siblings-de-bayhealth-medical-center-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "de-dhcq-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dhss.delaware.gov/dhcq/dhcq/hospitals/"
      ],
      "ownershipProofNotes": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYHEALTH MEDICAL CENTER, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYHEALTH MEDICAL CENTER, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784305",
      "name": "MAT - SU REGIONAL OUTPATIENT CENTER",
      "address": "950 E BOGARD",
      "city": "WASILLA",
      "state": "AK",
      "zip": "99654",
      "county": "MATANUSKA-SUSITNA",
      "latitude": 61.5864230998926,
      "longitude": -149.427091400288,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ak-community-health-systems",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784305",
        "external-resolution-0196784305"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "The location is a Northwest Health or Mat-Su facility tied to a CHS hospital subsidiary; CHS is publicly traded.",
      "parentSystemEvidence": "The location is a Northwest Health or Mat-Su facility tied to a CHS hospital subsidiary; CHS is publicly traded."
    },
    {
      "id": "0196784307",
      "name": "KANAKANAK - BRISTOL BAY",
      "address": "6000 KANAKANAK RD",
      "city": "DILLINGHAM",
      "state": "AK",
      "zip": "99576",
      "county": "DILLINGHAM",
      "latitude": 59.0000942000106,
      "longitude": -158.535504700372,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Bristol Bay Area Health Corporation",
      "parentSystemId": "entity-bristol-bay-area-health-corporation",
      "siblingGroupId": "siblings-ak-bristol-bay-area-health-corporation",
      "ownershipRelationship": "tribally_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784307",
        "external-resolution-0196784307"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bbahc.org/about-us/"
      ],
      "ownershipProofNotes": "Kanakanak Hospital is operated by the tribal nonprofit Bristol Bay Area Health Corporation.",
      "parentSystemEvidence": "Kanakanak Hospital is operated by the tribal nonprofit Bristol Bay Area Health Corporation."
    },
    {
      "id": "0196784308",
      "name": "ILIULIUK FAMILY AND HEALTH SERVICES INC",
      "address": "34 LAVELLE CT, PO BOX 144",
      "city": "UNALASKA",
      "state": "AK",
      "zip": "99685",
      "county": "ALEUTIANS WEST",
      "latitude": 53.8722442001317,
      "longitude": -166.539324400325,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Iliuliuk Family and Health Services",
      "parentSystemId": "entity-iliuliuk-family-and-health-services",
      "siblingGroupId": "siblings-ak-iliuliuk-family-and-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784308",
        "external-resolution-0196784308"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/920041961"
      ],
      "ownershipProofNotes": "The exact entity is an IRS-recognized 501(c)(3).",
      "parentSystemEvidence": "The exact entity is an IRS-recognized 501(c)(3)."
    },
    {
      "id": "0196784309",
      "name": "DHHS IHS PHOENIX AREA",
      "address": "HIGHWAY 264, MILEPOST 388",
      "city": "POLACCA",
      "state": "AZ",
      "zip": "86042",
      "county": "NAVAJO",
      "latitude": 35.802134399972,
      "longitude": -110.426698889848,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "HOPI HEALTH CARE CENTER",
      "parentSystemId": "entity-hopi-health-care-center",
      "siblingGroupId": "siblings-az-hopi-health-care-center",
      "campusFamilyId": "campus-az-031305",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPI HEALTH CARE CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPI HEALTH CARE CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784310",
      "name": "NAVAJO HEALTH FOUNDATION",
      "address": "HIGHWAY 264 WEST AND 191 SOUTH",
      "city": "GANADO",
      "state": "AZ",
      "zip": "86505",
      "county": "APACHE",
      "latitude": 35.710745820233,
      "longitude": -109.543555729567,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.",
      "parentSystemId": "entity-navajo-health-foundation-sage-memorial-hospital-inc",
      "siblingGroupId": "siblings-az-navajo-health-foundation-sage-memorial-hospital-inc",
      "campusFamilyId": "campus-az-031309",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784311",
      "name": "CURAHEALTH NORTHWEST PHOENIX",
      "address": "13060 WEST BELL",
      "city": "SURPRISE",
      "state": "AZ",
      "zip": "85378",
      "county": "MARICOPA",
      "latitude": 33.6393944000255,
      "longitude": -112.341321000326,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 13,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Curahealth Hospitals",
      "parentSystemId": "entity-curahealth-hospitals",
      "siblingGroupId": "siblings-az-curahealth-hospitals",
      "ownershipRelationship": "historically_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784311",
        "external-resolution-0196784311"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ahd.com/free_profile/030134/Curahealth_Hospital_Northwest_Phoenix/Surprise/Arizona/"
      ],
      "ownershipProofNotes": "The former LTAC was operated by privately held Curahealth and is retained as a closed historical hospital.",
      "parentSystemEvidence": "The former LTAC was operated by privately held Curahealth and is retained as a closed historical hospital."
    },
    {
      "id": "0196784312",
      "name": "COPPER SPRINGS - EAST",
      "address": "3755 SOUTH ROME STREET",
      "city": "GILBERT",
      "state": "AZ",
      "zip": "85297",
      "county": "MARICOPA",
      "latitude": 33.2821940999014,
      "longitude": -111.750193999735,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 72,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-az-lifepoint-health",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784312",
        "external-resolution-0196784312"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://jobs.lifepointhealth.net/copper-springs-east/"
      ],
      "ownershipProofNotes": "Copper Springs is operated in LifePoint Behavioral Health’s network; LifePoint is privately held.",
      "parentSystemEvidence": "Copper Springs is operated in LifePoint Behavioral Health’s network; LifePoint is privately held."
    },
    {
      "id": "0196784314",
      "name": "TALAS HARBOR AT BUCKEYE",
      "address": "1407 SOUTH 9TH AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85007",
      "county": "MARICOPA",
      "latitude": 33.4346887002271,
      "longitude": -112.084058699754,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Haven Behavioral Healthcare",
      "parentSystemId": "entity-haven-behavioral-healthcare",
      "siblingGroupId": "siblings-az-haven-behavioral-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784314",
        "external-resolution-0196784314"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.havenofphoenix.com/"
      ],
      "ownershipProofNotes": "The Talas Harbor legacy location is tied to the privately held Haven behavioral-hospital operation.",
      "parentSystemEvidence": "The Talas Harbor legacy location is tied to the privately held Haven behavioral-hospital operation."
    },
    {
      "id": "0196784315",
      "name": "BANNER REHABILITATION HOSPITAL - PHOENIX",
      "address": "775 EAST WILLETTA STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4633929999344,
      "longitude": -112.063426000272,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 56,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-az-banner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784315",
        "external-resolution-0196784315"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "Banner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Banner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784316",
      "name": "ABRAZO CAVE CREEK HOSPITAL",
      "address": "5227 EAST CAREFREE HIGHWAY",
      "city": "CAVE CREEK",
      "state": "AZ",
      "zip": "85331",
      "county": "MARICOPA",
      "latitude": 33.7986857403295,
      "longitude": -111.968547870443,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-az-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784316",
        "external-resolution-0196784316"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784317",
      "name": "ABRAZO SURPRISE HOSPITAL",
      "address": "16815 WEST BELL ROAD",
      "city": "SURPRISE",
      "state": "AZ",
      "zip": "85374",
      "county": "MARICOPA",
      "latitude": 33.6374373002297,
      "longitude": -112.420671400126,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-az-tenet-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784317",
        "external-resolution-0196784317"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tenet Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784318",
      "name": "BANNER HEALTH",
      "address": "1405 SOUTH ALMA SCHOOL ROAD",
      "city": "CHANDLER",
      "state": "AZ",
      "zip": "85286",
      "county": "MARICOPA",
      "latitude": 33.285570239934,
      "longitude": -111.856755259721,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 94,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-az-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Banner Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Banner Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784319",
      "name": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC",
      "address": "CORNER OF ROUTES N12 AND N7, PO BOX 649",
      "city": "FORT DEFIANCE",
      "state": "AZ",
      "zip": "86504",
      "county": "APACHE",
      "latitude": 35.7593057696874,
      "longitude": -109.048487839773,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "FORT DEFIANCE INDIAN HOSPITAL",
      "parentSystemId": "entity-fort-defiance-indian-hospital",
      "siblingGroupId": "siblings-az-fort-defiance-indian-hospital",
      "campusFamilyId": "campus-az-030071",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORT DEFIANCE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORT DEFIANCE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784322",
      "name": "NORTHWEST SAHUARITA HOSPITAL, LLC",
      "address": "16260 SOUTH RANCHO SAHUARITA BOULEVARD",
      "city": "SAHUARITA",
      "state": "AZ",
      "zip": "85629",
      "county": "PIMA",
      "latitude": 31.9558693403604,
      "longitude": -110.98527678988,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 18,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-az-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784324",
      "name": "EVEREST REHABILITATION HOSPITAL NWA",
      "address": "4313 SOUTH PLEASANT CROSSING BOULEVARD",
      "city": "ROGERS",
      "state": "AR",
      "zip": "72758",
      "county": "BENTON",
      "latitude": 36.2785566997984,
      "longitude": -94.1461075999933,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 36,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0196784325",
      "name": "MERCY REHABILITATION HOSPITAL",
      "address": "6700 CHAD COLLEY BOULEVARD",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72916",
      "county": "SEBASTIAN",
      "latitude": 35.3194863297114,
      "longitude": -94.3167917503124,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ar-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CORY VANMETER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CORY VANMETER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784333",
      "name": "ST. JOSEPH HOSPITAL D/P APH",
      "address": "1100 W STEWART DR",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92868",
      "county": "ORANGE",
      "latitude": 33.7820440999365,
      "longitude": -117.865424500242,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 37,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ST JOSEPH HOSPITAL OF ORANGE",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-joseph-hospital-of-orange",
      "siblingGroupId": "siblings-ca-st-joseph-hospital-of-orange",
      "campusFamilyId": "campus-ca-050069",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HOSPITAL OF ORANGE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HOSPITAL OF ORANGE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784334",
      "name": "MISSION HOSPITAL LAGUNA BEACH D/P APH",
      "address": "31872 COAST HWY",
      "city": "LAGUNA BEACH",
      "state": "CA",
      "zip": "92651",
      "county": "ORANGE",
      "latitude": 33.5006606299457,
      "longitude": -117.740794709887,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784334",
        "external-resolution-0196784334"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784335",
      "name": "LAC - HARBOR - UCLA MEDICAL CENTER D/P APH",
      "address": "1000 W CARSON ST",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90502",
      "county": "LOS ANGELES",
      "latitude": 33.8304589003513,
      "longitude": -118.292219000122,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COUNTY OF LOS ANGELES",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-los-angeles",
      "siblingGroupId": "siblings-ca-county-of-los-angeles",
      "campusFamilyId": "campus-ca-050376",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-los-angeles-county-department-of-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dhs.lacounty.gov/our-services/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784339",
      "name": "SOUTH COAST GLOBAL MEDICAL CENTER, INC D/P APH",
      "address": "2701 S BRISTOL ST",
      "city": "SANTA ANA",
      "state": "CA",
      "zip": "92704",
      "county": "ORANGE",
      "latitude": 33.7111038899119,
      "longitude": -117.884331529775,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 23,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050747",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kpc-healthcare-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784345",
      "name": "EL CAMINO HOSPITAL D/P APH",
      "address": "2590 GRANT RD",
      "city": "MOUNTAIN VIEW",
      "state": "CA",
      "zip": "94040",
      "county": "SANTA CLARA",
      "latitude": 37.3687738798544,
      "longitude": -122.079283370394,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "EL CAMINO HOSPITAL",
      "parentSystemId": "entity-el-camino-hospital",
      "siblingGroupId": "siblings-ca-el-camino-hospital",
      "campusFamilyId": "campus-ca-050308",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: EL CAMINO HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL CAMINO HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: EL CAMINO HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL CAMINO HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784346",
      "name": "STANFORD HOSPITAL D/P APH",
      "address": "300 PASTEUR DR",
      "city": "STANFORD",
      "state": "CA",
      "zip": "94305",
      "county": "SANTA CLARA",
      "latitude": 37.4335053201307,
      "longitude": -122.175122298725,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "STANFORD HEALTH CARE",
      "parentSystemId": "entity-stanford-health-care",
      "siblingGroupId": "siblings-ca-stanford-health-care",
      "campusFamilyId": "campus-ca-050441",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784347",
      "name": "MISSION OAKS HOSPITAL - D/P APH",
      "address": "15891 LOS GATOS ALMADEN RD",
      "city": "LOS GATOS",
      "state": "CA",
      "zip": "95032",
      "county": "SANTA CLARA",
      "latitude": 37.2447533998602,
      "longitude": -121.947933199855,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784347",
        "external-resolution-0196784347"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070212000634 (05T380). 8 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070212000634 (05T380). 8 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784355",
      "name": "GOOD SAMARITAN HOSPITAL D/P APH",
      "address": "901 OLIVE DR",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93308",
      "county": "KERN",
      "latitude": 35.4116959997995,
      "longitude": -119.039628300211,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GOOD SAMARITAN HOSPITAL CA LTD PTP",
      "parentSystemId": "entity-good-samaritan-hospital-ca-ltd-ptp",
      "siblingGroupId": "siblings-ca-good-samaritan-hospital-ca-ltd-ptp",
      "campusFamilyId": "campus-ca-050257",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL CA LTD PTP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL CA LTD PTP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784356",
      "name": "ABSMC - HERRICK CAMPUS D/P APH",
      "address": "2001 DWIGHT WAY",
      "city": "BERKELEY",
      "state": "CA",
      "zip": "94704",
      "county": "ALAMEDA",
      "latitude": 37.864072399833,
      "longitude": -122.268711900382,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 68,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784356",
        "external-resolution-0196784356"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sutterhealth.org/find-location"
      ],
      "ownershipProofNotes": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Sutter Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784358",
      "name": "JOHN GEORGE PSYCHIATRIC HOSPITAL",
      "address": "2060 FAIRMONT DRIVE",
      "city": "SAN LEANDRO",
      "state": "CA",
      "zip": "94578",
      "county": "ALAMEDA",
      "latitude": 37.7105796603441,
      "longitude": -122.120203289876,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 80,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Alameda Health System",
      "parentSystemId": "entity-alameda-health-system",
      "siblingGroupId": "siblings-ca-alameda-health-system",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784358",
        "external-resolution-0196784358"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20070212000345 (05S320). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20070212000345 (05S320). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784359",
      "name": "VALLEY MEMORIAL HOSPITAL D/P APH",
      "address": "1111 E STANLEY BOULEVARD",
      "city": "LIVERMORE",
      "state": "CA",
      "zip": "94550",
      "county": "ALAMEDA",
      "latitude": 37.6772624597416,
      "longitude": -121.781766200094,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Stanford Health Care",
      "parentSystemId": "entity-stanford-health-care",
      "siblingGroupId": "siblings-ca-stanford-health-care",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2015-05-18",
      "ownershipSourceIds": [
        "hifld-location-0196784359",
        "external-resolution-0196784359"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://stanfordhealthcare.org/tri-valley/about-us/history.html"
      ],
      "ownershipProofNotes": "Stanford Health Care documents that ValleyCare, including Valley Memorial Hospital, joined Stanford Health Care in 2015. California HCAI separately lists the Livermore facility under Stanford Health Care ValleyCare.",
      "parentSystemEvidence": "Stanford Health Care documents that ValleyCare, including Valley Memorial Hospital, joined Stanford Health Care in 2015. California HCAI separately lists the Livermore facility under Stanford Health Care ValleyCare."
    },
    {
      "id": "0196784360",
      "name": "ST. MARY'S MEDICAL CENTER D/P APH",
      "address": "450 STANYAN ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94117",
      "county": "SAN FRANCISCO",
      "latitude": 37.7740748998902,
      "longitude": -122.453889299714,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UCSF HEALTH COMMUNITY HOSPITALS",
      "parentSystemId": "entity-ucsf-health-community-hospitals",
      "siblingGroupId": "siblings-ca-ucsf-health-community-hospitals",
      "campusFamilyId": "campus-ca-050457",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCSF HEALTH COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCSF HEALTH COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784361",
      "name": "SAINT FRANCIS MEMORIAL HOSPITAL D/P APH",
      "address": "900 HYDE ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94109",
      "county": "SAN FRANCISCO",
      "latitude": 37.78937990015,
      "longitude": -122.416729400126,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050152",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784364",
      "name": "SAN FRANCISCO GENERAL HOSPITAL D/P APH",
      "address": "1001 POTRERO AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94110",
      "county": "SAN FRANCISCO",
      "latitude": 37.7557238003452,
      "longitude": -122.404740099865,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 83,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CITY & COUNTY OF SAN FRANCISCO",
      "parentSystemId": "entity-city-and-county-of-san-francisco",
      "siblingGroupId": "siblings-ca-city-and-county-of-san-francisco",
      "campusFamilyId": "campus-ca-050228",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY & COUNTY OF SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY & COUNTY OF SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784365",
      "name": "ENLOE MEDICAL CENTER - COHASSET D/P APH",
      "address": "560 COHASSET RD",
      "city": "CHICO",
      "state": "CA",
      "zip": "95926",
      "county": "BUTTE",
      "latitude": 39.7526031997183,
      "longitude": -121.848166099585,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Enloe Health",
      "parentSystemId": "entity-enloe-health",
      "siblingGroupId": "siblings-ca-enloe-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784365",
        "external-resolution-0196784365"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.enloe.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Enloe Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Enloe Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784370",
      "name": "STANFORD HOSPITAL TRANSPLANT",
      "address": "300 PASTEUR DR",
      "city": "STANFORD",
      "state": "CA",
      "zip": "94305",
      "county": "SANTA CLARA",
      "latitude": 37.4325032326745,
      "longitude": -122.175306798311,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "STANFORD HOSPITAL TRANSPLANT",
      "parentSystemId": "entity-stanford-hospital-transplant",
      "siblingGroupId": "siblings-ca-stanford-hospital-transplant",
      "campusFamilyId": "campus-ca-050441",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Confirmed address/city campus inheritance from host CCN 050441. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HOSPITAL TRANSPLANT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Confirmed address/city campus inheritance from host CCN 050441. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HOSPITAL TRANSPLANT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784371",
      "name": "RADY CHILDREN'S HOSPITAL TRANSPLANT",
      "address": "3020 CHILDRENS WAY",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.7981929998344,
      "longitude": -117.151477159721,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rady Children's Health",
      "parentSystemId": "entity-rady-children-s-health",
      "siblingGroupId": "siblings-ca-rady-children-s-health",
      "campusFamilyId": "campus-ca-053303",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-rady-children-s-hospital-san-diego"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to RADY CHILDREN'S HOSPITAL - SAN DIEGO; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HOSPITAL - SAN DIEGO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to RADY CHILDREN'S HOSPITAL - SAN DIEGO; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HOSPITAL - SAN DIEGO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784372",
      "name": "UCSF ORGAN TRANSPLANT",
      "address": "505 PARNASSUS AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94143",
      "county": "SAN FRANCISCO",
      "latitude": 37.7631182003289,
      "longitude": -122.457820700198,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "University of California, San Francisco",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-california-san-francisco",
      "siblingGroupId": "siblings-ca-university-of-california-san-francisco",
      "campusFamilyId": "campus-ca-050454",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-verified-parent-university-of-california-san-francisco"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent University of California, San Francisco, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050454, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent University of California, San Francisco, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784373",
      "name": "UNIVERSITY OF CALIFORNIA IRVINE - TRANSPLANT CENTER",
      "address": "101 THE CITY DR S",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92868",
      "county": "ORANGE",
      "latitude": 33.7870304000626,
      "longitude": -117.888507679852,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER",
      "parentSystemId": "entity-university-of-california-irvine-medical-center",
      "siblingGroupId": "siblings-ca-university-of-california-irvine-medical-center",
      "campusFamilyId": "campus-ca-050348",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-verified-parent-university-of-california-irvine-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 050348, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784375",
      "name": "UNIVERSITY OF CALIFORNIA SAN DIEGO - TRANSPLANT",
      "address": "200 W ARBOR DR",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92103",
      "county": "SAN DIEGO",
      "latitude": 32.7542698000883,
      "longitude": -117.166134999857,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
      "parentSystemId": "entity-regents-of-the-university-of-california",
      "siblingGroupId": "siblings-ca-regents-of-the-university-of-california",
      "campusFamilyId": "campus-ca-050025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-verified-parent-regents-of-the-university-of-california"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ucop.edu/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus University of California official governance page. Resolved parent/control boundary: The Regents of the University of California. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784377",
      "name": "CASA PALMERA CARE CENTER, LLC",
      "address": "14750 EL CAMINO REAL",
      "city": "DEL MAR",
      "state": "CA",
      "zip": "92014",
      "county": "SAN DIEGO",
      "latitude": 32.9838858102836,
      "longitude": -117.225951060392,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 93,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Discovery Behavioral Health",
      "parentSystemId": "entity-discovery-behavioral-health",
      "siblingGroupId": "siblings-ca-discovery-behavioral-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784377",
        "external-resolution-0196784377"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://discoverybehavioralhealth.com/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Discovery Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Discovery Behavioral Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784378",
      "name": "STANFORD HEALTH CARE",
      "address": "500 PASTEUR DR",
      "city": "PALO ALTO",
      "state": "CA",
      "zip": "94304",
      "county": "SANTA CLARA",
      "latitude": 37.434281300061,
      "longitude": -122.177084200441,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 368,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palo-alto-stanford-health-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Stanford Health Care",
      "parentSystemId": "entity-stanford-health-care",
      "siblingGroupId": "siblings-ca-stanford-health-care",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784378",
        "external-resolution-0196784378"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://stanfordhealthcare.org/medical-clinics.html"
      ],
      "ownershipProofNotes": "Stanford Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Stanford Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784379",
      "name": "PALOMAR REHABILITATION INSTITUTE",
      "address": "2181 CITRACADO PKWY",
      "city": "ESCONDIDO",
      "state": "CA",
      "zip": "92029",
      "county": "SAN DIEGO",
      "latitude": 33.1199981401419,
      "longitude": -117.12104398961,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 52,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DSB ACQUISITION LLC",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-ca-dsb-acquisition-llc",
      "campusFamilyId": "campus-ca-053043",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784382",
      "name": "CHILDREN'S HOSPITAL LOS ANGELES",
      "address": "4650 W SUNSET BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90027",
      "county": "LOS ANGELES",
      "latitude": 34.0974728003026,
      "longitude": -118.290027630055,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 495,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Children's Hospital Los Angeles",
      "parentSystemId": "entity-children-s-hospital-los-angeles",
      "siblingGroupId": "siblings-ca-children-s-hospital-los-angeles",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784382",
        "external-resolution-0196784382"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.chla.org/locations"
      ],
      "ownershipProofNotes": "Children's Hospital Los Angeles official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Children's Hospital Los Angeles official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784384",
      "name": "BROTMAN MEDICAL CENTER D/P APH",
      "address": "3828 DELMAS TER",
      "city": "CULVER CITY",
      "state": "CA",
      "zip": "90232",
      "county": "LOS ANGELES",
      "latitude": 34.023094200358,
      "longitude": -118.396699060327,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 103,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prospect Medical Holdings",
      "parentSystemId": "entity-prospect-medical-holdings",
      "siblingGroupId": "siblings-ca-prospect-medical-holdings",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784384",
        "external-resolution-0196784384"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pmh.com/hospitals"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Prospect Medical Holdings and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Prospect Medical Holdings and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784385",
      "name": "COMMUNITY HOSPITAL LONG BEACH D/P APH",
      "address": "1720 TERMINO AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90804",
      "county": "LOS ANGELES",
      "latitude": 33.7884719103691,
      "longitude": -118.144624649996,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Pipeline Health",
      "parentSystemId": "entity-pipeline-health",
      "siblingGroupId": "siblings-ca-pipeline-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784385",
        "external-resolution-0196784385"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pipelinehealth.us/our-hospitals/"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 050849. The tracker parent candidate was corroborated against Pipeline Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 050849. The tracker parent candidate was corroborated against Pipeline Health's primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0196784387",
      "name": "VISTA SPECIALTY HOSPITAL OF SAN GABRIEL VALLEY D/P",
      "address": "14148 FRANCISQUITO AVE",
      "city": "BALDWIN PARK",
      "state": "CA",
      "zip": "91706",
      "county": "LOS ANGELES",
      "latitude": 34.0630568999197,
      "longitude": -117.967642500153,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-ca-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-ca-052045",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784392",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY RECOVERY CENTER",
      "address": "1386 W 7TH ST",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90732",
      "county": "LOS ANGELES",
      "latitude": 33.7381042403007,
      "longitude": -118.307643779626,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "campusFamilyId": "campus-ca-050078",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784395",
      "name": "GLENDALE MEMORIAL HOSPITAL AND HEALTH CTR D/P APH",
      "address": "1420 S CENTRAL AVE",
      "city": "GLENDALE",
      "state": "CA",
      "zip": "91204",
      "county": "LOS ANGELES",
      "latitude": 34.1280862001448,
      "longitude": -118.256956399907,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050058",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784396",
      "name": "WHITE MEMORIAL MEDICAL CENTER D/P APH",
      "address": "1720 E CESAR E CHAVEZ AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90033",
      "county": "LOS ANGELES",
      "latitude": 34.049541400114,
      "longitude": -118.217388199688,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 33,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist Health",
      "parentSystemId": "entity-adventist-health",
      "siblingGroupId": "siblings-ca-adventist-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784396",
        "external-resolution-0196784396"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Adventist Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Adventist Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784398",
      "name": "HENRY MAYO NEWHALL MEMORIAL HOSPITAL D/P APH",
      "address": "25727 MCBEAN PKWY",
      "city": "VALENCIA",
      "state": "CA",
      "zip": "91355",
      "county": "LOS ANGELES",
      "latitude": 34.3988590997782,
      "longitude": -118.55263370013,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HENRY MAYO NEWHALL MEMORIAL HOSPITAL",
      "parentSystemId": "entity-henry-mayo-newhall-memorial-hospital",
      "siblingGroupId": "siblings-ca-henry-mayo-newhall-memorial-hospital",
      "campusFamilyId": "campus-ca-050624",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-952821104"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/952821104"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Henry Mayo Newhall Memorial Hospital. Resolved parent/control boundary: HENRY MAYO NEWHALL MEMORIAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY MAYO NEWHALL MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Henry Mayo Newhall Memorial Hospital. Resolved parent/control boundary: HENRY MAYO NEWHALL MEMORIAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY MAYO NEWHALL MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784399",
      "name": "BELLFLOWER MEDICAL CENTER D/P APH",
      "address": "9542 ARTESIA BLVD",
      "city": "BELLFLOWER",
      "state": "CA",
      "zip": "90706",
      "county": "LOS ANGELES",
      "latitude": 33.8743136002564,
      "longitude": -118.129731900414,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Pipeline Health",
      "parentSystemId": "entity-pipeline-health",
      "siblingGroupId": "siblings-ca-pipeline-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784399",
        "external-resolution-0196784399"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pipelinehealth.us/our-hospitals/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Pipeline Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Pipeline Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784400",
      "name": "MARINA DEL REY HOSPITAL D/P APH",
      "address": "4650 LINCOLN BLVD",
      "city": "MARINA DEL REY",
      "state": "CA",
      "zip": "90292",
      "county": "LOS ANGELES",
      "latitude": 33.9821448996736,
      "longitude": -118.4392261997,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CEDARS-SINAI MARINA HOSPITAL",
      "parentSystemId": "entity-cedars-sinai-marina-hospital",
      "siblingGroupId": "siblings-ca-cedars-sinai-marina-hospital",
      "campusFamilyId": "campus-ca-050740",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MARINA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MARINA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784401",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO",
      "address": "1300 W 7TH ST",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90732",
      "county": "LOS ANGELES",
      "latitude": 33.7382582999707,
      "longitude": -118.305097999925,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "campusFamilyId": "campus-ca-050078",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784402",
      "name": "VERDUGO HILLS HOSPITAL D/P APH",
      "address": "1812 VERDUGO BLVD",
      "city": "GLENDALE",
      "state": "CA",
      "zip": "91208",
      "county": "LOS ANGELES",
      "latitude": 34.2047447799927,
      "longitude": -118.215703919616,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF SOUTHERN CALIFORNIA",
      "parentSystemId": "entity-university-of-southern-california",
      "siblingGroupId": "siblings-ca-university-of-southern-california",
      "campusFamilyId": "campus-ca-050124",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784404",
      "name": "BROTMAN MEDICAL CENTER D/P CDRH",
      "address": "3828 DELMAS TER",
      "city": "CULVER CITY",
      "state": "CA",
      "zip": "90232",
      "county": "LOS ANGELES",
      "latitude": 34.0235024098218,
      "longitude": -118.397012699921,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prospect Medical Holdings",
      "parentSystemId": "entity-prospect-medical-holdings",
      "siblingGroupId": "siblings-ca-prospect-medical-holdings",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784404",
        "external-resolution-0196784404"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pmh.com/hospitals"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Prospect Medical Holdings and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Prospect Medical Holdings and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784405",
      "name": "THE BEHAVIORAL HEALTH AND WELLNESS CTR AT TMCA",
      "address": "700 POTOMAC ST",
      "city": "AURORA",
      "state": "CO",
      "zip": "80011",
      "county": "ARAPAHOE",
      "latitude": 39.7284111998391,
      "longitude": -104.827039199905,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 120,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784405",
        "external-resolution-0196784405"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The named behavioral facility is a service line or campus of an HCA hospital; HCA is publicly traded.",
      "parentSystemEvidence": "The named behavioral facility is a service line or campus of an HCA hospital; HCA is publicly traded."
    },
    {
      "id": "0196784406",
      "name": "VA HOSPITAL",
      "address": "2535 S DOWNING ST, SUITE 380",
      "city": "DENVER",
      "state": "CO",
      "zip": "80210",
      "county": "DENVER",
      "latitude": 39.6704231998109,
      "longitude": -104.974142999818,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-co-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784406",
        "external-resolution-0196784406"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784408",
      "name": "EMORY JOHN BRADY HOSPITAL",
      "address": "401 SOUTHGATE RD",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80901",
      "county": "EL PASO",
      "latitude": 38.8012936700229,
      "longitude": -104.816947219678,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-co-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784408",
        "external-resolution-0196784408"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded.",
      "parentSystemEvidence": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded."
    },
    {
      "id": "0196784409",
      "name": "HILL TOP HOSPITAL",
      "address": "700 N A ST, PO BOX 397",
      "city": "CRIPPLE CREEK",
      "state": "CO",
      "zip": "80813",
      "county": "TELLER",
      "latitude": 38.7531342001494,
      "longitude": -105.182232299678,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784409",
        "external-resolution-0196784409"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high, missing_or_generic_parent, ownership_class_unresolved, missing_stable_edge_id."
    },
    {
      "id": "0196784411",
      "name": "PAM REHABILITATION HOSPITAL OF GOLDEN",
      "address": "600 GOLDEN RIDGE RD",
      "city": "GOLDEN",
      "state": "CO",
      "zip": "80401",
      "county": "JEFFERSON",
      "latitude": 39.727261599782,
      "longitude": -105.204626099562,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-co-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784411",
        "external-resolution-0196784411"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784413",
      "name": "REUNION REHABILITATION HOSPITAL DENVER",
      "address": "4650 CENTRAL PARK BLVD",
      "city": "DENVER",
      "state": "CO",
      "zip": "80238",
      "county": "DENVER",
      "latitude": 39.7814708402461,
      "longitude": -104.882251390118,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "REUNION HOSPITAL HOLDINGS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "063036",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Reunion Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-reunion-hospital-holdings-llc",
      "siblingGroupId": "siblings-co-reunion-hospital-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-reunion-hospital-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REUNION HOSPITAL HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REUNION HOSPITAL HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REUNION HOSPITAL HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REUNION HOSPITAL HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784414",
      "name": "REUNION REHABILITATION HOSPITAL INVERNESS, LLC",
      "address": "372 INVERNESS DR S",
      "city": "ENGLEWOOD",
      "state": "CO",
      "zip": "80112",
      "county": "DOUGLAS",
      "latitude": 39.5600552002537,
      "longitude": -104.86366369999,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "https://reunionrehabhospital.com/locations/inverness/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "REUNION HOSPITAL HOLDINGS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "063038",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Reunion Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-reunion-hospital-holdings-llc",
      "siblingGroupId": "siblings-co-reunion-hospital-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-reunion-hospital-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REUNION HOSPITAL HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REUNION HOSPITAL HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REUNION HOSPITAL HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REUNION HOSPITAL HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784416",
      "name": "VA HOSPITAL",
      "address": "30999 CO RD 15",
      "city": "LAS ANIMAS",
      "state": "CO",
      "zip": "81054",
      "county": "BENT",
      "latitude": 38.0747531898785,
      "longitude": -103.131452599976,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://www.coloradocoalition.org/fortlyon",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-co-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784416",
        "external-resolution-0196784416"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784418",
      "name": "VAIL CLINIC",
      "address": "180 S FRONTAGE RD W, PO BOX 36",
      "city": "VAIL",
      "state": "CO",
      "zip": "81657",
      "county": "EAGLE",
      "latitude": 39.6436697099062,
      "longitude": -106.381463999794,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Vail Health",
      "parentSystemId": "entity-vail-health",
      "siblingGroupId": "siblings-co-vail-health",
      "ownershipRelationship": "campus_or_predecessor_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784418",
        "external-resolution-0196784418"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/840563230"
      ],
      "ownershipProofNotes": "Vail Clinic is the nonprofit legal/predecessor entity of Vail Health; the clinic location is not a separate owner.",
      "parentSystemEvidence": "Vail Clinic is the nonprofit legal/predecessor entity of Vail Health; the clinic location is not a separate owner."
    },
    {
      "id": "0196784419",
      "name": "VIBRA REHABILITATION HOSPITAL OF DENVER",
      "address": "8451 PEARL ST, SUITE 101",
      "city": "THORNTON",
      "state": "CO",
      "zip": "80229",
      "county": "ADAMS",
      "latitude": 39.8502596996889,
      "longitude": -104.980414299615,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 31,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EPOCH ACQUISITION INC",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-co-epoch-acquisition-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784422",
      "name": "14TH MEDICAL GROUP",
      "address": "201 INDEPENDENCE DRIVE, SUITE 101",
      "city": "COLUMBUS",
      "state": "MS",
      "zip": "39710",
      "county": "LOWNDES",
      "latitude": 33.6257558000396,
      "longitude": -88.4535777996478,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://columbus.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ms-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784422",
        "external-resolution-0196784422"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784423",
      "name": "15TH MEDICAL GROUP",
      "address": "755 SCOTT CIRCLE",
      "city": "HICKAM AFB",
      "state": "HI",
      "zip": "96853",
      "county": "HONOLULU",
      "latitude": 21.3394511397016,
      "longitude": -157.95852789027,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://pearlharborhickam.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-hi-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784423",
        "external-resolution-0196784423"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784425",
      "name": "19TH MEDICAL GROUP",
      "address": "1090 ARNOLD DRIVE",
      "city": "LITTLE ROCK AFB",
      "state": "AR",
      "zip": "72099",
      "county": "PULASKI",
      "latitude": 34.8956635599581,
      "longitude": -92.1498186499057,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://littlerock.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ar-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784425",
        "external-resolution-0196784425"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784426",
      "name": "1ST SPECIAL OPERATIONS MEDICAL GROUP - HURLBURT FIELD",
      "address": "113 LIELMANIS AVE",
      "city": "HURLBURT FIELD",
      "state": "FL",
      "zip": "32544",
      "county": "OKALOOSA",
      "latitude": 30.4194025996448,
      "longitude": -86.6810170001519,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://hurlburt.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-fl-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784426",
        "external-resolution-0196784426"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784427",
      "name": "20TH MEDICAL GROUP",
      "address": "431 MEADOWLARK STREET",
      "city": "SHAW AFB",
      "state": "SC",
      "zip": "29152",
      "county": "SUMTER",
      "latitude": 33.9708043996799,
      "longitude": -80.4889838998563,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://shaw.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-sc-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784427",
        "external-resolution-0196784427"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784429",
      "name": "22D MEDICAL GROUP",
      "address": "57950 LEAVENWORTH STREET, BUILDING 250",
      "city": "MCCONNELL AFB",
      "state": "KS",
      "zip": "67221",
      "county": "SEDGWICK",
      "latitude": 37.6324175996862,
      "longitude": -97.2461196701245,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://mcconnell.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ks-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784429",
        "external-resolution-0196784429"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784430",
      "name": "23D MEDICAL GROUP",
      "address": "3278 MITCHELL BOULEVARD",
      "city": "MOODY AIR FORCE BASE",
      "state": "GA",
      "zip": "31699",
      "county": "LOWNDES",
      "latitude": 30.9765612200849,
      "longitude": -83.2072927202043,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://moody.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ga-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784430",
        "external-resolution-0196784430"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784431",
      "name": "27TH SPECIAL OPERATIONS MEDICAL GROUP - CANNON AIR FORCE BASE MEDICAL FACILITY",
      "address": "208 WEST DL INGRAM AVE",
      "city": "CANNON AFB",
      "state": "NM",
      "zip": "88103",
      "county": "CURRY",
      "latitude": 34.4019124799014,
      "longitude": -103.328532920266,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://cannon.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nm-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784431",
        "external-resolution-0196784431"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784432",
      "name": "28TH MEDICAL GROUP",
      "address": "2900 DOOLITTLE DRIVE",
      "city": "ELLSWORTH AFB",
      "state": "SD",
      "zip": "57706",
      "county": "MEADE",
      "latitude": 44.1473989001908,
      "longitude": -103.072605599749,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://eielson.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-sd-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784432",
        "external-resolution-0196784432"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784433",
      "name": "2ND MEDICAL GROUP",
      "address": "243 CURTISS ROAD, SUITE 100",
      "city": "BARKSDALE AFB",
      "state": "LA",
      "zip": "71110",
      "county": "BOSSIER",
      "latitude": 32.4914254997331,
      "longitude": -93.680510300449,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://barksdale.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-la-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784433",
        "external-resolution-0196784433"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784434",
      "name": "30TH ADJUTANT GENERAL RECEPTION BATTALION - TMC 4",
      "address": "7950 MARTIN LOOP",
      "city": "FORT BENNING",
      "state": "GA",
      "zip": "31905",
      "county": "RICHMOND",
      "latitude": 33.4235128203027,
      "longitude": -82.1580509498039,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://martin.tricare.mil/health-services/readiness/warrior-care/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ga-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784434",
        "external-resolution-0196784434"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784435",
      "name": "30TH MEDICAL GROUP",
      "address": "338 SOUTH DAKOTA, BUILDING 13850",
      "city": "VANDENBERG AFB",
      "state": "CA",
      "zip": "93437",
      "county": "SANTA BARBARA",
      "latitude": 34.7446176898169,
      "longitude": -120.54161145975,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://vandenberg.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ca-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784435",
        "external-resolution-0196784435"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784437",
      "name": "316TH MEDICAL SQUADRON",
      "address": "238 BROOKLEY AVENUE",
      "city": "JOINT BASE ANACOSTIA-BOLLING",
      "state": "DC",
      "zip": "20032",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.8361466396899,
      "longitude": -77.0141859696508,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://anacostiabolling.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-dc-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784437",
        "external-resolution-0196784437"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784438",
      "name": "319TH MEDICAL GROUP - GRAND FORKS AFB MEDICAL FACILITY",
      "address": "1599 J STREET",
      "city": "GRAND FORKS AFB",
      "state": "ND",
      "zip": "58205",
      "county": "GRAND FORKS",
      "latitude": 47.9506249097571,
      "longitude": -97.3739465502027,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://grandforks.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nd-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784438",
        "external-resolution-0196784438"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784439",
      "name": "325TH MEDICAL GROUP",
      "address": "340 MAGNOLIA CIRCLE",
      "city": "TYNDALL AFB",
      "state": "FL",
      "zip": "32403",
      "county": "BAY",
      "latitude": 30.0713840000708,
      "longitude": -85.6028463999748,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://tyndall.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-fl-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784439",
        "external-resolution-0196784439"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784440",
      "name": "341ST MEDICAL GROUP",
      "address": "7300 N PERIMETER RD",
      "city": "MALMSTROM AFB",
      "state": "MT",
      "zip": "59402",
      "county": "CASCADE",
      "latitude": 47.5165614001171,
      "longitude": -111.195501200118,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://malmstrom.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-mt-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784440",
        "external-resolution-0196784440"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784442",
      "name": "366TH MEDICAL GROUP - MT. HOME AFB MEDICAL FACILITY",
      "address": "90 HOPE DRIVE, BUILDING 6000",
      "city": "MOUNTAIN HOME AFB",
      "state": "ID",
      "zip": "83648",
      "county": "ELMORE",
      "latitude": 43.0651680001779,
      "longitude": -115.850282999851,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://mountainhome.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-id-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784442",
        "external-resolution-0196784442"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784444",
      "name": "377TH MEDICAL GROUP - KIRTLAND AIR FORCE BASE MEDICAL FACILITY",
      "address": "1501 SAN PEDRO SE, BUILDING 47",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87108",
      "county": "BERNALILLO",
      "latitude": 35.0540493703601,
      "longitude": -106.581485680106,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://kirtland.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nm-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784444",
        "external-resolution-0196784444"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784445",
      "name": "412TH MEDICAL GROUP",
      "address": "30 NIGHTINGALE ROAD, BUILDING 5525",
      "city": "EDWARDS AFB",
      "state": "CA",
      "zip": "93524",
      "county": "KERN",
      "latitude": 34.9241733999134,
      "longitude": -117.898166789791,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://edwards.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ca-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784445",
        "external-resolution-0196784445"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784446",
      "name": "42ND MEDICAL GROUP",
      "address": "300 SOUTH TWINING STREET, BUILDING 760",
      "city": "MAXWELL AFB",
      "state": "AL",
      "zip": "36112",
      "county": "MONTGOMERY",
      "latitude": 32.3758145003694,
      "longitude": -86.346092800137,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://maxwell.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-al-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784446",
        "external-resolution-0196784446"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784447",
      "name": "436TH MEDICAL GROUP",
      "address": "300 TUSKEGEE BLVD",
      "city": "DOVER AIR FORCE BASE",
      "state": "DE",
      "zip": "19902",
      "county": "KENT",
      "latitude": 39.1220950002017,
      "longitude": -75.4754582995962,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://dover.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-de-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784447",
        "external-resolution-0196784447"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784448",
      "name": "45TH MEDICAL GROUP",
      "address": "1381 S PATRICK DRIVE",
      "city": "PATRICK AFB",
      "state": "FL",
      "zip": "32925",
      "county": "BREVARD",
      "latitude": 28.2143606697331,
      "longitude": -80.6044895503796,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://patrick.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-fl-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784448",
        "external-resolution-0196784448"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784449",
      "name": "460TH MEDICAL GROUP - NORTH",
      "address": "275 S ASPEN STOP 89, BUILDING 600, MDG NORTH",
      "city": "BUCKLEY AFB",
      "state": "CO",
      "zip": "80011",
      "county": "ARAPAHOE",
      "latitude": 39.7115551000253,
      "longitude": -104.773096039932,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://buckley.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-co-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784449",
        "external-resolution-0196784449"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784450",
      "name": "460TH MEDICAL GROUP - SOUTH",
      "address": "18230 E SILVERCREEK ST, BUILDING 392, MDG SOUTH",
      "city": "BUCKLEY AFB",
      "state": "CO",
      "zip": "80011",
      "county": "ARAPAHOE",
      "latitude": 39.7081618600134,
      "longitude": -104.775497330111,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://buckley.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-co-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784450",
        "external-resolution-0196784450"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784452",
      "name": "49TH MEDICAL GROUP - HOLLOMAN AIR FORCE BASE MEDICAL FACILITY",
      "address": "280 FIRST STREET, NUMBER 15",
      "city": "HOLLOMAN AFB",
      "state": "NM",
      "zip": "88330",
      "county": "OTERO",
      "latitude": 32.8388557503241,
      "longitude": -106.073296999967,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://holloman.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nm-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784452",
        "external-resolution-0196784452"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784454",
      "name": "509TH MEDICAL GROUP",
      "address": "331 SIJAN AVENUE",
      "city": "WHITMAN AFB",
      "state": "MO",
      "zip": "65305",
      "county": "JOHNSON",
      "latitude": 38.728256100091,
      "longitude": -93.5723711999715,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://whiteman.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-mo-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784454",
        "external-resolution-0196784454"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784455",
      "name": "56TH MEDICAL GROUP",
      "address": "7219 NORTH LITCHFIELD ROAD, BUILDING 1130",
      "city": "LUKE AFB",
      "state": "AZ",
      "zip": "85309",
      "county": "MARICOPA",
      "latitude": 33.5412922000823,
      "longitude": -112.35724730027,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://luke.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-az-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784455",
        "external-resolution-0196784455"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784456",
      "name": "59TH MEDICAL WING - WILFORD HALL AMBULATORY SURGICAL CENTER",
      "address": "2200 BERGQUIST DRIVE, SUITE 1",
      "city": "LACKLAND AFB",
      "state": "TX",
      "zip": "78236",
      "county": "BEXAR",
      "latitude": 29.3995604796091,
      "longitude": -98.6221993800512,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://wilfordhall.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-tx-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784456",
        "external-resolution-0196784456"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784457",
      "name": "5TH MEDICAL GROUP - MINOT AFB MEDICAL FACILITY",
      "address": "194 MISSILE AVENUE",
      "city": "MINOT AFB",
      "state": "ND",
      "zip": "58705",
      "county": "WARD",
      "latitude": 48.4172037000217,
      "longitude": -101.30216160027,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://minot.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nd-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784457",
        "external-resolution-0196784457"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784458",
      "name": "61ST MEDICAL SQUADRON",
      "address": "483 NORTH AVIATION BOULEVARD, BUILDING 210",
      "city": "EL SEGUNDO",
      "state": "CA",
      "zip": "90245",
      "county": "LOS ANGELES",
      "latitude": 33.9190367999846,
      "longitude": -118.381164900157,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://losangeles.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ca-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784458",
        "external-resolution-0196784458"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784459",
      "name": "628TH MEDICAL GROUP",
      "address": "204 WEST HILL BOULEVARD",
      "city": "JOINT BASE CHARLESTON",
      "state": "SC",
      "zip": "29404",
      "county": "CHARLESTON",
      "latitude": 32.8970776003008,
      "longitude": -80.0582945995519,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://charleston.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-sc-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784459",
        "external-resolution-0196784459"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784460",
      "name": "62ND MEDICAL SQUADRON",
      "address": "690 BARNES BLVD",
      "city": "MCCHORD AFB",
      "state": "WA",
      "zip": "98438",
      "county": "PIERCE",
      "latitude": 47.1296484539119,
      "longitude": -122.496288569297,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://lewismcchord.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-wa-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784460",
        "external-resolution-0196784460"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784461",
      "name": "633D MEDICAL GROUP - LANGLEY AFB FACILITY",
      "address": "77 NEALY AVE",
      "city": "HAMPTON",
      "state": "VA",
      "zip": "23665",
      "county": "HAMPTON",
      "latitude": 37.073542680357,
      "longitude": -76.3576138098326,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://langleyeustis.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-va-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784461",
        "external-resolution-0196784461"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784462",
      "name": "66TH MEDICAL SQUADRON, HANSCOM AIR FORCE BASE",
      "address": "90 VANDENBERG DR, BUILDING 1900",
      "city": "HANSCOM AFB",
      "state": "MA",
      "zip": "01731",
      "county": "MIDDLESEX",
      "latitude": 42.4578801998259,
      "longitude": -71.2826879996785,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://hanscom.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ma-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784462",
        "external-resolution-0196784462"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784464",
      "name": "6TH MEDICAL GROUP",
      "address": "3250 ZEMKE AVE",
      "city": "MACDILL AFB",
      "state": "FL",
      "zip": "33621",
      "county": "HILLSBOROUGH",
      "latitude": 27.8600535003157,
      "longitude": -82.5007394002105,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://macdill.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-fl-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784464",
        "external-resolution-0196784464"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784467",
      "name": "75TH MEDICAL GROUP - HILL AFB MEDICAL FACILITY",
      "address": "7321 BALMER STREET, BUILDING 570",
      "city": "HILL AFB",
      "state": "UT",
      "zip": "84056",
      "county": "DAVIS",
      "latitude": 41.1056993497802,
      "longitude": -111.984537560005,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://hill.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ut-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784467",
        "external-resolution-0196784467"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784468",
      "name": "78TH MEDICAL GROUP",
      "address": "655 7TH STREET, BUILDING 700, TRICARE OPERATIONS",
      "city": "ROBINS AIR FORCE BASE",
      "state": "GA",
      "zip": "31098",
      "county": "HOUSTON",
      "latitude": 32.6040270799271,
      "longitude": -83.5855701099042,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://robins.tricare.mil/",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ga-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784468",
        "external-resolution-0196784468"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784470",
      "name": "81ST MEDICAL GROUP",
      "address": "301 FISHER STREET",
      "city": "KEESLER AFB",
      "state": "MS",
      "zip": "39534",
      "county": "HARRISON",
      "latitude": 30.4124274096953,
      "longitude": -88.9100816898279,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://keesler.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ms-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784470",
        "external-resolution-0196784470"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784472",
      "name": "87TH MEDICAL GROUP - MCGUIRE AMBULATORY CARE FACILITY",
      "address": "3458 NEELY ROAD",
      "city": "JB MDL",
      "state": "NJ",
      "zip": "08641",
      "county": "BURLINGTON",
      "latitude": 40.0317988502191,
      "longitude": -74.6157832596006,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://mcguiredixlakehurst.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nj-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784472",
        "external-resolution-0196784472"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784473",
      "name": "90TH MEDICAL GROUP",
      "address": "6900 ALDEN DRIVE",
      "city": "F.E. WARREN AFB",
      "state": "WY",
      "zip": "82005",
      "county": "LARAMIE",
      "latitude": 41.158852700015,
      "longitude": -104.861211000126,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://fewarren.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-wy-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784473",
        "external-resolution-0196784473"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784475",
      "name": "ALLEN SOLDER - CENTERED MEDICAL HOME",
      "address": "9040A JACKSON AVENUE",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98431",
      "county": "PIERCE",
      "latitude": 47.1083788297005,
      "longitude": -122.551604620027,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://madigan.tricare.mil/clinics/allen-soldier-centered-medical-home",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-wa-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WA resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WA resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784479",
      "name": "ARNOLD AFB",
      "address": "225 VON KARMAN ROAD",
      "city": "ARNOLD AFB",
      "state": "TN",
      "zip": "37389",
      "county": "COFFEE",
      "latitude": 35.3839551196914,
      "longitude": -86.0372268499338,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.arnold.af.mil/home/newcomer-information",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-tn-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784479",
        "external-resolution-0196784479"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784480",
      "name": "BAMC PEDIATRICS",
      "address": "3551 ROGER BROOKE DR",
      "city": "FORT SAM HOUSTON",
      "state": "TX",
      "zip": "78234",
      "county": "BEXAR",
      "latitude": 29.4603228597648,
      "longitude": -98.4159232999473,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://bamc.tricare.mil/",
      "status": "corporate_chain",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "Bamc Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Bamc Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-tx-department-of-defense",
      "campusFamilyId": "campus-tx-45069f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists CHARON SEYMORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: U.S. Department of Defense; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Defense. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Department of Defense; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHARON SEYMORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: U.S. Department of Defense; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Defense. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Department of Defense; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784485",
      "name": "BHC DAM NECK ANNEX",
      "address": "1885 TERRIER AVE, BUILDING 504, SUITE 201 AND SUITE 203",
      "city": "VIRGINIA BEACH",
      "state": "VA",
      "zip": "23461",
      "county": "VIRGINIA BEACH",
      "latitude": 36.7746352998192,
      "longitude": -75.9605788999077,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://portsmouth.tricare.mil/clinics/dam-neck-annex",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-va-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784485",
        "external-resolution-0196784485"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784503",
      "name": "BYRD ARMY MEDICAL HOME",
      "address": "7973 THUNDER BLVD",
      "city": "FORT CAMPBELL",
      "state": "KY",
      "zip": "42223",
      "county": "MONTGOMERY",
      "latitude": 36.6043685103404,
      "longitude": -87.4519995198203,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://blanchfield.tricare.mil/clinics/byrd-family-medical-home",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ky-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784503",
        "external-resolution-0196784503"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784506",
      "name": "CAMPBELL AIRFIELD MEDICAL HOME",
      "address": "7149 BLACK SHEEP RUN",
      "city": "FORT CAMPBELL",
      "state": "KY",
      "zip": "42223",
      "county": "CHRISTIAN",
      "latitude": 36.6685539997274,
      "longitude": -87.4850418996748,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://blanchfield.tricare.mil/clinics/campbell-airfield-medical-home",
      "status": "corporate_chain",
      "parentSystem": "Blanchfield Tricare",
      "affiliatedSystem": "Blanchfield Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Blanchfield Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-blanchfield-tricare",
      "siblingGroupId": "siblings-ky-blanchfield-tricare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784506",
        "external-resolution-0196784506"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://blanchfield.tricare.mil/clinics/campbell-airfield-medical-home"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784509",
      "name": "COAST GUARD ACADEMY",
      "address": "15 MOHEGAN AVENUE",
      "city": "NEW LONDON",
      "state": "CT",
      "zip": "06320",
      "county": "SOUTHEASTERN CONNECTICUT",
      "latitude": 41.3752134002545,
      "longitude": -72.1004210997072,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.uscg.mil/hq/cg1/cgameddiv/",
      "status": "corporate_chain",
      "parentSystem": "U.S. Coast Guard",
      "affiliatedSystem": "Uscg",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Uscg",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-coast-guard",
      "siblingGroupId": "siblings-ct-u-s-coast-guard",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784509",
        "official-u-s-coast-guard"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mycg.uscg.mil/hswlsc/"
      ],
      "ownershipProofNotes": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense.",
      "parentSystemEvidence": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense."
    },
    {
      "id": "0196784510",
      "name": "COAST GUARD BASE LOS ANGELES - LONG BEACH",
      "address": "1001 S SEASIDE AVE, BUILDING 23",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90731",
      "county": "LOS ANGELES",
      "latitude": 33.7247670198387,
      "longitude": -118.268410190172,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Coast Guard",
      "parentSystemId": "entity-u-s-coast-guard",
      "siblingGroupId": "siblings-ca-u-s-coast-guard",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784510",
        "official-u-s-coast-guard"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mycg.uscg.mil/hswlsc/"
      ],
      "ownershipProofNotes": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense.",
      "parentSystemEvidence": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense."
    },
    {
      "id": "0196784511",
      "name": "COAST GUARD SECTOR COLUMBIA RIVER",
      "address": "2185 SE 12TH PLACE",
      "city": "WARRENTON",
      "state": "OR",
      "zip": "97146",
      "county": "CLATSOP",
      "latitude": 46.1540112998085,
      "longitude": -123.882453499628,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.uscg.mil/d13/sectcolrvr/services/medical.asp",
      "status": "corporate_chain",
      "parentSystem": "U.S. Coast Guard",
      "affiliatedSystem": "Uscg",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Uscg",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-coast-guard",
      "siblingGroupId": "siblings-or-u-s-coast-guard",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784511",
        "official-u-s-coast-guard"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mycg.uscg.mil/hswlsc/"
      ],
      "ownershipProofNotes": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense.",
      "parentSystemEvidence": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense."
    },
    {
      "id": "0196784513",
      "name": "CONNER ARMY MEDICAL HOME",
      "address": "10205 N RIVA RIDGE LOOP, SUITE P10506",
      "city": "FORT DRUM",
      "state": "NY",
      "zip": "13602",
      "county": "JEFFERSON",
      "latitude": 44.0553639997161,
      "longitude": -75.7920598996291,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://guthrie.tricare.mil/clinics/conner-army-medical-home",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ny-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784513",
        "external-resolution-0196784513"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784514",
      "name": "COPPERAS COVE MEDICAL HOME",
      "address": "458 TOWN SQUARE",
      "city": "COPPERAS COVE",
      "state": "TX",
      "zip": "76522",
      "county": "CORYELL",
      "latitude": 31.1152266197166,
      "longitude": -97.9074484102704,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://darnall.tricare.mil/clinics/copperas-cove-medical-home",
      "status": "corporate_chain",
      "parentSystem": "Darnall Tricare",
      "affiliatedSystem": "Darnall Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Darnall Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-darnall-tricare",
      "siblingGroupId": "siblings-tx-darnall-tricare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784514",
        "external-resolution-0196784514"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://darnall.tricare.mil/clinics/copperas-cove-medical-home"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784524",
      "name": "FAIRFAX HEALTH CENTER",
      "address": "4375 FAIR LAKES COURT",
      "city": "FAIRFAX",
      "state": "VA",
      "zip": "22033",
      "county": "FAIRFAX",
      "latitude": 38.8620530000711,
      "longitude": -77.3764951997109,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://belvoirhospital.tricare.mil/clinics/fairfax-health-center",
      "status": "corporate_chain",
      "parentSystem": "Belvoirhospital Tricare",
      "affiliatedSystem": "Belvoirhospital Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Belvoirhospital Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-belvoirhospital-tricare",
      "siblingGroupId": "siblings-va-belvoirhospital-tricare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784524",
        "external-resolution-0196784524"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://belvoirhospital.tricare.mil/clinics/fairfax-health-center"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784528",
      "name": "FORT RILEY PUBLIC HEALTH DEPARTMENT",
      "address": "7665 NORMANDY DR",
      "city": "FORT RILEY",
      "state": "KS",
      "zip": "66442",
      "county": "RILEY",
      "latitude": 39.1122536998526,
      "longitude": -96.8151293003509,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://irwin.tricare.mil/health-services/preventive-care/public-health",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ks-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784528",
        "external-resolution-0196784528"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784530",
      "name": "FT. GREELY ARMY MEDICAL HOME",
      "address": "655 EAST 5TH STREET",
      "city": "FT. GREELY",
      "state": "AK",
      "zip": "99731",
      "county": "SOUTHEAST FAIRBANKS",
      "latitude": 63.9716633400969,
      "longitude": -145.71343369979,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://bassett-wainwright.tricare.mil/clinics/fort-greely-amh",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ak-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784530",
        "external-resolution-0196784530"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784533",
      "name": "KILLEEN MEDICAL HOME",
      "address": "3404 KAYDENCE COURT",
      "city": "KILLEEN",
      "state": "TX",
      "zip": "76542",
      "county": "BELL",
      "latitude": 31.0746998003217,
      "longitude": -97.7104003996867,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://darnall.tricare.mil/clinics/killeen-medical-home",
      "status": "corporate_chain",
      "parentSystem": "Darnall Tricare",
      "affiliatedSystem": "Darnall Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Darnall Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-darnall-tricare",
      "siblingGroupId": "siblings-tx-darnall-tricare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784533",
        "external-resolution-0196784533"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://darnall.tricare.mil/clinics/killeen-medical-home"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784534",
      "name": "KIMBROUGH AMBULATORY CARE CENTER",
      "address": "2480 LLEWELLYN AVENUE, SUITE 5800",
      "city": "FORT MEADE",
      "state": "MD",
      "zip": "20755",
      "county": "ANNE ARUNDEL",
      "latitude": 39.0981143998362,
      "longitude": -76.7285713996107,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://kimbrough.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-md-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784534",
        "external-resolution-0196784534"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784535",
      "name": "LINDEN OAKS MEDICAL HOME",
      "address": "55 CENTENNIAL PARKWAY",
      "city": "CAMERON",
      "state": "NC",
      "zip": "28326",
      "county": "HARNETT",
      "latitude": 35.2543434003378,
      "longitude": -79.0303824003082,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://womack.tricare.mil/clinics/linden-oaks-medical-home",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nc-u-s-department-of-defense",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784535",
        "facility-site-0196784535"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://womack.tricare.mil/clinics/linden-oaks-medical-home"
      ],
      "ownershipProofNotes": "Existing full-research public record retained as a location-level ownership decision.",
      "parentSystemEvidence": "Existing full-research public record retained as a location-level ownership decision."
    },
    {
      "id": "0196784538",
      "name": "MUNSON ARMY HEALTH CENTER",
      "address": "550 POPE AVENUE",
      "city": "FORT LEAVENWORTH",
      "state": "KS",
      "zip": "66027",
      "county": "LEAVENWORTH",
      "latitude": 39.3553971000693,
      "longitude": -94.9249507997076,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://munson.tricare.mil",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-ks-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784538",
        "external-resolution-0196784538"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784549",
      "name": "OKUBO SOLDIER - CENTERED MEDICAL HOME",
      "address": "11582 C STREET",
      "city": "JOINT BASE LEWIS-MCCHORD",
      "state": "WA",
      "zip": "98433",
      "county": "PIERCE",
      "latitude": 47.1273733302001,
      "longitude": -122.601694329927,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://madigan.tricare.mil/clinics/okubo-soldier-centered-medical-home",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-wa-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784549",
        "external-resolution-0196784549"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784556",
      "name": "US COAST GUARD SECTOR NORTH BEND",
      "address": "2000 CONNECTICUT AVENUE",
      "city": "NORTH BEND",
      "state": "OR",
      "zip": "97459",
      "county": "COOS",
      "latitude": 43.4114666998701,
      "longitude": -124.242332999746,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Coast Guard",
      "parentSystemId": "entity-u-s-coast-guard",
      "siblingGroupId": "siblings-or-u-s-coast-guard",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784556",
        "official-u-s-coast-guard"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mycg.uscg.mil/hswlsc/"
      ],
      "ownershipProofNotes": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense.",
      "parentSystemEvidence": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense."
    },
    {
      "id": "0196784557",
      "name": "WARRIOR OHANA MEDICAL HOME",
      "address": "91-1010 SHANGRILA STREET",
      "city": "KAPOLEI",
      "state": "HI",
      "zip": "96707",
      "county": "HONOLULU",
      "latitude": 21.3192516999914,
      "longitude": -158.071132499856,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://tripler.tricare.mil/clinics/warrior-ohana-medical-home",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-hi-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784557",
        "external-resolution-0196784557"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784558",
      "name": "WESTOVER MEDICAL HOME",
      "address": "10010 ROGERS CROSSING",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78251",
      "county": "BEXAR",
      "latitude": 29.4623945996721,
      "longitude": -98.687265000172,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://bamc.tricare.mil/clinics/westover-medical-home",
      "status": "corporate_chain",
      "parentSystem": "Bamc Tricare",
      "affiliatedSystem": "Bamc Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Bamc Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-bamc-tricare",
      "siblingGroupId": "siblings-tx-bamc-tricare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784558",
        "external-resolution-0196784558"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://bamc.tricare.mil/clinics/westover-medical-home"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784559",
      "name": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
      "address": "18511 HIGHLANDER MEDICS STREET",
      "city": "FORT BLISS",
      "state": "TX",
      "zip": "79918",
      "county": "EL PASO",
      "latitude": 31.8345224902363,
      "longitude": -106.32634811976,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://william-beaumont.tricare.mil",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-tx-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784562",
      "name": "ADVENTHEALTH APOPKA",
      "address": "2100 OCOEE APOPKA RD",
      "city": "APOPKA",
      "state": "FL",
      "zip": "32703",
      "county": "ORANGE",
      "latitude": 28.6492298000561,
      "longitude": -81.5402729002464,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 120,
      "rating": null,
      "website": "https://www.adventhealth.com/hospital/adventhealth-apopka",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784562",
        "external-resolution-0196784562"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784564",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTH TAMPA",
      "address": "3840 ATMORE GROVE DR",
      "city": "LUTZ",
      "state": "FL",
      "zip": "33548",
      "county": "HILLSBOROUGH",
      "latitude": 28.1315679898456,
      "longitude": -82.5002689102754,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "http://encompasshealth.com/northtamparehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784565",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PENSACOLA",
      "address": "1101 OFFICE WOODS DR",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32504",
      "county": "ESCAMBIA",
      "latitude": 30.4723824899574,
      "longitude": -87.2027126896143,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "https://encompasshealth.com/pensacolarehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784566",
      "name": "ORLANDO HEALTH HORIZON WEST HOSPITAL",
      "address": "17000 W PORTER RD",
      "city": "WINTER GARDEN",
      "state": "FL",
      "zip": "34787",
      "county": "ORANGE",
      "latitude": 28.4582500300402,
      "longitude": -81.6337011195626,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "www.orlandohealth.com",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784566",
        "external-resolution-0196784566"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.orlandohealth.com/facilities"
      ],
      "ownershipProofNotes": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784567",
      "name": "UCF LAKE NONA MEDICAL CENTER",
      "address": "6700 LAKE NONA BLVD",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32827",
      "county": "ORANGE",
      "latitude": 28.3674087503762,
      "longitude": -81.2856299801433,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 64,
      "rating": null,
      "website": "https://ucflakenonamedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784569",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL CUMMING",
      "address": "1165 SANDERS ROAD",
      "city": "CUMMING",
      "state": "GA",
      "zip": "30041",
      "county": "FORSYTH",
      "latitude": 34.1789029996928,
      "longitude": -84.1279529996366,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ga-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784570",
      "name": "HUGHES SPALDING CHILDREN'S HOSPITAL",
      "address": "1711 TULLIE CIRCLE NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30329",
      "county": "DEKALB",
      "latitude": 33.830816060035,
      "longitude": -84.3289699800462,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Fulton-DeKalb Hospital Authority / Grady Health System",
      "parentSystemId": "entity-fulton-dekalb-hospital-authority-grady-health-system",
      "siblingGroupId": "siblings-ga-fulton-dekalb-hospital-authority-grady-health-system",
      "ownershipRelationship": "publicly_owned_nonprofit_managed",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784570",
        "external-resolution-0196784570"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://thefdha.org/fdha-history-and-timeline/"
      ],
      "ownershipProofNotes": "Hughes Spalding is publicly owned through the Fulton-DeKalb/Grady structure and managed by Children’s Healthcare of Atlanta. The nonprofit manager is not substituted for the public owner.",
      "parentSystemEvidence": "Hughes Spalding is publicly owned through the Fulton-DeKalb/Grady structure and managed by Children’s Healthcare of Atlanta. The nonprofit manager is not substituted for the public owner."
    },
    {
      "id": "0196784571",
      "name": "REHABILITATION HOSPITAL OF HENRY",
      "address": "2200 PATRICK HENRY PARKWAY",
      "city": "MCDONOUGH",
      "state": "GA",
      "zip": "30253",
      "county": "HENRY",
      "latitude": 33.4869214702477,
      "longitude": -84.2147094996096,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ga-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784572",
      "name": "SOUTHERN CROSS SURGERY CENTER",
      "address": "1301 SIGMAN ROAD NE, SUITE 120",
      "city": "CONYERS",
      "state": "GA",
      "zip": "30012",
      "county": "ROCKDALE",
      "latitude": 33.6824800999228,
      "longitude": -83.9957982997259,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Southern Cross Surgery Center, LLC",
      "parentSystemId": "entity-southern-cross-surgery-center-llc",
      "siblingGroupId": "siblings-ga-southern-cross-surgery-center-llc",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784572",
        "external-resolution-0196784572"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sos.ga.gov/"
      ],
      "ownershipProofNotes": "The location is an ambulatory surgery center operated through a private LLC, not an acute-care hospital. No higher system parent was supported.",
      "parentSystemEvidence": "The location is an ambulatory surgery center operated through a private LLC, not an acute-care hospital. No higher system parent was supported."
    },
    {
      "id": "0196784573",
      "name": "WILLINGWAY HOSPITAL",
      "address": "311 JONES MILL ROAD",
      "city": "STATESBORO",
      "state": "GA",
      "zip": "30458",
      "county": "BULLOCH",
      "latitude": 32.4442835001874,
      "longitude": -81.7577227001647,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 46,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-statesboro-willingway-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ga-acadia-healthcare",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784573",
        "external-resolution-0196784573"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "The hospital is operated in Acadia Healthcare’s behavioral-health network; Acadia is publicly traded.",
      "parentSystemEvidence": "The hospital is operated in Acadia Healthcare’s behavioral-health network; Acadia is publicly traded."
    },
    {
      "id": "0196784575",
      "name": "STATE HOSPITAL WEST",
      "address": "25 MULBERRY LN",
      "city": "NAMPA",
      "state": "ID",
      "zip": "83687",
      "county": "CANYON",
      "latitude": 43.6003744802175,
      "longitude": -116.531261169619,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE",
      "parentSystemId": "entity-state-of-idaho-department-of-health-and-welfare",
      "siblingGroupId": "siblings-id-state-of-idaho-department-of-health-and-welfare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-state-of-idaho-department-of-health-and-welfare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/about-dhw/key-buildings-and-descriptions"
      ],
      "ownershipProofNotes": "CMS lists JANELLE JOHNSON-YAVRUIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to State of Idaho Department of Health and Welfare; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JANELLE JOHNSON-YAVRUIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to State of Idaho Department of Health and Welfare; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784576",
      "name": "ANDERSON REHABILITATION INSTITUTE, LLC",
      "address": "3402 ANDERSON HEALTHCARE DRIVE",
      "city": "EDWARDSVILLE",
      "state": "IL",
      "zip": "62025",
      "county": "MADISON",
      "latitude": 38.7814838898202,
      "longitude": -89.9220043198837,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 34,
      "rating": null,
      "website": "https://www.andersonrehabinstitute.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "143029",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-il-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELISSA NEWBOLD WELGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELISSA NEWBOLD WELGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784580",
      "name": "FORT YATES HOSPITAL",
      "address": "1010 RIVER ROAD, HIGHWAY 1806",
      "city": "FORT YATES",
      "state": "ND",
      "zip": "58538",
      "county": "SIOUX",
      "latitude": 46.0952099999635,
      "longitude": -100.628156910118,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/greatplains/healthcarefacilities/standingrock",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-nd-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784580",
        "external-resolution-0196784580"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784584",
      "name": "QUENTIN N BURDICK MEMORIAL HEALTH FACILITY",
      "address": "1ST MAIN STREET HOSPITAL ROAD",
      "city": "BELCOURT",
      "state": "ND",
      "zip": "58316",
      "county": "ROLETTE",
      "latitude": 48.8434957497739,
      "longitude": -99.7486609997227,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/greatplains/healthcarefacilities/turtlemountain",
      "status": "corporate_chain",
      "parentSystem": "Indian Health Service",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-nd-indian-health-service",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784584",
        "external-resolution-0196784584"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784589",
      "name": "FRANCISCAN BEACON HOSPITAL, LLC",
      "address": "1010 W SR 2",
      "city": "LA PORTE",
      "state": "IN",
      "zip": "46350",
      "county": "LAPORTE",
      "latitude": 41.5991386798969,
      "longitude": -86.7303764497941,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Franciscan Health",
      "parentSystemId": "entity-franciscan-health",
      "siblingGroupId": "siblings-in-franciscan-health",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2024-03-01",
      "ownershipSourceIds": [
        "hifld-location-0196784589",
        "external-resolution-0196784589"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in IN. The latest transaction effective 03/01/2024 identifies FRANCISCAN HEALTH MICHIGAN CITY as buyer/current legal organization; the seller was FRANCISCAN BEACON HOSPITAL, LLC.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in IN. The latest transaction effective 03/01/2024 identifies FRANCISCAN HEALTH MICHIGAN CITY as buyer/current legal organization; the seller was FRANCISCAN BEACON HOSPITAL, LLC."
    },
    {
      "id": "0196784592",
      "name": "INDIANAPOLIS REHABILITATION HOSPITAL, LLC",
      "address": "1260 CITY CENTER DRIVE",
      "city": "CARMEL",
      "state": "IN",
      "zip": "46032",
      "county": "HAMILTON",
      "latitude": 39.9667370800164,
      "longitude": -86.1513390499581,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "153048",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Nobis Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-in-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-nobis-rehabilitation-partners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nobisrehabpartners.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Nobis Rehabilitation Partners; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Nobis Rehabilitation Partners; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784593",
      "name": "LUTHERAN DOWNTOWN HOSPITAL",
      "address": "702 VAN BUREN STREET",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46802",
      "county": "ALLEN",
      "latitude": 41.0784212000179,
      "longitude": -85.150407300217,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 145,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784596",
      "name": "NW INDIANA ER AND HOSPITAL",
      "address": "7904 CABELA DRIVE",
      "city": "HAMMOND",
      "state": "IN",
      "zip": "46324",
      "county": "LAKE",
      "latitude": 41.5688445300115,
      "longitude": -87.4801512098583,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 6,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-in-nutex-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784596",
        "external-resolution-0196784596"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784600",
      "name": "MERCY IOWA CITY REHABILITATION HOSPITAL",
      "address": "2801 HEARTLAND DRIVE",
      "city": "CORALVILLE",
      "state": "IA",
      "zip": "52241",
      "county": "JOHNSON",
      "latitude": 41.7010177099373,
      "longitude": -91.612150049614,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 234,
      "rating": null,
      "website": "http://www.mercyrehabiowacity.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ia-chc-community-care",
      "campusFamilyId": "campus-ia-163026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784601",
      "name": "MERCY REHABILITATION HOSPITAL, LLC",
      "address": "1401 CAMPUS DRIVE",
      "city": "CLIVE",
      "state": "IA",
      "zip": "50325",
      "county": "POLK",
      "latitude": 41.6035020997598,
      "longitude": -93.7708907003978,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ia-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-chc-management-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NICOLE NIGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NICOLE NIGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784604",
      "name": "UNIV OF IOWA HEALTH NETWORK REHAB HOSPITAL",
      "address": "2450 CORAL COURT",
      "city": "CORALVILLE",
      "state": "IA",
      "zip": "52241",
      "county": "JOHNSON",
      "latitude": 41.7080013996775,
      "longitude": -91.6106598002532,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "http://www.uihnrehab.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ia-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784607",
      "name": "ANEW HEALTH LLC",
      "address": "6815 HILLTOP RD, SUITE 100",
      "city": "SHAWNEE",
      "state": "KS",
      "zip": "66226",
      "county": "JOHNSON",
      "latitude": 39.0053237997037,
      "longitude": -94.844691000311,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ANEW HEALTH LLC",
      "parentSystemId": "entity-anew-health-llc",
      "siblingGroupId": "siblings-ks-anew-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784607",
        "external-resolution-0196784607"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20200910001838 (174025). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20200910001838 (174025). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784611",
      "name": "PROVIDENCE PLACE",
      "address": "8909 PARALLEL PARKWAY",
      "city": "KANSAS CITY",
      "state": "KS",
      "zip": "66112",
      "county": "WYANDOTTE",
      "latitude": 39.124782599912,
      "longitude": -94.7848151003002,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 45,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ks-prime-healthcare",
      "campusFamilyId": "campus-ks-170146",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID F DULNY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID F DULNY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784612",
      "name": "ST LUKE LIVING CENTER",
      "address": "535 S FREEBORN",
      "city": "MARION",
      "state": "KS",
      "zip": "66861",
      "county": "MARION",
      "latitude": 38.3426806996642,
      "longitude": -97.0104499997635,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 32,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL DISTRICT NO 1 MARION CO",
      "parentSystemId": "entity-hospital-district-no-1-marion-co",
      "siblingGroupId": "siblings-ks-hospital-district-no-1-marion-co",
      "campusFamilyId": "campus-ks-171356",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-hospital-district-no-1-marion-co"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 MARION CO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 MARION CO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784613",
      "name": "TOPEKA ER AND HOSPITAL",
      "address": "6135 SW 17TH STREET",
      "city": "TOPEKA",
      "state": "KS",
      "zip": "66615",
      "county": "SHAWNEE",
      "latitude": 39.0358445999146,
      "longitude": -95.7657123997926,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-ks-nutex-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784613",
        "external-resolution-0196784613"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784614",
      "name": "ALEXANDRIA EMERGENCY HOSPITAL",
      "address": "5900 COLISEUM BLVD",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71303",
      "county": "RAPIDES",
      "latitude": 31.2965799999789,
      "longitude": -92.5102470404245,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://www.alexandriaer.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NUTEX HEALTH HOLDCO LLC",
      "parentSystemId": "entity-nutex-health-holdco-llc",
      "siblingGroupId": "siblings-la-nutex-health-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: NUTEX HEALTH HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS T VO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NUTEX HEALTH HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NUTEX HEALTH HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS T VO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NUTEX HEALTH HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784615",
      "name": "CORNERSTONE SPECIALTY HOSPITALS SOUTHWEST LOUISIANA",
      "address": "524 DR MICHAEL DEBAKEY DRIVE, 3RD FLOOR",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70601",
      "county": "CALCASIEU",
      "latitude": 30.2161042296519,
      "longitude": -93.2272593500498,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 33,
      "rating": null,
      "website": "https://www.chghospitals.com/location/cornerstone-specialty-hospitals-southwest-louisiana/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "PCM HOLDINGS I, INC.",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pcm-holdings-i-inc",
      "siblingGroupId": "siblings-la-pcm-holdings-i-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists RACHEL MAYEAUX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists RACHEL MAYEAUX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784616",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT",
      "address": "8650 MILLICENT WAY",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71115",
      "county": "CADDO",
      "latitude": 32.4255399999977,
      "longitude": -93.7107312103366,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "website": "https://encompasshealth.com/locations/shreveportrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-la-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784618",
      "name": "NORTH SHORE REHABILITATION HOSPITAL",
      "address": "64030 HWY 434, 1ST AND 2ND FLOOR OF THE TOWER",
      "city": "LACOMBE",
      "state": "LA",
      "zip": "70445",
      "county": "ST. TAMMANY",
      "latitude": 30.3576426001498,
      "longitude": -89.9155647997701,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "website": "https://www.northshore-rehab.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-la-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAUREL DUPONT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAUREL DUPONT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784619",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF HAMMOND",
      "address": "15782 PROFESSIONAL PLZ",
      "city": "HAMMOND",
      "state": "LA",
      "zip": "70403",
      "county": "TANGIPAHOA",
      "latitude": 30.4737974300595,
      "longitude": -90.4591272996415,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 32,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hammond-oceans-behavioral-hospital-of-hammond/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oceans Healthcare",
      "parentSystemId": "entity-oceans-healthcare",
      "siblingGroupId": "siblings-la-oceans-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784619",
        "external-resolution-0196784619"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://oceanshealthcare.com/location/oceans-behavioral-hospital-hammond/"
      ],
      "ownershipProofNotes": "The exact hospital is operated by privately held Oceans Healthcare.",
      "parentSystemEvidence": "The exact hospital is operated by privately held Oceans Healthcare."
    },
    {
      "id": "0196784625",
      "name": "TRINITY MEDICAL",
      "address": "6569 HWY 84",
      "city": "FERRIDAY",
      "state": "LA",
      "zip": "71334",
      "county": "CONCORDIA",
      "latitude": 31.6098301999101,
      "longitude": -91.5266306995688,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 23,
      "rating": null,
      "website": "https://www.trinitymed.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE",
      "parentSystemId": "entity-concordia-parish-hospital-service-district-number-one",
      "siblingGroupId": "siblings-la-concordia-parish-hospital-service-district-number-one",
      "campusFamilyId": "campus-la-191318",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784628",
      "name": "SHEPPARD PRATT - BALTIMORE - WASHINGTON CAMPUS",
      "address": "7220 DISCOVERY DRIVE",
      "city": "ELKRIDGE",
      "state": "MD",
      "zip": "21075",
      "county": "HOWARD",
      "latitude": 39.1925610398765,
      "longitude": -76.7672747503833,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 92,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sheppard Pratt Health System",
      "parentSystemId": "entity-sheppard-pratt-health-system",
      "siblingGroupId": "siblings-md-sheppard-pratt-health-system",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784628",
        "external-resolution-0196784628"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sheppardpratt.org/about/"
      ],
      "ownershipProofNotes": "The Baltimore-Washington campus is part of nonprofit Sheppard Pratt.",
      "parentSystemEvidence": "The Baltimore-Washington campus is part of nonprofit Sheppard Pratt."
    },
    {
      "id": "0196784629",
      "name": "ADVENTIST HEALTHCARE REHABILITATION AT TAKOMA PARK",
      "address": "7600 CARROLL AVENUE",
      "city": "TAKOMA PARK",
      "state": "MD",
      "zip": "20912",
      "county": "MONTGOMERY",
      "latitude": 38.9861908003317,
      "longitude": -77.0010715995652,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist HealthCare",
      "parentSystemId": "entity-adventist-healthcare",
      "siblingGroupId": "siblings-md-adventist-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784629",
        "external-resolution-0196784629"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventisthealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Adventist HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Adventist HealthCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784630",
      "name": "UM CAPITAL REGION MEDICAL CENTER",
      "address": "901 NORTH HARRY S TRUMAN DRIVE",
      "city": "LARGO",
      "state": "MD",
      "zip": "20774",
      "county": "PRINCE GEORGE'S",
      "latitude": 38.9023829199205,
      "longitude": -76.8445913598887,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 254,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "UM CAPITAL REGION HEALTH, INC.",
      "parentSystemId": "entity-um-capital-region-health-inc",
      "siblingGroupId": "siblings-md-um-capital-region-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UM CAPITAL REGION HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UM CAPITAL REGION HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UM CAPITAL REGION HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UM CAPITAL REGION HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784632",
      "name": "MIDMICHIGAN MEDICAL CENTER - ALPENA",
      "address": "1501 W CHISHOLM ST",
      "city": "ALPENA",
      "state": "MI",
      "zip": "49707",
      "county": "ALPENA",
      "latitude": 45.0775297000173,
      "longitude": -83.4496604000035,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 15,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230036",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784637",
      "name": "CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL",
      "address": "16523 S WATER TOWER DR",
      "city": "KINCHELOE",
      "state": "MI",
      "zip": "49788",
      "county": "CHIPPEWA",
      "latitude": 46.2662460498516,
      "longitude": -84.4666119202924,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "MyMichigan Health",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "campus_or_predecessor_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784637",
        "external-resolution-0196784637"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mymichigan.org/about/news/2022/war-memorial-hospital-joins-mymichigan-health/"
      ],
      "ownershipProofNotes": "War Memorial joined nonprofit MyMichigan Health and now operates in that system.",
      "parentSystemEvidence": "War Memorial joined nonprofit MyMichigan Health and now operates in that system."
    },
    {
      "id": "0196784641",
      "name": "MIDMICHIGAN MEDICAL CENTER - GRATIOT",
      "address": "300 WARWICK DR",
      "city": "ALMA",
      "state": "MI",
      "zip": "48801",
      "county": "GRATIOT",
      "latitude": 43.3906047997688,
      "longitude": -84.6634414004118,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "MyMichigan Health",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784641",
        "external-resolution-0196784641"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mymichigan.org/locations/mymichigan-medical-center-alma/"
      ],
      "ownershipProofNotes": "The former MidMichigan Gratiot facility is a campus of nonprofit MyMichigan Health.",
      "parentSystemEvidence": "The former MidMichigan Gratiot facility is a campus of nonprofit MyMichigan Health."
    },
    {
      "id": "0196784642",
      "name": "HILLSDALE COMMUNITY HEALTH CENTER",
      "address": "168 SOUTH HOWELL",
      "city": "HILLSDALE",
      "state": "MI",
      "zip": "49242",
      "county": "HILLSDALE",
      "latitude": 41.9120324999924,
      "longitude": -84.6330332995853,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hillsdale-hillsdale-community-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Hillsdale Hospital",
      "parentSystemId": "entity-hillsdale-hospital",
      "siblingGroupId": "siblings-mi-hillsdale-hospital",
      "ownershipRelationship": "self_operated_nonprofit",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784642",
        "external-resolution-0196784642"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/386005550"
      ],
      "ownershipProofNotes": "The exact legal entity is an IRS-recognized 501(c)(3), now branded Hillsdale Hospital.",
      "parentSystemEvidence": "The exact legal entity is an IRS-recognized 501(c)(3), now branded Hillsdale Hospital."
    },
    {
      "id": "0196784643",
      "name": "MCLAREN ORTHOPEDIC HOSPITAL",
      "address": "2727 S PENNSYLVANIA AVE",
      "city": "LANSING",
      "state": "MI",
      "zip": "48910",
      "county": "INGHAM",
      "latitude": 42.7038014798964,
      "longitude": -84.5350259199049,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 26,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "McLaren Health Care",
      "parentSystemId": "entity-mclaren-health-care",
      "siblingGroupId": "siblings-mi-mclaren-health-care",
      "ownershipRelationship": "campus_or_hospital_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784643",
        "external-resolution-0196784643"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mclaren.org/main/about-mclaren-health-care"
      ],
      "ownershipProofNotes": "The facility is a hospital or campus of nonprofit McLaren Health Care.",
      "parentSystemEvidence": "The facility is a hospital or campus of nonprofit McLaren Health Care."
    },
    {
      "id": "0196784644",
      "name": "SPARROW HOSPITAL - ST LAWRENCE CAMPUS",
      "address": "1210 W SAGINAW",
      "city": "LANSING",
      "state": "MI",
      "zip": "48915",
      "county": "INGHAM",
      "latitude": 42.7421667698468,
      "longitude": -84.5692795746138,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 59,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "University of Michigan Health",
      "parentSystemId": "entity-university-of-michigan-health",
      "siblingGroupId": "siblings-mi-university-of-michigan-health",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784644",
        "external-resolution-0196784644"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uofmhealth.org/our-locations/um-health-sparrow-lansing"
      ],
      "ownershipProofNotes": "The former Sparrow St. Lawrence campus is within University of Michigan Health-Sparrow; the controlling system is part of Michigan’s public university.",
      "parentSystemEvidence": "The former Sparrow St. Lawrence campus is within University of Michigan Health-Sparrow; the controlling system is part of Michigan’s public university."
    },
    {
      "id": "0196784645",
      "name": "HENRY FORD ALLEGIANCE HOSPITAL",
      "address": "205 N EAST AVE",
      "city": "JACKSON",
      "state": "MI",
      "zip": "49201",
      "county": "JACKSON",
      "latitude": 42.2508449001014,
      "longitude": -84.3927442997939,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD ALLEGIANCE HEALTH GROUP",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-allegiance-health-group",
      "siblingGroupId": "siblings-mi-henry-ford-allegiance-health-group",
      "campusFamilyId": "campus-mi-230092",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD ALLEGIANCE HEALTH GROUP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD ALLEGIANCE HEALTH GROUP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD ALLEGIANCE HEALTH GROUP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD ALLEGIANCE HEALTH GROUP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784646",
      "name": "ASCENSION BORGESS HOSPITAL",
      "address": "1521 GULL ROAD, BORGESS MEDICAL CENTER",
      "city": "KALAMAZOO",
      "state": "MI",
      "zip": "49001",
      "county": "KALAMAZOO",
      "latitude": 42.3075835999163,
      "longitude": -85.5600767002027,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-mi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784646",
        "external-resolution-0196784646"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784652",
      "name": "HENRY FORD MACOMB HOSPITAL",
      "address": "215 NORTH AVE",
      "city": "MT. CLEMENS",
      "state": "MI",
      "zip": "48043",
      "county": "MACOMB",
      "latitude": 42.6066250003205,
      "longitude": -82.8813066997742,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 85,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784652",
        "external-resolution-0196784652"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.henryford.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196784653",
      "name": "ASCENSION MACOMB OAKLAND HOSP, WARREN CAMPUS",
      "address": "11800 E TWELVE MILE RD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48093",
      "county": "MACOMB",
      "latitude": 42.5059105201948,
      "longitude": -83.0040679602024,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230195",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784654",
      "name": "DLP MARQUETTE GENERAL HOSPITAL, LLC",
      "address": "850 W BARAGA",
      "city": "MARQUETTE",
      "state": "MI",
      "zip": "49855",
      "county": "MARQUETTE",
      "latitude": 46.5437629998543,
      "longitude": -87.409801000347,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 43,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LifePoint Health",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-mi-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784654",
        "external-resolution-0196784654"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uphealthsystem.com/about-us"
      ],
      "ownershipProofNotes": "DLP Marquette General is operated in the LifePoint/UP Health System network; LifePoint is privately held.",
      "parentSystemEvidence": "DLP Marquette General is operated in the LifePoint/UP Health System network; LifePoint is privately held."
    },
    {
      "id": "0196784655",
      "name": "MIDMICHIGAN MEDICAL CENTER - MIDLAND",
      "address": "4000 WELLNESS DRIVE",
      "city": "MIDLAND",
      "state": "MI",
      "zip": "48670",
      "county": "MIDLAND",
      "latitude": 43.6355687772049,
      "longitude": -84.2605880377129,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230222",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784657",
      "name": "MERCY HEALTH MUSKEGON",
      "address": "1700 CLINTON ST",
      "city": "MUSKEGON",
      "state": "MI",
      "zip": "49442",
      "county": "MUSKEGON",
      "latitude": 43.2222850698236,
      "longitude": -86.2419874101697,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 27,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-mi-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784657",
        "external-resolution-0196784657"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784662",
      "name": "HENRY FORD KINGSWOOD HOSPITAL",
      "address": "10300 W EIGHT MILE RD",
      "city": "FERNDALE",
      "state": "MI",
      "zip": "48220",
      "county": "OAKLAND",
      "latitude": 42.4472270999254,
      "longitude": -83.1651931995668,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 136,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ACADIA DETROIT JV HOLDINGS LLC",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ferndale-henry-ford-kingswood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-acadia-detroit-jv-holdings-llc",
      "siblingGroupId": "siblings-mi-acadia-detroit-jv-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA DETROIT JV HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 82.6%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA DETROIT JV HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA DETROIT JV HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 82.6%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA DETROIT JV HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784663",
      "name": "DMC SURGERY HOSPITAL",
      "address": "30671 STEPHENSON HWY",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.5180063698864,
      "longitude": -83.1201083697295,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 31,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784663",
        "external-resolution-0196784663"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The DMC surgery location is within Detroit Medical Center, a Tenet subsidiary; Tenet is publicly traded.",
      "parentSystemEvidence": "The DMC surgery location is within Detroit Medical Center, a Tenet subsidiary; Tenet is publicly traded."
    },
    {
      "id": "0196784664",
      "name": "PONTIAC GENERAL HOSPITAL",
      "address": "461 W HURON",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.6344242996957,
      "longitude": -83.3092034998814,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 75,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AXIOM MANAGEMENT GROUP LLC",
      "parentSystemId": "entity-axiom-management-group-llc",
      "siblingGroupId": "siblings-mi-axiom-management-group-llc",
      "campusFamilyId": "campus-mi-234048",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784667",
      "name": "ASCENSION MACOMB OAKLAND HOSP, MADISON HGHTS CAMPUS",
      "address": "27351 DEQUINDRE",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.4939440589364,
      "longitude": -83.0862744393624,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-mi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784667",
        "external-resolution-0196784667"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784668",
      "name": "ST JOSEPH MERCY - OAKLAND",
      "address": "44405 WOODWARD AVE",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.612895300152,
      "longitude": -83.2758541001173,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 33,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pontiac-st-joseph-mercy-oakland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230029",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784674",
      "name": "ST JOSEPH MERCY CHELSEA",
      "address": "775 S MAIN STREET",
      "city": "CHELSEA",
      "state": "MI",
      "zip": "48118",
      "county": "WASHTENAW",
      "latitude": 42.310029400148,
      "longitude": -84.0169076003816,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230259",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists TOMASINE F MARX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists TOMASINE F MARX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784675",
      "name": "ST JOSEPH MERCY HOSPITAL",
      "address": "5301 E HURON RIVER DR, PO BOX 995",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48106",
      "county": "WASHTENAW",
      "latitude": 42.2652596999829,
      "longitude": -83.6544271002244,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "ownershipRelationship": "campus_or_predecessor_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784675",
        "external-resolution-0196784675"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinityhealthmichigan.org/location/trinity-health-ann-arbor-hospital"
      ],
      "ownershipProofNotes": "The former St. Joseph Mercy hospital is now Trinity Health Ann Arbor within nonprofit Trinity Health.",
      "parentSystemEvidence": "The former St. Joseph Mercy hospital is now Trinity Health Ann Arbor within nonprofit Trinity Health."
    },
    {
      "id": "0196784679",
      "name": "HENRY FORD WYANDOTTE HOSPITAL",
      "address": "2333 BIDDLE AVE",
      "city": "WYANDOTTE",
      "state": "MI",
      "zip": "48192",
      "county": "WAYNE",
      "latitude": 42.2103573959947,
      "longitude": -83.1469467704328,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230146",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784683",
      "name": "ASCENSION ST JOHN HOSPITAL",
      "address": "22101 MOROSS RD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.4196052452737,
      "longitude": -82.9144611094261,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 27,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784684",
      "name": "ST MARY MERCY HOSPITAL",
      "address": "36475 W FIVE MILE RD",
      "city": "LIVONIA",
      "state": "MI",
      "zip": "48154",
      "county": "WAYNE",
      "latitude": 42.3937015099138,
      "longitude": -83.4044328503254,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784684",
        "external-resolution-0196784684"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196784688",
      "name": "OAK CIRCLE CENTER",
      "address": "3550 HIGHWAY 468 WEST, MS STATE HOSPITAL",
      "city": "WHITFIELD",
      "state": "MS",
      "zip": "39193",
      "county": "RANKIN",
      "latitude": 32.2424014900622,
      "longitude": -90.068741449955,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Mississippi State Hospital / Mississippi Department of Mental Health",
      "parentSystemId": "entity-mississippi-state-hospital-mississippi-department-of-mental-health",
      "siblingGroupId": "siblings-ms-mississippi-state-hospital-mississippi-department-of-mental-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784688",
        "external-resolution-0196784688"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.msh.state.ms.us/"
      ],
      "ownershipProofNotes": "Oak Circle Center is located on and operated as part of Mississippi State Hospital, a state government facility.",
      "parentSystemEvidence": "Oak Circle Center is located on and operated as part of Mississippi State Hospital, a state government facility."
    },
    {
      "id": "0196784689",
      "name": "BEACON SURGERY CENTER",
      "address": "2861 NE INDEPENDENCE AVE, SUITE 101",
      "city": "LEES SUMMIT",
      "state": "MO",
      "zip": "64064",
      "county": "JACKSON",
      "latitude": 38.9638108796723,
      "longitude": -94.3608820301459,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BEACON SURGERY CENTER",
      "parentSystemId": "entity-beacon-surgery-center",
      "siblingGroupId": "siblings-mo-beacon-surgery-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON SURGERY CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON SURGERY CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784691",
      "name": "LANDMARK REHABILITATION HOSPITAL OF COLUMBIA",
      "address": "604 OLD 63 N, SUITE 101",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65201",
      "county": "BOONE",
      "latitude": 38.958025200332,
      "longitude": -92.3113789002431,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "website": "http://www.landmarkhospitals.com",
      "status": "corporate_chain",
      "parentSystem": "LANDMARK HOLDINGS OF FLORIDA, LLC",
      "affiliatedSystem": "Landmarkhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Landmarkhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-landmark-holdings-of-florida-llc",
      "siblingGroupId": "siblings-mo-landmark-holdings-of-florida-llc",
      "campusFamilyId": "campus-mo-262020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 97.5%). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LANDMARK HOLDINGS OF FLORIDA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 97.5%). CMS lists WILLIAM K KAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMARK HOLDINGS OF FLORIDA, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784692",
      "name": "MOSAIC LIFE CARE AT ST. JOSEPH",
      "address": "5325 FARAON STREET",
      "city": "ST. JOSEPH",
      "state": "MO",
      "zip": "64506",
      "county": "BUCHANAN",
      "latitude": 39.7732177000548,
      "longitude": -94.7710179001059,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 352,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEARTLAND REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-heartland-regional-medical-center",
      "siblingGroupId": "siblings-mo-heartland-regional-medical-center",
      "campusFamilyId": "campus-mo-260006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-heartland-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEARTLAND REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HEARTLAND REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEARTLAND REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEARTLAND REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HEARTLAND REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEARTLAND REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784694",
      "name": "SSM HEALTH SAINT LOUIS UNIVERSITY HOSP",
      "address": "1201 SOUTH GRAND BLVD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63104",
      "county": "ST. LOUIS",
      "latitude": 38.6241486897064,
      "longitude": -90.23846797013,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 294,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE ST LOUIS",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-st-louis",
      "siblingGroupId": "siblings-mo-ssm-health-care-st-louis",
      "campusFamilyId": "campus-mo-260105",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784696",
      "name": "REHABILITATION HOSPITAL OF MONTANA",
      "address": "3572 HESPER ROAD",
      "city": "BILLINGS",
      "state": "MT",
      "zip": "59102",
      "county": "YELLOWSTONE",
      "latitude": 45.7399140502615,
      "longitude": -108.606057399703,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 34,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "273025",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-mt-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Montana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Montana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784697",
      "name": "FATHER FLANAGAN'S BOYS' HOME",
      "address": "14000 BOYS TOWN HOSPITAL ROAD",
      "city": "BOYS TOWN",
      "state": "NE",
      "zip": "68010",
      "county": "DOUGLAS",
      "latitude": 41.2500044999626,
      "longitude": -96.1340719000723,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 31,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FATHER FLANAGANS BOYS HOME",
      "parentSystemId": "entity-father-flanagans-boys-home",
      "siblingGroupId": "siblings-ne-father-flanagans-boys-home",
      "campusFamilyId": "campus-ne-283300",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-father-flanagans-boys-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists JASON C BRUCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FATHER FLANAGANS BOYS HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FATHER FLANAGANS BOYS HOME, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JASON C BRUCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FATHER FLANAGANS BOYS HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FATHER FLANAGANS BOYS HOME, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784699",
      "name": "PAPILLION FAMILY HOSPITAL, LLC",
      "address": "529 PINNACLE DRIVE",
      "city": "PAPILLION",
      "state": "NE",
      "zip": "68046",
      "county": "SARPY",
      "latitude": 41.1611352901738,
      "longitude": -96.0247395997423,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Family Hospital Systems",
      "parentSystemId": "entity-family-hospital-systems",
      "siblingGroupId": "siblings-ne-family-hospital-systems",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784699",
        "external-resolution-0196784699"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.papillion.org/DocumentCenter/View/4130/F8-R18-0126-Assignment-and-Assumption-Agreement-Family-ER-and-Nebraska-Family-Health-System"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Family Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Family Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784700",
      "name": "MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN",
      "address": "5401 SOUTH ST",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68506",
      "county": "LANCASTER",
      "latitude": 40.7904510392728,
      "longitude": -96.6480230859096,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 77,
      "rating": null,
      "website": "http://www.madonna.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADONNA REHABILITATION HOSPITAL",
      "parentSystemId": "entity-madonna-rehabilitation-hospital",
      "siblingGroupId": "siblings-ne-madonna-rehabilitation-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-madonna-rehabilitation-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://madonna.org/locations/"
      ],
      "ownershipProofNotes": "CMS lists KENNETH L HOPKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Madonna Rehabilitation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADONNA REHABILITATION HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KENNETH L HOPKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NE resolution: normalized CMS owner/operator to Madonna Rehabilitation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADONNA REHABILITATION HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784701",
      "name": "ADVANCED MEDICAL IMAGING SURGERY CENTER LLC",
      "address": "7555 PIONEERS BLVD",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68506",
      "county": "LANCASTER",
      "latitude": 40.7692457102748,
      "longitude": -96.617307790002,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784701",
        "external-resolution-0196784701"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ne.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0196784702",
      "name": "STATE OF NEBRASKA - DEPT OF HEALTH AND HUMAN SERVS",
      "address": "801 W PROSPECTOR PLACE",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68522",
      "county": "LANCASTER",
      "latitude": 40.7787597998416,
      "longitude": -96.7313804003733,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 200,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
      "parentSystemId": "entity-state-of-nebraska-dept-of-admin-services",
      "siblingGroupId": "siblings-ne-state-of-nebraska-dept-of-admin-services",
      "campusFamilyId": "campus-ne-284003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-state-of-nebraska-dept-of-admin-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF NEBRASKA DEPT OF ADMIN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COURTNEY PHILLIPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to STATE OF NEBRASKA DEPT OF ADMIN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEBRASKA DEPT OF ADMIN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF NEBRASKA DEPT OF ADMIN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COURTNEY PHILLIPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to STATE OF NEBRASKA DEPT OF ADMIN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEBRASKA DEPT OF ADMIN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784704",
      "name": "PAM SPECIALTY HOSPITAL OF RENO LLC",
      "address": "2375 EAST PRATER WAY",
      "city": "SPARKS",
      "state": "NV",
      "zip": "89434",
      "county": "WASHOE",
      "latitude": 39.541238690301,
      "longitude": -119.697049809943,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 21,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "campusFamilyId": "campus-nv-290032",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784706",
      "name": "KINDRED HOSPITAL - EAST NEW JERSEY",
      "address": "350 BOULEVARD, 5TH FLOOR WEST",
      "city": "PASSAIC",
      "state": "NJ",
      "zip": "07055",
      "county": "PASSAIC",
      "latitude": 40.8590505001556,
      "longitude": -74.1372831998139,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ScionHealth",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-passaic-kindred-hospital-east-new-jersey/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-nj-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784706",
        "external-resolution-0196784706"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784708",
      "name": "UNIVERSITY HOSPITAL",
      "address": "240 CENTRAL AVE",
      "city": "EAST ORANGE",
      "state": "NJ",
      "zip": "07018",
      "county": "ESSEX",
      "latitude": 40.7536228998024,
      "longitude": -74.2119645996367,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CareWell Health Medical Center / ECR OPCO, LLC",
      "parentSystemId": "entity-carewell-health-medical-center-ecr-opco-llc",
      "siblingGroupId": "siblings-nj-carewell-health-medical-center-ecr-opco-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2025-07-25",
      "ownershipSourceIds": [
        "hifld-location-0196784708",
        "external-resolution-0196784708"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nj.gov/health/bc/documents/shpb/cn/cn-carewell-health-medical-center-07252025.pdf"
      ],
      "ownershipProofNotes": "The New Jersey ownership filing identifies ECR OPCO, LLC as the approved owner of CareWell Health and includes the exact 240 Central Avenue East Orange rehabilitation and laboratory site. The ambiguous map label is normalized to the licensed system.",
      "parentSystemEvidence": "The New Jersey ownership filing identifies ECR OPCO, LLC as the approved owner of CareWell Health and includes the exact 240 Central Avenue East Orange rehabilitation and laboratory site. The ambiguous map label is normalized to the licensed system."
    },
    {
      "id": "0196784710",
      "name": "ALBUQUERQUE - AMG SPECIALTY HOSPITAL, LLC",
      "address": "5400 GIBSON BLVD SE, 3RD FLOOR",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87108",
      "county": "BERNALILLO",
      "latitude": 35.0576809296435,
      "longitude": -106.582125760289,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 32,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 2 0 LLC",
      "parentSystemId": "entity-amg-2-0-llc",
      "siblingGroupId": "siblings-nm-amg-2-0-llc",
      "campusFamilyId": "campus-nm-322003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 2 0 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 2 0 LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 2 0 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784711",
      "name": "CHRISTUS ST VINCENT CANCER CENTER",
      "address": "490A W ZIA ROAD",
      "city": "SANTA FE",
      "state": "NM",
      "zip": "87505",
      "county": "SANTA FE",
      "latitude": 35.6459039998375,
      "longitude": -105.953421100384,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://www.christushealth.org/",
      "status": "corporate_chain",
      "parentSystem": "CHRISTUS Health",
      "affiliatedSystem": "Christushealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christushealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-nm-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784711",
        "external-resolution-0196784711"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784712",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF RIO RANCHO LLC",
      "address": "2401 WESTSIDE BLVD",
      "city": "RIO RANCHO",
      "state": "NM",
      "zip": "87124",
      "county": "SANDOVAL",
      "latitude": 35.2215140798981,
      "longitude": -106.68654260964,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 37,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ClearSky Health",
      "peFirm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "323033",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ClearSky Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-nm-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784713",
      "name": "DHHS PHS NAIHS CROWNPOINT HOSPITAL",
      "address": "JUNCTION OF HWY 371",
      "city": "CROWNPOINT",
      "state": "NM",
      "zip": "87313",
      "county": "MCKINLEY",
      "latitude": 35.6987170899141,
      "longitude": -108.139518329771,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "DHHS PHS NAIHS CROWNPOINT HOSPITAL",
      "parentSystemId": "entity-dhhs-phs-naihs-crownpoint-hospital",
      "siblingGroupId": "siblings-nm-dhhs-phs-naihs-crownpoint-hospital",
      "campusFamilyId": "campus-nm-320062",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-dhhs-phs-naihs-crownpoint-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: DHHS PHS NAIHS CROWNPOINT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS CROWNPOINT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS CROWNPOINT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DHHS PHS NAIHS CROWNPOINT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS CROWNPOINT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS CROWNPOINT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784715",
      "name": "LINCOLN COUNTY MEDICAL COMPLEX",
      "address": "121 EL PASO ROAD",
      "city": "RUIDOSO",
      "state": "NM",
      "zip": "88345",
      "county": "LINCOLN",
      "latitude": 33.3216323002938,
      "longitude": -105.631790999987,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Presbyterian Healthcare Services",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "hospital_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784715",
        "external-resolution-0196784715"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.phs.org/locations/lincoln-county-medical-center"
      ],
      "ownershipProofNotes": "The hospital is operated within nonprofit Presbyterian Healthcare Services.",
      "parentSystemEvidence": "The hospital is operated within nonprofit Presbyterian Healthcare Services."
    },
    {
      "id": "0196784716",
      "name": "PHS COORS - WESTERN TRAIL FS ED/UC",
      "address": "4515 COORS BLVD NW",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87120",
      "county": "BERNALILLO",
      "latitude": 35.1343833401712,
      "longitude": -106.702200420214,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Presbyterian Healthcare Services",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784716",
        "external-resolution-0196784716"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.phs.org/locations"
      ],
      "ownershipProofNotes": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784717",
      "name": "PHS INDIAN HOSPITAL",
      "address": "US HWY 491 NORTH",
      "city": "SHIPROCK",
      "state": "NM",
      "zip": "87420",
      "county": "SAN JUAN",
      "latitude": 36.8052227300877,
      "longitude": -108.691501010092,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "DHHS PHS NAIHS SHIPROCK HOSPITAL",
      "parentSystemId": "entity-dhhs-phs-naihs-shiprock-hospital",
      "siblingGroupId": "siblings-nm-dhhs-phs-naihs-shiprock-hospital",
      "campusFamilyId": "campus-nm-320059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-dhhs-phs-naihs-shiprock-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: DHHS PHS NAIHS SHIPROCK HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS SHIPROCK HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS SHIPROCK HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DHHS PHS NAIHS SHIPROCK HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS SHIPROCK HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS SHIPROCK HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784718",
      "name": "PHS ISLETA FS ED/UC",
      "address": "3436 ISLETA BLVD SW",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87105",
      "county": "BERNALILLO",
      "latitude": 35.0275437997688,
      "longitude": -106.679332099654,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Presbyterian Healthcare Services",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784718",
        "external-resolution-0196784718"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.phs.org/locations"
      ],
      "ownershipProofNotes": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784719",
      "name": "PHS - URGENT CARE",
      "address": "7920 CARMEL NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87122",
      "county": "BERNALILLO",
      "latitude": 35.176861200171,
      "longitude": -106.557436700175,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Presbyterian Healthcare Services",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784719",
        "external-resolution-0196784719"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.phs.org/locations"
      ],
      "ownershipProofNotes": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Presbyterian Healthcare Services official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784720",
      "name": "PLAINS REGIONAL MEDICAL CANCER CENTER",
      "address": "2219 DILLON",
      "city": "CLOVIS",
      "state": "NM",
      "zip": "88101",
      "county": "CURRY",
      "latitude": 34.4210638998375,
      "longitude": -103.233919259846,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "PLAINS REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-plains-regional-medical-center",
      "siblingGroupId": "siblings-nm-plains-regional-medical-center",
      "campusFamilyId": "campus-nm-320022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLAINS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLAINS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784723",
      "name": "WHITE SANDS WOMENS HEALTH",
      "address": "2559 MEDICAL DRIVE, SUITE 2100",
      "city": "ALAMOGORDO",
      "state": "NM",
      "zip": "88310",
      "county": "OTERO",
      "latitude": 32.9233091996796,
      "longitude": -105.934412999602,
      "hospitalType": "WOMEN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "White Sands Women's Health",
      "parentSystemId": "entity-white-sands-women-s-health",
      "siblingGroupId": "siblings-nm-white-sands-women-s-health",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784723",
        "external-resolution-0196784723"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.whitesandswomenshealth.com/"
      ],
      "ownershipProofNotes": "This is a private outpatient physician practice, not a hospital; no higher system parent was supported.",
      "parentSystemEvidence": "This is a private outpatient physician practice, not a hospital; no higher system parent was supported."
    },
    {
      "id": "0196784724",
      "name": "LAKEVIEW CENTER FOR MENTAL HEALTH AND WELLNESS",
      "address": "29 EAST CAYUGA STREET",
      "city": "OSWEGO",
      "state": "NY",
      "zip": "13126",
      "county": "OSWEGO",
      "latitude": 43.4613859000444,
      "longitude": -76.5077238002837,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 32,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Oswego Health",
      "parentSystemId": "entity-oswego-health",
      "siblingGroupId": "siblings-ny-oswego-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784724",
        "external-resolution-0196784724"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.oswegohealth.org/news/releases/oswego-health-transforms-mental-healthcare-state-of-the-art-facility-opens-in-city-of-oswego/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Oswego Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Oswego Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784727",
      "name": "NEW YORK - PRESBYTERIAN DAVID H. KOCH CENTER",
      "address": "1283 YORK AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10065",
      "county": "NEW YORK",
      "latitude": 40.7648861997549,
      "longitude": -73.955733600045,
      "hospitalType": "WOMEN",
      "sourceOwner": "NON-PROFIT",
      "beds": 135,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NewYork-Presbyterian",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newyork-presbyterian",
      "siblingGroupId": "siblings-ny-newyork-presbyterian",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784727",
        "external-resolution-0196784727"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NewYork-Presbyterian official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784728",
      "name": "CALVARY HOSPITAL",
      "address": "150 55TH STREET",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11220",
      "county": "KINGS",
      "latitude": 40.6468175150219,
      "longitude": -74.0215603070105,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CALVARY HOSPITAL INC",
      "parentSystemId": "entity-calvary-hospital-inc",
      "siblingGroupId": "siblings-ny-calvary-hospital-inc",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784728",
        "external-resolution-0196784728"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 332006. That CCN bridged to CMS enrollment O20101215000152 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 332006. That CCN bridged to CMS enrollment O20101215000152 and 2 organization owner/control row(s). The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0196784729",
      "name": "FIRSTHEALTH MOORE REG. HOSP. AND PINEHURST TREATMENT",
      "address": "155 MEMORIAL DR, PO BOX 3000",
      "city": "PINEHURST",
      "state": "NC",
      "zip": "28374",
      "county": "MOORE",
      "latitude": 35.2050673997968,
      "longitude": -79.4566765996603,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 402,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "FIRSTHEALTH OF THE CAROLINAS INC",
      "affiliatedSystem": "FirstHealth of the Carolinas",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "FirstHealth of the Carolinas",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-firsthealth-of-the-carolinas-inc",
      "siblingGroupId": "siblings-nc-firsthealth-of-the-carolinas-inc",
      "campusFamilyId": "campus-nc-340115",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-firsthealth-of-the-carolinas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.firsthealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRSTHEALTH OF THE CAROLINAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN R PURSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: FirstHealth of the Carolinas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: FirstHealth of the Carolinas. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to FirstHealth of the Carolinas; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRSTHEALTH OF THE CAROLINAS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRSTHEALTH OF THE CAROLINAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN R PURSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: FirstHealth of the Carolinas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: FirstHealth of the Carolinas. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to FirstHealth of the Carolinas; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRSTHEALTH OF THE CAROLINAS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784730",
      "name": "PAM SPECIALTY HOSPITAL OF ROCKY MOUNT",
      "address": "1828 GOOD HOPE ROAD, SUITE 102",
      "city": "ENOLA",
      "state": "PA",
      "zip": "17025",
      "county": "CUMBERLAND",
      "latitude": 40.2839753003114,
      "longitude": -76.9840177001405,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-pa-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784730",
        "external-resolution-0196784730"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784733",
      "name": "SALEM COMMUNITY HOSPITAL",
      "address": "1995 EAST STATE STREET",
      "city": "SALEM",
      "state": "OH",
      "zip": "44460",
      "county": "COLUMBIANA",
      "latitude": 40.900163800025,
      "longitude": -80.8324157995853,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 87,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCH PROFESSIONAL CORPORATION",
      "parentSystemId": "entity-sch-professional-corporation",
      "siblingGroupId": "siblings-oh-sch-professional-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-sch-professional-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SCH PROFESSIONAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIMBERLY JENKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SCH PROFESSIONAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCH PROFESSIONAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SCH PROFESSIONAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIMBERLY JENKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SCH PROFESSIONAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCH PROFESSIONAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784737",
      "name": "SHRINERS CHILDREN'S OHIO",
      "address": "1 CHILDREN'S PLAZA, 2 WEST",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45404",
      "county": "MONTGOMERY",
      "latitude": 39.7742731999353,
      "longitude": -84.1683492004093,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 7,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-oh-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784738",
      "name": "THE WOODS AT PARKSIDE",
      "address": "349 OLDE RIDENOUR ROAD",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43230",
      "county": "FRANKLIN",
      "latitude": 40.027148300039,
      "longitude": -82.8818534000831,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-woods-at-parksidethe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oglethorpe, Inc.",
      "parentSystemId": "entity-oglethorpe-inc",
      "siblingGroupId": "siblings-oh-oglethorpe-inc",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784738",
        "external-resolution-0196784738"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.willoughatnaples.com/"
      ],
      "ownershipProofNotes": "The exact facility/state identity matched tracker CCN 360247. The tracker parent candidate was corroborated against Oglethorpe, Inc.'s primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof.",
      "parentSystemEvidence": "The exact facility/state identity matched tracker CCN 360247. The tracker parent candidate was corroborated against Oglethorpe, Inc.'s primary filing or official directory. The tracker is used as an identity bridge, not as sole legal-owner proof."
    },
    {
      "id": "0196784739",
      "name": "THE OSU ARTHUR G. JAMES CANCER HOSPITAL AND RICHARD J SOLOVE RESEARCH INSTITUTE",
      "address": "460 W 10TH AVE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43210",
      "county": "FRANKLIN",
      "latitude": 39.9946563002428,
      "longitude": -83.0191691997788,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 356,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE",
      "parentSystemId": "entity-arthur-g-james-cancer-hospital-and-research-institute",
      "siblingGroupId": "siblings-oh-arthur-g-james-cancer-hospital-and-research-institute",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784739",
        "external-resolution-0196784739"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20051215000191 (360242). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20051215000191 (360242). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784742",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOLEDO",
      "address": "4647 MONROE STREET",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43623",
      "county": "LUCAS",
      "latitude": 41.6892138398929,
      "longitude": -83.6257595301766,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BARCLAYS BANK PLC",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-barclays-bank-plc",
      "siblingGroupId": "siblings-oh-barclays-bank-plc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: BARCLAYS BANK PLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARCLAYS BANK PLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BARCLAYS BANK PLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARCLAYS BANK PLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784745",
      "name": "CENTER FOR ORTHOPAEDIC RECONSTRUCTION AND EXCELLENCE",
      "address": "3029 WEST MAIN STREET",
      "city": "JENKS",
      "state": "OK",
      "zip": "74037",
      "county": "TULSA",
      "latitude": 36.0261008002846,
      "longitude": -96.0098670999832,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 49,
      "rating": null,
      "website": "https://corejenks.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CORE Hospital Partners / physician owners",
      "parentSystemId": "entity-core-hospital-partners-physician-owners",
      "siblingGroupId": "siblings-ok-core-hospital-partners-physician-owners",
      "ownershipRelationship": "physician_owned",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784745",
        "external-resolution-0196784745"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://corejenks.com/"
      ],
      "ownershipProofNotes": "The orthopedic hospital is physician-owned and privately held.",
      "parentSystemEvidence": "The orthopedic hospital is physician-owned and privately held."
    },
    {
      "id": "0196784750",
      "name": "MERCY REHABILITATION HOSPITAL OKLAHOMA CITY SOUTH",
      "address": "7900 MID-AMERICA BLVD",
      "city": "MIDWEST CITY",
      "state": "OK",
      "zip": "73135",
      "county": "OKLAHOMA",
      "latitude": 35.3879049899275,
      "longitude": -97.4118103696467,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 36,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ok-chc-community-care",
      "campusFamilyId": "campus-ok-373036",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784751",
      "name": "COMANCHE COUNTY MEMORIAL HOSPITAL",
      "address": "3401 WEST GORE BOULEVARD",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73505",
      "county": "COMANCHE",
      "latitude": 34.6100828378542,
      "longitude": -98.4331792969547,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 19,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "COMANCHE COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-comanche-county-hospital-authority",
      "siblingGroupId": "siblings-ok-comanche-county-hospital-authority",
      "campusFamilyId": "campus-ok-370056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-comanche-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMANCHE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEORGE W KRUGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMANCHE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEORGE W KRUGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784760",
      "name": "MUSKOGEE - CREEK - NATION MEDICAL CENTER",
      "address": "1401 MORRIS DRIVE",
      "city": "OKMULGEE",
      "state": "OK",
      "zip": "74447",
      "county": "OKMULGEE",
      "latitude": 35.6111817299352,
      "longitude": -95.9518488135719,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "MUSCOGEE CREEK NATION",
      "parentSystemId": "entity-muscogee-creek-nation",
      "siblingGroupId": "siblings-ok-muscogee-creek-nation",
      "campusFamilyId": "campus-ok-370057",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-muscogee-creek-nation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUSCOGEE CREEK NATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MUSCOGEE CREEK NATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCOGEE CREEK NATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUSCOGEE CREEK NATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MUSCOGEE CREEK NATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCOGEE CREEK NATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784761",
      "name": "OU HEALTH UNIVERSITY OF OKLAHOMA MEDICAL CENTER",
      "address": "700 NE 13TH ST",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73104",
      "county": "OKLAHOMA",
      "latitude": 35.4811610000374,
      "longitude": -97.5012060004485,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 17,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "OU MEDICINE INC",
      "parentSystemId": "entity-ou-medicine-inc",
      "siblingGroupId": "siblings-ok-ou-medicine-inc",
      "campusFamilyId": "campus-ok-370093",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-ou-medicine-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists RICHARD LOFGREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oumedicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oumedicine. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OU MEDICINE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OU MEDICINE INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD LOFGREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oumedicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oumedicine. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OU MEDICINE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OU MEDICINE INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784765",
      "name": "ALLIANCEHEALTH CLINTON",
      "address": "100 NORTH 30TH STREET",
      "city": "CLINTON",
      "state": "OK",
      "zip": "73601",
      "county": "CUSTER",
      "latitude": 35.51461775736,
      "longitude": -98.9973688791424,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 11,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "CLINTON REGIONAL HOSPITAL",
      "parentSystemId": "entity-clinton-regional-hospital",
      "siblingGroupId": "siblings-ok-clinton-regional-hospital",
      "campusFamilyId": "campus-ok-370245",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-government-local"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Local; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINTON REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Local; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINTON REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784766",
      "name": "COMANCHE COUNTY MEMORIAL HOSPITAL",
      "address": "3401 WEST GORE BOULEVARD",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73505",
      "county": "COMANCHE",
      "latitude": 34.6103824706701,
      "longitude": -98.4338491652722,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "COMANCHE COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-comanche-county-hospital-authority",
      "siblingGroupId": "siblings-ok-comanche-county-hospital-authority",
      "campusFamilyId": "campus-ok-370056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-comanche-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMANCHE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEORGE W KRUGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMANCHE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEORGE W KRUGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784774",
      "name": "NORTHEASTERN HEALTH SYSTEM",
      "address": "1400 EAST DOWNING STREET",
      "city": "TAHLEQUAL",
      "state": "OK",
      "zip": "74464",
      "county": "CHEROKEE",
      "latitude": 35.9136762712633,
      "longitude": -94.9499457703114,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEASTERN HEALTH SYSTEM",
      "parentSystemId": "entity-northeastern-health-system",
      "siblingGroupId": "siblings-ok-northeastern-health-system",
      "campusFamilyId": "campus-ok-370089",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-northeastern-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEASTERN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Northeastern Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEASTERN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Northeastern Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784787",
      "name": "AHN HEMPFIELD NEIGHBORHOOD HOSPITAL",
      "address": "6321 ROUTE 30, SUITE 100",
      "city": "GREENSBURG",
      "state": "PA",
      "zip": "15601",
      "county": "WESTMORELAND",
      "latitude": 40.3108972798984,
      "longitude": -79.6001522200228,
      "hospitalType": "CHILDREN",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensburg-ahn-hempfield-neighborhood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHN EMERUS WESTMORELAND LLC",
      "parentSystemId": "entity-ahn-emerus-westmoreland-llc",
      "siblingGroupId": "siblings-pa-ahn-emerus-westmoreland-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784787",
        "external-resolution-0196784787"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20191031001637 (390333). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20191031001637 (390333). 7 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784794",
      "name": "TIDELANDS HEALTH REHABILITATION HOSPITAL AN AFFILIATE OF ENCOMPASS HEALTH",
      "address": "4070 HWY 17 BYPASS S",
      "city": "MURRELLS INLET",
      "state": "SC",
      "zip": "29576",
      "county": "GEORGETOWN",
      "latitude": 33.5613136201208,
      "longitude": -79.0409277997853,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 29,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784795",
      "name": "REGENCY HOSPITAL OF FLORENCE",
      "address": "805 PAMPLICO HWY, 2ND AND 3RD FLOORS",
      "city": "FLORENCE",
      "state": "SC",
      "zip": "29505",
      "county": "FLORENCE",
      "latitude": 34.1600971998049,
      "longitude": -79.7520102996774,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 44,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-sc-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JORDAN BURNS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JORDAN BURNS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784796",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF GREENVILLE",
      "address": "3372 LAURENS RD",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29607",
      "county": "GREENVILLE",
      "latitude": 34.8045717803152,
      "longitude": -82.326164959908,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784809",
      "name": "KNOXVILLE REHABILITATION HOSPITAL",
      "address": "1250 TENNOVA MEDICAL WAY",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37909",
      "county": "KNOX",
      "latitude": 35.9437720202534,
      "longitude": -84.0223289995966,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 57,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "443037",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-tn-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-chc-management-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON DRAPER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON DRAPER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784816",
      "name": "METHODIST NORTH HOSPITAL",
      "address": "3960 NEW COVINGTON PIKE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38128",
      "county": "SHELBY",
      "latitude": 35.234039400224,
      "longitude": -89.892504699677,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 1593,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Methodist Le Bonheur Healthcare",
      "parentSystemId": "entity-methodist-le-bonheur-healthcare",
      "siblingGroupId": "siblings-tn-methodist-le-bonheur-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784816",
        "external-resolution-0196784816"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.methodisthealth.org/locations"
      ],
      "ownershipProofNotes": "Methodist Le Bonheur Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Methodist Le Bonheur Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784824",
      "name": "SAINT THOMAS REHABILITATION HOSPITAL",
      "address": "310 21ST AVENUE NORTH",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37203",
      "county": "DAVIDSON",
      "latitude": 36.1539731798607,
      "longitude": -86.8033975096469,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "443038",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-tn-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784826",
      "name": "SELECT SPECIALTY HOSPITAL - KNOXVILLE",
      "address": "1901 CLINCH AVENUE, 4TH FLOOR NORTH",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37916",
      "county": "KNOX",
      "latitude": 35.9573201598314,
      "longitude": -83.9363383897602,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 68,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784826",
        "external-resolution-0196784826"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784837",
      "name": "BEAUMONT EMERGENCY HOSPITAL",
      "address": "4004 COLLEGE STREET",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77707",
      "county": "JEFFERSON",
      "latitude": 30.0687671998965,
      "longitude": -94.1356343001993,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BEAUMONT ELITE EMERGENCY CENTER LLC",
      "parentSystemId": "entity-beaumont-elite-emergency-center-llc",
      "siblingGroupId": "siblings-tx-beaumont-elite-emergency-center-llc",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784837",
        "external-resolution-0196784837"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20200430000319 (670188). 3 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20200430000319 (670188). 3 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784838",
      "name": "COBALT REHABILITATION HOUSTON HEIGHTS - WEST HOUSTON",
      "address": "19770 KINGSLAND BLVD SUITE 200",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77094",
      "county": "HARRIS",
      "latitude": 29.7777201998385,
      "longitude": -95.7135061000819,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784838",
        "external-resolution-0196784838"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to PAM Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to PAM Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784839",
      "name": "ELITE CARE EMERGENCY CENTER",
      "address": "2530 GULF FREEWAY S",
      "city": "LEAGUE CITY",
      "state": "TX",
      "zip": "77573",
      "county": "GALVESTON",
      "latitude": 29.4718047998613,
      "longitude": -95.0942797003851,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 2,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Emergency Hospital Systems",
      "parentSystemId": "entity-emergency-hospital-systems",
      "siblingGroupId": "siblings-tx-emergency-hospital-systems",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784839",
        "external-resolution-0196784839"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.emergencyhospitals.care/locations-ehs/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784840",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF WACO",
      "address": "3600 SOUTH LOOP 340 HIGHWAY",
      "city": "ROBINSON",
      "state": "TX",
      "zip": "76706",
      "county": "MCLENNAN",
      "latitude": 31.4995178899845,
      "longitude": -97.1650283101508,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784846",
      "name": "PATIENTS EMERGENCY ROOM",
      "address": "10133 INTERSTATE 10 EAST",
      "city": "BAYTOWN",
      "state": "TX",
      "zip": "77521",
      "county": "CHAMBERS",
      "latitude": 29.8221352002764,
      "longitude": -94.9029285996191,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 5,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Emergency Hospital Systems",
      "parentSystemId": "entity-emergency-hospital-systems",
      "siblingGroupId": "siblings-tx-emergency-hospital-systems",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784846",
        "external-resolution-0196784846"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.emergencyhospitals.care/locations-ehs/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Emergency Hospital Systems and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784847",
      "name": "RED RIVER ER AND HOSPITAL",
      "address": "2022 N HWY 75",
      "city": "SHERMAN",
      "state": "TX",
      "zip": "75090",
      "county": "GRAYSON",
      "latitude": 33.6567226801189,
      "longitude": -96.6139008295739,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-tx-nutex-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784847",
        "external-resolution-0196784847"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Nutex Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784848",
      "name": "SHANNON REHABILITATION HOSPITAL AN AFFILIATE OF ENCOMPASS HEALTH",
      "address": "6046 APPALOOSA TRAIL",
      "city": "SAN ANGELO",
      "state": "TX",
      "zip": "76901",
      "county": "TOM GREEN",
      "latitude": 31.4303476998738,
      "longitude": -100.518279329716,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists ROBERT M WISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784849",
      "name": "STAT SPECIALTY HOSPITAL OF EAGLE PASS",
      "address": "2114 N VETERANS BLVD",
      "city": "EAGLE PASS",
      "state": "TX",
      "zip": "78852",
      "county": "MAVERICK",
      "latitude": 28.7204201998749,
      "longitude": -100.47597010007,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STAT Specialty Hospital",
      "parentSystemId": "entity-stat-specialty-hospital",
      "siblingGroupId": "siblings-tx-stat-specialty-hospital",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784849",
        "external-resolution-0196784849"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://statspecialtyhospital.com/about"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to STAT Specialty Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to STAT Specialty Hospital and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784851",
      "name": "TEXAS REHABILITATION HOSPITAL OF KELLER",
      "address": "791 S MAIN STREET",
      "city": "KELLER",
      "state": "TX",
      "zip": "76248",
      "county": "TARRANT",
      "latitude": 32.9224284197074,
      "longitude": -97.2535243401793,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673077",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACOB B DAGGETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-tx-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-chc-management-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JACOB B DAGGETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784852",
      "name": "TRINITY REGIONAL HOSPITAL SACHSE",
      "address": "4750 PRESIDENT GEORGE BUSH HIGHWAY",
      "city": "SACHSE",
      "state": "TX",
      "zip": "75048",
      "county": "DALLAS",
      "latitude": 32.9524838897596,
      "longitude": -96.5792209404324,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 32,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "TRINITY REGIONAL HOSPITAL SACHSE",
      "parentSystemId": "entity-trinity-regional-hospital-sachse",
      "siblingGroupId": "siblings-tx-trinity-regional-hospital-sachse",
      "ownershipRelationship": "historically_self_operated_or_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2022-12-31",
      "ownershipSourceIds": [
        "hifld-location-0196784852",
        "external-resolution-0196784852"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-compliance/cost-report/hospital-provider-cost-report"
      ],
      "ownershipProofNotes": "Exact normalized facility name, city, and state matched HCRIS CCN 670319; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent.",
      "parentSystemEvidence": "Exact normalized facility name, city, and state matched HCRIS CCN 670319; Type of Control 2 supports the ownership class. No current enrollment/owner chain was available, so the historical HCRIS legal facility entity is retained without inventing a higher parent."
    },
    {
      "id": "0196784853",
      "name": "BORDER REGION BEHAVIORAL HEALTH CENTER - CASA AMISTAD",
      "address": "1500 PAPPAS REAR, BUILDING 664",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78041",
      "county": "WEBB",
      "latitude": 27.5369066400325,
      "longitude": -99.4768101496663,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Border Region Behavioral Health Center",
      "parentSystemId": "entity-border-region-behavioral-health-center",
      "siblingGroupId": "siblings-tx-border-region-behavioral-health-center",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784853",
        "external-resolution-0196784853"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.borderregion.org/"
      ],
      "ownershipProofNotes": "The official provider page identifies Border Region as a nonprofit, tax-exempt Texas contract agency governed by county-appointed trustees and confirms the 1500 Pappas Street Laredo location.",
      "parentSystemEvidence": "The official provider page identifies Border Region as a nonprofit, tax-exempt Texas contract agency governed by county-appointed trustees and confirms the 1500 Pappas Street Laredo location."
    },
    {
      "id": "0196784854",
      "name": "LINDA J WERLEIN CRISIS STABILIZATION UNIT",
      "address": "643 SHEPPARD REES ROAD S",
      "city": "KERRVILLE",
      "state": "TX",
      "zip": "78028",
      "county": "KERR",
      "latitude": 30.0441271002492,
      "longitude": -99.1605227003697,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Hill Country MHDD Centers",
      "parentSystemId": "entity-hill-country-mhdd-centers",
      "siblingGroupId": "siblings-tx-hill-country-mhdd-centers",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784854",
        "external-resolution-0196784854"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hillcountry.org/crisis-stabilization-unit/"
      ],
      "ownershipProofNotes": "Hill Country MHDD Centers identifies the Linda J. Werlein unit as its inpatient crisis stabilization unit. Hill Country is the regional local mental health authority created from state community-service operations and governed by a public board.",
      "parentSystemEvidence": "Hill Country MHDD Centers identifies the Linda J. Werlein unit as its inpatient crisis stabilization unit. Hill Country is the regional local mental health authority created from state community-service operations and governed by a public board."
    },
    {
      "id": "0196784855",
      "name": "PSYCHIATRIC EMERGENCY TREATMENT CENTER",
      "address": "706 FM 2854",
      "city": "CONROE",
      "state": "TX",
      "zip": "77301",
      "county": "MONTGOMERY",
      "latitude": 30.3099725997322,
      "longitude": -95.4641020002055,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Tri-County Behavioral Healthcare",
      "parentSystemId": "entity-tri-county-behavioral-healthcare",
      "siblingGroupId": "siblings-tx-tri-county-behavioral-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784855",
        "external-resolution-0196784855"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://tcbhc.org/about-us/"
      ],
      "ownershipProofNotes": "Tri-County identifies itself as a unit of local government sponsored by three county commissioners courts; its crisis-services page confirms the Psychiatric Emergency Treatment Center at 706 FM 2854 in Conroe.",
      "parentSystemEvidence": "Tri-County identifies itself as a unit of local government sponsored by three county commissioners courts; its crisis-services page confirms the Psychiatric Emergency Treatment Center at 706 FM 2854 in Conroe."
    },
    {
      "id": "0196784856",
      "name": "TWO NORTH NEURO PSYCHIATRIC CENTER",
      "address": "1502 TAUB LOOP",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7111851500509,
      "longitude": -95.3943333600091,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HARRIS COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-harris-county-hospital-district",
      "siblingGroupId": "siblings-tx-harris-county-hospital-district",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784856",
        "external-resolution-0196784856"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact address city matched the map location to CMS enrollment O20081021000209 (45S289). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact address city matched the map location to CMS enrollment O20081021000209 (45S289). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784858",
      "name": "MEDICAL BEHAVIORAL HOSPITAL OF CLEAR LAKE",
      "address": "16850 BUCCANEER LANE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77058",
      "county": "HARRIS",
      "latitude": 29.5548362001081,
      "longitude": -95.1165919997165,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 92,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-tx-neuropychiatric-hospitals-llc",
      "campusFamilyId": "campus-tx-454151",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-neuropychiatric-hospitals-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784866",
      "name": "NORTH LAS VEGAS VA MEDICAL CENTER",
      "address": "6900 NORTH PECOS ROAD",
      "city": "NORTH LAS VEGAS",
      "state": "NV",
      "zip": "89086",
      "county": "CLARK",
      "latitude": 36.2851884997669,
      "longitude": -115.094508300376,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.va.gov/southern-nevada-health-care/locations/north-las-vegas-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nv-veterans-health-administration",
      "campusFamilyId": "campus-nv-29004f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784868",
      "name": "JERRY L. PETTIS MEMORIAL VETERANS' HOSPITAL",
      "address": "11201 BENTON STREET",
      "city": "LOMA LINDA",
      "state": "CA",
      "zip": "92357",
      "county": "SAN BERNARDINO",
      "latitude": 34.0502329600052,
      "longitude": -117.250068730001,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.lomalinda.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LOMA LINDA VA MEDICAL CENTER",
      "parentSystemId": "entity-loma-linda-va-medical-center",
      "siblingGroupId": "siblings-ca-loma-linda-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784870",
      "name": "TIBOR RUBIN VA MEDICAL CENTER",
      "address": "5901 EAST SEVENTH STREET",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90822",
      "county": "LOS ANGELES",
      "latitude": 33.7775689998831,
      "longitude": -118.118942799678,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.longbeach.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "VA LONG BEACH HEALTHCARE SYSTEM",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-va-long-beach-healthcare-system",
      "siblingGroupId": "siblings-ca-va-long-beach-healthcare-system",
      "campusFamilyId": "campus-ca-05027f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA LONG BEACH HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA LONG BEACH HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784871",
      "name": "BOB STUMP DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
      "address": "500 HIGHWAY 89 NORTH",
      "city": "PRESCOTT",
      "state": "AZ",
      "zip": "86313",
      "county": "YAVAPAI",
      "latitude": 34.5538732501163,
      "longitude": -112.452575080018,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.prescott.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-az-veterans-health-administration",
      "campusFamilyId": "campus-az-03033f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784872",
      "name": "TUCSON VA MEDICAL CENTER",
      "address": "3601 SOUTH SIXTH AVENUE",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85723",
      "county": "PIMA",
      "latitude": 32.1809811999778,
      "longitude": -110.964506400225,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.tucson.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-az-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784873",
      "name": "ROCKY MOUNTAIN REGIONAL VA MEDICAL CENTER",
      "address": "1700 NORTH WHEELING STREET",
      "city": "AURORA",
      "state": "CO",
      "zip": "80045",
      "county": "ADAMS",
      "latitude": 39.7415895999083,
      "longitude": -104.829319099842,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.denver.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "VA EASTERN COLORADO HEALTHCARE SYSTEM",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-va-eastern-colorado-healthcare-system",
      "siblingGroupId": "siblings-co-va-eastern-colorado-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA EASTERN COLORADO HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA EASTERN COLORADO HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784875",
      "name": "CLEMENT J. ZABLOCKI VETERANS' ADMINISTRATION MEDICAL CENTER",
      "address": "5000 WEST NATIONAL AVENUE",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53295",
      "county": "MILWAUKEE",
      "latitude": 43.0207889682379,
      "longitude": -87.9764634900016,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.milwaukee.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wi-veterans-health-administration",
      "campusFamilyId": "campus-wi-52003f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784877",
      "name": "BILOXI VA MEDICAL CENTER",
      "address": "400 VETERANS AVENUE",
      "city": "BILOXI",
      "state": "MS",
      "zip": "39531",
      "county": "HARRISON",
      "latitude": 30.4148782998484,
      "longitude": -88.9450438997003,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.va.gov/gulf-coast-health-care/locations/biloxi-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ms-veterans-health-administration",
      "campusFamilyId": "campus-ms-25042f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784879",
      "name": "HERSHEL - WOODY - WILLIAMS VA MEDICAL CENTER",
      "address": "1540 SPRING VALLEY DRIVE",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25704",
      "county": "WAYNE",
      "latitude": 38.3767888771417,
      "longitude": -82.5174633107022,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://www.huntington.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-wv-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784879",
        "external-resolution-0196784879"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784883",
      "name": "SHELTERING ARMS INSTITUTE",
      "address": "2000 WILKES RIDGE DRIVE",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23233",
      "county": "GOOCHLAND",
      "latitude": 37.6597773901198,
      "longitude": -77.6565363800815,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 114,
      "rating": null,
      "website": "https://shelteringarmsinstitute.com/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SHELTERING ARMS CORPORATION",
      "parentSystemId": "entity-sheltering-arms-corporation",
      "siblingGroupId": "siblings-va-sheltering-arms-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHELTERING ARMS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55%). CMS lists ALAN LOMBARDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELTERING ARMS CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHELTERING ARMS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55%). CMS lists ALAN LOMBARDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELTERING ARMS CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784884",
      "name": "CHIPPENHAM HOSPITAL",
      "address": "7101 JAHNKE ROAD",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23225",
      "county": "RICHMOND",
      "latitude": 37.5138470640135,
      "longitude": -77.5264549648971,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-chippenham-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "campusFamilyId": "campus-va-490112",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784885",
      "name": "NEWPORT NEWS BEHAVIORAL HEALTH CENTER",
      "address": "17579 WARWICK BLVD",
      "city": "NEWPORT NEWS",
      "state": "VA",
      "zip": "23603",
      "county": "NEWPORT NEWS",
      "latitude": 37.2046345000663,
      "longitude": -76.5832500997672,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 132,
      "rating": null,
      "website": "www.newportnewsbhc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-va-universal-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784885",
        "external-resolution-0196784885"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Universal Health Services primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784886",
      "name": "RIVERSIDE REHABILITATION HOSPITAL",
      "address": "250 JOSEPHS DRIVE",
      "city": "YORKTOWN",
      "state": "VA",
      "zip": "23693",
      "county": "YORK",
      "latitude": 37.1214430999616,
      "longitude": -76.4545305997238,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "www.riverside-rehabilitation.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-va-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784887",
      "name": "KINDRED HOSPITAL SEATTLE - FIRST HILL",
      "address": "1334 TERRY AVE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98101",
      "county": "KING",
      "latitude": 47.6119480002601,
      "longitude": -122.328566000078,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=185",
      "status": "corporate_chain",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seattle-kindred-hospital-seattle--first-hill/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-wa-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-wa-502002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TERESA JOY FISHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TERESA JOY FISHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784888",
      "name": "KAISER PERMANENTE CENTRAL CAMPUS",
      "address": "125 16TH AVE E",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98112",
      "county": "KING",
      "latitude": 47.6189452999861,
      "longitude": -122.312227299756,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "website": "https://wa.kaiserpermanente.org/",
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HEALTH PLAN INC",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-health-plan-inc",
      "siblingGroupId": "siblings-wa-kaiser-foundation-health-plan-inc",
      "campusFamilyId": "campus-wa-500052",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/washington/facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: KAISER FOUNDATION HEALTH PLAN INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KAISER FOUNDATION HEALTH PLAN INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784890",
      "name": "SWEDISH - MILL CREEK",
      "address": "13020 MERIDIAN AVE S",
      "city": "EVERETT",
      "state": "WA",
      "zip": "98208",
      "county": "SNOHOMISH",
      "latitude": 47.8785543000315,
      "longitude": -122.234338299922,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "website": "https://www.swedish.org/locations/mill-creek-campus#llaid=6735",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Swedish",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Swedish",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784890",
        "external-resolution-0196784890"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784895",
      "name": "WVUH TRANSPLANT",
      "address": "1 MEDICAL CENTER DRIVE",
      "city": "MORGANTOWN",
      "state": "WV",
      "zip": "26506",
      "county": "MONONGALIA",
      "latitude": 39.6539049943154,
      "longitude": -79.9586059841897,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "WEST VIRGINIA UNIVERSITY HOSPITALS INC",
      "parentSystemId": "entity-west-virginia-university-hospitals-inc",
      "siblingGroupId": "siblings-wv-west-virginia-university-hospitals-inc",
      "campusFamilyId": "siblings-wv-wvu-medicine",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-wvu-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://wvumedicine.org/locations/"
      ],
      "ownershipProofNotes": "CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST VIRGINIA UNIVERSITY HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST VIRGINIA UNIVERSITY HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784897",
      "name": "ASCENSION WISCONSIN HOSPITAL GREENFIELD CAMPUS",
      "address": "4935 S 76TH ST SUITE 100",
      "city": "GREENFIELD",
      "state": "WI",
      "zip": "53220",
      "county": "MILWAUKEE",
      "latitude": 42.9556029002192,
      "longitude": -88.0089755997337,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-wi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784897",
        "external-resolution-0196784897"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784898",
      "name": "ASCENSION WISCONSIN HOSPITAL WAUKESHA CAMPUS",
      "address": "2325 FOX RUN BLVD, SUITE 100",
      "city": "WAUKESHA",
      "state": "WI",
      "zip": "53188",
      "county": "WAUKESHA",
      "latitude": 42.9901200000583,
      "longitude": -88.2688534000529,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-wi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784898",
        "external-resolution-0196784898"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784900",
      "name": "AURORA MEDICAL CENTER MOUNT PLEASANT",
      "address": "13250 WASHINGTON AVE",
      "city": "MOUNT PLEASANT",
      "state": "WI",
      "zip": "53177",
      "county": "RACINE",
      "latitude": 42.7275258199624,
      "longitude": -87.9467520398644,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-pleasant-aurora-medical-center---mount-pleasant/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-wi-advocate-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784900",
        "external-resolution-0196784900"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "Advocate Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Advocate Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784901",
      "name": "FROEDTERT COMMUNITY HOSPITAL",
      "address": "11421 N PORT WASHINGTON RD",
      "city": "MEQUON",
      "state": "WI",
      "zip": "53092",
      "county": "OZAUKEE",
      "latitude": 43.2258430696879,
      "longitude": -87.9228334503971,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Froedtert & Medical College of Wisconsin",
      "parentSystemId": "entity-froedtert-and-medical-college-of-wisconsin",
      "siblingGroupId": "siblings-wi-froedtert-and-medical-college-of-wisconsin",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784901",
        "external-resolution-0196784901"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784902",
      "name": "FROEDTERT COMMUNITY HOSPITAL",
      "address": "7901 S 6TH ST",
      "city": "OAK CREEK",
      "state": "WI",
      "zip": "53154",
      "county": "MILWAUKEE",
      "latitude": 42.9007186999358,
      "longitude": -87.9210314002927,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Froedtert & Medical College of Wisconsin",
      "parentSystemId": "entity-froedtert-and-medical-college-of-wisconsin",
      "siblingGroupId": "siblings-wi-froedtert-and-medical-college-of-wisconsin",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784902",
        "external-resolution-0196784902"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784903",
      "name": "FROEDTERT COMMUNITY HOSPITAL",
      "address": "209 PEWAUKEE RD",
      "city": "PEWAUKEE",
      "state": "WI",
      "zip": "53072",
      "county": "WAUKESHA",
      "latitude": 43.0843684502208,
      "longitude": -88.2256143098837,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Froedtert & Medical College of Wisconsin",
      "parentSystemId": "entity-froedtert-and-medical-college-of-wisconsin",
      "siblingGroupId": "siblings-wi-froedtert-and-medical-college-of-wisconsin",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784903",
        "external-resolution-0196784903"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784905",
      "name": "GRANITE HILLS HOSPITAL",
      "address": "1706 S 68TH ST",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53214",
      "county": "MILWAUKEE",
      "latitude": 43.0110532298893,
      "longitude": -87.9972067801797,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 120,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-wi-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784910",
      "name": "PROHEALTH WAUKESHA MEMORIAL HOSP - MUKWONAGO CAMPUS",
      "address": "240 MAPLE AVE",
      "city": "MUKWONAGO",
      "state": "WI",
      "zip": "53149",
      "county": "WAUKESHA",
      "latitude": 42.8496662999933,
      "longitude": -88.3129188998593,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "ProHealth Care",
      "parentSystemId": "entity-prohealth-care",
      "siblingGroupId": "siblings-wi-prohealth-care",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784910",
        "external-resolution-0196784910"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.prohealthcare.org/locations/profile/hospital-mukwonago/"
      ],
      "ownershipProofNotes": "Mukwonago is a campus of nonprofit ProHealth Care.",
      "parentSystemEvidence": "Mukwonago is a campus of nonprofit ProHealth Care."
    },
    {
      "id": "0196784912",
      "name": "REHABILITATION HOSPITAL OF KNOX COUNTY - DOWNTOWN",
      "address": "1901 CLINCH AVENUE, 4TH AND 5TH FLOOR NORTH",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37916",
      "county": "KNOX",
      "latitude": 35.9578403899681,
      "longitude": -83.936138650255,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 22,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "satellite_campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784912",
        "external-resolution-0196784912"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.tn.gov/content/dam/tn/hfc/documents/CN2503-007_Encompass_Health_Rehab_Hosp.pdf"
      ],
      "ownershipProofNotes": "The state filing identifies Encompass Health as the parent of the downtown satellite.",
      "parentSystemEvidence": "The state filing identifies Encompass Health as the parent of the downtown satellite."
    },
    {
      "id": "0196784917",
      "name": "UTMB HEALTH CLEAR LAKE CAMPUS HOSPITAL",
      "address": "200 BLOSSOM ST",
      "city": "WEBSTER",
      "state": "TX",
      "zip": "77598",
      "county": "HARRIS",
      "latitude": 29.544838760112,
      "longitude": -95.1256208498562,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 149,
      "rating": null,
      "website": "https://www.utmbhealth.com/locations/hospitals-campuses/clear-lake-campus/hospital",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UTMB Health",
      "parentSystemId": "entity-utmb-health",
      "siblingGroupId": "siblings-tx-utmb-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784917",
        "external-resolution-0196784917"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.utmbhealth.com/locations"
      ],
      "ownershipProofNotes": "UTMB Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UTMB Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784918",
      "name": "KANSAS CITY UNIVERSITY OF MEDIICINE AND BIOSCIENCES JOPLIN",
      "address": "2901 ST. JOHN'S BLVD",
      "city": "JOPLIN",
      "state": "MO",
      "zip": "64801",
      "county": "JASPER",
      "latitude": 37.0574669277248,
      "longitude": -94.5269846970575,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": null,
      "rating": null,
      "website": "https://www.kansascity.edu/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KANSAS CITY UNIVERSITY OF MEDIICINE AND BIOSCIENCES JOPLIN",
      "parentSystemId": "entity-kansas-city-university-of-mediicine-and-biosciences-joplin",
      "siblingGroupId": "siblings-mo-kansas-city-university-of-mediicine-and-biosciences-joplin",
      "ownershipRelationship": "self_operated_or_historical_legal_entity",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784918",
        "external-resolution-0196784918"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kansascity.edu/"
      ],
      "ownershipProofNotes": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page remains an active, usable source for the named operator/facility entity. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196784919",
      "name": "MERCY HEALTH FOUNTIAN MEDICAL CAMPUS",
      "address": "100 W MCCREIGHT AVE",
      "city": "SPRINGFIELD",
      "state": "OH",
      "zip": "45504",
      "county": "CLARK",
      "latitude": 39.9397549450652,
      "longitude": -83.8113479545646,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "https://www.mercy.com/",
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784919",
        "external-resolution-0196784919"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784920",
      "name": "NORTHERN NEVADA SIERRA MEDICAL CENTER",
      "address": "6500 LONGLEY LANE",
      "city": "RENO",
      "state": "NV",
      "zip": "89511",
      "county": "WASHOE",
      "latitude": 39.4660792361128,
      "longitude": -119.767953209193,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 158,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784920",
        "external-resolution-0196784920"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded.",
      "parentSystemEvidence": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded."
    },
    {
      "id": "0196784921",
      "name": "PAM HEALTH SPECIALTY HOSPITAL OF RENO",
      "address": "235 W 6TH ST",
      "city": "RENO",
      "state": "NV",
      "zip": "89503",
      "county": "WASHOE",
      "latitude": 39.5322576292004,
      "longitude": -119.818403180353,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-nv-prime-healthcare",
      "campusFamilyId": "campus-nv-290009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784922",
      "name": "ALBERT EINSTEIN MEDICAL CENTER - TRANSPLANT CENTER",
      "address": "5401 OLD YORK ROAD, KLEIN BUILDING, SUITE 505",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19141",
      "county": "PHILADELPHIA",
      "latitude": 40.03659632009,
      "longitude": -75.1435123992271,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALBERT EINSTEIN MEDICAL CENTER TRANSPLANT CENTER",
      "parentSystemId": "entity-albert-einstein-medical-center-transplant-center",
      "siblingGroupId": "siblings-pa-albert-einstein-medical-center-transplant-center",
      "campusFamilyId": "siblings-pa-albert-einstein-medical-center-transplant-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-albert-einstein-medical-center-transplant-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALBERT EINSTEIN MEDICAL CENTER TRANSPLANT CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBERT EINSTEIN MEDICAL CENTER TRANSPLANT CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALBERT EINSTEIN MEDICAL CENTER TRANSPLANT CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBERT EINSTEIN MEDICAL CENTER TRANSPLANT CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784923",
      "name": "ALLEGHENY GENERAL HOSPITAL - TRANSPLANT CENTER",
      "address": "320 EAST NORTH AVENUE",
      "city": "ALLEGHENY",
      "state": "PA",
      "zip": "15212",
      "county": "ALLEGHENY",
      "latitude": 40.4569097999227,
      "longitude": -80.0039849997063,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALLEGHENY GENERAL HOSPITAL  TRANSPLANT CARE",
      "parentSystemId": "entity-allegheny-general-hospital-transplant-care",
      "siblingGroupId": "siblings-pa-allegheny-general-hospital-transplant-care",
      "campusFamilyId": "siblings-pa-allegheny-general-hospital-transplant-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-allegheny-general-hospital-transplant-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLEGHENY GENERAL HOSPITAL  TRANSPLANT CARE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEGHENY GENERAL HOSPITAL  TRANSPLANT CARE, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to ALLEGHENY GENERAL HOSPITAL  TRANSPLANT CARE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEGHENY GENERAL HOSPITAL  TRANSPLANT CARE, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784928",
      "name": "HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - TRANSPLANT CENT",
      "address": "3400 SPRUCE STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19104",
      "county": "PHILADELPHIA",
      "latitude": 39.9499701002525,
      "longitude": -75.1930058999675,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA",
      "affiliatedSystem": "Penn Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Penn Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trustees-of-the-university-of-pennsylvania",
      "siblingGroupId": "siblings-pa-trustees-of-the-university-of-pennsylvania",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennmedicine.org/practices"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784942",
      "name": "HOLY CROSS HOSPITAL - JORDAN VALLEY WEST",
      "address": "3460 SOUTH 4155 WEST",
      "city": "WEST VALLEY CITY",
      "state": "UT",
      "zip": "84120",
      "county": "SALT LAKE",
      "latitude": 40.6980347712521,
      "longitude": -111.990851979834,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 102,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-valley-city-holy-cross-hospital---jordan-valley-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784942",
        "external-resolution-0196784942"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196784943",
      "name": "INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL - LEHI",
      "address": "2250 NORTH MILLER CAMPUS DRIVE",
      "city": "LEHI",
      "state": "UT",
      "zip": "84043",
      "county": "UTAH",
      "latitude": 40.4147821282345,
      "longitude": -111.898830207842,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 66,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784943",
        "external-resolution-0196784943"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Intermountain Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784944",
      "name": "VIVE ADOLESCENT CARE-PSYCHIATRIC HOSPITAL",
      "address": "120 WEST 1470 SOUTH",
      "city": "SAINT GEORGE",
      "state": "UT",
      "zip": "84770",
      "county": "WASHINGTON",
      "latitude": 37.0838142008808,
      "longitude": -113.585998188594,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 12,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vive Adolescent Care",
      "parentSystemId": "entity-vive-adolescent-care",
      "siblingGroupId": "siblings-ut-vive-adolescent-care",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784944",
        "external-resolution-0196784944"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.viveadolescentcare.com/"
      ],
      "ownershipProofNotes": "The psychiatric facility is privately operated; no public-company, nonprofit, or government parent was supported.",
      "parentSystemEvidence": "The psychiatric facility is privately operated; no public-company, nonprofit, or government parent was supported."
    },
    {
      "id": "0196784945",
      "name": "SANFORD BISMARCK TRANSPLANT CENTER",
      "address": "300 N 7TH ST",
      "city": "BISMARCK",
      "state": "ND",
      "zip": "58501",
      "county": "BURLEIGH",
      "latitude": 46.8081917000594,
      "longitude": -100.782254300232,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD BISMARCK TRANSPLANT CENTER",
      "parentSystemId": "entity-sanford-bismarck-transplant-center",
      "siblingGroupId": "siblings-nd-sanford-bismarck-transplant-center",
      "campusFamilyId": "siblings-nd-sanford-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD BISMARCK TRANSPLANT CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD BISMARCK TRANSPLANT CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784946",
      "name": "ALTRU REHABILITATION HOSPITAL",
      "address": "4500 SOUTH WASHINGTON STREET SUITE B",
      "city": "GRAND FORKS",
      "state": "ND",
      "zip": "58201",
      "county": "GRAND FORKS",
      "latitude": 47.8777490490966,
      "longitude": -97.0473081345857,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nd-encompass-health",
      "campusFamilyId": "campus-nd-353027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-altru-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.altru.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Altru Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. ND resolution: normalized CMS owner/operator to Altru Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784947",
      "name": "PROVIDENCE ST. LUKE’S REHABILITATION MEDICAL CENTER",
      "address": "711 SOUTH COWLEY ST",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99202",
      "county": "SPOKANE",
      "latitude": 47.6490073961553,
      "longitude": -117.409084935284,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 102,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=145",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784948",
      "name": "NAVAL HOSPITAL OAK HARBOR",
      "address": "3475 N. SARATOGA ST.",
      "city": "OAK HARBOR",
      "state": "WA",
      "zip": "98278",
      "county": "ISLAND",
      "latitude": 48.3364342282516,
      "longitude": -122.681126153922,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "website": "http://www.med.navy.mil/sites/nhoh/pages/default.aspx",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oak-harbor-naval-hospital-oak-harbor/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-wa-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784948",
        "external-resolution-0196784948"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784950",
      "name": "KAISER PERMANENTE WASHINGTON",
      "address": "1300 SW 27TH STREET",
      "city": "RENTON",
      "state": "WA",
      "zip": "98057",
      "county": "KING",
      "latitude": 47.4580110091166,
      "longitude": -122.237631397091,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://healthy.kaiserpermanente.org/washington",
      "status": "corporate_chain",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784950",
        "external-resolution-0196784950"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthy.kaiserpermanente.org/doctors-locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196784951",
      "name": "CHI FRANCISCAN REHABILITATION HOSPITAL",
      "address": "815 SOUTH VASSAULT STREET",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98407",
      "county": "PIERCE",
      "latitude": 47.2529310889708,
      "longitude": -122.520080808024,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "https://www.chifranciscanrehabhospital.com/",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence remains under review, so the public map treats this as an ownership warning.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-wa-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARY J JACOBSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARY J JACOBSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784952",
      "name": "ASCENSION SACRED HEART REHABILITATION HOSPITAL",
      "address": "13111 N PORT WASHINGTON RD SECOND FLOOR",
      "city": "MEQUON",
      "state": "WI",
      "zip": "53097",
      "county": "OZAUKEE",
      "latitude": 43.2561887598471,
      "longitude": -87.9261229426269,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COLUMBIA ST. MARY'S, INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-columbia-st-mary-s-inc",
      "siblingGroupId": "siblings-wi-columbia-st-mary-s-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA ST. MARY'S, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA ST. MARY'S, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA ST. MARY'S, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA ST. MARY'S, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784955",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF KENOSHA",
      "address": "6308 8TH AVE",
      "city": "KENOSHA",
      "state": "WI",
      "zip": "53143",
      "county": "KENOSHA",
      "latitude": 42.5776152001959,
      "longitude": -87.8201256997729,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 39,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ClearSky Health",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-wi-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784956",
      "name": "ENCOMPASS HEALTH REHABILITATION HSPTL OF FITCHBURG",
      "address": "5535 NOBEL DR",
      "city": "FITCHBURG",
      "state": "WI",
      "zip": "53711",
      "county": "DANE",
      "latitude": 42.9947419003112,
      "longitude": -89.4269259997507,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 56,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-wi-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784957",
      "name": "FROEDTERT BLUEMOUND REHABILITATION HOSPITAL",
      "address": "10000 WEST BLUEMOUND RD",
      "city": "WAUWATOSA",
      "state": "WI",
      "zip": "53226",
      "county": "MILWAUKEE",
      "latitude": 43.0360725996897,
      "longitude": -88.0372890997106,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Froedtert & Medical College of Wisconsin",
      "parentSystemId": "entity-froedtert-and-medical-college-of-wisconsin",
      "siblingGroupId": "siblings-wi-froedtert-and-medical-college-of-wisconsin",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784957",
        "external-resolution-0196784957"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Froedtert & Medical College of Wisconsin official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784960",
      "name": "GREEN BAY ER & HOSPITAL",
      "address": "2465 MONROE RD",
      "city": "BELLEVUE",
      "state": "WI",
      "zip": "54115",
      "county": "BROWN",
      "latitude": 44.4566906998299,
      "longitude": -87.9899677001744,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-wi-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784960",
        "external-resolution-0196784960"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196784961",
      "name": "GREEN BAY REHABILITATION HOSPITAL",
      "address": "1110 KEPLER DR",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54311",
      "county": "BROWN",
      "latitude": 44.4802244398008,
      "longitude": -87.9408226631192,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "523031",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-wi-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784964",
      "name": "MILWAUKEE REHABILITATION HOSPITAL AT GREENFIELD",
      "address": "3200 S 103RD ST",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53227",
      "county": "MILWAUKEE",
      "latitude": 42.9863748731435,
      "longitude": -88.0395591118909,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "523029",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Nobis Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-wi-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784965",
      "name": "SSM HEALTH MONROE HOSPITAL",
      "address": "515 22ND AVE",
      "city": "MONROE",
      "state": "WI",
      "zip": "53566",
      "county": "GREEN",
      "latitude": 42.608560939991,
      "longitude": -89.6344136987637,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 95,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE OF WISCONSIN INC",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-of-wisconsin-inc",
      "siblingGroupId": "siblings-wi-ssm-health-care-of-wisconsin-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784966",
      "name": "THEDACARE MEDICAL CENTER-ORTHOPEDIC SPINE AND PAIN",
      "address": "2400 E CAPITOL DR",
      "city": "APPLETON",
      "state": "WI",
      "zip": "54911",
      "county": "OUTAGAMIE",
      "latitude": 44.2965934061769,
      "longitude": -88.3664964598849,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "ThedaCare",
      "parentSystemId": "entity-thedacare",
      "siblingGroupId": "siblings-wi-thedacare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784966",
        "external-resolution-0196784966"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://thedacare.org/locations/"
      ],
      "ownershipProofNotes": "ThedaCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ThedaCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784967",
      "name": "UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS",
      "address": "600 HIGHLAND AVE",
      "city": "MADISON",
      "state": "WI",
      "zip": "53792",
      "county": "DANE",
      "latitude": 43.0761509496896,
      "longitude": -89.4318245309613,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS",
      "parentSystemId": "entity-university-of-wisconsin-hospitals-and-clinics",
      "siblingGroupId": "siblings-wi-university-of-wisconsin-hospitals-and-clinics",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-university-of-wisconsin-hospitals-and-clinics"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784968",
      "name": "REHABILITATION HOSPITAL OF COLUMBUS",
      "address": "8321 VETERANS PARKWAY",
      "city": "COLUMBUS",
      "state": "GA",
      "zip": "31909",
      "county": "MUSCOGEE",
      "latitude": 32.5703358002937,
      "longitude": -84.9305505004276,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ga-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784969",
      "name": "WELLSTAR ROOSEVELT LONG TERM ACUTE CARE AT WARM SP",
      "address": "6135 ROOSEVELT HIGHWAY, P O BOX 280",
      "city": "WARM SPRINGS",
      "state": "GA",
      "zip": "31830",
      "county": "MERIWETHER",
      "latitude": 32.8879315397309,
      "longitude": -84.6921863800843,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 32,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "AU HEALTH SYSTEM INC",
      "parentSystemId": "entity-au-health-system-inc",
      "siblingGroupId": "siblings-ga-au-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: AU HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AU HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AU HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AU HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784970",
      "name": "WELLSTAR ROOSEVELT REHAB CARE AT WARM SPRINGS",
      "address": "6135 ROOSEVELT HIGHWAY, P O BOX 280",
      "city": "WARM SPRINGS",
      "state": "GA",
      "zip": "31830",
      "county": "MERIWETHER",
      "latitude": 32.8878817000689,
      "longitude": -84.6921222996618,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 52,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "AU HEALTH SYSTEM INC",
      "parentSystemId": "entity-au-health-system-inc",
      "siblingGroupId": "siblings-ga-au-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: AU HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AU HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AU HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AU HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784972",
      "name": "INSPIRA MEDICAL CENTER MANNINGTON",
      "address": "310 SALEM WOODSTOWN ROAD",
      "city": "SALEM",
      "state": "NJ",
      "zip": "08079",
      "county": "SALEM",
      "latitude": 39.5936210097147,
      "longitude": -75.4443257353408,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 68,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Inspira Health",
      "parentSystemId": "entity-inspira-health",
      "siblingGroupId": "siblings-nj-inspira-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784972",
        "external-resolution-0196784972"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.inspirahealthnetwork.org/locations"
      ],
      "ownershipProofNotes": "Inspira Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Inspira Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784974",
      "name": "HACKENSACK MERIDIAN LTACH",
      "address": "530 NEW BRUNSWICK AVENUE, 4TH FLOOR/GREEN",
      "city": "PERTH AMBOY",
      "state": "NJ",
      "zip": "08861",
      "county": "MIDDLESEX",
      "latitude": 40.5191457998002,
      "longitude": -74.2808359998323,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "affiliatedSystem": "Hackensack Meridian Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hackensack Meridian Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784975",
      "name": "SELECT SPECIALTY HOSPITAL-WILLINGBORO",
      "address": "218 A SUNSET ROAD, 3RD FLOOR",
      "city": "WILLINGBORO",
      "state": "NJ",
      "zip": "08046",
      "county": "BURLINGTON",
      "latitude": 40.0471258999692,
      "longitude": -74.8810047000654,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 69,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-willingboro-select-specialty-hospital-willingboro/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nj-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOANN MCGOVERN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOANN MCGOVERN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NJ resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784976",
      "name": "PLATTE VALLEY HEALTHCARE PROJECT",
      "address": "1300 WEST BRIDGE AVE.",
      "city": "SARATOGA",
      "state": "WY",
      "zip": "82331",
      "county": "CARBON",
      "latitude": 41.454429499742,
      "longitude": -106.826094899983,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "PLATTE VALLEY HEALTHCARE PROJECT",
      "parentSystemId": "entity-platte-valley-healthcare-project",
      "siblingGroupId": "siblings-wy-platte-valley-healthcare-project",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-platte-valley-healthcare-project"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: PLATTE VALLEY HEALTHCARE PROJECT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to PLATTE VALLEY HEALTHCARE PROJECT; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLATTE VALLEY HEALTHCARE PROJECT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PLATTE VALLEY HEALTHCARE PROJECT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to PLATTE VALLEY HEALTHCARE PROJECT; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLATTE VALLEY HEALTHCARE PROJECT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784977",
      "name": "ACADIANA REHABILITATION",
      "address": "314 YOUNGSVILLE HWY",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1550205863258,
      "longitude": -91.9919436463931,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "TECHE SPECIALTY HOSPITAL LLC",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-teche-specialty-hospital-llc",
      "siblingGroupId": "siblings-la-teche-specialty-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists DOUGLAS DAIGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TECHE SPECIALTY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DOUGLAS DAIGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TECHE SPECIALTY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784978",
      "name": "COVINGTON TRACE ER & HOSPITAL",
      "address": "4107 LA-59",
      "city": "MANDEVILLE",
      "state": "LA",
      "zip": "70471",
      "county": "ST. TAMMANY",
      "latitude": 30.4117849307871,
      "longitude": -90.0400987776136,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-la-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784978",
        "external-resolution-0196784978"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196784979",
      "name": "SHREVEPORT REHABILITATION HOSPITAL",
      "address": "1451 FERN CIRCLE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71105",
      "county": "CADDO",
      "latitude": 32.4470669222401,
      "longitude": -93.7243326523591,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "713029",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Nobis Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-la-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784982",
      "name": "PATRICIA NEAL REHABILITATION HOSPITAL",
      "address": "101 FORT SANDERS WEST BOULEVARD",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37922",
      "county": "KNOX",
      "latitude": 35.9011593973305,
      "longitude": -84.1220216753438,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 73,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tn-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784983",
      "name": "SELECT SPECIALITY HOSPITAL-WEST TENNESSEE, LLC",
      "address": "620 SKYLINE DRIVE, 5TH AND 6TH FLOORS",
      "city": "JACKSON",
      "state": "TN",
      "zip": "38301",
      "county": "MADISON",
      "latitude": 35.6365424001506,
      "longitude": -88.8318524000787,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT SHANNON CANARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT SHANNON CANARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784984",
      "name": "SELECT SPECIALTY HOSPITAL - KNOXVILLE",
      "address": "501 19TH STREET, 6TH AND 7TH FLOOR",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37916",
      "county": "KNOX",
      "latitude": 35.9576024997253,
      "longitude": -83.9371272004111,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 65,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784984",
        "external-resolution-0196784984"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784985",
      "name": "ASCENSION SAINT THOMAS WESTLAWN",
      "address": "5127 VETERANS PARKWAY",
      "city": "MURFREESBORO",
      "state": "TN",
      "zip": "37129",
      "county": "RUTHERFORD",
      "latitude": 35.8588193289149,
      "longitude": -86.5062408179995,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 402,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-tn-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784985",
        "external-resolution-0196784985"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784986",
      "name": "MUSC HEALTH FLORENCE WOMEN'S PAVILION",
      "address": "805 PAMPLICO HWY",
      "city": "FLORENCE",
      "state": "SC",
      "zip": "29505",
      "county": "FLORENCE",
      "latitude": 34.1602279723677,
      "longitude": -79.7515952250156,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-medical-university-hospital-authority",
      "siblingGroupId": "siblings-sc-medical-university-hospital-authority",
      "campusFamilyId": "campus-sc-420091",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-verified-parent-medical-university-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784987",
      "name": "PIEDMONT MEDICAL CENTER FORT MILL",
      "address": "1000 WELLNES WAY",
      "city": "FORT MILL",
      "state": "SC",
      "zip": "29715",
      "county": "YORK",
      "latitude": 35.0229722061539,
      "longitude": -80.9578331752893,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 100,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-sc-tenet-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784987",
        "external-resolution-0196784987"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Tenet Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784988",
      "name": "MIDLANDS BEHAVIORAL HEALTH HOSPITAL",
      "address": "3180 BROAD ST",
      "city": "SUMTER",
      "state": "SC",
      "zip": "29150",
      "county": "SUMTER",
      "latitude": 33.9624669301286,
      "longitude": -80.4167779461395,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HUNT VALLEY HOLDINGS LLC",
      "parentSystemId": "entity-hunt-valley-holdings-llc",
      "siblingGroupId": "siblings-sc-hunt-valley-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUNT VALLEY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MURRAY FORMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT VALLEY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HUNT VALLEY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MURRAY FORMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT VALLEY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784989",
      "name": "LEXINGTON REGIONAL REHABILITATION HOSPITAL",
      "address": "3085 TAYLOR RD",
      "city": "CAYCE",
      "state": "SC",
      "zip": "29033",
      "county": "LEXINGTON",
      "latitude": 33.9551799527647,
      "longitude": -81.0512545871723,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EPOCH ACQUISITION INC",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-sc-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784990",
      "name": "MUSC BLACK RIVER MEDICAL CENTER",
      "address": "3555 N WILLIAMSBURG HWY",
      "city": "CADES",
      "state": "SC",
      "zip": "29518",
      "county": "WILLIAMSBURG",
      "latitude": 33.8059747429864,
      "longitude": -79.784173998725,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - DISTRICT/AUTHORITY",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - DISTRICT/AUTHORITY",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MUSC Health",
      "parentSystemId": "entity-musc-health",
      "siblingGroupId": "siblings-sc-musc-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784990",
        "external-resolution-0196784990"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://locations.muschealth.org/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to MUSC Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to MUSC Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196784991",
      "name": "LIVE OAK MENTAL HEALTH AND WELLNESS",
      "address": "3445 INGLESIDE BLVD",
      "city": "LADSON",
      "state": "SC",
      "zip": "29456",
      "county": "CHARLESTON",
      "latitude": 32.9690611003561,
      "longitude": -80.0873103997229,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-sc-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784991",
        "external-resolution-0196784991"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The named behavioral facility is a service line or campus of an HCA hospital; HCA is publicly traded.",
      "parentSystemEvidence": "The named behavioral facility is a service line or campus of an HCA hospital; HCA is publicly traded."
    },
    {
      "id": "0196784992",
      "name": "REGENCY HOSPITAL OF GREENVILLE",
      "address": "2000 E GREENVILLE ST 2ND FLOOR",
      "city": "ANDERSON",
      "state": "SC",
      "zip": "29621",
      "county": "ANDERSON",
      "latitude": 34.5412145000159,
      "longitude": -82.6280239996911,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-sc-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784992",
        "external-resolution-0196784992"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196784994",
      "name": "APPL ORCHARD HOSPICE OF KANSAS INC",
      "address": "7730 HEDGE LANE TERR.",
      "city": "SHAWNEE",
      "state": "KS",
      "zip": "66227",
      "county": "JOHNSON",
      "latitude": 38.9882811181929,
      "longitude": -94.8541018392624,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "website": "www.applorchardhospice.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Appl Orchard Hospice",
      "parentSystemId": "entity-appl-orchard-hospice",
      "siblingGroupId": "siblings-ks-appl-orchard-hospice",
      "ownershipRelationship": "physician_owned",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784994",
        "external-resolution-0196784994"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://applorchardhospice.com/faq/"
      ],
      "ownershipProofNotes": "The provider describes itself as locally physician-owned. It is a hospice, not a hospital.",
      "parentSystemEvidence": "The provider describes itself as locally physician-owned. It is a hospice, not a hospital."
    },
    {
      "id": "0196784995",
      "name": "JOHNSON COUNTY REHABILITATION HOSPITAL",
      "address": "11325 COLLEGE BOULEVARD",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66210",
      "county": "JOHNSON",
      "latitude": 38.9261449999059,
      "longitude": -94.7179832998043,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "https://www.nobisrehabpartners.com/johnson-county-rehabilitation",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "173034",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Nobis Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-ks-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DARYN EUDALY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784996",
      "name": "LAWRENCE MEMORIAL HOSPITAL SNF",
      "address": "325 MAINE ST",
      "city": "LAWRENCE",
      "state": "KS",
      "zip": "66044",
      "county": "DOUGLAS",
      "latitude": 38.9791871176942,
      "longitude": -95.2485931928165,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 14,
      "rating": null,
      "website": "web site:",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - LOCAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LAWRENCE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-lawrence-memorial-hospital",
      "siblingGroupId": "siblings-ks-lawrence-memorial-hospital",
      "campusFamilyId": "campus-ks-170137",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-lawrence-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LAWRENCE MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LAWRENCE MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784997",
      "name": "MEADOWBROOK REHABILITATION HOSPITAL",
      "address": "427 W. MAIN STREET",
      "city": "GARDNER",
      "state": "KS",
      "zip": "66030",
      "county": "JOHNSON",
      "latitude": 38.8099496001181,
      "longitude": -94.9379329997671,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 124,
      "rating": null,
      "website": "www.meadowbrookrh.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MIDWEST SNF HOLDINGS LLC",
      "parentSystemId": "entity-midwest-snf-holdings-llc",
      "siblingGroupId": "siblings-ks-midwest-snf-holdings-llc",
      "campusFamilyId": "campus-ks-173033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: MIDWEST SNF HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99.9%). CMS lists MATTHEW TAIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDWEST SNF HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MIDWEST SNF HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 99.9%). CMS lists MATTHEW TAIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDWEST SNF HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196784998",
      "name": "MONARCH HOSPICE & PALLIATIVE CARE",
      "address": " 7451 SWITZER RD, STE 100",
      "city": "SHAWNEE",
      "state": "KS",
      "zip": "66203",
      "county": "JOHNSON",
      "latitude": 38.9937897731159,
      "longitude": -94.7045123991622,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196784998",
        "external-resolution-0196784998"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ks.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0196785004",
      "name": "NEOSHO MEMORIAL REGIONAL MED CENTER",
      "address": "629 SOUTH PLUMMER",
      "city": "CHANUTE",
      "state": "KS",
      "zip": "66720",
      "county": "NEOSHO",
      "latitude": 37.6753112997032,
      "longitude": -95.4717192996914,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "www.nmrmc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NEOSHO COUNTY",
      "parentSystemId": "entity-neosho-county",
      "siblingGroupId": "siblings-ks-neosho-county",
      "campusFamilyId": "campus-ks-171380",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-neosho-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEOSHO COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WENDY BRAZIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEOSHO COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEOSHO COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEOSHO COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WENDY BRAZIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEOSHO COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEOSHO COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785006",
      "name": "NORTH CENTRAL KANSAS MEDICAL CENTER",
      "address": "155 WEST COLLEGE DRIVE",
      "city": "CONCORDIA",
      "state": "KS",
      "zip": "66901",
      "county": "CLOUD",
      "latitude": 39.5538814000994,
      "longitude": -97.6607537002578,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "website": "www.cchc.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "SALINA REGIONAL HEALTH CENTER INC",
      "parentSystemId": "entity-salina-regional-health-center-inc",
      "siblingGroupId": "siblings-ks-salina-regional-health-center-inc",
      "campusFamilyId": "campus-ks-171349",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID GARNAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID GARNAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785008",
      "name": "PLAISTOW FREE STANDING EMERGENCY ROOM",
      "address": "26 PLAISTOW ROAD PLAISTOW",
      "city": "PLAISTOW",
      "state": "NH",
      "zip": "03865",
      "county": "ROCKINGHAM",
      "latitude": 42.8197246759097,
      "longitude": -71.105206270655,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nh-hca-healthcare",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785008",
        "external-resolution-0196785008"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to HCA Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785009",
      "name": "BLOOMINGTON REGIONAL REHABILITATION HOSPITAL LLC",
      "address": "3050 N LINTEL DRIVE",
      "city": "BLOOMINGTON",
      "state": "IN",
      "zip": "47404",
      "county": "MONROE",
      "latitude": 39.1943703741683,
      "longitude": -86.5733559318646,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 30,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "153049",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-in-epoch-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ernest-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ernesthealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785011",
      "name": "HICKORY TREATMENT CENTER AT MERIDIAN",
      "address": "2102 S MERIDIAN STREET",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46225",
      "county": "MARION",
      "latitude": 39.8092919743335,
      "longitude": -86.1617511520234,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Hickory Recovery Network",
      "parentSystemId": "entity-hickory-recovery-network",
      "siblingGroupId": "siblings-in-hickory-recovery-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785011",
        "external-resolution-0196785011"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hickoryrecovery.com/locations/hickory-treatment-center-at-meridian/"
      ],
      "ownershipProofNotes": "The exact facility is operated by privately held Hickory Recovery Network.",
      "parentSystemEvidence": "The exact facility is operated by privately held Hickory Recovery Network."
    },
    {
      "id": "0196785013",
      "name": "MIDLAND HOUSE INC",
      "address": "3940 E 56TH ST",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46220",
      "county": "MARION",
      "latitude": 39.8560690001043,
      "longitude": -86.0987926256229,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Midland House, Inc.",
      "parentSystemId": "entity-midland-house-inc",
      "siblingGroupId": "siblings-in-midland-house-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785013",
        "external-resolution-0196785013"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/351061503"
      ],
      "ownershipProofNotes": "The exact entity is an IRS-recognized nonprofit residential provider, not an acute-care hospital.",
      "parentSystemEvidence": "The exact entity is an IRS-recognized nonprofit residential provider, not an acute-care hospital."
    },
    {
      "id": "0196785017",
      "name": "HOSPITAL SAN ANTONIO INC",
      "address": "18 CALLE DR RAMON BETANCES",
      "city": "MAYAGUEZ",
      "state": "PR",
      "zip": "00680",
      "county": "MAYAGÜEZ",
      "latitude": 18.2032157001414,
      "longitude": -67.1408667003319,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "0196785019",
      "name": "21ST MEDICAL GROUP - SPACE BASE DELTA 1",
      "address": "559 VINCENT STREET BLDG 959",
      "city": "PETERSON SPACE FORCE BASE",
      "state": "CO",
      "zip": "80914",
      "county": "EL PASO",
      "latitude": 38.8253144193483,
      "longitude": -104.702950325607,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://peterson.tricare.mil/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-co-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785019",
        "external-resolution-0196785019"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785021",
      "name": "HSWL REGIONAL PRACTICE CAPE MAY - SAMUEL J CALL HEALTH SERVICES CENTER",
      "address": "1 MUNRO AVE",
      "city": "CAPE MAY",
      "state": "NJ",
      "zip": "08204",
      "county": "CAPE MAY",
      "latitude": 38.9479725002995,
      "longitude": -74.8820432001445,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.forcecom.uscg.mil/our-organization/forcecom-units/tracen-cape-may/medical-services/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Coast Guard",
      "parentSystemId": "entity-u-s-coast-guard",
      "siblingGroupId": "siblings-nj-u-s-coast-guard",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785021",
        "external-resolution-0196785021"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mycg.uscg.mil/hswlsc/"
      ],
      "ownershipProofNotes": "U.S. Coast Guard Health, Safety and Work-Life Service Center corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Coast Guard Health, Safety and Work-Life Service Center corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785022",
      "name": "TROOP MEDICAL CENTER 12 (AVIATION)",
      "address": "BUILDING 7015,MURPHY LOOP,HOOD ARMY AIRFIELD",
      "city": "FORT CAVAZOS",
      "state": "TX",
      "zip": "76544",
      "county": "BELL",
      "latitude": 31.1404208000754,
      "longitude": -97.7095520001897,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://darnall.tricare.mil/clinics/tmc12",
      "status": "corporate_chain",
      "parentSystem": "Darnall Tricare",
      "affiliatedSystem": "Darnall Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Darnall Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-darnall-tricare",
      "siblingGroupId": "siblings-tx-darnall-tricare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785022",
        "external-resolution-0196785022"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://darnall.tricare.mil/clinics/tmc12"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785023",
      "name": "USCG AIR STATION SITKA HEALTH SERVICES DIVISION",
      "address": "611 AIRPORT ROAD",
      "city": "SITKA",
      "state": "AK",
      "zip": "99835",
      "county": "SITKA",
      "latitude": 57.0549112000843,
      "longitude": -135.368488299899,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "http://www.uscg.mil/d17/airstasitka/",
      "status": "corporate_chain",
      "parentSystem": "U.S. Coast Guard",
      "affiliatedSystem": "Uscg",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Uscg",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-coast-guard",
      "siblingGroupId": "siblings-ak-u-s-coast-guard",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785023",
        "official-u-s-coast-guard"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mycg.uscg.mil/hswlsc/"
      ],
      "ownershipProofNotes": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense.",
      "parentSystemEvidence": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense."
    },
    {
      "id": "0196785024",
      "name": "USCG BASE CAPE COD",
      "address": "5201 LEE ROAD",
      "city": "BUZZARDS BAY",
      "state": "MA",
      "zip": "02542",
      "county": "BARNSTABLE",
      "latitude": 41.6601671998461,
      "longitude": -70.5684475999658,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Coast Guard",
      "parentSystemId": "entity-u-s-coast-guard",
      "siblingGroupId": "siblings-ma-u-s-coast-guard",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785024",
        "official-u-s-coast-guard"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mycg.uscg.mil/hswlsc/"
      ],
      "ownershipProofNotes": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense.",
      "parentSystemEvidence": "The HIFLD record identifies the facility and the official U.S. Coast Guard Health, Safety and Work-Life Service Center identifies Coast Guard health services. Coast Guard authority is separate from the Department of Defense."
    },
    {
      "id": "0196785025",
      "name": "BRIDGEPOINT CONTINUING CARE HOSPITAL - CAPITOL HILL",
      "address": "223 7TH STREET NE",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20002",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.8930863000456,
      "longitude": -76.9958424002952,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-092002",
        "official-dc-092002"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://bridgepointhealthcare.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "0196785026",
      "name": "VIBRA HOSP OF WESTERN MASSACHUSETTS",
      "address": "1400 STATE STREET",
      "city": "SPRINGFIELD",
      "state": "MA",
      "zip": "01109",
      "county": "HAMPDEN",
      "latitude": 42.1210102870454,
      "longitude": -72.5479276598343,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 47,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-vibra-hospital-of-western-massachusetts/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Vibra Healthcare",
      "parentSystemId": "entity-vibra-healthcare",
      "siblingGroupId": "siblings-ma-vibra-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785026",
        "external-resolution-0196785026"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.vibrahealthcare.com/locations/"
      ],
      "ownershipProofNotes": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Vibra Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785031",
      "name": "PERIMETER BEHAVIORAL OF MISSOURI",
      "address": "1000 HOSPITAL RD",
      "city": "WAYNESVILLE",
      "state": "MO",
      "zip": "65583",
      "county": "PULASKI",
      "latitude": 37.8226220902038,
      "longitude": -92.1924307528375,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Perimeter Healthcare",
      "parentSystemId": "entity-perimeter-healthcare",
      "siblingGroupId": "siblings-mo-perimeter-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785031",
        "external-resolution-0196785031"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.perimeterhealthcare.com/missouri"
      ],
      "ownershipProofNotes": "The facility is operated by privately held Perimeter Healthcare.",
      "parentSystemEvidence": "The facility is operated by privately held Perimeter Healthcare."
    },
    {
      "id": "0196785032",
      "name": "KVC MISSOURI SPRINGFIELD",
      "address": "1212 W LOMBARD",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65806",
      "county": "GREENE",
      "latitude": 37.1984014998674,
      "longitude": -93.3074204003422,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "KVC Health Systems",
      "parentSystemId": "entity-kvc-health-systems",
      "siblingGroupId": "siblings-mo-kvc-health-systems",
      "ownershipRelationship": "residential_program_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785032",
        "external-resolution-0196785032"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://missouri.kvc.org/about-kvc-missouri/"
      ],
      "ownershipProofNotes": "KVC identifies its Springfield and Columbia sites as nonprofit psychiatric residential treatment programs, not general hospitals.",
      "parentSystemEvidence": "KVC identifies its Springfield and Columbia sites as nonprofit psychiatric residential treatment programs, not general hospitals."
    },
    {
      "id": "0196785034",
      "name": "KVC MISSOURI COLUMBIA",
      "address": "4304 S. BEARFIELD ROAD",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65201",
      "county": "BOONE",
      "latitude": 38.9011525999719,
      "longitude": -92.3037286002468,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "KVC Health Systems",
      "parentSystemId": "entity-kvc-health-systems",
      "siblingGroupId": "siblings-mo-kvc-health-systems",
      "ownershipRelationship": "residential_program_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785034",
        "external-resolution-0196785034"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://missouri.kvc.org/about-kvc-missouri/"
      ],
      "ownershipProofNotes": "KVC identifies its Springfield and Columbia sites as nonprofit psychiatric residential treatment programs, not general hospitals.",
      "parentSystemEvidence": "KVC identifies its Springfield and Columbia sites as nonprofit psychiatric residential treatment programs, not general hospitals."
    },
    {
      "id": "0196785036",
      "name": "MERCY REHABILTATION HOSPITAL SOUTH",
      "address": "10114 KENNERLY ROAD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63128",
      "county": "ST. LOUIS",
      "latitude": 38.5104998380103,
      "longitude": -90.381581552365,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-mo-chc-community-care",
      "campusFamilyId": "campus-mo-263034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785037",
      "name": "HOMER G. PHILLIPS MEMORIAL HOSPITAL",
      "address": "1320 N. JEFFERSON AVENUE",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63106",
      "county": "ST. LOUIS",
      "latitude": 38.6432415099962,
      "longitude": -90.2122135237687,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 3,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Homer G. Phillips Memorial Hospital, LLC",
      "parentSystemId": "entity-homer-g-phillips-memorial-hospital-llc",
      "siblingGroupId": "siblings-mo-homer-g-phillips-memorial-hospital-llc",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785037",
        "external-resolution-0196785037"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://npiprofile.com/npi/1598459711"
      ],
      "ownershipProofNotes": "The current small hospital is operated through a private LLC. The historic city hospital bearing the same name is a different, closed institution and is not treated as the owner.",
      "parentSystemEvidence": "The current small hospital is operated through a private LLC. The historic city hospital bearing the same name is a different, closed institution and is not treated as the owner."
    },
    {
      "id": "0196785048",
      "name": "SELECT SPECIALTY HOSPITAL - TULSA/MIDTOWN, LLC",
      "address": "744 WEST 9TH STREET, 5TH & 6TH FLOORS",
      "city": "TULSA",
      "state": "OK",
      "zip": "74127",
      "county": "TULSA",
      "latitude": 36.146511399695,
      "longitude": -96.0000317998736,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 46,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-ok-select-medical",
      "campusFamilyId": "campus-ok-372007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAYTIE WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAYTIE WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785052",
      "name": "ASCENSION ST. JOHN REHABILITATION HOSPITAL OF OWASSO",
      "address": "13402 EAST 86TH STREET NORTH",
      "city": "OWASSO",
      "state": "OK",
      "zip": "74055",
      "county": "TULSA",
      "latitude": 36.2777129997179,
      "longitude": -95.8257719998892,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ok-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785053",
      "name": "OKLAHOMA CITY REHABILITATION HOSPITAL, LLC",
      "address": "10240 BROADWAY EXTENSION",
      "city": "OKLAHOAM CITY",
      "state": "OK",
      "zip": "73114",
      "county": "OKLAHOMA",
      "latitude": 35.5741027416938,
      "longitude": -97.5125788857445,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-ok-nobis-rehabilitation-partners-llc",
      "campusFamilyId": "campus-ok-373038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACEY NIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACEY NIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785054",
      "name": "TULSA REHABILITATION HOSPITAL LLC",
      "address": "7909 S 101ST E AVE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74133",
      "county": "TULSA",
      "latitude": 36.0493138103466,
      "longitude": -95.8617822319828,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "373037",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Nobis Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-ok-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785063",
      "name": "OU HEALTH - AUTUMN LIFE CENTER",
      "address": "ONE SOUTH BRYANT",
      "city": "EDMOND",
      "state": "OK",
      "zip": "73034",
      "county": "OKLAHOMA",
      "latitude": 35.6544322399985,
      "longitude": -97.4614889053694,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 17,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "OU Health",
      "parentSystemId": "entity-ou-health",
      "siblingGroupId": "siblings-ok-ou-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785063",
        "external-resolution-0196785063"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ouhealth.com/find-a-location/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to OU Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to OU Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785075",
      "name": "SAINT FANCIS HOSPITAL MUSKOGEE",
      "address": "300 ROCKEFELLER DRIVE",
      "city": "MUSKOGEE",
      "state": "OK",
      "zip": "74401",
      "county": "MUSKOGEE",
      "latitude": 35.7526358998106,
      "longitude": -95.4058994998721,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785080",
      "name": "ADVANCED ODESSA HOSPITAL & CLINICS",
      "address": "900 E 4TH ST",
      "city": "ODESSA",
      "state": "TX",
      "zip": "79761",
      "county": "ECTOR",
      "latitude": 31.8517044000496,
      "longitude": -102.359561299651,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Advanced Diagnostics Healthcare System",
      "parentSystemId": "entity-advanced-diagnostics-healthcare-system",
      "siblingGroupId": "siblings-tx-advanced-diagnostics-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785080",
        "external-resolution-0196785080"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://advanceddiagnosticshealth.com/locations/advanced-odessa-hospital-clinics/"
      ],
      "ownershipProofNotes": "The facility is operated by privately held Advanced Diagnostics Healthcare System.",
      "parentSystemEvidence": "The facility is operated by privately held Advanced Diagnostics Healthcare System."
    },
    {
      "id": "0196785081",
      "name": "BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE",
      "address": "2360 N IH 35 E STE 130&220",
      "city": "WAXAHACHIE",
      "state": "TX",
      "zip": "75165",
      "county": "ELLIS",
      "latitude": 32.3725070003037,
      "longitude": -96.8622713997497,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785081",
        "external-resolution-0196785081"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Baylor Scott & White Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785082",
      "name": "BMC HEIGHTS HOSPITAL",
      "address": "510 W TIDWELL RD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77091",
      "county": "HARRIS",
      "latitude": 29.8479504000569,
      "longitude": -95.4084710001365,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 117,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Doctors Hospital 1997, L.P.",
      "parentSystemId": "entity-doctors-hospital-1997-l-p",
      "siblingGroupId": "siblings-tx-doctors-hospital-1997-l-p",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785082",
        "external-resolution-0196785082"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://houston.novusagenda.com/Agendaintranet/AttachmentViewer.ashx?AttachmentID=135522&ItemID=24245"
      ],
      "ownershipProofNotes": "The city-filed disclosure identifies the private limited partnership and individual controlling owner for the hospital now branded Independence Heights Hospital.",
      "parentSystemEvidence": "The city-filed disclosure identifies the private limited partnership and individual controlling owner for the hospital now branded Independence Heights Hospital."
    },
    {
      "id": "0196785083",
      "name": "CHRISTUS GOOD SHEPHERD HOSPITAL - NORTHPARK",
      "address": "323 E HAWKINS PKWY",
      "city": "LONGVIEW",
      "state": "TX",
      "zip": "75605",
      "county": "GREGG",
      "latitude": 32.5487204000412,
      "longitude": -94.7367204004246,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 3,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785083",
        "external-resolution-0196785083"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785084",
      "name": "CHRISTUS HOSPITAL - ORANGE",
      "address": "6901 MEDICAL CENTER DR STE 100",
      "city": "ORANGE",
      "state": "TX",
      "zip": "77630",
      "county": "ORANGE",
      "latitude": 30.1109658997603,
      "longitude": -93.8146200003193,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785084",
        "external-resolution-0196785084"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785085",
      "name": "CHRISTUS SURGICAL HOSPITAL",
      "address": "6130 PARKWAY DR",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78414",
      "county": "NUECES",
      "latitude": 27.6863586000638,
      "longitude": -97.3753236001596,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 33,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTUS Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785085",
        "external-resolution-0196785085"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CHRISTUS Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785086",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF BAYTOWN LLC",
      "address": "150 BLUE HERON PKWY",
      "city": "BAYTOWN",
      "state": "TX",
      "zip": "77521",
      "county": "HARRIS",
      "latitude": 29.7691720001478,
      "longitude": -94.9617299995658,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 36,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ClearSky Health",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-tx-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES NATHAN MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES NATHAN MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785087",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF MANSFIELD",
      "address": "267 N STATE HIGHWAY 360",
      "city": "MANSFIELD",
      "state": "TX",
      "zip": "76063",
      "county": "TARRANT",
      "latitude": 32.5638813832033,
      "longitude": -97.0871873656922,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ClearSky Health",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-tx-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN K BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN K BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785088",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF WAXAHACHIE",
      "address": "50 INDIAN DRIVE",
      "city": "WAXAHACHIE",
      "state": "TX",
      "zip": "75165",
      "county": "ELLIS",
      "latitude": 32.4108486203022,
      "longitude": -96.8303813526905,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ClearSky Health",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-tx-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785088",
        "external-resolution-0196785088"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://clearskyhealth.com/waxahachie/"
      ],
      "ownershipProofNotes": "The hospital is operated in privately held ClearSky Health’s rehabilitation network.",
      "parentSystemEvidence": "The hospital is operated in privately held ClearSky Health’s rehabilitation network."
    },
    {
      "id": "0196785090",
      "name": "DEERBROOK EMERGENCY HOSPITAL",
      "address": "8901 FM 1960 BYPASS RD W SUITE 105",
      "city": "HUMBLE",
      "state": "TX",
      "zip": "77338",
      "county": "HARRIS",
      "latitude": 30.0064917318479,
      "longitude": -95.2896767709699,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MOPARTY FAMILY LIMITED PARTNERSHIP",
      "parentSystemId": "entity-moparty-family-limited-partnership",
      "siblingGroupId": "siblings-tx-moparty-family-limited-partnership",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-moparty-family-limited-partnership"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOPARTY FAMILY LIMITED PARTNERSHIP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 33.34%). CMS lists ROY MOPARTY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MOPARTY FAMILY LIMITED PARTNERSHIP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOPARTY FAMILY LIMITED PARTNERSHIP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOPARTY FAMILY LIMITED PARTNERSHIP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 33.34%). CMS lists ROY MOPARTY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MOPARTY FAMILY LIMITED PARTNERSHIP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOPARTY FAMILY LIMITED PARTNERSHIP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785093",
      "name": "DHR HEALTH BROWNSVILLE",
      "address": "4750 N EXPRESSWAY 77",
      "city": "BROWNSVILLE",
      "state": "TX",
      "zip": "78526",
      "county": "CAMERON",
      "latitude": 25.9733618998004,
      "longitude": -97.5140396002954,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 59,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DHR Health",
      "parentSystemId": "entity-dhr-health",
      "siblingGroupId": "siblings-tx-dhr-health",
      "ownershipRelationship": "physician_owned",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785093",
        "external-resolution-0196785093"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.dhrhealth.com/media/bsde0pba/updated-brownsville-hospital-flyer.pdf"
      ],
      "ownershipProofNotes": "DHR’s disclosure states that the hospital meets the federal definition of a physician-owned hospital; it is privately held.",
      "parentSystemEvidence": "DHR’s disclosure states that the hospital meets the federal definition of a physician-owned hospital; it is privately held."
    },
    {
      "id": "0196785096",
      "name": "EL PASO REHABILITATION HOSPITAL",
      "address": "2230 JOE BATTLE BLVD",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79938",
      "county": "EL PASO",
      "latitude": 31.780267000032,
      "longitude": -106.266638000241,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 36,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DSB ACQUISITION LLC",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-tx-dsb-acquisition-llc",
      "campusFamilyId": "campus-tx-673083",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785097",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PROSPER",
      "address": "1231 MAHARD PARKWAY",
      "city": "PROSPER",
      "state": "TX",
      "zip": "75078",
      "county": "COLLIN",
      "latitude": 33.2217032002835,
      "longitude": -96.8306496004141,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785098",
      "name": "EVEREST REHABILITATION HOSPITAL SAN ANTONIO",
      "address": "12011 S E LOOP 410",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78221",
      "county": "BEXAR",
      "latitude": 29.3229516998183,
      "longitude": -98.4883706004382,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 36,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CENTERRE HEALTHCARE LLC",
      "parentSystemId": "entity-centerre-healthcare-llc",
      "siblingGroupId": "siblings-tx-centerre-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785099",
      "name": "EXCEPTIONAL AMARILLO N COULTER",
      "address": "2101 S COULTER STREET",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "POTTER",
      "latitude": 35.1892670003053,
      "longitude": -101.919593899953,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Altus Community Healthcare / ZT Corporate",
      "parentSystemId": "entity-altus-community-healthcare-zt-corporate",
      "siblingGroupId": "siblings-tx-altus-community-healthcare-zt-corporate",
      "ownershipRelationship": "acquired_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785099",
        "external-resolution-0196785099"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.prnewswire.com/news-releases/join-us-to-celebrate-the-grand-re-opening-of-amarillos-exceptional-community-hospital-301974943.html"
      ],
      "ownershipProofNotes": "The exact Amarillo hospital changed management and ownership in 2023 to Altus Community Healthcare, a ZT Corporate portfolio operation. The legacy Exceptional name is retained as an alias.",
      "parentSystemEvidence": "The exact Amarillo hospital changed management and ownership in 2023 to Altus Community Healthcare, a ZT Corporate portfolio operation. The legacy Exceptional name is retained as an alias."
    },
    {
      "id": "0196785101",
      "name": "HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST",
      "address": "4801 E SAM HOUSTON PARKWAY SOUTH",
      "city": "PASADENA",
      "state": "TX",
      "zip": "77505",
      "county": "HARRIS",
      "latitude": 29.637498699624,
      "longitude": -95.1603378996061,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 61,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pasadena-hca-houston-rehabilitation-hospital-southeast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785101",
        "external-resolution-0196785101"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785102",
      "name": "HOUSTON METHODIST CONTINUING CARE HOSPITAL - TMC",
      "address": "6501 FANNIN ST FL 8-9",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7112948002773,
      "longitude": -95.3989401004491,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 43,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Houston Methodist",
      "parentSystemId": "entity-houston-methodist",
      "siblingGroupId": "siblings-tx-houston-methodist",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785102",
        "external-resolution-0196785102"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.houstonmethodist.org/locations/"
      ],
      "ownershipProofNotes": "Houston Methodist official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Houston Methodist official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785103",
      "name": "MEDICAL CITY ARGYLE, A CAMPUS OF MEDICAL CITY DENTON",
      "address": "7218 CRAWFORD RD",
      "city": "ARGYLE",
      "state": "TX",
      "zip": "76226",
      "county": "DENTON",
      "latitude": 33.1313566348785,
      "longitude": -97.2058070638771,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 12,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785103",
        "external-resolution-0196785103"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785104",
      "name": "KPC PROMISE HOSPITAL OF AMARILLO",
      "address": "1540 RESEARCH ST",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79124",
      "county": "POTTER",
      "latitude": 35.1977196441535,
      "longitude": -101.926234459434,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 54,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMARILLO SPECIALTY HOSPITAL",
      "parentSystemId": "entity-amarillo-specialty-hospital",
      "siblingGroupId": "siblings-tx-amarillo-specialty-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMARILLO SPECIALTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMARILLO SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMARILLO SPECIALTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GURPREET SINGH RANDHAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMARILLO SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785105",
      "name": "MEDICAL CITY DECATUR",
      "address": "609 MEDICAL CENTER DR",
      "city": "DECATUR",
      "state": "TX",
      "zip": "76234",
      "county": "WISE",
      "latitude": 33.2177042001055,
      "longitude": -97.5932943995865,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 99,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785105",
        "external-resolution-0196785105"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785106",
      "name": "MEDICAL CITY SURGICAL HOSPITAL | ALLIANCE",
      "address": "3200 N TARRANT PKWY",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76177",
      "county": "TARRANT",
      "latitude": 32.8968711002716,
      "longitude": -97.3129713000319,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-670103",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785107",
      "name": "MERIDIAN HOSPITAL PLLC",
      "address": "9430 KATY FREEWAY",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77055",
      "county": "HARRIS",
      "latitude": 29.7852485996773,
      "longitude": -95.5250682995627,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 56,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Meridian Hospital, PLLC",
      "parentSystemId": "entity-meridian-hospital-pllc",
      "siblingGroupId": "siblings-tx-meridian-hospital-pllc",
      "ownershipRelationship": "self_operated_private",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785107",
        "external-resolution-0196785107"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://npiprofile.com/npi/1194474221"
      ],
      "ownershipProofNotes": "The hospital is operated through a private professional limited liability company; no higher system parent was supported.",
      "parentSystemEvidence": "The hospital is operated through a private professional limited liability company; no higher system parent was supported."
    },
    {
      "id": "0196785108",
      "name": "NEW BRAUNFELS ER & HOSPITAL",
      "address": "3221 COMMERCIAL CIRCLE",
      "city": "NEW BRAUNFELS",
      "state": "TX",
      "zip": "78132",
      "county": "COMAL",
      "latitude": 29.6744559001107,
      "longitude": -98.1562763001809,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-tx-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785108",
        "external-resolution-0196785108"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196785109",
      "name": "PAM HEALTH REHABILITATION HOSPITAL NORTHEAST SAN ANTONIO",
      "address": "11407 WAYLAND WAY",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78233",
      "county": "BEXAR",
      "latitude": 29.5421349998264,
      "longitude": -98.3714690003028,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785109",
        "external-resolution-0196785109"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785110",
      "name": "PAM HEALTH REHABILITATION HOSPITAL OF SUGAR LAND",
      "address": "7622 BRANFORD PLACE",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77479",
      "county": "FORT BEND",
      "latitude": 29.5870510997274,
      "longitude": -95.6425397001846,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 41,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-tx-pam-health",
      "campusFamilyId": "campus-tx-673068",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785112",
      "name": "REUNION REHABILITATION HOSPITAL ARLINGTON",
      "address": "4351 CENTREWAY PLACE",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76018",
      "county": "TARRANT",
      "latitude": 32.6761919997174,
      "longitude": -97.1082470002925,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673081",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Reunion Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Reunion Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Reunion Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-tx-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Reunion Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Reunion Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785113",
      "name": "REUNION REHABILITATION HOSPITAL PLANO",
      "address": "3600 MAPLESHADE LANE",
      "city": "PLANO",
      "state": "TX",
      "zip": "75075",
      "county": "COLLIN",
      "latitude": 33.0009972997226,
      "longitude": -96.7574680996549,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "673080",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Reunion Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Reunion Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Reunion Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-tx-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Reunion Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Reunion Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785114",
      "name": "ROYSE CITY EMERGENCY HOSPITAL",
      "address": "890 S ERBY CAMPBELL BLVD",
      "city": "ROYSE CITY",
      "state": "TX",
      "zip": "75189",
      "county": "ROCKWALL",
      "latitude": 32.9665216998049,
      "longitude": -96.339977700006,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 4,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-tx-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785114",
        "external-resolution-0196785114"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196785115",
      "name": "SAN ANTONIO REHABILITATION HOSPITAL",
      "address": "8903 FLOYD CURL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78240",
      "county": "BEXAR",
      "latitude": 29.5258639000899,
      "longitude": -98.5915091004276,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 48,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Nobis Rehabilitation Partners",
      "parentSystemId": "entity-nobis-rehabilitation-partners",
      "siblingGroupId": "siblings-tx-nobis-rehabilitation-partners",
      "ownershipRelationship": "managed_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785115",
        "external-resolution-0196785115"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nobisrehabpartners.com/post/san-antonio-rehabilitation-hospital-announced"
      ],
      "ownershipProofNotes": "Nobis identifies itself as the hospital manager/operator; the private development/ownership structure is preserved rather than attributed to an unrelated host system.",
      "parentSystemEvidence": "Nobis identifies itself as the hospital manager/operator; the private development/ownership structure is preserved rather than attributed to an unrelated host system."
    },
    {
      "id": "0196785116",
      "name": "SELECT SPECIALTY HOSPITAL - DALLAS PLANO",
      "address": "1100 ALLIED DR 4TH FLOOR",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.0146847997349,
      "longitude": -96.789672999933,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tx-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MISTI VARNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MISTI VARNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785118",
      "name": "UMC HEALTH & WELLNESS HOSPITAL",
      "address": "11011 SLIDE ROAD",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79424",
      "county": "LUBBOCK",
      "latitude": 33.4934174731766,
      "longitude": -101.920686378899,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Lubbock County Hospital District / UMC Health System",
      "parentSystemId": "entity-lubbock-county-hospital-district-umc-health-system",
      "siblingGroupId": "siblings-tx-lubbock-county-hospital-district-umc-health-system",
      "ownershipRelationship": "hospital_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785118",
        "external-resolution-0196785118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.umchealthsystem.com/about-us/"
      ],
      "ownershipProofNotes": "The hospital is part of the Lubbock County Hospital District’s UMC Health System and is government-owned.",
      "parentSystemEvidence": "The hospital is part of the Lubbock County Hospital District’s UMC Health System and is government-owned."
    },
    {
      "id": "0196785119",
      "name": "VIBRA HOSPITAL OF CLEAR LAKE",
      "address": "709 MEDICAL CENTER BLVD",
      "city": "WEBSTER",
      "state": "TX",
      "zip": "77598",
      "county": "HARRIS",
      "latitude": 29.5374106922729,
      "longitude": -95.1296283960354,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 74,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CHG CORNERSTONE HOSPITAL OF HOUSTON LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "452032",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: CHG CORNERSTONE HOSPITAL OF HOUSTON LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG CORNERSTONE HOSPITAL OF HOUSTON LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-cornerstone-hospital-of-houston-lp",
      "siblingGroupId": "siblings-tx-chg-cornerstone-hospital-of-houston-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG CORNERSTONE HOSPITAL OF HOUSTON LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD E HOLLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG CORNERSTONE HOSPITAL OF HOUSTON LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785126",
      "name": "COREWELL HEALTH LAKELAND HOSPITALS ST JOSEPH HOSPITAL",
      "address": "1234 NAPIER AVENUE",
      "city": "ST JOSEPH",
      "state": "MI",
      "zip": "49085",
      "county": "BERRIEN",
      "latitude": 42.0882254481582,
      "longitude": -86.4786056844027,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 215,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785127",
      "name": "PROMEDICA COLDWATER REGIONAL HOSPITAL",
      "address": "274 E CHICAGO ST",
      "city": "COLDWATER",
      "state": "MI",
      "zip": "49036",
      "county": "BRANCH",
      "latitude": 41.9382587299061,
      "longitude": -84.9899194649539,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 71,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "FIRDAUS FOUNDATION",
      "parentSystemId": "entity-firdaus-foundation",
      "siblingGroupId": "siblings-mi-firdaus-foundation",
      "campusFamilyId": "campus-mi-230022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-firdaus-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785133",
      "name": "TRINITY HEALTH GRAND RAPIDS HOSPITAL",
      "address": "200 JEFFERSON AVENUE SE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49503",
      "county": "KENT",
      "latitude": 42.9588278039606,
      "longitude": -85.6631549394062,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 357,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH-MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW P BIERSACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH-MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW P BIERSACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785135",
      "name": "COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL",
      "address": "3601 W THIRTEEN MILE RD",
      "city": "ROYAL OAK",
      "state": "MI",
      "zip": "48073",
      "county": "OAKLAND",
      "latitude": 42.5150696621822,
      "longitude": -83.1923469493591,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 1101,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "campusFamilyId": "campus-mi-230130",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785136",
      "name": "HENRY FORD HEALTH WYANDOTTE HOSPITAL",
      "address": "2333 BIDDLE AVE",
      "city": "WYANDOTTE",
      "state": "MI",
      "zip": "48192",
      "county": "WAYNE",
      "latitude": 42.2102209450444,
      "longitude": -83.1473366491476,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 322,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230146",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785137",
      "name": "ASCENSION ST JOHN HOSPITAL",
      "address": "22101 MOROSS RD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.4200576589312,
      "longitude": -82.914367195953,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 654,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785143",
      "name": "ASCENSION MACOMB OAKLAND HOSP-MADISON HGHTS CAMPUS",
      "address": "27351 DEQUINDRE",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.4939879483284,
      "longitude": -83.0871611735658,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 133,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-mi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785143",
        "external-resolution-0196785143"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785146",
      "name": "COREWELL HEALTH LAKELAND HOSPITALS ST JOSEPH HOSPITAL",
      "address": "1234 NAPIER AVE",
      "city": "ST JOSEPH",
      "state": "MI",
      "zip": "49085",
      "county": "BERRIEN",
      "latitude": 42.0886300099618,
      "longitude": -86.4784856488195,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785147",
      "name": "PROMEDICA COLDWATER REGIONAL HOSPITAL",
      "address": "274 E CHICAGO ST",
      "city": "COLDWATER",
      "state": "MI",
      "zip": "49036",
      "county": "BRANCH",
      "latitude": 41.9381687652809,
      "longitude": -84.9899720415509,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "FIRDAUS FOUNDATION",
      "parentSystemId": "entity-firdaus-foundation",
      "siblingGroupId": "siblings-mi-firdaus-foundation",
      "campusFamilyId": "campus-mi-230022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-firdaus-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785150",
      "name": "ASCENSION BORGESS HOSPITAL",
      "address": "1521 GULL ROAD",
      "city": "KALAMAZOO",
      "state": "MI",
      "zip": "49048",
      "county": "KALAMAZOO",
      "latitude": 42.3080198172483,
      "longitude": -85.5601953802282,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-mi-beacon-health-system-inc",
      "campusFamilyId": "campus-mi-230117",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-ascension-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785151",
      "name": "TRINITY HEALTH GRAND RAPIDS HOSPITAL",
      "address": "200 JEFFERSON SE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49503",
      "county": "KENT",
      "latitude": 42.9592217752606,
      "longitude": -85.6629270997007,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785151",
        "external-resolution-0196785151"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785153",
      "name": "ASCENSION MACOMB OAKLAND HOSP, WARREN CAMPUS",
      "address": "11800 E TWELVE MILE RD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48093",
      "county": "MACOMB",
      "latitude": 42.5059581117436,
      "longitude": -83.0041494769245,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230195",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785155",
      "name": "TRINITY HEALTH BEHAVIORAL HEALTH MUSKEGON",
      "address": "125 E SOUTHERN",
      "city": "MUSKEGON",
      "state": "MI",
      "zip": "49442",
      "county": "MUSKEGON",
      "latitude": 43.2222425748529,
      "longitude": -86.2410543965594,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 27,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785155",
        "external-resolution-0196785155"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785157",
      "name": "ASCENSION MACOMB OAKLAND HOSP, MADISON HGHTS CAMPUS",
      "address": "27351 DEQUINDRE",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.4940491997484,
      "longitude": -83.0870524998743,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Ascension",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension",
      "siblingGroupId": "siblings-mi-ascension",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785157",
        "external-resolution-0196785157"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ascension official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785161",
      "name": "HENRY FORD HEALTH WYANDOTTE HOSPITAL",
      "address": "2333 BIDDLE AVE",
      "city": "WYANDOTTE",
      "state": "MI",
      "zip": "48192",
      "county": "WAYNE",
      "latitude": 42.2101943349588,
      "longitude": -83.1474734967013,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230146",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785162",
      "name": "BEAUMONT BEHAVIORAL HEALTH",
      "address": "18001 ROTUNDA DRIVE",
      "city": "DEARBORN",
      "state": "MI",
      "zip": "48124",
      "county": "WAYNE",
      "latitude": 42.2956356937798,
      "longitude": -83.2109863617856,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 144,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-mi-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785164",
      "name": "ASCENSION ST JOHN HOSPITAL",
      "address": "22101 MOROSS RD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.4198342361078,
      "longitude": -82.9144999328161,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 27,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785166",
      "name": "MCLAREN MACOMB",
      "address": "46810 SCHOENHERR RD.",
      "city": "SHELBY TOWNSHIP",
      "state": "MI",
      "zip": "48315",
      "county": "MACOMB",
      "latitude": 42.6400429002739,
      "longitude": -82.992874700234,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 23,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "McLaren Health Care",
      "parentSystemId": "entity-mclaren-health-care",
      "siblingGroupId": "siblings-mi-mclaren-health-care",
      "ownershipRelationship": "campus_or_hospital_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785166",
        "external-resolution-0196785166"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mclaren.org/main/about-mclaren-health-care"
      ],
      "ownershipProofNotes": "The facility is a hospital or campus of nonprofit McLaren Health Care.",
      "parentSystemEvidence": "The facility is a hospital or campus of nonprofit McLaren Health Care."
    },
    {
      "id": "0196785167",
      "name": "MCLAREN NORTHERN MICHIGAN - CHEBOYGAN CAMPUS",
      "address": "748 S MAIN ST",
      "city": "CHEBOYGAN",
      "state": "MI",
      "zip": "49721",
      "county": "CHEBOYGAN",
      "latitude": 45.6317319400197,
      "longitude": -84.4824074973964,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 18,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "McLaren Health Care",
      "parentSystemId": "entity-mclaren-health-care",
      "siblingGroupId": "siblings-mi-mclaren-health-care",
      "ownershipRelationship": "campus_or_hospital_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785167",
        "external-resolution-0196785167"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mclaren.org/main/about-mclaren-health-care"
      ],
      "ownershipProofNotes": "The facility is a hospital or campus of nonprofit McLaren Health Care.",
      "parentSystemEvidence": "The facility is a hospital or campus of nonprofit McLaren Health Care."
    },
    {
      "id": "0196785169",
      "name": "CHILDRENS HOSPITAL ASSOCIATION THE",
      "address": "13123 EAST 16TH AVENUE",
      "city": "AURORA",
      "state": "CO",
      "zip": "80045",
      "county": "ADAMS",
      "latitude": 39.7421701596858,
      "longitude": -104.834914886308,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDRENS HOSPITAL ASSOCIATION THE",
      "parentSystemId": "entity-childrens-hospital-association-the",
      "siblingGroupId": "siblings-co-childrens-hospital-association-the",
      "campusFamilyId": "campus-co-063301",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Children's Hospital Colorado official about page. Resolved parent/control boundary: Children's Hospital Colorado. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL ASSOCIATION THE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Children's Hospital Colorado official about page. Resolved parent/control boundary: Children's Hospital Colorado. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 063301, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL ASSOCIATION THE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785171",
      "name": "CHILDREN'S HOSPITAL COLORADO - NORTH CAMPUS",
      "address": "469 STATE HWY 7",
      "city": "BROOMFIELD",
      "state": "CO",
      "zip": "80023",
      "county": "BROOMFIELD",
      "latitude": 40.0016625921166,
      "longitude": -104.993317727305,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 22,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Children's Hospital Colorado",
      "parentSystemId": "entity-children-s-hospital-colorado",
      "siblingGroupId": "siblings-co-children-s-hospital-colorado",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785171",
        "external-resolution-0196785171"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.childrenscolorado.org/locations/"
      ],
      "ownershipProofNotes": "Children's Hospital Colorado official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Children's Hospital Colorado official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785172",
      "name": "PAM HEALTH REHABILITATION HOSPITAL OF GREELEY",
      "address": "6810 10TH ST",
      "city": "GREELEY",
      "state": "CO",
      "zip": "80634",
      "county": "WELD",
      "latitude": 40.4199785161211,
      "longitude": -104.790736738663,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 42,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-co-pam-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 02; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785173",
      "name": "PRESBYTERIAN/ST. LUKE'S MEDICAL CENTER",
      "address": "1719 E 19TH AVE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7472602068582,
      "longitude": -104.966611827208,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 680,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "campusFamilyId": "campus-co-060014",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus HCA HealthONE official hospital page. Resolved parent/control boundary: HCA Healthcare. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus HCA HealthONE official hospital page. Resolved parent/control boundary: HCA Healthcare. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785175",
      "name": "U S AIR FORCE ACADEMY HOSPITAL",
      "address": "US AIR FORCE ACADEMY",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80912",
      "county": "EL PASO",
      "latitude": 38.9917932239884,
      "longitude": -104.884596134943,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785175",
        "external-resolution-0196785175"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785176",
      "name": "U S ARMY HOSPITAL",
      "address": "FORT CARSON ARMY BASE",
      "city": "FORT CARSON",
      "state": "CO",
      "zip": "80913",
      "county": "EL PASO",
      "latitude": 38.7191140481213,
      "longitude": -104.797337926782,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-co-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785176",
        "external-resolution-0196785176"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785177",
      "name": "VA HOSPITAL",
      "address": "2121 NORTH AVE",
      "city": "GRAND JUNCTION",
      "state": "CO",
      "zip": "81501",
      "county": "MESA",
      "latitude": 39.0768177033448,
      "longitude": -108.540480586083,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "GRAND JUNCTION VA MEDICAL CENTER",
      "parentSystemId": "entity-grand-junction-va-medical-center",
      "siblingGroupId": "siblings-co-grand-junction-va-medical-center",
      "campusFamilyId": "campus-co-06007f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND JUNCTION VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND JUNCTION VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785180",
      "name": "ADVENTHEALTH WINTER GARDEN",
      "address": "2000 FOWLER GROVE BLVD",
      "city": "WINTER GARDEN",
      "state": "FL",
      "zip": "34787",
      "county": "ORANGE",
      "latitude": 28.5238537273569,
      "longitude": -81.5893135458791,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NON-PROFIT",
      "beds": 80,
      "rating": null,
      "website": "www.adventhealthwintergarden.com",
      "status": "corporate_chain",
      "parentSystem": "AdventHealth",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventhealth",
      "siblingGroupId": "siblings-fl-adventhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785180",
        "external-resolution-0196785180"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.adventhealth.com/hospital-locations"
      ],
      "ownershipProofNotes": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "AdventHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785181",
      "name": "ASCENSION ST VINCENT'S ST JOHNS COUNTY",
      "address": "205 TRINITY WAY",
      "city": "SAINT JOHNS",
      "state": "FL",
      "zip": "32259",
      "county": "ST. JOHNS",
      "latitude": 30.0704489018868,
      "longitude": -81.4970725705851,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NON-PROFIT",
      "beds": 56,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/florida/fljac/middleburg-ascension-st-vincents-clay-county?intent_source=location_title&result_position=7",
      "status": "corporate_chain",
      "parentSystem": "ST. VINCENT'S HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-s-health-system-inc",
      "siblingGroupId": "siblings-fl-st-vincent-s-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785183",
      "name": "BAPTIST MEDICAL CENTER CLAY",
      "address": "1771 BAPTIST CLAY DR",
      "city": "FLEMING ISLAND",
      "state": "FL",
      "zip": "32003",
      "county": "CLAY",
      "latitude": 30.079154978652,
      "longitude": -81.7103267063239,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NON-PROFIT",
      "beds": 102,
      "rating": null,
      "website": "www.baptistjax.com",
      "status": "corporate_chain",
      "affiliatedSystem": "Baptistjax",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistjax",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785183",
        "external-resolution-0196785183"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "www.baptistjax.com"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0196785185",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF LECANTO",
      "address": "3967 W NORVELL BRYANT HWY",
      "city": "LECANTO",
      "state": "FL",
      "zip": "34461",
      "county": "CITRUS",
      "latitude": 28.8934545489736,
      "longitude": -82.4999207169831,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 72,
      "rating": null,
      "website": "https://clearskyhealth.com/lecanto/",
      "status": "corporate_chain",
      "parentSystem": "ClearSky Health",
      "affiliatedSystem": "Clearskyhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Clearskyhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-fl-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785186",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CAPE CORAL",
      "address": "1730 NE PINE ISLAND RD",
      "city": "CAPE CORAL",
      "state": "FL",
      "zip": "33909",
      "county": "LEE",
      "latitude": 26.6684653658261,
      "longitude": -81.9369059012184,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "https://encompasshealth.com/locations/capecoralrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785187",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CLERMONT",
      "address": "2901 SR 50",
      "city": "CLERMONT",
      "state": "FL",
      "zip": "34711",
      "county": "LAKE",
      "latitude": 28.5455873076741,
      "longitude": -81.7018473897795,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://encompasshealth.com/clermontrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785188",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF JACKSONVILLE",
      "address": "11595 BURNT MILL ROAD",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32256",
      "county": "DUVAL",
      "latitude": 30.2429136217633,
      "longitude": -81.5180165399061,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://encompasshealth.com/locations/jacksovillerehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785189",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKELAND",
      "address": "1201 OAKRIDGE PWY",
      "city": "LAKELAND",
      "state": "FL",
      "zip": "33803",
      "county": "POLK",
      "latitude": 28.0041583042759,
      "longitude": -81.9737436272156,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "https://encompasshealth.com/locations/lakelandrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785190",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ST AUGUSTINE",
      "address": "65 SILVER LANE",
      "city": "SAINT AUGUSTINE",
      "state": "FL",
      "zip": "32084",
      "county": "ST. JOHNS",
      "latitude": 29.8626278481534,
      "longitude": -81.3509894409902,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "website": "https://encompasshealth.com/locations/staugustinerehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785191",
      "name": "GENESIS REHABILITATION HOSPITAL",
      "address": "6400 BROOKS BARTRAM DRIVE",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32258",
      "county": "DUVAL",
      "latitude": 30.1344521547699,
      "longitude": -81.534997932711,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "website": "www.brookshealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Brooks Rehabilitation",
      "parentSystemId": "entity-brooks-rehabilitation",
      "siblingGroupId": "siblings-fl-brooks-rehabilitation",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785191",
        "external-resolution-0196785191"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "Exact cms exact name city matched the map location to CMS enrollment O20060327000312 (103039). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city matched the map location to CMS enrollment O20060327000312 (103039). 1 linked organization owner/control row(s) were reviewed; known chain aliases were normalized before parent assignment. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196785192",
      "name": "HCA FLORIDA LARGO WEST HOSPITAL A PART OF HCA FLORIDA LARGO",
      "address": "2025 INDIAN ROCKS RD",
      "city": "LARGO",
      "state": "FL",
      "zip": "33774",
      "county": "PINELLAS",
      "latitude": 27.8985437110354,
      "longitude": -82.8247546247051,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "PROPRIETARY",
      "beds": 169,
      "rating": null,
      "website": "https://www.hcafloridahealthcare.com/locations/largo-west-hospital",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785192",
        "external-resolution-0196785192"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785193",
      "name": "HCA FLORIDA WEST MARION HOSPITAL A PART OF HCA FL OCALA HOSPITAL",
      "address": "4600 SW 46TH COURT",
      "city": "OCALA",
      "state": "FL",
      "zip": "34474",
      "county": "MARION",
      "latitude": 29.1402520998834,
      "longitude": -82.1998231998103,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "PROPRIETARY",
      "beds": 222,
      "rating": null,
      "website": "http://ocalahealthsystem.com/home/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785193",
        "external-resolution-0196785193"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785194",
      "name": "MOFFITT MCKINLEY HOSPITAL",
      "address": "10901 MCKINLEY DR",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33612",
      "county": "HILLSBOROUGH",
      "latitude": 28.0483708431499,
      "longitude": -82.4151365472681,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NON-PROFIT",
      "beds": 128,
      "rating": null,
      "website": "moffitt.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Moffitt Cancer Center",
      "parentSystemId": "entity-moffitt-cancer-center",
      "siblingGroupId": "siblings-fl-moffitt-cancer-center",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785194",
        "external-resolution-0196785194"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.moffitt.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Moffitt Cancer Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Moffitt Cancer Center and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785195",
      "name": "NEUROBEHAVIORAL HOSPITAL OF THE PALM BEACHES-NORTH",
      "address": "993 45TH ST",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33407",
      "county": "PALM BEACH",
      "latitude": 26.7578723996566,
      "longitude": -80.065480899941,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "website": "nbhospitals.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "COUNTY HOLDINGS 2 LLC",
      "parentSystemId": "entity-county-holdings-2-llc",
      "siblingGroupId": "siblings-fl-county-holdings-2-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY HOLDINGS 2 LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY HOLDINGS 2 LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785197",
      "name": "ORLANDO HEALTH ADVANCED REHABILITATION INSTITUTE",
      "address": "1300 HEMPEL AVE",
      "city": "OCOEE",
      "state": "FL",
      "zip": "34761",
      "county": "ORANGE",
      "latitude": 28.5487266402408,
      "longitude": -81.5228683569253,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 54,
      "rating": null,
      "website": "https://www.orlandohealth.com/services-and-specialties/rehabilitation/orlando-health-ormc-institute-for-advanced-rehabilitation",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785197",
        "external-resolution-0196785197"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.orlandohealth.com/facilities"
      ],
      "ownershipProofNotes": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Orlando Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785198",
      "name": "PAM HEALTH REHABILITATION HOSPITAL OF JUPITER",
      "address": "5075 INNOVATION WAY",
      "city": "JUPITER",
      "state": "FL",
      "zip": "33458",
      "county": "PALM BEACH",
      "latitude": 26.8888563002963,
      "longitude": -80.1082121257677,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "website": "pamhealth.com",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Pamhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Pamhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-fl-pam-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785199",
      "name": "PAM HEALTH REHABILITATION HOSPITAL OF TAVARES",
      "address": "1730 MAYO DR",
      "city": "TAVARES",
      "state": "FL",
      "zip": "32778",
      "county": "LAKE",
      "latitude": 28.8176859627598,
      "longitude": -81.7122883708846,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "website": "https://pamhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Pamhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Pamhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-fl-pam-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785200",
      "name": "PAM REHABILITATION HOSPITAL OF VENICE",
      "address": "2639 CURRY LANE",
      "city": "NOKOMIS",
      "state": "FL",
      "zip": "34275",
      "county": "SARASOTA",
      "latitude": 27.1329785599674,
      "longitude": -82.4129964557325,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 42,
      "rating": null,
      "website": "https://pamhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "PAM Health",
      "affiliatedSystem": "Pamhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Pamhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-fl-pam-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785201",
      "name": "PHYSICIANS REGIONAL MEDICAL CENTER - NORTH",
      "address": "1285 CREEKSIDE BLVD E",
      "city": "NAPLES",
      "state": "FL",
      "zip": "34109",
      "county": "COLLIER",
      "latitude": 26.2701884997231,
      "longitude": -81.7886358059962,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "www.physicansregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "campusFamilyId": "campus-fl-100286",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001108109"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001108109.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785202",
      "name": "REHABILITATION HOSPITAL OF NAPLES",
      "address": "14305 COLLIER BLVD",
      "city": "NAPLES",
      "state": "FL",
      "zip": "34119",
      "county": "COLLIER",
      "latitude": 26.2486551499059,
      "longitude": -81.6890269996589,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "website": "www.encompasshealth.com/locations/naplesrehab",
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompasshealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompasshealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785203",
      "name": "REUNION REHABILITATION HOSPITAL JACKSONVILLE",
      "address": "12645 SALINA DR",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32246",
      "county": "DUVAL",
      "latitude": 30.2897313019977,
      "longitude": -81.4875866827817,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "website": "www.reunionrehabhospital.com/locations/jacksonville",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "REUNION HOSPITAL HOLDINGS, LLC",
      "parentSystemId": "entity-reunion-hospital-holdings-llc",
      "siblingGroupId": "siblings-fl-reunion-hospital-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-reunion-hospital-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REUNION HOSPITAL HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REUNION HOSPITAL HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REUNION HOSPITAL HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REUNION HOSPITAL HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785204",
      "name": "TAMPA GENERAL REHABILITATION HOSPITAL",
      "address": "1307 W KENNEDY BLVD",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33606",
      "county": "HILLSBOROUGH",
      "latitude": 27.9452689869264,
      "longitude": -82.4740253290375,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 80,
      "rating": null,
      "website": "https://www.tampageneralrehabhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "FLORIDA HEALTH SCIENCES CENTER INC",
      "parentSystemId": "entity-florida-health-sciences-center-inc",
      "siblingGroupId": "siblings-fl-florida-health-sciences-center-inc",
      "campusFamilyId": "campus-fl-103051",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785206",
      "name": "RHODE ISLAND STATE PSYCHIATRIC HOSPITAL",
      "address": "45 HOWARD AVENUE",
      "city": "CRANSTON",
      "state": "RI",
      "zip": "02920",
      "county": "PROVIDENCE",
      "latitude": 41.7471401003141,
      "longitude": -71.4651836997147,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 53,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "State of Rhode Island",
      "parentSystemId": "entity-state-of-rhode-island",
      "siblingGroupId": "siblings-ri-state-of-rhode-island",
      "ownershipRelationship": "owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785206",
        "external-resolution-0196785206"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://bhddh.ri.gov/about-us/rhode-island-state-psychiatric-hospital"
      ],
      "ownershipProofNotes": "The hospital is owned and operated by the State of Rhode Island.",
      "parentSystemEvidence": "The hospital is owned and operated by the State of Rhode Island."
    },
    {
      "id": "0196785207",
      "name": "BELLEFONTE HOSPITAL AND RECOVERY CENTER",
      "address": "50 RECOVERY DRIVE",
      "city": "ASHLAND",
      "state": "KY",
      "zip": "41101",
      "county": "GREENUP",
      "latitude": 38.5087396312075,
      "longitude": -82.6925919082288,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ADDICTION RECOVERY CARE, LLC",
      "parentSystemId": "entity-addiction-recovery-care-llc",
      "siblingGroupId": "siblings-ky-addiction-recovery-care-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADDICTION RECOVERY CARE, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LEILA ROBINSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADDICTION RECOVERY CARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADDICTION RECOVERY CARE, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LEILA ROBINSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADDICTION RECOVERY CARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785208",
      "name": "JANE TODD CRAWFORD MEMORIAL HOSPITAL",
      "address": "290 INDUSTRIAL PARK ROSE",
      "city": "GREENSBURG",
      "state": "KY",
      "zip": "42743",
      "county": "GREEN",
      "latitude": 37.2680044002802,
      "longitude": -85.493833344727,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 35,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensburg-jane-todd-crawford-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JANE TODD CRAWFORD MEMORIAL HOSPITAL INC.",
      "parentSystemId": "entity-jane-todd-crawford-memorial-hospital-inc",
      "siblingGroupId": "siblings-ky-jane-todd-crawford-memorial-hospital-inc",
      "campusFamilyId": "campus-ky-181325",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-jane-todd-crawford-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to JANE TODD CRAWFORD MEMORIAL HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JANE TODD CRAWFORD MEMORIAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to JANE TODD CRAWFORD MEMORIAL HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JANE TODD CRAWFORD MEMORIAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785212",
      "name": "U OF L HEALTH, FRAZIER REHABILITATION HOSPITAL-BROWNSBORO",
      "address": "5000 CHAMBERLAIN LANE",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40241",
      "county": "JEFFERSON",
      "latitude": 38.3174806036507,
      "longitude": -85.5702164815829,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ky-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785213",
      "name": "ALBUQUERQUE ER & HOSPITAL",
      "address": "8220 MONTGOMERY NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87109",
      "county": "BERNALILLO",
      "latitude": 35.1302135999946,
      "longitude": -106.552288299873,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-nm-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785213",
        "external-resolution-0196785213"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196785214",
      "name": "ALBUQUERQUE ER & HOSPITAL",
      "address": "9310 COORS BLVD NW",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87114",
      "county": "BERNALILLO",
      "latitude": 35.1832101998406,
      "longitude": -106.664901299723,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-nm-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785214",
        "external-resolution-0196785214"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196785219",
      "name": "SAN JUAN REG. MED. CENTER - CANCER TREATMENT CENTER",
      "address": "731 WEST ANIMAS",
      "city": "FARMINGTON",
      "state": "NM",
      "zip": "87401",
      "county": "SAN JUAN",
      "latitude": 36.7264688003455,
      "longitude": -108.215139999795,
      "hospitalType": "CHRONIC DISEASE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "San Juan Regional Medical Center",
      "parentSystemId": "entity-san-juan-regional-medical-center",
      "siblingGroupId": "siblings-nm-san-juan-regional-medical-center",
      "ownershipRelationship": "outpatient_service_location_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785219",
        "external-resolution-0196785219"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sanjuanregional.com/about-us"
      ],
      "ownershipProofNotes": "The cancer and wound centers are outpatient service locations of nonprofit San Juan Regional Medical Center, not separate hospitals.",
      "parentSystemEvidence": "The cancer and wound centers are outpatient service locations of nonprofit San Juan Regional Medical Center, not separate hospitals."
    },
    {
      "id": "0196785220",
      "name": "SAN JUAN REG. MED. CENTER - WOUND TREATMENT CENTER",
      "address": "4251 ENGLISH ROAD",
      "city": "FARMINGTON",
      "state": "NM",
      "zip": "87402",
      "county": "SAN JUAN",
      "latitude": 36.7673784016452,
      "longitude": -108.149196492978,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "San Juan Regional Medical Center",
      "parentSystemId": "entity-san-juan-regional-medical-center",
      "siblingGroupId": "siblings-nm-san-juan-regional-medical-center",
      "ownershipRelationship": "outpatient_service_location_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785220",
        "external-resolution-0196785220"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sanjuanregional.com/about-us"
      ],
      "ownershipProofNotes": "The cancer and wound centers are outpatient service locations of nonprofit San Juan Regional Medical Center, not separate hospitals.",
      "parentSystemEvidence": "The cancer and wound centers are outpatient service locations of nonprofit San Juan Regional Medical Center, not separate hospitals."
    },
    {
      "id": "0196785221",
      "name": "BEEBE HEALTHCARE SPECIALTY SURGICAL HOSPITAL",
      "address": "19161 HEALTHY WAY",
      "city": "REHOBOTH BEACH",
      "state": "DE",
      "zip": "19971",
      "county": "SUSSEX",
      "latitude": 38.7231836611235,
      "longitude": -75.1402723260159,
      "hospitalType": "SPECIAL",
      "sourceOwner": "PROPRIETARY",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Beebe Healthcare",
      "parentSystemId": "entity-beebe-healthcare",
      "siblingGroupId": "siblings-de-beebe-healthcare",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785221",
        "external-resolution-0196785221"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.beebehealthcare.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Beebe Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Beebe Healthcare and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785222",
      "name": "PAM HEALTH REHAB HOSPITAL OF GEORGETOWN",
      "address": "22303 DUPONT BLVD",
      "city": "GEORGETOWN",
      "state": "DE",
      "zip": "19947",
      "county": "SUSSEX",
      "latitude": 38.679353190827,
      "longitude": -75.3925540208016,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-de-pam-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "de-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785226",
      "name": "CHRISTIANACARE (NEWARK)",
      "address": "4755 OGLETOWN-STANTON ROAD, MANAGEMENT SUITE 1270, POB 6001",
      "city": "NEWARK",
      "state": "DE",
      "zip": "19718",
      "county": "NEW CASTLE",
      "latitude": 39.6874585371682,
      "longitude": -75.6692251632989,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 1039,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTIANACARE",
      "parentSystemId": "entity-christianacare",
      "siblingGroupId": "siblings-de-christianacare",
      "campusFamilyId": "campus-de-080001",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ChristianaCare official about page. Resolved parent/control boundary: ChristianaCare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIANACARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Facility name tokens and city matched on the fetched official state page. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ChristianaCare official about page. Resolved parent/control boundary: ChristianaCare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 080001, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIANACARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785229",
      "name": "ASCENSION ALEXIAN BROTHERS",
      "address": "800 WEST BIESTERFIELD ROAD",
      "city": "ELK GROVE VILLAGE",
      "state": "IL",
      "zip": "60007",
      "county": "COOK",
      "latitude": 42.0047234158576,
      "longitude": -88.0167628155557,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 396,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/elk-grove-village-ascension-alexian-brothers",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elk-grove-village-ascension-alexian-brothers/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-il-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785229",
        "external-resolution-0196785229"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785230",
      "name": "ASCENSION MERCY",
      "address": "1325 NORTH HIGHLAND AVENUE",
      "city": "AURORA",
      "state": "IL",
      "zip": "60506",
      "county": "KANE",
      "latitude": 41.7859517999707,
      "longitude": -88.3256347000297,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 292,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/aurora-ascension-mercy",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-ascension-mercy/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140174",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785231",
      "name": "ASCENSION RESURRECTION",
      "address": "7435 WEST TALCOTT AVENUE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60631",
      "county": "COOK",
      "latitude": 41.988000068088,
      "longitude": -87.8143313326284,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 305,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/chicago-ascension-resurrection",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140117",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785232",
      "name": "ASCENSION SAINT ALEXIUS",
      "address": "1555 BARRINGTON ROAD",
      "city": "HOFFMAN ESTATES",
      "state": "IL",
      "zip": "60169",
      "county": "COOK",
      "latitude": 42.052973899935,
      "longitude": -88.1410337002087,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 318,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/hoffman-estates-ascension-saint-alexius",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hoffman-estates-ascension-st.-alexius/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-il-commonspirit-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785232",
        "external-resolution-0196785232"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "CommonSpirit Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785233",
      "name": "ASCENSION SAINT JOSEPH - CHICAGO",
      "address": "2900 NORTH LAKE SHORE DRIVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60657",
      "county": "COOK",
      "latitude": 41.9338629169544,
      "longitude": -87.637179677878,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 326,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/chicago-ascension-saint-joseph-chicago-at-2900-n-lake-shore-dr",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-ascension-st.-joseph---chicago/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-il-ascension-health",
      "campusFamilyId": "campus-il-140224",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785234",
      "name": "ASCENSION SAINT JOSEPH - JOLIET",
      "address": "333 NORTH MADISON STREET",
      "city": "JOLIET",
      "state": "IL",
      "zip": "60435",
      "county": "WILL",
      "latitude": 41.5286768690165,
      "longitude": -88.1360348262826,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 498,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/joliet-ascension-saint-joseph",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-joliet-ascension-st.-joseph---joliet/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785235",
      "name": "ASCENSION SAINT MARY",
      "address": "500 WEST COURT STREET",
      "city": "KANKAKEE",
      "state": "IL",
      "zip": "60901",
      "county": "KANKAKEE",
      "latitude": 41.120569300098,
      "longitude": -87.8721658318174,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 182,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/kankakee-ascension-saint-mary",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140155",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785236",
      "name": "ASCENSION SAINTS MARY AND ELIZABETH",
      "address": "2233 WEST DIVISION STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60622",
      "county": "COOK",
      "latitude": 41.9026995002324,
      "longitude": -87.6836145004159,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 469,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/chicago-ascension-saint-mary",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140180",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785241",
      "name": "GENESIS MEDICAL CENTER-SILVIS",
      "address": "801 ILLINI DRIVE",
      "city": "SILVIS",
      "state": "IL",
      "zip": "61282",
      "county": "ROCK ISLAND",
      "latitude": 41.4943785889849,
      "longitude": -90.4184203841884,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": 137,
      "rating": null,
      "website": "https://www.genesishealth.com/facilities/location-public-profile/genesis-medical-center-silvis/",
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Genesishealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Genesishealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-silvis-genesis-medical-center---silvis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-il-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MERCY HEALTH NETWORK INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MERCY HEALTH NETWORK INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785243",
      "name": "HORIZON HEALTH",
      "address": "721 EAST COURT STREET",
      "city": "PARIS",
      "state": "IL",
      "zip": "61944",
      "county": "EDGAR",
      "latitude": 39.6078132001165,
      "longitude": -87.6773068996984,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "website": "https://www.myhorizonhealth.org/locations/paris-community-hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.",
      "parentSystemId": "entity-hospital-and-medical-foundation-of-paris-inc",
      "siblingGroupId": "siblings-il-hospital-and-medical-foundation-of-paris-inc",
      "campusFamilyId": "campus-il-141320",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-hospital-medical-foundation-of-paris-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785247",
      "name": "MERCYHEALTH HOSPITAL AND MEDICAL CENTER-HARVARD",
      "address": "P. O. BOX 850",
      "city": "HARVARD",
      "state": "IL",
      "zip": "60033",
      "county": "MCHENRY",
      "latitude": 42.4262367538918,
      "longitude": -88.6069604407138,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NON-PROFIT",
      "beds": 50,
      "rating": null,
      "website": "https://www.mercyhealthsystem.org/locations/mercyhealth-hospital-and-medical-center-harvard/",
      "status": "corporate_chain",
      "parentSystem": "Mercyhealthsystem",
      "affiliatedSystem": "Mercyhealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercyhealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harvard-mercyhealth-hospital-and-medical-center---harvard/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyhealthsystem",
      "siblingGroupId": "siblings-il-mercyhealthsystem",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785247",
        "external-resolution-0196785247"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mercyhealthsystem.org/locations/mercyhealth-hospital-and-medical-center-harvard/"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785249",
      "name": "MOUNT SINAI HOSPITAL",
      "address": "CALIFORNIA AT 15TH STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60608",
      "county": "COOK",
      "latitude": 41.8611269447186,
      "longitude": -87.6947923066665,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 288,
      "rating": null,
      "website": "https://www.sinaichicago.org/",
      "status": "corporate_chain",
      "parentSystem": "Mount Sinai Health System",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-health-system",
      "siblingGroupId": "siblings-il-mount-sinai-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785249",
        "external-resolution-0196785249"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785250",
      "name": "NORTHWESTERN MEDICINE DELNOR HOSPITAL",
      "address": "300 RANDALL ROAD",
      "city": "GENEVA",
      "state": "IL",
      "zip": "60134",
      "county": "KANE",
      "latitude": 41.8865763002289,
      "longitude": -88.3435899995532,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 159,
      "rating": null,
      "website": "https://www.nm.org/locations/delnor-hospital",
      "status": "corporate_chain",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "campusFamilyId": "campus-il-140211",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785252",
      "name": "NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL",
      "address": "660 NORTH WESTMORELAND ROAD",
      "city": "LAKE FOREST",
      "state": "IL",
      "zip": "60045",
      "county": "LAKE",
      "latitude": 42.2558878687606,
      "longitude": -87.8656205997577,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 114,
      "rating": null,
      "website": "https://www.nm.org/locations/lake-forest-hospital",
      "status": "corporate_chain",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "campusFamilyId": "campus-il-140130",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Nm; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nm. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Nm; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nm. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785253",
      "name": "NORTHWESTERN MEDICINE PALOS HOSPITAL",
      "address": "12251 SOUTH 80TH STREET",
      "city": "PALOS HEIGHTS",
      "state": "IL",
      "zip": "60463",
      "county": "COOK",
      "latitude": 41.6698049000021,
      "longitude": -87.8128142999974,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 406,
      "rating": null,
      "website": "https://www.nm.org/locations/palos-hospital",
      "status": "corporate_chain",
      "parentSystem": "Northwestern Medicine",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-medicine",
      "siblingGroupId": "siblings-il-northwestern-medicine",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785253",
        "external-resolution-0196785253"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.nm.org/locations"
      ],
      "ownershipProofNotes": "Northwestern Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Northwestern Medicine official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785254",
      "name": "RUSH COPLEY MEDICAL CENTER",
      "address": "2000 OGDEN AVENUE",
      "city": "AURORA",
      "state": "IL",
      "zip": "60504",
      "county": "KANE",
      "latitude": 41.7290859121314,
      "longitude": -88.2704935970992,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 210,
      "rating": null,
      "website": "https://www.rush.edu/locations/rush-copley-medical-center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-rush-copley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RUSH SYSTEM FOR HEALTH",
      "parentSystemId": "entity-rush-system-for-health",
      "siblingGroupId": "siblings-il-rush-system-for-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-rush-university-system-for-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rush.edu/about-us/bondholder-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: RUSH SYSTEM FOR HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Rush University System for Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH SYSTEM FOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RUSH SYSTEM FOR HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Rush University System for Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH SYSTEM FOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785255",
      "name": "SPRINGFIELD MEMORIAL HOSPITAL",
      "address": "701 NORTH FIRST STREET",
      "city": "SPRINGFIELD",
      "state": "IL",
      "zip": "62781",
      "county": "SANGAMON",
      "latitude": 39.8097674002614,
      "longitude": -89.6562840898574,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 500,
      "rating": null,
      "website": "https://memorial.health/springfield-memorial-hospital/overview",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SYSTEM",
      "parentSystemId": "entity-memorial-health-system",
      "siblingGroupId": "siblings-il-memorial-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-memorial-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.choosememorial.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785256",
      "name": "UCHICAGO MEDICINE",
      "address": "5841 SOUTH MARYLAND",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60637",
      "county": "COOK",
      "latitude": 41.7891557347559,
      "longitude": -87.6037730221926,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 862,
      "rating": null,
      "website": "https://www.uchicagomedicine.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF CHICAGO",
      "parentSystemId": "entity-university-of-chicago",
      "siblingGroupId": "siblings-il-university-of-chicago",
      "campusFamilyId": "campus-il-140088",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-university-of-chicago-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchicagomedicine.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF CHICAGO (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to University of Chicago Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CHICAGO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF CHICAGO (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to University of Chicago Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CHICAGO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785257",
      "name": "UI HEALTH",
      "address": "1740 WEST TAYLOR",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60612",
      "county": "COOK",
      "latitude": 41.8696703848893,
      "longitude": -87.6706284232277,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - STATE",
      "beds": 450,
      "rating": null,
      "website": "https://hospital.uillinois.edu/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - STATE",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UI Health",
      "parentSystemId": "entity-ui-health",
      "siblingGroupId": "siblings-il-ui-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785257",
        "external-resolution-0196785257"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://hospital.uillinois.edu/about-ui-health/locations"
      ],
      "ownershipProofNotes": "UI Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "UI Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785258",
      "name": "UNITYPOINT HEALTH - TRINITY MOLINE",
      "address": "500 JOHN DEERE ROAD, 7TH STREET CAMPUS",
      "city": "MOLINE",
      "state": "IL",
      "zip": "61265",
      "county": "ROCK ISLAND",
      "latitude": 41.4681157207663,
      "longitude": -90.5311241327467,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 38,
      "rating": null,
      "website": "https://www.unitypoint.org/locations/unitypoint-health---trinity-moline",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MUSC Health",
      "parentSystemId": "entity-musc-health",
      "siblingGroupId": "siblings-il-musc-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785258",
        "external-resolution-0196785258"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.unitypoint.org/locations/unitypoint-health---trinity-moline"
      ],
      "ownershipProofNotes": "The cached exact facility page identifies or redirects into MUSC Health. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "The cached exact facility page identifies or redirects into MUSC Health. CMS enrollment, CMS owner, HCRIS, IRS-exact, and normalized chain checks were attempted first; no unsupported higher parent is inferred. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196785261",
      "name": "CHI NEBRASKA",
      "address": "P O BOX 1990, 10 EAST 31ST ST",
      "city": "KEARNEY",
      "state": "NE",
      "zip": "68847",
      "county": "BUFFALO",
      "latitude": 40.7073955996993,
      "longitude": -99.0818185997889,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 175,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CHI NEBRASKA",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CURT MICHAEL COLEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CURT MICHAEL COLEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785262",
      "name": "KIMBALL COUNTY HOSPITAL",
      "address": "255 W 4TH ST",
      "city": "KIMBALL",
      "state": "NE",
      "zip": "69145",
      "county": "KIMBALL",
      "latitude": 41.2349642087245,
      "longitude": -103.665140781414,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "KIMBALL COUNTY HOSPITAL",
      "parentSystemId": "entity-kimball-county-hospital",
      "siblingGroupId": "siblings-ne-kimball-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-kimball-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: KIMBALL COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TREVOR W BUSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to KIMBALL COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIMBALL COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KIMBALL COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TREVOR W BUSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to KIMBALL COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIMBALL COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785263",
      "name": "CHI NEBRASKA",
      "address": "P O BOX 489, 704 NORTH THIRD ST",
      "city": "PLAINVIEW",
      "state": "NE",
      "zip": "68769",
      "county": "PIERCE",
      "latitude": 42.3586766998419,
      "longitude": -97.7857799000797,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CHI NEBRASKA",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785264",
      "name": "GRACE HOSPITAL",
      "address": "7007 POWERS BLVD., FLOOR 3",
      "city": "PARMA",
      "state": "OH",
      "zip": "44129",
      "county": "CUYAHOGA",
      "latitude": 41.3818498001734,
      "longitude": -81.7313889002245,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 29,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRACE HOSPITAL",
      "parentSystemId": "entity-grace-hospital",
      "siblingGroupId": "siblings-oh-grace-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785264",
        "external-resolution-0196785264"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments"
      ],
      "ownershipProofNotes": "Exact cms exact name city zip matched the map location to CMS enrollment O20080320000109 (362015). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class.",
      "parentSystemEvidence": "Exact cms exact name city zip matched the map location to CMS enrollment O20080320000109 (362015). No linked organization-owner row was present, so the CMS legal enrollment organization is retained conservatively. HIFLD independently supports location and source-owner class."
    },
    {
      "id": "0196785265",
      "name": "REGENCY HOSPITAL - OREGON",
      "address": "2600 NAVARRE AVENUE, 4TH AND 5TH FLOORS",
      "city": "OREGON",
      "state": "OH",
      "zip": "43616",
      "county": "LUCAS",
      "latitude": 41.6351684002338,
      "longitude": -83.4851913000446,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-oh-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785265",
        "external-resolution-0196785265"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785266",
      "name": "MERCY HEALTH - KINGS MILL HOSPITAL",
      "address": "5440 KINGS ISLAND DRIVE",
      "city": "MASON",
      "state": "OH",
      "zip": "45040",
      "county": "WARREN",
      "latitude": 39.3555323000583,
      "longitude": -84.2579803802584,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785269",
      "name": "LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD",
      "address": "725 WELCH RD",
      "city": "PALO ALTO",
      "state": "CA",
      "zip": "94304",
      "county": "SANTA CLARA",
      "latitude": 37.436080099814,
      "longitude": -122.173874599881,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palo-alto-lucile-salter-packard-children-s-hosp.-at-stanford/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANF",
      "parentSystemId": "entity-lucile-salter-packard-children-s-hospital-at-stanf",
      "siblingGroupId": "siblings-ca-lucile-salter-packard-children-s-hospital-at-stanf",
      "campusFamilyId": "campus-ca-053305",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANF, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 053305, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANF, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785272",
      "name": "SACRAMENTO BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
      "address": "1400 EXPO PKWY",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95815",
      "county": "SACRAMENTO",
      "latitude": 38.5971295543217,
      "longitude": -121.457320751749,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 117,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-sacramento-behavioral-healthcare-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785273",
      "name": "FAIR OAKS RECOVERY CENTER, LLC",
      "address": "2221 FAIR OAKS BLVD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95825",
      "county": "SACRAMENTO",
      "latitude": 38.5752979822105,
      "longitude": -121.414367751642,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785273",
        "external-resolution-0196785273"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0196785275",
      "name": "BAKERSFIELD REHABILITATION HOSPITAL",
      "address": "4400 KIRKCALDY DR",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93306",
      "county": "KERN",
      "latitude": 35.3950081001528,
      "longitude": -118.918969299668,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "053044",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-ca-epoch-acquisition-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785277",
      "name": "CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS (D/P) APH",
      "address": "601 DUBOCE AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94117",
      "county": "SAN FRANCISCO",
      "latitude": 37.768732091709,
      "longitude": -122.434659600721,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SUTTER BAY HOSPITALS",
      "parentSystemId": "entity-sutter-bay-hospitals",
      "siblingGroupId": "siblings-ca-sutter-bay-hospitals",
      "campusFamilyId": "campus-ca-050008",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785278",
      "name": "STOCKTON REGIONAL REHABILITATION HOSPITAL",
      "address": "607 E MAGNOLIA ST",
      "city": "STOCKTON",
      "state": "CA",
      "zip": "95202",
      "county": "SAN JOAQUIN",
      "latitude": 37.9657861998168,
      "longitude": -121.285949400119,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EPOCH ACQUISITION INC",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-ca-epoch-acquisition-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785279",
      "name": "SACRAMENTO REHABILITATION HOSPITAL",
      "address": "10 ADVANTAGE CT",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95834",
      "county": "SACRAMENTO",
      "latitude": 38.6518466001736,
      "longitude": -121.529168300125,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "053045",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-ca-epoch-acquisition-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785280",
      "name": "UC DAVIS REHABILITATION HOSPITAL",
      "address": "4875 BROADWAY",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95820",
      "county": "SACRAMENTO",
      "latitude": 38.5473636998297,
      "longitude": -121.451140600411,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 52,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "DSB ACQUISITION LLC",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-ca-dsb-acquisition-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785286",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO",
      "address": "1300 W 7TH ST",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90732",
      "county": "LOS ANGELES",
      "latitude": 33.7383869000769,
      "longitude": -118.305006200188,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 158,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "campusFamilyId": "campus-ca-050078",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785288",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO",
      "address": "1300 W 7TH ST",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90732",
      "county": "LOS ANGELES",
      "latitude": 33.7383869000769,
      "longitude": -118.305006200188,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "campusFamilyId": "campus-ca-050078",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785291",
      "name": "CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM WEST CAMPUS",
      "address": "215 PERRY HILL ROAD",
      "city": "MONTGOMERY",
      "state": "AL",
      "zip": "36109",
      "county": "MONTGOMERY",
      "latitude": 32.3771830546512,
      "longitude": -86.2435281430528,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-al-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Veterans Health Administration; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Alabama resolution: CMS legal operator/owner was normalized to Veterans Health Administration; the corroborating source establishes the parent or facility family. Ownership class is government; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785292",
      "name": "CREEKSIDE HOSPITAL",
      "address": "200 ROWLAND DR.",
      "city": "BRIDGEPORT",
      "state": "AL",
      "zip": "35740",
      "county": "JACKSON",
      "latitude": 34.9291839278309,
      "longitude": -85.7738385475704,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 21,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ESSENTIAL ACCESS HEALTHCARE, LLC",
      "parentSystemId": "entity-essential-access-healthcare-llc",
      "siblingGroupId": "siblings-al-essential-access-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "al-parent-essential-access-healthcare-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alabamapublichealth.gov/providerstandards/directory.html"
      ],
      "ownershipProofNotes": "CMS lists RANDALL FHIL ROWLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ESSENTIAL ACCESS HEALTHCARE, LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESSENTIAL ACCESS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RANDALL FHIL ROWLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to ESSENTIAL ACCESS HEALTHCARE, LLC; the corroborating source establishes the parent or facility family. Ownership class is for_profit_private; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESSENTIAL ACCESS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785293",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTH ALABAMA",
      "address": "1490 HIGHWAY 72 EAST",
      "city": "HUNTSVILLE",
      "state": "AL",
      "zip": "35811",
      "county": "MADISON",
      "latitude": 34.7729458413301,
      "longitude": -86.5412500151511,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 85,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-al-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Encompass Health; the corroborating source establishes the parent or facility family. Ownership class is for_profit_public; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785294",
      "name": "NOLAND HOSPITAL BIRMINGHAM - DOWNTOWN (SATELLITE ADDITION)",
      "address": "810 ST. VINCENT'S DRIVE, 6TH FLOOR",
      "city": "BIRMINGHAM",
      "state": "AL",
      "zip": "35205",
      "county": "JEFFERSON",
      "latitude": 33.5074662237136,
      "longitude": -86.7889317050647,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NOLAND HEALTH SERVICES, INC",
      "parentSystemId": "entity-noland-health-services-inc",
      "siblingGroupId": "siblings-al-noland-health-services-inc",
      "campusFamilyId": "campus-al-012009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "al-parent-noland-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nolandhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOLAND HEALTH SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Alabama resolution: CMS legal operator/owner was normalized to Noland Health Services; the corroborating source establishes the parent or facility family. Ownership class is nonprofit; PE exposure remains a separate field. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOLAND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785297",
      "name": "ADVENTIST HEALTHCARE REHABILITATION AT WHITE OAK",
      "address": "11890 HEALING WAY, 6S",
      "city": "SILVER SPRING",
      "state": "MD",
      "zip": "20904",
      "county": "MONTGOMERY",
      "latitude": 39.0494704130552,
      "longitude": -76.9575186281543,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 226,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTHCARE, INC.",
      "parentSystemId": "entity-adventist-healthcare-inc",
      "siblingGroupId": "siblings-md-adventist-healthcare-inc",
      "campusFamilyId": "campus-md-210016",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-adventist-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealthcare.com/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAMELA MCCLAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Adventisthealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAMELA MCCLAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Adventisthealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785298",
      "name": "REHABILITATION HOSPITAL OF BOWIE",
      "address": "17351 MELFORD BOULEVARD",
      "city": "BOWIE",
      "state": "MD",
      "zip": "20715",
      "county": "PRINCE GEORGE'S",
      "latitude": 38.9581646999427,
      "longitude": -76.7018353996633,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-md-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785299",
      "name": "PARK NICOLLET METHODIST HOSPITAL",
      "address": "6500 EXCELSIOR BOULEVARD",
      "city": "ST. LOUIS PARK",
      "state": "MN",
      "zip": "55426",
      "county": "HENNEPIN",
      "latitude": 44.9296418776924,
      "longitude": -93.3622305405658,
      "hospitalType": "NOT AVAILABLE",
      "sourceOwner": "NON-PROFIT",
      "beds": 426,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PARK NICOLLET HEALTH SERVICES",
      "parentSystemId": "entity-park-nicollet-health-services",
      "siblingGroupId": "siblings-mn-park-nicollet-health-services",
      "campusFamilyId": "campus-mn-240053",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-healthpartners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthpartners.com/care/find/location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARK NICOLLET HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK NICOLLET HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARK NICOLLET HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK NICOLLET HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785300",
      "name": "NORTH MISSISSIPPI SPECIALTY HOSPITAL",
      "address": "303 MEDICAL CENTER DRIVE, SUITE B, 1ST FLOOR",
      "city": "BATESVILLE",
      "state": "MS",
      "zip": "38606",
      "county": "PANOLA",
      "latitude": 34.3055484798068,
      "longitude": -89.9141880372741,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 3.0, LLC",
      "parentSystemId": "entity-amg-3-0-llc",
      "siblingGroupId": "siblings-ms-amg-3-0-llc",
      "campusFamilyId": "campus-ms-252014",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785301",
      "name": "NORTH MISSISSIPPI SPECIALTY HOSPITAL",
      "address": "303 MEDICAL CENTER DRIVE, SUITE B, 1ST FLOOR",
      "city": "BATESVILLE",
      "state": "MS",
      "zip": "38606",
      "county": "PANOLA",
      "latitude": 34.3046469003705,
      "longitude": -89.9167801996883,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 3.0, LLC",
      "parentSystemId": "entity-amg-3-0-llc",
      "siblingGroupId": "siblings-ms-amg-3-0-llc",
      "campusFamilyId": "campus-ms-252014",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785304",
      "name": "FORT APACHE PHS INDIAN HOSPITAL",
      "address": "UNKNOWN ADDRESS",
      "city": "WHITERIVER",
      "state": "AZ",
      "zip": "85941",
      "county": "NAVAJO",
      "latitude": 33.8765821862978,
      "longitude": -109.959805845965,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Indian Health Service",
      "parentSystemId": "entity-indian-health-service",
      "siblingGroupId": "siblings-az-indian-health-service",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785304",
        "external-resolution-0196785304"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.ihs.gov/findhealthcare/"
      ],
      "ownershipProofNotes": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Indian Health Service Find Health Care directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785305",
      "name": "SELECT SPECIALTY HOSPITAL - TUCSON EAST",
      "address": "5301 E GRANT RD, 1ST FLOOR UNIT 650",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85712",
      "county": "PIMA",
      "latitude": 32.2535655056409,
      "longitude": -110.87965042278,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-az-select-medical",
      "campusFamilyId": "campus-az-032002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWN TSCHABRUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAWN TSCHABRUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785306",
      "name": "US ARMY HOSPITAL-FT HUACHUCA",
      "address": "45001 WINROW SREET",
      "city": "FORT HUACHUCA",
      "state": "AZ",
      "zip": "85613",
      "county": "COCHISE",
      "latitude": 31.5486289631333,
      "longitude": -110.35223049585,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-huachuca-us-army-hospital-ft-huachuca/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-az-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785306",
        "external-resolution-0196785306"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785308",
      "name": "BANNER REHABILITATION HOSPITAL- EAST",
      "address": "1702 SOUTH PIERPONT DR",
      "city": "MESA",
      "state": "AZ",
      "zip": "85206",
      "county": "MARICOPA",
      "latitude": 33.3852826129088,
      "longitude": -111.729353261213,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 56,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-az-banner-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785308",
        "external-resolution-0196785308"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "Banner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Banner Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785309",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF AVONDALE",
      "address": "10903 W MCDOWELL RD",
      "city": "AVONDALE",
      "state": "AZ",
      "zip": "85392",
      "county": "MARICOPA",
      "latitude": 33.4633400916423,
      "longitude": -112.294821693124,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ClearSky Health",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-az-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CLEARSKY HEALTH ACQUISITION LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CLEARSKY HEALTH ACQUISITION LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785310",
      "name": "DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL - GILBERT",
      "address": "1850 S SAN TAN VILLAGE PARKWAY",
      "city": "GILBERT",
      "state": "AZ",
      "zip": "85295",
      "county": "MARICOPA",
      "latitude": 33.3162108898185,
      "longitude": -111.743989324389,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0196785311",
      "name": "REUNION REHABILITATION HOSPITAL PEORIA LLC",
      "address": "13451 N 94TH DRIVE",
      "city": "PEORIA",
      "state": "AZ",
      "zip": "85381",
      "county": "MARICOPA",
      "latitude": 33.6068550937885,
      "longitude": -112.261823060325,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-az-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to NOBIS REHABILITATION PARTNERS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to NOBIS REHABILITATION PARTNERS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785312",
      "name": "REUNION REHABILITATION HOSPITAL PHOENIX LLC",
      "address": "1675 EAST VILLA STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4544573343495,
      "longitude": -112.045793179766,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "033043",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Reunion Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Reunion Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Reunion Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to NOBIS REHABILITATION PARTNERS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-az-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN LOH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Reunion Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Reunion Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to NOBIS REHABILITATION PARTNERS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785313",
      "name": "EAST VALLEY HOSPITAL LLC",
      "address": "5656 SOUTH POWER RD",
      "city": "GILBERT",
      "state": "AZ",
      "zip": "85295",
      "county": "MARICOPA",
      "latitude": 33.3137186999017,
      "longitude": -111.687405699589,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DANNIEL JOSEPH STITES",
      "parentSystemId": "entity-danniel-joseph-stites",
      "siblingGroupId": "siblings-az-danniel-joseph-stites",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: DANNIEL JOSEPH STITES (OPERATIONAL/MANAGERIAL CONTROL, 45%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DANNIEL JOSEPH STITES; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DANNIEL JOSEPH STITES, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DANNIEL JOSEPH STITES (OPERATIONAL/MANAGERIAL CONTROL, 45%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DANNIEL JOSEPH STITES; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DANNIEL JOSEPH STITES, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785315",
      "name": "EXCEPTIONAL HEALTH CARE MARICOPA, LLC A TEXAS, LLC",
      "address": "19060 NORTH JOHN WAYNE PARKWAY",
      "city": "MARICOPA",
      "state": "AZ",
      "zip": "85139",
      "county": "PINAL",
      "latitude": 33.0528060996384,
      "longitude": -112.047901000223,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 9,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MAHBOUBI INVESTMENTS",
      "parentSystemId": "entity-mahboubi-investments",
      "siblingGroupId": "siblings-az-mahboubi-investments",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAHBOUBI INVESTMENTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 43%). CMS lists MUNIR AHMAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MAHBOUBI INVESTMENTS; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHBOUBI INVESTMENTS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAHBOUBI INVESTMENTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 43%). CMS lists MUNIR AHMAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MAHBOUBI INVESTMENTS; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHBOUBI INVESTMENTS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785316",
      "name": "EXCEPTIONAL HEALTH CARE YUMA LLC",
      "address": "2648 SOUTH ARABY RD",
      "city": "YUMA",
      "state": "AZ",
      "zip": "85365",
      "county": "YUMA",
      "latitude": 32.6800398083198,
      "longitude": -114.522433630017,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 9,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MAHBOUBI INVESTMENTS",
      "parentSystemId": "entity-mahboubi-investments",
      "siblingGroupId": "siblings-az-mahboubi-investments",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAHBOUBI INVESTMENTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 43%). CMS lists MUNIR AHMAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MAHBOUBI INVESTMENTS; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHBOUBI INVESTMENTS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAHBOUBI INVESTMENTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 43%). CMS lists MUNIR AHMAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MAHBOUBI INVESTMENTS; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHBOUBI INVESTMENTS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785318",
      "name": "NORTHWEST TRANSITIONS",
      "address": "2025 WEST ORANGE GROVE ROAD- FIRST FLOOR ONLY",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85741",
      "county": "PIMA",
      "latitude": 32.322491000003,
      "longitude": -111.010649999728,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-az-community-health-systems",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785318",
        "external-resolution-0196785318"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "The location is a Northwest Health or Mat-Su facility tied to a CHS hospital subsidiary; CHS is publicly traded.",
      "parentSystemEvidence": "The location is a Northwest Health or Mat-Su facility tied to a CHS hospital subsidiary; CHS is publicly traded."
    },
    {
      "id": "0196785323",
      "name": "MOUNT SINAI -  BEHAVIORAL HEALTH CENTER",
      "address": "45 RIVINGTON STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10002",
      "county": "NEW YORK",
      "latitude": 40.7206952000206,
      "longitude": -73.9911293997555,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NON-PROFIT",
      "beds": 115,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mount Sinai Health System",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-health-system",
      "siblingGroupId": "siblings-ny-mount-sinai-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785323",
        "external-resolution-0196785323"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Mount Sinai Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785325",
      "name": "LONG ISLAND JEWISH VALLEY STREAM",
      "address": "900 FRANKLIN AVENUE",
      "city": "VALLEY STREAM",
      "state": "NY",
      "zip": "11580",
      "county": "NASSAU",
      "latitude": 40.6815182999799,
      "longitude": -73.6866799995787,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 264,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Northwell Health",
      "affiliatedSystem": "Northwell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valley-stream-long-island-jewish-valley-stream/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwell-health",
      "siblingGroupId": "siblings-ny-northwell-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785325",
        "external-resolution-0196785325"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northwell.edu/doctors-and-care/locations"
      ],
      "ownershipProofNotes": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785327",
      "name": "NYU LANGONE HOSPITAL - JOSEPH S. AND DIANE H. STEINBERG AMBULATORY CARE CENTER",
      "address": "70 ATLANTIC AVENUE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11201",
      "county": "KINGS",
      "latitude": 40.6908987002532,
      "longitude": -73.9975266002361,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 2,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NYU Langone Health",
      "affiliatedSystem": "NYU Langone Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NYU Langone Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nyu-langone-health",
      "siblingGroupId": "siblings-ny-nyu-langone-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785327",
        "external-resolution-0196785327"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://nyulangone.org/locations"
      ],
      "ownershipProofNotes": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NYU Langone Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785328",
      "name": "GLEN COVE HOSPITAL",
      "address": "101 ST ANDREWS LANE",
      "city": "GLEN COVE",
      "state": "NY",
      "zip": "11542",
      "county": "NASSAU",
      "latitude": 40.8711486998753,
      "longitude": -73.6225296998503,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 204,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glen-cove-glen-cove-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH INC",
      "parentSystemId": "entity-northwell-health-inc",
      "siblingGroupId": "siblings-ny-northwell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785331",
      "name": "ST. PETER'S HOSPITAL - SPARC",
      "address": "1300 MASSACHUSETTS AVENUE",
      "city": "TROY",
      "state": "NY",
      "zip": "12180",
      "county": "RENSSELAER",
      "latitude": 42.7429020002461,
      "longitude": -73.6762929003227,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ny-trinity-health",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785331",
        "external-resolution-0196785331"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785336",
      "name": "SAMARITAN HOSPITAL - ALBANY MEMORIAL CAMPUS",
      "address": "600 NORTHERN BOULEVARD",
      "city": "ALBANY",
      "state": "NY",
      "zip": "12204",
      "county": "ALBANY",
      "latitude": 42.6741301996755,
      "longitude": -73.7484740003506,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 165,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ny-trinity-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785336",
        "external-resolution-0196785336"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785339",
      "name": "LENOX HEALTH GREENWICH VILLAGE",
      "address": "30 SEVENTH AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10011",
      "county": "NEW YORK",
      "latitude": 40.7378020996966,
      "longitude": -74.0009089998259,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 2,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northwell Health",
      "parentSystemId": "entity-northwell-health",
      "siblingGroupId": "siblings-ny-northwell-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785339",
        "external-resolution-0196785339"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northwell.edu/doctors-and-care/locations"
      ],
      "ownershipProofNotes": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785340",
      "name": "LOCKPORT MEMORIAL HOSPITAL, A CAMPUS OF MOUNT ST MARY'S",
      "address": "6001 SHIMER DRIVE",
      "city": "LOCKPORT",
      "state": "NY",
      "zip": "14094",
      "county": "NIAGARA",
      "latitude": 43.1484930741011,
      "longitude": -78.7069755867893,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kaleida Health",
      "parentSystemId": "entity-kaleida-health",
      "siblingGroupId": "siblings-ny-kaleida-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785340",
        "external-resolution-0196785340"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kaleidahealth.org/locations/"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Kaleida Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785341",
      "name": "SYOSSET HOSPITAL",
      "address": "221 JERICHO TURNPIKE",
      "city": "SYOSSET",
      "state": "NY",
      "zip": "11791",
      "county": "NASSAU",
      "latitude": 40.8109437997258,
      "longitude": -73.5086846004011,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 103,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Northwell Health",
      "parentSystemId": "entity-northwell-health",
      "siblingGroupId": "siblings-ny-northwell-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785341",
        "external-resolution-0196785341"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northwell.edu/doctors-and-care/locations"
      ],
      "ownershipProofNotes": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785342",
      "name": "LONG ISLAND JEWISH FOREST HILLS",
      "address": "102-01 66TH ROAD",
      "city": "FOREST HILLS",
      "state": "NY",
      "zip": "11375",
      "county": "QUEENS",
      "latitude": 40.7290511002478,
      "longitude": -73.8517385995513,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 312,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Northwell Health",
      "affiliatedSystem": "Northwell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwell-health",
      "siblingGroupId": "siblings-ny-northwell-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785342",
        "external-resolution-0196785342"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.northwell.edu/doctors-and-care/locations"
      ],
      "ownershipProofNotes": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Northwell Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785343",
      "name": "ST. PETER'S ADDICTION RECOVERY CENTER",
      "address": "3 MERCYCARE LANE",
      "city": "GUILDERLAND",
      "state": "NY",
      "zip": "12084",
      "county": "ALBANY",
      "latitude": 42.6995584001126,
      "longitude": -73.9051910997164,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NON-PROFIT",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-guilderland-st.-peter-s-addiction-recovery-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ny-trinity-health",
      "ownershipRelationship": "campus_or_service_line_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785343",
        "external-resolution-0196785343"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.trinity-health.org/our-communities"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Trinity Health and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785347",
      "name": "STATEN ISLAND UNIVERSITY HOSP-NORTH",
      "address": "475 SEAVIEW AVENUE",
      "city": "STATEN ISLAND",
      "state": "NY",
      "zip": "10305",
      "county": "RICHMOND",
      "latitude": 40.5848867998363,
      "longitude": -74.0860039003909,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 491,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-staten-island-staten-island-university-hospital---north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTHCARE INC",
      "parentSystemId": "entity-northwell-healthcare-inc",
      "siblingGroupId": "siblings-ny-northwell-healthcare-inc",
      "campusFamilyId": "campus-ny-330160",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785348",
      "name": "HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS",
      "address": "396 BROADWAY",
      "city": "KINGSTON",
      "state": "NY",
      "zip": "12401",
      "county": "ULSTER",
      "latitude": 41.9264459998179,
      "longitude": -73.9952918999313,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 109,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingston-healthalliance-hospital---broadway-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS",
      "parentSystemId": "entity-healthalliance-hospital-marys-avenue-campus",
      "siblingGroupId": "siblings-ny-healthalliance-hospital-marys-avenue-campus",
      "ownershipRelationship": "acquired_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2020-09-23",
      "ownershipSourceIds": [
        "hifld-location-0196785348",
        "external-resolution-0196785348"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership"
      ],
      "ownershipProofNotes": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in NY. The latest transaction effective 09/23/2020 identifies HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS as buyer/current legal organization; the seller was HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS.",
      "parentSystemEvidence": "The facility or legal entity name matched a CMS Hospital Change of Ownership buyer/seller record exactly in NY. The latest transaction effective 09/23/2020 identifies HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS as buyer/current legal organization; the seller was HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS."
    },
    {
      "id": "0196785349",
      "name": "SOUTH SHORE UNIVERSITY HOSPITAL",
      "address": "301 EAST MAIN STREET",
      "city": "BAY SHORE",
      "state": "NY",
      "zip": "11706",
      "county": "SUFFOLK",
      "latitude": 40.7257114998522,
      "longitude": -73.2413581000018,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 325,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bay-shore-south-shore-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH INC",
      "parentSystemId": "entity-northwell-health-inc",
      "siblingGroupId": "siblings-ny-northwell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785350",
      "name": "SELECT SPECIALTY HOSPITAL - DURHAM",
      "address": "3643 NORTH ROXBORO ROAD",
      "city": "DURHAM",
      "state": "NC",
      "zip": "27704",
      "county": "DURHAM",
      "latitude": 36.0361381429334,
      "longitude": -78.9010044387548,
      "hospitalType": "LONG TERM CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Select Medical",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durham-select-specialty-hospital---durham/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-nc-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRANDI ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRANDI ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785351",
      "name": "CAROLINAS MEDICAL CENTER/CENTER FOR MENTAL HEALTH",
      "address": "1000 BLYTHE BLVD",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28203",
      "county": "MECKLENBURG",
      "latitude": 35.2034161998272,
      "longitude": -80.8385573997232,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 1220,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785354",
      "name": "UNC HOSPITALS YOUTH BEHAVIORAL HEALTH",
      "address": "100 H STREET",
      "city": "BUTNER",
      "state": "NC",
      "zip": "27509",
      "county": "GRANVILLE",
      "latitude": 36.137219200196,
      "longitude": -78.7751698000929,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Unknown",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785354"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0196785355",
      "name": "DAVIS REGIONAL PSYCHIATRIC HOSPITAL",
      "address": "218 OLD MOCKSVILLE RD",
      "city": "STATESVILLE",
      "state": "NC",
      "zip": "28625",
      "county": "IREDELL",
      "latitude": 35.8184967999373,
      "longitude": -80.8289356004105,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785355"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved, insufficient_structured_sources."
    },
    {
      "id": "0196785361",
      "name": "FORT SMTIH ER & HOSPITAL",
      "address": "4701 PHOENIX AVE",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72903",
      "county": "SEBASTIAN",
      "latitude": 35.3392415523652,
      "longitude": -94.3812045431567,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-ar-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785361",
        "external-resolution-0196785361"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196785363",
      "name": "HOSPITAL - INDIAN SCHOOL ROAD",
      "address": "650 EAST INDIAN SCHOOL RD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85012",
      "county": "MARICOPA",
      "latitude": 33.4955618026946,
      "longitude": -112.066130417063,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-az-veterans-health-administration",
      "campusFamilyId": "campus-az-03012f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785364",
      "name": "US AIR FORCE HOSPITAL-GLENDALE",
      "address": "LUKE AFB",
      "city": "GLENDALE",
      "state": "AZ",
      "zip": "85301",
      "county": "YUMA",
      "latitude": 32.8600334950802,
      "longitude": -114.43826250389,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785364",
        "external-resolution-0196785364"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785365",
      "name": "US AIR FORCE HOSPITAL-TUCSON",
      "address": "DAVIS-MONTHAN AFB",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85707",
      "county": "PIMA",
      "latitude": 32.1821212893171,
      "longitude": -110.885483041986,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliatedSystem": "U.S. Department of Defense",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-us-air-force-hospital-tucson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785365",
        "external-resolution-0196785365"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785366",
      "name": "US ARMY HOSPITAL-YUMA",
      "address": "YUMA PROVING GROUNDS",
      "city": "YUMA",
      "state": "AZ",
      "zip": "85364",
      "county": "YUMA",
      "latitude": 32.8600612048925,
      "longitude": -114.43828282468,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yuma-us-army-hospital-yuma/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-az-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785366",
        "external-resolution-0196785366"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785367",
      "name": "BH NEWCO HOSPITAL LLC",
      "address": "9160 EAST HORSESHOE RD",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85258",
      "county": "MARICOPA",
      "latitude": 33.5676093172233,
      "longitude": -111.883654241909,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 120,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-az-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785372",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF HARKER HEIGHTS LLC",
      "address": "750 W CENTRAL TEXAS EXPRESSWAY",
      "city": "HARKER HEIGHTS",
      "state": "TX",
      "zip": "76548",
      "county": "BELL",
      "latitude": 31.0715481749015,
      "longitude": -97.6811863431291,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ClearSky Health",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-tx-clearsky-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BYRON LANDOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BYRON LANDOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785373",
      "name": "SOLDIER FAMILY MEDICAL CENTER (WEST BLISS)",
      "address": "2496 RICKER RD",
      "city": "FORT BLISS",
      "state": "TX",
      "zip": "79916",
      "county": "EL PASO",
      "latitude": 31.9291735152349,
      "longitude": -106.46728481277,
      "hospitalType": "MILITARY",
      "sourceOwner": "GOVERNMENT - FEDERAL",
      "beds": null,
      "rating": null,
      "website": "https://william-beaumont.tricare.mil/clinics/soldier-family-medical-center-west-bliss",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "GOVERNMENT - FEDERAL",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-tx-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785373",
        "external-resolution-0196785373"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785374",
      "name": "CINCINNATI REHABILITATION HOSPITAL",
      "address": "4291 PARKVIEW DRIVE",
      "city": "BLUE ASH",
      "state": "OH",
      "zip": "44060",
      "county": "HAMILTON",
      "latitude": 39.2462927070785,
      "longitude": -84.3886034741693,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "PROPRIETARY",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-oh-nobis-rehabilitation-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACEY NIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACEY NIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785377",
      "name": "PAM HEALTH SPECIALTY HOSPITAL OF SHREVEPORT",
      "address": "1541 KINGS HWY, 10TH FL",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71104",
      "county": "CADDO",
      "latitude": 32.4814531988545,
      "longitude": -93.7621991137484,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM CUBED LLC",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-la-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785378",
      "name": "ASCENSION SAINT JOSEPH - ELGIN",
      "address": "77 NORTH AIRLITE STREET",
      "city": "ELGIN",
      "state": "IL",
      "zip": "60120",
      "county": "KANE",
      "latitude": 42.0359482512172,
      "longitude": -88.3259473047654,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 184,
      "rating": null,
      "website": "https://healthcare.ascension.org/locations/illinois/ilchi/elgin-ascension-saint-joseph",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elgin-ascension-st.-joseph---elgin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140217",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785380",
      "name": "LAC/HARBOR UCLA MEDICAL CENTER",
      "address": "1000 W CARSON ST",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90502",
      "county": "LOS ANGELES",
      "latitude": 33.8304776789827,
      "longitude": -118.291813116124,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "GOVERNMENT - LOCAL",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COUNTY OF LOS ANGELES",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-los-angeles",
      "siblingGroupId": "siblings-ca-county-of-los-angeles",
      "campusFamilyId": "campus-ca-050376",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-los-angeles-county-department-of-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dhs.lacounty.gov/our-services/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Los Angeles County DHS official facility directory. Resolved parent/control boundary: Los Angeles County Department of Health Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785383",
      "name": "SELECT SPECIALITY HOSPITAL-NASHVILLE WES",
      "address": "4220 HARDING PIKE, 6TH FLOOR",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37250",
      "county": "RUTHERFORD",
      "latitude": 35.8431074227531,
      "longitude": -86.3421511076547,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 100,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-tn-select-medical",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785383",
        "external-resolution-0196785383"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.selectmedical.com/locations/"
      ],
      "ownershipProofNotes": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Select Medical primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785384",
      "name": "CHRISTIANACARE (WILMINGTON)",
      "address": "501 WEST 14TH STREET, POB 1668",
      "city": "WILMINGTON",
      "state": "DE",
      "zip": "19899",
      "county": "NEW CASTLE",
      "latitude": 39.751307033142,
      "longitude": -75.5497083499791,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": 321,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ChristianaCare",
      "parentSystemId": "entity-christianacare",
      "siblingGroupId": "siblings-de-christianacare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785384",
        "external-resolution-0196785384"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://christianacare.org/us/en/care/locations"
      ],
      "ownershipProofNotes": "ChristianaCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ChristianaCare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785385",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH",
      "address": "502 ROSEPORT ROAD",
      "city": "ELWOOD",
      "state": "KS",
      "zip": "66090",
      "county": "DONIPHAN",
      "latitude": 39.7490815677957,
      "longitude": -94.8744430677738,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "PROPRIETARY",
      "beds": null,
      "rating": null,
      "website": "https://clearskyhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "ClearSky Health",
      "affiliatedSystem": "Clearskyhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Clearskyhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-ks-clearsky-health",
      "campusFamilyId": "campus-ks-173035",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBRA HOFFMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBRA HOFFMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785387",
      "name": "MT. EDGECUMBE MEDICAL CENTER (SEARHC)",
      "address": "222 TONGASS DR",
      "city": "SITKA",
      "state": "AK",
      "zip": "99835",
      "county": "SITKA",
      "latitude": 57.051884600008,
      "longitude": -135.355320925619,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM",
      "parentSystemId": "entity-southeast-alaska-regional-health-consortium",
      "siblingGroupId": "siblings-ak-southeast-alaska-regional-health-consortium",
      "campusFamilyId": "campus-ak-021314",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEGAN CARTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEGAN CARTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785388",
      "name": "JEFFERSON REGIONAL SPECIALTY HOSPITAL",
      "address": "1500 W. HOLLAND AVENUE",
      "city": "WHITE HALL",
      "state": "AR",
      "zip": "71602",
      "county": "JEFFERSON",
      "latitude": 34.2852768941066,
      "longitude": -92.1164348491577,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 76,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHC Community Care",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ar-chc-community-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHC MANAGEMENT SERVICES LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785389",
      "name": "HIGHCREST HOSPITAL OF OVERLAND PARK",
      "address": "6505 W. 103RD STREET",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66212",
      "county": "JOHNSON",
      "latitude": 38.9399436490547,
      "longitude": -94.6626100632212,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 44,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HHN HOLDCO LLC",
      "parentSystemId": "entity-hhn-holdco-llc",
      "siblingGroupId": "siblings-ks-hhn-holdco-llc",
      "campusFamilyId": "campus-ks-172004",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: HHN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NETANEL MYEROWITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HHN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HHN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NETANEL MYEROWITZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HHN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785391",
      "name": "EXALT HEALTH REHABILITATION HOSPITAL SCOTTSDALE",
      "address": "20159 NORTH SCOTTSDALE ROAD",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85255",
      "county": "MARICOPA",
      "latitude": 33.6684933000132,
      "longitude": -111.924662100169,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 48,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EXALT HEALTH OPCO HOLDINGS, LLC",
      "parentSystemId": "entity-exalt-health-opco-holdings-llc",
      "siblingGroupId": "siblings-az-exalt-health-opco-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: EXALT HEALTH OPCO HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to EXALT HEALTH OPCO HOLDINGS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXALT HEALTH OPCO HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EXALT HEALTH OPCO HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to EXALT HEALTH OPCO HOLDINGS, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXALT HEALTH OPCO HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785392",
      "name": "PHOENIX CHILDREN'S HOSPITAL - ARROWHEAD CAMPUS",
      "address": "19007 NORTH 67TH AVENUE",
      "city": "GLENDALE",
      "state": "AZ",
      "zip": "85308",
      "county": "MARICOPA",
      "latitude": 33.6572968439624,
      "longitude": -112.201548374804,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 0,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Phoenix Children's",
      "parentSystemId": "entity-phoenix-children-s",
      "siblingGroupId": "siblings-az-phoenix-children-s",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785392",
        "external-resolution-0196785392"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://projects.propublica.org/nonprofits/organizations/860422559"
      ],
      "ownershipProofNotes": "The Arrowhead campus is part of the nonprofit Phoenix Children’s system.",
      "parentSystemEvidence": "The Arrowhead campus is part of the nonprofit Phoenix Children’s system."
    },
    {
      "id": "0196785399",
      "name": "UC SAN DIEGO HEALTH - EAST CAMPUS MEDICAL CENTER",
      "address": "6655 ALVARADO ROAD",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92120",
      "county": "SAN DIEGO",
      "latitude": 32.7766112996584,
      "longitude": -117.057181699643,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 302,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785399",
        "external-resolution-0196785399"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://health.universityofcalifornia.edu/patient-care/academic-health-centers"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785400",
      "name": "HERITAGE OAKS ENRICHMENT CENTER",
      "address": "4378 AUBURN BOULEVARD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95841",
      "county": "SACRAMENTO",
      "latitude": 38.6453133072624,
      "longitude": -121.361110653916,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785400",
        "external-resolution-0196785400"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded.",
      "parentSystemEvidence": "The facility is operated within the UHS behavioral or acute-care network; UHS is publicly traded."
    },
    {
      "id": "0196785403",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO",
      "address": "1300 WEST SEVENTH STREET",
      "city": "SAN PEDRO",
      "state": "CA",
      "zip": "90732",
      "county": "LOS ANGELES",
      "latitude": 33.7384230701761,
      "longitude": -118.305004360438,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 231,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-pedro-providence-little-company-of-mary-mc---san-pedro/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "campusFamilyId": "campus-ca-050078",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785407",
      "name": "VILLA CORONADO (DP/SNF)",
      "address": "233 PROSPECT PLACE",
      "city": "CORONADO",
      "state": "CA",
      "zip": "92118",
      "county": "SAN DIEGO",
      "latitude": 32.6945190178308,
      "longitude": -117.167373367002,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 122,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "ownershipRelationship": "distinct_part_skilled_nursing_unit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785407",
        "external-resolution-0196785407"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sharp.com/locations/villa-coronado-skilled-nursing-facility"
      ],
      "ownershipProofNotes": "Villa Coronado is a hospital-associated skilled-nursing facility of nonprofit Sharp HealthCare, not a separately owned acute-care hospital.",
      "parentSystemEvidence": "Villa Coronado is a hospital-associated skilled-nursing facility of nonprofit Sharp HealthCare, not a separately owned acute-care hospital."
    },
    {
      "id": "0196785408",
      "name": "COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER",
      "address": "3003 NORTH MARIPOSA STREET",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93703",
      "county": "FRESNO",
      "latitude": 36.7777310999795,
      "longitude": -119.779803000192,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 106,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "Community Subacute and Transitional Care Center profile",
      "evidenceSourceUrl": "https://hcai.ca.gov/facility/community-subacute-and-transitional-care-center/",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "unresolved",
      "classificationDepth": "full_research",
      "classificationReason": "HCAI lists Community Subacute as a distinct part facility consolidated with Community Regional; Community Medical publishes it as a system location. Remaining limitation: Needs public data relationship update and CCN/NPI crosswalk.",
      "classificationSources": [
        "Community Subacute and Transitional Care Center profile",
        "Community Subacute and Transitional Care Center",
        "Community Medical Centers locations navigation"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Health system distinct part facility",
      "operatorName": "Community Medical Centers",
      "publicControlBadge": "Nonprofit / Health system distinct part facility",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-community-subacute-and-transitional-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "",
      "affiliatedSystem": "Community Medical Centers",
      "affiliatedSystemEvidence": "hcai_subacute|community_subacute_page|community_locations_nav",
      "affiliationConfidence": "medium",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785408"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "0196785409",
      "name": "KAWEAH HEALTH REHABILITATION HOSPITAL",
      "address": "840 SOUTH AKERS",
      "city": "VISALIA",
      "state": "CA",
      "zip": "93277",
      "county": "TULARE",
      "latitude": 36.3224420577084,
      "longitude": -119.347817135387,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 61,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Kaweah Health Care District",
      "parentSystemId": "entity-kaweah-health-care-district",
      "siblingGroupId": "siblings-ca-kaweah-health-care-district",
      "ownershipRelationship": "hospital_or_campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785409",
        "external-resolution-0196785409"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kaweahhealth.org/about-us/"
      ],
      "ownershipProofNotes": "The rehabilitation hospital is owned by the public Kaweah Health Care District.",
      "parentSystemEvidence": "The rehabilitation hospital is owned by the public Kaweah Health Care District."
    },
    {
      "id": "0196785410",
      "name": "SONOMA COUNTY HEALING CENTER",
      "address": "7440 RANCHO LOS GUILICOS ROAD",
      "city": "SANTA ROSA",
      "state": "CA",
      "zip": "95409",
      "county": "SONOMA",
      "latitude": 38.4395901600511,
      "longitude": -122.581387400889,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 16,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "County of Sonoma",
      "parentSystemId": "entity-county-of-sonoma",
      "siblingGroupId": "siblings-ca-county-of-sonoma",
      "ownershipRelationship": "government_owned_contract_operated",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785410",
        "external-resolution-0196785410"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://sonomacounty.gov/Main%20County%20Site/Health%20and%20Human%20Services/Health%20Services/Documents/About%20Us/Public%20Reports/MeasureO_AR2024_FINAL_ADA-3.pdf"
      ],
      "ownershipProofNotes": "The county report identifies the Healing Center as a county-run psychiatric health facility operated by Crestwood under contract. Crestwood is not substituted for the government owner.",
      "parentSystemEvidence": "The county report identifies the Healing Center as a county-run psychiatric health facility operated by Crestwood under contract. Crestwood is not substituted for the government owner."
    },
    {
      "id": "0196785411",
      "name": "INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL",
      "address": "12911 W 40TH AVE",
      "city": "WHEAT RIDGE",
      "state": "CO",
      "zip": "80401",
      "county": "JEFFERSON",
      "latitude": 39.772000649117,
      "longitude": -105.145135251618,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 226,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "INTEGRITY HEALTH",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "Colorado Attorney General merger review plus CMS enrollment and owner/control records.",
      "affiliationConfidence": "high",
      "evidenceSource": "Colorado Department of Law and CMS Hospital All Owners",
      "evidenceSourceUrl": "https://coag.gov/press-releases/3-31-22/",
      "evidenceAsOf": "2026-07-06",
      "reviewedAt": "2026-07-06",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Government, CMS, and official system sources establish Intermountain Health as the ultimate parent/system and operational controller. This is a major nonprofit health-system warning, not a private-equity ownership claim.",
      "classificationSources": [
        "Colorado Department of Law SCL/Intermountain merger review",
        "Intermountain Health official merger and naming releases",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "PESP Private Equity Hospital Tracker import"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-06",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "ccn": "060009",
      "relationshipType": "major_health_system",
      "formerOperator": "SCL Health",
      "acquiredDate": "April 1, 2022",
      "peFirm": "",
      "caseId": "colorado-intermountain-st-marys",
      "classificationNote": "Current-campus map row connected to CMS CCN 060009. The older CCN-bearing map row is corrected and retained, not deleted.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integrity-health",
      "siblingGroupId": "siblings-co-integrity-health",
      "campusFamilyId": "campus-co-060009",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785412",
      "name": "PRESBYTERIAN ST LUKE'S MEDICAL CENTER",
      "address": "1719 EAST 19TH AVENUE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7472602068583,
      "longitude": -104.966611827208,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 0,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "campusFamilyId": "campus-co-060014",
      "ownershipRelationship": "campus_subunit_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hrsa-optn-transplant-centers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hrsa.gov/optn/about/membership"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus HCA HealthONE official hospital page. Resolved parent/control boundary: HCA Healthcare. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. No usable CMS ownership code. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus HCA HealthONE official hospital page. Resolved parent/control boundary: HCA Healthcare. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. Tail-resolution method: explicit transplant/campus host mapping to CCN 060014, corroborated by HRSA/OPTN. The separate CCN is preserved and no independent owner was invented. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785414",
      "name": "PAM REHAB HOSPITAL SUSSEX",
      "address": "202 HEALTHY WAY",
      "city": "MILFORD",
      "state": "DE",
      "zip": "19963",
      "county": "SUSSEX",
      "latitude": 38.885968999664,
      "longitude": -75.3957712004477,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-de-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785414",
        "external-resolution-0196785414"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785416",
      "name": "STARKEY RANCH ER & HOSPITAL",
      "address": "2253 HEART PINE AVE",
      "city": "ODESSA",
      "state": "FL",
      "zip": "33556",
      "county": "PASCO",
      "latitude": 28.1913899832362,
      "longitude": -82.6151063202285,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 8,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-fl-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785416",
        "external-resolution-0196785416"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196785417",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF KISSIMMEE",
      "address": "4950 CALYPSO CAY WAY",
      "city": "KISSIMMEE",
      "state": "FL",
      "zip": "34746",
      "county": "OSCEOLA",
      "latitude": 28.337395182831,
      "longitude": -81.4813590204464,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-fl-encompass-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000785161"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000785161.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Encompass Health Corp (EHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785418",
      "name": "UF HEALTH OCALA NEIGHBORHOOD HOSPITAL",
      "address": "2100 NW 35TH AVENUE RD",
      "city": "OCALA",
      "state": "FL",
      "zip": "34475",
      "county": "MARION",
      "latitude": 29.2090939832761,
      "longitude": -82.1829536203088,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 10,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "UF Health",
      "parentSystemId": "entity-uf-health",
      "siblingGroupId": "siblings-fl-uf-health",
      "ownershipRelationship": "hospital_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785418",
        "external-resolution-0196785418"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ufhealth.org/locations/uf-health-ocala-neighborhood-hospital"
      ],
      "ownershipProofNotes": "The hospital is operated within UF Health’s nonprofit hospital structure affiliated with the public University of Florida; the hospital entity’s nonprofit class is used.",
      "parentSystemEvidence": "The hospital is operated within UF Health’s nonprofit hospital structure affiliated with the public University of Florida; the hospital entity’s nonprofit class is used."
    },
    {
      "id": "0196785419",
      "name": "ORLANDO REHABILITATION HOSPITAL",
      "address": "980 GATEWAY DR",
      "city": "ALTAMONTE SPRINGS",
      "state": "FL",
      "zip": "32701",
      "county": "SEMINOLE",
      "latitude": 28.6411752496382,
      "longitude": -81.4222219703836,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NEWERA IRF HOLDINGS, LLC",
      "parentSystemId": "entity-newera-irf-holdings-llc",
      "siblingGroupId": "siblings-fl-newera-irf-holdings-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWERA IRF HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWERA IRF HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785420",
      "name": "NORTH FLORIDA REHABILITATION HOSPITAL",
      "address": "7775 VOLUNTEER WAY",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32221",
      "county": "DUVAL",
      "latitude": 30.2926691831287,
      "longitude": -81.7760401195624,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DSB ACQUISITION LLC",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-fl-dsb-acquisition-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785421",
      "name": "PAM HEALTH SPECIALTY HOSPITAL OF JACKSONVILLE",
      "address": "4901 RICHARD ST",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32207",
      "county": "DUVAL",
      "latitude": 30.2714214829683,
      "longitude": -81.6153604203243,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 107,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CURAHEALTH JACKSONVILLE HOLDCO LLC",
      "parentSystemId": "entity-curahealth-jacksonville-holdco-llc",
      "siblingGroupId": "siblings-fl-curahealth-jacksonville-holdco-llc",
      "campusFamilyId": "campus-fl-102012",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH JACKSONVILLE HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH JACKSONVILLE HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785422",
      "name": "HCA FLORIDA JFK NORTH HOSPITAL A PART OF HCA FLORIDA JFK HOSP",
      "address": "2201 45TH ST",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33407",
      "county": "PALM BEACH",
      "latitude": 26.7610910830437,
      "longitude": -80.0877624202958,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 280,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785422",
        "external-resolution-0196785422"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785423",
      "name": "ORLANDO HEALTH LAKE MARY HOSPITAL",
      "address": "380 RINEHART RD",
      "city": "LAKE MARY",
      "state": "FL",
      "zip": "32746",
      "county": "SEMINOLE",
      "latitude": 28.7677282833033,
      "longitude": -81.3485666199902,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 124,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Orlando Health",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "campus_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785423",
        "external-resolution-0196785423"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.orlandohealth.com/about-us"
      ],
      "ownershipProofNotes": "The facility is an Orlando Health hospital or campus within the nonprofit system.",
      "parentSystemEvidence": "The facility is an Orlando Health hospital or campus within the nonprofit system."
    },
    {
      "id": "0196785426",
      "name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
      "address": "77 N AIRLITE STREET",
      "city": "ELGIN",
      "state": "IL",
      "zip": "60123",
      "county": "KANE",
      "latitude": 42.0359482512173,
      "longitude": -88.3259473047654,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 184,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140217",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785427",
      "name": "RUSH SPECIALTY HOSPITAL, LLC",
      "address": "516 S. LOOMIS STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60607",
      "county": "COOK",
      "latitude": 41.8747144002792,
      "longitude": -87.662091799558,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-il-select-medical",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-select-medical"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selectmedical.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL DELAROSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELECT MEDICAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL DELAROSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Select Medical; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785428",
      "name": "PROTESTANT MEMORIAL MEDICAL CENTER, INC.",
      "address": "4500 MEMORIAL DRIVE",
      "city": "BELLEVILLE",
      "state": "IL",
      "zip": "62226",
      "county": "ST. CLAIR",
      "latitude": 38.5499533001284,
      "longitude": -90.0214557000608,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 222,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-il-bjc-health-system",
      "campusFamilyId": "campus-il-140185",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-bjc-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KURTIS S SCHROEDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to BJC HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KURTIS S SCHROEDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to BJC HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785429",
      "name": "PRESENCE CHICAGO HOSPITALS NETWORK",
      "address": "2233 W DIVISION STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60622",
      "county": "COOK",
      "latitude": 41.9026995002324,
      "longitude": -87.6836145004159,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 361,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140180",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785430",
      "name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
      "address": "500 W COURT STREET",
      "city": "KANKAKEE",
      "state": "IL",
      "zip": "60901",
      "county": "KANKAKEE",
      "latitude": 41.1205337002684,
      "longitude": -87.8719640998489,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 182,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140155",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785431",
      "name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
      "address": "333 N MADISON ST",
      "city": "JOLIET",
      "state": "IL",
      "zip": "60435",
      "county": "WILL",
      "latitude": 41.5286768690166,
      "longitude": -88.1360348262826,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 498,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-il-prime-healthcare",
      "campusFamilyId": "campus-il-140007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785433",
      "name": "MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER, INC",
      "address": "875 S. ROUTE 31",
      "city": "CRYSTAL LAKE",
      "state": "IL",
      "zip": "60014",
      "county": "MCHENRY",
      "latitude": 42.2171515002107,
      "longitude": -88.2851940003111,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 13,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH CORPORATION",
      "parentSystemId": "entity-mercy-health-corporation",
      "siblingGroupId": "siblings-il-mercy-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-mercyhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785435",
      "name": "WAUKEGAN ILLINOIS HOSPITAL COMPANY, LLC",
      "address": "1324 N SHERIDAN RD",
      "city": "WAUKEGAN",
      "state": "IL",
      "zip": "60085",
      "county": "LAKE",
      "latitude": 42.3789597999982,
      "longitude": -87.8334880003853,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 228,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHS VISTA LLC",
      "parentSystemId": "entity-ahs-vista-llc",
      "siblingGroupId": "siblings-il-ahs-vista-llc",
      "campusFamilyId": "campus-il-140084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-quorum-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.quorumhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS VISTA LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN E BURKET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS VISTA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS VISTA LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN E BURKET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS VISTA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785436",
      "name": "HOOPESTON COMMUNITY MEMORIAL HOSPITAL",
      "address": "701 E ORANGE ST",
      "city": "HOOPESTON",
      "state": "IL",
      "zip": "60942",
      "county": "VERMILION",
      "latitude": 40.4586584002331,
      "longitude": -87.6598855003893,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 24,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hoopeston-hoopeston-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CARLE FOUNDATION",
      "parentSystemId": "entity-the-carle-foundation",
      "siblingGroupId": "siblings-il-the-carle-foundation",
      "campusFamilyId": "campus-il-141316",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785437",
      "name": "ENCOMPASS HEALTH REHABILITATION INSTITUTE OF LIBERTYVILLE",
      "address": "1201 AMERICAN WAY",
      "city": "LIBERTYVILLE",
      "state": "IL",
      "zip": "60048",
      "county": "LAKE",
      "latitude": 42.2985633001628,
      "longitude": -88.003150699751,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-il-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785438",
      "name": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS, INC",
      "address": "3333 W DEYOUNG ST",
      "city": "MARION",
      "state": "IL",
      "zip": "62959",
      "county": "WILLIAMSON",
      "latitude": 37.742835988964,
      "longitude": -88.9912399401543,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 106,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Deaconess Health System",
      "parentSystemId": "entity-deaconess-health-system",
      "siblingGroupId": "siblings-il-deaconess-health-system",
      "ownershipRelationship": "hospital_or_service_location_of",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785438",
        "external-resolution-0196785438"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.deaconess.com/About-Us"
      ],
      "ownershipProofNotes": "The Illinois entity is part of nonprofit Deaconess Health System.",
      "parentSystemEvidence": "The Illinois entity is part of nonprofit Deaconess Health System."
    },
    {
      "id": "0196785440",
      "name": "THE QUAD CITIES REHABILITATION INSTITUTE, LLC",
      "address": "653 52ND AVENUE",
      "city": "MOLINE",
      "state": "IL",
      "zip": "61265",
      "county": "ROCK ISLAND",
      "latitude": 41.4669539998899,
      "longitude": -90.5294190000817,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-il-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785443",
      "name": "COMMUNITY REHABILITATION HOSPITAL WEST",
      "address": "8920 E 56TH STREET",
      "city": "BROWNSBURG",
      "state": "IN",
      "zip": "46112",
      "county": "HENDRICKS",
      "latitude": 39.8520003263197,
      "longitude": -86.3645402982828,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-in-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785448",
      "name": "IRWIN ARMY COMMUNITY HOSPITAL",
      "address": "650 HUEBNER RD",
      "city": "FORT RILEY",
      "state": "KS",
      "zip": "66442",
      "county": "GEARY",
      "latitude": 39.0830322001473,
      "longitude": -96.7683039002088,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-riley-irwin-army-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-ks-department-of-defense",
      "campusFamilyId": "campus-ks-17002f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785450",
      "name": "REHABILITATIONHOSPITALOFLOUISVILLE,LLC,DBA BAPTISTHEALTHREHABILITATIONHOSPITAL",
      "address": "11800 BLUEGRASS PARKWAY",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40299",
      "county": "JEFFERSON",
      "latitude": 38.2157819338914,
      "longitude": -85.5353757005808,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ky-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785452",
      "name": "GBC BEHAVIORAL HEALTH",
      "address": "1001 N. 11TH STREET",
      "city": "MONROE",
      "state": "LA",
      "zip": "71201",
      "county": "OUACHITA",
      "latitude": 32.5148252003228,
      "longitude": -92.1151032997683,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "G B COOLEY HOSPITAL FOR RETARDED",
      "parentSystemId": "entity-g-b-cooley-hospital-for-retarded",
      "siblingGroupId": "siblings-la-g-b-cooley-hospital-for-retarded",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-g-b-cooley-hospital-for-retarded"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: G B COOLEY HOSPITAL FOR RETARDED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to G B COOLEY HOSPITAL FOR RETARDED; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent G B COOLEY HOSPITAL FOR RETARDED, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: G B COOLEY HOSPITAL FOR RETARDED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to G B COOLEY HOSPITAL FOR RETARDED; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent G B COOLEY HOSPITAL FOR RETARDED, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785456",
      "name": "316TH MEDICAL GROUP - MALCOLM GROW MEDICAL CLINICS AND SURGERY CENTER",
      "address": "1060 WEST PERIMETER ROAD",
      "city": "JOINT BASE ANDREWS NAF WASHINGTON",
      "state": "MD",
      "zip": "20762",
      "county": "PRINCE GEORGE'S",
      "latitude": 38.8092489179311,
      "longitude": -76.8957032555635,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-md-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785456",
        "external-resolution-0196785456"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785457",
      "name": "HENRY FORD HEALTH MADISON HEIGHTS HOSPITAL",
      "address": "27351 DEQUINDRE",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.4939440589364,
      "longitude": -83.0862744393623,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 133,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785457",
        "external-resolution-0196785457"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.henryford.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785458",
      "name": "HENRY FORD HEIGHTS MADISON HEIGHTS HOSPITAL",
      "address": "27351 DEQUINDRE",
      "city": "MADISON HEIGHTS",
      "state": "MI",
      "zip": "48071",
      "county": "OAKLAND",
      "latitude": 42.4938588778852,
      "longitude": -83.087171901247,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785458",
        "external-resolution-0196785458"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.henryford.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785461",
      "name": "TRINITY HEALTH LIVONIA HOSPITAL",
      "address": "36475 FIVE MILE RD",
      "city": "LIVONIA",
      "state": "MI",
      "zip": "48154",
      "county": "WAYNE",
      "latitude": 42.3937015099138,
      "longitude": -83.4044328503254,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-livonia-trinity-health-livonia-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785465",
      "name": "INSIGHT PSYCHIATRIC HOSPITAL",
      "address": "4800 S SAGINAW ST",
      "city": "FLINT",
      "state": "MI",
      "zip": "48507",
      "county": "GENESEE",
      "latitude": 42.9826774468879,
      "longitude": -83.6763220063421,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 19,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785465",
        "external-resolution-0196785465"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.iinn.com/insight-psychiatric-hospital/"
      ],
      "ownershipProofNotes": "No ownership edge is published: evidence_not_high."
    },
    {
      "id": "0196785467",
      "name": "PONTIAC GENERAL HOSPITAL",
      "address": "461 W HURON ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.6344242996957,
      "longitude": -83.3092034998814,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 100,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AXIOM MANAGEMENT GROUP LLC",
      "parentSystemId": "entity-axiom-management-group-llc",
      "siblingGroupId": "siblings-mi-axiom-management-group-llc",
      "campusFamilyId": "campus-mi-234048",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785474",
      "name": "HENRY FORD HEALTH BEHAVIORAL HEALTH HOSPITAL",
      "address": "7100 BERRYHILL",
      "city": "WEST BLOOMFIELD",
      "state": "MI",
      "zip": "48322",
      "county": "OAKLAND",
      "latitude": 42.534192400249,
      "longitude": -83.407117499688,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 184,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785474",
        "external-resolution-0196785474"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.henryford.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: ownership_class_unresolved."
    },
    {
      "id": "0196785476",
      "name": "COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL",
      "address": "100 MICHIGAN ST NE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49503",
      "county": "KENT",
      "latitude": 42.9696755133249,
      "longitude": -85.6652812453955,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 12,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785479",
      "name": "UNIVERSITY OF MICHIGAN HEALTH-SPARROW BEHAVIORAL HEALTH SERVICES",
      "address": "1210 W SAGINAW",
      "city": "LANSING",
      "state": "MI",
      "zip": "48915",
      "county": "INGHAM",
      "latitude": 42.7418669597893,
      "longitude": -84.5709249720073,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 59,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "University of Michigan Health",
      "parentSystemId": "entity-university-of-michigan-health",
      "siblingGroupId": "siblings-mi-university-of-michigan-health",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785479",
        "external-resolution-0196785479"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.uofmhealth.org/our-locations"
      ],
      "ownershipProofNotes": "University of Michigan Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "University of Michigan Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785481",
      "name": "COREWELL HEALTH LAKELAND HOSPITALS ST JOSEPH HOSPITAL",
      "address": "1234 NAPIER AVE",
      "city": "ST JOSEPH",
      "state": "MI",
      "zip": "49085",
      "county": "BERRIEN",
      "latitude": 42.0886300099618,
      "longitude": -86.4784856488195,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 215,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785483",
      "name": "TRILLIUM BEHAVIORAL PATHWAYS",
      "address": "13251 EAST 10 MILE RD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48089",
      "county": "MACOMB",
      "latitude": 42.4793481998712,
      "longitude": -82.9901742000982,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEALTH LINE CAPITAL, LLC",
      "parentSystemId": "entity-health-line-capital-llc",
      "siblingGroupId": "siblings-mi-health-line-capital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH LINE CAPITAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists JAFAR NAZEER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH LINE CAPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH LINE CAPITAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists JAFAR NAZEER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH LINE CAPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785488",
      "name": "ASCENSION BORGESS HOSPITAL",
      "address": "1521 GULL RD",
      "city": "KALAMAZOO",
      "state": "MI",
      "zip": "49048",
      "county": "KALAMAZOO",
      "latitude": 42.3068872402032,
      "longitude": -85.5613549300885,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 372,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-mi-beacon-health-system-inc",
      "campusFamilyId": "campus-mi-230117",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-ascension-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785489",
      "name": "HENRY FORD HEALTH PROVIDENCE SOUTHFIELD HOSPITAL",
      "address": "16001 W NINE MILE RD",
      "city": "SOUTHFIELD",
      "state": "MI",
      "zip": "48075",
      "county": "OAKLAND",
      "latitude": 42.4577777102206,
      "longitude": -83.205131340393,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 359,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION MICHIGAN",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-michigan",
      "siblingGroupId": "siblings-mi-ascension-michigan",
      "campusFamilyId": "campus-mi-230019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785491",
      "name": "HENRY FORD HEALTH PROVIDENCE SOUTHFIELD HOSPITAL",
      "address": "16001 W NINE MILE RD",
      "city": "SOUTHFIELD",
      "state": "MI",
      "zip": "48075",
      "county": "OAKLAND",
      "latitude": 42.4579938579657,
      "longitude": -83.2049597612755,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION MICHIGAN",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-michigan",
      "siblingGroupId": "siblings-mi-ascension-michigan",
      "campusFamilyId": "campus-mi-230019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785495",
      "name": "TRINITY HEALTH GRAND RAPIDS HOSPITAL",
      "address": "200 JEFFERSON AVENUE SE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49503",
      "county": "KENT",
      "latitude": 42.9592217752606,
      "longitude": -85.6629270997007,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH-MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW P BIERSACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH-MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW P BIERSACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785496",
      "name": "HENRY FORD HEALTH WYANDOTTE HOSPITAL",
      "address": "2333 BIDDLE AVE",
      "city": "WYANDOTTE",
      "state": "MI",
      "zip": "48192",
      "county": "WAYNE",
      "latitude": 42.2102209450444,
      "longitude": -83.1473366491475,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 322,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230146",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785497",
      "name": "SELECT SPECIALTY HOSPITAL - OAKLAND",
      "address": "44405 WOODWARD AVE",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.6139552791805,
      "longitude": -83.2761004927284,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230029",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785503",
      "name": "THE REHABILITATION INSTITUTE OF ST. LOUIS",
      "address": "998 WOODS MILL ROAD",
      "city": "BALLWIN",
      "state": "MO",
      "zip": "63011",
      "county": "ST. LOUIS",
      "latitude": 38.6210240358103,
      "longitude": -90.5121185193997,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HealthCare / Encompass Health joint venture",
      "parentSystemId": "entity-bjc-healthcare-encompass-health-joint-venture",
      "siblingGroupId": "siblings-mo-bjc-healthcare-encompass-health-joint-venture",
      "ownershipRelationship": "jointly_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785503",
        "external-resolution-0196785503"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/press-releases/rehabilitation-institute-st-louis-west-county-40-bed-inpatient-rehabilitation-open-ballwin-missouri"
      ],
      "ownershipProofNotes": "The facility is a BJC-Encompass joint venture. Its hospital community-benefit filing treats it as a nonprofit hospital, while Encompass is a public-company joint-venture partner; the mixed-control relationship is preserved explicitly.",
      "parentSystemEvidence": "The facility is a BJC-Encompass joint venture. Its hospital community-benefit filing treats it as a nonprofit hospital, while Encompass is a public-company joint-venture partner; the mixed-control relationship is preserved explicitly."
    },
    {
      "id": "0196785504",
      "name": "NORTH MISSISSIPPI SPECIALTY HOSPITAL",
      "address": "303 MEDICAL CENTER DRIVE, SUITE B, 1ST FLOOR",
      "city": "BATESVILLE",
      "state": "MS",
      "zip": "38606",
      "county": "PANOLA",
      "latitude": 34.3055484798069,
      "longitude": -89.914188037274,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 31,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMG 3.0, LLC",
      "parentSystemId": "entity-amg-3-0-llc",
      "siblingGroupId": "siblings-ms-amg-3-0-llc",
      "campusFamilyId": "campus-ms-252014",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMG 3.0, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TIMOTHY W HOWARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMG 3.0, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785506",
      "name": "CAREPARTNERS REHABILITATION HOSPITAL",
      "address": "16 ROTARY DRIVE",
      "city": "ASHEVILLE",
      "state": "NC",
      "zip": "28803",
      "county": "BUNCOMBE",
      "latitude": 35.5619111682363,
      "longitude": -82.5313821023617,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "ccn": "343025",
      "reviewedAt": "2026-06-23",
      "evidenceAsOf": "2026-06-23",
      "parentSystem": "HCA Healthcare",
      "evidenceSource": "CMS/HCA/Mission ownership sources",
      "evidenceSourceUrl": "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx",
      "signalSummary": "CAREPARTNERS REHABILITATION HOSPITAL is owned/operated through HCA Healthcare's Mission Health system. This is a corporate-chain warning, not a private-equity ownership claim.",
      "statusLabel": "Corporate-chain backed hospital branch",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital under broad corporate or chain control.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS/HCA/Mission ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "campusFamilyId": "campus-nc-343025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785507",
      "name": "SANFORD BISMARCK",
      "address": "300 N 7TH ST",
      "city": "BISMARCK",
      "state": "ND",
      "zip": "58506",
      "county": "BURLEIGH",
      "latitude": 46.8079462298127,
      "longitude": -100.782338500222,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 248,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bismarck-sanford-bismarck/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-nd-sanford",
      "campusFamilyId": "campus-nd-350015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785509",
      "name": "REHABILITATION HOSPITAL OF GRAND FORKS LLC",
      "address": "4500 S WASHINGTON ST",
      "city": "GRAND FORKS",
      "state": "ND",
      "zip": "58201",
      "county": "GRAND FORKS",
      "latitude": 47.8768473951888,
      "longitude": -97.0468159305736,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-nd-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785509",
        "external-resolution-0196785509"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.encompasshealth.com/locations/grandforks-rehab/referral"
      ],
      "ownershipProofNotes": "The exact facility is listed by publicly traded Encompass Health.",
      "parentSystemEvidence": "The exact facility is listed by publicly traded Encompass Health."
    },
    {
      "id": "0196785510",
      "name": "REHABILITATION INSTITUTE OF MICHIGAN",
      "address": "261 MACK AVENUE, 7TH FLOOR",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3497101300341,
      "longitude": -83.0556029201552,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 69,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-233027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785512",
      "name": "MCAFEE ARMY HEALTH CLINIC",
      "address": "1363 ABERDEEN ROAD",
      "city": "WHITE SANDS MISSILE RANGE",
      "state": "NM",
      "zip": "88002",
      "county": "DOÑA ANA",
      "latitude": 32.3789490000234,
      "longitude": -106.488997700448,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-nm-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785512",
        "external-resolution-0196785512"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785514",
      "name": "NEW MEXICO BEHAVIORAL HEALTHCARE LLC",
      "address": "1801 RANDOLPH RD SE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87106",
      "county": "BERNALILLO",
      "latitude": 35.0547761167949,
      "longitude": -106.62606292857,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 12,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NEW MEXICO BEHAVIORAL HEALTHCARE LLC",
      "parentSystemId": "entity-new-mexico-behavioral-healthcare-llc",
      "siblingGroupId": "siblings-nm-new-mexico-behavioral-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW MEXICO BEHAVIORAL HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW MEXICO BEHAVIORAL HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785516",
      "name": "PAM HEALTH REHABILITATION HOSPITAL OF HENDERSON",
      "address": "930 NORTH GIBSON RD",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89011",
      "county": "CLARK",
      "latitude": 36.0743179788441,
      "longitude": -115.023665340676,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 48,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-nv-pam-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785516",
        "external-resolution-0196785516"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://pamhealth.com/facilities/"
      ],
      "ownershipProofNotes": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "PAM Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785518",
      "name": "SUNARCH ACADEMY",
      "address": "5900 W ROCHELLE AVE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89103",
      "county": "CLARK",
      "latitude": 36.111780068638,
      "longitude": -115.221834961673,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 88,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "THRIVE BEHAVIORAL HOSPITAL LLC",
      "parentSystemId": "entity-thrive-behavioral-hospital-llc",
      "siblingGroupId": "siblings-nv-thrive-behavioral-hospital-llc",
      "campusFamilyId": "campus-nv-294016",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS lists YOSEF MEYSTEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THRIVE BEHAVIORAL HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists YOSEF MEYSTEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THRIVE BEHAVIORAL HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785520",
      "name": "SEVEN HILLS BEHAVIORAL INSTITUTE",
      "address": "3021 W. HORIZON RIDGE PARKWAY",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89052",
      "county": "CLARK",
      "latitude": 35.9962934713292,
      "longitude": -115.120181472069,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 20,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-nv-acadia-healthcare",
      "campusFamilyId": "campus-nv-294012",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785522",
      "name": "PAM HEALTH REHABILITATION HOSPITAL OF MIAMISBURG",
      "address": "2310 CROSSPOINTE DRIVE",
      "city": "MIAMISBURG",
      "state": "OH",
      "zip": "45342",
      "county": "MONTGOMERY",
      "latitude": 39.6356734250101,
      "longitude": -84.2427945921457,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 62,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM CUBED LLC",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-oh-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785524",
      "name": "MERCY HEALTH ST. CHARLES HOSPITAL, LLC",
      "address": "2600 NAVARRE AVENUE",
      "city": "OREGON",
      "state": "OH",
      "zip": "43616",
      "county": "LUCAS",
      "latitude": 41.6351684002339,
      "longitude": -83.4851913000446,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 210,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Bon Secours Mercy Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785524",
        "external-resolution-0196785524"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.bsmhealth.org/locations"
      ],
      "ownershipProofNotes": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Bon Secours Mercy Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785525",
      "name": "MENTOR HOSPITAL, A LOCATION OF HILLCREST HOSPITAL",
      "address": "8300 NORTON PARKWAY",
      "city": "MENTOR",
      "state": "OH",
      "zip": "44060",
      "county": "LAKE",
      "latitude": 41.6499381996831,
      "longitude": -81.3418751996945,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NON-PROFIT",
      "beds": 34,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Cleveland Clinic",
      "parentSystemId": "entity-cleveland-clinic",
      "siblingGroupId": "siblings-oh-cleveland-clinic",
      "ownershipRelationship": "owned_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785525",
        "external-resolution-0196785525"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "The legacy facility brand was normalized to Cleveland Clinic and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs.",
      "parentSystemEvidence": "The legacy facility brand was normalized to Cleveland Clinic and corroborated against the system filing/directory or exact official facility page. The HIFLD owner label is used only as source context and is superseded when the current system class differs."
    },
    {
      "id": "0196785526",
      "name": "LIBERTY REHABILITATION HOSPITAL",
      "address": "7810 BETHANY ROAD",
      "city": "LIBERTY TOWNSHIP",
      "state": "OH",
      "zip": "45044",
      "county": "BUTLER",
      "latitude": 39.3845207999397,
      "longitude": -84.3618741001954,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "CENTERRE HEALTHCARE LLC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "ccn": "363045",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-centerre-healthcare-llc",
      "siblingGroupId": "siblings-oh-centerre-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785527",
      "name": "HUBER HEIGHTS HOLDINGS LLC DBA AM BEHAVIORAL HUBER",
      "address": "6210 BELLEFONTAINE RD",
      "city": "HUBER HEIGHTS",
      "state": "OH",
      "zip": "45424",
      "county": "MONTGOMERY",
      "latitude": 39.8399612753367,
      "longitude": -84.1047304967166,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "PROPRIETARY",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "PROPRIETARY",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785527",
        "external-resolution-0196785527"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.oh.gov/"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high."
    },
    {
      "id": "0196785542",
      "name": "PAM HEALTH SPECIALTY HOSPITAL OF PITTSBURGH",
      "address": "7777 STEUBENVILLE PIKE",
      "city": "OAKDALE",
      "state": "PA",
      "zip": "15071",
      "county": "ALLEGHENY",
      "latitude": 40.438619200044,
      "longitude": -80.208720799678,
      "hospitalType": "SPECIAL",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CURAHEALTH PENNSYLVANIA HOLDCO LLC",
      "parentSystemId": "entity-curahealth-pennsylvania-holdco-llc",
      "siblingGroupId": "siblings-pa-curahealth-pennsylvania-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: CURAHEALTH PENNSYLVANIA HOLDCO LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH PENNSYLVANIA HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CURAHEALTH PENNSYLVANIA HOLDCO LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURAHEALTH PENNSYLVANIA HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785545",
      "name": "HOSPITAL  BUEN SAMARITANO",
      "address": "CARR EST PR 460 KM 0 1 BO CAIMITAL ALTO",
      "city": "AGUADILLA",
      "state": "PR",
      "zip": "00603",
      "county": "AGUADILLA",
      "latitude": 18.4428093402065,
      "longitude": -67.150885110334,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "VOLUNTARY NON-PROFIT - PRIVATE",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "VOLUNTARY NON-PROFIT - PRIVATE",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "0196785547",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF JOHNSTON",
      "address": "2109 HARTFORD AVENUE",
      "city": "JOHNSTON",
      "state": "RI",
      "zip": "02919",
      "county": "PROVIDENCE",
      "latitude": 41.8328876857575,
      "longitude": -71.5238894551348,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 50,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ri-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.encompasshealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. RI resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. RI resolution: normalized CMS owner/operator to Encompass Health; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785548",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FORT MILL",
      "address": "2260 VISTA RD",
      "city": "FORT MILL",
      "state": "SC",
      "zip": "29708",
      "county": "YORK",
      "latitude": 35.0541277203635,
      "longitude": -80.9687042140569,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "LIMITED LIABILITY",
      "beds": 39,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-sc-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785551",
      "name": "METHODIST NORTH",
      "address": "3960 NEW COVINGTON PIKE SATELLITE OF METHODIST HEALTHC",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38128",
      "county": "SHELBY",
      "latitude": 35.2340394002241,
      "longitude": -89.892504699677,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 1614,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "nonprofit",
      "parentSystem": "Methodist Le Bonheur Healthcare",
      "parentSystemId": "entity-methodist-le-bonheur-healthcare",
      "siblingGroupId": "siblings-tn-methodist-le-bonheur-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785551",
        "external-resolution-0196785551"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.methodisthealth.org/locations"
      ],
      "ownershipProofNotes": "Methodist Le Bonheur Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Methodist Le Bonheur Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785552",
      "name": "LE BONHEUR CHILDREN'S HOSPITAL- JACKSON",
      "address": "620 SKYLINE DRIVE",
      "city": "JACKSON",
      "state": "TN",
      "zip": "38301",
      "county": "MADISON",
      "latitude": 35.6365773537966,
      "longitude": -88.8317615327928,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 1614,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "West Tennessee Healthcare / Jackson-Madison County Hospital District",
      "parentSystemId": "entity-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "siblingGroupId": "siblings-tn-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "campusFamilyId": "campus-tn-440002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-west-tennessee-healthcare-jackson-madison-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to JACKSON MADISON COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to JACKSON MADISON COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785554",
      "name": "MEDICAL CITY SACHSE, A CAMPUS OF MEDICAL CITY PLANO",
      "address": "4750 PRESIDENT GEORGE BUSH HWY",
      "city": "SACHSE",
      "state": "TX",
      "zip": "75048",
      "county": "DALLAS",
      "latitude": 32.9529356001512,
      "longitude": -96.5792014999913,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785554",
        "external-resolution-0196785554"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785555",
      "name": "MEDICAL CITY MENTAL HEALTH & WELLNESS CENTER | ALLIANCE",
      "address": "3100 ALLIANCE TOWN CENTER",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76177",
      "county": "TARRANT",
      "latitude": 32.9028771486559,
      "longitude": -97.3123249657782,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 0,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KRISTEN NICOLE SHARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KRISTEN NICOLE SHARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785556",
      "name": "MEDICAL CITY FRISCO A MEDICAL CENTER OF PLANO FACILITY",
      "address": "5500 FRISCO SQUARE BLVD",
      "city": "FRISCO",
      "state": "TX",
      "zip": "75034",
      "county": "COLLIN",
      "latitude": 33.1510363003364,
      "longitude": -96.8389523998018,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 69,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785556",
        "external-resolution-0196785556"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785557",
      "name": "MEDICAL CITY DECATUR, A CAMPUS OF MEDICAL CITY DENTON",
      "address": "2000 S FM 51",
      "city": "DECATUR",
      "state": "TX",
      "zip": "76234",
      "county": "WISE",
      "latitude": 33.217812849676,
      "longitude": -97.5976608101452,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785557",
        "external-resolution-0196785557"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785560",
      "name": "EXALT HEALTH REHABILITATION HOSPITAL CONROE",
      "address": "2507 SOUTH LOOP 336 W",
      "city": "CONROE",
      "state": "TX",
      "zip": "77304",
      "county": "MONTGOMERY",
      "latitude": 30.2873422999298,
      "longitude": -95.4918731001087,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EXALT HEALTH OPCO HOLDINGS, LLC",
      "parentSystemId": "entity-exalt-health-opco-holdings-llc",
      "siblingGroupId": "siblings-tx-exalt-health-opco-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EXALT HEALTH OPCO HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXALT HEALTH OPCO HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EXALT HEALTH OPCO HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXALT HEALTH OPCO HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785561",
      "name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HOUSTON AT THE MEDIC",
      "address": "3010 YELLOWSTONE BLVD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77054",
      "county": "HARRIS",
      "latitude": 29.6993256002221,
      "longitude": -95.3808887000548,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 61,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Encompass Health",
      "affiliatedSystem": "Encompass Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Encompass Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-tx-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-rehabilitation-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/edgar/search/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CAREY B MCRAE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public rehabilitation operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785564",
      "name": "AIRMAN MEDICAL TRANSITION UNIT",
      "address": "1100 WILFORD HALL LOOP, BLDG. 4554",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78236",
      "county": "BEXAR",
      "latitude": 29.3994769207242,
      "longitude": -98.6226802437312,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "U.S. Department of Defense",
      "parentSystemId": "entity-u-s-department-of-defense",
      "siblingGroupId": "siblings-tx-u-s-department-of-defense",
      "ownershipRelationship": "operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785564",
        "external-resolution-0196785564"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.health.mil/Reference-Center/Publications/2023/11/08/MTF-List"
      ],
      "ownershipProofNotes": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Defense Health Agency Military Hospitals and Clinics list corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785567",
      "name": "MEDICAL CITY DECATUR, A CAMPUS OF MEDICAL CITY DENTON",
      "address": "609 MEDICAL CENTER DRIVE",
      "city": "DECATUR",
      "state": "TX",
      "zip": "76234",
      "county": "WISE",
      "latitude": 33.2177042001056,
      "longitude": -97.5932943995864,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 78,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785567",
        "external-resolution-0196785567"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm"
      ],
      "ownershipProofNotes": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "HCA Healthcare primary filing or official national facility directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785568",
      "name": "CRAIK CLINIC",
      "address": "1 U S COAST GUARD TNG CTR",
      "city": "YORKTOWN",
      "state": "VA",
      "zip": "23690",
      "county": "YORK",
      "latitude": 37.2185853183559,
      "longitude": -76.4782429782227,
      "hospitalType": "MILITARY",
      "sourceOwner": "NOT AVAILABLE",
      "beds": null,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "low",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785568"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: status_not_publication_qualified, evidence_not_high, ownership_class_unresolved, insufficient_structured_sources."
    },
    {
      "id": "0196785570",
      "name": "SHOREWOOD BEHAVIORAL HEALTH",
      "address": "5401 QUARRY PARK RD",
      "city": "MADISON",
      "state": "WI",
      "zip": "53718",
      "county": "DANE",
      "latitude": 43.1307312009651,
      "longitude": -89.2867497728491,
      "hospitalType": "PSYCHIATRIC",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 120,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-wi-acadia-healthcare",
      "ownershipRelationship": "owned_or_operated_by_subsidiary",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785570",
        "external-resolution-0196785570"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "The hospital is operated in Acadia Healthcare’s behavioral-health network; Acadia is publicly traded.",
      "parentSystemEvidence": "The hospital is operated in Acadia Healthcare’s behavioral-health network; Acadia is publicly traded."
    },
    {
      "id": "0196785571",
      "name": "PAM HEALTH REHABILITATION HOSPITAL OF WAUSAU",
      "address": "1111 WESTWOOD DR",
      "city": "WAUSAU",
      "state": "WI",
      "zip": "54401",
      "county": "MARATHON",
      "latitude": 44.9767683999688,
      "longitude": -89.659951400021,
      "hospitalType": "CRITICAL ACCESS",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 42,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PAM Health",
      "parentSystemId": "entity-pam-health",
      "siblingGroupId": "siblings-wi-pam-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-verified-parent-pam-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://pamhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785573",
      "name": "MILWAUKEE ER & HOSPITAL",
      "address": "1751 W LAYTON AVE",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53221",
      "county": "MILWAUKEE",
      "latitude": 42.9586654418071,
      "longitude": -87.9364172791518,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 14,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Nutex Health",
      "parentSystemId": "entity-nutex-health",
      "siblingGroupId": "siblings-wi-nutex-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785573",
        "external-resolution-0196785573"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1479681/000147968125000006/nutx-20241231xex21d1.htm"
      ],
      "ownershipProofNotes": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX).",
      "parentSystemEvidence": "The SEC subsidiary filing and Nutex facility directory connect this physician-owned micro-hospital or emergency hospital to publicly traded Nutex Health (NASDAQ: NUTX)."
    },
    {
      "id": "0196785576",
      "name": "LOUIS A JOHNSON VA MEDICAL CENTER (CLARKSBURG)",
      "address": "1 MED CENTER DR",
      "city": "CLARKSBURG",
      "state": "WV",
      "zip": "26301",
      "county": "HARRISON",
      "latitude": 39.2697341200387,
      "longitude": -80.3621214097446,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 0,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-u-s-department-of-veterans-affairs",
      "siblingGroupId": "siblings-wv-u-s-department-of-veterans-affairs",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785576",
        "external-resolution-0196785576"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.va.gov/find-locations/"
      ],
      "ownershipProofNotes": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "U.S. Department of Veterans Affairs location directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785578",
      "name": "THE HOSPITALS OF PROVIDENCE REHABILITATION HOSPITAL EAST",
      "address": "2230 JOE BATTLE BLVD",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79938",
      "county": "EL PASO",
      "latitude": 31.7904005781982,
      "longitude": -106.264112848554,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "DSB ACQUISITION LLC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-tx-dsb-acquisition-llc",
      "campusFamilyId": "campus-tx-673083",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785579",
      "name": "PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER",
      "address": "4320 MARICOPA STREET",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90503",
      "county": "LOS ANGELES",
      "latitude": 33.8391271362082,
      "longitude": -118.359738706208,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 115,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-torrance-providence-little-company-of-mary-transitional-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785579",
        "external-resolution-0196785579"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Providence official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "0196785580",
      "name": "REHABILITATION HOSPITAL OF ATLANTA",
      "address": "1968 PEACHTREE RD NW, BUILDING 2, 6TH FLOOR",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30309",
      "county": "FULTON",
      "latitude": 33.8090843832471,
      "longitude": -84.3941696521636,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 40,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Encompass Health",
      "parentSystemId": "entity-encompass-health",
      "siblingGroupId": "siblings-ga-encompass-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-encompass-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/785161/000078516126000013/ehc-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENCOMPASS HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK J TARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Encompass Health; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Encompass Health, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785587",
      "name": "UF HEALTH REHABILITATION HOSPITAL - NORTH",
      "address": "15255 MAX LEGGETT PKWY 2ND AND 3RD FLOORS",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32218",
      "county": "DUVAL",
      "latitude": 30.4844283391212,
      "longitude": -81.6334490388192,
      "hospitalType": "REHABILITATION",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 48,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "NOT AVAILABLE",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Select Medical",
      "parentSystemId": "entity-select-medical",
      "siblingGroupId": "siblings-fl-select-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001320414"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001320414.json"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant SELECT MEDICAL HOLDINGS CORP (SEM). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Select Medical, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785589",
      "name": "HENRY FORD HEALTH ROCHESTER HOSPITAL",
      "address": "1101 W UNIVERSITY DR",
      "city": "ROCHESTER",
      "state": "MI",
      "zip": "48307",
      "county": "OAKLAND",
      "latitude": 42.6798150499445,
      "longitude": -83.1495133703872,
      "hospitalType": "GENERAL ACUTE CARE",
      "sourceOwner": "NOT AVAILABLE",
      "beds": 270,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230254",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "0196785590",
      "name": "CHILDREN’S HOSPITAL OF PHILADELPHIA, KING OF PRUSSIA CAMPUS",
      "address": "550 S. GODDARD BOULEVARD SOUTH ENTRANCE",
      "city": "KING OF PRUSSIA",
      "state": "PA",
      "zip": "19406",
      "county": "MONTGOMERY",
      "latitude": 40.0872075742617,
      "longitude": -75.4077706381965,
      "hospitalType": "CHILDREN",
      "sourceOwner": "NON-PROFIT",
      "beds": 124,
      "rating": null,
      "website": "https://www.chop.edu/locations/emergency-department-king-prussia",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "NON-PROFIT",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Children's Hospital of Philadelphia",
      "parentSystemId": "entity-children-s-hospital-of-philadelphia",
      "siblingGroupId": "siblings-pa-children-s-hospital-of-philadelphia",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-0196785590",
        "external-resolution-0196785590"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.chop.edu/locations"
      ],
      "ownershipProofNotes": "Children's Hospital of Philadelphia official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Children's Hospital of Philadelphia official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "020001",
      "ccn": "020001",
      "name": "PROVIDENCE ALASKA MEDICAL CENTER",
      "address": "3200 PROVIDENCE DR",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99508",
      "county": "ANCHORAGE",
      "latitude": 61.1887628800443,
      "longitude": -149.81995870042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 401,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anchorage-providence-alaska-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "020006",
      "ccn": "020006",
      "name": "MAT - SU REGIONAL MEDICAL CENTER",
      "address": "2500 SOUTH WOODWORTH LOOP",
      "city": "PALMER",
      "state": "AK",
      "zip": "99645",
      "county": "MATANUSKA-SUSITNA",
      "latitude": 61.562893580208,
      "longitude": -149.258311160043,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 125,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palmer-mat-su-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ak-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "020008",
      "ccn": "020008",
      "name": "BARTLETT REGIONAL HOSPITAL",
      "address": "3260 HOSPITAL DR",
      "city": "JUNEAU",
      "state": "AK",
      "zip": "99801",
      "county": "JUNEAU",
      "latitude": 58.3290795098198,
      "longitude": -134.465152629897,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 73,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-juneau-bartlett-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CITY AND BOROUGH OF JUNEAU ALASKA",
      "affiliatedSystem": "CITY AND BOROUGH OF JUNEAU ALASKA",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CITY AND BOROUGH OF JUNEAU ALASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN F RASTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY AND BOROUGH OF JUNEAU ALASKA; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY AND BOROUGH OF JUNEAU ALASKA, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-city-and-borough-of-juneau-alaska",
      "siblingGroupId": "siblings-ak-city-and-borough-of-juneau-alaska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY AND BOROUGH OF JUNEAU ALASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN F RASTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY AND BOROUGH OF JUNEAU ALASKA; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY AND BOROUGH OF JUNEAU ALASKA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "020012",
      "ccn": "020012",
      "name": "FAIRBANKS MEMORIAL HOSPITAL",
      "address": "1650 COWLES ST",
      "city": "FAIRBANKS",
      "state": "AK",
      "zip": "99701",
      "county": "FAIRBANKS NORTH STAR",
      "latitude": 64.8317447098892,
      "longitude": -147.739392819732,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 152,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairbanks-fairbanks-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "FOUNDATION HEALTH LLC",
      "affiliatedSystem": "FOUNDATION HEALTH LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: FOUNDATION HEALTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHELLEY D EBENAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to FOUNDATION HEALTH LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FOUNDATION HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-foundation-health-llc",
      "siblingGroupId": "siblings-ak-foundation-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: FOUNDATION HEALTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHELLEY D EBENAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to FOUNDATION HEALTH LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FOUNDATION HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "020017",
      "ccn": "020017",
      "name": "ALASKA REGIONAL HOSPITAL",
      "address": "2801 DEBARR ROAD",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99508",
      "county": "ANCHORAGE",
      "latitude": 61.2107391399278,
      "longitude": -149.828988170397,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 250,
      "rating": 1,
      "website": "http://www.alaskaregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anchorage-alaska-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "GALEN HOLDCO LLC",
      "affiliatedSystem": "GALEN HOLDCO LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: GALEN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to GALEN HOLDCO LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALEN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-galen-holdco-llc",
      "siblingGroupId": "siblings-ak-galen-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: GALEN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to GALEN HOLDCO LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALEN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "020024",
      "ccn": "020024",
      "name": "CENTRAL PENINSULA GENERAL HOSPITAL",
      "address": "250 HOSPITAL PLACE",
      "city": "SOLDOTNA",
      "state": "AK",
      "zip": "99669",
      "county": "KENAI PENINSULA",
      "latitude": 60.4931690499164,
      "longitude": -151.077826959627,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 2,
      "website": "www.cpgh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CENTRAL PENINSULA GENERAL HOSPITAL INC",
      "affiliatedSystem": "CENTRAL PENINSULA GENERAL HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL PENINSULA GENERAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CENTRAL PENINSULA GENERAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL PENINSULA GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-central-peninsula-general-hospital-inc",
      "siblingGroupId": "siblings-ak-central-peninsula-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL PENINSULA GENERAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CENTRAL PENINSULA GENERAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL PENINSULA GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "020026",
      "ccn": "020026",
      "name": "ALASKA NATIVE MEDICAL CENTER",
      "address": "4315 DIPLOMACY DRIVE",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99508",
      "county": "ANCHORAGE",
      "latitude": 61.1829503501353,
      "longitude": -149.800292630404,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 173,
      "rating": 2,
      "website": "http://www.anmc.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "ALASKA NATIVE MEDICAL CENTER",
      "affiliatedSystem": "Government - Federal",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Government - Federal; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALASKA NATIVE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-alaska-native-medical-center",
      "siblingGroupId": "siblings-ak-alaska-native-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Government - Federal; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALASKA NATIVE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "021301",
      "ccn": "021301",
      "name": "PROVIDENCE VALDEZ MEDICAL CENTER",
      "address": "911 MEALS AVE",
      "city": "VALDEZ",
      "state": "AK",
      "zip": "99686",
      "county": "CHUGACH",
      "latitude": 61.1365337798004,
      "longitude": -146.346551670396,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 11,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valdez-providence-valdez-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "021304",
      "ccn": "021304",
      "name": "PETERSBURG MEDICAL CENTER",
      "address": "103 FRAM ST",
      "city": "PETERSBURG",
      "state": "AK",
      "zip": "99833",
      "county": "PETERSBURG",
      "latitude": 56.8128840802012,
      "longitude": -132.95520506005,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 12,
      "rating": null,
      "website": "http://www.pmc-health.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-petersburg-petersburg-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE PETERSBURG MEDICAL CENTER",
      "affiliatedSystem": "THE PETERSBURG MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists PHILIP HOFSTETTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to THE PETERSBURG MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE PETERSBURG MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-petersburg-medical-center",
      "siblingGroupId": "siblings-ak-the-petersburg-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS lists PHILIP HOFSTETTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to THE PETERSBURG MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE PETERSBURG MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "021307",
      "ccn": "021307",
      "name": "CORDOVA COMMUNITY MEDICAL CENTER",
      "address": "602 CHASE AVE",
      "city": "CORDOVA",
      "state": "AK",
      "zip": "99574",
      "county": "CHUGACH",
      "latitude": 60.5412547698212,
      "longitude": -145.750649150296,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 23,
      "rating": null,
      "website": "http://cdvcmc.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cordova-cordova-community-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CITY OF CORDOVA",
      "affiliatedSystem": "CITY OF CORDOVA",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF CORDOVA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY OF CORDOVA; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CORDOVA, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-city-of-cordova",
      "siblingGroupId": "siblings-ak-city-of-cordova",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF CORDOVA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY OF CORDOVA; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CORDOVA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "021308",
      "ccn": "021308",
      "name": "NORTON SOUND REGIONAL HOSPITAL",
      "address": "1000 GREG KRUSCHEK AVE",
      "city": "NOME",
      "state": "AK",
      "zip": "99762",
      "county": "NOME",
      "latitude": 64.4995029100753,
      "longitude": -165.37840769042,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": 18,
      "rating": null,
      "website": "www.nortonsoundhealth.org/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nome-norton-sound-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NORTON SOUND HEALTH CORPORATION",
      "affiliatedSystem": "NORTON SOUND HEALTH CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTON SOUND HEALTH CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON SOUND HEALTH CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-norton-sound-health-corporation",
      "siblingGroupId": "siblings-ak-norton-sound-health-corporation",
      "campusFamilyId": "campus-ak-021308",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTON SOUND HEALTH CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON SOUND HEALTH CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "021308-loc-ak-nome-nome-norton-sound-regional-hospital",
      "ccn": "021308",
      "name": "NOME - NORTON SOUND REGIONAL HOSPITAL",
      "address": "306 WEST 5TH AVENUE",
      "city": "NOME",
      "state": "AK",
      "zip": "99762",
      "county": "NOME",
      "latitude": 64.5022030001127,
      "longitude": -165.405947699615,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": null,
      "rating": null,
      "website": "http://www.nortonsoundhealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "NORTON SOUND HEALTH CORPORATION",
      "affiliatedSystem": "NORTON SOUND HEALTH CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTON SOUND HEALTH CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON SOUND HEALTH CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-norton-sound-health-corporation",
      "siblingGroupId": "siblings-ak-norton-sound-health-corporation",
      "campusFamilyId": "campus-ak-021308",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTON SOUND HEALTH CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON SOUND HEALTH CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "021308"
    },
    {
      "id": "021309",
      "ccn": "021309",
      "name": "KANAKANAK HOSPITAL",
      "address": "6000 KANAKANAK ROAD",
      "city": "DILLINGHAM",
      "state": "AK",
      "zip": "99576",
      "county": "DILLINGHAM",
      "latitude": 59.0004747600182,
      "longitude": -158.536312300185,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "website": "http://www.bbahc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dillingham-kanakanak-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BRISTOL BAY AREA HEALTH CORPORATION",
      "affiliatedSystem": "BRISTOL BAY AREA HEALTH CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BRISTOL BAY AREA HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BRISTOL BAY AREA HEALTH CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRISTOL BAY AREA HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bristol-bay-area-health-corporation",
      "siblingGroupId": "siblings-ak-bristol-bay-area-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRISTOL BAY AREA HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BRISTOL BAY AREA HEALTH CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRISTOL BAY AREA HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "021310",
      "ccn": "021310",
      "name": "MANIILAQ HEALTH CENTER - HOSPITAL",
      "address": "436 5TH AVENUE",
      "city": "KOTZEBUE",
      "state": "AK",
      "zip": "99752",
      "county": "NORTHWEST ARCTIC",
      "latitude": 66.8960016200816,
      "longitude": -162.586826249601,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": 17,
      "rating": null,
      "website": "http://www.maniilaq.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "MANIILAQ ASSOCIATION",
      "affiliatedSystem": "MANIILAQ ASSOCIATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MANIILAQ ASSOCIATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MANIILAQ ASSOCIATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-maniilaq-association",
      "siblingGroupId": "siblings-ak-maniilaq-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MANIILAQ ASSOCIATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MANIILAQ ASSOCIATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "021311",
      "ccn": "021311",
      "name": "KETCHIKAN MEDICAL CENTER",
      "address": "3100 TONGASS AVE",
      "city": "KETCHIKAN",
      "state": "AK",
      "zip": "99901",
      "county": "KETCHIKAN GATEWAY",
      "latitude": 55.3537186897489,
      "longitude": -131.685788419774,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "PEACEHEALTH",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to PEACEHEALTH; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-ak-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to PEACEHEALTH; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "021313",
      "ccn": "021313",
      "name": "SOUTH PENINSULA HOSPITAL",
      "address": "4300 BARTLETT ST",
      "city": "HOMER",
      "state": "AK",
      "zip": "99603",
      "county": "KENAI PENINSULA",
      "latitude": 59.6524701198437,
      "longitude": -151.55012982973,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-homer-south-peninsula-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SOUTH PENINSULA HOSPITAL INC",
      "affiliatedSystem": "SOUTH PENINSULA HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SOUTH PENINSULA HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTH PENINSULA HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH PENINSULA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-south-peninsula-hospital-inc",
      "siblingGroupId": "siblings-ak-south-peninsula-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH PENINSULA HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTH PENINSULA HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH PENINSULA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "024001",
      "ccn": "024001",
      "name": "NORTH STAR HOSPITAL",
      "address": "2530 DEBARR RD",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99508",
      "county": "ANCHORAGE",
      "latitude": 61.2079072002075,
      "longitude": -149.833484409972,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ak-universal-health-services",
      "campusFamilyId": "campus-ak-024001",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "024001-loc-ak-anchorage-north-star-hospital-chris-kyle-patriots-h",
      "ccn": "024001",
      "name": "NORTH STAR HOSPITAL - CHRIS KYLE PATRIOTS HOSPITAL",
      "address": "1650 SOUTH BRAGAW ST",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99508",
      "county": "ANCHORAGE",
      "latitude": 61.2056304401138,
      "longitude": -149.809758319589,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ak-universal-health-services",
      "campusFamilyId": "campus-ak-024001",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "024001"
    },
    {
      "id": "024001-loc-ak-anchorage-north-star-hospital-residential-treatment",
      "ccn": "024001",
      "name": "NORTH STAR HOSPITAL - RESIDENTIAL TREATMENT CENTER",
      "address": "1500 DEBARR CIRCLE",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99508",
      "county": "ANCHORAGE",
      "latitude": 61.2081494998952,
      "longitude": -149.831718199953,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ak-universal-health-services",
      "campusFamilyId": "campus-ak-024001",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "024001"
    },
    {
      "id": "024002",
      "ccn": "024002",
      "name": "ALASKA PSYCHIATRIC INSTITUTE",
      "address": "3700 PIPER ST",
      "city": "ANCHORAGE",
      "state": "AK",
      "zip": "99508",
      "county": "ANCHORAGE",
      "latitude": 61.1850967998629,
      "longitude": -149.829801549971,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 80,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anchorage-alaska-psychiatric-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STATE OF ALASKA DEPARTMENT OF ADMINISTRATION",
      "affiliatedSystem": "STATE OF ALASKA DEPARTMENT OF ADMINISTRATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF ALASKA DEPARTMENT OF ADMINISTRATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to STATE OF ALASKA DEPARTMENT OF ADMINISTRATION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ALASKA DEPARTMENT OF ADMINISTRATION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-alaska-department-of-administration",
      "siblingGroupId": "siblings-ak-state-of-alaska-department-of-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ak-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.alaska.gov/en/education/healthcare-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF ALASKA DEPARTMENT OF ADMINISTRATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to STATE OF ALASKA DEPARTMENT OF ADMINISTRATION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ALASKA DEPARTMENT OF ADMINISTRATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "030002",
      "ccn": "030002",
      "name": "BANNER - UNIVERSITY MEDICAL CENTER PHOENIX",
      "address": "1111 EAST MCDOWELL ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4644214400394,
      "longitude": -112.057381739782,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 766,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030002-loc-az-phoenix-banner-university-medical-center-phoenix",
      "ccn": "030002",
      "name": "BANNER-UNIVERSITY MEDICAL CENTER PHOENIX",
      "address": "1441 N 12TH",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4642453563128,
      "longitude": -112.055788669254,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": null,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources.",
      "legacyHospitalId": "030002"
    },
    {
      "id": "030006",
      "ccn": "030006",
      "name": "TUCSON MEDICAL CENTER",
      "address": "5301 EAST GRANT ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85712",
      "county": "PIMA",
      "latitude": 32.2523042498791,
      "longitude": -110.879298850025,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 596,
      "rating": 2,
      "website": "www.tmcaz.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "TUCSON MEDICAL CENTER",
      "affiliatedSystem": "TUCSON MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TUCSON MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to TUCSON MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUCSON MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tucson-medical-center",
      "siblingGroupId": "siblings-az-tucson-medical-center",
      "campusFamilyId": "campus-az-030006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: TUCSON MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to TUCSON MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUCSON MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030006-loc-az-tucson-tucson-medical-center-rincon",
      "ccn": "030006",
      "name": "TUCSON MEDICAL CENTER RINCON",
      "address": "5755 SOUTH HOUGHTON RD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85747",
      "county": "PIMA",
      "latitude": 32.1468513997025,
      "longitude": -110.770170600215,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 0,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "TUCSON MEDICAL CENTER",
      "affiliatedSystem": "TUCSON MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TUCSON MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to TUCSON MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUCSON MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tucson-medical-center",
      "siblingGroupId": "siblings-az-tucson-medical-center",
      "campusFamilyId": "campus-az-030006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: TUCSON MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to TUCSON MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUCSON MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030006"
    },
    {
      "id": "030007",
      "ccn": "030007",
      "name": "VERDE VALLEY MEDICAL CENTER",
      "address": "269 SOUTH CANDY LANE",
      "city": "COTTONWOOD",
      "state": "AZ",
      "zip": "86326",
      "county": "YAVAPAI",
      "latitude": 34.7353596402051,
      "longitude": -112.029564600322,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 98,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cottonwood-verde-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
      "affiliatedSystem": "Northern Arizona Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NORTHERN ARIZONA HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Northern Arizona Healthcare; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN ARIZONA HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northern-arizona-healthcare-corporation",
      "siblingGroupId": "siblings-az-northern-arizona-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHERN ARIZONA HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Northern Arizona Healthcare; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN ARIZONA HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030010",
      "ccn": "030010",
      "name": "ST. MARY'S HOSPITAL",
      "address": "1601 WEST ST MARY'S ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85745",
      "county": "PIMA",
      "latitude": 32.2281177301147,
      "longitude": -111.000173679798,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 400,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-st.-mary-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Carondelet Health Network (Tenet majority-owned JV)",
      "affiliatedSystem": "CHN HOLDINGS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHN HOLDINGS LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Carondelet Health Network (Tenet majority-owned JV), ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-carondelet-health-network-tenet-majority-owned-jv",
      "siblingGroupId": "siblings-az-carondelet-health-network-tenet-majority-owned-jv",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-carondelet-health-network-tenet-majority-owned-jv"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.tenethealth.com/press-releases/press-release-details/2015/Tenet-Dignity-Health-and-Ascension-Form-Joint-Venture-to-Own-and-Operate-Carondelet-Health-Network-in-Arizona/default.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHN HOLDINGS LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Carondelet Health Network (Tenet majority-owned JV), ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "030011",
      "ccn": "030011",
      "name": "ST JOSEPH'S HOSPITAL",
      "address": "350 NORTH WILMOT ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85711",
      "county": "PIMA",
      "latitude": 32.2265061298083,
      "longitude": -110.855121550247,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 486,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Carondelet Health Network (Tenet majority-owned JV)",
      "affiliatedSystem": "CHN HOLDINGS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHN HOLDINGS LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Carondelet Health Network (Tenet majority-owned JV), ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-carondelet-health-network-tenet-majority-owned-jv",
      "siblingGroupId": "siblings-az-carondelet-health-network-tenet-majority-owned-jv",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-carondelet-health-network-tenet-majority-owned-jv"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.tenethealth.com/press-releases/press-release-details/2015/Tenet-Dignity-Health-and-Ascension-Form-Joint-Venture-to-Own-and-Operate-Carondelet-Health-Network-in-Arizona/default.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHN HOLDINGS LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Carondelet Health Network (Tenet majority-owned JV), ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "030012",
      "ccn": "030012",
      "name": "YAVAPAI REGIONAL MEDICAL CENTER",
      "address": "1003 WILLOW CREEK ROAD",
      "city": "PRESCOTT",
      "state": "AZ",
      "zip": "86301",
      "county": "YAVAPAI",
      "latitude": 34.5602200497074,
      "longitude": -112.481271150017,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY V TORRES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTHONY V TORRES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030013",
      "ccn": "030013",
      "name": "YUMA REGIONAL MEDICAL CENTER",
      "address": "2400 SOUTH AVENUE A",
      "city": "YUMA",
      "state": "AZ",
      "zip": "85364",
      "county": "YUMA",
      "latitude": 32.6827470900808,
      "longitude": -114.635383240282,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 405,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yuma-yuma-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SOUTHWEST HEALTH",
      "affiliatedSystem": "SOUTHWEST HEALTH",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SOUTHWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHWEST HEALTH; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-southwest-health",
      "siblingGroupId": "siblings-az-southwest-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SOUTHWEST HEALTH; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030014",
      "ccn": "030014",
      "name": "HONORHEALTH",
      "address": "33400 NORTH 32ND AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85085",
      "county": "MARICOPA",
      "latitude": 33.7855884302141,
      "longitude": -112.130358430046,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "HONORHEALTH",
      "affiliatedSystem": "HonorHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "campusFamilyId": "campus-az-030014",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030014-loc-az-phoenix-honorhealth-john-c-lincoln-medical-center",
      "ccn": "030014",
      "name": "HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER",
      "address": "250 EAST DUNLAP AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85020",
      "county": "MARICOPA",
      "latitude": 33.5691484101244,
      "longitude": -112.070771040159,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 262,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "HONORHEALTH",
      "affiliatedSystem": "HonorHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "campusFamilyId": "campus-az-030014",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030014"
    },
    {
      "id": "030016",
      "ccn": "030016",
      "name": "BANNER CASA GRANDE MEDICAL CENTER",
      "address": "1800 EAST FLORENCE BOULEVARD",
      "city": "CASA GRANDE",
      "state": "AZ",
      "zip": "85122",
      "county": "PINAL",
      "latitude": 32.881155230107,
      "longitude": -111.710748590232,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 141,
      "rating": 2,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-casa-grande-banner-casa-grande-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030022",
      "ccn": "030022",
      "name": "VALLEYWISE HEALTH MEDICAL CENTER",
      "address": "2601 EAST ROOSEVELT STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85008",
      "county": "MARICOPA",
      "latitude": 33.4578470999617,
      "longitude": -112.026412959962,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 758,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-valleywise-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
      "affiliatedSystem": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAMELA FOWLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-maricopa-county-special-health-care-district",
      "siblingGroupId": "siblings-az-maricopa-county-special-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAMELA FOWLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "030023",
      "ccn": "030023",
      "name": "FLAGSTAFF MEDICAL CENTER",
      "address": "1200 NORTH BEAVER STREET",
      "city": "FLAGSTAFF",
      "state": "AZ",
      "zip": "86001",
      "county": "COCONINO",
      "latitude": 35.2096462302997,
      "longitude": -111.643948200228,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 268,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flagstaff-flagstaff-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
      "affiliatedSystem": "Northern Arizona Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NORTHERN ARIZONA HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Northern Arizona Healthcare; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN ARIZONA HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northern-arizona-healthcare-corporation",
      "siblingGroupId": "siblings-az-northern-arizona-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHERN ARIZONA HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Northern Arizona Healthcare; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN ARIZONA HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030024",
      "ccn": "030024",
      "name": "ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER",
      "address": "350 WEST THOMAS ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85013",
      "county": "MARICOPA",
      "latitude": 33.480970739824,
      "longitude": -112.079402790027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 586,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "campusFamilyId": "campus-az-030024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030024-loc-az-phoenix-st-joseph-s-hospital-and-medical-center",
      "ccn": "030024",
      "name": "ST JOSEPH'S HOSPITAL AND MEDICAL CENTER",
      "address": "350 WEST THOMAS ROAD, SUITE #500",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85013",
      "county": "MARICOPA",
      "latitude": 33.4820973662859,
      "longitude": -112.079195293569,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "campusFamilyId": "campus-az-030024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030024"
    },
    {
      "id": "030030",
      "ccn": "030030",
      "name": "ABRAZO CENTRAL CAMPUS",
      "address": "2000 WEST BETHANY HOME ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85015",
      "county": "MARICOPA",
      "latitude": 33.5248159301674,
      "longitude": -112.102181550349,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 206,
      "rating": 2,
      "website": "https://www.abrazohealth.com",
      "status": "corporate_chain",
      "affiliatedSystem": "TENET HEALTHCARE CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Unknown",
      "operatorType": "Corporate chain",
      "operatorName": "Abrazohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-abrazo-central-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-abrazo-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.abrazohealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030038",
      "ccn": "030038",
      "name": "HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER",
      "address": "7400 EAST OSBORN ROAD",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85251",
      "county": "MARICOPA",
      "latitude": 33.4883938496442,
      "longitude": -111.92296684987,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 325,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "HONORHEALTH AMBULATORY",
      "affiliatedSystem": "HonorHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH AMBULATORY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH AMBULATORY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-honorhealth-ambulatory",
      "siblingGroupId": "siblings-az-honorhealth-ambulatory",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH AMBULATORY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH AMBULATORY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030043",
      "ccn": "030043",
      "name": "CANYON VISTA MEDICAL CENTER",
      "address": "5700 EAST HIGHWAY 90",
      "city": "SIERRA VISTA",
      "state": "AZ",
      "zip": "85635",
      "county": "COCHISE",
      "latitude": 31.5524177999485,
      "longitude": -110.229779630302,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 100,
      "rating": 2,
      "website": "http://www.canyonvistamedicalcenter.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "June 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sierra-vista-canyon-vista-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030055",
      "ccn": "030055",
      "name": "KINGMAN REGIONAL MEDICAL CENTER - HUALAPAI MOUNTAIN CAMPUS",
      "address": "3801 SANTA ROSA, 2ND FLOOR",
      "city": "KINGMAN",
      "state": "AZ",
      "zip": "86409",
      "county": "MOHAVE",
      "latitude": 35.2190708296937,
      "longitude": -113.985718959709,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingman-kingman-regional-medical-center-hualapai-mountain-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "KINGMAN HEALTHCARE INC",
      "affiliatedSystem": "KINGMAN HEALTHCARE INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to KINGMAN HEALTHCARE INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KINGMAN HEALTHCARE INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-kingman-healthcare-inc",
      "siblingGroupId": "siblings-az-kingman-healthcare-inc",
      "campusFamilyId": "campus-az-030055",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to KINGMAN HEALTHCARE INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KINGMAN HEALTHCARE INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "030055-loc-az-kingman-kingman-regional-medical-center",
      "ccn": "030055",
      "name": "KINGMAN REGIONAL MEDICAL CENTER",
      "address": "3269 STOCKTON HILL ROAD",
      "city": "KINGMAN",
      "state": "AZ",
      "zip": "86409",
      "county": "MOHAVE",
      "latitude": 35.2200708403577,
      "longitude": -114.036977429896,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 235,
      "rating": 3,
      "website": "www.azkrmc.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingman-kingman-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "KINGMAN HEALTHCARE INC",
      "affiliatedSystem": "KINGMAN HEALTHCARE INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to KINGMAN HEALTHCARE INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KINGMAN HEALTHCARE INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-kingman-healthcare-inc",
      "siblingGroupId": "siblings-az-kingman-healthcare-inc",
      "campusFamilyId": "campus-az-030055",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to KINGMAN HEALTHCARE INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KINGMAN HEALTHCARE INC, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030055"
    },
    {
      "id": "030061",
      "ccn": "030061",
      "name": "BANNER BOSWELL MEDICAL CENTER",
      "address": "10401 WEST THUNDERBIRD BOULEVARD",
      "city": "SUN CITY",
      "state": "AZ",
      "zip": "85351",
      "county": "MARICOPA",
      "latitude": 33.6042347298441,
      "longitude": -112.283667069696,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 410,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sun-city-banner-boswell-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030062",
      "ccn": "030062",
      "name": "SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER",
      "address": "2200 EAST SHOW LOW LAKE ROAD",
      "city": "SHOW LOW",
      "state": "AZ",
      "zip": "85901",
      "county": "NAVAJO",
      "latitude": 34.2024938296978,
      "longitude": -110.017700739788,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 101,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "SUMMIT HEALTHCARE ASSOCIATION",
      "affiliatedSystem": "SUMMIT HEALTHCARE ASSOCIATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists WILLIAM COMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SUMMIT HEALTHCARE ASSOCIATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMIT HEALTHCARE ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-summit-healthcare-association",
      "siblingGroupId": "siblings-az-summit-healthcare-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS lists WILLIAM COMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SUMMIT HEALTHCARE ASSOCIATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMIT HEALTHCARE ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030064",
      "ccn": "030064",
      "name": "BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS",
      "address": "1625 NORTH CAMPBELL AVENUE",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85724",
      "county": "PIMA",
      "latitude": 32.2419737699774,
      "longitude": -110.946306510111,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 625,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-banner-university-medical-center-tucson-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030065",
      "ccn": "030065",
      "name": "BANNER DESERT MEDICAL CENTER",
      "address": "1400 SOUTH DOBSON ROAD",
      "city": "MESA",
      "state": "AZ",
      "zip": "85202",
      "county": "MARICOPA",
      "latitude": 33.3894771599391,
      "longitude": -111.87756750997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 605,
      "rating": 2,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesa-banner-desert-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030069",
      "ccn": "030069",
      "name": "HAVASU REGIONAL MEDICAL CENTER",
      "address": "101 CIVIC CENTER LANE",
      "city": "LAKE HAVASU CITY",
      "state": "AZ",
      "zip": "86403",
      "county": "MOHAVE",
      "latitude": 34.4804539897091,
      "longitude": -114.338789750097,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 152,
      "rating": 3,
      "website": "www.havasuregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-havasu-city-havasu-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists WALTER SACKETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-az-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists WALTER SACKETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "030073",
      "ccn": "030073",
      "name": "TUBA CITY REGIONAL HEALTH CARE CORPORATION",
      "address": "167 MAIN ST, PO BOX 600",
      "city": "TUBA CITY",
      "state": "AZ",
      "zip": "86045",
      "county": "COCONINO",
      "latitude": 36.1357736102169,
      "longitude": -111.237303910199,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "TUBA CITY REGIONAL HEALTH CARE CORPORATION",
      "affiliatedSystem": "Voluntary non-profit - Other",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUBA CITY REGIONAL HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tuba-city-regional-health-care-corporation",
      "siblingGroupId": "siblings-az-tuba-city-regional-health-care-corporation",
      "campusFamilyId": "campus-az-030073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUBA CITY REGIONAL HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030073-loc-az-tuba-city-tuba-city-regional-health-care",
      "ccn": "030073",
      "name": "TUBA CITY REGIONAL HEALTH CARE",
      "address": "167 N MAIN STREET AND EAST ELM AVE",
      "city": "TUBA CITY",
      "state": "AZ",
      "zip": "86045",
      "county": "COCONINO",
      "latitude": 36.1358550902477,
      "longitude": -111.236791950437,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": null,
      "rating": null,
      "website": "http://tchealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "TUBA CITY REGIONAL HEALTH CARE CORPORATION",
      "affiliatedSystem": "Voluntary non-profit - Other",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUBA CITY REGIONAL HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tuba-city-regional-health-care-corporation",
      "siblingGroupId": "siblings-az-tuba-city-regional-health-care-corporation",
      "campusFamilyId": "campus-az-030073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUBA CITY REGIONAL HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030073"
    },
    {
      "id": "030074",
      "ccn": "030074",
      "name": "TOHONO O'ODHAM NATION HEALTH CARE - TON - SELLS HOSPITAL",
      "address": "HIGHWAY 86, AT TOPAWA ROAD",
      "city": "SELLS",
      "state": "AZ",
      "zip": "85634",
      "county": "PIMA",
      "latitude": 31.9185057100063,
      "longitude": -111.890488569793,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Tribal",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "SELLS HOSPITAL",
      "affiliatedSystem": "Indian Health Service",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELLS HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-sells-hospital",
      "siblingGroupId": "siblings-az-sells-hospital",
      "campusFamilyId": "campus-az-030074",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELLS HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "030074-loc-az-sells-sells-hospital",
      "ccn": "030074",
      "name": "SELLS HOSPITAL",
      "address": "HWY 86 AND TOPAWA RD",
      "city": "SELLS",
      "state": "AZ",
      "zip": "85634",
      "county": "PIMA",
      "latitude": 31.9186742500735,
      "longitude": -111.890268760128,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Tribal",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/tucson/index.cfm?module=dsp_tuc_facs",
      "status": "corporate_chain",
      "parentSystem": "SELLS HOSPITAL",
      "affiliatedSystem": "Indian Health Service",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sells-sells-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELLS HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-sells-hospital",
      "siblingGroupId": "siblings-az-sells-hospital",
      "campusFamilyId": "campus-az-030074",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELLS HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030074"
    },
    {
      "id": "030078",
      "ccn": "030078",
      "name": "PHOENIX INDIAN MEDICAL CENTER",
      "address": "4212 N 16TH STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85016",
      "county": "MARICOPA",
      "latitude": 33.4971556401763,
      "longitude": -112.048858309669,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_phx",
      "status": "corporate_chain",
      "parentSystem": "PHOENIX INDIAN MEDICAL CENTER",
      "affiliatedSystem": "Indian Health Service",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-phoenix-indian-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOENIX INDIAN MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-phoenix-indian-medical-center",
      "siblingGroupId": "siblings-az-phoenix-indian-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOENIX INDIAN MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "030083",
      "ccn": "030083",
      "name": "ABRAZO SCOTTSDALE CAMPUS",
      "address": "3929 EAST BELL ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85032",
      "county": "MARICOPA",
      "latitude": 33.6397581797101,
      "longitude": -111.997469970042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": 3,
      "website": "https://www.abrazohealth.com",
      "status": "corporate_chain",
      "affiliatedSystem": "TENET HEALTHCARE CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Abrazohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-abrazo-scottsdale-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-abrazo-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.abrazohealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030084",
      "ccn": "030084",
      "name": "DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
      "address": "US HWY 191, HOSPITAL ROAD",
      "city": "CHINLE",
      "state": "AZ",
      "zip": "86503",
      "county": "APACHE",
      "latitude": 36.1576028598175,
      "longitude": -109.608100599911,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle",
      "status": "corporate_chain",
      "parentSystem": "CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
      "affiliatedSystem": "Indian Health Service",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHINLE COMPREHENSIVE HEALTH CARE FACILITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-chinle-comprehensive-health-care-facility",
      "siblingGroupId": "siblings-az-chinle-comprehensive-health-care-facility",
      "campusFamilyId": "campus-az-030084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHINLE COMPREHENSIVE HEALTH CARE FACILITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "030084-loc-az-chinle-chinle-comprehensive-health-care-facility",
      "ccn": "030084",
      "name": "CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
      "address": "OFF HIGHWAY 191, PHS/IHS DR",
      "city": "CHINLE",
      "state": "AZ",
      "zip": "86503",
      "county": "APACHE",
      "latitude": 36.1577849200763,
      "longitude": -109.607926410289,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle",
      "status": "corporate_chain",
      "parentSystem": "CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
      "affiliatedSystem": "Indian Health Service",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chinle-chinle-comprehensive-health-care-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHINLE COMPREHENSIVE HEALTH CARE FACILITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-chinle-comprehensive-health-care-facility",
      "siblingGroupId": "siblings-az-chinle-comprehensive-health-care-facility",
      "campusFamilyId": "campus-az-030084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Indian Health Service; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHINLE COMPREHENSIVE HEALTH CARE FACILITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030084"
    },
    {
      "id": "030085",
      "ccn": "030085",
      "name": "NORTHWEST MEDICAL CENTER",
      "address": "6200 N LACHOLLA BLVD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85741",
      "county": "PIMA",
      "latitude": 32.320004000261,
      "longitude": -111.010122720097,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 295,
      "rating": 2,
      "website": "http://www.northwestmedicalcenter.com",
      "status": "corporate_chain",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-northwest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030085-loc-az-tucson-northwest-medical-center-houghton",
      "ccn": "030085",
      "name": "NORTHWEST MEDICAL CENTER HOUGHTON",
      "address": "2200 S HOUGHTON RD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85748",
      "county": "PIMA",
      "latitude": 32.1956836610303,
      "longitude": -110.775409593817,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 44,
      "rating": 2,
      "status": "corporate_chain",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources.",
      "legacyHospitalId": "030085"
    },
    {
      "id": "030087",
      "ccn": "030087",
      "name": "HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER",
      "address": "9003 EAST SHEA BOULEVARD",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85260",
      "county": "MARICOPA",
      "latitude": 33.5808380900989,
      "longitude": -111.885184089906,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 427,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "HONORHEALTH AMBULATORY",
      "affiliatedSystem": "HonorHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH AMBULATORY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH AMBULATORY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-honorhealth-ambulatory",
      "siblingGroupId": "siblings-az-honorhealth-ambulatory",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH AMBULATORY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LISA ELIZABETH MONTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH AMBULATORY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030088",
      "ccn": "030088",
      "name": "BANNER BAYWOOD MEDICAL CENTER",
      "address": "6644 EAST BAYWOOD AVENUE",
      "city": "MESA",
      "state": "AZ",
      "zip": "85206",
      "county": "MARICOPA",
      "latitude": 33.4110053997013,
      "longitude": -111.687999609959,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 359,
      "rating": 2,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesa-banner-baywood-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030089",
      "ccn": "030089",
      "name": "BANNER THUNDERBIRD MEDICAL CENTER",
      "address": "5555 WEST THUNDERBIRD ROAD",
      "city": "GLENDALE",
      "state": "AZ",
      "zip": "85306",
      "county": "MARICOPA",
      "latitude": 33.6083542999756,
      "longitude": -112.17968539032,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 595,
      "rating": 4,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glendale-banner-thunderbird-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030092",
      "ccn": "030092",
      "name": "HONORHEALTH DEER VALLEY MEDICAL CENTER",
      "address": "19829 NORTH 27TH AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85027",
      "county": "MARICOPA",
      "latitude": 33.6661282696807,
      "longitude": -112.116067179802,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 204,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-honorhealth-deer-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HONORHEALTH",
      "affiliatedSystem": "HonorHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TODD LAPORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-honorhealth",
      "siblingGroupId": "siblings-az-honorhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HONORHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TODD LAPORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HonorHealth; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HONORHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030093",
      "ccn": "030093",
      "name": "BANNER DEL E. WEBB MEDICAL CENTER",
      "address": "14502 WEST MEEKER BOULEVARD",
      "city": "SUN CITY WEST",
      "state": "AZ",
      "zip": "85375",
      "county": "MARICOPA",
      "latitude": 33.6596894300956,
      "longitude": -112.372505869887,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 391,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sun-city-west-banner-del-e.-webb-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030101",
      "ccn": "030101",
      "name": "WESTERN ARIZONA REGIONAL MEDICAL CENTER",
      "address": "2735 SILVER CREEK ROAD",
      "city": "BULLHEAD CITY",
      "state": "AZ",
      "zip": "86442",
      "county": "MOHAVE",
      "latitude": 35.1108471700991,
      "longitude": -114.555047700331,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 139,
      "rating": 2,
      "website": "http://www.warmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bullhead-city-western-arizona-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION",
      "affiliatedSystem": "BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-bullhead-city-hospital-investment-corporation",
      "siblingGroupId": "siblings-az-bullhead-city-hospital-investment-corporation",
      "campusFamilyId": "campus-az-030101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BULLHEAD CITY HOSPITAL INVESTMENT CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "030103",
      "ccn": "030103",
      "name": "MAYO CLINIC HOSPITAL",
      "address": "5777 EAST MAYO BOULEVARD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85054",
      "county": "MARICOPA",
      "latitude": 33.6590826303502,
      "longitude": -111.956448239997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 316,
      "rating": 5,
      "status": "corporate_chain",
      "affiliatedSystem": "MAYO CLINIC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030103-loc-az-phoenix-mayo-clinic-hospital",
      "ccn": "030103",
      "name": "MAYO CLINIC HOSPITAL",
      "address": "5777 EAST MAYO BOULEVARD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85054",
      "county": "MARICOPA",
      "latitude": 33.6591244327229,
      "longitude": -111.956434749997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 5,
      "status": "corporate_chain",
      "affiliatedSystem": "MAYO CLINIC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources.",
      "legacyHospitalId": "030103"
    },
    {
      "id": "030103-loc-az-phoenix-mayo-clinic-hospital-2",
      "ccn": "030103",
      "name": "MAYO CLINIC HOSPITAL",
      "address": "5777 EAST MAYO BOULEVARD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85054",
      "county": "MARICOPA",
      "latitude": 33.6590826303502,
      "longitude": -111.956448239997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 368,
      "rating": 5,
      "status": "corporate_chain",
      "affiliatedSystem": "MAYO CLINIC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources.",
      "legacyHospitalId": "030103"
    },
    {
      "id": "030105",
      "ccn": "030105",
      "name": "BANNER HEART HOSPITAL",
      "address": "6750 EAST BAYWOOD AVENUE",
      "city": "MESA",
      "state": "AZ",
      "zip": "85206",
      "county": "MARICOPA",
      "latitude": 33.4116920699967,
      "longitude": -111.686492309676,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 2,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesa-banner-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030107",
      "ccn": "030107",
      "name": "ARIZONA SPINE AND JOINT HOSPITAL",
      "address": "4620 EAST BASELINE ROAD",
      "city": "MESA",
      "state": "AZ",
      "zip": "85206",
      "county": "MARICOPA",
      "latitude": 33.3803039300387,
      "longitude": -111.734800370211,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 23,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "USP PHOENIX INC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesa-arizona-spine-&-joint-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "USP PHOENIX INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: USP PHOENIX INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EARL L FENG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to USP PHOENIX INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP PHOENIX INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-usp-phoenix-inc",
      "siblingGroupId": "siblings-az-usp-phoenix-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: USP PHOENIX INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EARL L FENG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to USP PHOENIX INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP PHOENIX INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "030108",
      "ccn": "030108",
      "name": "THE CORE INSTITUTE SPECIALTY HOSPITAL",
      "address": "6501 NORTH 19TH AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85015",
      "county": "MARICOPA",
      "latitude": 33.5321340002753,
      "longitude": -112.099112519962,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 28,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC.",
      "peFirm": "Audax Private Equity, Linden Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "HOPCo",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-core-institute-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH ERIC TOMLON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HOPCo; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: HOPCo. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC.; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-the-center-for-orthopedic-and-research-excellence-inc",
      "siblingGroupId": "siblings-az-the-center-for-orthopedic-and-research-excellence-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KENNETH ERIC TOMLON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HOPCo; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: HOPCo. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC.; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CENTER FOR ORTHOPEDIC AND RESEARCH EXCELLENCE, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "030110",
      "ccn": "030110",
      "name": "ABRAZO WEST CAMPUS",
      "address": "13677 WEST MCDOWELL ROAD",
      "city": "GOODYEAR",
      "state": "AZ",
      "zip": "85395",
      "county": "MARICOPA",
      "latitude": 33.4615884499752,
      "longitude": -112.353400150082,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 200,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "HOSPITAL DEVELOPMENT OF WEST PHOENIX INC",
      "affiliatedSystem": "HOSPITAL DEVELOPMENT OF WEST PHOENIX INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL DEVELOPMENT OF WEST PHOENIX INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HOSPITAL DEVELOPMENT OF WEST PHOENIX INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DEVELOPMENT OF WEST PHOENIX INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-hospital-development-of-west-phoenix-inc",
      "siblingGroupId": "siblings-az-hospital-development-of-west-phoenix-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL DEVELOPMENT OF WEST PHOENIX INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HOSPITAL DEVELOPMENT OF WEST PHOENIX INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DEVELOPMENT OF WEST PHOENIX INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "030111",
      "ccn": "030111",
      "name": "BANNER - UNIVERSITY MEDICAL CENTER SOUTH CAMPUS",
      "address": "2800 EAST AJO WAY",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85713",
      "county": "PIMA",
      "latitude": 32.17585470019,
      "longitude": -110.930698730309,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 245,
      "rating": 4,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-banner-university-medical-center-south-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030114",
      "ccn": "030114",
      "name": "ORO VALLEY HOSPITAL, LLC",
      "address": "1551 EAST TANGERINE ROAD",
      "city": "ORO VALLEY",
      "state": "AZ",
      "zip": "85755",
      "county": "PIMA",
      "latitude": 32.4290227598072,
      "longitude": -110.948770180202,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 146,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oro-valley-oro-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-az-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "030115",
      "ccn": "030115",
      "name": "BANNER ESTRELLA MEDICAL CENTER",
      "address": "9201 WEST THOMAS ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85037",
      "county": "MARICOPA",
      "latitude": 33.4786071396315,
      "longitude": -112.257791280295,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 317,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-banner-estrella-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030117",
      "ccn": "030117",
      "name": "VALLEY VIEW MEDICAL CENTER",
      "address": "5330 SOUTH HIGHWAY 95",
      "city": "FORT MOHAVE",
      "state": "AZ",
      "zip": "86426",
      "county": "MOHAVE",
      "latitude": 35.0022355799503,
      "longitude": -114.596397719696,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 84,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-mohave-valley-view-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-az-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "030119",
      "ccn": "030119",
      "name": "PHOENIX CHILDREN'S HOSPITAL - MERCY GILBERT MEDICAL CENTER",
      "address": "3555 SOUTH VAL VISTA DRIVE",
      "city": "GILBERT",
      "state": "AZ",
      "zip": "85297",
      "county": "MARICOPA",
      "latitude": 33.2872664498469,
      "longitude": -111.751976489922,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 22,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: DIGNITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC T SORENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "campusFamilyId": "campus-az-030119",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: DIGNITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC T SORENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "030119-loc-az-gilbert-mercy-gilbert-medical-center",
      "ccn": "030119",
      "name": "MERCY GILBERT MEDICAL CENTER",
      "address": "3555 SOUTH VAL VISTA DRIVE",
      "city": "GILBERT",
      "state": "AZ",
      "zip": "85297",
      "county": "MARICOPA",
      "latitude": 33.2868555800619,
      "longitude": -111.752439039648,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 197,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gilbert-mercy-gilbert-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: DIGNITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC T SORENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-az-commonspirit-health",
      "campusFamilyId": "campus-az-030119",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: DIGNITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC T SORENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "030119"
    },
    {
      "id": "030122",
      "ccn": "030122",
      "name": "BANNER GATEWAY MEDICAL CENTER",
      "address": "1900 NORTH HIGLEY ROAD",
      "city": "GILBERT",
      "state": "AZ",
      "zip": "85234",
      "county": "MARICOPA",
      "latitude": 33.3847536200963,
      "longitude": -111.723000229997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 177,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gilbert-banner-gateway-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "03012F",
      "ccn": "03012F",
      "name": "PHOENIX VA MEDICAL CENTER",
      "address": "650 E. INDIAN SCHOOL ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85012",
      "county": "MARICOPA",
      "latitude": 33.4971280000022,
      "longitude": -112.066492400393,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-az-veterans-health-administration",
      "campusFamilyId": "campus-az-03012f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "030130",
      "ccn": "030130",
      "name": "BANNER IRONWOOD MEDICAL CENTER",
      "address": "37000 NORTH GANTZEL ROAD",
      "city": "QUEEN CREEK",
      "state": "AZ",
      "zip": "85140",
      "county": "PINAL",
      "latitude": 33.2144353798371,
      "longitude": -111.565590850245,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 89,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030134",
      "ccn": "030134",
      "name": "BANNER GOLDFIELD MEDICAL CENTER",
      "address": "2050 WEST SOUTHERN AVENUE",
      "city": "APACHE JUNCTION",
      "state": "AZ",
      "zip": "85120",
      "county": "PINAL",
      "latitude": 33.3942795597919,
      "longitude": -111.567156700024,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 20,
      "rating": 5,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-apache-junction-banner-goldfield-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030136",
      "ccn": "030136",
      "name": "DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL",
      "address": "7171 SOUTH 51ST AVENUE",
      "city": "LAVEEN",
      "state": "AZ",
      "zip": "85339",
      "county": "MARICOPA",
      "latitude": 33.3802853996608,
      "longitude": -112.167005500303,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030139",
      "ccn": "030139",
      "name": "DIGNITY HEALTH ARIZONA GENERAL HOSPITAL",
      "address": "9130 EAST ELLIOT ROAD",
      "city": "MESA",
      "state": "AZ",
      "zip": "85212",
      "county": "MARICOPA",
      "latitude": 33.3507518202675,
      "longitude": -111.636962480167,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": 5,
      "status": "corporate_chain",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "030155",
      "ccn": "030155",
      "name": "EXCEPTIONAL COMMUNITY HOSPITAL BULLHEAD CITY",
      "address": "2365  HIGHWAY 95",
      "city": "BULLHEAD CITY",
      "state": "AZ",
      "zip": "86442",
      "county": "MOHAVE",
      "latitude": 35.1000687001592,
      "longitude": -114.59896890016,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 19,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "EHC 2, LLP",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: EHC 2, LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EHC 2, LLP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ehc-2-llp",
      "siblingGroupId": "siblings-az-ehc-2-llp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: EHC 2, LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Ernest Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EHC 2, LLP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "03033F",
      "ccn": "03033F",
      "name": "VA NORTHERN ARIZONA HEALTHCARE SYSTEM",
      "address": "500 HIGHWAY 89 NORTH",
      "city": "PRESCOTT",
      "state": "AZ",
      "zip": "86313",
      "county": "YAVAPAI",
      "latitude": 34.5538732501163,
      "longitude": -112.452575080018,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Veterans Health Administration",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-az-veterans-health-administration",
      "campusFamilyId": "campus-az-03033f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "031300",
      "ccn": "031300",
      "name": "WICKENBURG COMMUNITY HOSPITAL",
      "address": "520 ROSE LANE",
      "city": "WICKENBURG",
      "state": "AZ",
      "zip": "85390",
      "county": "MARICOPA",
      "latitude": 33.9783637399926,
      "longitude": -112.739931840025,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 19,
      "rating": null,
      "website": "http://www.wickenburgcommunityhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wickenburg-wickenburg-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COMMUNITY HOSPITAL ASSOCIATION INC",
      "affiliatedSystem": "COMMUNITY HOSPITAL ASSOCIATION INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to COMMUNITY HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-community-hospital-association-inc",
      "siblingGroupId": "siblings-az-community-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to COMMUNITY HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031301",
      "ccn": "031301",
      "name": "BENSON HOSPITAL",
      "address": "450 SOUTH OCOTILLO AVENUE",
      "city": "BENSON",
      "state": "AZ",
      "zip": "85602",
      "county": "COCHISE",
      "latitude": 31.965104979914,
      "longitude": -110.308118699569,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-benson-benson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BENSON HOSPITAL CORPORATION",
      "affiliatedSystem": "BENSON HOSPITAL CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BENSON HOSPITAL CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENSON HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-benson-hospital-corporation",
      "siblingGroupId": "siblings-az-benson-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BENSON HOSPITAL CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENSON HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031302",
      "ccn": "031302",
      "name": "NORTHERN COCHISE COMMUNITY HOSPITAL, INC",
      "address": "901 WEST REX ALLEN DRIVE",
      "city": "WILLCOX",
      "state": "AZ",
      "zip": "85643",
      "county": "COCHISE",
      "latitude": 32.2649674002668,
      "longitude": -109.838144240225,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-willcox-northern-cochise-community-hospital-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NORTHERN COCHISE COMMUNITY HOSPITAL INC",
      "affiliatedSystem": "NORTHERN COCHISE COMMUNITY HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTHERN COCHISE COMMUNITY HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN COCHISE COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northern-cochise-community-hospital-inc",
      "siblingGroupId": "siblings-az-northern-cochise-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTHERN COCHISE COMMUNITY HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN COCHISE COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031304",
      "ccn": "031304",
      "name": "PAGE HOSPITAL",
      "address": "501 NORTH NAVAJO DRIVE",
      "city": "PAGE",
      "state": "AZ",
      "zip": "86040",
      "county": "COCONINO",
      "latitude": 36.9176479902971,
      "longitude": -111.463587129971,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Banner Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-az-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Banner Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031305",
      "ccn": "031305",
      "name": "HOPI HEALTH CARE CENTER - KEAMS CANYON",
      "address": "HWY 264, MILE MARKER 388",
      "city": "POLACCA",
      "state": "AZ",
      "zip": "86042",
      "county": "NAVAJO",
      "latitude": 35.8021060403233,
      "longitude": -110.426583660251,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_hopi",
      "status": "corporate_chain",
      "parentSystem": "HOPI HEALTH CARE CENTER",
      "affiliatedSystem": "Tribal",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPI HEALTH CARE CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hopi-health-care-center",
      "siblingGroupId": "siblings-az-hopi-health-care-center",
      "campusFamilyId": "campus-az-031305",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPI HEALTH CARE CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "031305-loc-az-polacca-hopi-health-care-center",
      "ccn": "031305",
      "name": "HOPI HEALTH CARE CENTER",
      "address": "HIGHWAY 264, MILEPOST 388",
      "city": "POLACCA",
      "state": "AZ",
      "zip": "86042",
      "county": "NAVAJO",
      "latitude": 35.8021060403233,
      "longitude": -110.426583660251,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": 0,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-polacca-hopi-health-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HOPI HEALTH CARE CENTER",
      "affiliatedSystem": "Tribal",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPI HEALTH CARE CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hopi-health-care-center",
      "siblingGroupId": "siblings-az-hopi-health-care-center",
      "campusFamilyId": "campus-az-031305",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Tribal; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPI HEALTH CARE CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "031305"
    },
    {
      "id": "031308",
      "ccn": "031308",
      "name": "HU - HU - KAM MEMORIAL HOSPITAL - SACATON",
      "address": "483 W SEED FARM ROAD",
      "city": "SACATON",
      "state": "AZ",
      "zip": "85247",
      "county": "PINAL",
      "latitude": 33.0732767997271,
      "longitude": -111.7606743001,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": null,
      "rating": null,
      "website": "http://www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_gilariver",
      "status": "corporate_chain",
      "parentSystem": "GILA RIVER HEALTH CARE CORPORATION",
      "affiliatedSystem": "GILA RIVER HEALTH CARE CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacaton-hu-hu-kam-memorial-hospital-sacaton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to GILA RIVER HEALTH CARE CORPORATION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILA RIVER HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-gila-river-health-care-corporation",
      "siblingGroupId": "siblings-az-gila-river-health-care-corporation",
      "campusFamilyId": "campus-az-031308",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to GILA RIVER HEALTH CARE CORPORATION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILA RIVER HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "031308-loc-az-sacaton-gila-river-health-care-corporation-hu-hu-ka",
      "ccn": "031308",
      "name": "GILA RIVER HEALTH CARE CORPORATION - HU-HU-KAM MEMORIAL HOSPITAL",
      "address": "483 WEST SEED FARM ROAD",
      "city": "SACATON",
      "state": "AZ",
      "zip": "85147",
      "county": "PINAL",
      "latitude": 33.0729989502393,
      "longitude": -111.759059970042,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "GILA RIVER HEALTH CARE CORPORATION",
      "affiliatedSystem": "GILA RIVER HEALTH CARE CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to GILA RIVER HEALTH CARE CORPORATION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILA RIVER HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-gila-river-health-care-corporation",
      "siblingGroupId": "siblings-az-gila-river-health-care-corporation",
      "campusFamilyId": "campus-az-031308",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to GILA RIVER HEALTH CARE CORPORATION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILA RIVER HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "031308"
    },
    {
      "id": "031309",
      "ccn": "031309",
      "name": "SAGE MEMORIAL HOSPITAL",
      "address": "US-191 AND AZ-264",
      "city": "GANADO",
      "state": "AZ",
      "zip": "86505",
      "county": "APACHE",
      "latitude": 35.7107560698837,
      "longitude": -109.543523930104,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://sagememorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.",
      "affiliatedSystem": "NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-navajo-health-foundation-sage-memorial-hospital-inc",
      "siblingGroupId": "siblings-az-navajo-health-foundation-sage-memorial-hospital-inc",
      "campusFamilyId": "campus-az-031309",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031309-loc-az-ganado-sage-memorial-hospital",
      "ccn": "031309",
      "name": "SAGE MEMORIAL HOSPITAL",
      "address": "P.O. BOX 457",
      "city": "GANADO",
      "state": "AZ",
      "zip": "86505",
      "county": "APACHE",
      "latitude": 35.7118030918852,
      "longitude": -109.542966186806,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.",
      "affiliatedSystem": "NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-navajo-health-foundation-sage-memorial-hospital-inc",
      "siblingGroupId": "siblings-az-navajo-health-foundation-sage-memorial-hospital-inc",
      "campusFamilyId": "campus-az-031309",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "031309"
    },
    {
      "id": "031311",
      "ccn": "031311",
      "name": "LITTLE COLORADO MEDICAL CENTER",
      "address": "1501 NORTH WILLIAMSON AVENUE",
      "city": "WINSLOW",
      "state": "AZ",
      "zip": "86047",
      "county": "NAVAJO",
      "latitude": 35.0358076896491,
      "longitude": -110.692508849893,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winslow-little-colorado-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WINSLOW MEMORIAL HOSPITAL INC",
      "affiliatedSystem": "WINSLOW MEMORIAL HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WINSLOW MEMORIAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINSLOW MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-winslow-memorial-hospital-inc",
      "siblingGroupId": "siblings-az-winslow-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WINSLOW MEMORIAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINSLOW MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031312",
      "ccn": "031312",
      "name": "COPPER QUEEN COMMUNITY HOSPITAL",
      "address": "101 COLE AVENUE",
      "city": "BISBEE",
      "state": "AZ",
      "zip": "85603",
      "county": "COCHISE",
      "latitude": 31.4178109602521,
      "longitude": -109.883028230121,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bisbee-copper-queen-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BISBEE HOSPITAL ASSOCIATION",
      "affiliatedSystem": "BISBEE HOSPITAL ASSOCIATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BISBEE HOSPITAL ASSOCIATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BISBEE HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bisbee-hospital-association",
      "siblingGroupId": "siblings-az-bisbee-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BISBEE HOSPITAL ASSOCIATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BISBEE HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031313",
      "ccn": "031313",
      "name": "HOLY CROSS HOSPITAL",
      "address": "1171 WEST TARGET RANGE ROAD",
      "city": "NOGALES",
      "state": "AZ",
      "zip": "85621",
      "county": "SANTA CRUZ",
      "latitude": 31.3402868797703,
      "longitude": -110.959747130341,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Carondelet Health Network (Tenet majority-owned JV)",
      "affiliatedSystem": "CHN HOLDINGS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nogales-holy-cross-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHN HOLDINGS LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Carondelet Health Network (Tenet majority-owned JV), ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-carondelet-health-network-tenet-majority-owned-jv",
      "siblingGroupId": "siblings-az-carondelet-health-network-tenet-majority-owned-jv",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-verified-parent-carondelet-health-network-tenet-majority-owned-jv"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.tenethealth.com/press-releases/press-release-details/2015/Tenet-Dignity-Health-and-Ascension-Form-Joint-Venture-to-Own-and-Operate-Carondelet-Health-Network-in-Arizona/default.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHN HOLDINGS LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Carondelet Health Network (Tenet majority-owned JV), ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "031314",
      "ccn": "031314",
      "name": "COBRE VALLEY REGIONAL MEDICAL CENTER",
      "address": "5880 SOUTH HOSPITAL DRIVE",
      "city": "GLOBE",
      "state": "AZ",
      "zip": "85501",
      "county": "GILA",
      "latitude": 33.4060443596736,
      "longitude": -110.826407869676,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-globe-cobre-valley-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COBRE VALLEY REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "COBRE VALLEY REGIONAL MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists JANICE L COOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to COBRE VALLEY REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COBRE VALLEY REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cobre-valley-regional-medical-center",
      "siblingGroupId": "siblings-az-cobre-valley-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS lists JANICE L COOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to COBRE VALLEY REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COBRE VALLEY REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031315",
      "ccn": "031315",
      "name": "WHITE MOUNTAIN REGIONAL MEDICAL CENTER",
      "address": "118 SOUTH MOUNTAIN AVENUE",
      "city": "SPRINGERVILLE",
      "state": "AZ",
      "zip": "85938",
      "county": "APACHE",
      "latitude": 34.1317350402717,
      "longitude": -109.285257959832,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springerville-white-mountain-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WHITE MOUNTAIN REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "WHITE MOUNTAIN REGIONAL MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE MOUNTAIN REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITE MOUNTAIN REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-white-mountain-regional-medical-center",
      "siblingGroupId": "siblings-az-white-mountain-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE MOUNTAIN REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITE MOUNTAIN REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031317",
      "ccn": "031317",
      "name": "LA PAZ REGIONAL HOSPITAL",
      "address": "1200 WEST MOHAVE ROAD",
      "city": "PARKER",
      "state": "AZ",
      "zip": "85344",
      "county": "LA PAZ",
      "latitude": 34.1364324798085,
      "longitude": -114.285219659563,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "www.lapazhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parker-la-paz-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LA PAZ REGIONAL HOSPITAL INC",
      "affiliatedSystem": "LA PAZ REGIONAL HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: LA PAZ REGIONAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ZAFER GENC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to LA PAZ REGIONAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LA PAZ REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-la-paz-regional-hospital-inc",
      "siblingGroupId": "siblings-az-la-paz-regional-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: LA PAZ REGIONAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ZAFER GENC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to LA PAZ REGIONAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LA PAZ REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "031318",
      "ccn": "031318",
      "name": "BANNER PAYSON MEDICAL CENTER",
      "address": "807 SOUTH PONDEROSA DRIVE",
      "city": "PAYSON",
      "state": "AZ",
      "zip": "85541",
      "county": "GILA",
      "latitude": 34.2300767796714,
      "longitude": -111.320651150057,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 4,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-payson-banner-payson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "031319",
      "ccn": "031319",
      "name": "MT. GRAHAM REGIONAL MEDICAL CENTER",
      "address": "1600 SOUTH 20TH AVENUE",
      "city": "SAFFORD",
      "state": "AZ",
      "zip": "85546",
      "county": "GRAHAM",
      "latitude": 32.8227547201345,
      "longitude": -109.73515724021,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-safford-mt.-graham-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MT GRAHAM REGIONAL MEDICAL CENTER INC",
      "affiliatedSystem": "MT GRAHAM REGIONAL MEDICAL CENTER INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MT GRAHAM REGIONAL MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MT GRAHAM REGIONAL MEDICAL CENTER INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MT GRAHAM REGIONAL MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-mt-graham-regional-medical-center-inc",
      "siblingGroupId": "siblings-az-mt-graham-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: MT GRAHAM REGIONAL MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MT GRAHAM REGIONAL MEDICAL CENTER INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MT GRAHAM REGIONAL MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "031320",
      "ccn": "031320",
      "name": "SAN CARLOS APACHE HEALTHCARE CORP",
      "address": "103 MEDICINE WAY ROAD",
      "city": "PERIDOT",
      "state": "AZ",
      "zip": "85542",
      "county": "GRAHAM",
      "latitude": 33.2957575303499,
      "longitude": -110.417875949741,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-peridot-san-carlos-apache-healthcare-corporation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SAN CARLOS APACHE TRIBE",
      "affiliatedSystem": "SAN CARLOS APACHE TRIBE",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SAN CARLOS APACHE TRIBE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SAN CARLOS APACHE TRIBE; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN CARLOS APACHE TRIBE, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-san-carlos-apache-tribe",
      "siblingGroupId": "siblings-az-san-carlos-apache-tribe",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAN CARLOS APACHE TRIBE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SAN CARLOS APACHE TRIBE; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN CARLOS APACHE TRIBE, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "033302",
      "ccn": "033302",
      "name": "PHOENIX CHILDRENS HOSPITAL",
      "address": "1919 EAST THOMAS ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85016",
      "county": "MARICOPA",
      "latitude": 33.4789433997137,
      "longitude": -112.04186170023,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CHILDRENS HEALTHCARE OF ARIZONA INC",
      "affiliatedSystem": "CHILDRENS HEALTHCARE OF ARIZONA INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHILDRENS HEALTHCARE OF ARIZONA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHILDRENS HEALTHCARE OF ARIZONA INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HEALTHCARE OF ARIZONA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-childrens-healthcare-of-arizona-inc",
      "siblingGroupId": "siblings-az-childrens-healthcare-of-arizona-inc",
      "campusFamilyId": "campus-az-033302",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILDRENS HEALTHCARE OF ARIZONA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHILDRENS HEALTHCARE OF ARIZONA INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HEALTHCARE OF ARIZONA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "033302-loc-az-phoenix-phoenix-children-s-hospital",
      "ccn": "033302",
      "name": "PHOENIX CHILDREN'S HOSPITAL",
      "address": "1919 EAST THOMAS ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85016",
      "county": "MARICOPA",
      "latitude": 33.4792462611998,
      "longitude": -112.040020633598,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 533,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CHILDRENS HEALTHCARE OF ARIZONA INC",
      "affiliatedSystem": "CHILDRENS HEALTHCARE OF ARIZONA INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHILDRENS HEALTHCARE OF ARIZONA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHILDRENS HEALTHCARE OF ARIZONA INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HEALTHCARE OF ARIZONA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-childrens-healthcare-of-arizona-inc",
      "siblingGroupId": "siblings-az-childrens-healthcare-of-arizona-inc",
      "campusFamilyId": "campus-az-033302",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILDRENS HEALTHCARE OF ARIZONA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHILDRENS HEALTHCARE OF ARIZONA INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HEALTHCARE OF ARIZONA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "033302"
    },
    {
      "id": "034004",
      "ccn": "034004",
      "name": "BANNER BEHAVIORAL HEALTH HOSPITAL",
      "address": "7575 EAST EARLL DRIVE",
      "city": "SCOTTSDALE",
      "state": "AZ",
      "zip": "85251",
      "county": "MARICOPA",
      "latitude": 33.4832044199967,
      "longitude": -111.918878849676,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 156,
      "rating": null,
      "status": "corporate_chain",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scottsdale-banner-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "034021",
      "ccn": "034021",
      "name": "ARIZONA STATE HOSPITAL",
      "address": "2500 EAST VAN BUREN STREET",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85008",
      "county": "MARICOPA",
      "latitude": 33.4534228400398,
      "longitude": -112.028090749707,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 159,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-arizona-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STATE OF ARIZONA/STATE DEPT OF FINANCE",
      "affiliatedSystem": "STATE OF ARIZONA/STATE DEPT OF FINANCE",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF ARIZONA/STATE DEPT OF FINANCE (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to STATE OF ARIZONA/STATE DEPT OF FINANCE; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ARIZONA/STATE DEPT OF FINANCE, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-arizona-state-dept-of-finance",
      "siblingGroupId": "siblings-az-state-of-arizona-state-dept-of-finance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF ARIZONA/STATE DEPT OF FINANCE (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to STATE OF ARIZONA/STATE DEPT OF FINANCE; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ARIZONA/STATE DEPT OF FINANCE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "034022",
      "ccn": "034022",
      "name": "SONORA BEHAVIORAL HEALTH HOSPITAL",
      "address": "6050 NORTH CORONA ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85704",
      "county": "PIMA",
      "latitude": 32.3167645603052,
      "longitude": -111.007336299698,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 140,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-az-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "034023",
      "ccn": "034023",
      "name": "THE GUIDANCE CENTER",
      "address": "2187 NORTH VICKEY STREET",
      "city": "FLAGSTAFF",
      "state": "AZ",
      "zip": "86004",
      "county": "COCONINO",
      "latitude": 35.2066966697099,
      "longitude": -111.606493949672,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flagstaff-guidance-center-the/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE NARBHA INSTITUTE INC",
      "affiliatedSystem": "THE NARBHA INSTITUTE INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE NARBHA INSTITUTE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to THE NARBHA INSTITUTE INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NARBHA INSTITUTE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-narbha-institute-inc",
      "siblingGroupId": "siblings-az-the-narbha-institute-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE NARBHA INSTITUTE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to THE NARBHA INSTITUTE INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NARBHA INSTITUTE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "034024",
      "ccn": "034024",
      "name": "AURORA BEHAVIORAL HEALTH SYSTEM",
      "address": "6015 WEST PEORIA AVENUE",
      "city": "GLENDALE",
      "state": "AZ",
      "zip": "85302",
      "county": "MARICOPA",
      "latitude": 33.5812353102635,
      "longitude": -112.189371679686,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Signature Healthcare Services",
      "affiliatedSystem": "Signature Healthcare Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHELSEA VICKERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Signature Healthcare Services; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-az-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHELSEA VICKERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Signature Healthcare Services; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "034025",
      "ccn": "034025",
      "name": "THE HEALING PLACE",
      "address": "181 WHIPPLE ST",
      "city": "PRESCOTT",
      "state": "AZ",
      "zip": "86301",
      "county": "YAVAPAI",
      "latitude": 34.5564454136389,
      "longitude": -112.471395094241,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "WEST YAVAPAI GUIDANCE CLINIC INC",
      "affiliatedSystem": "WEST YAVAPAI GUIDANCE CLINIC INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists MEREDITH PEABODY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WEST YAVAPAI GUIDANCE CLINIC INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST YAVAPAI GUIDANCE CLINIC INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-west-yavapai-guidance-clinic-inc",
      "siblingGroupId": "siblings-az-west-yavapai-guidance-clinic-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS lists MEREDITH PEABODY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WEST YAVAPAI GUIDANCE CLINIC INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST YAVAPAI GUIDANCE CLINIC INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "034026",
      "ccn": "034026",
      "name": "VALLEY HOSPITAL",
      "address": "3550 EAST PINCHOT AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85018",
      "county": "MARICOPA",
      "latitude": 33.4828681300012,
      "longitude": -112.005970190383,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 122,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-az-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "034027",
      "ccn": "034027",
      "name": "CHANGEPOINT PSYCHIATRIC HOSPITAL",
      "address": "1920 WEST COMMERCE DRIVE",
      "city": "LAKESIDE",
      "state": "AZ",
      "zip": "85929",
      "county": "NAVAJO",
      "latitude": 34.1652320999678,
      "longitude": -109.975385949571,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakeside-changepoint-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CHANGEPOINT INTEGRATED HEALTH",
      "affiliatedSystem": "CHANGEPOINT INTEGRATED HEALTH",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHANGEPOINT INTEGRATED HEALTH; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHANGEPOINT INTEGRATED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-changepoint-integrated-health",
      "siblingGroupId": "siblings-az-changepoint-integrated-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHANGEPOINT INTEGRATED HEALTH; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHANGEPOINT INTEGRATED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "034028",
      "ccn": "034028",
      "name": "AURORA BEHAVIORAL HEALTHCARE - TEMPE",
      "address": "6350 SOUTH MAPLE AVENUE",
      "city": "TEMPE",
      "state": "AZ",
      "zip": "85283",
      "county": "MARICOPA",
      "latitude": 33.36428101,
      "longitude": -111.939134689726,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 138,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Signature Healthcare Services",
      "affiliatedSystem": "Signature Healthcare Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHELSEA VICKERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Signature Healthcare Services; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-az-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHELSEA VICKERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Signature Healthcare Services; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "034029",
      "ccn": "034029",
      "name": "OASIS BEHAVIORAL HEALTH HOSPITAL",
      "address": "2190 NORTH GRACE BOULEVARD, BUILDING A",
      "city": "CHANDLER",
      "state": "AZ",
      "zip": "85225",
      "county": "MARICOPA",
      "latitude": 33.3402740597959,
      "longitude": -111.847384480242,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 94,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-az-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "034030",
      "ccn": "034030",
      "name": "PALO VERDE BEHAVIORAL HEALTH",
      "address": "2695 NORTH CRAYCROFT ROAD",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85712",
      "county": "PIMA",
      "latitude": 32.2559376801643,
      "longitude": -110.876118779783,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 84,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tucson-palo-verde-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-az-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "034031",
      "ccn": "034031",
      "name": "QUAIL RUN BEHAVIORAL HEALTH",
      "address": "2545 WEST QUAIL AVENUE",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85027",
      "county": "MARICOPA",
      "latitude": 33.6778566302363,
      "longitude": -112.11384237983,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 116,
      "rating": null,
      "website": "http://www.quailrunbehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenix-quail-run-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-az-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "034034",
      "ccn": "034034",
      "name": "DESTINY SPRINGS HEALTHCARE, LLC",
      "address": "17300 NORTH DYSART ROAD",
      "city": "SURPRISE",
      "state": "AZ",
      "zip": "85378",
      "county": "MARICOPA",
      "latitude": 33.6411283700933,
      "longitude": -112.343807249572,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Physician",
      "beds": 99,
      "rating": null,
      "website": "https://destinysprings.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-surprise-destiny-springs-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DESTINY SPRINGS HEALTHCARE LLC",
      "affiliatedSystem": "DESTINY SPRINGS HEALTHCARE LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: DESTINY SPRINGS HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists VIDUSHI SONI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DESTINY SPRINGS HEALTHCARE LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DESTINY SPRINGS HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-destiny-springs-healthcare-llc",
      "siblingGroupId": "siblings-az-destiny-springs-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: DESTINY SPRINGS HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists VIDUSHI SONI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DESTINY SPRINGS HEALTHCARE LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DESTINY SPRINGS HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "034035",
      "ccn": "034035",
      "name": "AVENIR BEHAVIORAL HEALTH CENTER",
      "address": "16561 NORTH PARKVIEW PLACE",
      "city": "SURPRISE",
      "state": "AZ",
      "zip": "85374",
      "county": "MARICOPA",
      "latitude": 33.6344109700177,
      "longitude": -112.381162290188,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-surprise-avenir-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "AVENIR SENIOR LIVING, LLC",
      "affiliatedSystem": "AVENIR SENIOR LIVING, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: AVENIR SENIOR LIVING, LLC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists DAVID L CRAIK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to AVENIR SENIOR LIVING, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVENIR SENIOR LIVING, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-avenir-senior-living-llc",
      "siblingGroupId": "siblings-az-avenir-senior-living-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVENIR SENIOR LIVING, LLC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists DAVID L CRAIK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to AVENIR SENIOR LIVING, LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVENIR SENIOR LIVING, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "034038",
      "ccn": "034038",
      "name": "PHOENIX MEDICAL PSYCHIATRIC HOSPITAL, LLC",
      "address": "1346 EAST MCDOWELL ROAD",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85006",
      "county": "MARICOPA",
      "latitude": 33.4660456401623,
      "longitude": -112.052825460406,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 96,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "peFirm": "Enhanced Healthcare Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NeuroPsychiatric Hospitals",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RESHANA WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-az-neuropychiatric-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RESHANA WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "040001",
      "ccn": "040001",
      "name": "SILOAM SPRINGS REGIONAL HOSPITAL",
      "address": "603 NORTH PROGRESS AVENUE",
      "city": "SILOAM SPRINGS",
      "state": "AR",
      "zip": "72761",
      "county": "BENTON",
      "latitude": 36.1897842696985,
      "longitude": -94.5076553201023,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 73,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-siloam-springs-siloam-springs-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ar-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "040002",
      "ccn": "040002",
      "name": "JOHNSON REGIONAL MEDICAL CENTER",
      "address": "1100 EAST POPLAR STREET",
      "city": "CLARKSVILLE",
      "state": "AR",
      "zip": "72830",
      "county": "JOHNSON",
      "latitude": 35.4615757903062,
      "longitude": -93.4440806302048,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": 4,
      "website": "http://www.jrmc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarksville-johnson-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "JOHNSON REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "JOHNSON REGIONAL MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: JOHNSON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to JOHNSON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-johnson-regional-medical-center",
      "siblingGroupId": "siblings-ar-johnson-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: JOHNSON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to JOHNSON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040004",
      "ccn": "040004",
      "name": "WASHINGTON REGIONAL MEDICAL CENTER",
      "address": "3215 N NORTH HILLS BOULEVARD",
      "city": "FAYETTEVILLE",
      "state": "AR",
      "zip": "72703",
      "county": "WASHINGTON",
      "latitude": 36.1092826196433,
      "longitude": -94.1600515597522,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 425,
      "rating": 4,
      "website": "http://www.wregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-washington-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WASHINGTON REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "WASHINGTON REGIONAL MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists JAMES L SHACKELFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WASHINGTON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-washington-regional-medical-center",
      "siblingGroupId": "siblings-ar-washington-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists JAMES L SHACKELFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WASHINGTON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040007",
      "ccn": "040007",
      "name": "CHI ST. VINCENT INFIRMARY",
      "address": "2 ST VINCENT CIRCLE",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.7500198103362,
      "longitude": -92.3393937301509,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 615,
      "rating": 3,
      "status": "corporate_chain",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-chi-st.-vincent-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "040010",
      "ccn": "040010",
      "name": "MERCY HOSPITAL NORTHWEST ARKANSAS",
      "address": "2710 SOUTH RIFE MEDICAL LANE",
      "city": "ROGERS",
      "state": "AR",
      "zip": "72758",
      "county": "BENTON",
      "latitude": 36.308992850019,
      "longitude": -94.1829780201754,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 275,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ar-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040011",
      "ccn": "040011",
      "name": "CHAMBERS MEMORIAL HOSPITAL",
      "address": "719 DETROIT STREET",
      "city": "DANVILLE",
      "state": "AR",
      "zip": "72833",
      "county": "YELL",
      "latitude": 35.0544297802671,
      "longitude": -93.3880591396684,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 42,
      "rating": 4,
      "website": "http://www.chambershospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-chambers-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "JOHN ED CHAMBERS MEMORIAL HOSPITAL INC",
      "affiliatedSystem": "JOHN ED CHAMBERS MEMORIAL HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: JOHN ED CHAMBERS MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL PEEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to JOHN ED CHAMBERS MEMORIAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN ED CHAMBERS MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-john-ed-chambers-memorial-hospital-inc",
      "siblingGroupId": "siblings-ar-john-ed-chambers-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: JOHN ED CHAMBERS MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL PEEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to JOHN ED CHAMBERS MEMORIAL HOSPITAL INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN ED CHAMBERS MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040014",
      "ccn": "040014",
      "name": "UNITY HEALTH WHITE COUNTY MEDICAL CENTER",
      "address": "3214 EAST RACE AVENUE",
      "city": "SEARCY",
      "state": "AR",
      "zip": "72143",
      "county": "WHITE",
      "latitude": 35.2518860402007,
      "longitude": -91.6970011303429,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 245,
      "rating": 2,
      "website": "http://www.wcmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-searcy-unity-health---white-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "WHITE COUNTY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ar-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040017",
      "ccn": "040017",
      "name": "NORTH ARKANSAS REGIONAL MEDICAL CENTER",
      "address": "620 NORTH MAIN STREET",
      "city": "HARRISON",
      "state": "AR",
      "zip": "72601",
      "county": "BOONE",
      "latitude": 36.2365313602311,
      "longitude": -93.1091393702844,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 174,
      "rating": 2,
      "website": "http://www.narmc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harrison-north-arkansas-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NORTH ARKANSAS REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "NORTH ARKANSAS REGIONAL MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTH ARKANSAS REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH ARKANSAS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-north-arkansas-regional-medical-center",
      "siblingGroupId": "siblings-ar-north-arkansas-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to NORTH ARKANSAS REGIONAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH ARKANSAS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040018",
      "ccn": "040018",
      "name": "BAPTIST HEALTH - VAN BUREN",
      "address": "211 CRAWFORD MEMORIAL DRIVE",
      "city": "VAN BUREN",
      "state": "AR",
      "zip": "72956",
      "county": "CRAWFORD",
      "latitude": 35.4354006598397,
      "longitude": -94.3387977097589,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 103,
      "rating": null,
      "website": "http://www.summitmedicalcenter.net",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "BAPTIST HEALTH",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040019",
      "ccn": "040019",
      "name": "FORREST CITY MEDICAL CENTER",
      "address": "1601 NEWCASTLE ROAD",
      "city": "FORREST CITY",
      "state": "AR",
      "zip": "72335",
      "county": "ST. FRANCIS",
      "latitude": 35.0400192502821,
      "longitude": -90.7758839201463,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": null,
      "website": "http://www.forrestcitymedicalcenter.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "FORREST CITY HOLDINGS LLC",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-forrest-city-forrest-city-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Quorum Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: FORREST CITY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST CITY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-forrest-city-holdings-llc",
      "siblingGroupId": "siblings-ar-forrest-city-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: FORREST CITY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST CITY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "040020",
      "ccn": "040020",
      "name": "ST. BERNARDS MEDICAL CENTER",
      "address": "225 EAST WASHINGTON AVENUE",
      "city": "JONESBORO",
      "state": "AR",
      "zip": "72401",
      "county": "CRAIGHEAD",
      "latitude": 35.8364980198505,
      "longitude": -90.7026185796217,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 378,
      "rating": 1,
      "website": "http://www.sbrmc.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "OLIVETAN BENEDICTINE SISTERS INC",
      "affiliatedSystem": "OLIVETAN BENEDICTINE SISTERS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OLIVETAN BENEDICTINE SISTERS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OLIVETAN BENEDICTINE SISTERS INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLIVETAN BENEDICTINE SISTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-olivetan-benedictine-sisters-inc",
      "siblingGroupId": "siblings-ar-olivetan-benedictine-sisters-inc",
      "campusFamilyId": "campus-ar-040020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: OLIVETAN BENEDICTINE SISTERS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OLIVETAN BENEDICTINE SISTERS INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLIVETAN BENEDICTINE SISTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040020-loc-ar-jonesboro-st-bernards-medical-center",
      "ccn": "040020",
      "name": "ST. BERNARDS MEDICAL CENTER",
      "address": "2712 EAST JOHNSON AVENUE",
      "city": "JONESBORO",
      "state": "AR",
      "zip": "72405",
      "county": "CRAIGHEAD",
      "latitude": 35.8522148199125,
      "longitude": -90.6697892603896,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 62,
      "rating": 1,
      "website": "http://www.sbrmc.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "OLIVETAN BENEDICTINE SISTERS INC",
      "affiliatedSystem": "OLIVETAN BENEDICTINE SISTERS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OLIVETAN BENEDICTINE SISTERS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OLIVETAN BENEDICTINE SISTERS INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLIVETAN BENEDICTINE SISTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-olivetan-benedictine-sisters-inc",
      "siblingGroupId": "siblings-ar-olivetan-benedictine-sisters-inc",
      "campusFamilyId": "campus-ar-040020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: OLIVETAN BENEDICTINE SISTERS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OLIVETAN BENEDICTINE SISTERS INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLIVETAN BENEDICTINE SISTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "040020"
    },
    {
      "id": "040022",
      "ccn": "040022",
      "name": "NORTHWEST MEDICAL CENTER",
      "address": "609 WEST MAPLE AVENUE",
      "city": "SPRINGDALE",
      "state": "AR",
      "zip": "72764",
      "county": "WASHINGTON",
      "latitude": 36.1798771597311,
      "longitude": -94.1366428504468,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 222,
      "rating": 3,
      "website": "http://www.northwesthealth.com",
      "status": "corporate_chain",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springdale-northwest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "040026",
      "ccn": "040026",
      "name": "CHI ST. VINCENT HOSPITAL HOT SPRINGS",
      "address": "300 WERNER STREET",
      "city": "HOT SPRINGS",
      "state": "AR",
      "zip": "71913",
      "county": "GARLAND",
      "latitude": 34.4680256701501,
      "longitude": -93.0662704102668,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 282,
      "rating": 3,
      "website": "http://www.chistvincent.com/hospitals/st-vincent-hot-springs",
      "status": "corporate_chain",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hot-springs-chi-st-vincent-hospital-hot-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "040029",
      "ccn": "040029",
      "name": "CONWAY REGIONAL MEDICAL CENTER",
      "address": "2302 COLLEGE AVENUE",
      "city": "CONWAY",
      "state": "AR",
      "zip": "72034",
      "county": "FAULKNER",
      "latitude": 35.0856680500483,
      "longitude": -92.4578836002178,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 2,
      "website": "http://www.conwayregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conway-conway-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Conway Regional Health System",
      "affiliatedSystem": "CONWAY REGIONAL MEDICAL CENTER INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists SUSAN GATTO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CONWAY REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Conway Regional Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-conway-regional-health-system",
      "siblingGroupId": "siblings-ar-conway-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists SUSAN GATTO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CONWAY REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Conway Regional Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040036",
      "ccn": "040036",
      "name": "BAPTIST HEALTH MEDICAL CENTER - NORTH LITTLE ROCK",
      "address": "3333 SPRINGHILL DRIVE",
      "city": "NORTH LITTLE ROCK",
      "state": "AR",
      "zip": "72117",
      "county": "PULASKI",
      "latitude": 34.7836548896857,
      "longitude": -92.2234091599019,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 225,
      "rating": 1,
      "website": "https://www.baptist-health.com/locations/accesspoint.aspx?accesspointid=190",
      "status": "corporate_chain",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptist Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-baptist-health-arkansas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "040039",
      "ccn": "040039",
      "name": "ARKANSAS METHODIST MEDICAL CENTER",
      "address": "900 WEST KINGSHIGHWAY",
      "city": "PARAGOULD",
      "state": "AR",
      "zip": "72450",
      "county": "GREENE",
      "latitude": 36.0519443102772,
      "longitude": -90.4984570402718,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 129,
      "rating": 2,
      "website": "http://www.arkansasmethodist.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paragould-arkansas-methodist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ARKANSAS METHODIST HOSPITAL CORPORATION",
      "affiliatedSystem": "ARKANSAS METHODIST HOSPITAL CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS METHODIST HOSPITAL CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS METHODIST HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-arkansas-methodist-hospital-corporation",
      "siblingGroupId": "siblings-ar-arkansas-methodist-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS METHODIST HOSPITAL CORPORATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS METHODIST HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040041",
      "ccn": "040041",
      "name": "ST. MARY'S REGIONAL MEDICAL CENTER",
      "address": "1808 WEST MAIN STREET",
      "city": "RUSSELLVILLE",
      "state": "AR",
      "zip": "72801",
      "county": "POPE",
      "latitude": 35.2835554599636,
      "longitude": -93.1500779702324,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 170,
      "rating": 4,
      "website": "http://www.saintmarysregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "May 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-russellville-st.-mary-s-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ar-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "040050",
      "ccn": "040050",
      "name": "OUACHITA COUNTY MEDICAL CENTER",
      "address": "638 CALIFORNIA AVENUE",
      "city": "CAMDEN",
      "state": "AR",
      "zip": "71701",
      "county": "OUACHITA",
      "latitude": 33.5758211300532,
      "longitude": -92.8367393297891,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 98,
      "rating": 2,
      "website": "http://www.ouachitamedcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "OUACHITA COUNTY MEDICAL CENTER",
      "affiliatedSystem": "OUACHITA COUNTY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists GLENDA HARPER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OUACHITA COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUACHITA COUNTY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ouachita-county-medical-center",
      "siblingGroupId": "siblings-ar-ouachita-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists GLENDA HARPER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OUACHITA COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUACHITA COUNTY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040051",
      "ccn": "040051",
      "name": "BAPTIST HEALTH MEDICAL CENTER - DREW COUNTY",
      "address": "778 SCOGIN DRIVE",
      "city": "MONTICELLO",
      "state": "AR",
      "zip": "71655",
      "county": "DREW",
      "latitude": 33.6108353556271,
      "longitude": -91.8169957602573,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "BAPTIST HEALTH",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "campusFamilyId": "campus-ar-040051",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040055",
      "ccn": "040055",
      "name": "BAPTIST HEALTH - FORT SMITH",
      "address": "1001 TOWSON AVENUE",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72901",
      "county": "SEBASTIAN",
      "latitude": 35.3749478097582,
      "longitude": -94.4194572998811,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 492,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "BAPTIST HEALTH",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENT BEAULIEU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENT BEAULIEU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040062",
      "ccn": "040062",
      "name": "MERCY HOSPITAL FORT SMITH",
      "address": "7301 ROGERS AVENUE",
      "city": "FORT SMITH",
      "state": "AR",
      "zip": "72903",
      "county": "SEBASTIAN",
      "latitude": 35.3558659896508,
      "longitude": -94.3520549703651,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 336,
      "rating": 3,
      "website": "http://www.stedwardmercy.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-smith-mercy-hospital-fort-smith/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ar-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040067",
      "ccn": "040067",
      "name": "MAGNOLIA REGIONAL MEDICAL CENTER",
      "address": "101 HOSPITAL DRIVE",
      "city": "MAGNOLIA",
      "state": "AR",
      "zip": "71753",
      "county": "COLUMBIA",
      "latitude": 33.2741981801557,
      "longitude": -93.2391327595541,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 2,
      "website": "http://www.magnoliahospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-magnolia-magnolia-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Magnolia Regional Health System",
      "affiliatedSystem": "MAGNOLIA REGIONAL HEALTH SYSTEM INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to MAGNOLIA REGIONAL HEALTH SYSTEM INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAGNOLIA REGIONAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-magnolia-regional-health-system",
      "siblingGroupId": "siblings-ar-magnolia-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-verified-parent-magnolia-regional-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/850512754"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to MAGNOLIA REGIONAL HEALTH SYSTEM INC; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAGNOLIA REGIONAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040069",
      "ccn": "040069",
      "name": "GREAT RIVER MEDICAL CENTER",
      "address": "1520 NORTH DIVISION STREET",
      "city": "BLYTHEVILLE",
      "state": "AR",
      "zip": "72315",
      "county": "MISSISSIPPI",
      "latitude": 35.9430199298777,
      "longitude": -89.9173112504465,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 99,
      "rating": 2,
      "website": "http://www.mchsys.org/getpage.php?name=greatriver",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blytheville-great-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MISSISSIPPI COUNTY ARKANSAS",
      "affiliatedSystem": "MISSISSIPPI COUNTY ARKANSAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MISSISSIPPI COUNTY ARKANSAS (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MISSISSIPPI COUNTY ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI COUNTY ARKANSAS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-mississippi-county-arkansas",
      "siblingGroupId": "siblings-ar-mississippi-county-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MISSISSIPPI COUNTY ARKANSAS (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MISSISSIPPI COUNTY ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI COUNTY ARKANSAS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "040071",
      "ccn": "040071",
      "name": "JEFFERSON REGIONAL MEDICAL CENTER",
      "address": "1600 WEST 40TH AVENUE",
      "city": "PINE BLUFF",
      "state": "AR",
      "zip": "71603",
      "county": "JEFFERSON",
      "latitude": 34.1877346899251,
      "longitude": -92.0176801996201,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 300,
      "rating": 1,
      "website": "http://www.jrmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pine-bluff-jefferson-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "JEFFERSON HOSPITAL ASSOCIATION INC",
      "affiliatedSystem": "JEFFERSON HOSPITAL ASSOCIATION INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to JEFFERSON HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-hospital-association-inc",
      "siblingGroupId": "siblings-ar-jefferson-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to JEFFERSON HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040072",
      "ccn": "040072",
      "name": "BAPTIST HEALTH MEDICAL CENTER-STUTTGART",
      "address": "1703 NORTH BUERKLE ROAD",
      "city": "STUTTGART",
      "state": "AR",
      "zip": "72160",
      "county": "ARKANSAS",
      "latitude": 34.5175108002723,
      "longitude": -91.5582995400825,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stuttgart-baptist-health-medical-center-stuttgart/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BAPTIST HEALTH MEDICAL CENTER-STUTTGART",
      "affiliatedSystem": "Voluntary non-profit - Private",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH MEDICAL CENTER-STUTTGART, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-medical-center-stuttgart",
      "siblingGroupId": "siblings-ar-baptist-health-medical-center-stuttgart",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH MEDICAL CENTER-STUTTGART, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040078",
      "ccn": "040078",
      "name": "NATIONAL PARK MEDICAL CENTER",
      "address": "1910 MALVERN AVENUE",
      "city": "HOT SPRINGS",
      "state": "AR",
      "zip": "71901",
      "county": "GARLAND",
      "latitude": 34.4861051102437,
      "longitude": -93.0353852698884,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 163,
      "rating": 2,
      "website": "http://www.nationalparkmedical.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hot-springs-national-park-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 97.53%). CMS lists SCOTT E BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ar-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 97.53%). CMS lists SCOTT E BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "040084",
      "ccn": "040084",
      "name": "SALINE MEMORIAL HOSPITAL",
      "address": "1 MEDICAL PARK DRIVE",
      "city": "BENTON",
      "state": "AR",
      "zip": "72015",
      "county": "SALINE",
      "latitude": 34.5733526001466,
      "longitude": -92.5859901698614,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 177,
      "rating": 3,
      "website": "http://www.salinememorial.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-benton-saline-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "040114",
      "ccn": "040114",
      "name": "BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK",
      "address": "9601 BAPTIST HEALTH DRIVE",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.743893349779,
      "longitude": -92.3806510397853,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 827,
      "rating": 3,
      "website": "http://www.baptist-health.org/maps-directions/bhmc-lr",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "BAPTIST HEALTH",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRENT BEAULIEU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "campusFamilyId": "campus-ar-040114",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRENT BEAULIEU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040114-loc-ar-little-rock-baptist-health-medical-center-little-ro",
      "ccn": "040114",
      "name": "BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK",
      "address": "11401 INTERSTATE 30",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72209",
      "county": "PULASKI",
      "latitude": 34.6573267201631,
      "longitude": -92.4027442499004,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "BAPTIST HEALTH",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRENT BEAULIEU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "campusFamilyId": "campus-ar-040114",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRENT BEAULIEU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "040114"
    },
    {
      "id": "040119",
      "ccn": "040119",
      "name": "WHITE RIVER MEDICAL CENTER",
      "address": "1710 HARRISON STREET",
      "city": "BATESVILLE",
      "state": "AR",
      "zip": "72501",
      "county": "INDEPENDENCE",
      "latitude": 35.7678692601834,
      "longitude": -91.6345909796092,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 224,
      "rating": 3,
      "website": "http://www.whiteriverhealthsystem.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-batesville-white-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WHITE RIVER HEALTH SYSTEM, INC.",
      "affiliatedSystem": "WHITE RIVER HEALTH SYSTEM, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: WHITE RIVER HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE RIVER HEALTH SYSTEM, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITE RIVER HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-white-river-health-system-inc",
      "siblingGroupId": "siblings-ar-white-river-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHITE RIVER HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE RIVER HEALTH SYSTEM, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITE RIVER HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040132",
      "ccn": "040132",
      "name": "LEVI HOSPITAL",
      "address": "300 PROSPECT AVENUE",
      "city": "HOT SPRINGS",
      "state": "AR",
      "zip": "71901",
      "county": "GARLAND",
      "latitude": 34.5098970699897,
      "longitude": -93.0575774896191,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": null,
      "website": "http://www.levihospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "LEVI HOSPITAL",
      "affiliatedSystem": "Voluntary non-profit - Private",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEVI HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-levi-hospital",
      "siblingGroupId": "siblings-ar-levi-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. State resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEVI HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040134",
      "ccn": "040134",
      "name": "ARKANSAS HEART HOSPITAL, LLC",
      "address": "1701 SOUTH SHACKLEFORD ROAD",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72211",
      "county": "PULASKI",
      "latitude": 34.7391732001854,
      "longitude": -92.3932769599183,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 110,
      "rating": 3,
      "website": "http://www.arheart.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-arkansas-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ARKANSAS HEART HOSPITAL LLC",
      "affiliatedSystem": "ARKANSAS HEART HOSPITAL LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists BRUCE EDWARD MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS HEART HOSPITAL LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS HEART HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-arkansas-heart-hospital-llc",
      "siblingGroupId": "siblings-ar-arkansas-heart-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists BRUCE EDWARD MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS HEART HOSPITAL LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS HEART HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "040137",
      "ccn": "040137",
      "name": "ST. VINCENT MEDICAL CENTER - NORTH",
      "address": "2215 WILDWOOD AVENUE",
      "city": "SHERWOOD",
      "state": "AR",
      "zip": "72120",
      "county": "PULASKI",
      "latitude": 34.8130951700099,
      "longitude": -92.2076906304015,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 69,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ar-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040154",
      "ccn": "040154",
      "name": "BAPTIST HEALTH MEDICAL CENTER - CONWAY",
      "address": "1555 EXCHANGE AVENUE",
      "city": "CONWAY",
      "state": "AR",
      "zip": "72032",
      "county": "FAULKNER",
      "latitude": 35.056716640311,
      "longitude": -92.4195706204367,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conway-baptist-health-medical-center-conway/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BAPTIST HEALTH",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health",
      "siblingGroupId": "siblings-ar-baptist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040156",
      "ccn": "040156",
      "name": "BAPTIST MEMORIAL HOSPITAL - CRITTENDEN, INC",
      "address": "2100 NORTH SEVENTH STREET",
      "city": "WEST MEMPHIS",
      "state": "AR",
      "zip": "72301",
      "county": "CRITTENDEN",
      "latitude": 35.1679598498664,
      "longitude": -90.1778333602167,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "website": "https://www.baptistonline.org/locations/crittenden",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-memphis-baptist-memorial-hospital-crittenden-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ar-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Baptist Health Arkansas; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040161",
      "ccn": "040161",
      "name": "ARKANSAS HEART HOSPITAL-ENCORE",
      "address": "1901 ENCORE WAY",
      "city": "BRYANT",
      "state": "AR",
      "zip": "72019",
      "county": "SALINE",
      "latitude": 34.6130032002913,
      "longitude": -92.5207602999774,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "ARKANSAS HEART HOSPITAL LLC",
      "affiliatedSystem": "ARKANSAS HEART HOSPITAL LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists BRUCE EDWARD MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS HEART HOSPITAL LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS HEART HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-arkansas-heart-hospital-llc",
      "siblingGroupId": "siblings-ar-arkansas-heart-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists BRUCE EDWARD MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS HEART HOSPITAL LLC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS HEART HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "040164",
      "ccn": "040164",
      "name": "UNITY HEALTH - JACKSONVILLE",
      "address": "1400 BRADEN ST",
      "city": "JACKSONVILLE",
      "state": "AR",
      "zip": "72076",
      "county": "PULASKI",
      "latitude": 34.8734835812208,
      "longitude": -92.1250602389539,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 29,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "WHITE COUNTY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN BURTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ar-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN BURTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040779",
      "ccn": "040779",
      "name": "ST. BERNARDS FIVE RIVERS MEDICAL CENTER",
      "address": "2801 MEDICAL CENTER DRIVE",
      "city": "POCAHONTAS",
      "state": "AR",
      "zip": "72455",
      "county": "RANDOLPH",
      "latitude": 36.2897602703138,
      "longitude": -90.9973876300922,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": null,
      "website": "http://www.fiveriversmedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pocahontas-st.-bernard-s-five-rivers-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "FIVE RIVERS MEDICAL CENTER INC",
      "affiliatedSystem": "FIVE RIVERS MEDICAL CENTER INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: FIVE RIVERS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RANDALL BARYMON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to FIVE RIVERS MEDICAL CENTER INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIVE RIVERS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-five-rivers-medical-center-inc",
      "siblingGroupId": "siblings-ar-five-rivers-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIVE RIVERS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RANDALL BARYMON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to FIVE RIVERS MEDICAL CENTER INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIVE RIVERS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "040780",
      "ccn": "040780",
      "name": "EUREKA SPRINGS HOSPITAL COMMISSION",
      "address": "24 NORRIS STREET",
      "city": "EUREKA SPRINGS",
      "state": "AR",
      "zip": "72632",
      "county": "CARROLL",
      "latitude": 36.4001637900157,
      "longitude": -93.7442359198302,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "website": "http://www.eurekaspringshospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "EUREKA SPRINGS HOSPITAL COMMISSION",
      "affiliatedSystem": "EUREKA SPRINGS HOSPITAL COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists TIFFANY MEANS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to EUREKA SPRINGS HOSPITAL COMMISSION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EUREKA SPRINGS HOSPITAL COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-eureka-springs-hospital-commission",
      "siblingGroupId": "siblings-ar-eureka-springs-hospital-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists TIFFANY MEANS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to EUREKA SPRINGS HOSPITAL COMMISSION; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EUREKA SPRINGS HOSPITAL COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "040781",
      "ccn": "040781",
      "name": "HELENA REGIONAL MEDICAL CENTER",
      "address": "1801 MARTIN LUTHER KING JR DRIVE",
      "city": "HELENA",
      "state": "AR",
      "zip": "72342",
      "county": "PHILLIPS",
      "latitude": 34.5102853398081,
      "longitude": -90.6271033599589,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Proprietary",
      "beds": 155,
      "rating": null,
      "website": "http://www.helenarmc.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HELENA HEATH FOUNDATION",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-helena-helena-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Quorum Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HELENA HEATH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ED PAT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HELENA HEATH FOUNDATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-helena-heath-foundation",
      "siblingGroupId": "siblings-ar-helena-heath-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: HELENA HEATH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ED PAT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HELENA HEATH FOUNDATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "040782",
      "ccn": "040782",
      "name": "SOUTH MISSISSIPPI COUNTY REGIONAL MEDICAL CENTER",
      "address": "611 WEST LEE AVENUE",
      "city": "OSCEOLA",
      "state": "AR",
      "zip": "72370",
      "county": "MISSISSIPPI",
      "latitude": 35.6997050798333,
      "longitude": -89.9755700401139,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.mchsys.org/getpage.php?name=smrmc",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-osceola-south-mississippi-county-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MISSISSIPPI COUNTY ARKANSAS",
      "affiliatedSystem": "MISSISSIPPI COUNTY ARKANSAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MISSISSIPPI COUNTY ARKANSAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MISSISSIPPI COUNTY ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI COUNTY ARKANSAS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-mississippi-county-arkansas",
      "siblingGroupId": "siblings-ar-mississippi-county-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MISSISSIPPI COUNTY ARKANSAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MISSISSIPPI COUNTY ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI COUNTY ARKANSAS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "041300",
      "ccn": "041300",
      "name": "MERCY HOSPITAL PARIS",
      "address": "500 EAST ACADEMY",
      "city": "PARIS",
      "state": "AR",
      "zip": "72855",
      "county": "LOGAN",
      "latitude": 35.2892933400113,
      "longitude": -93.7248785495741,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": 5,
      "website": "http://www.mercy.net/practice/mercy-hospital-paris",
      "status": "corporate_chain",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paris-mercy-hospital-paris/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/locations/"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "041303",
      "ccn": "041303",
      "name": "MERCY HOSPITAL OZARK",
      "address": "801 WEST RIVER STREET",
      "city": "OZARK",
      "state": "AR",
      "zip": "72949",
      "county": "FRANKLIN",
      "latitude": 35.4858200100877,
      "longitude": -93.833443749737,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ozark-mercy-hospital-ozark/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ar-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041305",
      "ccn": "041305",
      "name": "MERCY HOSPITAL WALDRON",
      "address": "1341 WEST SIXTH STREET",
      "city": "WALDRON",
      "state": "AR",
      "zip": "72958",
      "county": "SCOTT",
      "latitude": 34.8945535798723,
      "longitude": -94.1058679998291,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waldron-mercy-hospital-waldron/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ar-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041307",
      "ccn": "041307",
      "name": "CROSSRIDGE COMMUNITY HOSPITAL",
      "address": "310 SOUTH FALLS BOULEVARD",
      "city": "WYNNE",
      "state": "AR",
      "zip": "72396",
      "county": "CROSS",
      "latitude": 35.2195579199656,
      "longitude": -90.7866405395978,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wynne-crossridge-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ST BERNARDS HEALTHCARE INC",
      "affiliatedSystem": "ST BERNARDS HEALTHCARE INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ST BERNARDS HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ST BERNARDS HEALTHCARE INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST BERNARDS HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-bernards-healthcare-inc",
      "siblingGroupId": "siblings-ar-st-bernards-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST BERNARDS HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ST BERNARDS HEALTHCARE INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST BERNARDS HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041308",
      "ccn": "041308",
      "name": "MCGEHEE HOSPITAL",
      "address": "900 SOUTH THIRD STREET",
      "city": "MCGEHEE",
      "state": "AR",
      "zip": "71654",
      "county": "DESHA",
      "latitude": 33.6184553200527,
      "longitude": -91.3922763399376,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "MCGEHEE HOSPITAL INCORPORATED",
      "affiliatedSystem": "MCGEHEE HOSPITAL INCORPORATED",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MCGEHEE HOSPITAL INCORPORATED; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCGEHEE HOSPITAL INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcgehee-hospital-incorporated",
      "siblingGroupId": "siblings-ar-mcgehee-hospital-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to MCGEHEE HOSPITAL INCORPORATED; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCGEHEE HOSPITAL INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041309",
      "ccn": "041309",
      "name": "LAWRENCE MEMORIAL HOSPITAL",
      "address": "1309 WEST MAIN",
      "city": "WALNUT RIDGE",
      "state": "AR",
      "zip": "72476",
      "county": "LAWRENCE",
      "latitude": 36.0737585002471,
      "longitude": -90.9678234497627,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.lawrencehealth.net",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-walnut-ridge-lawrence-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LAWRENCE MEMORIAL HEALTH FOUNDATION INC",
      "affiliatedSystem": "LAWRENCE MEMORIAL HEALTH FOUNDATION INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to LAWRENCE MEMORIAL HEALTH FOUNDATION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE MEMORIAL HEALTH FOUNDATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lawrence-memorial-health-foundation-inc",
      "siblingGroupId": "siblings-ar-lawrence-memorial-health-foundation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to LAWRENCE MEMORIAL HEALTH FOUNDATION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE MEMORIAL HEALTH FOUNDATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041310",
      "ccn": "041310",
      "name": "STONE COUNTY MEDICAL CENTER",
      "address": "2106 EAST MAIN STREET",
      "city": "MOUNTAIN VIEW",
      "state": "AR",
      "zip": "72560",
      "county": "STONE",
      "latitude": 35.8565831296382,
      "longitude": -92.0828645303091,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mountain-view-stone-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WHITE RIVER HEALTH SYSTEM, INC.",
      "affiliatedSystem": "WHITE RIVER HEALTH SYSTEM, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: WHITE RIVER HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE RIVER HEALTH SYSTEM, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITE RIVER HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-white-river-health-system-inc",
      "siblingGroupId": "siblings-ar-white-river-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHITE RIVER HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE RIVER HEALTH SYSTEM, INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHITE RIVER HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041311",
      "ccn": "041311",
      "name": "HOWARD MEMORIAL HOSPITAL",
      "address": "130 MEDICAL CIRCLE",
      "city": "NASHVILLE",
      "state": "AR",
      "zip": "71852",
      "county": "HOWARD",
      "latitude": 33.9497227597332,
      "longitude": -93.8805491799059,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-howard-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HOWARD MEMORIAL HOSPITAL",
      "affiliatedSystem": "HOWARD MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HOWARD MEMORIAL HOSPITAL; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOWARD MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-howard-memorial-hospital",
      "siblingGroupId": "siblings-ar-howard-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HOWARD MEMORIAL HOSPITAL; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOWARD MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041312",
      "ccn": "041312",
      "name": "BAPTIST HEALTH MEDICAL CENTER - HEBER SPRINGS",
      "address": "1800 BYPASS ROAD",
      "city": "HEBER SPRINGS",
      "state": "AR",
      "zip": "72543",
      "county": "CLEBURNE",
      "latitude": 35.5045011298162,
      "longitude": -91.9979984998172,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.baptist-health.com/maps-directions/bhmc-heber-springs",
      "status": "corporate_chain",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptist Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-baptist-health-arkansas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "041313",
      "ccn": "041313",
      "name": "OZARK HEALTH",
      "address": "2500 HIGHWAY 65 SOUTH",
      "city": "CLINTON",
      "state": "AR",
      "zip": "72031",
      "county": "VAN BUREN",
      "latitude": 35.559501379657,
      "longitude": -92.452173569607,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.ozarkhealthinc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-ozark-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "OZARK HEALTH, INC",
      "affiliatedSystem": "OZARK HEALTH, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OZARK HEALTH, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OZARK HEALTH, INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OZARK HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ozark-health-inc",
      "siblingGroupId": "siblings-ar-ozark-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: OZARK HEALTH, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to OZARK HEALTH, INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OZARK HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041317",
      "ccn": "041317",
      "name": "DALLAS COUNTY MEDICAL CENTER",
      "address": "201 CLIFTON STREET",
      "city": "FORDYCE",
      "state": "AR",
      "zip": "71742",
      "county": "DALLAS",
      "latitude": 33.8108553897259,
      "longitude": -92.4255876404143,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fordyce-dallas-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DALLAS COUNTY",
      "affiliatedSystem": "DALLAS COUNTY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: DALLAS COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DALLAS COUNTY; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALLAS COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dallas-county",
      "siblingGroupId": "siblings-ar-dallas-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: DALLAS COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DALLAS COUNTY; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALLAS COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "041318",
      "ccn": "041318",
      "name": "MERCY HOSPITAL BOONEVILLE",
      "address": "880 WEST MAIN STREET",
      "city": "BOONEVILLE",
      "state": "AR",
      "zip": "72927",
      "county": "LOGAN",
      "latitude": 35.1403219196923,
      "longitude": -93.9351706299024,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.boonevillehospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-booneville-mercy-hospital-booneville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ar-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Mercy; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041320",
      "ccn": "041320",
      "name": "LITTLE RIVER MEMORIAL HOSPITAL",
      "address": "451 WEST LOCKE STREET",
      "city": "ASHDOWN",
      "state": "AR",
      "zip": "71822",
      "county": "LITTLE RIVER",
      "latitude": 33.6692528202998,
      "longitude": -94.1348520203004,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://littlerivercounty.org/index.php/component/contact/34-hospital/98-little-river-memorial-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ashdown-little-river-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LITTLE RIVER MEDICAL CENTER INC",
      "affiliatedSystem": "LITTLE RIVER MEDICAL CENTER INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to LITTLE RIVER MEDICAL CENTER INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LITTLE RIVER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-little-river-medical-center-inc",
      "siblingGroupId": "siblings-ar-little-river-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to LITTLE RIVER MEDICAL CENTER INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LITTLE RIVER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041321",
      "ccn": "041321",
      "name": "BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA",
      "address": "3050 TWIN RIVERS DRIVE",
      "city": "ARKADELPHIA",
      "state": "AR",
      "zip": "71923",
      "county": "CLARK",
      "latitude": 34.1229135700174,
      "longitude": -93.0888241596786,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.baptist-health.com/locations/accesspoint.aspx?accesspointid=187",
      "status": "corporate_chain",
      "affiliatedSystem": "Baptist Health Arkansas",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptist Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arkadelphia-baptist-health-medical-center---arkadelphia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-baptist-health-arkansas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "041322",
      "ccn": "041322",
      "name": "FULTON COUNTY HOSPITAL",
      "address": "679 NORTH MAIN STREET",
      "city": "SALEM",
      "state": "AR",
      "zip": "72576",
      "county": "FULTON",
      "latitude": 36.3829008802599,
      "longitude": -91.8103079502907,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.fultoncountyhospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salem-fulton-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BAXTER REGIONAL HEALTH SYSTEM",
      "affiliatedSystem": "BAXTER REGIONAL HEALTH SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAXTER REGIONAL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA HENRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BAXTER REGIONAL HEALTH SYSTEM; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAXTER REGIONAL HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-baxter-regional-health-system",
      "siblingGroupId": "siblings-ar-baxter-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAXTER REGIONAL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA HENRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BAXTER REGIONAL HEALTH SYSTEM; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAXTER REGIONAL HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "041323",
      "ccn": "041323",
      "name": "ASHLEY COUNTY MEDICAL CENTER",
      "address": "1015 UNITY ROAD",
      "city": "CROSSETT",
      "state": "AR",
      "zip": "71635",
      "county": "ASHLEY",
      "latitude": 33.1384541602414,
      "longitude": -91.9387990500799,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 33,
      "rating": 4,
      "website": "http://www.acmconline.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crossett-ashley-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CROSSETT HEALTH FOUNDATION",
      "affiliatedSystem": "CROSSETT HEALTH FOUNDATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CROSSETT HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CROSSETT HEALTH FOUNDATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROSSETT HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-crossett-health-foundation",
      "siblingGroupId": "siblings-ar-crossett-health-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CROSSETT HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CROSSETT HEALTH FOUNDATION; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROSSETT HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041324",
      "ccn": "041324",
      "name": "CHI ST. VINCENT MORRILTON",
      "address": "4 HOSPITAL DRIVE",
      "city": "MORRILTON",
      "state": "AR",
      "zip": "72110",
      "county": "CONWAY",
      "latitude": 35.1680149101668,
      "longitude": -92.7213513199405,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "website": "https://www.stvincenthealth.com/morrilton/",
      "status": "corporate_chain",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "041326",
      "ccn": "041326",
      "name": "DELTA MEMORIAL HOSPITAL",
      "address": "811 HIGHWAY 65 SOUTH",
      "city": "DUMAS",
      "state": "AR",
      "zip": "71639",
      "county": "DESHA",
      "latitude": 33.8732016697309,
      "longitude": -91.4803685197538,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dumas-delta-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DELTA MEMORIAL HOSPITAL",
      "affiliatedSystem": "DELTA MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists JEREMY CAPPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DELTA MEMORIAL HOSPITAL; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-delta-memorial-hospital",
      "siblingGroupId": "siblings-ar-delta-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists JEREMY CAPPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to DELTA MEMORIAL HOSPITAL; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041327",
      "ccn": "041327",
      "name": "BRADLEY COUNTY MEDICAL CENTER",
      "address": "404 SOUTH BRADLEY STREET",
      "city": "WARREN",
      "state": "AR",
      "zip": "71671",
      "county": "BRADLEY",
      "latitude": 33.6103641300233,
      "longitude": -92.0592548903326,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 33,
      "rating": null,
      "website": "http://www.bradleycountymedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warren-bradley-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BRADLEY COUNTY MEDICAL CENTER",
      "affiliatedSystem": "BRADLEY COUNTY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BRADLEY COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BRADLEY COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRADLEY COUNTY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bradley-county-medical-center",
      "siblingGroupId": "siblings-ar-bradley-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRADLEY COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to BRADLEY COUNTY MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRADLEY COUNTY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041328",
      "ccn": "041328",
      "name": "CHICOT MEMORIAL MEDICAL CENTER",
      "address": "2729 SOUTH HIGHWAY 65 AND HIGHWAY 82",
      "city": "LAKE VILLAGE",
      "state": "AR",
      "zip": "71653",
      "county": "CHICOT",
      "latitude": 33.3065987701936,
      "longitude": -91.2903890404254,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.chicotmemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-village-chicot-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CHICOT MEMORIAL MEDICAL CENTER",
      "affiliatedSystem": "CHICOT MEMORIAL MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists SAM ANGEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHICOT MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHICOT MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-chicot-memorial-medical-center",
      "siblingGroupId": "siblings-ar-chicot-memorial-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS lists SAM ANGEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CHICOT MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHICOT MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041329",
      "ccn": "041329",
      "name": "MERCY HOSPITAL BERRYVILLE",
      "address": "214 CARTER STREET",
      "city": "BERRYVILLE",
      "state": "AR",
      "zip": "72616",
      "county": "CARROLL",
      "latitude": 36.3590620998487,
      "longitude": -93.5518257700229,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.mercy.net/practice/mercy-hospital-berryville",
      "status": "corporate_chain",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berryville-mercy-hospital-berryville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/locations/"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "041330",
      "ccn": "041330",
      "name": "PIGGOTT COMMUNITY HOSPITAL",
      "address": "1206 GORDON DUCKWORTH DRIVE",
      "city": "PIGGOTT",
      "state": "AR",
      "zip": "72454",
      "county": "CLAY",
      "latitude": 36.3901194696683,
      "longitude": -90.2048379600273,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "website": "http://www.piggottcommunityhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-piggott-piggott-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CITY OF PIGGOTT",
      "affiliatedSystem": "CITY OF PIGGOTT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF PIGGOTT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY OF PIGGOTT; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF PIGGOTT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-city-of-piggott",
      "siblingGroupId": "siblings-ar-city-of-piggott",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF PIGGOTT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY OF PIGGOTT; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF PIGGOTT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "041331",
      "ccn": "041331",
      "name": "OZARKS COMMUNITY HOSPITAL OF GRAVETTE",
      "address": "1101 JACKSON STREET SW",
      "city": "GRAVETTE",
      "state": "AR",
      "zip": "72736",
      "county": "BENTON",
      "latitude": 36.4085832899399,
      "longitude": -94.4591101097219,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gravette-ozarks-community-hospital-of-gravette/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SGOH ACQUISITION INC",
      "affiliatedSystem": "SGOH ACQUISITION INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SGOH ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SGOH ACQUISITION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SGOH ACQUISITION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sgoh-acquisition-inc",
      "siblingGroupId": "siblings-ar-sgoh-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: SGOH ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SGOH ACQUISITION INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SGOH ACQUISITION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041332",
      "ccn": "041332",
      "name": "UNITY HEALTH - NEWPORT",
      "address": "1200 MCLAIN STREET, STE B",
      "city": "NEWPORT",
      "state": "AR",
      "zip": "72112",
      "county": "JACKSON",
      "latitude": 35.6077662000487,
      "longitude": -91.2647716999249,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "WHITE COUNTY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ar-unity-health-arkansas",
      "campusFamilyId": "campus-ar-041332",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "041332-loc-ar-newport-unity-health-newport",
      "ccn": "041332",
      "name": "UNITY HEALTH - NEWPORT",
      "address": "1205 MCLAIN STREET",
      "city": "NEWPORT",
      "state": "AR",
      "zip": "72112",
      "county": "JACKSON",
      "latitude": 35.6085688498911,
      "longitude": -91.2650600600294,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "WHITE COUNTY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ar-unity-health-arkansas",
      "campusFamilyId": "campus-ar-041332",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHITE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to WHITE COUNTY MEDICAL CENTER; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "041332"
    },
    {
      "id": "041333",
      "ccn": "041333",
      "name": "SEVIER COUNTY MEDICAL CENTER",
      "address": "960 HWY 71 N",
      "city": "DE QUEEN",
      "state": "AR",
      "zip": "71832",
      "county": "SEVIER",
      "latitude": 34.1066404218653,
      "longitude": -94.3193706796441,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "SEVIER COUNTY, ARKANSAS",
      "affiliatedSystem": "SEVIER COUNTY, ARKANSAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SEVIER COUNTY, ARKANSAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SEVIER COUNTY, ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEVIER COUNTY, ARKANSAS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-sevier-county-arkansas",
      "siblingGroupId": "siblings-ar-sevier-county-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: SEVIER COUNTY, ARKANSAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to SEVIER COUNTY, ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEVIER COUNTY, ARKANSAS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "041334",
      "ccn": "041334",
      "name": "MENA REGIONAL HEALTH SYSTEM",
      "address": "311 NORTH MORROW STREET",
      "city": "MENA",
      "state": "AR",
      "zip": "71953",
      "county": "POLK",
      "latitude": 34.5890535998188,
      "longitude": -94.2216312395652,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 65,
      "rating": null,
      "website": "http://menamedical.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mena-mena-regional-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CITY OF MENA OFFICE OF CITY CLERK",
      "affiliatedSystem": "CITY OF MENA OFFICE OF CITY CLERK",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CITY OF MENA OFFICE OF CITY CLERK (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY OF MENA OFFICE OF CITY CLERK; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF MENA OFFICE OF CITY CLERK, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-city-of-mena-office-of-city-clerk",
      "siblingGroupId": "siblings-ar-city-of-mena-office-of-city-clerk",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF MENA OFFICE OF CITY CLERK (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to CITY OF MENA OFFICE OF CITY CLERK; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF MENA OFFICE OF CITY CLERK, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "043300",
      "ccn": "043300",
      "name": "ARKANSAS CHILDREN'S HOSPITAL",
      "address": "1 CHILDREN'S WAY, SLOT 301",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72202",
      "county": "PULASKI",
      "latitude": 34.743236350041,
      "longitude": -92.2931766897806,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 336,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-arkansas-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Arkansas Children's",
      "affiliatedSystem": "ARKANSAS CHILDRENS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ARKANSAS CHILDRENS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHERYL PHILLIPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS CHILDRENS INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Arkansas Children's, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-arkansas-children-s",
      "siblingGroupId": "siblings-ar-arkansas-children-s",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ARKANSAS CHILDRENS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHERYL PHILLIPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS CHILDRENS INC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Arkansas Children's, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "043301",
      "ccn": "043301",
      "name": "ARKANSAS CHILDREN'S NORTHWEST, INC",
      "address": "2601 GENE GEORGE BOULEVARD",
      "city": "SPRINGDALE",
      "state": "AR",
      "zip": "72762",
      "county": "WASHINGTON",
      "latitude": 36.1624094998227,
      "longitude": -94.1904642895974,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "https://www.archildrens.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springdale-arkansas-children-s-northwest-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Arkansas Children's",
      "affiliatedSystem": "ARKANSAS CHILDRENS NORTHWEST INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ARKANSAS CHILDRENS NORTHWEST INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LE'KITA BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS CHILDRENS NORTHWEST INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Arkansas Children's, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-arkansas-children-s",
      "siblingGroupId": "siblings-ar-arkansas-children-s",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ARKANSAS CHILDRENS NORTHWEST INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LE'KITA BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS CHILDRENS NORTHWEST INC.; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Arkansas Children's, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "044005",
      "ccn": "044005",
      "name": "THE BRIDGEWAY",
      "address": "21 BRIDGEWAY ROAD",
      "city": "NORTH LITTLE ROCK",
      "state": "AR",
      "zip": "72113",
      "county": "PULASKI",
      "latitude": 34.822066649808,
      "longitude": -92.3547676299757,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 127,
      "rating": null,
      "website": "http://www.thebridgeway.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-little-rock-the-bridgeway/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ar-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "044006",
      "ccn": "044006",
      "name": "VALLEY BEHAVIORAL HEALTH SYSTEM",
      "address": "10301 MAYO DRIVE",
      "city": "BARLING",
      "state": "AR",
      "zip": "72923",
      "county": "SEBASTIAN",
      "latitude": 35.3413375298256,
      "longitude": -94.3130681903406,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 114,
      "rating": null,
      "website": "http://www.vistahealthservices.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-barling-valley-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ar-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "044007",
      "ccn": "044007",
      "name": "RIVENDELL BEHAVIORAL HEALTH SERVICES OF ARKANSAS",
      "address": "100 RIVENDELL DRIVE",
      "city": "BENTON",
      "state": "AR",
      "zip": "72019",
      "county": "SALINE",
      "latitude": 34.6138459796332,
      "longitude": -92.5329313303184,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "website": "http://www.rivendellofarkansas.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ar-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "044011",
      "ccn": "044011",
      "name": "ARKANSAS STATE HOSPITAL",
      "address": "305 SOUTH PALM STREET",
      "city": "LITTLE ROCK",
      "state": "AR",
      "zip": "72205",
      "county": "PULASKI",
      "latitude": 34.7501025997754,
      "longitude": -92.3243346700703,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 222,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-rock-arkansas-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STATE OF ARKANSAS",
      "affiliatedSystem": "STATE OF ARKANSAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF ARKANSAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to STATE OF ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ARKANSAS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-arkansas",
      "siblingGroupId": "siblings-ar-state-of-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF ARKANSAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to STATE OF ARKANSAS; ownership class government. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF ARKANSAS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "044017",
      "ccn": "044017",
      "name": "UNITED METHODIST BEHAVIORAL HOSPITAL",
      "address": "1601 MURPHY DRIVE",
      "city": "MAUMELLE",
      "state": "AR",
      "zip": "72113",
      "county": "PULASKI",
      "latitude": 34.8764356698583,
      "longitude": -92.394413249701,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": null,
      "website": "http://www.umch.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "ARKANSAS DEVELOPMENT FINANCE AUTHORITY",
      "affiliatedSystem": "ARKANSAS DEVELOPMENT FINANCE AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ARKANSAS DEVELOPMENT FINANCE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS DEVELOPMENT FINANCE AUTHORITY; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS DEVELOPMENT FINANCE AUTHORITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-arkansas-development-finance-authority",
      "siblingGroupId": "siblings-ar-arkansas-development-finance-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ARKANSAS DEVELOPMENT FINANCE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to ARKANSAS DEVELOPMENT FINANCE AUTHORITY; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARKANSAS DEVELOPMENT FINANCE AUTHORITY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "044019",
      "ccn": "044019",
      "name": "SPRINGWOODS BEHAVIORAL HEALTH SERVICES",
      "address": "1955 WEST TRUCKER'S DRIVE",
      "city": "FAYETTEVILLE",
      "state": "AR",
      "zip": "72704",
      "county": "WASHINGTON",
      "latitude": 36.1084831099649,
      "longitude": -94.1868355099729,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-springwoods-behavioral-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ar-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "044020",
      "ccn": "044020",
      "name": "RIVERVIEW BEHAVIORAL HEALTH",
      "address": "701 ARKANSAS BOULEVARD, SUITE 300",
      "city": "TEXARKANA",
      "state": "AR",
      "zip": "71854",
      "county": "MILLER",
      "latitude": 33.4610700197133,
      "longitude": -94.0340908703879,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 62,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-texarkana-riverview-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ar-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "044021",
      "ccn": "044021",
      "name": "PERIMETER BEHAVIORAL HOSPITAL OF WEST MEMPHIS",
      "address": "600 NORTH SEVENTH STREET",
      "city": "WEST MEMPHIS",
      "state": "AR",
      "zip": "72301",
      "county": "CRITTENDEN",
      "latitude": 35.1529393996695,
      "longitude": -90.1769175996498,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 49,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Perimeter Behavioral Health",
      "peFirm": "Ridgemont Equity Partners",
      "acquiredDate": "September 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Perimeter Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "HOLDCO PERIMETER LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM LON PETERSON LANCASTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HOLDCO PERIMETER LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-ar-perimeter-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM LON PETERSON LANCASTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HOLDCO PERIMETER LLC; ownership class nonprofit. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "044022",
      "ccn": "044022",
      "name": "CONWAY BEHAVIORAL HEALTH",
      "address": "2255 STURGIS ROAD",
      "city": "CONWAY",
      "state": "AR",
      "zip": "72034",
      "county": "FAULKNER",
      "latitude": 35.0381092797411,
      "longitude": -92.4239923896749,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "website": "https://www.conwaybh.com/?utm_source=yext&utm_medium=organic&utm_campaign=listing&utm_term=brand",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conway-conway-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ar-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ar-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.arkansas.gov/programs-services/topics/health-facility-services"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050002",
      "ccn": "050002",
      "name": "ST ROSE HOSPITAL",
      "address": "27200 CALAROGA AVENUE",
      "city": "HAYWARD",
      "state": "CA",
      "zip": "94545",
      "county": "ALAMEDA",
      "latitude": 37.6334419899269,
      "longitude": -122.087912530419,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 171,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hayward-st.-rose-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAYWARD SISTERS HOSPITAL",
      "parentSystemId": "entity-hayward-sisters-hospital",
      "siblingGroupId": "siblings-ca-hayward-sisters-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-alameda-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alamedahealthsystem.org/wp-content/uploads/2025/02/2025-02-05-FIN-Boardbook.pdf"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System board record. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAYWARD SISTERS HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System board record. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAYWARD SISTERS HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050006",
      "ccn": "050006",
      "name": "PROVIDENCE ST. JOSEPH HOSPITAL",
      "address": "2700 DOLBEER ST",
      "city": "EUREKA",
      "state": "CA",
      "zip": "95501",
      "county": "HUMBOLDT",
      "latitude": 40.7841218502209,
      "longitude": -124.142236910367,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 138,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-joseph-health-northern-california-llc",
      "siblingGroupId": "siblings-ca-st-joseph-health-northern-california-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050007",
      "ccn": "050007",
      "name": "MILLS - PENINSULA MEDICAL CENTER",
      "address": "1501 TROUSDALE DR",
      "city": "BURLINGAME",
      "state": "CA",
      "zip": "94010",
      "county": "SAN MATEO",
      "latitude": 37.5925127500799,
      "longitude": -122.382323599554,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 241,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burlingame-mills-peninsula-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050009",
      "ccn": "050009",
      "name": "PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER",
      "address": "1000 TRANCAS ST",
      "city": "NAPA",
      "state": "CA",
      "zip": "94558",
      "county": "NAPA",
      "latitude": 38.3245032698144,
      "longitude": -122.297056809953,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 200,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-joseph-health-northern-california-llc",
      "siblingGroupId": "siblings-ca-st-joseph-health-northern-california-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050013",
      "ccn": "050013",
      "name": "ADVENTIST HEALTH ST. HELENA",
      "address": "10 WOODLAND RD",
      "city": "SAINT HELENA",
      "state": "CA",
      "zip": "94574",
      "county": "NAPA",
      "latitude": 38.5425492898626,
      "longitude": -122.47485723968,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 151,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050014",
      "ccn": "050014",
      "name": "SUTTER AMADOR HOSPITAL",
      "address": "200 MISSION BOULEVARD",
      "city": "JACKSON",
      "state": "CA",
      "zip": "95642",
      "county": "AMADOR",
      "latitude": 38.3501170100725,
      "longitude": -120.764341169734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-sutter-amador-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050017",
      "ccn": "050017",
      "name": "MERCY GENERAL HOSPITAL",
      "address": "4001 J STREET",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95819",
      "county": "SACRAMENTO",
      "latitude": 38.570061280094,
      "longitude": -121.452468429877,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 313,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-mercy-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050022",
      "ccn": "050022",
      "name": "RIVERSIDE COMMUNITY HOSPITAL",
      "address": "4445 MAGNOLIA AVE",
      "city": "RIVERSIDE",
      "state": "CA",
      "zip": "92501",
      "county": "RIVERSIDE",
      "latitude": 33.9765542303122,
      "longitude": -117.380988949777,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 478,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverside-riverside-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "campusFamilyId": "campus-ca-050022",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050022-loc-ca-riverside-riverside-community-hospital-transplant",
      "ccn": "050022",
      "name": "RIVERSIDE COMMUNITY HOSPITAL TRANSPLANT",
      "address": "4445 MAGNOLIA AVE",
      "city": "RIVERSIDE",
      "state": "CA",
      "zip": "92501",
      "county": "RIVERSIDE",
      "latitude": 33.9765282906613,
      "longitude": -117.381208656135,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "campusFamilyId": "campus-ca-050022",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050022"
    },
    {
      "id": "050024",
      "ccn": "050024",
      "name": "PARADISE VALLEY HOSPITAL",
      "address": "2400 E 4TH ST",
      "city": "NATIONAL CITY",
      "state": "CA",
      "zip": "91950",
      "county": "SAN DIEGO",
      "latitude": 32.6853405502809,
      "longitude": -117.082336709607,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 188,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-national-city-paradise-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050024",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050024-loc-ca-national-city-paradise-valley-hospital-d-p-aph",
      "ccn": "050024",
      "name": "PARADISE VALLEY HOSPITAL D/P APH",
      "address": "2400 E 4TH ST",
      "city": "NATIONAL CITY",
      "state": "CA",
      "zip": "91950",
      "county": "SAN DIEGO",
      "latitude": 32.6851132001469,
      "longitude": -117.082885200258,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 39,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050024",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050024"
    },
    {
      "id": "050026",
      "ccn": "050026",
      "name": "GROSSMONT HOSPITAL",
      "address": "5555 GROSSMONT CENTER DR",
      "city": "LA MESA",
      "state": "CA",
      "zip": "91942",
      "county": "SAN DIEGO",
      "latitude": 32.7805704400368,
      "longitude": -117.006781530185,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 466,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-mesa-grossmont-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "campusFamilyId": "campus-ca-050026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-sharp-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sharp.com/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Sharp HealthCare; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Sharp HealthCare; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050026-loc-ca-la-mesa-grossmont-hospital-d-p-aph",
      "ccn": "050026",
      "name": "GROSSMONT HOSPITAL D/P APH",
      "address": "5555 GROSSMONT CENTER DR",
      "city": "LA MESA",
      "state": "CA",
      "zip": "91942",
      "county": "SAN DIEGO",
      "latitude": 32.7807674702246,
      "longitude": -117.006943229631,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 46,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "campusFamilyId": "campus-ca-050026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-sharp-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sharp.com/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Sharp HealthCare; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Sharp HealthCare; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050026"
    },
    {
      "id": "050028",
      "ccn": "050028",
      "name": "MAD RIVER COMMUNITY HOSPITAL",
      "address": "3800 JANES RD",
      "city": "ARCATA",
      "state": "CA",
      "zip": "95521",
      "county": "HUMBOLDT",
      "latitude": 40.8960565902634,
      "longitude": -124.091189219981,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 78,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arcata-mad-river-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AMERICAN HOSPITAL MANAGEMENT CORPORATION",
      "parentSystemId": "entity-american-hospital-management-corporation",
      "siblingGroupId": "siblings-ca-american-hospital-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-american-hospital-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://madriverhospital.com/phone-directory/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Mad River Community Hospital official directory. Resolved parent/control boundary: American Hospital Management Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HOSPITAL MANAGEMENT CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Mad River Community Hospital official directory. Resolved parent/control boundary: American Hospital Management Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HOSPITAL MANAGEMENT CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050030",
      "ccn": "050030",
      "name": "OROVILLE HOSPITAL",
      "address": "2767 OLIVE HWY",
      "city": "OROVILLE",
      "state": "CA",
      "zip": "95966",
      "county": "BUTTE",
      "latitude": 39.5061495997926,
      "longitude": -121.541158140274,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 133,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oroville-oroville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM",
      "parentSystemId": "entity-orohealth-corporation-a-non-profit-healthcare-system",
      "siblingGroupId": "siblings-ca-orohealth-corporation-a-non-profit-healthcare-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050036",
      "ccn": "050036",
      "name": "BAKERSFIELD MEMORIAL HOSPITAL",
      "address": "420 34TH ST",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93301",
      "county": "KERN",
      "latitude": 35.391342329714,
      "longitude": -119.00687331028,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 385,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050038",
      "ccn": "050038",
      "name": "SANTA CLARA VALLEY MEDICAL CENTER",
      "address": "751 S BASCOM AVE",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95128",
      "county": "SANTA CLARA",
      "latitude": 37.312889529644,
      "longitude": -121.932962749594,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 681,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-jose-santa-clara-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SANTA CLARA",
      "parentSystemId": "entity-county-of-santa-clara",
      "siblingGroupId": "siblings-ca-county-of-santa-clara",
      "campusFamilyId": "campus-ca-050038",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SANTA CLARA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SANTA CLARA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050038-loc-ca-san-jose-santa-clara-valley-medical-center-d-p-aph",
      "ccn": "050038",
      "name": "SANTA CLARA VALLEY MEDICAL CENTER D/P APH",
      "address": "751 S BASCOM AVE",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95128",
      "county": "SANTA CLARA",
      "latitude": 37.3128569000887,
      "longitude": -121.933267200322,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 50,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SANTA CLARA",
      "parentSystemId": "entity-county-of-santa-clara",
      "siblingGroupId": "siblings-ca-county-of-santa-clara",
      "campusFamilyId": "campus-ca-050038",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SANTA CLARA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SANTA CLARA, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050038"
    },
    {
      "id": "050040",
      "ccn": "050040",
      "name": "LAC - OLIVE VIEW - UCLA MEDICAL CENTER",
      "address": "14445 OLIVE VIEW DR",
      "city": "SYLMAR",
      "state": "CA",
      "zip": "91342",
      "county": "LOS ANGELES",
      "latitude": 34.3259408203396,
      "longitude": -118.44554263984,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 303,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "COUNTY OF LOS ANGELES",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-los-angeles",
      "siblingGroupId": "siblings-ca-county-of-los-angeles",
      "campusFamilyId": "campus-ca-050040",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050042",
      "ccn": "050042",
      "name": "ST. ELIZABETH COMMUNITY HOSPITAL",
      "address": "2550 SISTER MARY COLUMBA DR",
      "city": "RED BLUFF",
      "state": "CA",
      "zip": "96080",
      "county": "TEHAMA",
      "latitude": 40.1484949801,
      "longitude": -122.219052509555,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 76,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-red-bluff-st.-elizabeth-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050043",
      "ccn": "050043",
      "name": "ALTA BATES SUMMIT MEDICAL CENTER - SUMMIT CAMPUS",
      "address": "3100 SUMMIT STREET",
      "city": "OAKLAND",
      "state": "CA",
      "zip": "94609",
      "county": "ALAMEDA",
      "latitude": 37.8201396100368,
      "longitude": -122.264004149778,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "campusFamilyId": "campus-ca-050043",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050043-loc-ca-oakland-alta-bates-summit-medical-center",
      "ccn": "050043",
      "name": "ALTA BATES SUMMIT MEDICAL CENTER",
      "address": "350 HAWTHORNE AVENUE",
      "city": "OAKLAND",
      "state": "CA",
      "zip": "94609",
      "county": "ALAMEDA",
      "latitude": 37.8212158599781,
      "longitude": -122.263060589947,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 403,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "campusFamilyId": "campus-ca-050043",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050043"
    },
    {
      "id": "050045",
      "ccn": "050045",
      "name": "EL CENTRO REGIONAL MEDICAL CENTER",
      "address": "1415 ROSS AVE",
      "city": "EL CENTRO",
      "state": "CA",
      "zip": "92243",
      "county": "IMPERIAL",
      "latitude": 32.7804346798976,
      "longitude": -115.568728259736,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 161,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-centro-el-centro-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF EL CENTRO",
      "parentSystemId": "entity-city-of-el-centro",
      "siblingGroupId": "siblings-ca-city-of-el-centro",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as MUNICIPAL CORPORATION. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF EL CENTRO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as MUNICIPAL CORPORATION. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF EL CENTRO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050047",
      "ccn": "050047",
      "name": "CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS",
      "address": "1101 VAN NESS AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94109",
      "county": "SAN FRANCISCO",
      "latitude": 37.785828770054,
      "longitude": -122.422249610429,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 274,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-california-pacific-medical-center---van-ness-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "campusFamilyId": "campus-ca-050047",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050047-loc-ca-san-francisco-california-pacific-medical-center",
      "ccn": "050047",
      "name": "CALIFORNIA PACIFIC MEDICAL CENTER",
      "address": "2333 BUCHANAN ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94115",
      "county": "SAN FRANCISCO",
      "latitude": 37.7908535997418,
      "longitude": -122.431306300258,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "campusFamilyId": "campus-ca-050047",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050047"
    },
    {
      "id": "050054",
      "ccn": "050054",
      "name": "SAN GORGONIO MEMORIAL HOSPITAL",
      "address": "600 N HIGHLAND SPRINGS AVE",
      "city": "BANNING",
      "state": "CA",
      "zip": "92220",
      "county": "RIVERSIDE",
      "latitude": 33.9318207501496,
      "longitude": -116.946102159916,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 79,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-banning-san-gorgonio-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAN GORGONIO MEMORIAL HOSPITAL",
      "parentSystemId": "entity-san-gorgonio-memorial-hospital",
      "siblingGroupId": "siblings-ca-san-gorgonio-memorial-hospital",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN GORGONIO MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN GORGONIO MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050055",
      "ccn": "050055",
      "name": "CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN",
      "address": "3555 CESAR CHAVEZ",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94110",
      "county": "SAN FRANCISCO",
      "latitude": 37.747717860005,
      "longitude": -122.420767899555,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 120,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050056",
      "ccn": "050056",
      "name": "ANTELOPE VALLEY HOSPITAL",
      "address": "1600 W AVENUE J",
      "city": "LANCASTER",
      "state": "CA",
      "zip": "93534",
      "county": "LOS ANGELES",
      "latitude": 34.6882689800876,
      "longitude": -118.158826020203,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 390,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-antelope-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ANTELOPE VALLEY HEALTH CARE DISTRICT",
      "parentSystemId": "entity-antelope-valley-health-care-district",
      "siblingGroupId": "siblings-ca-antelope-valley-health-care-district",
      "campusFamilyId": "campus-ca-050056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANTELOPE VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANTELOPE VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050056-loc-ca-lancaster-antelope-valley-hospital-d-p-aph",
      "ccn": "050056",
      "name": "ANTELOPE VALLEY HOSPITAL D/P APH",
      "address": "1600 W AVENUE J",
      "city": "LANCASTER",
      "state": "CA",
      "zip": "93534",
      "county": "LOS ANGELES",
      "latitude": 34.6882544198324,
      "longitude": -118.158505929806,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 30,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ANTELOPE VALLEY HEALTH CARE DISTRICT",
      "parentSystemId": "entity-antelope-valley-health-care-district",
      "siblingGroupId": "siblings-ca-antelope-valley-health-care-district",
      "campusFamilyId": "campus-ca-050056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANTELOPE VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANTELOPE VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050056"
    },
    {
      "id": "050057",
      "ccn": "050057",
      "name": "KAWEAH HEALTH MEDICAL CENTER",
      "address": "400 W MINERAL KING AVE",
      "city": "VISALIA",
      "state": "CA",
      "zip": "93291",
      "county": "TULARE",
      "latitude": 36.3278429203095,
      "longitude": -119.295100560255,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 480,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "KAWEAH DELTA HEALTH CARE DISTRICT",
      "parentSystemId": "entity-kaweah-delta-health-care-district",
      "siblingGroupId": "siblings-ca-kaweah-delta-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 4 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAWEAH DELTA HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 4 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAWEAH DELTA HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050060",
      "ccn": "050060",
      "name": "COMMUNITY REGIONAL MEDICAL CENTER",
      "address": "2823 FRESNO ST",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93721",
      "county": "FRESNO",
      "latitude": 36.7438903801773,
      "longitude": -119.785239800124,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 685,
      "rating": 1,
      "status": "signal",
      "evidenceSource": "Hospital Medicine Physician opening at Community Regional Medical Center",
      "evidenceSourceUrl": "https://careers.soundphysicians.com/job/fresno/hospital-medicine-physician/48983/96186164880",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Community Regional remains a nonprofit Community Medical Centers facility, with first-party Sound Physicians hospital medicine staffing postings and a source-backed Sound owner chain through Optum/UnitedHealth and Summit Partners. Remaining limitation: No Tier 1-3 facility contract, term sheet, board approval, or start date was located; do not classify as confirmed PE contract or PE-owned facility.",
      "classificationSources": [
        "CMS Hospital Enrollments local cache",
        "CMS Hospital All Owners local cache",
        "Community Regional Medical Center-Fresno profile",
        "Community Health System and Blue Shield restore network care",
        "Community Medical Centers locations navigation",
        "Sound Physicians Fresno location jobs page",
        "Hospital Medicine Physician opening at Community Regional Medical Center",
        "Hospital Medicine Physician Assistant opening at Community Regional Medical Center",
        "Sound Physicians official services overview",
        "Sound Physicians portfolio page",
        "UnitedHealth, OptumHealth, Summit Partners Sound Physicians acquisition report",
        "OptumHealth and Summit Partners acquire Sound Inpatient Physician Holdings for $2.2B",
        "Fresno Community Hospital and Medical Center dba Community Health System Corporate Integrity Agreement",
        "California SB 351 corporate practice restrictions overview",
        "AAEM-PG update on California lawsuit against Envision Healthcare"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Health system",
      "operatorName": "Community Hospitals of Central California",
      "publicControlBadge": "Nonprofit / Health system",
      "relationshipType": "Health system",
      "parentSystem": "COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA",
      "affiliatedSystem": "Community Medical Centers / Community Health System",
      "affiliatedSystemEvidence": "cms_enroll_050060|cms_owner_050060|hcai_crmc|fresnobee_blue_shield_2026|community_locations_nav|hhs_oig_community_health_system_cia_2025",
      "affiliationConfidence": "high",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-community-hospitals-of-central-california",
      "siblingGroupId": "siblings-ca-community-hospitals-of-central-california",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050063",
      "ccn": "050063",
      "name": "HOLLYWOOD PRESBYTERIAN MEDICAL CENTER",
      "address": "1300 N VERMONT AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90027",
      "county": "LOS ANGELES",
      "latitude": 34.0964510201227,
      "longitude": -118.290470450083,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 345,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-hollywood-presbyterian-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHA HOLLYWOOD MEDICAL CENTER LP",
      "parentSystemId": "entity-cha-hollywood-medical-center-lp",
      "siblingGroupId": "siblings-ca-cha-hollywood-medical-center-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-cha-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://business.ca.gov/cha-health-systems/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 2 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California Governor's Office of Business and Economic Development profile. Resolved parent/control boundary: CHA Health Systems. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHA HOLLYWOOD MEDICAL CENTER LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 2 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California Governor's Office of Business and Economic Development profile. Resolved parent/control boundary: CHA Health Systems. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHA HOLLYWOOD MEDICAL CENTER LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050067",
      "ccn": "050067",
      "name": "OAK VALLEY HOSPITAL DISTRICT",
      "address": "350 S OAK AVE",
      "city": "OAKDALE",
      "state": "CA",
      "zip": "95361",
      "county": "STANISLAUS",
      "latitude": 37.7576162702314,
      "longitude": -120.860996569641,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 35,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakdale-oak-valley-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "OAK VALLEY HOSPITAL DISTRICT",
      "parentSystemId": "entity-oak-valley-hospital-district",
      "siblingGroupId": "siblings-ca-oak-valley-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-oak-valley-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAK VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAK VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050069",
      "ccn": "050069",
      "name": "PROVIDENCE ST. JOSEPH HOSPITAL",
      "address": "1100 W STEWART DR",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92868",
      "county": "ORANGE",
      "latitude": 33.7814697999184,
      "longitude": -117.864222709801,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 426,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ST JOSEPH HOSPITAL OF ORANGE",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-joseph-hospital-of-orange",
      "siblingGroupId": "siblings-ca-st-joseph-hospital-of-orange",
      "campusFamilyId": "campus-ca-050069",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HOSPITAL OF ORANGE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HOSPITAL OF ORANGE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050070",
      "ccn": "050070",
      "name": "KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO",
      "address": "1200 EL CAMINO REAL",
      "city": "SOUTH SAN FRANCISCO",
      "state": "CA",
      "zip": "94080",
      "county": "SAN MATEO",
      "latitude": 37.6596877598133,
      "longitude": -122.439269959575,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 120,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050071",
      "ccn": "050071",
      "name": "KAISER FOUNDATION HOSPITAL - SANTA CLARA",
      "address": "700 LAWRENCE EXPY",
      "city": "SANTA CLARA",
      "state": "CA",
      "zip": "95051",
      "county": "SANTA CLARA",
      "latitude": 37.3354013798224,
      "longitude": -121.998873050187,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 343,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050072",
      "ccn": "050072",
      "name": "KAISER FOUNDATION HOSPITAL - WALNUT CREEK",
      "address": "1425 S MAIN STREET",
      "city": "WALNUT CREEK",
      "state": "CA",
      "zip": "94596",
      "county": "CONTRA COSTA",
      "latitude": 37.8913463603278,
      "longitude": -122.058839309935,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 233,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050073",
      "ccn": "050073",
      "name": "KAISER FOUNDATION HOSPITAL AND REHAB CENTER - VALLEJO",
      "address": "975 SERENO DR",
      "city": "VALLEJO",
      "state": "CA",
      "zip": "94589",
      "county": "SOLANO",
      "latitude": 38.126902080284,
      "longitude": -122.248377299641,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 248,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050075",
      "ccn": "050075",
      "name": "KAISER FOUNDATION HOSPITAL - OAKLAND - RICHMOND",
      "address": "275 WEST MACARTHUR BOULEVARD",
      "city": "OAKLAND",
      "state": "CA",
      "zip": "94611",
      "county": "ALAMEDA",
      "latitude": 37.8236132599609,
      "longitude": -122.25788502998,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 315,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050076",
      "ccn": "050076",
      "name": "KAISER FOUNDATION HOSPITAL - SAN FRANCISCO",
      "address": "2425 GEARY BLVD",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94115",
      "county": "SAN FRANCISCO",
      "latitude": 37.7822836099183,
      "longitude": -122.443253350056,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 239,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050077",
      "ccn": "050077",
      "name": "SCRIPPS MERCY HOSPITAL",
      "address": "4077 5TH AVE",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92103",
      "county": "SAN DIEGO",
      "latitude": 32.7514306203038,
      "longitude": -117.160053590436,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 446,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-scripps-mercy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCRIPPS HEALTH",
      "parentSystemId": "entity-scripps-health",
      "siblingGroupId": "siblings-ca-scripps-health",
      "campusFamilyId": "campus-ca-050077",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-scripps-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.scripps.org/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050077-loc-ca-san-diego-scripps-mercy-hospital-d-p-aph",
      "ccn": "050077",
      "name": "SCRIPPS MERCY HOSPITAL D/P APH",
      "address": "4077 5TH AVE",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92103",
      "county": "SAN DIEGO",
      "latitude": 32.7510887002674,
      "longitude": -117.160555899597,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCRIPPS HEALTH",
      "parentSystemId": "entity-scripps-health",
      "siblingGroupId": "siblings-ca-scripps-health",
      "campusFamilyId": "campus-ca-050077",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-scripps-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.scripps.org/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050077"
    },
    {
      "id": "050082",
      "ccn": "050082",
      "name": "ST JOHNS REGIONAL MEDICAL CENTER",
      "address": "1600 N ROSE AVE",
      "city": "OXNARD",
      "state": "CA",
      "zip": "93030",
      "county": "VENTURA",
      "latitude": 34.2163383096843,
      "longitude": -119.15571825991,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 269,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oxnard-st.-john-s-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050084",
      "ccn": "050084",
      "name": "ST. JOSEPH'S MEDICAL CENTER OF STOCKTON",
      "address": "1800 N CALIFORNIA STREET",
      "city": "STOCKTON",
      "state": "CA",
      "zip": "95204",
      "county": "SAN JOAQUIN",
      "latitude": 37.9704671896872,
      "longitude": -121.288182760137,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 355,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stockton-st.-joseph-s-medical-center-of-stockton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PORT CITY OPERATING COMPANY LLC",
      "parentSystemId": "entity-port-city-operating-company-llc",
      "siblingGroupId": "siblings-ca-port-city-operating-company-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORT CITY OPERATING COMPANY LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORT CITY OPERATING COMPANY LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050089",
      "ccn": "050089",
      "name": "COMMUNITY HOSPITAL OF SAN BERNARDINO",
      "address": "1805 MEDICAL CENTER DR",
      "city": "SAN BERNARDINO",
      "state": "CA",
      "zip": "92411",
      "county": "SAN BERNARDINO",
      "latitude": 34.1313643201195,
      "longitude": -117.321813970148,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 185,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-bernardino-community-hospital-of-san-bernardino/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY HOSPITAL OF SAN BERNARDINO",
      "parentSystemId": "entity-community-hospital-of-san-bernardino",
      "siblingGroupId": "siblings-ca-community-hospital-of-san-bernardino",
      "campusFamilyId": "campus-ca-050089",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL OF SAN BERNARDINO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL OF SAN BERNARDINO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050089-loc-ca-san-bernardino-community-hospital-of-san-bernardino",
      "ccn": "050089",
      "name": "COMMUNITY HOSPITAL OF SAN BERNARDINO D/P APH",
      "address": "1805 MEDICAL CENTER DR",
      "city": "SAN BERNARDINO",
      "state": "CA",
      "zip": "92411",
      "county": "SAN BERNARDINO",
      "latitude": 34.1313184997513,
      "longitude": -117.320971399818,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 74,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY HOSPITAL OF SAN BERNARDINO",
      "parentSystemId": "entity-community-hospital-of-san-bernardino",
      "siblingGroupId": "siblings-ca-community-hospital-of-san-bernardino",
      "campusFamilyId": "campus-ca-050089",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL OF SAN BERNARDINO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL OF SAN BERNARDINO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050089"
    },
    {
      "id": "050090",
      "ccn": "050090",
      "name": "SONOMA VALLEY HOSPITAL",
      "address": "347 ANDRIEUX ST",
      "city": "SONOMA",
      "state": "CA",
      "zip": "95476",
      "county": "SONOMA",
      "latitude": 38.288073869941,
      "longitude": -122.465010200386,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sonoma-sonoma-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SONOMA VALLEY HEALTH CARE DISTRICT",
      "parentSystemId": "entity-sonoma-valley-health-care-district",
      "siblingGroupId": "siblings-ca-sonoma-valley-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SONOMA VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SONOMA VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050091",
      "ccn": "050091",
      "name": "COMMUNITY HOSPITAL OF HUNTINGTON PARK",
      "address": "2623 E SLAUSON AVE",
      "city": "HUNTINGTON PARK",
      "state": "CA",
      "zip": "90255",
      "county": "LOS ANGELES",
      "latitude": 33.9894895701873,
      "longitude": -118.224189860337,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 81,
      "rating": 1,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AVANTI HEALTHCARE HOLDINGS LLC",
      "peFirm": "Stanton Road Capital, Davidson Kempner, Deerfield Management",
      "acquiredDate": "2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Pipeline Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-park-community-hospital-of-huntington-park/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-avanti-healthcare-holdings-llc",
      "siblingGroupId": "siblings-ca-avanti-healthcare-holdings-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050093",
      "ccn": "050093",
      "name": "SAINT AGNES MEDICAL CENTER",
      "address": "1303 E HERNDON AVE",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93720",
      "county": "FRESNO",
      "latitude": 36.8350874800189,
      "longitude": -119.765762849731,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 436,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners local cache",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Trinity Health nonprofit/Catholic facility; official Saint Agnes page lists Vituity Emergency Medicine Service at the hospital. Remaining limitation: Exact Vituity contract document, term, compensation, and service scope not located.",
      "classificationSources": [
        "CMS Hospital All Owners local cache",
        "St. Agnes Medical Center profile",
        "Saint Agnes Medical Center About Us",
        "Vituity Emergency Medicine Service - Saint Agnes Medical Center",
        "Saint Agnes Medical Center location"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Faith-based health system",
      "operatorName": "Trinity Health / Saint Agnes Medical Center",
      "publicControlBadge": "Nonprofit / Faith-based health system",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-st.-agnes-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "Faith-based health system",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "cms_owner_samc|hcai_samc|samc_about_2026|samc_vituity_official_2026|vituity_samc",
      "affiliationConfidence": "high",
      "religiousAffiliation": "Catholic",
      "religiousAffiliationType": "member_system",
      "religiousSponsorOrOrder": "Trinity Health",
      "faithBasedSystem": "Trinity Health",
      "faithAffiliationScope": "system",
      "faithAffiliationConfidence": "high",
      "faithAffiliationSourceIds": [
        "samc_about_2026",
        "vituity_samc"
      ],
      "faithAffiliationSourceUrls": [
        "https://www.samc.com/about-us",
        "https://www.vituity.com/locations/saint-agnes-medical-center/"
      ],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "Official sources support Trinity Health/Catholic affiliation.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ca-trinity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050099",
      "ccn": "050099",
      "name": "SAN ANTONIO REGIONAL HOSPITAL",
      "address": "999 SAN BERNARDINO ROAD",
      "city": "UPLAND",
      "state": "CA",
      "zip": "91786",
      "county": "SAN BERNARDINO",
      "latitude": 34.1018093403664,
      "longitude": -117.637566029823,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 363,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-upland-san-antonio-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAN ANTONIO REGIONAL HOSPITAL",
      "parentSystemId": "entity-san-antonio-regional-hospital",
      "siblingGroupId": "siblings-ca-san-antonio-regional-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-951183919"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/951183919"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): San Antonio Regional Hospital. Resolved parent/control boundary: SAN ANTONIO REGIONAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN ANTONIO REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): San Antonio Regional Hospital. Resolved parent/control boundary: SAN ANTONIO REGIONAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN ANTONIO REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050100",
      "ccn": "050100",
      "name": "SHARP MEMORIAL HOSPITAL",
      "address": "7901 FROST ST",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.7992843501604,
      "longitude": -117.154472839971,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 656,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "campusFamilyId": "campus-ca-050100",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050100-loc-ca-san-diego-sharp-memorial-hospital",
      "ccn": "050100",
      "name": "SHARP MEMORIAL HOSPITAL",
      "address": "8010 FROST ST",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.8007390050033,
      "longitude": -117.154558504215,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "campusFamilyId": "campus-ca-050100",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050100"
    },
    {
      "id": "050101",
      "ccn": "050101",
      "name": "SUTTER SOLANO MEDICAL CENTER",
      "address": "300 HOSPITAL DRIVE",
      "city": "VALLEJO",
      "state": "CA",
      "zip": "94589",
      "county": "SOLANO",
      "latitude": 38.1311838802394,
      "longitude": -122.237358579637,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vallejo-sutter-solano-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050103",
      "ccn": "050103",
      "name": "ADVENTIST HEALTH WHITE MEMORIAL",
      "address": "1720 E CESAR E CHAVEZ AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90033",
      "county": "LOS ANGELES",
      "latitude": 34.0491115003216,
      "longitude": -118.217999499645,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 293,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-adventist-health-white-memorial/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050104",
      "ccn": "050104",
      "name": "SAINT FRANCIS MEDICAL CENTER D/P APH",
      "address": "3630 E IMPERIAL HWY",
      "city": "LYNWOOD",
      "state": "CA",
      "zip": "90262",
      "county": "LOS ANGELES",
      "latitude": 33.9297461597731,
      "longitude": -118.202828540023,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 40,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050104",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050107",
      "ccn": "050107",
      "name": "MARIAN REGIONAL MEDICAL CENTER",
      "address": "1400 E CHURCH ST",
      "city": "SANTA MARIA",
      "state": "CA",
      "zip": "93454",
      "county": "SANTA BARBARA",
      "latitude": 34.951199929887,
      "longitude": -120.41313053967,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 226,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050108",
      "ccn": "050108",
      "name": "SUTTER MEDICAL CENTER - SACRAMENTO",
      "address": "2825 CAPITOL AVENUE",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95816",
      "county": "SACRAMENTO",
      "latitude": 38.5719671502933,
      "longitude": -121.469224809974,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 523,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "campusFamilyId": "campus-ca-050108",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050108-loc-ca-sacramento-sutter-medical-center-sacramento",
      "ccn": "050108",
      "name": "SUTTER MEDICAL CENTER, SACRAMENTO",
      "address": "2825 CAPITOL AVENUE",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95816",
      "county": "SACRAMENTO",
      "latitude": 38.5709021002799,
      "longitude": -121.469450500011,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "campusFamilyId": "campus-ca-050108",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050108"
    },
    {
      "id": "050108-loc-ca-sacramento-sutter-medical-center-sacramento-2",
      "ccn": "050108",
      "name": "SUTTER MEDICAL CENTER, SACRAMENTO",
      "address": "2825 CAPITOL AVE",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95816",
      "county": "SACRAMENTO",
      "latitude": 38.5719671502933,
      "longitude": -121.469224809974,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 523,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "campusFamilyId": "campus-ca-050108",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050108"
    },
    {
      "id": "050110",
      "ccn": "050110",
      "name": "LOMPOC VALLEY MEDICAL CENTER",
      "address": "1515 E OCEAN AVE",
      "city": "LOMPOC",
      "state": "CA",
      "zip": "93436",
      "county": "SANTA BARBARA",
      "latitude": 34.6409109902814,
      "longitude": -120.439532369925,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 60,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lompoc-lompoc-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LOMPOC VALLEY MEDICAL CENTER",
      "parentSystemId": "entity-lompoc-valley-medical-center",
      "siblingGroupId": "siblings-ca-lompoc-valley-medical-center",
      "campusFamilyId": "campus-ca-050110",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-lompoc-valley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LOMPOC VALLEY MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMPOC VALLEY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LOMPOC VALLEY MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMPOC VALLEY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050110-loc-ca-lompoc-lompoc-valley-medical-center-comprehensive-c",
      "ccn": "050110",
      "name": "LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF",
      "address": "216 NORTH THIRD STREET",
      "city": "LOMPOC",
      "state": "CA",
      "zip": "93436",
      "county": "SANTA BARBARA",
      "latitude": 34.6412850246871,
      "longitude": -120.444618063328,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 110,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LOMPOC VALLEY MEDICAL CENTER",
      "parentSystemId": "entity-lompoc-valley-medical-center",
      "siblingGroupId": "siblings-ca-lompoc-valley-medical-center",
      "campusFamilyId": "campus-ca-050110",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-lompoc-valley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LOMPOC VALLEY MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMPOC VALLEY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LOMPOC VALLEY MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMPOC VALLEY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050110"
    },
    {
      "id": "050113",
      "ccn": "050113",
      "name": "SAN MATEO MEDICAL CENTER",
      "address": "222 W 39TH AVE",
      "city": "SAN MATEO",
      "state": "CA",
      "zip": "94403",
      "county": "SAN MATEO",
      "latitude": 37.5311465600653,
      "longitude": -122.299494799905,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 69,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-mateo-san-mateo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SAN MATEO",
      "parentSystemId": "entity-county-of-san-mateo",
      "siblingGroupId": "siblings-ca-county-of-san-mateo",
      "campusFamilyId": "campus-ca-050113",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN MATEO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN MATEO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050113-loc-ca-san-mateo-san-mateo-medical-center-d-p-aph",
      "ccn": "050113",
      "name": "SAN MATEO MEDICAL CENTER D/P APH",
      "address": "222 W 39TH AVE",
      "city": "SAN MATEO",
      "state": "CA",
      "zip": "94403",
      "county": "SAN MATEO",
      "latitude": 37.5310104098142,
      "longitude": -122.299853180092,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 34,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SAN MATEO",
      "parentSystemId": "entity-county-of-san-mateo",
      "siblingGroupId": "siblings-ca-county-of-san-mateo",
      "campusFamilyId": "campus-ca-050113",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN MATEO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN MATEO, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050113"
    },
    {
      "id": "050116",
      "ccn": "050116",
      "name": "NORTHRIDGE HOSPITAL MEDICAL CENTER",
      "address": "18300 ROSCOE BLVD",
      "city": "NORTHRIDGE",
      "state": "CA",
      "zip": "91325",
      "county": "LOS ANGELES",
      "latitude": 34.219824930223,
      "longitude": -118.533068190223,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 354,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-northridge-northridge-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050116",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050116-loc-ca-northridge-northridge-hospital-medical-center-d-p-a",
      "ccn": "050116",
      "name": "NORTHRIDGE HOSPITAL MEDICAL CENTER D/P APH",
      "address": "18300 ROSCOE BLVD",
      "city": "NORTHRIDGE",
      "state": "CA",
      "zip": "91325",
      "county": "LOS ANGELES",
      "latitude": 34.2201987999155,
      "longitude": -118.533656999959,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050116",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050116"
    },
    {
      "id": "050118",
      "ccn": "050118",
      "name": "DOCTORS HOSPITAL OF MANTECA",
      "address": "1205 E NORTH STREET",
      "city": "MANTECA",
      "state": "CA",
      "zip": "95336",
      "county": "SAN JOAQUIN",
      "latitude": 37.8015830203332,
      "longitude": -121.196916880033,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 73,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manteca-doctors-hospital-of-manteca/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050121",
      "ccn": "050121",
      "name": "ADVENTIST HEALTH HANFORD",
      "address": "115 MALL DR",
      "city": "HANFORD",
      "state": "CA",
      "zip": "93230",
      "county": "KINGS",
      "latitude": 36.3236339700257,
      "longitude": -119.667223469773,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 173,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050122",
      "ccn": "050122",
      "name": "DAMERON HOSPITAL",
      "address": "525 W ACACIA STREET",
      "city": "STOCKTON",
      "state": "CA",
      "zip": "95203",
      "county": "SAN JOAQUIN",
      "latitude": 37.9616732596524,
      "longitude": -121.300982959724,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 202,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stockton-dameron-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AMERICAN ADVANCED MANAGEMENT, INC",
      "parentSystemId": "entity-american-advanced-management-inc",
      "siblingGroupId": "siblings-ca-american-advanced-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-american-advanced-management-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to AMERICAN ADVANCED MANAGEMENT, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN ADVANCED MANAGEMENT, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to AMERICAN ADVANCED MANAGEMENT, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN ADVANCED MANAGEMENT, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050124",
      "ccn": "050124",
      "name": "USC VERDUGO HILLS HOSPITAL",
      "address": "1812 VERDUGO BLVD",
      "city": "GLENDALE",
      "state": "CA",
      "zip": "91208",
      "county": "LOS ANGELES",
      "latitude": 34.2048888599297,
      "longitude": -118.215980009632,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 116,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glendale-usc-verdugo-hills-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF SOUTHERN CALIFORNIA",
      "parentSystemId": "entity-university-of-southern-california",
      "siblingGroupId": "siblings-ca-university-of-southern-california",
      "campusFamilyId": "campus-ca-050124",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050125",
      "ccn": "050125",
      "name": "REGIONAL MEDICAL CENTER OF SAN JOSE",
      "address": "225 N JACKSON AVE",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95116",
      "county": "SANTA CLARA",
      "latitude": 37.3623161501166,
      "longitude": -121.848924450161,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 258,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "REGIONAL MEDICAL CENTER OF SAN JOSE",
      "parentSystemId": "entity-regional-medical-center-of-san-jose",
      "siblingGroupId": "siblings-ca-regional-medical-center-of-san-jose",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-santa-clara-valley-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.sccgov.org/stories/s/Fiscal-Year-2025-26-Adopted-Budget/bqmh-662y/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Federal. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus County of Santa Clara FY2025-26 adopted budget. Resolved parent/control boundary: Santa Clara Valley Healthcare. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL MEDICAL CENTER OF SAN JOSE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Federal. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus County of Santa Clara FY2025-26 adopted budget. Resolved parent/control boundary: Santa Clara Valley Healthcare. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL MEDICAL CENTER OF SAN JOSE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050126",
      "ccn": "050126",
      "name": "VALLEY PRESBYTERIAN HOSPITAL",
      "address": "15107 VANOWEN ST",
      "city": "VAN NUYS",
      "state": "CA",
      "zip": "91405",
      "county": "LOS ANGELES",
      "latitude": 34.1949895000481,
      "longitude": -118.463021289681,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 350,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-van-nuys-valley-presbyterian-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VALLEY PRESBYTERIAN HOSPITAL",
      "parentSystemId": "entity-valley-presbyterian-hospital",
      "siblingGroupId": "siblings-ca-valley-presbyterian-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-951945832"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/951945832"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Valley Presbyterian Hospital. Resolved parent/control boundary: VALLEY PRESBYTERIAN HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Valley Presbyterian Hospital. Resolved parent/control boundary: VALLEY PRESBYTERIAN HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050127",
      "ccn": "050127",
      "name": "WOODLAND MEMORIAL HOSPITAL",
      "address": "1325 COTTONWOOD STREET",
      "city": "WOODLAND",
      "state": "CA",
      "zip": "95695",
      "county": "YOLO",
      "latitude": 38.6639250201796,
      "longitude": -121.792145250445,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 74,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodland-woodland-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050127",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050127-loc-ca-woodland-woodland-memorial-hospital-d-p-aph",
      "ccn": "050127",
      "name": "WOODLAND MEMORIAL HOSPITAL D/P APH",
      "address": "1325 COTTONWOOD STREET",
      "city": "WOODLAND",
      "state": "CA",
      "zip": "95695",
      "county": "YOLO",
      "latitude": 38.6641006998375,
      "longitude": -121.792096700098,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 31,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "campusFamilyId": "campus-ca-050127",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050127"
    },
    {
      "id": "050128",
      "ccn": "050128",
      "name": "TRI - CITY MEDICAL CENTER",
      "address": "4002 VISTA WAY",
      "city": "OCEANSIDE",
      "state": "CA",
      "zip": "92056",
      "county": "SAN DIEGO",
      "latitude": 33.1856203999303,
      "longitude": -117.290267310394,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 368,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oceanside-tri-city-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TRI-CITY HOSPITAL",
      "parentSystemId": "entity-tri-city-hospital",
      "siblingGroupId": "siblings-ca-tri-city-hospital",
      "campusFamilyId": "campus-ca-050128",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-CITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-CITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050128-loc-ca-oceanside-tri-city-medical-center-d-p-aph",
      "ccn": "050128",
      "name": "TRI - CITY MEDICAL CENTER D/P APH",
      "address": "4002 VISTA WAY",
      "city": "OCEANSIDE",
      "state": "CA",
      "zip": "92056",
      "county": "SAN DIEGO",
      "latitude": 33.1856484000246,
      "longitude": -117.290435899918,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "TRI-CITY HOSPITAL",
      "parentSystemId": "entity-tri-city-hospital",
      "siblingGroupId": "siblings-ca-tri-city-hospital",
      "campusFamilyId": "campus-ca-050128",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-CITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-CITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050128"
    },
    {
      "id": "050129",
      "ccn": "050129",
      "name": "ST. BERNARDINE MEDICAL CENTER",
      "address": "2101 N WATERMAN AVE",
      "city": "SAN BERNARDINO",
      "state": "CA",
      "zip": "92404",
      "county": "SAN BERNARDINO",
      "latitude": 34.1346723600021,
      "longitude": -117.277019979765,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 342,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-bernardino-st.-bernardine-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050131",
      "ccn": "050131",
      "name": "NOVATO COMMUNITY HOSPITAL",
      "address": "180 ROWLAND WAY",
      "city": "NOVATO",
      "state": "CA",
      "zip": "94945",
      "county": "MARIN",
      "latitude": 38.0992549202686,
      "longitude": -122.560024520202,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 47,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-novato-novato-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SUTTER BAY HOSPITALS",
      "parentSystemId": "entity-sutter-bay-hospitals",
      "siblingGroupId": "siblings-ca-sutter-bay-hospitals",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050132",
      "ccn": "050132",
      "name": "SAN GABRIEL VALLEY MEDICAL CENTER",
      "address": "438 W LAS TUNAS DR",
      "city": "SAN GABRIEL",
      "state": "CA",
      "zip": "91776",
      "county": "LOS ANGELES",
      "latitude": 34.1008687898535,
      "longitude": -118.105918790229,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 187,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-gabriel-san-gabriel-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SGVMC HEALTHCARE INVESTMENT LP",
      "parentSystemId": "entity-sgvmc-healthcare-investment-lp",
      "siblingGroupId": "siblings-ca-sgvmc-healthcare-investment-lp",
      "campusFamilyId": "campus-ca-050132",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SGVMC HEALTHCARE INVESTMENT LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SGVMC HEALTHCARE INVESTMENT LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050132-loc-ca-san-gabriel-san-gabriel-valley-medical-center-d-p-a",
      "ccn": "050132",
      "name": "SAN GABRIEL VALLEY MEDICAL CENTER D/P APH",
      "address": "438 W LAS TUNAS DR",
      "city": "SAN GABRIEL",
      "state": "CA",
      "zip": "91776",
      "county": "LOS ANGELES",
      "latitude": 34.101038399754,
      "longitude": -118.105843600341,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SGVMC HEALTHCARE INVESTMENT LP",
      "parentSystemId": "entity-sgvmc-healthcare-investment-lp",
      "siblingGroupId": "siblings-ca-sgvmc-healthcare-investment-lp",
      "campusFamilyId": "campus-ca-050132",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SGVMC HEALTHCARE INVESTMENT LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SGVMC HEALTHCARE INVESTMENT LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050132"
    },
    {
      "id": "050133",
      "ccn": "050133",
      "name": "ADVENTIST HEALTH AND RIDEOUT",
      "address": "726 4TH ST",
      "city": "MARYSVILLE",
      "state": "CA",
      "zip": "95901",
      "county": "YUBA",
      "latitude": 39.1380049899962,
      "longitude": -121.593912479681,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 221,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist Health",
      "parentSystemId": "entity-adventist-health",
      "siblingGroupId": "siblings-ca-adventist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/documents/system/2023-annual-audit-report.pdf"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Federal. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adventist Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Federal. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adventist Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050136",
      "ccn": "050136",
      "name": "PETALUMA VALLEY HOSPITAL",
      "address": "400 N MCDOWELL BLVD",
      "city": "PETALUMA",
      "state": "CA",
      "zip": "94954",
      "county": "SONOMA",
      "latitude": 38.2546958001228,
      "longitude": -122.631778330277,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 80,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-petaluma-petaluma-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORCAL HEALTHCONNECT LLC",
      "parentSystemId": "entity-norcal-healthconnect-llc",
      "siblingGroupId": "siblings-ca-norcal-healthconnect-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORCAL HEALTHCONNECT LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORCAL HEALTHCONNECT LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050137",
      "ccn": "050137",
      "name": "KAISER FOUNDATION HOSPITAL",
      "address": "13652 CANTARA ST",
      "city": "PANORAMA CITY",
      "state": "CA",
      "zip": "91402",
      "county": "LOS ANGELES",
      "latitude": 34.2185641901366,
      "longitude": -118.430219290013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 218,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050138",
      "ccn": "050138",
      "name": "KAISER FOUNDATION HOSPITAL - LOS ANGELES",
      "address": "4867 W SUNSET BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90027",
      "county": "LOS ANGELES",
      "latitude": 34.0985736499378,
      "longitude": -118.294175329588,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 492,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050139",
      "ccn": "050139",
      "name": "KAISER FOUNDATION HOSPITAL - DOWNEY",
      "address": "9333 IMPERIAL HWY",
      "city": "DOWNEY",
      "state": "CA",
      "zip": "90242",
      "county": "LOS ANGELES",
      "latitude": 33.9195067898515,
      "longitude": -118.128997850164,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 424,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050140",
      "ccn": "050140",
      "name": "KAISER FOUNDATION HOSPITAL FONTANA",
      "address": "9961 SIERRA AVE",
      "city": "FONTANA",
      "state": "CA",
      "zip": "92335",
      "county": "SAN BERNARDINO",
      "latitude": 34.0731024400818,
      "longitude": -117.434017909557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 450,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050145",
      "ccn": "050145",
      "name": "COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA",
      "address": "23625 WR HOLMAN HWY",
      "city": "MONTEREY",
      "state": "CA",
      "zip": "93940",
      "county": "MONTEREY",
      "latitude": 36.5789018701459,
      "longitude": -121.913128649705,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 240,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTAGE HEALTH",
      "parentSystemId": "entity-montage-health",
      "siblingGroupId": "siblings-ca-montage-health",
      "campusFamilyId": "campus-ca-050145",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050145-loc-ca-monterey-community-hospital-of-the-monterey-peninsu",
      "ccn": "050145",
      "name": "COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA D/P APH",
      "address": "23625 WR HOLMAN HWY",
      "city": "MONTEREY",
      "state": "CA",
      "zip": "93940",
      "county": "MONTEREY",
      "latitude": 36.5788930397282,
      "longitude": -121.913087470034,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTAGE HEALTH",
      "parentSystemId": "entity-montage-health",
      "siblingGroupId": "siblings-ca-montage-health",
      "campusFamilyId": "campus-ca-050145",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050145"
    },
    {
      "id": "050150",
      "ccn": "050150",
      "name": "SIERRA NEVADA MEMORIAL HOSPITAL",
      "address": "155 GLASSON WAY",
      "city": "GRASS VALLEY",
      "state": "CA",
      "zip": "95945",
      "county": "NEVADA",
      "latitude": 39.2280162901703,
      "longitude": -121.047499779924,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 104,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grass-valley-sierra-nevada-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050158",
      "ccn": "050158",
      "name": "ENCINO HOSPITAL MEDICAL CENTER",
      "address": "16237 VENTURA BLVD",
      "city": "ENCINO",
      "state": "CA",
      "zip": "91436",
      "county": "LOS ANGELES",
      "latitude": 34.157227100327,
      "longitude": -118.487024210292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 107,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050158",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050158-loc-ca-encino-encino-hospital-medical-center",
      "ccn": "050158",
      "name": "ENCINO HOSPITAL MEDICAL CENTER",
      "address": "16237 VENTURA BLVD",
      "city": "ENCINO",
      "state": "CA",
      "zip": "91436",
      "county": "LOS ANGELES",
      "latitude": 34.157427800223,
      "longitude": -118.487001700308,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 13,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050158",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050158"
    },
    {
      "id": "050158-loc-ca-encino-encino-hospital-medical-center-2",
      "ccn": "050158",
      "name": "ENCINO HOSPITAL MEDICAL CENTER",
      "address": "16237 VENTURA BLVD",
      "city": "ENCINO",
      "state": "CA",
      "zip": "91436",
      "county": "LOS ANGELES",
      "latitude": 34.1574681457566,
      "longitude": -118.487059845561,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 13,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050158",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050158"
    },
    {
      "id": "050158-loc-ca-encino-encino-hospital-medical-center-3",
      "ccn": "050158",
      "name": "ENCINO HOSPITAL MEDICAL CENTER",
      "address": "16237 VENTURA BLVD",
      "city": "ENCINO",
      "state": "CA",
      "zip": "91436",
      "county": "LOS ANGELES",
      "latitude": 34.157427800223,
      "longitude": -118.487001700308,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 107,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050158",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050158"
    },
    {
      "id": "050158-loc-ca-encino-encino-hospital-medical-center-4",
      "ccn": "050158",
      "name": "ENCINO HOSPITAL MEDICAL CENTER",
      "address": "16237 VENTURA BOULEVARD",
      "city": "ENCINO",
      "state": "CA",
      "zip": "91436",
      "county": "LOS ANGELES",
      "latitude": 34.157227100327,
      "longitude": -118.487024210292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 148,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050158",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050158"
    },
    {
      "id": "050159",
      "ccn": "050159",
      "name": "VENTURA COUNTY MEDICAL CENTER",
      "address": "300 HILLMONT AVE",
      "city": "VENTURA",
      "state": "CA",
      "zip": "93003",
      "county": "VENTURA",
      "latitude": 34.2773502003564,
      "longitude": -119.252133659617,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 180,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ventura-ventura-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF VENTURA",
      "parentSystemId": "entity-county-of-ventura",
      "siblingGroupId": "siblings-ca-county-of-ventura",
      "campusFamilyId": "campus-ca-050159",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF VENTURA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF VENTURA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050159-loc-ca-ventura-ventura-county-medical-center-inpatient-d-p",
      "ccn": "050159",
      "name": "VENTURA COUNTY MEDICAL CENTER INPATIENT D/P APH",
      "address": "200 HILLMONT AVE",
      "city": "VENTURA",
      "state": "CA",
      "zip": "93003",
      "county": "VENTURA",
      "latitude": 34.2765360000213,
      "longitude": -119.253416300231,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 43,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF VENTURA",
      "parentSystemId": "entity-county-of-ventura",
      "siblingGroupId": "siblings-ca-county-of-ventura",
      "campusFamilyId": "campus-ca-050159",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF VENTURA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF VENTURA, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050159"
    },
    {
      "id": "050167",
      "ccn": "050167",
      "name": "SAN JOAQUIN GENERAL HOSPITAL",
      "address": "500 W HOSPITAL ROAD",
      "city": "FRENCH CAMP",
      "state": "CA",
      "zip": "95231",
      "county": "SAN JOAQUIN",
      "latitude": 37.8867257402484,
      "longitude": -121.282676600384,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 152,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-french-camp-san-joaquin-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SAN JOAQUIN",
      "parentSystemId": "entity-county-of-san-joaquin",
      "siblingGroupId": "siblings-ca-county-of-san-joaquin",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN JOAQUIN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN JOAQUIN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050168",
      "ccn": "050168",
      "name": "PROVIDENCE ST. JUDE MEDICAL CENTER",
      "address": "101 E VALENCIA MESA DR",
      "city": "FULLERTON",
      "state": "CA",
      "zip": "92835",
      "county": "ORANGE",
      "latitude": 33.8935483502687,
      "longitude": -117.927462690058,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 320,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ST. JUDE HOSPITAL INC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-jude-hospital-inc",
      "siblingGroupId": "siblings-ca-st-jude-hospital-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JUDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JUDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050169",
      "ccn": "050169",
      "name": "PIH HEALTH HOSPITAL - WHITTIER",
      "address": "12401 WASHINGTON BLVD",
      "city": "WHITTIER",
      "state": "CA",
      "zip": "90602",
      "county": "LOS ANGELES",
      "latitude": 33.9699434203286,
      "longitude": -118.049928609573,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 488,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-whittier-pih-health-hospital--whittier/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIH HEALTH INC",
      "parentSystemId": "entity-pih-health-inc",
      "siblingGroupId": "siblings-ca-pih-health-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIH HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIH HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050174",
      "ccn": "050174",
      "name": "PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL",
      "address": "1165 MONTGOMERY DR",
      "city": "SANTA ROSA",
      "state": "CA",
      "zip": "95405",
      "county": "SONOMA",
      "latitude": 38.4437492998217,
      "longitude": -122.701739650118,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 283,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-joseph-health-northern-california-llc",
      "siblingGroupId": "siblings-ca-st-joseph-health-northern-california-llc",
      "campusFamilyId": "campus-ca-050174",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050174-loc-ca-santa-rosa-providence-santa-rosa-memorial-hospital",
      "ccn": "050174",
      "name": "PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL",
      "address": "151 SOTOYOME ST",
      "city": "SANTA ROSA",
      "state": "CA",
      "zip": "95405",
      "county": "SONOMA",
      "latitude": 38.4417306499258,
      "longitude": -122.702460290317,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-joseph-health-northern-california-llc",
      "siblingGroupId": "siblings-ca-st-joseph-health-northern-california-llc",
      "campusFamilyId": "campus-ca-050174",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050174"
    },
    {
      "id": "050179",
      "ccn": "050179",
      "name": "EMANUEL MEDICAL CENTER",
      "address": "825 DELBON AVE",
      "city": "TURLOCK",
      "state": "CA",
      "zip": "95382",
      "county": "STANISLAUS",
      "latitude": 37.5123140398915,
      "longitude": -120.839150919947,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 209,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-turlock-emanuel-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050180",
      "ccn": "050180",
      "name": "JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS",
      "address": "1601 YGNACIO VALLEY ROAD",
      "city": "WALNUT CREEK",
      "state": "CA",
      "zip": "94598",
      "county": "CONTRA COSTA",
      "latitude": 37.9129102102007,
      "longitude": -122.041256500438,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 554,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-walnut-creek-john-muir-medical-center-walnut-creek-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "John Muir Health",
      "parentSystemId": "entity-john-muir-health",
      "siblingGroupId": "siblings-ca-john-muir-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent John Muir Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent John Muir Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050191",
      "ccn": "050191",
      "name": "ST. MARY MEDICAL CENTER",
      "address": "1050 LINDEN AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90813",
      "county": "LOS ANGELES",
      "latitude": 33.7804233803131,
      "longitude": -118.186115369789,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 360,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-beach-st.-mary-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050192",
      "ccn": "050192",
      "name": "ADVENTIST HEALTH REEDLEY",
      "address": "372 W CYPRESS AVE",
      "city": "REEDLEY",
      "state": "CA",
      "zip": "93654",
      "county": "FRESNO",
      "latitude": 36.6082683302158,
      "longitude": -119.452149349963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "REEDLEY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-reedley-community-hospital",
      "siblingGroupId": "siblings-ca-reedley-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.adventisthealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Adventist Health official about page. Resolved parent/control boundary: Adventist Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REEDLEY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Adventist Health official about page. Resolved parent/control boundary: Adventist Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REEDLEY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050194",
      "ccn": "050194",
      "name": "WATSONVILLE COMMUNITY HOSPITAL",
      "address": "75 NIELSON ST",
      "city": "WATSONVILLE",
      "state": "CA",
      "zip": "95076",
      "county": "SANTA CRUZ",
      "latitude": 36.9271306701467,
      "longitude": -121.792911069615,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 106,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "https://lookout.co/watsonville-community-hospital-under-new-management-but-veil-of-secrecy-surrounds-ownership/story",
        "https://pajaronian.com/watsonville-hospitals-former-owners-grossly-negligent-face-lawsuit/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-watsonville-watsonville-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "expandedClosureResearch": {
        "sourceRow": 24,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "rescued_and_reopened_publicly_owned",
        "closureType": "Bankrupted-rescued (2021 Chapter 11; taken over by public health care district 2022)",
        "closureDate": "2021-12 (bankruptcy)",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "106 (approx, needs verification)",
        "patientsServedNote": "Primary hospital for the Pajaro Valley's largely farmworker community",
        "ruralUrban": "Small city/rural",
        "ownershipCategory": "Investor-owned (PE-style) + REIT sale-leaseback",
        "historicalSponsorOrOwner": "Halsen Healthcare (PE-style investor group); prior owner Quorum Health",
        "parentCompany": "Halsen Healthcare",
        "acquiredYear": "2019",
        "acquisitionDealNote": "Halsen bought from Quorum ~$39-45.5M (2019), immediately sold the entire facility to Medical Properties Trust for $40M and leased it back for 15 years",
        "yearsPeToClosure": "2",
        "extractionMoneyTrail": "Immediate $40M sale-leaseback to MPT stripped the real estate; lawsuit alleges owners took $3.9M+ for personal use; Halsen removed from leadership Jan 2021; bankruptcy Dec 2021",
        "degradationRecord": "Gross-negligence lawsuit against former owners; hospital nearly ran out of cash",
        "communityImpact": "Community passed $116M bond (Measure N) to buy back its own hospital's land from MPT (2024)",
        "buildingFate": "Rescued: now owned by Pajaro Valley Health Care District",
        "peLinkConfidence": "Direct PE (documented; hospital survived)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://lookout.co/watsonville-community-hospital-under-new-management-but-veil-of-secrecy-surrounds-ownership/story",
          "https://pajaronian.com/watsonville-hospitals-former-owners-grossly-negligent-face-lawsuit/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "ownershipClass": "government",
      "parentSystem": "PAJARO VALLEY HEALTH CARE DISTRICT",
      "parentSystemId": "entity-pajaro-valley-health-care-district",
      "siblingGroupId": "siblings-ca-pajaro-valley-health-care-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAJARO VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAJARO VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050195",
      "ccn": "050195",
      "name": "WASHINGTON HOSPITAL",
      "address": "2000 MOWRY AVENUE",
      "city": "FREMONT",
      "state": "CA",
      "zip": "94538",
      "county": "ALAMEDA",
      "latitude": 37.5572828800025,
      "longitude": -121.979808389678,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 415,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WASHINGTON TOWNSHIP HOSPITAL DISTRICT",
      "parentSystemId": "entity-washington-township-hospital-district",
      "siblingGroupId": "siblings-ca-washington-township-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-verified-parent-washington-township-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: WASHINGTON TOWNSHIP HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON TOWNSHIP HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: WASHINGTON TOWNSHIP HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON TOWNSHIP HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050197",
      "ccn": "050197",
      "name": "SEQUOIA HOSPITAL",
      "address": "170 ALAMEDA DE LAS PULGAS",
      "city": "REDWOOD CITY",
      "state": "CA",
      "zip": "94062",
      "county": "SAN MATEO",
      "latitude": 37.4793650203094,
      "longitude": -122.254884339826,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 208,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redwood-city-sequoia-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050204",
      "ccn": "050204",
      "name": "PALMDALE REGIONAL MEDICAL CENTER",
      "address": "38600 MEDICAL CENTER DR",
      "city": "PALMDALE",
      "state": "CA",
      "zip": "93551",
      "county": "LOS ANGELES",
      "latitude": 34.5828776302345,
      "longitude": -118.14436687034,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 184,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palmdale-palmdale-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UHS OF PALMDALE INC",
      "parentSystemId": "entity-uhs-of-palmdale-inc",
      "siblingGroupId": "siblings-ca-uhs-of-palmdale-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF PALMDALE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF PALMDALE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050211",
      "ccn": "050211",
      "name": "ALAMEDA HOSPITAL",
      "address": "2070 CLINTON AVENUE",
      "city": "ALAMEDA",
      "state": "CA",
      "zip": "94501",
      "county": "ALAMEDA",
      "latitude": 37.7627943597963,
      "longitude": -122.254213590261,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 66,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alameda-alameda-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ALAMEDA HEALTH SYSTEM",
      "parentSystemId": "entity-alameda-health-system",
      "siblingGroupId": "siblings-ca-alameda-health-system",
      "campusFamilyId": "campus-ca-050211",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-alameda-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alamedahealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System official about page. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMEDA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System official about page. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMEDA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050211-loc-ca-alameda-alameda-hospital-south-shore-convalescent-h",
      "ccn": "050211",
      "name": "ALAMEDA HOSPITAL - SOUTH SHORE CONVALESCENT HOSPITAL",
      "address": "625 WILLOW STREET",
      "city": "ALAMEDA",
      "state": "CA",
      "zip": "94501",
      "county": "ALAMEDA",
      "latitude": 37.7618459402032,
      "longitude": -122.254047620224,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 26,
      "rating": 4,
      "website": "http://www.alamedahospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alameda-alameda-hospital-south-shore-convalescent-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ALAMEDA HEALTH SYSTEM",
      "parentSystemId": "entity-alameda-health-system",
      "siblingGroupId": "siblings-ca-alameda-health-system",
      "campusFamilyId": "campus-ca-050211",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-alameda-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alamedahealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System official about page. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMEDA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System official about page. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMEDA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050211"
    },
    {
      "id": "050222",
      "ccn": "050222",
      "name": "SHARP CHULA VISTA MEDICAL CENTER",
      "address": "751 MEDICAL CENTER CT",
      "city": "CHULA VISTA",
      "state": "CA",
      "zip": "91911",
      "county": "SAN DIEGO",
      "latitude": 32.6189760697501,
      "longitude": -117.023185609893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 349,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chula-vista-sharp-chula-vista-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050224",
      "ccn": "050224",
      "name": "HOAG MEMORIAL HOSPITAL PRESBYTERIAN",
      "address": "1 HOAG DR",
      "city": "NEWPORT BEACH",
      "state": "CA",
      "zip": "92663",
      "county": "ORANGE",
      "latitude": 33.6244711196336,
      "longitude": -117.929302010365,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 434,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-beach-hoag-memorial-hospital-presbyterian/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOAG MEMORIAL HOSPITAL PRESBYTERIAN",
      "parentSystemId": "entity-hoag-memorial-hospital-presbyterian",
      "siblingGroupId": "siblings-ca-hoag-memorial-hospital-presbyterian",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-hoag"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hoag.org/about-hoag/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Hoag official about page. Resolved parent/control boundary: Hoag. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOAG MEMORIAL HOSPITAL PRESBYTERIAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Hoag official about page. Resolved parent/control boundary: Hoag. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOAG MEMORIAL HOSPITAL PRESBYTERIAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050226",
      "ccn": "050226",
      "name": "AHMC ANAHEIM REGIONAL MEDICAL CENTER",
      "address": "1111 W LA PALMA AVE",
      "city": "ANAHEIM",
      "state": "CA",
      "zip": "92801",
      "county": "ORANGE",
      "latitude": 33.8481537900321,
      "longitude": -117.93444768967,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 223,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anaheim-ahmc-anaheim-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AHMC ANAHEIM REGIONAL MEDICAL",
      "parentSystemId": "entity-ahmc-anaheim-regional-medical",
      "siblingGroupId": "siblings-ca-ahmc-anaheim-regional-medical",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC ANAHEIM REGIONAL MEDICAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC ANAHEIM REGIONAL MEDICAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050231",
      "ccn": "050231",
      "name": "POMONA VALLEY HOSPITAL MEDICAL CENTER",
      "address": "1798 N GAREY AVE",
      "city": "POMONA",
      "state": "CA",
      "zip": "91767",
      "county": "LOS ANGELES",
      "latitude": 34.0768488198101,
      "longitude": -117.75055202006,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 412,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pomona-pomona-valley-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "POMONA VALLEY HOSPITAL MEDICAL CENTER",
      "parentSystemId": "entity-pomona-valley-hospital-medical-center",
      "siblingGroupId": "siblings-ca-pomona-valley-hospital-medical-center",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-951115230"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/951115230"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Pomona Valley Hospital Medical Center. Resolved parent/control boundary: POMONA VALLEY HOSPITAL MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POMONA VALLEY HOSPITAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Pomona Valley Hospital Medical Center. Resolved parent/control boundary: POMONA VALLEY HOSPITAL MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POMONA VALLEY HOSPITAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050232",
      "ccn": "050232",
      "name": "FRENCH HOSPITAL MEDICAL CENTER",
      "address": "1911 JOHNSON AVE",
      "city": "SAN LUIS OBISPO",
      "state": "CA",
      "zip": "93401",
      "county": "SAN LUIS OBISPO",
      "latitude": 35.2779315097668,
      "longitude": -120.650641409613,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 98,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-luis-obispo-french-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050236",
      "ccn": "050236",
      "name": "ADVENTIST HEALTH SIMI VALLEY",
      "address": "2975 SYCAMORE DRIVE",
      "city": "SIMI VALLEY",
      "state": "CA",
      "zip": "93065",
      "county": "VENTURA",
      "latitude": 34.2891653896309,
      "longitude": -118.744535319944,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 144,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-simi-valley-adventist-health-simi-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050239",
      "ccn": "050239",
      "name": "GLENDALE ADVENTIST MEDICAL CENTER D/P APH",
      "address": "1509 WILSON TER",
      "city": "GLENDALE",
      "state": "CA",
      "zip": "91206",
      "county": "LOS ANGELES",
      "latitude": 34.1504428202987,
      "longitude": -118.230005249856,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "campusFamilyId": "campus-ca-050239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050242",
      "ccn": "050242",
      "name": "DOMINICAN HOSPITAL",
      "address": "1555 SOQUEL DR",
      "city": "SANTA CRUZ",
      "state": "CA",
      "zip": "95065",
      "county": "SANTA CRUZ",
      "latitude": 36.9900207000589,
      "longitude": -121.984045009848,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 222,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050243",
      "ccn": "050243",
      "name": "DESERT REGIONAL MEDICAL CENTER",
      "address": "1150 N INDIAN CANYON DR",
      "city": "PALM SPRINGS",
      "state": "CA",
      "zip": "92262",
      "county": "RIVERSIDE",
      "latitude": 33.8386678501349,
      "longitude": -116.543453569983,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 353,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tenet Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palm-springs-desert-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050245",
      "ccn": "050245",
      "name": "ARROWHEAD REGIONAL MEDICAL CENTER",
      "address": "400 N PEPPER AVE",
      "city": "COLTON",
      "state": "CA",
      "zip": "92324",
      "county": "SAN BERNARDINO",
      "latitude": 34.073989509754,
      "longitude": -117.351004949884,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 366,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colton-arrowhead-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SAN BERNARDINO",
      "parentSystemId": "entity-county-of-san-bernardino",
      "siblingGroupId": "siblings-ca-county-of-san-bernardino",
      "campusFamilyId": "campus-ca-050245",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN BERNARDINO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN BERNARDINO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050245-loc-ca-colton-arrowhead-regional-medical-center-d-p-aph",
      "ccn": "050245",
      "name": "ARROWHEAD REGIONAL MEDICAL CENTER D/P APH",
      "address": "400 N PEPPER AVE",
      "city": "COLTON",
      "state": "CA",
      "zip": "92324",
      "county": "SAN BERNARDINO",
      "latitude": 34.0752955002888,
      "longitude": -117.351272699941,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 90,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SAN BERNARDINO",
      "parentSystemId": "entity-county-of-san-bernardino",
      "siblingGroupId": "siblings-ca-county-of-san-bernardino",
      "campusFamilyId": "campus-ca-050245",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN BERNARDINO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SAN BERNARDINO, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050245"
    },
    {
      "id": "050248",
      "ccn": "050248",
      "name": "NATIVIDAD MEDICAL CENTER",
      "address": "1441 CONSTITUTION BLVD",
      "city": "SALINAS",
      "state": "CA",
      "zip": "93906",
      "county": "MONTEREY",
      "latitude": 36.6987604698566,
      "longitude": -121.631708639815,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 150,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salinas-natividad-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF MONTEREY",
      "parentSystemId": "entity-county-of-monterey",
      "siblingGroupId": "siblings-ca-county-of-monterey",
      "campusFamilyId": "campus-ca-050248",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MONTEREY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MONTEREY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050248-loc-ca-salinas-natividad-medical-center-d-p-aph",
      "ccn": "050248",
      "name": "NATIVIDAD MEDICAL CENTER D/P APH",
      "address": "1441 CONSTITUTION BLVD",
      "city": "SALINAS",
      "state": "CA",
      "zip": "93906",
      "county": "MONTEREY",
      "latitude": 36.6966688001051,
      "longitude": -121.633088700026,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 22,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF MONTEREY",
      "parentSystemId": "entity-county-of-monterey",
      "siblingGroupId": "siblings-ca-county-of-monterey",
      "campusFamilyId": "campus-ca-050248",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MONTEREY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MONTEREY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050248"
    },
    {
      "id": "050254",
      "ccn": "050254",
      "name": "MARSHALL MEDICAL CENTER",
      "address": "1100 MARSHALL WAY",
      "city": "PLACERVILLE",
      "state": "CA",
      "zip": "95667",
      "county": "EL DORADO",
      "latitude": 38.7249478497311,
      "longitude": -120.791411999636,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHALL MEDICAL CENTER",
      "parentSystemId": "entity-marshall-medical-center",
      "siblingGroupId": "siblings-ca-marshall-medical-center",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-941450151"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/941450151"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Marshall Medical Center. Resolved parent/control boundary: MARSHALL MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Marshall Medical Center. Resolved parent/control boundary: MARSHALL MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050257",
      "ccn": "050257",
      "name": "GOOD SAMARITAN HOSPITAL",
      "address": "901 OLIVE DR",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93308",
      "county": "KERN",
      "latitude": 35.4117405802509,
      "longitude": -119.039590529646,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 43,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GOOD SAMARITAN HOSPITAL CA LTD PTP",
      "parentSystemId": "entity-good-samaritan-hospital-ca-ltd-ptp",
      "siblingGroupId": "siblings-ca-good-samaritan-hospital-ca-ltd-ptp",
      "campusFamilyId": "campus-ca-050257",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL CA LTD PTP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL CA LTD PTP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "05025F",
      "ccn": "05025F",
      "name": "FRESNO VA MEDICAL CENTER",
      "address": "2615 EAST CLINTON AVENUE",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93703",
      "county": "FRESNO",
      "latitude": 36.7725795002077,
      "longitude": -119.777934100159,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "website": "https://www.va.gov/central-california-health-care/locations/fresno-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM)",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "cms_enroll_va|project_queue_va",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS/HIFLD baseline local queue source",
      "evidenceSourceUrl": "/data/releases/release-2026-07-04-fresno-city-custom-next-001.json",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Project queue has duplicate VA rows sharing the same CCN/address family and public VA control context. Remaining limitation: Needs official VA/CMS source refresh and duplicate-row merge/alias before publication.",
      "classificationSources": [
        "CMS/HIFLD baseline local queue source",
        "All-hospital review queue local record"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Federal government",
      "operatorName": "Veterans Health Administration",
      "publicControlBadge": "Government / public / Federal government",
      "relationshipType": "Federal government",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "government",
      "parentSystemId": "entity-fresno-va-medical-center-va-central-california-healthcare-system",
      "siblingGroupId": "siblings-ca-fresno-va-medical-center-va-central-california-healthcare-system",
      "campusFamilyId": "campus-ca-05025f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM), ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM), ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "05025F-loc-ca-fresno-va-central-california-health-care-system",
      "ccn": "05025F",
      "name": "VA CENTRAL CALIFORNIA HEALTH CARE SYSTEM",
      "address": "2615 E CLINTON AVE",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93703",
      "county": "FRESNO",
      "latitude": 36.7732504298746,
      "longitude": -119.779145080366,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 54,
      "rating": 5,
      "website": "http://www.fresno.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS/HIFLD baseline local queue source",
      "evidenceSourceUrl": "/data/releases/release-2026-07-04-fresno-city-custom-next-001.json",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Project queue has duplicate VA rows sharing the same CCN/address family and public VA control context. Remaining limitation: Needs official VA/CMS source refresh and duplicate-row merge/alias before publication.",
      "classificationSources": [
        "CMS/HIFLD baseline local queue source",
        "All-hospital review queue local record"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Federal government",
      "operatorName": "Veterans Health Administration",
      "publicControlBadge": "Government / public / Federal government",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-va-central-california-health-care-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "Federal government",
      "parentSystem": "FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM)",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "cms_enroll_va|project_queue_va",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "government",
      "parentSystemId": "entity-fresno-va-medical-center-va-central-california-healthcare-system",
      "siblingGroupId": "siblings-ca-fresno-va-medical-center-va-central-california-healthcare-system",
      "campusFamilyId": "campus-ca-05025f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM), ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRESNO VA MEDICAL CENTER (VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM), ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "05025F"
    },
    {
      "id": "050261",
      "ccn": "050261",
      "name": "SIERRA VIEW MEDICAL CENTER",
      "address": "465 W PUTNAM AVE",
      "city": "PORTERVILLE",
      "state": "CA",
      "zip": "93257",
      "county": "TULARE",
      "latitude": 36.0685371700673,
      "longitude": -119.027360419804,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 132,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SIERRA VIEW LOCAL HEALTH CARE DISTRICT",
      "parentSystemId": "entity-sierra-view-local-health-care-district",
      "siblingGroupId": "siblings-ca-sierra-view-local-health-care-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SIERRA VIEW LOCAL HEALTH CARE DISTRICT. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIERRA VIEW LOCAL HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SIERRA VIEW LOCAL HEALTH CARE DISTRICT. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIERRA VIEW LOCAL HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050262",
      "ccn": "050262",
      "name": "RONALD REAGAN UCLA MEDICAL CENTER",
      "address": "757 WESTWOOD BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90095",
      "county": "LOS ANGELES",
      "latitude": 34.0665543801177,
      "longitude": -118.446625070232,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 446,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "REGENTS UNIV OF CALIF LOS ANGELES",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-ronald-reagan-ucla-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-regents-univ-of-calif-los-angeles",
      "siblingGroupId": "siblings-ca-regents-univ-of-calif-los-angeles",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS UNIV OF CALIF LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS UNIV OF CALIF LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050272",
      "ccn": "050272",
      "name": "REDLANDS COMMUNITY HOSPITAL",
      "address": "350 TERRACINA BLVD",
      "city": "REDLANDS",
      "state": "CA",
      "zip": "92373",
      "county": "SAN BERNARDINO",
      "latitude": 34.0364630898134,
      "longitude": -117.205014800412,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 195,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redlands-redlands-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REDLANDS COMMUNITY HOSPITAL",
      "parentSystemId": "entity-redlands-community-hospital",
      "siblingGroupId": "siblings-ca-redlands-community-hospital",
      "campusFamilyId": "campus-ca-050272",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-redlands-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REDLANDS COMMUNITY HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REDLANDS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REDLANDS COMMUNITY HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REDLANDS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050272-loc-ca-redlands-redlands-community-hospital-d-p-aph",
      "ccn": "050272",
      "name": "REDLANDS COMMUNITY HOSPITAL D/P APH",
      "address": "350 TERRACINA BLVD",
      "city": "REDLANDS",
      "state": "CA",
      "zip": "92373",
      "county": "SAN BERNARDINO",
      "latitude": 34.0367064000216,
      "longitude": -117.205832800022,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "REDLANDS COMMUNITY HOSPITAL",
      "parentSystemId": "entity-redlands-community-hospital",
      "siblingGroupId": "siblings-ca-redlands-community-hospital",
      "campusFamilyId": "campus-ca-050272",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-redlands-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REDLANDS COMMUNITY HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REDLANDS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to REDLANDS COMMUNITY HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REDLANDS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050272"
    },
    {
      "id": "050276",
      "ccn": "050276",
      "name": "CONTRA COSTA REGIONAL MEDICAL CENTER",
      "address": "2500 ALHAMBRA AVENUE",
      "city": "MARTINEZ",
      "state": "CA",
      "zip": "94553",
      "county": "CONTRA COSTA",
      "latitude": 38.0067980099763,
      "longitude": -122.132814790252,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 124,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-martinez-contra-costa-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CONTRA COSTA COUNTY",
      "parentSystemId": "entity-contra-costa-county",
      "siblingGroupId": "siblings-ca-contra-costa-county",
      "campusFamilyId": "campus-ca-050276",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONTRA COSTA COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONTRA COSTA COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050276-loc-ca-martinez-contra-costa-regional-medical-center-d-p-a",
      "ccn": "050276",
      "name": "CONTRA COSTA REGIONAL MEDICAL CENTER D/P APH",
      "address": "2500 ALHAMBRA AVENUE",
      "city": "MARTINEZ",
      "state": "CA",
      "zip": "94553",
      "county": "CONTRA COSTA",
      "latitude": 38.0060891998349,
      "longitude": -122.132777800323,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 43,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CONTRA COSTA COUNTY",
      "parentSystemId": "entity-contra-costa-county",
      "siblingGroupId": "siblings-ca-contra-costa-county",
      "campusFamilyId": "campus-ca-050276",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONTRA COSTA COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONTRA COSTA COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050276"
    },
    {
      "id": "050278",
      "ccn": "050278",
      "name": "PROVIDENCE HOLY CROSS MEDICAL CENTER",
      "address": "15031 RINALDI ST",
      "city": "MISSION HILLS",
      "state": "CA",
      "zip": "91345",
      "county": "LOS ANGELES",
      "latitude": 34.2795474398946,
      "longitude": -118.459807660177,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 329,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mission-hills-providence-holy-cross-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050279",
      "ccn": "050279",
      "name": "HI - DESERT MEDICAL CENTER",
      "address": "6601 WHITE FEATHER RD",
      "city": "JOSHUA TREE",
      "state": "CA",
      "zip": "92252",
      "county": "SAN BERNARDINO",
      "latitude": 34.1318995497926,
      "longitude": -116.275139239876,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 59,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-joshua-tree-hi-desert-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "05027F",
      "ccn": "05027F",
      "name": "VA LONG BEACH HEALTHCARE SYSTEM",
      "address": "5901 E 7TH ST",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90822",
      "county": "LOS ANGELES",
      "latitude": 33.7766350297238,
      "longitude": -118.119078580034,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 237,
      "rating": 4,
      "website": "http://www.longbeach.va.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Veterans Health Administration",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-beach-va-long-beach-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "VA LONG BEACH HEALTHCARE SYSTEM",
      "parentSystemId": "entity-va-long-beach-healthcare-system",
      "siblingGroupId": "siblings-ca-va-long-beach-healthcare-system",
      "campusFamilyId": "campus-ca-05027f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA LONG BEACH HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VA LONG BEACH HEALTHCARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050280",
      "ccn": "050280",
      "name": "MERCY MEDICAL CENTER REDDING",
      "address": "2175 ROSALINE AVE",
      "city": "REDDING",
      "state": "CA",
      "zip": "96001",
      "county": "SHASTA",
      "latitude": 40.5719249798306,
      "longitude": -122.395410570125,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 266,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redding-mercy-medical-center---redding/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050281",
      "ccn": "050281",
      "name": "ALHAMBRA HOSPITAL MEDICAL CENTER",
      "address": "100 S RAYMOND AVE",
      "city": "ALHAMBRA",
      "state": "CA",
      "zip": "91801",
      "county": "LOS ANGELES",
      "latitude": 34.0902158697029,
      "longitude": -118.144034809892,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alhambra-alhambra-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALHAMBRA HOSPITAL MEDICAL CENTER, LP",
      "parentSystemId": "entity-alhambra-hospital-medical-center-lp",
      "siblingGroupId": "siblings-ca-alhambra-hospital-medical-center-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-alhambra-hospital-medical-center-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to ALHAMBRA HOSPITAL MEDICAL CENTER, LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALHAMBRA HOSPITAL MEDICAL CENTER, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to ALHAMBRA HOSPITAL MEDICAL CENTER, LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALHAMBRA HOSPITAL MEDICAL CENTER, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050289",
      "ccn": "050289",
      "name": "AHMC SETON MEDICAL CENTER",
      "address": "1900 SULLIVAN AVE",
      "city": "DALY CITY",
      "state": "CA",
      "zip": "94015",
      "county": "SAN MATEO",
      "latitude": 37.6798850400541,
      "longitude": -122.474237570118,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 250,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "AHMC HEALTHCARE, LP",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahmc-healthcare-lp",
      "siblingGroupId": "siblings-ca-ahmc-healthcare-lp",
      "campusFamilyId": "campus-ca-050289",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC HEALTHCARE, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC HEALTHCARE, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050289-loc-ca-daly-city-ahmc-seton-medical-center-d-p-aph",
      "ccn": "050289",
      "name": "AHMC SETON MEDICAL CENTER D/P APH",
      "address": "1900 SULLIVAN AVE",
      "city": "DALY CITY",
      "state": "CA",
      "zip": "94015",
      "county": "SAN MATEO",
      "latitude": 37.6801346999908,
      "longitude": -122.474056399689,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 24,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "AHMC HEALTHCARE, LP",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahmc-healthcare-lp",
      "siblingGroupId": "siblings-ca-ahmc-healthcare-lp",
      "campusFamilyId": "campus-ca-050289",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC HEALTHCARE, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC HEALTHCARE, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050289"
    },
    {
      "id": "050290",
      "ccn": "050290",
      "name": "SAINT JOHN'S HEALTH CENTER",
      "address": "2121 SANTA MONICA BLVD",
      "city": "SANTA MONICA",
      "state": "CA",
      "zip": "90404",
      "county": "LOS ANGELES",
      "latitude": 34.0308259500114,
      "longitude": -118.479450380283,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 266,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Providence",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050291",
      "ccn": "050291",
      "name": "SUTTER SANTA ROSA REGIONAL HOSPITAL",
      "address": "30 MARK WEST SPRINGS ROAD",
      "city": "SANTA ROSA",
      "state": "CA",
      "zip": "95403",
      "county": "SONOMA",
      "latitude": 38.4949592202629,
      "longitude": -122.751871969807,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 84,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-rosa-sutter-santa-rosa-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050292",
      "ccn": "050292",
      "name": "RIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER",
      "address": "26520 CACTUS AVE",
      "city": "MORENO VALLEY",
      "state": "CA",
      "zip": "92555",
      "county": "RIVERSIDE",
      "latitude": 33.9119112297515,
      "longitude": -117.195829760194,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 362,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF RIVERSIDE",
      "parentSystemId": "entity-county-of-riverside",
      "siblingGroupId": "siblings-ca-county-of-riverside",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF RIVERSIDE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF RIVERSIDE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050295",
      "ccn": "050295",
      "name": "MERCY HOSPITAL",
      "address": "2215 TRUXTUN AVE",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93301",
      "county": "KERN",
      "latitude": 35.3728636398342,
      "longitude": -119.027704610203,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 144,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050298",
      "ccn": "050298",
      "name": "BARSTOW COMMUNITY HOSPITAL",
      "address": "820 E MOUNTAIN VIEW ST",
      "city": "BARSTOW",
      "state": "CA",
      "zip": "92311",
      "county": "SAN BERNARDINO",
      "latitude": 34.8925295297964,
      "longitude": -117.017193529842,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": 1,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "QHC CALIFORNIA HOLDINGS LLC",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-barstow-barstow-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-qhc-california-holdings-llc",
      "siblingGroupId": "siblings-ca-qhc-california-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-qhc-california-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to QHC CALIFORNIA HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QHC CALIFORNIA HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to QHC CALIFORNIA HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QHC CALIFORNIA HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050300",
      "ccn": "050300",
      "name": "PROVIDENCE ST. MARY MEDICAL CENTER",
      "address": "18300 US HIGHWAY 18",
      "city": "APPLE VALLEY",
      "state": "CA",
      "zip": "92307",
      "county": "SAN BERNARDINO",
      "latitude": 34.5414883702147,
      "longitude": -117.265691519753,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 213,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "ST MARY MEDICAL CENTER",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-mary-medical-center",
      "siblingGroupId": "siblings-ca-st-mary-medical-center",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050301",
      "ccn": "050301",
      "name": "ADVENTIST HEALTH UKIAH VALLEY",
      "address": "275 HOSPITAL DR",
      "city": "UKIAH",
      "state": "CA",
      "zip": "95482",
      "county": "MENDOCINO",
      "latitude": 39.1529058897563,
      "longitude": -123.202808339909,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 68,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ukiah-adventist-health-ukiah-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050305",
      "ccn": "050305",
      "name": "ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMPUS",
      "address": "2450 ASHBY AVENUE",
      "city": "BERKELEY",
      "state": "CA",
      "zip": "94705",
      "county": "ALAMEDA",
      "latitude": 37.855876369694,
      "longitude": -122.257265690101,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 339,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berkeley-alta-bates-summit-med-ctr-alta-bates-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050308",
      "ccn": "050308",
      "name": "EL CAMINO HEALTH",
      "address": "2500 GRANT RD",
      "city": "MOUNTAIN VIEW",
      "state": "CA",
      "zip": "94040",
      "county": "SANTA CLARA",
      "latitude": 37.3694588202798,
      "longitude": -122.079995669736,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 275,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "EL CAMINO HOSPITAL",
      "parentSystemId": "entity-el-camino-hospital",
      "siblingGroupId": "siblings-ca-el-camino-hospital",
      "campusFamilyId": "campus-ca-050308",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: EL CAMINO HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL CAMINO HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: EL CAMINO HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL CAMINO HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050309",
      "ccn": "050309",
      "name": "SUTTER ROSEVILLE MEDICAL CENTER",
      "address": "1 MEDICAL PLAZA DR",
      "city": "ROSEVILLE",
      "state": "CA",
      "zip": "95661",
      "county": "PLACER",
      "latitude": 38.7661599999258,
      "longitude": -121.249308639629,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 382,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roseville-sutter-roseville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050313",
      "ccn": "050313",
      "name": "SUTTER TRACY COMMUNITY HOSPITAL",
      "address": "1420 N TRACY BOULEVARD",
      "city": "TRACY",
      "state": "CA",
      "zip": "95376",
      "county": "SAN JOAQUIN",
      "latitude": 37.7442185202906,
      "longitude": -121.433929740153,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 77,
      "rating": 4,
      "status": "signal",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tracy-sutter-tracy-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050315",
      "ccn": "050315",
      "name": "KERN MEDICAL CENTER",
      "address": "1700 MOUNT VERNON AVE",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93306",
      "county": "KERN",
      "latitude": 35.3824988500399,
      "longitude": -118.969773669682,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 197,
      "rating": 1,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bakersfield-kern-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KERN COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-kern-county-hospital-authority",
      "siblingGroupId": "siblings-ca-kern-county-hospital-authority",
      "campusFamilyId": "campus-ca-050315",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-kern-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as POLITICAL SUBDIVISION OF STATE. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KERN COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as POLITICAL SUBDIVISION OF STATE. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KERN COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050315-loc-ca-bakersfield-kern-medical-center-d-p-aph",
      "ccn": "050315",
      "name": "KERN MEDICAL CENTER D/P APH",
      "address": "1700 MOUNT VERNON AVE",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93306",
      "county": "KERN",
      "latitude": 35.3821809596899,
      "longitude": -118.970126180278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 1,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "KERN COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-kern-county-hospital-authority",
      "siblingGroupId": "siblings-ca-kern-county-hospital-authority",
      "campusFamilyId": "campus-ca-050315",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-kern-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as POLITICAL SUBDIVISION OF STATE. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KERN COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as POLITICAL SUBDIVISION OF STATE. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KERN COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050315"
    },
    {
      "id": "05031F",
      "ccn": "05031F",
      "name": "PALO ALTO VA MEDICAL CENTER",
      "address": "3801 MIRANDA AVENUE",
      "city": "PALO ALTO",
      "state": "CA",
      "zip": "94304",
      "county": "SANTA CLARA",
      "latitude": 37.4053530201378,
      "longitude": -122.139784649658,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 715,
      "rating": 5,
      "website": "https://www.paloalto.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "PALO ALTO VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-palo-alto-va-medical-center",
      "siblingGroupId": "siblings-ca-palo-alto-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO ALTO VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO ALTO VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050320",
      "ccn": "050320",
      "name": "HIGHLAND HOSPITAL",
      "address": "1411 E 31ST STREET",
      "city": "OAKLAND",
      "state": "CA",
      "zip": "94602",
      "county": "ALAMEDA",
      "latitude": 37.7988016202326,
      "longitude": -122.231195630138,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 169,
      "rating": 1,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakland-highland-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ALAMEDA HEALTH SYSTEM",
      "parentSystemId": "entity-alameda-health-system",
      "siblingGroupId": "siblings-ca-alameda-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-alameda-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.alamedahealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System official about page. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMEDA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Alameda Health System official about page. Resolved parent/control boundary: Alameda Health System. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMEDA HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050324",
      "ccn": "050324",
      "name": "SCRIPPS MEMORIAL HOSPITAL - LA JOLLA",
      "address": "9888 GENESEE AVE",
      "city": "LA JOLLA",
      "state": "CA",
      "zip": "92037",
      "county": "SAN DIEGO",
      "latitude": 32.8851845103083,
      "longitude": -117.225460210141,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 426,
      "rating": 5,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-jolla-scripps-memorial-hospital---la-jolla/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCRIPPS HEALTH",
      "parentSystemId": "entity-scripps-health",
      "siblingGroupId": "siblings-ca-scripps-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-scripps-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.scripps.org/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050327",
      "ccn": "050327",
      "name": "LOMA LINDA UNIVERSITY MEDICAL CENTER EAST CAMPUS HOSPITAL",
      "address": "25333 BARTON RD",
      "city": "LOMA LINDA",
      "state": "CA",
      "zip": "92354",
      "county": "SAN BERNARDINO",
      "latitude": 34.0473056400041,
      "longitude": -117.251636779753,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 134,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOMA LINDA UNIVERSITY HEALTH",
      "parentSystemId": "entity-loma-linda-university-health",
      "siblingGroupId": "siblings-ca-loma-linda-university-health",
      "campusFamilyId": "campus-ca-050327",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050327-loc-ca-loma-linda-loma-linda-university-medical-center",
      "ccn": "050327",
      "name": "LOMA LINDA UNIVERSITY MEDICAL CENTER",
      "address": "11234 ANDERSON ST",
      "city": "LOMA LINDA",
      "state": "CA",
      "zip": "92354",
      "county": "SAN BERNARDINO",
      "latitude": 34.0496668402984,
      "longitude": -117.264012360078,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 320,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-loma-linda-loma-linda-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOMA LINDA UNIVERSITY HEALTH",
      "parentSystemId": "entity-loma-linda-university-health",
      "siblingGroupId": "siblings-ca-loma-linda-university-health",
      "campusFamilyId": "campus-ca-050327",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050327"
    },
    {
      "id": "050327-loc-ca-loma-linda-loma-linda-university-medical",
      "ccn": "050327",
      "name": "LOMA LINDA UNIVERSITY MEDICAL",
      "address": "11234 ANDERSON STREET",
      "city": "LOMA LINDA",
      "state": "CA",
      "zip": "92354",
      "county": "SAN BERNARDINO",
      "latitude": 34.0492964230132,
      "longitude": -117.262743195092,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOMA LINDA UNIVERSITY HEALTH",
      "parentSystemId": "entity-loma-linda-university-health",
      "siblingGroupId": "siblings-ca-loma-linda-university-health",
      "campusFamilyId": "campus-ca-050327",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050327"
    },
    {
      "id": "050329",
      "ccn": "050329",
      "name": "CORONA REGIONAL MEDICAL CENTER",
      "address": "800 S MAIN ST",
      "city": "CORONA",
      "state": "CA",
      "zip": "92882",
      "county": "RIVERSIDE",
      "latitude": 33.8730377003353,
      "longitude": -117.568320929571,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 160,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "campusFamilyId": "campus-ca-050329",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050329-loc-ca-corona-corona-regional-medical-center",
      "ccn": "050329",
      "name": "CORONA REGIONAL MEDICAL CENTER",
      "address": "730 MAGNOLIA AVE",
      "city": "CORONA",
      "state": "CA",
      "zip": "92879",
      "county": "RIVERSIDE",
      "latitude": 33.8580833098047,
      "longitude": -117.553858040022,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 238,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "campusFamilyId": "campus-ca-050329",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050329"
    },
    {
      "id": "050329-loc-ca-corona-corona-regional-medical-center-d-p-aph",
      "ccn": "050329",
      "name": "CORONA REGIONAL MEDICAL CENTER D/P APH",
      "address": "730 MAGNOLIA AVE",
      "city": "CORONA",
      "state": "CA",
      "zip": "92879",
      "county": "RIVERSIDE",
      "latitude": 33.858142300317,
      "longitude": -117.553712099721,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 38,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "campusFamilyId": "campus-ca-050329",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050329"
    },
    {
      "id": "050334",
      "ccn": "050334",
      "name": "SALINAS VALLEY MEMORIAL HOSPITAL",
      "address": "450 E ROMIE LN",
      "city": "SALINAS",
      "state": "CA",
      "zip": "93901",
      "county": "MONTEREY",
      "latitude": 36.6590304599256,
      "longitude": -121.645983800334,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 263,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salinas-salinas-valley-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM",
      "parentSystemId": "entity-salinas-valley-memorial-healthcare-system",
      "siblingGroupId": "siblings-ca-salinas-valley-memorial-healthcare-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050335",
      "ccn": "050335",
      "name": "ADVENTIST HEALTH SONORA",
      "address": "179 FAIRVIEW LANE",
      "city": "SONORA",
      "state": "CA",
      "zip": "95370",
      "county": "TUOLUMNE",
      "latitude": 37.9796873999286,
      "longitude": -120.390801290027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 12,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "campusFamilyId": "campus-ca-050335",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050335-loc-ca-sonora-adventist-health-sonora",
      "ccn": "050335",
      "name": "ADVENTIST HEALTH SONORA",
      "address": "1000 GREENLEY ROAD",
      "city": "SONORA",
      "state": "CA",
      "zip": "95370",
      "county": "TUOLUMNE",
      "latitude": 37.9772302299672,
      "longitude": -120.370850460355,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 72,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "campusFamilyId": "campus-ca-050335",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050335"
    },
    {
      "id": "050335-loc-ca-sonora-adventist-health-sonora-fairview",
      "ccn": "050335",
      "name": "ADVENTIST HEALTH SONORA - FAIRVIEW",
      "address": "179 FAIRVIEW LANE",
      "city": "SONORA",
      "state": "CA",
      "zip": "95370",
      "county": "TUOLUMNE",
      "latitude": 37.9796873999286,
      "longitude": -120.390801290027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 12,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "campusFamilyId": "campus-ca-050335",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 3 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050335"
    },
    {
      "id": "050336",
      "ccn": "050336",
      "name": "ADVENTIST HEALTH LODI MEMORIAL",
      "address": "975 S FAIRMONT AVENUE",
      "city": "LODI",
      "state": "CA",
      "zip": "95240",
      "county": "SAN JOAQUIN",
      "latitude": 38.1213233398488,
      "longitude": -121.286818430325,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 194,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050342",
      "ccn": "050342",
      "name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
      "address": "207 W LEGION RD",
      "city": "BRAWLEY",
      "state": "CA",
      "zip": "92227",
      "county": "IMPERIAL",
      "latitude": 32.9590929703718,
      "longitude": -115.553798649583,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 107,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
      "parentSystemId": "entity-pioneers-memorial-healthcare-district",
      "siblingGroupId": "siblings-ca-pioneers-memorial-healthcare-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: PIONEERS MEMORIAL HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIONEERS MEMORIAL HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: PIONEERS MEMORIAL HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIONEERS MEMORIAL HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050350",
      "ccn": "050350",
      "name": "ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO",
      "address": "309 WEST BEVERLY BOULEVARD",
      "city": "MONTEBELLO",
      "state": "CA",
      "zip": "90640",
      "county": "LOS ANGELES",
      "latitude": 34.0151961569614,
      "longitude": -118.100666218592,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 192,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEVERLY COMMUNITY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-beverly-community-hospital-association",
      "siblingGroupId": "siblings-ca-beverly-community-hospital-association",
      "campusFamilyId": "campus-ca-050350",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEVERLY COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEVERLY COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050351",
      "ccn": "050351",
      "name": "TORRANCE MEMORIAL MEDICAL CENTER",
      "address": "3330 LOMITA BLVD",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90505",
      "county": "LOS ANGELES",
      "latitude": 33.8117542200776,
      "longitude": -118.344292930381,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 570,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-torrance-torrance-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TORRANCE MEMORIAL MEDICAL CENTER",
      "parentSystemId": "entity-torrance-memorial-medical-center",
      "siblingGroupId": "siblings-ca-torrance-memorial-medical-center",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-951644042"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/951644042"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Torrance Memorial Medical Center. Resolved parent/control boundary: TORRANCE MEMORIAL MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TORRANCE MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Torrance Memorial Medical Center. Resolved parent/control boundary: TORRANCE MEMORIAL MEDICAL CENTER. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TORRANCE MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050352",
      "ccn": "050352",
      "name": "BARTON MEMORIAL HOSPITAL",
      "address": "2170 SOUTH AVENUE",
      "city": "SOUTH LAKE TAHOE",
      "state": "CA",
      "zip": "96150",
      "county": "EL DORADO",
      "latitude": 38.9115786798147,
      "longitude": -119.996546850061,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 63,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-lake-tahoe-barton-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BARTON HEALTHCARE SYSTEM",
      "parentSystemId": "entity-barton-healthcare-system",
      "siblingGroupId": "siblings-ca-barton-healthcare-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARTON HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARTON HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050357",
      "ccn": "050357",
      "name": "GOLETA VALLEY COTTAGE HOSPITAL",
      "address": "351 S PATTERSON AVE",
      "city": "SANTA BARBARA",
      "state": "CA",
      "zip": "93111",
      "county": "SANTA BARBARA",
      "latitude": 34.4331333903028,
      "longitude": -119.810629970164,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 52,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-barbara-goleta-valley-cottage-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COTTAGE HEALTH",
      "parentSystemId": "entity-cottage-health",
      "siblingGroupId": "siblings-ca-cottage-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050360",
      "ccn": "050360",
      "name": "MARINHEALTH MEDICAL CENTER",
      "address": "250 BON AIR RD",
      "city": "GREENBRAE",
      "state": "CA",
      "zip": "94904",
      "county": "MARIN",
      "latitude": 37.9472533596945,
      "longitude": -122.535858939846,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 310,
      "rating": 5,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MARIN HEALTHCARE DISTRICT",
      "parentSystemId": "entity-marin-healthcare-district",
      "siblingGroupId": "siblings-ca-marin-healthcare-district",
      "campusFamilyId": "campus-ca-050360",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-marin-healthcare-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to MARIN HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIN HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to MARIN HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIN HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050360-loc-ca-greenbrae-marinhealth-medical-center-d-p-aph",
      "ccn": "050360",
      "name": "MARINHEALTH MEDICAL CENTER D/P APH",
      "address": "250 BON AIR RD",
      "city": "GREENBRAE",
      "state": "CA",
      "zip": "94904",
      "county": "MARIN",
      "latitude": 37.9472529098662,
      "longitude": -122.535684220218,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 17,
      "rating": 5,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MARIN HEALTHCARE DISTRICT",
      "parentSystemId": "entity-marin-healthcare-district",
      "siblingGroupId": "siblings-ca-marin-healthcare-district",
      "campusFamilyId": "campus-ca-050360",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-marin-healthcare-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to MARIN HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIN HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to MARIN HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIN HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050360"
    },
    {
      "id": "050367",
      "ccn": "050367",
      "name": "NORTHBAY MEDICAL CENTER",
      "address": "1200 B GALE WILSON BLVD",
      "city": "FAIRFIELD",
      "state": "CA",
      "zip": "94533",
      "county": "SOLANO",
      "latitude": 38.261830549879,
      "longitude": -122.047547810207,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 154,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHBAY PHYSICIANS SURGERY CENTER, LLC",
      "parentSystemId": "entity-northbay-physicians-surgery-center-llc",
      "siblingGroupId": "siblings-ca-northbay-physicians-surgery-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-northbay-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.northbay.org/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus NorthBay Health official about page. Resolved parent/control boundary: NorthBay Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHBAY PHYSICIANS SURGERY CENTER, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus NorthBay Health official about page. Resolved parent/control boundary: NorthBay Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHBAY PHYSICIANS SURGERY CENTER, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050373",
      "ccn": "050373",
      "name": "LOS ANGELES GENERAL MEDICAL CENTER",
      "address": "2051 MARENGO ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90033",
      "county": "LOS ANGELES",
      "latitude": 34.059658921173,
      "longitude": -118.208441147443,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 600,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF LOS ANGELES",
      "parentSystemId": "entity-county-of-los-angeles",
      "siblingGroupId": "siblings-ca-county-of-los-angeles",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOS ANGELES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050378",
      "ccn": "050378",
      "name": "PACIFICA HOSPITAL OF THE VALLEY",
      "address": "9449 SAN FERNANDO RD",
      "city": "SUN VALLEY",
      "state": "CA",
      "zip": "91352",
      "county": "LOS ANGELES",
      "latitude": 34.2400983402335,
      "longitude": -118.396362909849,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 95,
      "rating": null,
      "status": "confirmed_pe",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: not listed. PESP PE firm/sponsor: JR Dallas Wealth Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "PACIFICA OF THE VALLEY CORPORATION",
      "peFirm": "JR Dallas Wealth Management",
      "acquiredDate": "March 2021",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sun-valley-pacifica-hospital-of-the-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pacifica-of-the-valley-corporation",
      "siblingGroupId": "siblings-ca-pacifica-of-the-valley-corporation",
      "campusFamilyId": "campus-ca-050378",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-manual-050378"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hcai.ca.gov/data/supplier-diversity-reports/hospital/pacifica-hospital-of-the-valley/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Pacifica of the Valley Corporation; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PACIFICA OF THE VALLEY CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Pacifica of the Valley Corporation; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PACIFICA OF THE VALLEY CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050378-loc-ca-sun-valley-pacifica-hospital-of-the-valley-d-p-aph",
      "ccn": "050378",
      "name": "PACIFICA HOSPITAL OF THE VALLEY D/P APH",
      "address": "9449 SAN FERNANDO RD",
      "city": "SUN VALLEY",
      "state": "CA",
      "zip": "91352",
      "county": "LOS ANGELES",
      "latitude": 34.2405258998764,
      "longitude": -118.396091200018,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 38,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "JR Dallas Wealth Management",
      "acquiredDate": "March 2021",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PACIFICA OF THE VALLEY CORPORATION",
      "parentSystemId": "entity-pacifica-of-the-valley-corporation",
      "siblingGroupId": "siblings-ca-pacifica-of-the-valley-corporation",
      "campusFamilyId": "campus-ca-050378",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-manual-050378"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://hcai.ca.gov/data/supplier-diversity-reports/hospital/pacifica-hospital-of-the-valley/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Pacifica of the Valley Corporation; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PACIFICA OF THE VALLEY CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Pacifica of the Valley Corporation; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PACIFICA OF THE VALLEY CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050378"
    },
    {
      "id": "050380",
      "ccn": "050380",
      "name": "GOOD SAMARITAN HOSPITAL",
      "address": "2425 SAMARITAN DR",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95124",
      "county": "SANTA CLARA",
      "latitude": 37.2520787399949,
      "longitude": -121.94657688032,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 404,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ca-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050382",
      "ccn": "050382",
      "name": "EMANATE HEALTH INTER - COMMUNITY HOSPITAL",
      "address": "210 W SAN BERNARDINO RD",
      "city": "COVINA",
      "state": "CA",
      "zip": "91723",
      "county": "LOS ANGELES",
      "latitude": 34.0883092199742,
      "longitude": -117.893021580305,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 138,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "EMANATE HEALTH",
      "parentSystemId": "entity-emanate-health",
      "siblingGroupId": "siblings-ca-emanate-health",
      "campusFamilyId": "campus-ca-050382",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050382-loc-ca-covina-emanate-health-inter-community-hospital-d-p-",
      "ccn": "050382",
      "name": "EMANATE HEALTH INTER - COMMUNITY HOSPITAL, D/P APH",
      "address": "210 W SAN BERNARDINO RD",
      "city": "COVINA",
      "state": "CA",
      "zip": "91723",
      "county": "LOS ANGELES",
      "latitude": 34.087873800214,
      "longitude": -117.893500500031,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "EMANATE HEALTH",
      "parentSystemId": "entity-emanate-health",
      "siblingGroupId": "siblings-ca-emanate-health",
      "campusFamilyId": "campus-ca-050382",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050382"
    },
    {
      "id": "050390",
      "ccn": "050390",
      "name": "HEMET GLOBAL MEDICAL CENTER",
      "address": "1117 E DEVONSHIRE AVE",
      "city": "HEMET",
      "state": "CA",
      "zip": "92543",
      "county": "RIVERSIDE",
      "latitude": 33.7501697002978,
      "longitude": -116.960185450172,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 304,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC GLOBAL MEDICAL CENTERS INC.",
      "parentSystemId": "entity-kpc-global-medical-centers-inc",
      "siblingGroupId": "siblings-ca-kpc-global-medical-centers-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-kpc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://kpchealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus KPC Health official locations directory. Resolved parent/control boundary: KPC Health. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC GLOBAL MEDICAL CENTERS INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus KPC Health official locations directory. Resolved parent/control boundary: KPC Health. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC GLOBAL MEDICAL CENTERS INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050396",
      "ccn": "050396",
      "name": "SANTA BARBARA COTTAGE HOSPITAL",
      "address": "400 WEST PUEBLO STREET",
      "city": "SANTA BARBARA",
      "state": "CA",
      "zip": "93105",
      "county": "SANTA BARBARA",
      "latitude": 34.4294666896856,
      "longitude": -119.723809040324,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 461,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-barbara-santa-barbara-cottage-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COTTAGE HEALTH",
      "parentSystemId": "entity-cottage-health",
      "siblingGroupId": "siblings-ca-cottage-health",
      "campusFamilyId": "campus-ca-050396",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050396-loc-ca-santa-barbara-santa-barbara-cottage-hospital-d-p-ap",
      "ccn": "050396",
      "name": "SANTA BARBARA COTTAGE HOSPITAL - D/P APH",
      "address": "400 W PUEBLO ST",
      "city": "SANTA BARBARA",
      "state": "CA",
      "zip": "93105",
      "county": "SANTA BARBARA",
      "latitude": 34.4299440200431,
      "longitude": -119.723643779956,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COTTAGE HEALTH",
      "parentSystemId": "entity-cottage-health",
      "siblingGroupId": "siblings-ca-cottage-health",
      "campusFamilyId": "campus-ca-050396",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050396"
    },
    {
      "id": "050407",
      "ccn": "050407",
      "name": "CHINESE HOSPITAL",
      "address": "845 JACKSON ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94133",
      "county": "SAN FRANCISCO",
      "latitude": 37.7954882801098,
      "longitude": -122.40916876008,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 88,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-chinese-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHINESE HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-chinese-hospital-association",
      "siblingGroupId": "siblings-ca-chinese-hospital-association",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-940382780"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/940382780"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Chinese Hospital Association. Resolved parent/control boundary: CHINESE HOSPITAL ASSOCIATION. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHINESE HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Chinese Hospital Association. Resolved parent/control boundary: CHINESE HOSPITAL ASSOCIATION. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHINESE HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050411",
      "ccn": "050411",
      "name": "KAISER FOUNDATION HOSPITAL - SOUTH BAY",
      "address": "25825 S VERMONT AVE",
      "city": "HARBOR CITY",
      "state": "CA",
      "zip": "90710",
      "county": "LOS ANGELES",
      "latitude": 33.7885952702743,
      "longitude": -118.29598265999,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 257,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harbor-city-kaiser-foundation-hospital-south-bay/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050414",
      "ccn": "050414",
      "name": "MERCY HOSPITAL OF FOLSOM",
      "address": "1650 CREEKSIDE DRIVE",
      "city": "FOLSOM",
      "state": "CA",
      "zip": "95630",
      "county": "SACRAMENTO",
      "latitude": 38.6703149102692,
      "longitude": -121.145676909752,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050417",
      "ccn": "050417",
      "name": "SUTTER COAST HOSPITAL",
      "address": "800 E WASHINGTON BLVD",
      "city": "CRESCENT CITY",
      "state": "CA",
      "zip": "95531",
      "county": "DEL NORTE",
      "latitude": 41.7737268402425,
      "longitude": -124.194123390074,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crescent-city-sutter-coast-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050424",
      "ccn": "050424",
      "name": "SCRIPPS GREEN HOSPITAL",
      "address": "10666 N TORREY PINES RD",
      "city": "LA JOLLA",
      "state": "CA",
      "zip": "92037",
      "county": "SAN DIEGO",
      "latitude": 32.8968588999535,
      "longitude": -117.242871070415,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 173,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-jolla-scripps-green-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCRIPPS HEALTH",
      "parentSystemId": "entity-scripps-health",
      "siblingGroupId": "siblings-ca-scripps-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-scripps-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.scripps.org/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Scripps Health official about page. Resolved parent/control boundary: Scripps Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050425",
      "ccn": "050425",
      "name": "KAISER FOUNDATION HOSPITAL - SACRAMENTO",
      "address": "2025 MORSE AVENUE",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95825",
      "county": "SACRAMENTO",
      "latitude": 38.6017977498609,
      "longitude": -121.393144029873,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 287,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050426",
      "ccn": "050426",
      "name": "WEST ANAHEIM MEDICAL CENTER",
      "address": "3033 W ORANGE AVE",
      "city": "ANAHEIM",
      "state": "CA",
      "zip": "92804",
      "county": "ORANGE",
      "latitude": 33.8253852100317,
      "longitude": -117.995073629942,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 167,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anaheim-west-anaheim-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050426",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050426-loc-ca-anaheim-west-anaheim-medical-center-d-p-aph",
      "ccn": "050426",
      "name": "WEST ANAHEIM MEDICAL CENTER D/P APH",
      "address": "3033 W ORANGE AVE",
      "city": "ANAHEIM",
      "state": "CA",
      "zip": "92804",
      "county": "ORANGE",
      "latitude": 33.8252217003232,
      "longitude": -117.995003200227,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050426",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050426"
    },
    {
      "id": "050438",
      "ccn": "050438",
      "name": "HUNTINGTON HOSPITAL",
      "address": "100 W CALIFORNIA BLVD",
      "city": "PASADENA",
      "state": "CA",
      "zip": "91105",
      "county": "LOS ANGELES",
      "latitude": 34.1344537398699,
      "longitude": -118.152382990372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 578,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CEDARS-SINAI HEALTH SYSTEM",
      "parentSystemId": "entity-cedars-sinai-health-system",
      "siblingGroupId": "siblings-ca-cedars-sinai-health-system",
      "campusFamilyId": "campus-ca-050438",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050441",
      "ccn": "050441",
      "name": "STANFORD HEALTH CARE",
      "address": "300 PASTEUR DR",
      "city": "STANFORD",
      "state": "CA",
      "zip": "94305",
      "county": "SANTA CLARA",
      "latitude": 37.4346524398247,
      "longitude": -122.174883099823,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 206,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "STANFORD HEALTH CARE",
      "parentSystemId": "entity-stanford-health-care",
      "siblingGroupId": "siblings-ca-stanford-health-care",
      "campusFamilyId": "campus-ca-050441",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANFORD HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050444",
      "ccn": "050444",
      "name": "MERCY MEDICAL CENTER",
      "address": "333 MERCY AVE",
      "city": "MERCED",
      "state": "CA",
      "zip": "95340",
      "county": "MERCED",
      "latitude": 37.3398556597528,
      "longitude": -120.467528269635,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 186,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050454",
      "ccn": "050454",
      "name": "UCSF MEDICAL CENTER AT MOUNT ZION",
      "address": "1600 DIVISADERO ST",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94115",
      "county": "SAN FRANCISCO",
      "latitude": 37.7849197096626,
      "longitude": -122.439147210181,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 140,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "University of California, San Francisco",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-ucsf-medical-center-at-mount-zion/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-california-san-francisco",
      "siblingGroupId": "siblings-ca-university-of-california-san-francisco",
      "campusFamilyId": "campus-ca-050454",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-university-of-california-san-francisco"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 5 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE CONSTITUTIONAL CORP. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 5 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE CONSTITUTIONAL CORP. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050454-loc-ca-san-francisco-ucsf-medical-center",
      "ccn": "050454",
      "name": "UCSF MEDICAL CENTER",
      "address": "505 PARNASSUS AVE",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94143",
      "county": "SAN FRANCISCO",
      "latitude": 37.7630768496801,
      "longitude": -122.457877179975,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 559,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "University of California, San Francisco",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-california-san-francisco",
      "siblingGroupId": "siblings-ca-university-of-california-san-francisco",
      "campusFamilyId": "campus-ca-050454",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-university-of-california-san-francisco"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 5 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE CONSTITUTIONAL CORP. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 5 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE CONSTITUTIONAL CORP. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050454"
    },
    {
      "id": "050454-loc-ca-san-francisco-ucsf-medical-center-at-mission-bay",
      "ccn": "050454",
      "name": "UCSF MEDICAL CENTER AT MISSION BAY",
      "address": "1975 4TH STREET",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94158",
      "county": "SAN FRANCISCO",
      "latitude": 37.7654800298918,
      "longitude": -122.390070480122,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 289,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "University of California, San Francisco",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-francisco-ucsf-medical-center-at-mission-bay/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-california-san-francisco",
      "siblingGroupId": "siblings-ca-university-of-california-san-francisco",
      "campusFamilyId": "campus-ca-050454",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-university-of-california-san-francisco"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 5 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE CONSTITUTIONAL CORP. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 5 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is identified as STATE CONSTITUTIONAL CORP. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CALIFORNIA SAN FRANCISCO, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050454"
    },
    {
      "id": "050455",
      "ccn": "050455",
      "name": "ADVENTIST HEALTH BAKERSFIELD",
      "address": "2615 CHESTER AVE",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93301",
      "county": "KERN",
      "latitude": 35.3833996399801,
      "longitude": -119.020523759893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 254,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bakersfield-adventist-health-bakersfield/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050464",
      "ccn": "050464",
      "name": "DOCTORS MEDICAL CENTER",
      "address": "1441 FLORIDA AVE",
      "city": "MODESTO",
      "state": "CA",
      "zip": "95350",
      "county": "STANISLAUS",
      "latitude": 37.6651476000818,
      "longitude": -120.997020689874,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 394,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-modesto-doctors-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "campusFamilyId": "campus-ca-050464",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050464-loc-ca-modesto-doctors-medical-center-behavioral-health-de",
      "ccn": "050464",
      "name": "DOCTORS MEDICAL CENTER - BEHAVIORAL HEALTH DEPARTMENT",
      "address": "1501 CLAUS RD",
      "city": "MODESTO",
      "state": "CA",
      "zip": "95355",
      "county": "STANISLAUS",
      "latitude": 37.6658240102326,
      "longitude": -120.922231929697,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 67,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-modesto-doctors-medical-center-behavioral-health-department/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "campusFamilyId": "campus-ca-050464",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050464"
    },
    {
      "id": "050468",
      "ccn": "050468",
      "name": "MEMORIAL HOSPITAL OF GARDENA",
      "address": "1145 W REDONDO BEACH BLVD",
      "city": "GARDENA",
      "state": "CA",
      "zip": "90247",
      "county": "LOS ANGELES",
      "latitude": 33.8929648800713,
      "longitude": -118.294783489934,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 103,
      "rating": 1,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AVANTI HEALTHCARE HOLDINGS LLC",
      "peFirm": "Stanton Road Capital, Davidson Kempner, Deerfield Management",
      "acquiredDate": "2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Pipeline Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gardena-memorial-hospital-of-gardena/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-avanti-healthcare-holdings-llc",
      "siblingGroupId": "siblings-ca-avanti-healthcare-holdings-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050471",
      "ccn": "050471",
      "name": "PIH HEALTH GOOD SAMARITAN HOSPITAL",
      "address": "1225 WILSHIRE BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90017",
      "county": "LOS ANGELES",
      "latitude": 34.054674410262,
      "longitude": -118.265158470304,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 380,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIH HEALTH INC",
      "parentSystemId": "entity-pih-health-inc",
      "siblingGroupId": "siblings-ca-pih-health-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIH HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIH HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050485",
      "ccn": "050485",
      "name": "MEMORIALCARE LONG BEACH MEDICAL CENTER",
      "address": "2801 ATLANTIC AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90806",
      "county": "LOS ANGELES",
      "latitude": 33.8081953700544,
      "longitude": -118.186929869562,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 411,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-beach-memorialcare-long-beach-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SERVICES",
      "parentSystemId": "entity-memorial-health-services",
      "siblingGroupId": "siblings-ca-memorial-health-services",
      "campusFamilyId": "campus-ca-050485",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050488",
      "ccn": "050488",
      "name": "EDEN MEDICAL CENTER",
      "address": "20103 LAKE CHABOT ROAD",
      "city": "CASTRO VALLEY",
      "state": "CA",
      "zip": "94546",
      "county": "ALAMEDA",
      "latitude": 37.6983054698644,
      "longitude": -122.089861049932,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 130,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-castro-valley-eden-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050492",
      "ccn": "050492",
      "name": "CLOVIS COMMUNITY MEDICAL CENTER",
      "address": "2755 HERNDON AVE",
      "city": "CLOVIS",
      "state": "CA",
      "zip": "93611",
      "county": "FRESNO",
      "latitude": 36.8390898999898,
      "longitude": -119.660476650374,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 208,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "Hospital Medicine Program Medical Director opening at Clovis Community Medical Center",
      "evidenceSourceUrl": "https://careers.soundphysicians.com/job/clovis/hospital-medicine-program-medical-director/48983/96566030400",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Clovis Community Medical Center is an open HCAI-listed general acute care hospital, with first-party Sound Physicians hospital medicine postings and a source-backed Sound owner chain through Optum/UnitedHealth and Summit Partners. Remaining limitation: No Tier 1-3 facility contract, term sheet, board approval, or start date was located; do not classify as confirmed PE contract or PE-owned facility.",
      "classificationSources": [
        "Clovis Community Medical Center profile",
        "Community Medical Centers locations navigation",
        "Hospital Medicine Program Medical Director opening at Clovis Community Medical Center",
        "Hospital Medicine Nurse Practitioner opening at Clovis Community Medical Center",
        "Sound Physicians official services overview",
        "Sound Physicians portfolio page",
        "UnitedHealth, OptumHealth, Summit Partners Sound Physicians acquisition report",
        "OptumHealth and Summit Partners acquire Sound Inpatient Physician Holdings for $2.2B",
        "Fresno Community Hospital and Medical Center dba Community Health System Corporate Integrity Agreement",
        "California SB 351 corporate practice restrictions overview",
        "AAEM-PG update on California lawsuit against Envision Healthcare"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Health system facility",
      "operatorName": "Community Medical Centers",
      "publicControlBadge": "Nonprofit / Health system facility",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clovis-clovis-community-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "Health system facility",
      "parentSystem": "COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA",
      "affiliatedSystem": "Community Medical Centers / Community Health System",
      "affiliatedSystemEvidence": "hcai_clovis|community_locations_nav",
      "affiliationConfidence": "medium",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-community-hospitals-of-central-california",
      "siblingGroupId": "siblings-ca-community-hospitals-of-central-california",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050496",
      "ccn": "050496",
      "name": "JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS",
      "address": "2540 EAST STREET",
      "city": "CONCORD",
      "state": "CA",
      "zip": "94520",
      "county": "CONTRA COSTA",
      "latitude": 37.9830895798362,
      "longitude": -122.033496800013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-concord-john-muir-medical-center-concord-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "John Muir Health",
      "parentSystemId": "entity-john-muir-health",
      "siblingGroupId": "siblings-ca-john-muir-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-john-muir-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.johnmuirhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to John Muir Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent John Muir Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to John Muir Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent John Muir Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050498",
      "ccn": "050498",
      "name": "SUTTER AUBURN FAITH HOSPITAL",
      "address": "11815 EDUCATION STREET",
      "city": "AUBURN",
      "state": "CA",
      "zip": "95602",
      "county": "PLACER",
      "latitude": 38.945103719856,
      "longitude": -121.100748219687,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 64,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-auburn-sutter-auburn-faith-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050503",
      "ccn": "050503",
      "name": "SCRIPPS MEMORIAL HOSPITAL - ENCINITAS",
      "address": "354 SANTA FE DR",
      "city": "ENCINITAS",
      "state": "CA",
      "zip": "92024",
      "county": "SAN DIEGO",
      "latitude": 33.0373447796273,
      "longitude": -117.284183380301,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 187,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-encinitas-scripps-memorial-hospital---encinitas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCRIPPS HEALTH",
      "parentSystemId": "entity-scripps-health",
      "siblingGroupId": "siblings-ca-scripps-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCRIPPS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050510",
      "ccn": "050510",
      "name": "KAISER FOUNDATION HOSPITAL - SAN RAFAEL",
      "address": "99 MONTECILLO RD",
      "city": "SAN RAFAEL",
      "state": "CA",
      "zip": "94903",
      "county": "MARIN",
      "latitude": 38.0047544601103,
      "longitude": -122.55457038009,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 116,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050512",
      "ccn": "050512",
      "name": "KAISER FOUNDATION HOSPITAL - FREMONT",
      "address": "39400 PASEO PADRE PARKWAY",
      "city": "FREMONT",
      "state": "CA",
      "zip": "94538",
      "county": "ALAMEDA",
      "latitude": 37.5527903697339,
      "longitude": -121.975084199904,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050515",
      "ccn": "050515",
      "name": "KAISER FOUNDATION HOSPITAL - SAN DIEGO",
      "address": "9455 CLAIREMONT MESA BLVD",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.8303178897285,
      "longitude": -117.125223200247,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 253,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "campusFamilyId": "campus-ca-050515",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050516",
      "ccn": "050516",
      "name": "MERCY SAN JUAN MEDICAL CENTER",
      "address": "6501 COYLE AVENUE",
      "city": "CARMICHAEL",
      "state": "CA",
      "zip": "95608",
      "county": "SACRAMENTO",
      "latitude": 38.6698292901672,
      "longitude": -121.314108190441,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 384,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050517",
      "ccn": "050517",
      "name": "VICTOR VALLEY GLOBAL MEDICAL CENTER",
      "address": "15248 ELEVENTH ST",
      "city": "VICTORVILLE",
      "state": "CA",
      "zip": "92395",
      "county": "SAN BERNARDINO",
      "latitude": 34.5283064196961,
      "longitude": -117.293197649885,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 101,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-victorville-victor-valley-global-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "VICTOR VALLEY HOSPITAL ACQUISITION INC",
      "parentSystemId": "entity-victor-valley-hospital-acquisition-inc",
      "siblingGroupId": "siblings-ca-victor-valley-hospital-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-kpc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://kpchealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus KPC Health official locations directory. Resolved parent/control boundary: KPC Health. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VICTOR VALLEY HOSPITAL ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus KPC Health official locations directory. Resolved parent/control boundary: KPC Health. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VICTOR VALLEY HOSPITAL ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050523",
      "ccn": "050523",
      "name": "SUTTER DELTA MEDICAL CENTER",
      "address": "3901 LONE TREE WAY",
      "city": "ANTIOCH",
      "state": "CA",
      "zip": "94509",
      "county": "CONTRA COSTA",
      "latitude": 37.9822344501306,
      "longitude": -121.802978509665,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 141,
      "rating": 3,
      "status": "signal",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-antioch-sutter-delta-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050526",
      "ccn": "050526",
      "name": "HUNTINGTON BEACH HOSPITAL",
      "address": "17772 BEACH BLVD",
      "city": "HUNTINGTON BEACH",
      "state": "CA",
      "zip": "92647",
      "county": "ORANGE",
      "latitude": 33.7033124199808,
      "longitude": -117.987858460395,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 82,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-beach-huntington-beach-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050526",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050526-loc-ca-huntington-beach-huntington-beach-hospital-d-p-aph",
      "ccn": "050526",
      "name": "HUNTINGTON BEACH HOSPITAL D/P APH",
      "address": "17772 BEACH BLVD",
      "city": "HUNTINGTON BEACH",
      "state": "CA",
      "zip": "92647",
      "county": "ORANGE",
      "latitude": 33.703763799849,
      "longitude": -117.986447700259,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050526",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050526"
    },
    {
      "id": "050528",
      "ccn": "050528",
      "name": "MEMORIAL HOSPITAL LOS BANOS",
      "address": "520 W I ST",
      "city": "LOS BANOS",
      "state": "CA",
      "zip": "93635",
      "county": "MERCED",
      "latitude": 37.0640976899223,
      "longitude": -120.859189610243,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 38,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-banos-memorial-hospital-los-banos/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050534",
      "ccn": "050534",
      "name": "JOHN F. KENNEDY MEMORIAL HOSPITAL",
      "address": "47111 MONROE ST",
      "city": "INDIO",
      "state": "CA",
      "zip": "92201",
      "county": "RIVERSIDE",
      "latitude": 33.706568280042,
      "longitude": -116.235258070205,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 145,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indio-john-f-kennedy-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050537",
      "ccn": "050537",
      "name": "SUTTER DAVIS HOSPITAL",
      "address": "2000 SUTTER PLACE",
      "city": "DAVIS",
      "state": "CA",
      "zip": "95616",
      "county": "YOLO",
      "latitude": 38.5625039097344,
      "longitude": -121.770740019582,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-davis-sutter-davis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050541",
      "ccn": "050541",
      "name": "KAISER FOUNDATION HOSPITAL - REDWOOD CITY",
      "address": "1100 VETERANS BLVD",
      "city": "REDWOOD CITY",
      "state": "CA",
      "zip": "94063",
      "county": "SAN MATEO",
      "latitude": 37.4888478397291,
      "longitude": -122.223390130007,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 153,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050543",
      "ccn": "050543",
      "name": "COLLEGE HOSPITAL COSTA MESA",
      "address": "301 VICTORIA ST",
      "city": "COSTA MESA",
      "state": "CA",
      "zip": "92627",
      "county": "ORANGE",
      "latitude": 33.6518545402442,
      "longitude": -117.911852110207,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-costa-mesa-college-hospital-costa-mesa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLLEGE HOSPITAL GROUP,INC.",
      "parentSystemId": "entity-college-hospital-group-inc",
      "siblingGroupId": "siblings-ca-college-hospital-group-inc",
      "campusFamilyId": "campus-ca-050543",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-manual-050543"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/Utilization/Report/107796"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to College Hospital Enterprises; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HOSPITAL GROUP,INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to College Hospital Enterprises; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HOSPITAL GROUP,INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050543-loc-ca-costa-mesa-college-hospital-costa-mesa-d-p-aph",
      "ccn": "050543",
      "name": "COLLEGE HOSPITAL COSTA MESA D/P APH",
      "address": "301 VICTORIA ST",
      "city": "COSTA MESA",
      "state": "CA",
      "zip": "92627",
      "county": "ORANGE",
      "latitude": 33.6517952999401,
      "longitude": -117.911809999881,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 99,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLLEGE HOSPITAL GROUP,INC.",
      "parentSystemId": "entity-college-hospital-group-inc",
      "siblingGroupId": "siblings-ca-college-hospital-group-inc",
      "campusFamilyId": "campus-ca-050543",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-manual-050543"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/Utilization/Report/107796"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to College Hospital Enterprises; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HOSPITAL GROUP,INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to College Hospital Enterprises; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HOSPITAL GROUP,INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050543"
    },
    {
      "id": "050546",
      "ccn": "050546",
      "name": "PORTERVILLE DEVELOPMENTAL CENTER",
      "address": "26501 AVENUE 140",
      "city": "PORTERVILLE",
      "state": "CA",
      "zip": "93257",
      "county": "TULARE",
      "latitude": 36.0397712198159,
      "longitude": -118.983418779709,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-porterville-porterville-developmental-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES",
      "parentSystemId": "entity-state-of-california-department-of-developmental-services",
      "siblingGroupId": "siblings-ca-state-of-california-department-of-developmental-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050557",
      "ccn": "050557",
      "name": "MEMORIAL MEDICAL CENTER",
      "address": "1700 COFFEE RD",
      "city": "MODESTO",
      "state": "CA",
      "zip": "95355",
      "county": "STANISLAUS",
      "latitude": 37.6683247702266,
      "longitude": -120.974160390372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 419,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sutter Health",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050561",
      "ccn": "050561",
      "name": "KAISER FOUNDATION HOSPITAL - WEST LA",
      "address": "6041 CADILLAC AVE",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90034",
      "county": "LOS ANGELES",
      "latitude": 34.0384966802155,
      "longitude": -118.374696379731,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 265,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050567",
      "ccn": "050567",
      "name": "PROVIDENCE MISSION HOSPITAL",
      "address": "27700 MEDICAL CENTER RD",
      "city": "MISSION VIEJO",
      "state": "CA",
      "zip": "92691",
      "county": "ORANGE",
      "latitude": 33.5610152999349,
      "longitude": -117.665393700233,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 345,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "MISSION HOSPITAL REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mission-hospital-regional-medical-center",
      "siblingGroupId": "siblings-ca-mission-hospital-regional-medical-center",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSION HOSPITAL REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSION HOSPITAL REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050573",
      "ccn": "050573",
      "name": "EISENHOWER MEDICAL CENTER",
      "address": "39000 BOB HOPE DR",
      "city": "RANCHO MIRAGE",
      "state": "CA",
      "zip": "92270",
      "county": "RIVERSIDE",
      "latitude": 33.7633520698216,
      "longitude": -116.406241090019,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 437,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rancho-mirage-eisenhower-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EISENHOWER MEDICAL CENTER",
      "parentSystemId": "entity-eisenhower-medical-center",
      "siblingGroupId": "siblings-ca-eisenhower-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-eisenhower-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://eisenhowerhealth.org/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution fallbacks exhausted without a defensible current parent/class boundary; the direct operator is retained and no ownership claim is forced. Tail-resolution method: CMS legal-operator/CCN anchor plus Eisenhower Health official about page. Resolved parent/control boundary: Eisenhower Medical Center. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EISENHOWER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution fallbacks exhausted without a defensible current parent/class boundary; the direct operator is retained and no ownership claim is forced. Tail-resolution method: CMS legal-operator/CCN anchor plus Eisenhower Health official about page. Resolved parent/control boundary: Eisenhower Medical Center. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EISENHOWER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050580",
      "ccn": "050580",
      "name": "LA PALMA INTERCOMMUNITY HOSPITAL",
      "address": "7901 WALKER ST",
      "city": "LA PALMA",
      "state": "CA",
      "zip": "90623",
      "county": "ORANGE",
      "latitude": 33.8475141802111,
      "longitude": -118.038302330197,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 115,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-palma-la-palma-intercommunity-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050580",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050580-loc-ca-la-palma-la-palma-intercommunity-hospital-d-p-aph",
      "ccn": "050580",
      "name": "LA PALMA INTERCOMMUNITY HOSPITAL D/P APH",
      "address": "7901 WALKER ST",
      "city": "LA PALMA",
      "state": "CA",
      "zip": "90623",
      "county": "ORANGE",
      "latitude": 33.847565829971,
      "longitude": -118.038366840014,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050580",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050580"
    },
    {
      "id": "050586",
      "ccn": "050586",
      "name": "CHINO VALLEY MEDICAL CENTER",
      "address": "5451 WALNUT AVE",
      "city": "CHINO",
      "state": "CA",
      "zip": "91710",
      "county": "SAN BERNARDINO",
      "latitude": 34.025687900333,
      "longitude": -117.686025530146,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 112,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chino-chino-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050588",
      "ccn": "050588",
      "name": "SAN DIMAS COMMUNITY HOSPITAL",
      "address": "1350 W COVINA BLVD",
      "city": "SAN DIMAS",
      "state": "CA",
      "zip": "91773",
      "county": "LOS ANGELES",
      "latitude": 34.0975093196676,
      "longitude": -117.834635769755,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 101,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-dimas-san-dimas-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050590",
      "ccn": "050590",
      "name": "METHODIST HOSPITAL OF SACRAMENTO",
      "address": "7500 HOSPITAL DRIVE",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95823",
      "county": "SACRAMENTO",
      "latitude": 38.4635474501287,
      "longitude": -121.4165264401,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 158,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-methodist-hospital-of-sacramento/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ca-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050597",
      "ccn": "050597",
      "name": "EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL",
      "address": "250 S GRAND AVE",
      "city": "GLENDORA",
      "state": "CA",
      "zip": "91741",
      "county": "LOS ANGELES",
      "latitude": 34.1326545799929,
      "longitude": -117.871259720071,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 105,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "EMANATE HEALTH",
      "parentSystemId": "entity-emanate-health",
      "siblingGroupId": "siblings-ca-emanate-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050599",
      "ccn": "050599",
      "name": "UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER",
      "address": "2315 STOCKTON BOULEVARD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95817",
      "county": "SACRAMENTO",
      "latitude": 38.5549297397211,
      "longitude": -121.455455509656,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 646,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
      "parentSystemId": "entity-the-regents-of-the-university-of-california",
      "siblingGroupId": "siblings-ca-the-regents-of-the-university-of-california",
      "campusFamilyId": "campus-ca-050599",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-the-regents-of-the-university-of-california"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050599-loc-ca-sacramento-university-of-california-davis-medical-c",
      "ccn": "050599",
      "name": "UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER",
      "address": "2315 STOCKTON BLVD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95817",
      "county": "SACRAMENTO",
      "latitude": 38.5548827373426,
      "longitude": -121.455220660396,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE REGENTS OF THE UNIVERSITY OF CALIFORNIA",
      "parentSystemId": "entity-the-regents-of-the-university-of-california",
      "siblingGroupId": "siblings-ca-the-regents-of-the-university-of-california",
      "campusFamilyId": "campus-ca-050599",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-the-regents-of-the-university-of-california"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Parent-family class audit correction: UC Regents governance establishes the government class; nonprofit CMS facility labels do not override the public-university parent. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050599"
    },
    {
      "id": "050603",
      "ccn": "050603",
      "name": "MEMORIALCARE SADDLEBACK MEDICAL CENTER",
      "address": "24451 HEALTH CENTER DR",
      "city": "LAGUNA HILLS",
      "state": "CA",
      "zip": "92653",
      "county": "ORANGE",
      "latitude": 33.6089758501029,
      "longitude": -117.709128160077,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 248,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laguna-hills-memorialcare-saddleback-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SERVICES",
      "parentSystemId": "entity-memorial-health-services",
      "siblingGroupId": "siblings-ca-memorial-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050604",
      "ccn": "050604",
      "name": "KAISER FOUNDATION HOSPITAL - SAN JOSE",
      "address": "250 HOSPITAL PKWY",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95119",
      "county": "SANTA CLARA",
      "latitude": 37.2398033400266,
      "longitude": -121.800215670042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 247,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050608",
      "ccn": "050608",
      "name": "ADVENTIST HEALTH DELANO",
      "address": "1401 GARCES HWY",
      "city": "DELANO",
      "state": "CA",
      "zip": "93215",
      "county": "KERN",
      "latitude": 35.762264180329,
      "longitude": -119.238821999732,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 105,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050609",
      "ccn": "050609",
      "name": "KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM",
      "address": "3440 E LA PALMA AVE",
      "city": "ANAHEIM",
      "state": "CA",
      "zip": "92806",
      "county": "ORANGE",
      "latitude": 33.8519878800918,
      "longitude": -117.844194539674,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 262,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050624",
      "ccn": "050624",
      "name": "HENRY MAYO NEWHALL HOSPITAL",
      "address": "23845 MCBEAN PKWY",
      "city": "VALENCIA",
      "state": "CA",
      "zip": "91355",
      "county": "LOS ANGELES",
      "latitude": 34.3977269397376,
      "longitude": -118.553878589943,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 334,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valencia-henry-mayo-newhall-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HENRY MAYO NEWHALL MEMORIAL HOSPITAL",
      "parentSystemId": "entity-henry-mayo-newhall-memorial-hospital",
      "siblingGroupId": "siblings-ca-henry-mayo-newhall-memorial-hospital",
      "campusFamilyId": "campus-ca-050624",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-952821104"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/952821104"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Henry Mayo Newhall Memorial Hospital. Resolved parent/control boundary: HENRY MAYO NEWHALL MEMORIAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY MAYO NEWHALL MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Henry Mayo Newhall Memorial Hospital. Resolved parent/control boundary: HENRY MAYO NEWHALL MEMORIAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY MAYO NEWHALL MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050625",
      "ccn": "050625",
      "name": "CEDARS-SINAI MEDICAL CENTER",
      "address": "8700 BEVERLY BOULEVARD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90048",
      "county": "LOS ANGELES",
      "latitude": 34.0754051078711,
      "longitude": -118.380160720213,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 915,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-cedars-sinai-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CEDARS-SINAI MEDICAL CENTER",
      "parentSystemId": "entity-cedars-sinai-medical-center",
      "siblingGroupId": "siblings-ca-cedars-sinai-medical-center",
      "campusFamilyId": "campus-ca-050625",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDARS-SINAI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050636",
      "ccn": "050636",
      "name": "PALOMAR MEDICAL CENTER POWAY",
      "address": "15615 POMERADO RD",
      "city": "POWAY",
      "state": "CA",
      "zip": "92064",
      "county": "ALAMEDA",
      "latitude": 37.6255542700533,
      "longitude": -121.763103370385,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 95,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PALOMAR HEALTH",
      "parentSystemId": "entity-palomar-health",
      "siblingGroupId": "siblings-ca-palomar-health",
      "campusFamilyId": "campus-ca-050636",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-palomar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to PALOMAR HEALTH; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALOMAR HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to PALOMAR HEALTH; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALOMAR HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "050636-loc-ca-poway-palomar-medical-center-poway-d-p-aph",
      "ccn": "050636",
      "name": "PALOMAR MEDICAL CENTER POWAY D/P APH",
      "address": "15615 POMERADO RD",
      "city": "POWAY",
      "state": "CA",
      "zip": "92064",
      "county": "SAN DIEGO",
      "latitude": 32.9971364801874,
      "longitude": -117.055479250246,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 12,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PALOMAR HEALTH",
      "parentSystemId": "entity-palomar-health",
      "siblingGroupId": "siblings-ca-palomar-health",
      "campusFamilyId": "campus-ca-050636",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-palomar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to PALOMAR HEALTH; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALOMAR HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to PALOMAR HEALTH; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALOMAR HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050636"
    },
    {
      "id": "050641",
      "ccn": "050641",
      "name": "EAST LOS ANGELES DOCTORS HOSPITAL",
      "address": "4060 E WHITTIER BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90023",
      "county": "LOS ANGELES",
      "latitude": 34.0236472998991,
      "longitude": -118.184164810202,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 102,
      "rating": 1,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AVANTI HEALTHCARE HOLDINGS LLC",
      "peFirm": "Stanton Road Capital, Davidson Kempner, Deerfield Management",
      "acquiredDate": "2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Pipeline Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-east-los-angeles-doctors-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-avanti-healthcare-holdings-llc",
      "siblingGroupId": "siblings-ca-avanti-healthcare-holdings-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050663",
      "ccn": "050663",
      "name": "LOS ANGELES COMMUNITY HOSPITAL",
      "address": "4081 E OLYMPIC BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90023",
      "county": "LOS ANGELES",
      "latitude": 34.0193463099298,
      "longitude": -118.18651367021,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 91,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-los-angeles-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALTA HOSPITALS SYSTEM LLC",
      "parentSystemId": "entity-alta-hospitals-system-llc",
      "siblingGroupId": "siblings-ca-alta-hospitals-system-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTA HOSPITALS SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTA HOSPITALS SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050677",
      "ccn": "050677",
      "name": "KAISER FOUNDATION HOSPITAL - WOODLAND HILLS",
      "address": "5601 DE SOTO AVE",
      "city": "WOODLAND HILLS",
      "state": "CA",
      "zip": "91367",
      "county": "LOS ANGELES",
      "latitude": 34.1703944998525,
      "longitude": -118.589687220324,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 274,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050678",
      "ccn": "050678",
      "name": "MEMORIALCARE ORANGE COAST MEDICAL CENTER",
      "address": "9920 TALBERT AVE",
      "city": "FOUNTAIN VALLEY",
      "state": "CA",
      "zip": "92708",
      "county": "ORANGE",
      "latitude": 33.7004619497555,
      "longitude": -117.95589421968,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 222,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fountain-valley-memorialcare-orange-coast-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SERVICES",
      "parentSystemId": "entity-memorial-health-services",
      "siblingGroupId": "siblings-ca-memorial-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050684",
      "ccn": "050684",
      "name": "MENIFEE GLOBAL MEDICAL CENTER",
      "address": "28400 MCCALL BLVD",
      "city": "SUN CITY",
      "state": "CA",
      "zip": "92585",
      "county": "RIVERSIDE",
      "latitude": 33.7195022701782,
      "longitude": -117.168033040339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 84,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sun-city-menifee-global-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC HQ LLC",
      "parentSystemId": "entity-kpc-hq-llc",
      "siblingGroupId": "siblings-ca-kpc-hq-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kpc-hq-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HQ LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC HQ LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HQ LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC HQ LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050686",
      "ccn": "050686",
      "name": "KAISER FOUNDATION HOSPITAL - RIVERSIDE",
      "address": "10800 MAGNOLIA AVE",
      "city": "RIVERSIDE",
      "state": "CA",
      "zip": "92505",
      "county": "RIVERSIDE",
      "latitude": 33.9049237703585,
      "longitude": -117.469259129868,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 226,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050689",
      "ccn": "050689",
      "name": "SAN RAMON REGIONAL MEDICAL CENTER SOUTH BUILDING",
      "address": "7777 NORRIS CANYON ROAD",
      "city": "SAN RAMON",
      "state": "CA",
      "zip": "94583",
      "county": "CONTRA COSTA",
      "latitude": 37.7745918496773,
      "longitude": -121.957279019644,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-ramon-san-ramon-regional-medical-center-south-building/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "campusFamilyId": "campus-ca-050689",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050689-loc-ca-san-ramon-san-ramon-regional-medical-center",
      "ccn": "050689",
      "name": "SAN RAMON REGIONAL MEDICAL CENTER",
      "address": "6001 NORRIS CANYON ROAD",
      "city": "SAN RAMON",
      "state": "CA",
      "zip": "94583",
      "county": "CONTRA COSTA",
      "latitude": 37.7758794901152,
      "longitude": -121.958180700018,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 123,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-ramon-san-ramon-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "campusFamilyId": "campus-ca-050689",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050689"
    },
    {
      "id": "050690",
      "ccn": "050690",
      "name": "KAISER FOUNDATION HOSPITAL - SANTA ROSA",
      "address": "401 BICENTENNIAL WAY",
      "city": "SANTA ROSA",
      "state": "CA",
      "zip": "95403",
      "county": "SONOMA",
      "latitude": 38.4717930099485,
      "longitude": -122.727064359924,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 172,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050696",
      "ccn": "050696",
      "name": "KECK HOSPITAL OF USC",
      "address": "1500 SAN PABLO ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90033",
      "county": "LOS ANGELES",
      "latitude": 34.0620298396382,
      "longitude": -118.201310600094,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 401,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-keck-hospital-of-usc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF SOUTHERN CALIFORNIA",
      "parentSystemId": "entity-university-of-southern-california",
      "siblingGroupId": "siblings-ca-university-of-southern-california",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF SOUTHERN CALIFORNIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050697",
      "ccn": "050697",
      "name": "PATIENTS' HOSPITAL OF REDDING",
      "address": "2900 EUREKA WAY",
      "city": "REDDING",
      "state": "CA",
      "zip": "96001",
      "county": "SHASTA",
      "latitude": 40.585921650134,
      "longitude": -122.416830899872,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 10,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redding-patients--hospital-of-redding/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "JAMES D TATE MD",
      "parentSystemId": "entity-james-d-tate-md",
      "siblingGroupId": "siblings-ca-james-d-tate-md",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-james-d-tate-md"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://lfis.hcai.ca.gov/Facility/Detail/174773"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI facility record. Resolved parent/control boundary: James D. Tate, MD. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAMES D TATE MD, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI facility record. Resolved parent/control boundary: James D. Tate, MD. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAMES D TATE MD, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050704",
      "ccn": "050704",
      "name": "MISSION COMMUNITY HOSPITAL",
      "address": "14850 ROSCOE BLVD",
      "city": "PANORAMA CITY",
      "state": "CA",
      "zip": "91402",
      "county": "LOS ANGELES",
      "latitude": 34.2202961996495,
      "longitude": -118.456665000275,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 85,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEANCO PANORAMA CITY HOLDINGS LLC",
      "parentSystemId": "entity-deanco-panorama-city-holdings-llc",
      "siblingGroupId": "siblings-ca-deanco-panorama-city-holdings-llc",
      "campusFamilyId": "campus-ca-050704",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-deanco-panorama-city-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to DEANCO PANORAMA CITY HOLDINGS LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEANCO PANORAMA CITY HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to DEANCO PANORAMA CITY HOLDINGS LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEANCO PANORAMA CITY HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050704-loc-ca-panorama-city-mission-community-hospital-panorama-c",
      "ccn": "050704",
      "name": "MISSION COMMUNITY HOSPITAL - PANORAMA CAMPUS - D/P APH",
      "address": "14850 ROSCOE BLVD",
      "city": "PANORAMA CITY",
      "state": "CA",
      "zip": "91402",
      "county": "LOS ANGELES",
      "latitude": 34.2204145603231,
      "longitude": -118.456669359799,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEANCO PANORAMA CITY HOLDINGS LLC",
      "parentSystemId": "entity-deanco-panorama-city-holdings-llc",
      "siblingGroupId": "siblings-ca-deanco-panorama-city-holdings-llc",
      "campusFamilyId": "campus-ca-050704",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-deanco-panorama-city-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to DEANCO PANORAMA CITY HOLDINGS LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEANCO PANORAMA CITY HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to DEANCO PANORAMA CITY HOLDINGS LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEANCO PANORAMA CITY HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050704"
    },
    {
      "id": "050708",
      "ccn": "050708",
      "name": "FRESNO SURGICAL HOSPITAL",
      "address": "6125 N FRESNO ST",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93710",
      "county": "FRESNO",
      "latitude": 36.8249140898012,
      "longitude": -119.782161579971,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 27,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital Enrollments local cache",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "For-profit partnership surgical hospital with USPI/Tenet-related indirect ownership, USP Fresno operational control, national contracts through USPI/HealthTrust/Tenet, and disclosed physician ownership/investor interests. Remaining limitation: Physician investor list and current exact percentages require facility-provided investor list or filings.",
      "classificationSources": [
        "CMS Hospital Enrollments local cache",
        "CMS Hospital All Owners local cache",
        "Fresno Surgical Hospital profile",
        "Fresno Surgical Hospital supplier diversity report",
        "Fresno Surgical Hospital About Us",
        "Fresno Surgical Hospital Leadership",
        "United Surgical Partners International"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain / physician-owned surgical hospital",
      "operatorName": "Fresno Surgery Center LP / USP Fresno Inc / USPI",
      "publicControlBadge": "For-profit / Corporate chain / physician-owned surgical hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fresno-fresno-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "USPI / Tenet with physician ownership and Saint Agnes/Dignity links",
      "affiliatedSystemEvidence": "cms_enroll_fsh|cms_owner_fsh|hcai_fsh|hcai_fsh_supplier_2024|fsh_about|fsh_leadership|uspi_primary_2026",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ca-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050709",
      "ccn": "050709",
      "name": "DESERT VALLEY HOSPITAL",
      "address": "16850 BEAR VALLEY RD",
      "city": "VICTORVILLE",
      "state": "CA",
      "zip": "92395",
      "county": "SAN BERNARDINO",
      "latitude": 34.4724019397912,
      "longitude": -117.298158209766,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 148,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-victorville-desert-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050710",
      "ccn": "050710",
      "name": "KAISER FOUNDATION HOSPITAL - FRESNO",
      "address": "7300 N FRESNO ST",
      "city": "FRESNO",
      "state": "CA",
      "zip": "93720",
      "county": "FRESNO",
      "latitude": 36.8425296901915,
      "longitude": -119.780305100045,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 169,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "cms_enroll_kaiser|cms_owner_kaiser|hcai_kaiser",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital Enrollments local cache",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "evidenceAsOf": "2026-07-04",
      "reviewedAt": "2026-07-04",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Kaiser Foundation Hospitals nonprofit/system control; no external staffing or PE contract claim proved in this pass. Remaining limitation: If needed, separately verify Permanente Medical Group relationship and any material outsourced service lines.",
      "classificationSources": [
        "CMS Hospital Enrollments local cache",
        "CMS Hospital All Owners local cache",
        "Kaiser Foundation Hospital - Fresno profile"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Integrated health system",
      "operatorName": "Kaiser Foundation Hospitals",
      "publicControlBadge": "Nonprofit / Integrated health system",
      "relationshipType": "corporate_chain",
      "religiousAffiliation": "Secular/no evidence",
      "religiousAffiliationType": "not_established",
      "religiousSponsorOrOrder": "",
      "faithBasedSystem": "",
      "faithAffiliationScope": "not_established",
      "faithAffiliationConfidence": "medium",
      "faithAffiliationSourceIds": [],
      "faithAffiliationSourceUrls": [],
      "faithAffiliationEvidenceAsOf": "2026-07-04",
      "faithAffiliationNotes": "No current faith-based governance source captured; do not infer beyond this review.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050723",
      "ccn": "050723",
      "name": "KAISER FOUNDATION HOSPITAL - BALDWIN PARK",
      "address": "1011 BALDWIN PARK BLVD",
      "city": "BALDWIN PARK",
      "state": "CA",
      "zip": "91706",
      "county": "LOS ANGELES",
      "latitude": 34.0653442200057,
      "longitude": -117.985695169867,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 272,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050726",
      "ccn": "050726",
      "name": "STANISLAUS SURGICAL HOSPITAL",
      "address": "1421 OAKDALE RD",
      "city": "MODESTO",
      "state": "CA",
      "zip": "95355",
      "county": "STANISLAUS",
      "latitude": 37.6648010699162,
      "longitude": -120.958499919887,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-modesto-stanislaus-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "STANISLAUS SURGICAL HOSPITAL",
      "parentSystemId": "entity-stanislaus-surgical-hospital",
      "siblingGroupId": "siblings-ca-stanislaus-surgical-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-stanislaus-surgical-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://lfis.hcai.ca.gov/License/Detail/38835"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI license record. Resolved parent/control boundary: Stanislaus Surgical Hospital, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANISLAUS SURGICAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI license record. Resolved parent/control boundary: Stanislaus Surgical Hospital, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STANISLAUS SURGICAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050735",
      "ccn": "050735",
      "name": "WHITTIER HOSPITAL MEDICAL CENTER",
      "address": "9080 COLIMA RD",
      "city": "WHITTIER",
      "state": "CA",
      "zip": "90605",
      "county": "LOS ANGELES",
      "latitude": 33.95016302966,
      "longitude": -118.003960990035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 148,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-whittier-whittier-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GEMW HEALTHCARE INVESTMENT, LP",
      "parentSystemId": "entity-gemw-healthcare-investment-lp",
      "siblingGroupId": "siblings-ca-gemw-healthcare-investment-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEMW HEALTHCARE INVESTMENT, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEMW HEALTHCARE INVESTMENT, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050736",
      "ccn": "050736",
      "name": "MONTEREY PARK HOSPITAL",
      "address": "900 S ATLANTIC BLVD",
      "city": "MONTEREY PARK",
      "state": "CA",
      "zip": "91754",
      "county": "LOS ANGELES",
      "latitude": 34.0494660602931,
      "longitude": -118.138262229588,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 101,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monterey-park-monterey-park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GEMW HEALTHCARE INVESTMENT, LP",
      "parentSystemId": "entity-gemw-healthcare-investment-lp",
      "siblingGroupId": "siblings-ca-gemw-healthcare-investment-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEMW HEALTHCARE INVESTMENT, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEMW HEALTHCARE INVESTMENT, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050737",
      "ccn": "050737",
      "name": "GARFIELD MEDICAL CENTER",
      "address": "525 N GARFIELD AVE",
      "city": "MONTEREY PARK",
      "state": "CA",
      "zip": "91754",
      "county": "LOS ANGELES",
      "latitude": 34.0681632499237,
      "longitude": -118.123857339766,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 210,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monterey-park-garfield-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GEMW HEALTHCARE INVESTMENT, LP",
      "parentSystemId": "entity-gemw-healthcare-investment-lp",
      "siblingGroupId": "siblings-ca-gemw-healthcare-investment-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEMW HEALTHCARE INVESTMENT, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEMW HEALTHCARE INVESTMENT, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050738",
      "ccn": "050738",
      "name": "GREATER EL MONTE COMMUNITY HOSPITAL",
      "address": "1701 SANTA ANITA AVE",
      "city": "SOUTH EL MONTE",
      "state": "CA",
      "zip": "91733",
      "county": "LOS ANGELES",
      "latitude": 34.0480352802124,
      "longitude": -118.043294870102,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-el-monte-greater-el-monte-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AHMC GREATER EL MONTE COMMUNITY HOSPITAL LP",
      "parentSystemId": "entity-ahmc-greater-el-monte-community-hospital-lp",
      "siblingGroupId": "siblings-ca-ahmc-greater-el-monte-community-hospital-lp",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC GREATER EL MONTE COMMUNITY HOSPITAL LP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHMC GREATER EL MONTE COMMUNITY HOSPITAL LP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050739",
      "ccn": "050739",
      "name": "CENTINELA HOSPITAL MEDICAL CENTER",
      "address": "555 E HARDY ST",
      "city": "INGLEWOOD",
      "state": "CA",
      "zip": "90301",
      "county": "LOS ANGELES",
      "latitude": 33.9504444299139,
      "longitude": -118.348235990099,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 362,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-inglewood-centinela-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050744",
      "ccn": "050744",
      "name": "ANAHEIM GLOBAL MEDICAL CENTER",
      "address": "1025 S ANAHEIM BLVD",
      "city": "ANAHEIM",
      "state": "CA",
      "zip": "92805",
      "county": "ORANGE",
      "latitude": 33.8197332601808,
      "longitude": -117.909355230298,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 99,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anaheim-anaheim-global-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050744",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kpc-healthcare-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050744-loc-ca-anaheim-anaheim-global-medical-center-d-p-aph",
      "ccn": "050744",
      "name": "ANAHEIM GLOBAL MEDICAL CENTER D/P APH",
      "address": "1025 S ANAHEIM BLVD",
      "city": "ANAHEIM",
      "state": "CA",
      "zip": "92805",
      "county": "ORANGE",
      "latitude": 33.8196826996385,
      "longitude": -117.909796100083,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 90,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050744",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kpc-healthcare-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050744"
    },
    {
      "id": "050745",
      "ccn": "050745",
      "name": "CHAPMAN GLOBAL MEDICAL CENTER",
      "address": "2601 E CHAPMAN AVE",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92869",
      "county": "ORANGE",
      "latitude": 33.7886149398138,
      "longitude": -117.826413160278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 75,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050745",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kpc-healthcare-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050745-loc-ca-orange-chapman-global-medical-center-d-p-aph",
      "ccn": "050745",
      "name": "CHAPMAN GLOBAL MEDICAL CENTER D/P APH",
      "address": "2601 E CHAPMAN AVE",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92869",
      "county": "ORANGE",
      "latitude": 33.7886123999305,
      "longitude": -117.826288800205,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 12,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050745",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kpc-healthcare-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to KPC HEALTHCARE HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050745"
    },
    {
      "id": "050746",
      "ccn": "050746",
      "name": "ORANGE COUNTY GLOBAL MEDICAL CENTER",
      "address": "1001 N TUSTIN AVE",
      "city": "SANTA ANA",
      "state": "CA",
      "zip": "92705",
      "county": "ORANGE",
      "latitude": 33.7543838096762,
      "longitude": -117.833422820441,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 254,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-ana-orange-county-global-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050746",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050746-loc-ca-santa-ana-orange-county-global-medical-center-d-p-a",
      "ccn": "050746",
      "name": "ORANGE COUNTY GLOBAL MEDICAL CENTER D/P APH",
      "address": "1001 N TUSTIN AVE",
      "city": "SANTA ANA",
      "state": "CA",
      "zip": "92705",
      "county": "ORANGE",
      "latitude": 33.7542838997358,
      "longitude": -117.832800599665,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 28,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KPC Healthcare",
      "parentSystemId": "entity-kpc-healthcare",
      "siblingGroupId": "siblings-ca-kpc-healthcare",
      "campusFamilyId": "campus-ca-050746",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KPC Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050746"
    },
    {
      "id": "050748",
      "ccn": "050748",
      "name": "KAISER FOUNDATION HOSPITAL MANTECA",
      "address": "1777 W YOSEMITE AVENUE",
      "city": "MANTECA",
      "state": "CA",
      "zip": "95337",
      "county": "SAN JOAQUIN",
      "latitude": 37.7981165898036,
      "longitude": -121.245886389875,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 61,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050755",
      "ccn": "050755",
      "name": "SHERMAN OAKS HOSPITAL",
      "address": "4929 VAN NUYS BLVD",
      "city": "SHERMAN OAKS",
      "state": "CA",
      "zip": "91403",
      "county": "LOS ANGELES",
      "latitude": 34.1601949603575,
      "longitude": -118.449414010406,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 112,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sherman-oaks-sherman-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050755",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050755-loc-ca-sherman-oaks-sherman-oaks-hospital-and-health-cente",
      "ccn": "050755",
      "name": "SHERMAN OAKS HOSPITAL AND HEALTH CENTER, D/P APH",
      "address": "4929 VAN NUYS BLVD",
      "city": "SHERMAN OAKS",
      "state": "CA",
      "zip": "91403",
      "county": "LOS ANGELES",
      "latitude": 34.1602806996817,
      "longitude": -118.449513400009,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 19,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "campusFamilyId": "campus-ca-050755",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050755"
    },
    {
      "id": "050758",
      "ccn": "050758",
      "name": "MONTCLAIR HOSPITAL MEDICAL CENTER",
      "address": "5000 SAN BERNARDINO ST",
      "city": "MONTCLAIR",
      "state": "CA",
      "zip": "91763",
      "county": "SAN BERNARDINO",
      "latitude": 34.0787577700075,
      "longitude": -117.695976570095,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montclair-montclair-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050760",
      "ccn": "050760",
      "name": "KAISER FOUNDATION HOSPITAL - ANTIOCH",
      "address": "4501 SAND CREEK ROAD",
      "city": "ANTIOCH",
      "state": "CA",
      "zip": "94531",
      "county": "CONTRA COSTA",
      "latitude": 37.9509911298449,
      "longitude": -121.775138219722,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050761",
      "ccn": "050761",
      "name": "PROVIDENCE CEDARS - SINAI TARZANA MEDICAL CENTER",
      "address": "18321 CLARK ST",
      "city": "TARZANA",
      "state": "CA",
      "zip": "91356",
      "county": "LOS ANGELES",
      "latitude": 34.1703932199934,
      "longitude": -118.531904059853,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 249,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tarzana-providence-cedars-sinai-tarzana-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-ca-providence",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050763",
      "ccn": "050763",
      "name": "L.A. DOWNTOWN MEDICAL CENTER - D/P APH",
      "address": "1711 W TEMPLE ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90026",
      "county": "LOS ANGELES",
      "latitude": 34.0696694497439,
      "longitude": -118.263525849648,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 29,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "L A DOWNTOWN MEDICAL CENTER LLC",
      "parentSystemId": "entity-l-a-downtown-medical-center-llc",
      "siblingGroupId": "siblings-ca-l-a-downtown-medical-center-llc",
      "campusFamilyId": "campus-ca-050763",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent L A DOWNTOWN MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent L A DOWNTOWN MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050763-loc-ca-los-angeles-l-a-downtown-medical-center",
      "ccn": "050763",
      "name": "L.A. DOWNTOWN MEDICAL CENTER",
      "address": "1711 W TEMPLE ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90026",
      "county": "LOS ANGELES",
      "latitude": 34.0695317000484,
      "longitude": -118.263488800431,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 122,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "L A DOWNTOWN MEDICAL CENTER LLC",
      "parentSystemId": "entity-l-a-downtown-medical-center-llc",
      "siblingGroupId": "siblings-ca-l-a-downtown-medical-center-llc",
      "campusFamilyId": "campus-ca-050763",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent L A DOWNTOWN MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent L A DOWNTOWN MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050763"
    },
    {
      "id": "050764",
      "ccn": "050764",
      "name": "SHASTA REGIONAL MEDICAL CENTER",
      "address": "1100 BUTTE ST",
      "city": "REDDING",
      "state": "CA",
      "zip": "96001",
      "county": "SHASTA",
      "latitude": 40.5856318199858,
      "longitude": -122.38786832039,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 226,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redding-shasta-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ca-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/hospitals/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050765",
      "ccn": "050765",
      "name": "KAISER FOUNDATION HOSPITAL - MORENO VALLEY",
      "address": "27300 IRIS AVE",
      "city": "MORENO VALLEY",
      "state": "CA",
      "zip": "92555",
      "county": "RIVERSIDE",
      "latitude": 33.8970320699166,
      "longitude": -117.186003219557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 94,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050766",
      "ccn": "050766",
      "name": "SUTTER SURGICAL HOSPITAL - NORTH VALLEY",
      "address": "455 PLUMAS BLVD",
      "city": "YUBA CITY",
      "state": "CA",
      "zip": "95991",
      "county": "SUTTER",
      "latitude": 39.1314502096745,
      "longitude": -121.613454060266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 14,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yuba-city-sutter-surgical-hospital-north-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050767",
      "ccn": "050767",
      "name": "KAISER FOUNDATION HOSPITAL - VACAVILLE",
      "address": "1 QUALITY DR",
      "city": "VACAVILLE",
      "state": "CA",
      "zip": "95688",
      "county": "SOLANO",
      "latitude": 38.3886276598691,
      "longitude": -121.939104820449,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 144,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vacaville-kaiser-foundation-hospital---vacaville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050769",
      "ccn": "050769",
      "name": "HOAG ORTHOPEDIC INSTITUTE",
      "address": "16250 SAND CANYON AVE",
      "city": "IRVINE",
      "state": "CA",
      "zip": "92618",
      "county": "ORANGE",
      "latitude": 33.6603969402567,
      "longitude": -117.773206440073,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 70,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-irvine-hoag-orthopedic-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOAG MEMORIAL HOSPITAL PRESBYTERIAN",
      "parentSystemId": "entity-hoag-memorial-hospital-presbyterian",
      "siblingGroupId": "siblings-ca-hoag-memorial-hospital-presbyterian",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOAG MEMORIAL HOSPITAL PRESBYTERIAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOAG MEMORIAL HOSPITAL PRESBYTERIAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050770",
      "ccn": "050770",
      "name": "LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA",
      "address": "28062 BAXTER ROAD",
      "city": "MURRIETA",
      "state": "CA",
      "zip": "92563",
      "county": "RIVERSIDE",
      "latitude": 33.6147769403345,
      "longitude": -117.169070309726,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murrieta-loma-linda-university-medical-center-murrieta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOMA LINDA UNIVERSITY HEALTH",
      "parentSystemId": "entity-loma-linda-university-health",
      "siblingGroupId": "siblings-ca-loma-linda-university-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050771",
      "ccn": "050771",
      "name": "COAST PLAZA HOSPITAL",
      "address": "13100 STUDEBAKER RD",
      "city": "NORWALK",
      "state": "CA",
      "zip": "90650",
      "county": "LOS ANGELES",
      "latitude": 33.9126931200011,
      "longitude": -118.098821619784,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 117,
      "rating": 1,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AVANTI HEALTHCARE HOLDINGS LLC",
      "peFirm": "Stanton Road Capital, Davidson Kempner, Deerfield Management",
      "acquiredDate": "2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Pipeline Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-avanti-healthcare-holdings-llc",
      "siblingGroupId": "siblings-ca-avanti-healthcare-holdings-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVANTI HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050772",
      "ccn": "050772",
      "name": "KAISER FOUNDATION HOSPITAL - ROSEVILLE",
      "address": "1600 EUREKA ROAD",
      "city": "ROSEVILLE",
      "state": "CA",
      "zip": "95661",
      "county": "PLACER",
      "latitude": 38.746805869756,
      "longitude": -121.250939200448,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 352,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050775",
      "ccn": "050775",
      "name": "TEMECULA VALLEY HOSPITAL",
      "address": "31700 TEMECULA PKWY",
      "city": "TEMECULA",
      "state": "CA",
      "zip": "92592",
      "county": "RIVERSIDE",
      "latitude": 33.4807975901024,
      "longitude": -117.106030740016,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 140,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-temecula-temecula-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "050776",
      "ccn": "050776",
      "name": "COLLEGE MEDICAL CENTER",
      "address": "2776 PACIFIC AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90806",
      "county": "LOS ANGELES",
      "latitude": 33.8070928698287,
      "longitude": -118.193389929655,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 221,
      "rating": 3,
      "website": "https://www.collegemedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "B WEISS FAM TR",
      "parentSystemId": "entity-b-weiss-fam-tr",
      "siblingGroupId": "siblings-ca-b-weiss-fam-tr",
      "campusFamilyId": "campus-ca-050776",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-hcai-chlb-license"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/License/Detail/95834"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050776-loc-ca-long-beach-college-medical-center-south-campus-d-p-",
      "ccn": "050776",
      "name": "COLLEGE MEDICAL CENTER SOUTH CAMPUS D/P APH",
      "address": "1725 PACIFIC AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90813",
      "county": "LOS ANGELES",
      "latitude": 33.7882842899693,
      "longitude": -118.19413912011,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-beach-college-medical-center-south-campus-d/p-aph/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "B WEISS FAM TR",
      "parentSystemId": "entity-b-weiss-fam-tr",
      "siblingGroupId": "siblings-ca-b-weiss-fam-tr",
      "campusFamilyId": "campus-ca-050776",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-hcai-chlb-license"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/License/Detail/95834"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050776"
    },
    {
      "id": "050776-loc-ca-long-beach-college-medical-center",
      "ccn": "050776",
      "name": "COLLEGE MEDICAL CENTER",
      "address": "2776 PACIFIC AVE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90806",
      "county": "LOS ANGELES",
      "latitude": 33.8069501996848,
      "longitude": -118.192853199747,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 121,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "B WEISS FAM TR",
      "parentSystemId": "entity-b-weiss-fam-tr",
      "siblingGroupId": "siblings-ca-b-weiss-fam-tr",
      "campusFamilyId": "campus-ca-050776",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-hcai-chlb-license"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/License/Detail/95834"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050776"
    },
    {
      "id": "050776-loc-ca-long-beach-college-medical-center-2",
      "ccn": "050776",
      "name": "COLLEGE MEDICAL CENTER",
      "address": "2776 PACIFIC AVENUE",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90806",
      "county": "LOS ANGELES",
      "latitude": 33.8070928698287,
      "longitude": -118.193389929655,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 121,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "B WEISS FAM TR",
      "parentSystemId": "entity-b-weiss-fam-tr",
      "siblingGroupId": "siblings-ca-b-weiss-fam-tr",
      "campusFamilyId": "campus-ca-050776",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-hcai-chlb-license"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/License/Detail/95834"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "050776"
    },
    {
      "id": "050777",
      "ccn": "050777",
      "name": "KAISER FOUNDATION HOSPITAL - SAN LEANDRO",
      "address": "2500 MERCED STREET",
      "city": "SAN LEANDRO",
      "state": "CA",
      "zip": "94577",
      "county": "ALAMEDA",
      "latitude": 37.7064061999877,
      "longitude": -122.164654519977,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 216,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-leandro-kaiser-foundation-hospital---san-leandro/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050778",
      "ccn": "050778",
      "name": "LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL",
      "address": "11234 ANDERSON STREET",
      "city": "LOMA LINDA",
      "state": "CA",
      "zip": "92354",
      "county": "SAN BERNARDINO",
      "latitude": 34.0501308298209,
      "longitude": -117.264094459807,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 364,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-loma-linda-loma-linda-university-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOMA LINDA UNIVERSITY HEALTH",
      "parentSystemId": "entity-loma-linda-university-health",
      "siblingGroupId": "siblings-ca-loma-linda-university-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOMA LINDA UNIVERSITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050779",
      "ccn": "050779",
      "name": "MARTIN LUTHER KING JR. COMMUNITY HOSPITAL",
      "address": "1680 EAST 120TH STREET",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90059",
      "county": "LOS ANGELES",
      "latitude": 33.922637070333,
      "longitude": -118.243801280443,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 131,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-martin-luther-king-jr.-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION",
      "parentSystemId": "entity-martin-luther-king-jr-los-angeles-mlk-la-healthcare-corporation",
      "siblingGroupId": "siblings-ca-martin-luther-king-jr-los-angeles-mlk-la-healthcare-corporation",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050780",
      "ccn": "050780",
      "name": "FOOTHILL REGIONAL MEDICAL CENTER",
      "address": "14662 NEWPORT AVE",
      "city": "TUSTIN",
      "state": "CA",
      "zip": "92780",
      "county": "ORANGE",
      "latitude": 33.7302566598001,
      "longitude": -117.828571609785,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 135,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tustin-foothill-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ASTRANA CARE HOSPITAL, LLC",
      "parentSystemId": "entity-astrana-care-hospital-llc",
      "siblingGroupId": "siblings-ca-astrana-care-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-astrana-care-hospital-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to ASTRANA CARE HOSPITAL, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASTRANA CARE HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to ASTRANA CARE HOSPITAL, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASTRANA CARE HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050782",
      "ccn": "050782",
      "name": "CASA COLINA HOSPITAL",
      "address": "255 E BONITA AVE",
      "city": "POMONA",
      "state": "CA",
      "zip": "91767",
      "county": "LOS ANGELES",
      "latitude": 34.0980933097301,
      "longitude": -117.747275629759,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 99,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CASA COLINA, INC",
      "parentSystemId": "entity-casa-colina-inc",
      "siblingGroupId": "siblings-ca-casa-colina-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-casa-colina-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CASA COLINA, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASA COLINA, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to CASA COLINA, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASA COLINA, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050783",
      "ccn": "050783",
      "name": "COLUSA MEDICAL CENTER",
      "address": "199 E WEBSTER ST",
      "city": "COLUSA",
      "state": "CA",
      "zip": "95932",
      "county": "COLUSA",
      "latitude": 39.2064608598332,
      "longitude": -122.000379409934,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLUSA MEDICAL CENTER, LLC",
      "parentSystemId": "entity-colusa-medical-center-llc",
      "siblingGroupId": "siblings-ca-colusa-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-colusa-medical-center-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to COLUSA MEDICAL CENTER, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUSA MEDICAL CENTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to COLUSA MEDICAL CENTER, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUSA MEDICAL CENTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050784",
      "ccn": "050784",
      "name": "ADVENTIST HEALTH TULARE",
      "address": "869 N CHERRY ST",
      "city": "TULARE",
      "state": "CA",
      "zip": "93274",
      "county": "TULARE",
      "latitude": 36.2211957600985,
      "longitude": -119.338660850241,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 108,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulare-adventist-health-tulare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050785",
      "ccn": "050785",
      "name": "DOCS SURGICAL HOSPITAL",
      "address": "6000 SAN VICENTE BLVD",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90036",
      "county": "LOS ANGELES",
      "latitude": 34.0573663496351,
      "longitude": -118.36245858031,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 17,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-docs-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DOCS SURGICAL HOSPITAL",
      "parentSystemId": "entity-docs-surgical-hospital",
      "siblingGroupId": "siblings-ca-docs-surgical-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-docs-surgical-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://lfis.hcai.ca.gov/License/History/930000143"
      ],
      "ownershipProofNotes": "CMS universe: PDC. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI license history. Resolved parent/control boundary: DOCS Surgical Hospital, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOCS SURGICAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI license history. Resolved parent/control boundary: DOCS Surgical Hospital, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOCS SURGICAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "050855",
      "ccn": "050855",
      "name": "KAISER FOUNDATION HOSPITAL - SAN MARCOS",
      "address": "360 RUSH DR",
      "city": "SAN MARCOS",
      "state": "CA",
      "zip": "92078",
      "county": "SAN DIEGO",
      "latitude": 33.1295419022814,
      "longitude": -117.170293772024,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 168,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "050856",
      "ccn": "050856",
      "name": "MADERA COMMUNITY HOSPITAL",
      "address": "1250 E ALMOND AVE",
      "city": "MADERA",
      "state": "CA",
      "zip": "93637",
      "county": "MADERA",
      "latitude": 36.9438121199033,
      "longitude": -120.04465820021,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madera-madera-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADERA COMMUNITY HOSPITAL",
      "parentSystemId": "entity-madera-community-hospital",
      "siblingGroupId": "siblings-ca-madera-community-hospital",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADERA COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADERA COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051300",
      "ccn": "051300",
      "name": "EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS",
      "address": "500 1ST AVE",
      "city": "PORTOLA",
      "state": "CA",
      "zip": "96122",
      "county": "PLUMAS",
      "latitude": 39.8055505200794,
      "longitude": -120.462810130014,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 9,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portola-eastern-plumas-hospital-portola-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EASTERN PLUMAS HEALTH CARE DISTRICT",
      "parentSystemId": "entity-eastern-plumas-health-care-district",
      "siblingGroupId": "siblings-ca-eastern-plumas-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN PLUMAS HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN PLUMAS HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051301",
      "ccn": "051301",
      "name": "ADVENTIST HEALTH TEHACHAPI VALLEY",
      "address": "1100 MAGELLAN DR",
      "city": "TEHACHAPI",
      "state": "CA",
      "zip": "93561",
      "county": "KERN",
      "latitude": 35.1476843799637,
      "longitude": -118.450723119879,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051302",
      "ccn": "051302",
      "name": "SOUTHERN INYO HOSPITAL",
      "address": "501 E LOCUST",
      "city": "LONE PINE",
      "state": "CA",
      "zip": "93545",
      "county": "INYO",
      "latitude": 36.609100199996,
      "longitude": -118.057911850367,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 4,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lone-pine-southern-inyo-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTHERN INYO HEALTHCARE DISTRICT",
      "parentSystemId": "entity-southern-inyo-healthcare-district",
      "siblingGroupId": "siblings-ca-southern-inyo-healthcare-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-southern-inyo-healthcare-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SOUTHERN INYO HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN INYO HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SOUTHERN INYO HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN INYO HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051303",
      "ccn": "051303",
      "name": "MAMMOTH HOSPITAL",
      "address": "85 SIERRA PARK RD",
      "city": "MAMMOTH LAKES",
      "state": "CA",
      "zip": "93546",
      "county": "MONO",
      "latitude": 37.643950210331,
      "longitude": -118.962328920392,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mammoth-lakes-mammoth-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTHERN MONO HEALTH CARE DISTRICT",
      "parentSystemId": "entity-southern-mono-health-care-district",
      "siblingGroupId": "siblings-ca-southern-mono-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN MONO HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN MONO HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051304",
      "ccn": "051304",
      "name": "JOHN C. FREMONT HEALTHCARE DISTRICT",
      "address": "5189 HOSPITAL RD",
      "city": "MARIPOSA",
      "state": "CA",
      "zip": "95338",
      "county": "MARIPOSA",
      "latitude": 37.5001238997304,
      "longitude": -119.977314439953,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mariposa-john-c-fremont-healthcare-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JOHN C FREMONT HEALTHCARE DISTRICT",
      "parentSystemId": "entity-john-c-fremont-healthcare-district",
      "siblingGroupId": "siblings-ca-john-c-fremont-healthcare-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: JOHN C FREMONT HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN C FREMONT HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: JOHN C FREMONT HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN C FREMONT HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051305",
      "ccn": "051305",
      "name": "MAYERS MEMORIAL HOSPITAL",
      "address": "43563 STATE HIGHWAY 299 E",
      "city": "FALL RIVER MILLS",
      "state": "CA",
      "zip": "96028",
      "county": "SHASTA",
      "latitude": 41.0238893598389,
      "longitude": -121.424054410216,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fall-river-mills-mayers-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MAYERS MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-mayers-memorial-hospital-district",
      "siblingGroupId": "siblings-ca-mayers-memorial-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-verified-parent-mayers-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MAYERS MEMORIAL HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAYERS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MAYERS MEMORIAL HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAYERS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051306",
      "ccn": "051306",
      "name": "GLENN MEDICAL CENTER",
      "address": "1133 W SYCAMORE ST",
      "city": "WILLOWS",
      "state": "CA",
      "zip": "95988",
      "county": "GLENN",
      "latitude": 39.521278669905,
      "longitude": -122.208045390395,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 47,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-willows-glenn-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GLENN MEDICAL CENTER, LLC",
      "parentSystemId": "entity-glenn-medical-center-llc",
      "siblingGroupId": "siblings-ca-glenn-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ca-remediation-glenn-medical-center-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: GLENN MEDICAL CENTER, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. Residual remediation: normalized CMS owner/operator to GLENN MEDICAL CENTER, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GLENN MEDICAL CENTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: GLENN MEDICAL CENTER, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. Residual remediation: normalized CMS owner/operator to GLENN MEDICAL CENTER, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GLENN MEDICAL CENTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "051307",
      "ccn": "051307",
      "name": "CATALINA ISLAND MEDICAL CENTER",
      "address": "100 FALLS CANYON RD",
      "city": "AVALON",
      "state": "CA",
      "zip": "90704",
      "county": "LOS ANGELES",
      "latitude": 33.3392040397252,
      "longitude": -118.330705120293,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-avalon-catalina-island-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVALON MEDICAL DEVELOPMENT CORPORATION",
      "parentSystemId": "entity-avalon-medical-development-corporation",
      "siblingGroupId": "siblings-ca-avalon-medical-development-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVALON MEDICAL DEVELOPMENT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVALON MEDICAL DEVELOPMENT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051308",
      "ccn": "051308",
      "name": "SURPRISE VALLEY COMMUNITY HOSPITAL",
      "address": "741 N MAIN ST",
      "city": "CEDARVILLE",
      "state": "CA",
      "zip": "96104",
      "county": "MODOC",
      "latitude": 41.5314890699192,
      "longitude": -120.171428080305,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 4,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cedarville-surprise-valley-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SURPRISE VALLEY HEALTH CARE DISTRICT",
      "parentSystemId": "entity-surprise-valley-health-care-district",
      "siblingGroupId": "siblings-ca-surprise-valley-health-care-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SURPRISE VALLEY HEALTH CARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SURPRISE VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SURPRISE VALLEY HEALTH CARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SURPRISE VALLEY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051309",
      "ccn": "051309",
      "name": "JEROLD PHELPS COMMUNITY HOSPITAL",
      "address": "733 CEDAR ST",
      "city": "GARBERVILLE",
      "state": "CA",
      "zip": "95542",
      "county": "HUMBOLDT",
      "latitude": 40.1016781603401,
      "longitude": -123.792254630334,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 9,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ca-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-southern-humboldt-community-healthcare-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "05130F",
      "ccn": "05130F",
      "name": "SAN FRANCISCO VA MEDICAL CENTER",
      "address": "4150 CLEMENT STREET",
      "city": "SAN FRANCISCO",
      "state": "CA",
      "zip": "94121",
      "county": "SAN FRANCISCO",
      "latitude": 37.7822911896488,
      "longitude": -122.504974589985,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 124,
      "rating": 4,
      "website": "https://www.sanfrancisco.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "SAN FRANCISCO VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-san-francisco-va-medical-center",
      "siblingGroupId": "siblings-ca-san-francisco-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN FRANCISCO VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN FRANCISCO VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051310",
      "ccn": "051310",
      "name": "ADVENTIST HEALTH HOWARD MEMORIAL",
      "address": "1 MARCELA DRIVE",
      "city": "WILLITS",
      "state": "CA",
      "zip": "95490",
      "county": "MENDOCINO",
      "latitude": 39.389698720278,
      "longitude": -123.338729760248,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "WILLITS HOSPITAL INC",
      "parentSystemId": "entity-willits-hospital-inc",
      "siblingGroupId": "siblings-ca-willits-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.adventisthealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Adventist Health official about page. Resolved parent/control boundary: Adventist Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLITS HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Adventist Health official about page. Resolved parent/control boundary: Adventist Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLITS HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051311",
      "ccn": "051311",
      "name": "ORCHARD HOSPITAL",
      "address": "240 SPRUCE ST",
      "city": "GRIDLEY",
      "state": "CA",
      "zip": "95948",
      "county": "BUTTE",
      "latitude": 39.3675263200273,
      "longitude": -121.689654600168,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gridley-orchard-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ORCHARD HOSPITAL",
      "parentSystemId": "entity-orchard-hospital",
      "siblingGroupId": "siblings-ca-orchard-hospital",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORCHARD HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORCHARD HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051312",
      "ccn": "051312",
      "name": "MOUNTAINS COMMUNITY HOSPITAL",
      "address": "29101 HOSPITAL RD",
      "city": "LAKE ARROWHEAD",
      "state": "CA",
      "zip": "92352",
      "county": "SAN BERNARDINO",
      "latitude": 34.2654122103172,
      "longitude": -117.168295369962,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-arrowhead-mountains-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT",
      "parentSystemId": "entity-san-bernardino-mountains-community-hospital-district",
      "siblingGroupId": "siblings-ca-san-bernardino-mountains-community-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-san-bernardino-mountains-community-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051314",
      "ccn": "051314",
      "name": "KERN VALLEY HEALTHCARE DISTRICT",
      "address": "6412 LAUREL AVE",
      "city": "LAKE ISABELLA",
      "state": "CA",
      "zip": "93240",
      "county": "KERN",
      "latitude": 35.6350283003603,
      "longitude": -118.406991729578,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 27,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-isabella-kern-valley-healthcare-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KERN VALLEY HEALTHCARE DISTRICT",
      "parentSystemId": "entity-kern-valley-healthcare-district",
      "siblingGroupId": "siblings-ca-kern-valley-healthcare-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: KERN VALLEY HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KERN VALLEY HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: KERN VALLEY HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KERN VALLEY HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051315",
      "ccn": "051315",
      "name": "TRINITY HOSPITAL",
      "address": "60 EASTER AVENUE",
      "city": "WEAVERVILLE",
      "state": "CA",
      "zip": "96093",
      "county": "TRINITY",
      "latitude": 40.7380835099423,
      "longitude": -122.939656929575,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weaverville-trinity-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT",
      "parentSystemId": "entity-mountain-communities-healthcare-district",
      "siblingGroupId": "siblings-ca-mountain-communities-healthcare-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051316",
      "ccn": "051316",
      "name": "FAIRCHILD MEDICAL CENTER",
      "address": "444 BRUCE ST",
      "city": "YREKA",
      "state": "CA",
      "zip": "96097",
      "county": "SISKIYOU",
      "latitude": 41.7193733098863,
      "longitude": -122.645716559682,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 28,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yreka-fairchild-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SISKIYOU HOSPITAL INC",
      "parentSystemId": "entity-siskiyou-hospital-inc",
      "siblingGroupId": "siblings-ca-siskiyou-hospital-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-941623075"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/941623075"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Siskiyou Hospital Inc. Resolved parent/control boundary: SISKIYOU HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISKIYOU HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Siskiyou Hospital Inc. Resolved parent/control boundary: SISKIYOU HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISKIYOU HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051317",
      "ccn": "051317",
      "name": "ADVENTIST HEALTH CLEARLAKE",
      "address": "15630 18TH AVE",
      "city": "CLEARLAKE",
      "state": "CA",
      "zip": "95422",
      "county": "LAKE",
      "latitude": 38.9356188600864,
      "longitude": -122.620144530205,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clearlake-adventist-health-clearlake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051318",
      "ccn": "051318",
      "name": "PROVIDENCE REDWOOD MEMORIAL HOSPITAL",
      "address": "3300 RENNER DR",
      "city": "FORTUNA",
      "state": "CA",
      "zip": "95540",
      "county": "HUMBOLDT",
      "latitude": 40.5826249197776,
      "longitude": -124.136405290088,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-28",
      "reviewedAt": "2026-06-28",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control. Batch next-50-2026-06-28-003 official source pass completed 2026-06-28; promoted from orange transaction warning to red exposed warning because the record has source-backed corporate/system context, while transaction details remain research-incomplete.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "NEXT batch 003 official source pass"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-joseph-health-northern-california-llc",
      "siblingGroupId": "siblings-ca-st-joseph-health-northern-california-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051320",
      "ccn": "051320",
      "name": "BANNER LASSEN MEDICAL CENTER",
      "address": "1800 SPRING RIDGE DR",
      "city": "SUSANVILLE",
      "state": "CA",
      "zip": "96130",
      "county": "LASSEN",
      "latitude": 40.4368832796738,
      "longitude": -120.627728479615,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-susanville-banner-lassen-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-ca-banner-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051321",
      "ccn": "051321",
      "name": "HEALDSBURG HOSPITAL",
      "address": "1375 UNIVERSITY AVE",
      "city": "HEALDSBURG",
      "state": "CA",
      "zip": "95448",
      "county": "SONOMA",
      "latitude": 38.6270955096795,
      "longitude": -122.864401979697,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 26,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-healdsburg-healdsburg-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORCAL HEALTHCONNECT LLC",
      "parentSystemId": "entity-norcal-healthconnect-llc",
      "siblingGroupId": "siblings-ca-norcal-healthconnect-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORCAL HEALTHCONNECT LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORCAL HEALTHCONNECT LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051323",
      "ccn": "051323",
      "name": "COLORADO RIVER MEDICAL CENTER",
      "address": "1401 BAILEY AVE",
      "city": "NEEDLES",
      "state": "CA",
      "zip": "92363",
      "county": "SAN BERNARDINO",
      "latitude": 34.8330659203208,
      "longitude": -114.617493959746,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-needles-colorado-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ca-unity-health-arkansas",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051324",
      "ccn": "051324",
      "name": "NORTHERN INYO HOSPITAL",
      "address": "150 PIONEER LN",
      "city": "BISHOP",
      "state": "CA",
      "zip": "93514",
      "county": "INYO",
      "latitude": 37.362061870184,
      "longitude": -118.406239769617,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bishop-northern-inyo-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTHERN INYO HEALTHCARE DISTRICT",
      "parentSystemId": "entity-northern-inyo-healthcare-district",
      "siblingGroupId": "siblings-ca-northern-inyo-healthcare-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENT ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN INYO HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENT ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN INYO HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051325",
      "ccn": "051325",
      "name": "ADVENTIST HEALTH MENDOCINO COAST",
      "address": "700 RIVER DR",
      "city": "FORT BRAGG",
      "state": "CA",
      "zip": "95437",
      "county": "MENDOCINO",
      "latitude": 39.4312337400274,
      "longitude": -123.800880569899,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-bragg-adventist-health-mendocino-coast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist Health",
      "parentSystemId": "entity-adventist-health",
      "siblingGroupId": "siblings-ca-adventist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/documents/system/2023-annual-audit-report.pdf"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adventist Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adventist Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051326",
      "ccn": "051326",
      "name": "PLUMAS DISTRICT HOSPITAL",
      "address": "1065 BUCKS LAKE RD",
      "city": "QUINCY",
      "state": "CA",
      "zip": "95971",
      "county": "PLUMAS",
      "latitude": 39.9397289596663,
      "longitude": -120.961700249833,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quincy-plumas-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PLUMAS DISTRICT HOSPITAL",
      "parentSystemId": "entity-plumas-district-hospital",
      "siblingGroupId": "siblings-ca-plumas-district-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: PLUMAS DISTRICT HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLUMAS DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: PLUMAS DISTRICT HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLUMAS DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051327",
      "ccn": "051327",
      "name": "SENECA DISTRICT HOSPITAL",
      "address": "130 BRENTWOOD DR",
      "city": "CHESTER",
      "state": "CA",
      "zip": "96020",
      "county": "PLUMAS",
      "latitude": 40.3057626098644,
      "longitude": -121.234767530175,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SENECA HEALTHCARE DISTRICT",
      "parentSystemId": "entity-seneca-healthcare-district",
      "siblingGroupId": "siblings-ca-seneca-healthcare-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-seneca-healthcare-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SENECA HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENECA HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SENECA HEALTHCARE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENECA HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051328",
      "ccn": "051328",
      "name": "TAHOE FOREST HOSPITAL",
      "address": "10121 PINE AVE",
      "city": "TRUCKEE",
      "state": "CA",
      "zip": "96161",
      "county": "NEVADA",
      "latitude": 39.3251073802355,
      "longitude": -120.20077331964,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 33,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-truckee-tahoe-forest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TAHOE FOREST HOSPITAL DISTRICT",
      "parentSystemId": "entity-tahoe-forest-hospital-district",
      "siblingGroupId": "siblings-ca-tahoe-forest-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-verified-parent-tahoe-forest-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAHOE FOREST HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAHOE FOREST HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051329",
      "ccn": "051329",
      "name": "SUTTER LAKESIDE HOSPITAL",
      "address": "5176 HILL RD E",
      "city": "LAKEPORT",
      "state": "CA",
      "zip": "95453",
      "county": "LAKE",
      "latitude": 39.1049534701212,
      "longitude": -122.906689980356,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "SUTTER BAY HOSPITALS",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakeport-sutter-lakeside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-bay-hospitals",
      "siblingGroupId": "siblings-ca-sutter-bay-hospitals",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTER BAY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051330",
      "ccn": "051330",
      "name": "MODOC MEDICAL CENTER",
      "address": "1111 N NAGLE STREET",
      "city": "ALTURAS",
      "state": "CA",
      "zip": "96101",
      "county": "MODOC",
      "latitude": 41.4800562602608,
      "longitude": -120.545743990331,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 8,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alturas-modoc-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LAST FRONTIER HEALTHCARE DISTRICT",
      "parentSystemId": "entity-last-frontier-healthcare-district",
      "siblingGroupId": "siblings-ca-last-frontier-healthcare-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAST FRONTIER HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAST FRONTIER HEALTHCARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051331",
      "ccn": "051331",
      "name": "SANTA YNEZ VALLEY COTTAGE HOSPITAL",
      "address": "2050 VIBORG RD",
      "city": "SOLVANG",
      "state": "CA",
      "zip": "93463",
      "county": "SANTA BARBARA",
      "latitude": 34.6020827901453,
      "longitude": -120.126303889885,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-solvang-santa-ynez-valley-cottage-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COTTAGE HEALTH",
      "parentSystemId": "entity-cottage-health",
      "siblingGroupId": "siblings-ca-cottage-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051332",
      "ccn": "051332",
      "name": "MARK TWAIN MEDICAL CENTER",
      "address": "768 MOUNTAIN RANCH ROAD",
      "city": "SAN ANDREAS",
      "state": "CA",
      "zip": "95249",
      "county": "CALAVERAS",
      "latitude": 38.1900595902128,
      "longitude": -120.670575599791,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARK TWAIN MEDICAL CENTER",
      "parentSystemId": "entity-mark-twain-medical-center",
      "siblingGroupId": "siblings-ca-mark-twain-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dignityhealth.org/central-california/locations/marktwainmedical/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Dignity Health official hospital page. Resolved parent/control boundary: CommonSpirit Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARK TWAIN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Dignity Health official hospital page. Resolved parent/control boundary: CommonSpirit Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARK TWAIN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051333",
      "ccn": "051333",
      "name": "RIDGECREST REGIONAL HOSPITAL",
      "address": "1081 N CHINA LAKE BLVD",
      "city": "RIDGECREST",
      "state": "CA",
      "zip": "93555",
      "county": "KERN",
      "latitude": 35.6406720198812,
      "longitude": -117.671250970109,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 72,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ridgecrest-ridgecrest-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIDGECREST REGIONAL HOSPITAL",
      "parentSystemId": "entity-ridgecrest-regional-hospital",
      "siblingGroupId": "siblings-ca-ridgecrest-regional-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-952082686"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/952082686"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Ridgecrest Regional Hospital. Resolved parent/control boundary: RIDGECREST REGIONAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIDGECREST REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Ridgecrest Regional Hospital. Resolved parent/control boundary: RIDGECREST REGIONAL HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIDGECREST REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "051335",
      "ccn": "051335",
      "name": "BEAR VALLEY COMMUNITY HOSPITAL",
      "address": "41870 GARSTIN DR",
      "city": "BIG BEAR LAKE",
      "state": "CA",
      "zip": "92315",
      "county": "SAN BERNARDINO",
      "latitude": 34.246400749645,
      "longitude": -116.888207610147,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 9,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-bear-lake-bear-valley-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT",
      "parentSystemId": "entity-bear-valley-community-health-care-district",
      "siblingGroupId": "siblings-ca-bear-valley-community-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051337",
      "ccn": "051337",
      "name": "HAZEL HAWKINS MEMORIAL HOSPITAL",
      "address": "911 SUNSET DR",
      "city": "HOLLISTER",
      "state": "CA",
      "zip": "95023",
      "county": "SAN BENITO",
      "latitude": 36.8342012498964,
      "longitude": -121.386193639654,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hollister-hazel-hawkins-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAZEL HAWKINS MEMORIAL HOSPITAL",
      "parentSystemId": "entity-hazel-hawkins-memorial-hospital",
      "siblingGroupId": "siblings-ca-hazel-hawkins-memorial-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: HAZEL HAWKINS MEMORIAL HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAZEL HAWKINS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: HAZEL HAWKINS MEMORIAL HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAZEL HAWKINS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "051338",
      "ccn": "051338",
      "name": "COALINGA REGIONAL MEDICAL CENTER",
      "address": "1191 PHELPS AVE",
      "city": "COALINGA",
      "state": "CA",
      "zip": "93210",
      "county": "FRESNO",
      "latitude": 36.1524711200954,
      "longitude": -120.340684029696,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coalinga-coalinga-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COALINGA MEDICAL CENTER LLC",
      "parentSystemId": "entity-coalinga-medical-center-llc",
      "siblingGroupId": "siblings-ca-coalinga-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-coalinga-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://lfis.hcai.ca.gov/License/040000085"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI current license record. Resolved parent/control boundary: Coalinga Medical Center, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COALINGA MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI current license record. Resolved parent/control boundary: Coalinga Medical Center, LLC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COALINGA MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "051339",
      "ccn": "051339",
      "name": "PALO VERDE HOSPITAL",
      "address": "250 N 1ST ST",
      "city": "BLYTHE",
      "state": "CA",
      "zip": "92225",
      "county": "RIVERSIDE",
      "latitude": 33.6128617696334,
      "longitude": -114.59511628013,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blythe-palo-verde-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PALO VERDE HEALTH CARE DISTRICT",
      "parentSystemId": "entity-palo-verde-health-care-district",
      "siblingGroupId": "siblings-ca-palo-verde-health-care-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO VERDE HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO VERDE HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "053300",
      "ccn": "053300",
      "name": "VALLEY CHILDREN'S HOSPITAL",
      "address": "9300 VALLEY CHILDRENS PLACE",
      "city": "MADERA",
      "state": "CA",
      "zip": "93636",
      "county": "MADERA",
      "latitude": 36.8840478300742,
      "longitude": -119.800242410072,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 358,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madera-valley-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VALLEY CHILDREN'S HEALTHCARE",
      "parentSystemId": "entity-valley-children-s-healthcare",
      "siblingGroupId": "siblings-ca-valley-children-s-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY CHILDREN'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY CHILDREN'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "053301",
      "ccn": "053301",
      "name": "UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND",
      "address": "747 52ND STREET",
      "city": "OAKLAND",
      "state": "CA",
      "zip": "94609",
      "county": "ALAMEDA",
      "latitude": 37.8370373598752,
      "longitude": -122.267420720383,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 215,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-children-s-hospital-and-research-center-at-oakland",
      "siblingGroupId": "siblings-ca-children-s-hospital-and-research-center-at-oakland",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "053303",
      "ccn": "053303",
      "name": "RADY CHILDREN'S HOSPITAL - SAN DIEGO",
      "address": "3020 CHILDRENS WAY",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.7979585298205,
      "longitude": -117.151301029739,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 444,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-rady-children-s-hospital---san-diego/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rady Children's Health",
      "parentSystemId": "entity-rady-children-s-health",
      "siblingGroupId": "siblings-ca-rady-children-s-health",
      "campusFamilyId": "campus-ca-053303",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-rady-children-s-hospital-san-diego"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to RADY CHILDREN'S HOSPITAL - SAN DIEGO; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HOSPITAL - SAN DIEGO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to RADY CHILDREN'S HOSPITAL - SAN DIEGO; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HOSPITAL - SAN DIEGO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "053303-loc-ca-san-diego-rady-children-s-hospital-san-diego-psychi",
      "ccn": "053303",
      "name": "RADY CHILDREN'S HOSPITAL - SAN DIEGO - PSYCHIATRIC",
      "address": "3020 CHILDRENS WAY",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.7977575001232,
      "longitude": -117.151407000399,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rady Children's Health",
      "parentSystemId": "entity-rady-children-s-health",
      "siblingGroupId": "siblings-ca-rady-children-s-health",
      "campusFamilyId": "campus-ca-053303",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-rady-children-s-hospital-san-diego"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to RADY CHILDREN'S HOSPITAL - SAN DIEGO; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HOSPITAL - SAN DIEGO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to RADY CHILDREN'S HOSPITAL - SAN DIEGO; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HOSPITAL - SAN DIEGO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "053303"
    },
    {
      "id": "053304",
      "ccn": "053304",
      "name": "CHILDREN'S HOSPITAL OF ORANGE COUNTY",
      "address": "1201 W LA VETA AVE",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92868",
      "county": "ORANGE",
      "latitude": 33.7808101297175,
      "longitude": -117.865776460171,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 334,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orange-children-s-hospital-of-orange-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rady Children's Health",
      "parentSystemId": "entity-rady-children-s-health",
      "siblingGroupId": "siblings-ca-rady-children-s-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "053306",
      "ccn": "053306",
      "name": "CHILDREN'S HOSPITAL AT MISSION",
      "address": "27700 MEDICAL CENTER RD",
      "city": "MISSION VIEJO",
      "state": "CA",
      "zip": "92691",
      "county": "ORANGE",
      "latitude": 33.5604042697204,
      "longitude": -117.665822599967,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 54,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mission-viejo-children-s-hospital-at-mission/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rady Children's Health",
      "parentSystemId": "entity-rady-children-s-health",
      "siblingGroupId": "siblings-ca-rady-children-s-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RADY CHILDREN'S HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "053308",
      "ccn": "053308",
      "name": "HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE",
      "address": "393 S TUSTIN ST",
      "city": "ORANGE",
      "state": "CA",
      "zip": "92866",
      "county": "ORANGE",
      "latitude": 33.7827271699358,
      "longitude": -117.833891870377,
      "hospitalType": "Childrens",
      "sourceOwner": "Proprietary",
      "beds": 6,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orange-healthbridge-children-s-hospital-orange/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHA HEALTHBRIDGE PARTNERS, LLC",
      "parentSystemId": "entity-aha-healthbridge-partners-llc",
      "siblingGroupId": "siblings-ca-aha-healthbridge-partners-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHA HEALTHBRIDGE PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHA HEALTHBRIDGE PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "053311",
      "ccn": "053311",
      "name": "SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIFORNIA",
      "address": "2425 STOCKTON BOULEVARD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95817",
      "county": "SACRAMENTO",
      "latitude": 38.5529632897106,
      "longitude": -121.455330040164,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 80,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-shriners-hospitals-for-children-northern-california/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-ca-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054009",
      "ccn": "054009",
      "name": "RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA",
      "address": "150 MEDICAL PLAZA",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90095",
      "county": "LOS ANGELES",
      "latitude": 34.0654038602438,
      "longitude": -118.446587690435,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "REGENTS UNIV OF CALIF LOS ANGELES",
      "affiliatedSystem": "University of California Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "University of California Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-angeles-resnick-neuropsychiatric-hospital-at-ucla/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-regents-univ-of-calif-los-angeles",
      "siblingGroupId": "siblings-ca-regents-univ-of-calif-los-angeles",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS UNIV OF CALIF LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS UNIV OF CALIF LOS ANGELES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054032",
      "ccn": "054032",
      "name": "BHC ALHAMBRA HOSPITAL",
      "address": "4619 ROSEMEAD BLVD",
      "city": "ROSEMEAD",
      "state": "CA",
      "zip": "91770",
      "county": "LOS ANGELES",
      "latitude": 34.0884364098543,
      "longitude": -118.074015539732,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 97,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rosemead-bhc-alhambra-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054053",
      "ccn": "054053",
      "name": "DEL AMO HOSPITAL",
      "address": "23700 CAMINO DEL SOL",
      "city": "TORRANCE",
      "state": "CA",
      "zip": "90505",
      "county": "LOS ANGELES",
      "latitude": 33.8102699899966,
      "longitude": -118.34351744983,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 166,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-torrance-del-amo-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054055",
      "ccn": "054055",
      "name": "COLLEGE HOSPITAL",
      "address": "10802 COLLEGE PL",
      "city": "CERRITOS",
      "state": "CA",
      "zip": "90703",
      "county": "LOS ANGELES",
      "latitude": 33.8843352701372,
      "longitude": -118.102946699738,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 187,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cerritos-college-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLLEGE HOSPITAL GROUP,INC.",
      "parentSystemId": "entity-college-hospital-group-inc",
      "siblingGroupId": "siblings-ca-college-hospital-group-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-manual-054055"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/License/930000036"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to College Hospital, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HOSPITAL GROUP,INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to College Hospital, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLEGE HOSPITAL GROUP,INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054069",
      "ccn": "054069",
      "name": "AURORA CHARTER OAK",
      "address": "1161 E COVINA BLVD",
      "city": "COVINA",
      "state": "CA",
      "zip": "91724",
      "county": "LOS ANGELES",
      "latitude": 34.0998053401688,
      "longitude": -117.866478579803,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 134,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covina-aurora-charter-oak/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054074",
      "ccn": "054074",
      "name": "ADVENTIST HEALTH VALLEJO",
      "address": "525 OREGON ST",
      "city": "VALLEJO",
      "state": "CA",
      "zip": "94590",
      "county": "SOLANO",
      "latitude": 38.1179037501275,
      "longitude": -122.248893689894,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 61,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vallejo-adventist-health-vallejo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-ca-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054075",
      "ccn": "054075",
      "name": "ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM",
      "address": "7050 PARKWAY DR",
      "city": "LA MESA",
      "state": "CA",
      "zip": "91942",
      "county": "SAN DIEGO",
      "latitude": 32.7746316698295,
      "longitude": -117.044161790105,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 66,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "BH SD LLC",
      "parentSystemId": "entity-bh-sd-llc",
      "siblingGroupId": "siblings-ca-bh-sd-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BH SD LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BH SD LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054077",
      "ccn": "054077",
      "name": "AURORA VISTA DEL MAR HOSPITAL",
      "address": "801 SENECA ST",
      "city": "VENTURA",
      "state": "CA",
      "zip": "93001",
      "county": "VENTURA",
      "latitude": 34.3077643496968,
      "longitude": -119.283663529858,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 87,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ventura-aurora-vista-del-mar-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054078",
      "ccn": "054078",
      "name": "AURORA LAS ENCINAS HOSPITAL",
      "address": "2900 E DEL MAR BLVD",
      "city": "PASADENA",
      "state": "CA",
      "zip": "91107",
      "county": "LOS ANGELES",
      "latitude": 34.1416496603161,
      "longitude": -118.090970600221,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pasadena-aurora-las-encinas-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054087",
      "ccn": "054087",
      "name": "SIERRA VISTA HOSPITAL, INC",
      "address": "8001 BRUCEVILLE ROAD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95823",
      "county": "SACRAMENTO",
      "latitude": 38.4667802798798,
      "longitude": -121.41711167005,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 171,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-sierra-vista-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054095",
      "ccn": "054095",
      "name": "AURORA SAN DIEGO",
      "address": "11878 AVENUE OF INDUSTRY",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92128",
      "county": "SAN DIEGO",
      "latitude": 32.9911831297439,
      "longitude": -117.07531757042,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 101,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-aurora-san-diego/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054096",
      "ccn": "054096",
      "name": "SUTTER CENTER FOR PSYCHIATRY",
      "address": "7700 FOLSOM BLVD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95826",
      "county": "SACRAMENTO",
      "latitude": 38.5499259298264,
      "longitude": -121.41461677991,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 73,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Sutter Health",
      "affiliatedSystem": "Sutter Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sutter Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-sutter-center-for-psychiatry/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sutter-health",
      "siblingGroupId": "siblings-ca-sutter-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sutter Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054104",
      "ccn": "054104",
      "name": "HERITAGE OAKS HOSPITAL",
      "address": "4250 AUBURN BOULEVARD",
      "city": "SACRAMENTO",
      "state": "CA",
      "zip": "95841",
      "county": "SACRAMENTO",
      "latitude": 38.6433945497684,
      "longitude": -121.364680929859,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 125,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sacramento-heritage-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054110",
      "ccn": "054110",
      "name": "FREMONT HOSPITAL",
      "address": "39001 SUNDALE DRIVE",
      "city": "FREMONT",
      "state": "CA",
      "zip": "94538",
      "county": "ALAMEDA",
      "latitude": 37.546629499695,
      "longitude": -121.979643110445,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 148,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fremont-fremont-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054111",
      "ccn": "054111",
      "name": "CANYON RIDGE HOSPITAL",
      "address": "5353 G ST",
      "city": "CHINO",
      "state": "CA",
      "zip": "91710",
      "county": "SAN BERNARDINO",
      "latitude": 34.009083130069,
      "longitude": -117.687993959919,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 157,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chino-canyon-ridge-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054123",
      "ccn": "054123",
      "name": "ST. JOSEPH'S BEHAVIORAL HEALTH CENTER",
      "address": "2510 N CALIFORNIA STREET",
      "city": "STOCKTON",
      "state": "CA",
      "zip": "95204",
      "county": "SAN JOAQUIN",
      "latitude": 37.9765962997676,
      "longitude": -121.291070930014,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stockton-st.-joseph-s-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PORT CITY OPERATING COMPANY LLC",
      "parentSystemId": "entity-port-city-operating-company-llc",
      "siblingGroupId": "siblings-ca-port-city-operating-company-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORT CITY OPERATING COMPANY LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORT CITY OPERATING COMPANY LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054124",
      "ccn": "054124",
      "name": "SEMPERVIRENS",
      "address": "720 WOOD ST",
      "city": "EUREKA",
      "state": "CA",
      "zip": "95501",
      "county": "HUMBOLDT",
      "latitude": 40.7807165498243,
      "longitude": -124.160600220201,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF HUMBOLDT",
      "parentSystemId": "entity-county-of-humboldt",
      "siblingGroupId": "siblings-ca-county-of-humboldt",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF HUMBOLDT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF HUMBOLDT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "054125",
      "ccn": "054125",
      "name": "SANTA BARBARA COUNTY PSYCHIATRIC HEALTH FACILITY",
      "address": "315 CAMINO DEL REMEDIO",
      "city": "SANTA BARBARA",
      "state": "CA",
      "zip": "93110",
      "county": "SANTA BARBARA",
      "latitude": 34.444136900008,
      "longitude": -119.780633300433,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANTA BARBARA COUNTY AUDITOR",
      "parentSystemId": "entity-santa-barbara-county-auditor",
      "siblingGroupId": "siblings-ca-santa-barbara-county-auditor",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANTA BARBARA COUNTY AUDITOR, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANTA BARBARA COUNTY AUDITOR, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054130",
      "ccn": "054130",
      "name": "PACIFIC GROVE HOSPITAL",
      "address": "5900 BROCKTON AVE",
      "city": "RIVERSIDE",
      "state": "CA",
      "zip": "92506",
      "county": "RIVERSIDE",
      "latitude": 33.962306389855,
      "longitude": -117.395293499579,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 68,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverside-pacific-grove-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ca-acadia-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001520697"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001520697.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054131",
      "ccn": "054131",
      "name": "JOHN MUIR BEHAVIORAL HEALTH CENTER",
      "address": "2740 GRANT STREET",
      "city": "CONCORD",
      "state": "CA",
      "zip": "94520",
      "county": "CONTRA COSTA",
      "latitude": 37.9859883598866,
      "longitude": -122.037102260271,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 73,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-concord-john-muir-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "John Muir Health",
      "parentSystemId": "entity-john-muir-health",
      "siblingGroupId": "siblings-ca-john-muir-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent John Muir Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent John Muir Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054145",
      "ccn": "054145",
      "name": "SHARP MESA VISTA HOSPITAL",
      "address": "7850 VISTA HILL AVE",
      "city": "SAN DIEGO",
      "state": "CA",
      "zip": "92123",
      "county": "SAN DIEGO",
      "latitude": 32.7956275798358,
      "longitude": -117.155096330067,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 159,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-diego-sharp-mesa-vista-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Sharp HealthCare",
      "parentSystemId": "entity-sharp-healthcare",
      "siblingGroupId": "siblings-ca-sharp-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Sharp HealthCare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054146",
      "ccn": "054146",
      "name": "TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY",
      "address": "2633 EAST 27TH STREET",
      "city": "OAKLAND",
      "state": "CA",
      "zip": "94601",
      "county": "ALAMEDA",
      "latitude": 37.7906971299331,
      "longitude": -122.222183789598,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 26,
      "rating": null,
      "website": "http://www.tbhcare.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakland-telecare-heritage-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY",
      "parentSystemId": "entity-telecare-heritage-psychiatric-health-facility",
      "siblingGroupId": "siblings-ca-telecare-heritage-psychiatric-health-facility",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-telecare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.telecarecorp.com/heritage-psychiatric-health-center"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Telecare Heritage official page. Resolved parent/control boundary: Telecare Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Telecare Heritage official page. Resolved parent/control boundary: Telecare Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054147",
      "ccn": "054147",
      "name": "JOYCE EISENBERG KEEFER MEDICAL CENTER",
      "address": "7150 TAMPA AVE",
      "city": "RESEDA",
      "state": "CA",
      "zip": "91335",
      "county": "LOS ANGELES",
      "latitude": 34.2005459897664,
      "longitude": -118.553148029648,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reseda-joyce-eisenberg-keefer-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOS ANGELES JEWISH HOME FOR THE AGING",
      "parentSystemId": "entity-los-angeles-jewish-home-for-the-aging",
      "siblingGroupId": "siblings-ca-los-angeles-jewish-home-for-the-aging",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOS ANGELES JEWISH HOME FOR THE AGING, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOS ANGELES JEWISH HOME FOR THE AGING, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054148",
      "ccn": "054148",
      "name": "TARZANA TREATMENT CENTER",
      "address": "18646 OXNARD ST",
      "city": "TARZANA",
      "state": "CA",
      "zip": "91356",
      "county": "LOS ANGELES",
      "latitude": 34.1794458301807,
      "longitude": -118.539856200073,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tarzana-tarzana-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TARZANA TREATMENT CENTERS INC",
      "parentSystemId": "entity-tarzana-treatment-centers-inc",
      "siblingGroupId": "siblings-ca-tarzana-treatment-centers-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-tarzana-treatment-centers-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to TARZANA TREATMENT CENTERS INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TARZANA TREATMENT CENTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to TARZANA TREATMENT CENTERS INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TARZANA TREATMENT CENTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054150",
      "ccn": "054150",
      "name": "KAISER PERMANENTE PSYCHIATRIC HEALTH FACILITY - SANTA CLARA",
      "address": "3840 HOMESTEAD RD",
      "city": "SANTA CLARA",
      "state": "CA",
      "zip": "95051",
      "county": "SANTA CLARA",
      "latitude": 37.3363325996918,
      "longitude": -122.002031409945,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-ca-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "054151",
      "ccn": "054151",
      "name": "AURORA BEHAVIORAL HEALTHCARE - SANTA ROSA, LLC",
      "address": "1287 FULTON RD",
      "city": "SANTA ROSA",
      "state": "CA",
      "zip": "95401",
      "county": "SONOMA",
      "latitude": 38.450397819658,
      "longitude": -122.771626169941,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 95,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054152",
      "ccn": "054152",
      "name": "SANTA CRUZ COUNTY PSYCHIATRIC HEALTH FACILITY",
      "address": "2250 SOQUEL AVE",
      "city": "SANTA CRUZ",
      "state": "CA",
      "zip": "95062",
      "county": "SANTA CRUZ",
      "latitude": 36.9833689197613,
      "longitude": -121.993947050291,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-cruz-santa-cruz-county-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TELECARE CORPORATION",
      "parentSystemId": "entity-telecare-corporation",
      "siblingGroupId": "siblings-ca-telecare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-telecare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.telecarecorp.com/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Telecare official locations directory. Resolved parent/control boundary: Telecare Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TELECARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. No exact conservative normalized-name-and-city match in the current CDPH licensed hospital CSV. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Telecare official locations directory. Resolved parent/control boundary: Telecare Corporation. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TELECARE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054153",
      "ccn": "054153",
      "name": "OCEAN VIEW PSYCHIATRIC HEALTH FACILITY",
      "address": "2600 REDONDO AVENUE, SUITE 500",
      "city": "LONG BEACH",
      "state": "CA",
      "zip": "90806",
      "county": "LOS ANGELES",
      "latitude": 33.8049209300261,
      "longitude": -118.150736859953,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-beach-ocean-view-psychiatric-health-facility/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLLABORATIVE NEUROSCIENCE NETWORK LLC",
      "parentSystemId": "entity-collaborative-neuroscience-network-llc",
      "siblingGroupId": "siblings-ca-collaborative-neuroscience-network-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-remediation-collaborative-neuroscience-network-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to COLLABORATIVE NEUROSCIENCE NETWORK LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLABORATIVE NEUROSCIENCE NETWORK LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to COLLABORATIVE NEUROSCIENCE NETWORK LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLLABORATIVE NEUROSCIENCE NETWORK LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054154",
      "ccn": "054154",
      "name": "SAN JOSE BEHAVIORAL HEALTH",
      "address": "455 SILICON VALLEY BOULEVARD",
      "city": "SAN JOSE",
      "state": "CA",
      "zip": "95138",
      "county": "SANTA CLARA",
      "latitude": 37.2490209300836,
      "longitude": -121.774458230087,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-jose-san-jose-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ca-acadia-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001520697"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001520697.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "054155",
      "ccn": "054155",
      "name": "BAKERSFIELD BEHAVIORAL HEALTHCARE HOSPITAL LLC",
      "address": "5201 WHITE LANE",
      "city": "BAKERSFIELD",
      "state": "CA",
      "zip": "93309",
      "county": "KERN",
      "latitude": 35.316723580247,
      "longitude": -119.060534579815,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 90,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054157",
      "ccn": "054157",
      "name": "GLENDORA HOSPITAL",
      "address": "150 W ROUTE 66",
      "city": "GLENDORA",
      "state": "CA",
      "zip": "91740",
      "county": "LOS ANGELES",
      "latitude": 34.1274871298347,
      "longitude": -117.865137940362,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 63,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "B WEISS FAM TR",
      "parentSystemId": "entity-b-weiss-fam-tr",
      "siblingGroupId": "siblings-ca-b-weiss-fam-tr",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-hcai-chlb-license"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://lfis.hcai.ca.gov/License/Detail/95834"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. Parent-family class audit correction: HCAI investor-LLC control overrides the inconsistent CMS facility baseline; PE status remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B WEISS FAM TR, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054158",
      "ccn": "054158",
      "name": "ALISO RIDGE BEHAVIORAL HEALTH, LLC",
      "address": "200 FREEDOM LN",
      "city": "ALISO VIEJO",
      "state": "CA",
      "zip": "92656",
      "county": "ORANGE",
      "latitude": 33.562987105667,
      "longitude": -117.727911596698,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 119,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aliso-viejo-aliso-ridge-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ca-signature-healthcare-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "054160",
      "ccn": "054160",
      "name": "RIVER VISTA BEHAVIORAL HEALTH",
      "address": "40886 GOODWIN WAY",
      "city": "MADERA",
      "state": "CA",
      "zip": "93636",
      "county": "MADERA",
      "latitude": 36.8829061090705,
      "longitude": -119.804412782185,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 128,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ca-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hcai.ca.gov/equity-measures/hospital/river-vista-behavioral-health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI River Vista report. Resolved parent/control boundary: Universal Health Services. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Matched 1 current CDPH licensed hospital row(s) by normalized name and city. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus California HCAI River Vista report. Resolved parent/control boundary: Universal Health Services. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "060001",
      "ccn": "060001",
      "name": "NORTH COLORADO MEDICAL CENTER",
      "address": "1801 16TH ST",
      "city": "GREELEY",
      "state": "CO",
      "zip": "80631",
      "county": "WELD",
      "latitude": 40.4145676202562,
      "longitude": -104.708577630363,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 378,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greeley-north-colorado-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Banner Health",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-co-banner-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060003",
      "ccn": "060003",
      "name": "LONGMONT UNITED HOSPITAL",
      "address": "1950 MOUNTAIN VIEW AVE",
      "city": "LONGMONT",
      "state": "CO",
      "zip": "80501",
      "county": "BOULDER",
      "latitude": 40.1821357702753,
      "longitude": -105.126653690255,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 186,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longmont-longmont-united-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH INITIATIVES COLORADO",
      "parentSystemId": "entity-catholic-health-initiatives-colorado",
      "siblingGroupId": "siblings-co-catholic-health-initiatives-colorado",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH INITIATIVES COLORADO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH INITIATIVES COLORADO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060008",
      "ccn": "060008",
      "name": "SAN LUIS VALLEY HEALTH",
      "address": "106 BLANCA AVE",
      "city": "ALAMOSA",
      "state": "CO",
      "zip": "81101",
      "county": "ALAMOSA",
      "latitude": 37.4721820002924,
      "longitude": -105.882742379668,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY",
      "parentSystemId": "entity-lutheran-hospital-association-of-the-san-luis-valley",
      "siblingGroupId": "siblings-co-lutheran-hospital-association-of-the-san-luis-valley",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060009",
      "ccn": "060009",
      "name": "INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL",
      "address": "12911 W 40TH AVE",
      "city": "WHEAT RIDGE",
      "state": "CO",
      "zip": "80401",
      "county": "JEFFERSON",
      "latitude": 39.772000649117,
      "longitude": -105.145135251618,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 338,
      "rating": 4,
      "website": "http://www.exempla.org",
      "status": "corporate_chain",
      "evidenceSource": "Colorado Department of Law and CMS Hospital All Owners",
      "evidenceSourceUrl": "https://coag.gov/press-releases/3-31-22/",
      "evidenceAsOf": "2026-07-06",
      "reviewedAt": "2026-07-06",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Government, CMS, and official system sources establish Intermountain Health as the ultimate parent/system and operational controller. This is a major nonprofit health-system warning, not a private-equity ownership claim.",
      "classificationSources": [
        "Colorado Department of Law SCL/Intermountain merger review",
        "Intermountain Health official merger and naming releases",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "PESP Private Equity Hospital Tracker import"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-06",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wheat-ridge-lutheran-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "major_health_system",
      "parentSystem": "INTEGRITY HEALTH",
      "formerOperator": "SCL Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "Colorado Attorney General merger review plus CMS enrollment and owner/control records.",
      "affiliationConfidence": "high",
      "acquiredDate": "April 1, 2022",
      "peFirm": "",
      "caseId": "colorado-intermountain-st-marys",
      "classificationNote": "The CCN-bearing row had the former 8300 W. 38th Ave. campus. CMS enrollment now uses 12911 W. 40th Ave.; the second current-campus map row is retained.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integrity-health",
      "siblingGroupId": "siblings-co-integrity-health",
      "campusFamilyId": "campus-co-060009",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRITY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060010",
      "ccn": "060010",
      "name": "POUDRE VALLEY HOSPITAL",
      "address": "1024 S LEMAY AVE",
      "city": "FORT COLLINS",
      "state": "CO",
      "zip": "80524",
      "county": "LARIMER",
      "latitude": 40.5717845299312,
      "longitude": -105.05691756997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 255,
      "rating": 5,
      "website": "http://www.pvhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UCHealth",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060013",
      "ccn": "060013",
      "name": "MERCY REGIONAL MEDICAL CENTER",
      "address": "1010 THREE SPRINGS BLVD",
      "city": "DURANGO",
      "state": "CO",
      "zip": "81301",
      "county": "LA PLATA",
      "latitude": 37.2360279303558,
      "longitude": -107.826268450065,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 82,
      "rating": 5,
      "website": "http://www.mercydurango.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durango-mercy-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060014",
      "ccn": "060014",
      "name": "HCA HEALTHONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION",
      "address": "1719 E 19TH AVE STE 6B",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7466499202862,
      "longitude": -104.967980619851,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 22,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "campusFamilyId": "campus-co-060014",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "060015",
      "ccn": "060015",
      "name": "CENTURA HEALTH - ST ANTHONY HOSPITAL",
      "address": "11600 W 2ND PL",
      "city": "LAKEWOOD",
      "state": "CO",
      "zip": "80228",
      "county": "JEFFERSON",
      "latitude": 39.7162090397114,
      "longitude": -105.129280049735,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 237,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakewood-centura-health-st-anthony-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060020",
      "ccn": "060020",
      "name": "PARKVIEW MEDICAL CENTER - PUEBLO WEST",
      "address": "899 E INDUSTRIAL BLVD",
      "city": "PUEBLO",
      "state": "CO",
      "zip": "81007",
      "county": "PUEBLO",
      "latitude": 38.3285812001895,
      "longitude": -104.701694900353,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Parkview Health",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-co-parkview-health",
      "campusFamilyId": "campus-co-060020",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060020-loc-co-pueblo-parkview-medical-center-inc",
      "ccn": "060020",
      "name": "PARKVIEW MEDICAL CENTER INC",
      "address": "400 W 16TH ST",
      "city": "PUEBLO",
      "state": "CO",
      "zip": "81003",
      "county": "PUEBLO",
      "latitude": 38.2816371802673,
      "longitude": -104.612736329581,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 350,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pueblo-parkview-medical-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Parkview Health",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-co-parkview-health",
      "campusFamilyId": "campus-co-060020",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "060020"
    },
    {
      "id": "060024",
      "ccn": "060024",
      "name": "UNIVERSITY OF COLORADO HOSPITAL AUTHORITY",
      "address": "12605 E 16TH AVE",
      "city": "AURORA",
      "state": "CO",
      "zip": "80045",
      "county": "ADAMS",
      "latitude": 39.7426293999795,
      "longitude": -104.842028799553,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 698,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060028",
      "ccn": "060028",
      "name": "INTERMOUNTAIN HEALTH SAINT JOSEPH HOSPITAL",
      "address": "1375 E 19TH AVE",
      "city": "DENVER",
      "state": "CO",
      "zip": "80218",
      "county": "DENVER",
      "latitude": 39.7458780701414,
      "longitude": -104.969924339665,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 400,
      "rating": 5,
      "website": "http://www.exempla.org",
      "status": "corporate_chain",
      "evidenceSource": "Colorado Department of Law and CMS Hospital All Owners",
      "evidenceSourceUrl": "https://coag.gov/press-releases/3-31-22/",
      "evidenceAsOf": "2026-07-06",
      "reviewedAt": "2026-07-06",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Government, CMS, and official system sources establish Intermountain Health as the ultimate parent/system and operational controller. This is a major nonprofit health-system warning, not a private-equity ownership claim.",
      "classificationSources": [
        "Colorado Department of Law SCL/Intermountain merger review",
        "Intermountain Health official merger and naming releases",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "PESP Private Equity Hospital Tracker import"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-06",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-saint-joseph-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "major_health_system",
      "parentSystem": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
      "formerOperator": "SCL Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "Colorado Attorney General merger review plus CMS enrollment and owner/control records.",
      "affiliationConfidence": "high",
      "acquiredDate": "April 1, 2022",
      "peFirm": "",
      "caseId": "colorado-intermountain-st-marys",
      "classificationNote": "Current Intermountain system control confirmed.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sisters-of-charity-of-leavenworth-health-system-inc",
      "siblingGroupId": "siblings-co-sisters-of-charity-of-leavenworth-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060031",
      "ccn": "060031",
      "name": "CENTURA HEALTH - PENROSE - ST FRANCI",
      "address": "2222 NORTH NEVADA AVE",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80907",
      "county": "EL PASO",
      "latitude": 38.8652055498745,
      "longitude": -104.822338340278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 300,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060034",
      "ccn": "060034",
      "name": "SWEDISH MEDICAL CENTER",
      "address": "501 E HAMPDEN AVE",
      "city": "ENGLEWOOD",
      "state": "CO",
      "zip": "80113",
      "county": "ARAPAHOE",
      "latitude": 39.6538565902455,
      "longitude": -104.98054029013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 408,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-englewood-swedish-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "060049",
      "ccn": "060049",
      "name": "UCHEALTH YAMPA VALLEY MEDICAL CENTER",
      "address": "1024 CENTRAL PARK DR",
      "city": "STEAMBOAT SPRINGS",
      "state": "CO",
      "zip": "80487",
      "county": "ROUTT",
      "latitude": 40.4632064203168,
      "longitude": -106.814858130114,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 39,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060054",
      "ccn": "060054",
      "name": "COMMUNITY HOSPITAL",
      "address": "2351 G RD",
      "city": "GRAND JUNCTION",
      "state": "CO",
      "zip": "81505",
      "county": "MESA",
      "latitude": 39.1049417102901,
      "longitude": -108.615186390438,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-junction-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COLORADO WEST HEALTHCARE SYSTEM",
      "parentSystemId": "entity-colorado-west-healthcare-system",
      "siblingGroupId": "siblings-co-colorado-west-healthcare-system",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-840469270"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/840469270"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Colorado West Healthcare System. Resolved parent/control boundary: COLORADO WEST HEALTHCARE SYSTEM. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLORADO WEST HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Colorado West Healthcare System. Resolved parent/control boundary: COLORADO WEST HEALTHCARE SYSTEM. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLORADO WEST HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060064",
      "ccn": "060064",
      "name": "ADVENT HEALTH PORTER",
      "address": "2525 S DOWNING ST",
      "city": "DENVER",
      "state": "CO",
      "zip": "80210",
      "county": "DENVER",
      "latitude": 39.6702422287196,
      "longitude": -104.975315936372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 368,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-co-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060071",
      "ccn": "060071",
      "name": "DELTA COUNTY MEMORIAL HOSPITAL",
      "address": "1501 E 3RD ST",
      "city": "DELTA",
      "state": "CO",
      "zip": "81416",
      "county": "DELTA",
      "latitude": 38.7449646197357,
      "longitude": -108.047018610031,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-delta-delta-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DELTA COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-delta-county-memorial-hospital",
      "siblingGroupId": "siblings-co-delta-county-memorial-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: DELTA COUNTY MEMORIAL HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: DELTA COUNTY MEMORIAL HOSPITAL. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "060075",
      "ccn": "060075",
      "name": "VALLEY VIEW HOSPITAL ASSOCIATION",
      "address": "1906 BLAKE AVE",
      "city": "GLENWOOD SPRINGS",
      "state": "CO",
      "zip": "81601",
      "county": "GARFIELD",
      "latitude": 39.5323214799518,
      "longitude": -107.322105390208,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 78,
      "rating": 4,
      "website": "http://www.vvh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glenwood-springs-valley-view-hospital-association/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VALLEY VIEW HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-valley-view-hospital-association",
      "siblingGroupId": "siblings-co-valley-view-hospital-association",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-840446259"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/840446259"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Valley View Hospital Association. Resolved parent/control boundary: VALLEY VIEW HOSPITAL ASSOCIATION. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY VIEW HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Valley View Hospital Association. Resolved parent/control boundary: VALLEY VIEW HOSPITAL ASSOCIATION. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY VIEW HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060076",
      "ccn": "060076",
      "name": "STERLING REGIONAL MED CENTER",
      "address": "615 FAIRHURST ST",
      "city": "STERLING",
      "state": "CO",
      "zip": "80751",
      "county": "LOGAN",
      "latitude": 40.6125290701236,
      "longitude": -103.220758620235,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Banner Health",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-co-banner-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "06007F",
      "ccn": "06007F",
      "name": "GRAND JUNCTION VA MEDICAL CENTER",
      "address": "2121 NORTH AVENUE",
      "city": "GRAND JUNCTION",
      "state": "CO",
      "zip": "81501",
      "county": "MESA",
      "latitude": 39.0767571003368,
      "longitude": -108.540472699774,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "website": "https://www.grandjunction.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "GRAND JUNCTION VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-grand-junction-va-medical-center",
      "siblingGroupId": "siblings-co-grand-junction-va-medical-center",
      "campusFamilyId": "campus-co-06007f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-health-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/health/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND JUNCTION VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA health facility directory. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND JUNCTION VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "060096",
      "ccn": "060096",
      "name": "VAIL HEALTH HOSPITAL",
      "address": "181 W MEADOW DR",
      "city": "VAIL",
      "state": "CO",
      "zip": "81657",
      "county": "EAGLE",
      "latitude": 39.643370270241,
      "longitude": -106.381985230169,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 56,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "VAIL CLINIC INC",
      "parentSystemId": "entity-vail-clinic-inc",
      "siblingGroupId": "siblings-co-vail-clinic-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-vail-clinic-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to VAIL CLINIC INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VAIL CLINIC INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to VAIL CLINIC INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VAIL CLINIC INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060100",
      "ccn": "060100",
      "name": "THE MEDICAL CENTER OF AURORA",
      "address": "1501 S POTOMAC ST",
      "city": "AURORA",
      "state": "CO",
      "zip": "80012",
      "county": "ARAPAHOE",
      "latitude": 39.6900632800635,
      "longitude": -104.831920869738,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 269,
      "rating": 4,
      "website": "http://www.auroramed.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-the-medical-center-of-aurora/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "060104",
      "ccn": "060104",
      "name": "ST ANTHONY NORTH HEALTH CAMPUS",
      "address": "14300 ORCHARD PKWY",
      "city": "WESTMINSTER",
      "state": "CO",
      "zip": "80023",
      "county": "ADAMS",
      "latitude": 39.9565955599594,
      "longitude": -104.991140689859,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 121,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westminster-st-anthony-north-health-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060107",
      "ccn": "060107",
      "name": "NATIONAL JEWISH HEALTH",
      "address": "1400 JACKSON ST",
      "city": "DENVER",
      "state": "CO",
      "zip": "80206",
      "county": "DENVER",
      "latitude": 39.7391367700572,
      "longitude": -104.942057270045,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": null,
      "website": "http://www.njhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-national-jewish-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NATIONAL JEWISH HEALTH",
      "parentSystemId": "entity-national-jewish-health",
      "siblingGroupId": "siblings-co-national-jewish-health",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-742044647"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/742044647"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): National Jewish Health. Resolved parent/control boundary: NATIONAL JEWISH HEALTH. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL JEWISH HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): National Jewish Health. Resolved parent/control boundary: NATIONAL JEWISH HEALTH. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL JEWISH HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060112",
      "ccn": "060112",
      "name": "SKY RIDGE MEDICAL CENTER",
      "address": "10101 RIDGEGATE PKWY",
      "city": "LONE TREE",
      "state": "CO",
      "zip": "80124",
      "county": "DOUGLAS",
      "latitude": 39.5290899601498,
      "longitude": -104.871182400391,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 284,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lone-tree-sky-ridge-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-co-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "060116",
      "ccn": "060116",
      "name": "INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSPITAL",
      "address": "200 EXEMPLA CIR",
      "city": "LAFAYETTE",
      "state": "CO",
      "zip": "80026",
      "county": "BOULDER",
      "latitude": 39.9705351702054,
      "longitude": -105.086559019787,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 234,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "Colorado Department of Law and CMS Hospital All Owners",
      "evidenceSourceUrl": "https://coag.gov/press-releases/3-31-22/",
      "evidenceAsOf": "2026-07-06",
      "reviewedAt": "2026-07-06",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Government, CMS, and official system sources establish Intermountain Health as the ultimate parent/system and operational controller. This is a major nonprofit health-system warning, not a private-equity ownership claim.",
      "classificationSources": [
        "Colorado Department of Law SCL/Intermountain merger review",
        "Intermountain Health official merger and naming releases",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "PESP Private Equity Hospital Tracker import"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-06",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-good-samaritan-medical-center-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "major_health_system",
      "parentSystem": "INTERMOUNTAIN FRONT RANGE, INC.",
      "formerOperator": "SCL Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "Colorado Attorney General merger review plus CMS enrollment and owner/control records.",
      "acquiredDate": "April 1, 2022",
      "peFirm": "",
      "caseId": "colorado-intermountain-st-marys",
      "classificationNote": "Current Intermountain system control confirmed.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-front-range-inc",
      "siblingGroupId": "siblings-co-intermountain-front-range-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN FRONT RANGE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERMOUNTAIN FRONT RANGE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060117",
      "ccn": "060117",
      "name": "ANIMAS SURGICAL HOSPITAL LLC",
      "address": "575 RIVERGATE LN",
      "city": "DURANGO",
      "state": "CO",
      "zip": "81301",
      "county": "LA PLATA",
      "latitude": 37.2490827299879,
      "longitude": -107.87115236001,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 12,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SYMBION HOLDINGS LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durango-animas-surgical-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-symbion-holdings-llc",
      "siblingGroupId": "siblings-co-symbion-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-symbion-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 3 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SYMBION HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SYMBION HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Physician; public/private boundary requires parent routing; 3 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SYMBION HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SYMBION HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "060118",
      "ccn": "060118",
      "name": "ST ANTHONY SUMMIT MEDICAL CENTER",
      "address": "340 PEAK ONE DR",
      "city": "FRISCO",
      "state": "CO",
      "zip": "80443",
      "county": "SUMMIT",
      "latitude": 39.5694368400424,
      "longitude": -106.07795417003,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-frisco-st-anthony-summit-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060119",
      "ccn": "060119",
      "name": "MEDICAL CENTER OF THE ROCKIES",
      "address": "2500 ROCKY MOUNTAIN AVE",
      "city": "LOVELAND",
      "state": "CO",
      "zip": "80538",
      "county": "LARIMER",
      "latitude": 40.4157246700884,
      "longitude": -104.997375500089,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 174,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-loveland-medical-center-of-the-rockies/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "POUDRE VALLEY HEALTH CARE INC",
      "parentSystemId": "entity-poudre-valley-health-care-inc",
      "siblingGroupId": "siblings-co-poudre-valley-health-care-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POUDRE VALLEY HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POUDRE VALLEY HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060126",
      "ccn": "060126",
      "name": "BANNER FORT COLLINS MEDICAL CENTER",
      "address": "4700 LADY MOON DR",
      "city": "FORT COLLINS",
      "state": "CO",
      "zip": "80528",
      "county": "LARIMER",
      "latitude": 40.5211229598739,
      "longitude": -105.009360689659,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 29,
      "rating": null,
      "website": "http://www.bannerhealth.com/locations/colorado/banner+fort+collins+medical+center/_banner+fort+collins+medical+center+home+page.htm",
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-collins-banner-fort-collins-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-co-banner-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060128",
      "ccn": "060128",
      "name": "LONGS PEAK HOSPITAL",
      "address": "1750 E KEN PRATT BLVD",
      "city": "LONGMONT",
      "state": "CO",
      "zip": "80504",
      "county": "BOULDER",
      "latitude": 40.1618508801901,
      "longitude": -105.058370060445,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 57,
      "rating": 5,
      "website": "https://www.uchealth.org/locations/uchealth-longs-peak-hospital/",
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longmont-longs-peak-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060129",
      "ccn": "060129",
      "name": "UCHEALTH BROOMFIELD HOSPITAL",
      "address": "11820 DESTINATION DR",
      "city": "BROOMFIELD",
      "state": "CO",
      "zip": "80021",
      "county": "BROOMFIELD",
      "latitude": 39.9105225697339,
      "longitude": -105.091519000255,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-broomfield-uchealth-broomfield-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "emma-uchealth-audited-financials"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://emma.msrb.org/P11610670.pdf"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060130",
      "ccn": "060130",
      "name": "UCHEALTH GRANDVIEW HOSPITAL",
      "address": "5623 PULPIT PEAK VIEW",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80918",
      "county": "EL PASO",
      "latitude": 38.9108641396919,
      "longitude": -104.816880240392,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "website": "https://www.uchealth.org/locations/uchealth-grandview-hospital/",
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colorado-springs-uchealth-grandview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "emma-uchealth-audited-financials"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://emma.msrb.org/P11610670.pdf"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. Parent-family class audit correction: audited statements establish nonprofit control and resolve the inconsistent CMS facility baseline. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060131",
      "ccn": "060131",
      "name": "UCHEALTH GREELEY HOSPITAL",
      "address": "6767 W 29TH ST",
      "city": "GREELEY",
      "state": "CO",
      "zip": "80634",
      "county": "WELD",
      "latitude": 40.3909429603043,
      "longitude": -104.790536509577,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 53,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greeley-uchealth-greeley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060132",
      "ccn": "060132",
      "name": "UCHEALTH HIGHLANDS RANCH HOSPITAL",
      "address": "1500 PARK CENTRAL DR",
      "city": "HIGHLANDS RANCH",
      "state": "CO",
      "zip": "80129",
      "county": "DOUGLAS",
      "latitude": 39.5524962903368,
      "longitude": -105.00561838005,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 93,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-highlands-ranch-uchealth-highlands-ranch-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "060133",
      "ccn": "060133",
      "name": "ST. FRANCIS HOSPITAL - INTERQUEST",
      "address": "10860 NEW ALLEGIANCE DR",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80921",
      "county": "EL PASO",
      "latitude": 38.9881822511555,
      "longitude": -104.809977821108,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 72,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "061300",
      "ccn": "061300",
      "name": "WEISBROD MEMORIAL COUNTY HOSPITAL",
      "address": "1208 LUTHER ST",
      "city": "EADS",
      "state": "CO",
      "zip": "81036",
      "county": "KIOWA",
      "latitude": 38.4803197301819,
      "longitude": -102.784867430344,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eads-weisbrod-memorial-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF KIOWA HOSPITAL DISTRICT",
      "parentSystemId": "entity-county-of-kiowa-hospital-district",
      "siblingGroupId": "siblings-co-county-of-kiowa-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-county-of-kiowa-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF KIOWA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF KIOWA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061301",
      "ccn": "061301",
      "name": "RIO GRANDE HOSPITAL",
      "address": "310 COUNTY ROAD 14",
      "city": "DEL NORTE",
      "state": "CO",
      "zip": "81132",
      "county": "RIO GRANDE",
      "latitude": 37.6743114196597,
      "longitude": -106.363926830102,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 17,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-del-norte-rio-grande-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC",
      "parentSystemId": "entity-valley-citizens-foundation-for-health-care-inc",
      "siblingGroupId": "siblings-co-valley-citizens-foundation-for-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-valley-citizens-foundation-for-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://riograndehospital.org/valley-citizens-foundation/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution fallbacks exhausted without a defensible current parent/class boundary; the direct operator is retained and no ownership claim is forced. Tail-resolution method: CMS legal-operator/CCN anchor plus Rio Grande Hospital official Valley Citizens Foundation page. Resolved parent/control boundary: Valley Citizens' Foundation for Health Care, Inc.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution fallbacks exhausted without a defensible current parent/class boundary; the direct operator is retained and no ownership claim is forced. Tail-resolution method: CMS legal-operator/CCN anchor plus Rio Grande Hospital official Valley Citizens Foundation page. Resolved parent/control boundary: Valley Citizens' Foundation for Health Care, Inc.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "061303",
      "ccn": "061303",
      "name": "EAST MORGAN COUNTY HOSPITAL",
      "address": "2400 W EDISON ST",
      "city": "BRUSH",
      "state": "CO",
      "zip": "80723",
      "county": "MORGAN",
      "latitude": 40.2558960497565,
      "longitude": -103.649478209769,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Banner Health",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-co-banner-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "061304",
      "ccn": "061304",
      "name": "HAXTUN HOSPITAL DISTRICT",
      "address": "235 W FLETCHER ST",
      "city": "HAXTUN",
      "state": "CO",
      "zip": "80731",
      "county": "PHILLIPS",
      "latitude": 40.6417925001025,
      "longitude": -102.631398230312,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-haxtun-haxtun-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAXTUN HOSPITAL DISTRICT",
      "parentSystemId": "entity-haxtun-hospital-district",
      "siblingGroupId": "siblings-co-haxtun-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "co-verified-parent-haxtun-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://haxtunhealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Haxtun Health official page. Resolved parent/control boundary: Haxtun Hospital District. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAXTUN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Haxtun Health official page. Resolved parent/control boundary: Haxtun Hospital District. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAXTUN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061305",
      "ccn": "061305",
      "name": "MELISSA MEMORIAL HOSPITAL",
      "address": "1001 E JOHNSON ST",
      "city": "HOLYOKE",
      "state": "CO",
      "zip": "80734",
      "county": "PHILLIPS",
      "latitude": 40.5792708399036,
      "longitude": -102.289902539583,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-holyoke-melissa-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EAST PHILLIPS COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-east-phillips-county-hospital-district",
      "siblingGroupId": "siblings-co-east-phillips-county-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-east-phillips-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENT - SPECIAL DISTRICT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST PHILLIPS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENT - SPECIAL DISTRICT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST PHILLIPS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061306",
      "ccn": "061306",
      "name": "LINCOLN HEALTH HOSPITAL",
      "address": "111 6TH ST",
      "city": "HUGO",
      "state": "CO",
      "zip": "80821",
      "county": "LINCOLN",
      "latitude": 39.1384358898513,
      "longitude": -103.473737200171,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF LINCOLN",
      "parentSystemId": "entity-county-of-lincoln",
      "siblingGroupId": "siblings-co-county-of-lincoln",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LINCOLN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LINCOLN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061307",
      "ccn": "061307",
      "name": "RANGELY DISTRICT HOSPITAL",
      "address": "225 EAGLE CREST DR",
      "city": "RANGELY",
      "state": "CO",
      "zip": "81648",
      "county": "RIO BLANCO",
      "latitude": 40.0787891497328,
      "longitude": -108.806860950283,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rangely-rangely-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RANGELY HOSPITAL DISTRICT",
      "parentSystemId": "entity-rangely-hospital-district",
      "siblingGroupId": "siblings-co-rangely-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "co-verified-parent-rangely-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: RANGELY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RANGELY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: RANGELY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RANGELY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061308",
      "ccn": "061308",
      "name": "SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL",
      "address": "19021 US HIGHWAY 285",
      "city": "LA JARA",
      "state": "CO",
      "zip": "81140",
      "county": "CONEJOS",
      "latitude": 37.2627940397775,
      "longitude": -105.965533530026,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-jara-san-luis-valley-health-conejos-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY",
      "parentSystemId": "entity-lutheran-hospital-association-of-the-san-luis-valley",
      "siblingGroupId": "siblings-co-lutheran-hospital-association-of-the-san-luis-valley",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "061309",
      "ccn": "061309",
      "name": "WRAY COMMUNITY DISTRICT HOSPITAL",
      "address": "1017 W 7TH ST",
      "city": "WRAY",
      "state": "CO",
      "zip": "80758",
      "county": "YUMA",
      "latitude": 40.0762033696899,
      "longitude": -102.234996610204,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "website": "http://www.wcdh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wray-wray-community-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WRAY COMMUNITY DISTRICT HOSPITAL",
      "parentSystemId": "entity-wray-community-district-hospital",
      "siblingGroupId": "siblings-co-wray-community-district-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-wray-community-district-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to WRAY COMMUNITY DISTRICT HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WRAY COMMUNITY DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to WRAY COMMUNITY DISTRICT HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WRAY COMMUNITY DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061310",
      "ccn": "061310",
      "name": "SEDGWICK COUNTY MEMORIAL HOSPITAL",
      "address": "900 CEDAR ST",
      "city": "JULESBURG",
      "state": "CO",
      "zip": "80737",
      "county": "SEDGWICK",
      "latitude": 40.9939188901062,
      "longitude": -102.268324220433,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-julesburg-sedgwick-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SEDGWICK COUNTY",
      "parentSystemId": "entity-sedgwick-county",
      "siblingGroupId": "siblings-co-sedgwick-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEDGWICK COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEDGWICK COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061311",
      "ccn": "061311",
      "name": "SOUTHEAST COLORADO HOSPITAL",
      "address": "373 E 10TH AVE",
      "city": "SPRINGFIELD",
      "state": "CO",
      "zip": "81073",
      "county": "BACA",
      "latitude": 37.4043703802351,
      "longitude": -102.612282910211,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 23,
      "rating": null,
      "website": "http://www.sechosp.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-southeast-colorado-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTHEAST COLORADO HOSPITAL DISTRICT",
      "parentSystemId": "entity-southeast-colorado-hospital-district",
      "siblingGroupId": "siblings-co-southeast-colorado-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-southeast-colorado-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST COLORADO HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST COLORADO HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061312",
      "ccn": "061312",
      "name": "ESTES PARK MEDICAL CENTER",
      "address": "555 PROSPECT AVE",
      "city": "ESTES PARK",
      "state": "CO",
      "zip": "80517",
      "county": "LARIMER",
      "latitude": 40.3715228596647,
      "longitude": -105.515112389552,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-estes-park-estes-park-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PARK HOSPITAL DISTRICT",
      "parentSystemId": "entity-park-hospital-district",
      "siblingGroupId": "siblings-co-park-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-park-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENTAL ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENTAL ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061313",
      "ccn": "061313",
      "name": "KIT CARSON COUNTY MEMORIAL HOSPITAL",
      "address": "286 16TH ST",
      "city": "BURLINGTON",
      "state": "CO",
      "zip": "80807",
      "county": "KIT CARSON",
      "latitude": 39.3031959999562,
      "longitude": -102.270491999842,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burlington-kit-carson-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KIT CARSON COUNTY HEALTH SERVICES DISTRICT",
      "parentSystemId": "entity-kit-carson-county-health-services-district",
      "siblingGroupId": "siblings-co-kit-carson-county-health-services-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: KIT CARSON COUNTY HEALTH SERVICES DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIT CARSON COUNTY HEALTH SERVICES DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: KIT CARSON COUNTY HEALTH SERVICES DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIT CARSON COUNTY HEALTH SERVICES DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061314",
      "ccn": "061314",
      "name": "THE MEMORIAL HOSPITAL",
      "address": "750 HOSPITAL LOOP",
      "city": "CRAIG",
      "state": "CO",
      "zip": "81625",
      "county": "MOFFAT",
      "latitude": 40.5184976602746,
      "longitude": -107.580119739675,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.memorialhealthsystem.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-craig-memorial-hospital-the/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF MOFFAT",
      "parentSystemId": "entity-county-of-moffat",
      "siblingGroupId": "siblings-co-county-of-moffat",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MOFFAT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MOFFAT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061315",
      "ccn": "061315",
      "name": "YUMA DISTRICT HOSPITAL",
      "address": "1000 W 8TH AVE",
      "city": "YUMA",
      "state": "CO",
      "zip": "80759",
      "county": "YUMA",
      "latitude": 40.1202595200069,
      "longitude": -102.736711179702,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yuma-yuma-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "YUMA DISTRICT HOSPITAL",
      "parentSystemId": "entity-yuma-district-hospital",
      "siblingGroupId": "siblings-co-yuma-district-hospital",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENTAL ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YUMA DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENTAL ENTITY. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YUMA DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061316",
      "ccn": "061316",
      "name": "SPANISH PEAKS REGIONAL HEALTH CENTER",
      "address": "23500 US HWY 160",
      "city": "WALSENBURG",
      "state": "CO",
      "zip": "81089",
      "county": "HUERFANO",
      "latitude": 37.6005167196846,
      "longitude": -104.831178019592,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "website": "http://www.sprhc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-walsenburg-spanish-peaks-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HUERFANO COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-huerfano-county-hospital-district",
      "siblingGroupId": "siblings-co-huerfano-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-huerfano-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUERFANO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUERFANO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061318",
      "ccn": "061318",
      "name": "MIDDLE PARK MEDICAL CENTER",
      "address": "214 S 4TH ST",
      "city": "KREMMLING",
      "state": "CO",
      "zip": "80459",
      "county": "GRAND",
      "latitude": 40.0569715702801,
      "longitude": -106.390413889817,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kremmling-middle-park-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KREMMLING MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-kremmling-memorial-hospital-district",
      "siblingGroupId": "siblings-co-kremmling-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-kremmling-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KREMMLING MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KREMMLING MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061319",
      "ccn": "061319",
      "name": "ST VINCENT GENERAL HOSPITAL DISTRICT",
      "address": "816 W 4TH ST",
      "city": "LEADVILLE",
      "state": "CO",
      "zip": "80461",
      "county": "LAKE",
      "latitude": 39.2449990400911,
      "longitude": -106.303452960234,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leadville-st-vincent-general-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ST. VINCENT GENERAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-st-vincent-general-hospital-district",
      "siblingGroupId": "siblings-co-st-vincent-general-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-st-vincent-general-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT GENERAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT GENERAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061320",
      "ccn": "061320",
      "name": "GUNNISON VALLEY HOSPITAL",
      "address": "711 N TAYLOR ST",
      "city": "GUNNISON",
      "state": "CO",
      "zip": "81230",
      "county": "GUNNISON",
      "latitude": 38.5513953600678,
      "longitude": -106.924745839919,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gunnison-gunnison-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF GUNNISON",
      "parentSystemId": "entity-county-of-gunnison",
      "siblingGroupId": "siblings-co-county-of-gunnison",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY OWNED NOT FOR PROFIT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GUNNISON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as COUNTY OWNED NOT FOR PROFIT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GUNNISON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061321",
      "ccn": "061321",
      "name": "MT SAN RAFAEL HOSPITAL",
      "address": "410 BENEDICTA AVE",
      "city": "TRINIDAD",
      "state": "CO",
      "zip": "81082",
      "county": "LAS ANIMAS",
      "latitude": 37.1732063997588,
      "longitude": -104.487611630387,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-trinidad-mt-san-rafael-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TRINIDAD AREA HEALTH ASSOCIATION",
      "parentSystemId": "entity-trinidad-area-health-association",
      "siblingGroupId": "siblings-co-trinidad-area-health-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-trinidad-area-health-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to TRINIDAD AREA HEALTH ASSOCIATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRINIDAD AREA HEALTH ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to TRINIDAD AREA HEALTH ASSOCIATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRINIDAD AREA HEALTH ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "061322",
      "ccn": "061322",
      "name": "HEART OF THE ROCKIES REGIONAL MEDICAL CENTER",
      "address": "1000 RUSH DR",
      "city": "SALIDA",
      "state": "CO",
      "zip": "81201",
      "county": "CHAFFEE",
      "latitude": 38.5432124098083,
      "longitude": -106.008846779715,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salida-heart-of-the-rockies-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SALIDA HOSPITAL DISTRICT",
      "parentSystemId": "entity-salida-hospital-district",
      "siblingGroupId": "siblings-co-salida-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-salida-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as LOCAL GOVERNMENT SPECIAL DISTRICT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALIDA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as LOCAL GOVERNMENT SPECIAL DISTRICT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALIDA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061323",
      "ccn": "061323",
      "name": "PROWERS MEDICAL CENTER",
      "address": "401 KENDALL DR",
      "city": "LAMAR",
      "state": "CO",
      "zip": "81052",
      "county": "PROWERS",
      "latitude": 38.0706089802024,
      "longitude": -102.610123189588,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lamar-prowers-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PROWERS COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-prowers-county-hospital-district",
      "siblingGroupId": "siblings-co-prowers-county-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "co-verified-parent-prowers-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: PROWERS COUNTY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROWERS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: PROWERS COUNTY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROWERS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061324",
      "ccn": "061324",
      "name": "ASPEN VALLEY HOSPITAL",
      "address": "401 CASTLE CREEK RD",
      "city": "ASPEN",
      "state": "CO",
      "zip": "81611",
      "county": "PITKIN",
      "latitude": 39.1903806498052,
      "longitude": -106.83953949975,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aspen-aspen-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ASPEN VALLEY HOSPITAL DISTRICT",
      "parentSystemId": "entity-aspen-valley-hospital-district",
      "siblingGroupId": "siblings-co-aspen-valley-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-verified-parent-aspen-valley-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPEN VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPEN VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061326",
      "ccn": "061326",
      "name": "UCHEALTH PIKES PEAK REGIONAL HOSPITAL",
      "address": "16420 W US HIGHWAY 24",
      "city": "WOODLAND PARK",
      "state": "CO",
      "zip": "80863",
      "county": "TELLER",
      "latitude": 38.9743439600284,
      "longitude": -105.07371200989,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UCHealth",
      "affiliatedSystem": "UCHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UCHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodland-park-uchealth-pikes-peak-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-uchealth",
      "siblingGroupId": "siblings-co-uchealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-uchealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UCHealth; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UCHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "061327",
      "ccn": "061327",
      "name": "SOUTHWEST MEMORIAL HOSPITAL",
      "address": "1311 N MILDRED RD",
      "city": "CORTEZ",
      "state": "CO",
      "zip": "81321",
      "county": "MONTEZUMA",
      "latitude": 37.362202200238,
      "longitude": -108.574524939619,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.swhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHWEST HEALTH SYSTEM INC",
      "parentSystemId": "entity-southwest-health-system-inc",
      "siblingGroupId": "siblings-co-southwest-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "061328",
      "ccn": "061328",
      "name": "PAGOSA SPRINGS MEDICAL CENTER",
      "address": "95 S PAGOSA BLVD",
      "city": "PAGOSA SPRINGS",
      "state": "CO",
      "zip": "81147",
      "county": "ARCHULETA",
      "latitude": 37.2521482498171,
      "longitude": -107.078311960085,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pagosa-springs-pagosa-springs-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UPPER SAN JUAN HEALTH SERVICE DISTRICT",
      "parentSystemId": "entity-upper-san-juan-health-service-district",
      "siblingGroupId": "siblings-co-upper-san-juan-health-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-upper-san-juan-health-service-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UPPER SAN JUAN HEALTH SERVICE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPPER SAN JUAN HEALTH SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to UPPER SAN JUAN HEALTH SERVICE DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPPER SAN JUAN HEALTH SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061343",
      "ccn": "061343",
      "name": "KEEFE MEMORIAL HOSPITAL",
      "address": "602 N 6TH ST W",
      "city": "CHEYENNE WELLS",
      "state": "CO",
      "zip": "80810",
      "county": "CHEYENNE",
      "latitude": 38.8257277800867,
      "longitude": -102.355011310279,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.keefememorialhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cheyenne-wells-keefe-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KEEFE MEMORIAL HEALTH SERVICE DISTRICT",
      "parentSystemId": "entity-keefe-memorial-health-service-district",
      "siblingGroupId": "siblings-co-keefe-memorial-health-service-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: KEEFE MEMORIAL HEALTH SERVICE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEEFE MEMORIAL HEALTH SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: KEEFE MEMORIAL HEALTH SERVICE DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEEFE MEMORIAL HEALTH SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "061344",
      "ccn": "061344",
      "name": "CENTURA HEALTH - ST THOMAS MORE HOSPITAL",
      "address": "1338 PHAY AVE",
      "city": "CANON CITY",
      "state": "CO",
      "zip": "81212",
      "county": "FREMONT",
      "latitude": 38.4552919101255,
      "longitude": -105.230946790387,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.stmhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canon-city-centura-health-st-thomas-more-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-co-commonspirit-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "063301",
      "ccn": "063301",
      "name": "CHILDREN'S HOSPITAL COLORADO",
      "address": "13123 E 16TH AVE",
      "city": "AURORA",
      "state": "CO",
      "zip": "80045",
      "county": "ADAMS",
      "latitude": 39.7421764157255,
      "longitude": -104.834684550184,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 468,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITAL COLORADO",
      "parentSystemId": "entity-children-s-hospital-colorado",
      "siblingGroupId": "siblings-co-children-s-hospital-colorado",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-children-s-hospital-colorado"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.childrenscolorado.org/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Children's Hospital Colorado official about page. Resolved parent/control boundary: Children's Hospital Colorado. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL COLORADO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Children's Hospital Colorado official about page. Resolved parent/control boundary: Children's Hospital Colorado. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL COLORADO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "064007",
      "ccn": "064007",
      "name": "CENTENNIAL PEAKS HOSPITAL",
      "address": "2255 S 88TH ST",
      "city": "LOUISVILLE",
      "state": "CO",
      "zip": "80027",
      "county": "BOULDER",
      "latitude": 39.9519119202453,
      "longitude": -105.147951530221,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 104,
      "rating": null,
      "website": "http://www.centennialpeaks.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-centennial-peaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UHS OF DENVER INC",
      "parentSystemId": "entity-uhs-of-denver-inc",
      "siblingGroupId": "siblings-co-uhs-of-denver-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF DENVER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF DENVER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "064024",
      "ccn": "064024",
      "name": "HIGHLANDS BEHAVIORAL HEALTH SYSTEM",
      "address": "8565 S POPLAR WAY",
      "city": "LITTLETON",
      "state": "CO",
      "zip": "80130",
      "county": "DOUGLAS",
      "latitude": 39.5627578000462,
      "longitude": -104.907673129652,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": null,
      "website": "http://www.highlandsbhs.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-littleton-highlands-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-co-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "064026",
      "ccn": "064026",
      "name": "PEAK VIEW BEHAVIORAL HEALTH",
      "address": "7353 SISTERS GROVE",
      "city": "COLORADO SPRINGS",
      "state": "CO",
      "zip": "80923",
      "county": "EL PASO",
      "latitude": 38.9374869802003,
      "longitude": -104.71296912997,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 112,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "November 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colorado-springs-peak-view-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-co-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-remediation-sbhc-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/health-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "064028",
      "ccn": "064028",
      "name": "DENVER SPRINGS",
      "address": "8835 AMERICAN WY",
      "city": "ENGLEWOOD",
      "state": "CO",
      "zip": "80112",
      "county": "DOUGLAS",
      "latitude": 39.5567824401096,
      "longitude": -104.827551550434,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 96,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-englewood-denver-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-co-dsb-acquisition-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "co-cdphe-find-and-compare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cdphe.colorado.gov/find-and-compare-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "064029",
      "ccn": "064029",
      "name": "JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH LLC",
      "address": "4770 LARIMER PKWY",
      "city": "JOHNSTOWN",
      "state": "CO",
      "zip": "80534",
      "county": "LARIMER",
      "latitude": 40.4043987000515,
      "longitude": -104.975088630266,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 92,
      "rating": null,
      "status": "closed",
      "relationshipType": "ownership",
      "parentSystem": "JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH",
      "peFirm": "Patient Square Capital",
      "evidenceSource": "PESP — PE-owned behavioral health hospital closes",
      "evidenceSourceUrl": "https://pestakeholder.org/news/pe-owned-behavioral-health-hospital-closes/",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "baseline",
      "classificationReason": "JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH LLC closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Patient Square Capital; operating platform: Summit Behavioral Healthcare. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "PESP — PE-owned behavioral health hospital closes",
        "https://pestakeholder.org/news/pe-owned-behavioral-health-hospital-closes/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "hospitalId": "064029",
      "formerOperator": "Summit Behavioral Healthcare",
      "acquiredDate": "2021",
      "closureDate": "2025-03-31",
      "closureSource": "PESP — PE-owned behavioral health hospital closes",
      "closureSourceUrl": "https://pestakeholder.org/news/pe-owned-behavioral-health-hospital-closes/",
      "historicalPeOwnership": true,
      "closureYear": 2025,
      "closureStatusLabel": "Closed / shut down in 2025",
      "closureSummary": "JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH LLC closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Patient Square Capital; operating platform: Summit Behavioral Healthcare. This sequence does not by itself prove that PE ownership caused the closure.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "The closure source documents cessation of hospital operations in 2025; it does not establish that private equity caused the closure.",
      "acquisitionSourceId": "pe-acquisition-064029",
      "closureSourceId": "closure-064029",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-johnstown-heights-behavioral-health",
      "siblingGroupId": "siblings-co-johnstown-heights-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "co-manual-064029"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://johnstownheights.com/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Johnstown Heights official site. Resolved parent/control boundary: Summit Behavioral Healthcare. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. Residual remediation: facility-specific primary-source resolution to Summit Behavioral Healthcare; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Johnstown Heights official site. Resolved parent/control boundary: Summit Behavioral Healthcare. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. Residual remediation: facility-specific primary-source resolution to Summit Behavioral Healthcare; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSTOWN HEIGHTS BEHAVIORAL HEALTH, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "070003",
      "ccn": "070003",
      "name": "DAY KIMBALL HOSPITAL",
      "address": "320 POMFRET ST",
      "city": "PUTNAM",
      "state": "CT",
      "zip": "06260",
      "county": "NORTHEASTERN CONNECTICUT",
      "latitude": 41.9066599797994,
      "longitude": -71.9144551996435,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": 2,
      "website": "https://www.daykimball.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-putnam-day-kimball-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DAY KIMBALL HEALTHCARE, INC.",
      "parentSystemId": "entity-day-kimball-healthcare-inc",
      "siblingGroupId": "siblings-ct-day-kimball-healthcare-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-060646599"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/060646599"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Day Kimball Healthcare Inc. Resolved parent/control boundary: DAY KIMBALL HEALTHCARE, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAY KIMBALL HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Day Kimball Healthcare Inc. Resolved parent/control boundary: DAY KIMBALL HEALTHCARE, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAY KIMBALL HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070004",
      "ccn": "070004",
      "name": "SHARON HOSPITAL",
      "address": "50 HOSPITAL HILL RD",
      "city": "SHARON",
      "state": "CT",
      "zip": "06069",
      "county": "NORTHWEST HILLS",
      "latitude": 41.8805426297512,
      "longitude": -73.4817383299984,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 78,
      "rating": 5,
      "website": "https://www.nuvancehealth.org/locations/sharon-hospital",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sharon-sharon-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTH QUEST SYSTEMS INC",
      "parentSystemId": "entity-health-quest-systems-inc",
      "siblingGroupId": "siblings-ct-health-quest-systems-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070005",
      "ccn": "070005",
      "name": "THE WATERBURY HOSPITAL",
      "address": "64 ROBBINS ST",
      "city": "WATERBURY",
      "state": "CT",
      "zip": "06708",
      "county": "NAUGATUCK VALLEY",
      "latitude": 41.5597588498164,
      "longitude": -73.0587052001807,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 357,
      "rating": 2,
      "website": "http://www.waterburyhospital.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waterbury-waterbury-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHAMBER INC",
      "parentSystemId": "entity-chamber-inc",
      "siblingGroupId": "siblings-ct-chamber-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS identifies a for-profit organization ownership-interest row and exact normalized names in the disclosed CMS owner chain did not match the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "070006",
      "ccn": "070006",
      "name": "THE STAMFORD HOSPITAL",
      "address": "1 HOSPITAL PLAZA, PO BOX 9317",
      "city": "STAMFORD",
      "state": "CT",
      "zip": "06904",
      "county": "WESTERN CONNECTICUT",
      "latitude": 41.055016689959,
      "longitude": -73.5531250803633,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 305,
      "rating": 5,
      "website": "https://www.stamfordhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stamford-stamford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "STAMFORD HOSPITAL",
      "parentSystemId": "entity-stamford-hospital",
      "siblingGroupId": "siblings-ct-stamford-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-060646917"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/060646917"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Stamford Hospital. Resolved parent/control boundary: STAMFORD HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STAMFORD HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Stamford Hospital. Resolved parent/control boundary: STAMFORD HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STAMFORD HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070007",
      "ccn": "070007",
      "name": "LAWRENCE MEMORIAL HOSPITAL",
      "address": "365 MONTAUK AVE",
      "city": "NEW LONDON",
      "state": "CT",
      "zip": "06320",
      "county": "SOUTHEASTERN CONNECTICUT",
      "latitude": 41.3364517796637,
      "longitude": -72.1049764601062,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 280,
      "rating": 3,
      "website": "http://www.lmhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAWRENCE AND MEMORIAL HOSPITAL INC.",
      "parentSystemId": "entity-lawrence-and-memorial-hospital-inc",
      "siblingGroupId": "siblings-ct-lawrence-and-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-yale-new-haven-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ynhhs.org/about"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Yale New Haven Health official about page. Resolved parent/control boundary: Yale New Haven Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE AND MEMORIAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Yale New Haven Health official about page. Resolved parent/control boundary: Yale New Haven Health. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE AND MEMORIAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070008",
      "ccn": "070008",
      "name": "JOHNSON MEMORIAL HOSPITAL",
      "address": "201 CHESTNUT HILL RD",
      "city": "STAFFORD SPRINGS",
      "state": "CT",
      "zip": "06076",
      "county": "CAPITOL",
      "latitude": 41.9801016800657,
      "longitude": -72.390886380042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 64,
      "rating": 3,
      "website": "http://www.jmmc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stafford-springs-johnson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ct-trinity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070010",
      "ccn": "070010",
      "name": "BRIDGEPORT HOSPITAL",
      "address": "267 GRANT ST",
      "city": "BRIDGEPORT",
      "state": "CT",
      "zip": "06610",
      "county": "GREATER BRIDGEPORT",
      "latitude": 41.1893773799434,
      "longitude": -73.1665947199262,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 501,
      "rating": 4,
      "website": "https://www.bridgeporthospital.org/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bridgeport-bridgeport-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "parentSystemId": "entity-yale-new-haven-health-services-corporation",
      "siblingGroupId": "siblings-ct-yale-new-haven-health-services-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070011",
      "ccn": "070011",
      "name": "THE CHARLOTTE HUNGERFORD HOSPITAL",
      "address": "540 LITCHFIELD ST",
      "city": "TORRINGTON",
      "state": "CT",
      "zip": "06790",
      "county": "NORTHWEST HILLS",
      "latitude": 41.791838300016,
      "longitude": -73.1331193197654,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 109,
      "rating": 3,
      "website": "http://www.charlottehungerford.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-torrington-charlotte-hungerford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070016",
      "ccn": "070016",
      "name": "SAINT MARY'S HOSPITAL, INC",
      "address": "56 FRANKLIN ST",
      "city": "WATERBURY",
      "state": "CT",
      "zip": "06706",
      "county": "NAUGATUCK VALLEY",
      "latitude": 41.5532058602673,
      "longitude": -73.0367104903365,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 347,
      "rating": 3,
      "website": "https://www.trinityhealthofne.org/location/saint-marys-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waterbury-saint-marys-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ct-trinity-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070017",
      "ccn": "070017",
      "name": "MIDSTATE MEDICAL CENTER",
      "address": "435 LEWIS AVE",
      "city": "MERIDEN",
      "state": "CT",
      "zip": "06451",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.5493917699239,
      "longitude": -72.801229109554,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 156,
      "rating": 4,
      "website": "http://www.midstatemedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meriden-midstate-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070018",
      "ccn": "070018",
      "name": "GREENWICH HOSPITAL",
      "address": "5 PERRYRIDGE RD",
      "city": "GREENWICH",
      "state": "CT",
      "zip": "06830",
      "county": "WESTERN CONNECTICUT",
      "latitude": 41.0338260899327,
      "longitude": -73.6302931803859,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 206,
      "rating": 5,
      "website": "http://www.greenhosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "parentSystemId": "entity-yale-new-haven-health-services-corporation",
      "siblingGroupId": "siblings-ct-yale-new-haven-health-services-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070020",
      "ccn": "070020",
      "name": "MIDDLESEX HOSPITAL",
      "address": "28 CRESCENT ST",
      "city": "MIDDLETOWN",
      "state": "CT",
      "zip": "06457",
      "county": "LOWER CONNECTICUT RIVER VALLEY",
      "latitude": 41.5543372600944,
      "longitude": -72.6475693804437,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 297,
      "rating": 3,
      "website": "http://middlesexhospital.org/locations/middlesex-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middletown-middlesex-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MIDDLESEX HOSPITAL",
      "parentSystemId": "entity-middlesex-hospital",
      "siblingGroupId": "siblings-ct-middlesex-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-060646718"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/060646718"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Middlesex Hospital. Resolved parent/control boundary: MIDDLESEX HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDDLESEX HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Middlesex Hospital. Resolved parent/control boundary: MIDDLESEX HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDDLESEX HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070021",
      "ccn": "070021",
      "name": "WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC",
      "address": "112 MANSFIELD AVE",
      "city": "WILLIMANTIC",
      "state": "CT",
      "zip": "06226",
      "county": "SOUTHEASTERN CONNECTICUT",
      "latitude": 41.7173006400395,
      "longitude": -72.226375260116,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": 3,
      "website": "http://www.windhamhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-willimantic-windham-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070022",
      "ccn": "070022",
      "name": "YALE NEW HAVEN HOSPITAL, INC",
      "address": "20 YORK ST",
      "city": "NEW HAVEN",
      "state": "CT",
      "zip": "06510",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.304691340233,
      "longitude": -72.9354136597487,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1541,
      "rating": 5,
      "website": "http://www.ynhh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-haven-yale-new-haven-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "parentSystemId": "entity-yale-new-haven-health-services-corporation",
      "siblingGroupId": "siblings-ct-yale-new-haven-health-services-corporation",
      "campusFamilyId": "campus-ct-070022",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070022-loc-ct-new-haven-yale-new-haven-hospital-saint-raphael-cam",
      "ccn": "070022",
      "name": "YALE-NEW HAVEN HOSPITAL SAINT RAPHAEL CAMPUS",
      "address": "1450 CHAPEL ST",
      "city": "NEW HAVEN",
      "state": "CT",
      "zip": "06511",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.3099993601002,
      "longitude": -72.9424829204361,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 511,
      "rating": 5,
      "website": "http://www.ynhh.org/src/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-haven-yale-new-haven-hospital-saint-raphael-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "parentSystemId": "entity-yale-new-haven-health-services-corporation",
      "siblingGroupId": "siblings-ct-yale-new-haven-health-services-corporation",
      "campusFamilyId": "campus-ct-070022",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "070022"
    },
    {
      "id": "070024",
      "ccn": "070024",
      "name": "THE WILLIAM W. BACKUS HOSPITAL",
      "address": "326 WASHINGTON ST",
      "city": "NORWICH",
      "state": "CT",
      "zip": "06360",
      "county": "SOUTHEASTERN CONNECTICUT",
      "latitude": 41.5427735599122,
      "longitude": -72.089318810331,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 213,
      "rating": 4,
      "website": "http://www.backushospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norwich-william-w-backus-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070025",
      "ccn": "070025",
      "name": "HARTFORD HOSPITAL",
      "address": "200 RETREAT AVENUE",
      "city": "HARTFORD",
      "state": "CT",
      "zip": "06106",
      "county": "CAPITOL",
      "latitude": 41.7496710001448,
      "longitude": -72.6821331003509,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "website": "https://instituteofliving.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "campusFamilyId": "campus-ct-070025",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070025-loc-ct-hartford-hartford-hospital",
      "ccn": "070025",
      "name": "HARTFORD HOSPITAL",
      "address": "80 SEYMOUR ST",
      "city": "HARTFORD",
      "state": "CT",
      "zip": "06106",
      "county": "CAPITOL",
      "latitude": 41.7537468699568,
      "longitude": -72.6803246596317,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 867,
      "rating": 4,
      "website": "https://hartfordhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "campusFamilyId": "campus-ct-070025",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "070025"
    },
    {
      "id": "070025-loc-ct-hartford-hartford-hospital-2",
      "ccn": "070025",
      "name": "HARTFORD HOSPITAL",
      "address": "80 SEYMOUR STREET",
      "city": "HARTFORD",
      "state": "CT",
      "zip": "06102",
      "county": "CAPITOL",
      "latitude": 41.7541254203179,
      "longitude": -72.6791778901029,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 867,
      "rating": 4,
      "website": "http://www.harthosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "campusFamilyId": "campus-ct-070025",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "070025"
    },
    {
      "id": "070027",
      "ccn": "070027",
      "name": "MANCHESTER MEMORIAL HOSPITAL",
      "address": "71 HAYNES ST",
      "city": "MANCHESTER",
      "state": "CT",
      "zip": "06040",
      "county": "CAPITOL",
      "latitude": 41.7815081701035,
      "longitude": -72.5256751595547,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 249,
      "rating": 4,
      "website": "http://www.echn.org/locations/manchester-memorial-hospital.aspx",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manchester-manchester-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070028",
      "ccn": "070028",
      "name": "ST. VINCENT'S MEDICAL CENTER",
      "address": "2800 MAIN ST",
      "city": "BRIDGEPORT",
      "state": "CT",
      "zip": "06606",
      "county": "GREATER BRIDGEPORT",
      "latitude": 41.2010451802619,
      "longitude": -73.2017022403806,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 473,
      "rating": 4,
      "website": "http://www.stvincents.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bridgeport-st-vincent-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070029",
      "ccn": "070029",
      "name": "BRISTOL HOSPITAL, INC",
      "address": "41 BREWSTER RD",
      "city": "BRISTOL",
      "state": "CT",
      "zip": "06010",
      "county": "NAUGATUCK VALLEY",
      "latitude": 41.6763428596861,
      "longitude": -72.9355129298759,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 154,
      "rating": 2,
      "website": "http://www.bristolhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bristol-bristol-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRISTOL HOSPITAL AND HEALTH CARE GROUP",
      "parentSystemId": "entity-bristol-hospital-and-health-care-group",
      "siblingGroupId": "siblings-ct-bristol-hospital-and-health-care-group",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-remediation-bristol-hospital-and-health-care-group"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://portal.ct.gov/dph/health-care-quality-and-safety/health-care-quality-and-safety"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BRISTOL HOSPITAL AND HEALTH CARE GROUP; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRISTOL HOSPITAL AND HEALTH CARE GROUP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BRISTOL HOSPITAL AND HEALTH CARE GROUP; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRISTOL HOSPITAL AND HEALTH CARE GROUP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070031",
      "ccn": "070031",
      "name": "GRIFFIN HOSPITAL",
      "address": "130 DIVISION ST",
      "city": "DERBY",
      "state": "CT",
      "zip": "06418",
      "county": "NAUGATUCK VALLEY",
      "latitude": 41.3356130002854,
      "longitude": -73.0892051402703,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 160,
      "rating": 4,
      "website": "http://www.griffinhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-derby-griffin-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE GRIFFIN HOSPITAL",
      "parentSystemId": "entity-the-griffin-hospital",
      "siblingGroupId": "siblings-ct-the-griffin-hospital",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-060647014"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/060647014"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): The Griffin Hospital. Resolved parent/control boundary: THE GRIFFIN HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GRIFFIN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): The Griffin Hospital. Resolved parent/control boundary: THE GRIFFIN HOSPITAL. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GRIFFIN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070033",
      "ccn": "070033",
      "name": "THE DANBURY HOSPITAL",
      "address": "24 HOSPITAL AVE",
      "city": "DANBURY",
      "state": "CT",
      "zip": "06810",
      "county": "WESTERN CONNECTICUT",
      "latitude": 41.4050509001953,
      "longitude": -73.4461948598316,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 456,
      "rating": 4,
      "website": "http://www.danburyhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danbury-danbury-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-northwell-health-system-inc",
      "siblingGroupId": "siblings-ct-northwell-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070034",
      "ccn": "070034",
      "name": "NORWALK HOSPITAL",
      "address": "24 STEVENS STREET",
      "city": "NORWALK",
      "state": "CT",
      "zip": "06856",
      "county": "WESTERN CONNECTICUT",
      "latitude": 41.1115301699755,
      "longitude": -73.4219456202711,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 366,
      "rating": 3,
      "website": "https://www.nuvancehealth.org/locations/norwalk-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norwalk-norwalk-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-northwell-health-system-inc",
      "siblingGroupId": "siblings-ct-northwell-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070035",
      "ccn": "070035",
      "name": "THE HOSPITAL OF CENTRAL CONNECTICUT",
      "address": "100 GRAND ST",
      "city": "NEW BRITAIN",
      "state": "CT",
      "zip": "06052",
      "county": "CAPITOL",
      "latitude": 41.661048669701,
      "longitude": -72.7877484002074,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 446,
      "rating": 2,
      "website": "https://thocc.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-britain-the-hospital-of-central-connecticut/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY",
      "parentSystemId": "entity-the-hospital-of-central-connecticut-at-new-britain-general-and-bradley",
      "siblingGroupId": "siblings-ct-the-hospital-of-central-connecticut-at-new-britain-general-and-bradley",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-hartford-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hartfordhealthcare.org/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Hartford HealthCare official about page. Resolved parent/control boundary: Hartford HealthCare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Hartford HealthCare official about page. Resolved parent/control boundary: Hartford HealthCare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "070036",
      "ccn": "070036",
      "name": "JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECTICUT HEALTH CENTER",
      "address": "263 FARMINGTON AVE",
      "city": "FARMINGTON",
      "state": "CT",
      "zip": "06032",
      "county": "CAPITOL",
      "latitude": 41.7307648799892,
      "longitude": -72.7905845198999,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 169,
      "rating": 3,
      "website": "http://www.uchc.edu",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF CONNECTICUT",
      "parentSystemId": "entity-state-of-connecticut",
      "siblingGroupId": "siblings-ct-state-of-connecticut",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF CONNECTICUT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF CONNECTICUT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "070038",
      "ccn": "070038",
      "name": "THE CONNECTICUT HOSPICE, INC",
      "address": "100 DOUBLE BEACH RD",
      "city": "BRANFORD",
      "state": "CT",
      "zip": "06405",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.2558933698721,
      "longitude": -72.8323326097167,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": null,
      "website": "https://www.hospice.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-branford-the-connecticut-hospice-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CONNECTICUT HOSPICE INC",
      "parentSystemId": "entity-the-connecticut-hospice-inc",
      "siblingGroupId": "siblings-ct-the-connecticut-hospice-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-060878822"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/060878822"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): The Connecticut Hospice Inc. Resolved parent/control boundary: THE CONNECTICUT HOSPICE INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CONNECTICUT HOSPICE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): The Connecticut Hospice Inc. Resolved parent/control boundary: THE CONNECTICUT HOSPICE INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CONNECTICUT HOSPICE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "07003F",
      "ccn": "07003F",
      "name": "WEST HAVEN VA MEDICAL CENTER",
      "address": "950 CAMPBELL AVENUE",
      "city": "WEST HAVEN",
      "state": "CT",
      "zip": "06516",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.2818402797611,
      "longitude": -72.9612065301575,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 216,
      "rating": 3,
      "website": "https://www.connecticut.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "WEST HAVEN VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-haven-west-haven-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-west-haven-va-medical-center",
      "siblingGroupId": "siblings-ct-west-haven-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/connecticut-health-care/locations/west-haven-va-medical-center/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA Connecticut official facility page. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST HAVEN VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus VA Connecticut official facility page. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST HAVEN VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "073300",
      "ccn": "073300",
      "name": "CONNECTICUT CHILDREN'S MEDICAL CENTER",
      "address": "282 WASHINGTON ST",
      "city": "HARTFORD",
      "state": "CT",
      "zip": "06106",
      "county": "CAPITOL",
      "latitude": 41.7536678103088,
      "longitude": -72.681800100265,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 185,
      "rating": null,
      "website": "https://www.connecticutchildrens.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hartford-connecticut-childrens-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CCMC CORPORATION",
      "parentSystemId": "entity-ccmc-corporation",
      "siblingGroupId": "siblings-ct-ccmc-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CCMC CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CCMC CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "074008",
      "ccn": "074008",
      "name": "NATCHAUG HOSPITAL, INC",
      "address": "189 STORRS RD",
      "city": "MANSFIELD CENTER",
      "state": "CT",
      "zip": "06250",
      "county": "CAPITOL",
      "latitude": 41.7411039199472,
      "longitude": -72.198011479636,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 57,
      "rating": null,
      "website": "http://www.natchaug.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mansfield-center-natchaug-hospital-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARTFORD HEALTHCARE CORPORATION",
      "parentSystemId": "entity-hartford-healthcare-corporation",
      "siblingGroupId": "siblings-ct-hartford-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARTFORD HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "074014",
      "ccn": "074014",
      "name": "SILVER HILL HOSPITAL, INC",
      "address": "208 VALLEY RD",
      "city": "NEW CANAAN",
      "state": "CT",
      "zip": "06840",
      "county": "WESTERN CONNECTICUT",
      "latitude": 41.1654062902365,
      "longitude": -73.4699228196092,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Federal",
      "beds": 129,
      "rating": null,
      "website": "http://www.silverhillhospital.org/home",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-canaan-silver-hill-hospital-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SILVER HILL HOSPITAL, INC",
      "parentSystemId": "entity-silver-hill-hospital-inc",
      "siblingGroupId": "siblings-ct-silver-hill-hospital-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Federal. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SILVER HILL HOSPITAL, INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SILVER HILL HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Federal. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SILVER HILL HOSPITAL, INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SILVER HILL HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "074015",
      "ccn": "074015",
      "name": "ALBERT J. SOLNIT CHILDREN'S CENTER - SOUTH CAMPUS",
      "address": "915 RIVER RD",
      "city": "MIDDLETOWN",
      "state": "CT",
      "zip": "06457",
      "county": "LOWER CONNECTICUT RIVER VALLEY",
      "latitude": 41.5583616942905,
      "longitude": -72.6149487200892,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middletown-albert-j-solnit-children-s-center---south-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF CONNECTICUT",
      "parentSystemId": "entity-state-of-connecticut",
      "siblingGroupId": "siblings-ct-state-of-connecticut",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF CONNECTICUT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF CONNECTICUT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "074016",
      "ccn": "074016",
      "name": "MASONICARE HEALTH CENTER",
      "address": "22 MASONIC AVE, BLDG STURGES",
      "city": "WALLINGFORD",
      "state": "CT",
      "zip": "06492",
      "county": "SOUTH CENTRAL CONNECTICUT",
      "latitude": 41.4627059200675,
      "longitude": -72.8362393999554,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 80,
      "rating": null,
      "website": "http://www.masonicare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wallingford-masonicare-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MASONICARE INC",
      "parentSystemId": "entity-masonicare-inc",
      "siblingGroupId": "siblings-ct-masonicare-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ct-dph-elicense-hospital-roster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASONICARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASONICARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "080001",
      "ccn": "080001",
      "name": "CHRISTIANA CARE HEALTH SERVICES - CHRISTIANA HOSPITAL",
      "address": "4755 OGLETOWN-STANTON RD, PO BOX 6001",
      "city": "NEWARK",
      "state": "DE",
      "zip": "19718",
      "county": "NEW CASTLE",
      "latitude": 39.6874860400942,
      "longitude": -75.6691214303415,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 906,
      "rating": 4,
      "website": "http://www.christianacare.org/christianahospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTIANA CARE HEALTH SERVICES INC",
      "parentSystemId": "entity-christiana-care-health-services-inc",
      "siblingGroupId": "siblings-de-christiana-care-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-christianacare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://christianacare.org/us/en/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ChristianaCare official about page. Resolved parent/control boundary: ChristianaCare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIANA CARE HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ChristianaCare official about page. Resolved parent/control boundary: ChristianaCare. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIANA CARE HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "080006",
      "ccn": "080006",
      "name": "TIDALHEALTH NANTICOKE, INC.",
      "address": "801 MIDDLEFORD ROAD",
      "city": "SEAFORD",
      "state": "DE",
      "zip": "19973",
      "county": "SUSSEX",
      "latitude": 38.6419839791137,
      "longitude": -75.6040412593097,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 139,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "TIDALHEALTH NANTICOKE INC",
      "parentSystemId": "entity-tidalhealth-nanticoke-inc",
      "siblingGroupId": "siblings-de-tidalhealth-nanticoke-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-tidalhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.tidalhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus TidalHealth official about page. Resolved parent/control boundary: TidalHealth. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIDALHEALTH NANTICOKE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus TidalHealth official about page. Resolved parent/control boundary: TidalHealth. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIDALHEALTH NANTICOKE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "080007",
      "ccn": "080007",
      "name": "BEEBE MEDICAL CENTER",
      "address": "424 SAVANNAH RD",
      "city": "LEWES",
      "state": "DE",
      "zip": "19958",
      "county": "SUSSEX",
      "latitude": 38.771760469654,
      "longitude": -75.1432676702959,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 210,
      "rating": 3,
      "website": "http://www.beebemed.org/index.cfm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewes-beebe-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEEBE HEALTHCARE, INC.",
      "parentSystemId": "entity-beebe-healthcare-inc",
      "siblingGroupId": "siblings-de-beebe-healthcare-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "de-dhcq-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dhss.delaware.gov/dhcq/dhcq/hospitals/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEEBE HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEEBE HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "080009",
      "ccn": "080009",
      "name": "BAYHEALTH HOSPITAL SUSSEX CAMPUS",
      "address": "100 WELLNESS WAY",
      "city": "MILFORD",
      "state": "DE",
      "zip": "19963",
      "county": "SUSSEX",
      "latitude": 38.886900000238,
      "longitude": -75.3916949996246,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 152,
      "rating": 3,
      "website": "https://www.bayhealth.org/bayhealth-hospital-sussex-campus",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milford-bayhealth-hospital-sussex-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAYHEALTH, INC.",
      "parentSystemId": "entity-bayhealth-inc",
      "siblingGroupId": "siblings-de-bayhealth-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "de-dhcq-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dhss.delaware.gov/dhcq/dhcq/hospitals/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYHEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYHEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "08002F",
      "ccn": "08002F",
      "name": "WILMINGTON VA MEDICAL CENTER",
      "address": "1601 KIRKWOOD HIGHWAY",
      "city": "WILMINGTON",
      "state": "DE",
      "zip": "19805",
      "county": "NEW CASTLE",
      "latitude": 39.7401659998142,
      "longitude": -75.6063520002066,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 62,
      "rating": 4,
      "website": "https://www.va.gov/wilmington-health-care/locations/wilmington-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "WILMINGTON VA MEDICAL CENTER",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilmington-wilmington-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-wilmington-va-medical-center",
      "siblingGroupId": "siblings-de-wilmington-va-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/wilmington-health-care/locations/wilmington-va-medical-center/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Wilmington VA official facility page. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILMINGTON VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Veterans Health Administration. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Wilmington VA official facility page. Resolved parent/control boundary: U.S. Department of Veterans Affairs. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILMINGTON VA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "083300",
      "ccn": "083300",
      "name": "NEMOURS CHILDREN'S HOSPITAL DELAWARE",
      "address": "1600 ROCKLAND RD",
      "city": "WILMINGTON",
      "state": "DE",
      "zip": "19803",
      "county": "NEW CASTLE",
      "latitude": 39.7793809197107,
      "longitude": -75.5553211298755,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 260,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE NEMOURS FOUNDATION",
      "parentSystemId": "entity-the-nemours-foundation",
      "siblingGroupId": "siblings-de-the-nemours-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-nemours-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nemours.org/about.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Nemours official about page. Resolved parent/control boundary: The Nemours Foundation. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEMOURS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Nemours official about page. Resolved parent/control boundary: The Nemours Foundation. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEMOURS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "084001",
      "ccn": "084001",
      "name": "DELAWARE PSYCHIATRIC CENTER",
      "address": "1901 NORTH DUPONT HWY",
      "city": "NEW CASTLE",
      "state": "DE",
      "zip": "19720",
      "county": "NEW CASTLE",
      "latitude": 39.7006456697636,
      "longitude": -75.5763155602609,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 200,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-castle-delaware-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DELAWARE PSYCHIATRIC CENTER",
      "parentSystemId": "entity-delaware-psychiatric-center",
      "siblingGroupId": "siblings-de-delaware-psychiatric-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-delaware-department-of-health-and-social-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dhss.delaware.gov/dhss/dsamh/dpc.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Government - State. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Delaware Psychiatric Center official page. Resolved parent/control boundary: Delaware Department of Health and Social Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELAWARE PSYCHIATRIC CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Government - State. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Delaware Psychiatric Center official page. Resolved parent/control boundary: Delaware Department of Health and Social Services. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELAWARE PSYCHIATRIC CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "084002",
      "ccn": "084002",
      "name": "ROCKFORD CENTER",
      "address": "100 ROCKFORD DR",
      "city": "NEWARK",
      "state": "DE",
      "zip": "19713",
      "county": "NEW CASTLE",
      "latitude": 39.6952702999444,
      "longitude": -75.6610423402056,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 140,
      "rating": null,
      "website": "http://www.rockfordcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-rockford-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-de-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "084003",
      "ccn": "084003",
      "name": "MEADOWWOOD BEHAVIORAL HEALTH SYSTEM",
      "address": "575 SOUTH DUPONT HWY",
      "city": "NEW CASTLE",
      "state": "DE",
      "zip": "19720",
      "county": "NEW CASTLE",
      "latitude": 39.6397281201334,
      "longitude": -75.6293435399789,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-de-acadia-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001520697"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001520697.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "084004",
      "ccn": "084004",
      "name": "DOVER BEHAVIORAL HEALTH SYSTEM",
      "address": "725 HORSEPOND RD",
      "city": "DOVER",
      "state": "DE",
      "zip": "19901",
      "county": "KENT",
      "latitude": 39.1536708500646,
      "longitude": -75.4842601400737,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 104,
      "rating": null,
      "website": "http://www.doverbehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dover-dover-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UHS OF ROCKFORD LLC",
      "parentSystemId": "entity-uhs-of-rockford-llc",
      "siblingGroupId": "siblings-de-uhs-of-rockford-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF ROCKFORD LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF ROCKFORD LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "084005",
      "ccn": "084005",
      "name": "SUN BEHAVIORAL DELAWARE LLC",
      "address": "21655 BIDEN AVE",
      "city": "GEORGETOWN",
      "state": "DE",
      "zip": "19947",
      "county": "SUSSEX",
      "latitude": 38.6990883003235,
      "longitude": -75.4074170999282,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 90,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SUN BEHAVIORAL HEALTH INC",
      "peFirm": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "SUN Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-georgetown-sun-behavioral-delaware-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sun-behavioral-health-inc",
      "siblingGroupId": "siblings-de-sun-behavioral-health-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "de-dhcq-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dhss.delaware.gov/dhcq/dhcq/hospitals/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. Facility name tokens and city matched on the fetched official state page. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "090003",
      "ccn": "090003",
      "name": "HOWARD UNIVERSITY HOSPITAL",
      "address": "2041 GEORGIA AVE NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20060",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9175484102319,
      "longitude": -77.0200937499983,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 482,
      "rating": 1,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "Adventist HealthCare",
      "acquiredDate": "February 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-howard-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Howard University",
      "parentSystemId": "entity-howard-university",
      "siblingGroupId": "siblings-dc-howard-university",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-090003",
        "official-dc-090003"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://howard.edu/sites/home.howard.edu/files/2025-06/Howard%20University%20Hospital%20FS%20Dec%2031%202024.pdf"
      ],
      "ownershipProofNotes": "Howard University owns the hospital. Adventist HealthCare is recorded separately as a management-services relationship, not ownership.",
      "parentSystemEvidence": "Howard University owns the hospital. Adventist HealthCare is recorded separately as a management-services relationship, not ownership."
    },
    {
      "id": "090004",
      "ccn": "090004",
      "name": "MEDSTAR - GEORGETOWN UNIVERSITY HOSPITAL",
      "address": "3800 RESERVOIR RD NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20007",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9119585098792,
      "longitude": -77.0752545700509,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 609,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-090004",
        "official-dc-090004"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/About/Our-Hospitals"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "090005",
      "ccn": "090005",
      "name": "SIBLEY MEMORIAL HOSPITAL",
      "address": "5255 LOUGHBORO ROAD NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20016",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9362208002594,
      "longitude": -77.1092388999561,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 342,
      "rating": 5,
      "website": "http://www.sibley.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-sibley-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-090005",
        "official-dc-090005"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hopkinsmedicine.org/sibley-memorial-hospital/about/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "090008",
      "ccn": "090008",
      "name": "UNITED MEDICAL CENTER",
      "address": "1310 SOUTHERN AVE SE",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20032",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.8359556996854,
      "longitude": -76.9849847697815,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 210,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "District of Columbia",
      "parentSystemId": "entity-district-of-columbia",
      "siblingGroupId": "siblings-dc-district-of-columbia",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-090008",
        "official-dc-090008"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dchealth.dc.gov/sites/default/files/dc/sites/doh/service_content/attachments/Hospital%20Directory%206.10.25.pdf"
      ],
      "ownershipProofNotes": "United Medical Center closed when Cedar Hill Regional Medical Center opened in April 2025; retained in the historical lane.",
      "parentSystemEvidence": "United Medical Center closed when Cedar Hill Regional Medical Center opened in April 2025; retained in the historical lane."
    },
    {
      "id": "090011",
      "ccn": "090011",
      "name": "MEDSTAR WASHINGTON HOSPITAL CENTER",
      "address": "110 IRVING ST NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20010",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.9296519400513,
      "longitude": -77.0156483002709,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 912,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-medstar-washington-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-090011",
        "official-dc-090011"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/About/Our-Hospitals"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "094004",
      "ccn": "094004",
      "name": "PSYCHIATRIC INSTITUTE OF WASHINGTON",
      "address": "4228 WISCONSIN AVE NW",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20016",
      "county": "DISTRICT OF COLUMBIA",
      "latitude": 38.943902619917,
      "longitude": -77.0779624399653,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-psychiatric-institute-of-washington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-094004",
        "official-dc-094004"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://uhs.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "100002",
      "ccn": "100002",
      "name": "BETHESDA HOSPITAL EAST",
      "address": "2815 S SEACREST BLVD",
      "city": "BOYNTON BEACH",
      "state": "FL",
      "zip": "33435",
      "county": "PALM BEACH",
      "latitude": 26.5050572300909,
      "longitude": -80.0705639702638,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 401,
      "rating": 2,
      "website": "https://baptisthealth.net/en/pages/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boynton-beach-bethesda-hospital-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "campusFamilyId": "campus-fl-100002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100006",
      "ccn": "100006",
      "name": "ORLANDO HEALTH DR P PHILLIPS HOSPITAL",
      "address": "9400 TURKEY LAKE RD",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32819",
      "county": "ORANGE",
      "latitude": 28.4290615498357,
      "longitude": -81.4794221296246,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 285,
      "rating": 4,
      "website": "https://www.orlandohealth.com/facilities/dr-p-phillips-hospital",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-orlando-health-dr-p-phillips-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "campusFamilyId": "campus-fl-100006",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100006-loc-fl-orlando-orlando-health-orlando-regional-medical-cen",
      "ccn": "100006",
      "name": "ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER",
      "address": "52 W UNDERWOOD ST",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32806",
      "county": "ORANGE",
      "latitude": 28.52572321988,
      "longitude": -81.3772035503003,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 898,
      "rating": 4,
      "website": "https://www.orlandohealth.com/facilities/orlando-regional-medical-center",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "campusFamilyId": "campus-fl-100006",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "100006"
    },
    {
      "id": "100007",
      "ccn": "100007",
      "name": "ADVENTHEALTH ORLANDO",
      "address": "601 E ROLLINS ST",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32803",
      "county": "ORANGE",
      "latitude": 28.5744143503157,
      "longitude": -81.3699964296578,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1400,
      "rating": 3,
      "website": "www.adventhealthorlando.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-adventhealth-orlando/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100008",
      "ccn": "100008",
      "name": "BAPTIST HOSPITAL OF MIAMI",
      "address": "8900 N KENDALL DRIVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33176",
      "county": "MIAMI-DADE",
      "latitude": 25.6844300498269,
      "longitude": -80.3388018600279,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 948,
      "rating": 5,
      "website": "http://www.baptisthealth.net",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-baptist-hospital-of-miami/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100012",
      "ccn": "100012",
      "name": "LEE MEMORIAL HOSPITAL",
      "address": "2776 CLEVELAND AVE",
      "city": "FORT MYERS",
      "state": "FL",
      "zip": "33901",
      "county": "LEE",
      "latitude": 26.6283919102081,
      "longitude": -81.8740243002506,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 414,
      "rating": 5,
      "website": "www.leehealth.org",
      "status": "signal",
      "parentSystem": "Lee Health",
      "affiliatedSystem": "Leehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Leehealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-myers-lee-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lee-health",
      "siblingGroupId": "siblings-fl-lee-health",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "lee-health-2024-nonprofit-conversion"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.leehealth.org/about-us/media/press-releases/lee-health-and-lee-county-vote-to-approve-mission"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: LEE HEALTH SYSTEM INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Lee Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: LEE HEALTH SYSTEM INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Lee Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100014",
      "ccn": "100014",
      "name": "ADVENTHEALTH NEW SMYRNA BEACH",
      "address": "401 PALMETTO ST",
      "city": "NEW SMYRNA BEACH",
      "state": "FL",
      "zip": "32168",
      "county": "VOLUSIA",
      "latitude": 29.02029147032,
      "longitude": -80.9218595800864,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 109,
      "rating": 4,
      "website": "https://www.adventhealthnewsmyrnabeach.com",
      "status": "signal",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100017",
      "ccn": "100017",
      "name": "HALIFAX HEALTH MEDICAL CENTER",
      "address": "303 N CLYDE MORRIS BLVD",
      "city": "DAYTONA BEACH",
      "state": "FL",
      "zip": "32114",
      "county": "VOLUSIA",
      "latitude": 29.2023849497319,
      "longitude": -81.0548278904381,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 563,
      "rating": 2,
      "website": "https://www.halifaxhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "HALIFAX HOSPITAL MEDICAL CENTER",
      "affiliatedSystem": "Halifaxhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Halifaxhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-daytona-beach-halifax-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-halifax-hospital-medical-center",
      "siblingGroupId": "siblings-fl-halifax-hospital-medical-center",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HALIFAX HOSPITAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HALIFAX HOSPITAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100018",
      "ccn": "100018",
      "name": "NAPLES COMMUNITY HOSPITAL",
      "address": "350 7TH ST N",
      "city": "NAPLES",
      "state": "FL",
      "zip": "34102",
      "county": "COLLIER",
      "latitude": 26.1506448900639,
      "longitude": -81.7987429704468,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 391,
      "rating": 3,
      "website": "http://www.nchmd.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-naples-naples-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NAPLES COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-naples-community-hospital-inc",
      "siblingGroupId": "siblings-fl-naples-community-hospital-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-590694358"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/590694358"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Naples Community Hospital Inc. Resolved parent/control boundary: NAPLES COMMUNITY HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAPLES COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Naples Community Hospital Inc. Resolved parent/control boundary: NAPLES COMMUNITY HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAPLES COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100019",
      "ccn": "100019",
      "name": "HOLMES REGIONAL MEDICAL CENTER",
      "address": "1350 S HICKORY ST",
      "city": "MELBOURNE",
      "state": "FL",
      "zip": "32901",
      "county": "BREVARD",
      "latitude": 28.0871980198895,
      "longitude": -80.6144375998372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 550,
      "rating": 4,
      "website": "http://www.hf.org/hospitals_services/hrmc/",
      "status": "corporate_chain",
      "parentSystem": "HEALTH FIRST SHARED SERVICES, INC",
      "affiliatedSystem": "Hf",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hf",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-melbourne-holmes-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-health-first-shared-services-inc",
      "siblingGroupId": "siblings-fl-health-first-shared-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-health-first"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hf.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100023",
      "ccn": "100023",
      "name": "HCA FLORIDA CITRUS HOSPITAL",
      "address": "502 W HIGHLAND BLVD",
      "city": "INVERNESS",
      "state": "FL",
      "zip": "34452",
      "county": "CITRUS",
      "latitude": 28.832208908291,
      "longitude": -82.335274854102,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/citrus-hospital",
      "status": "corporate_chain",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "reviewedAt": "2026-06-25",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-inverness-hca-florida-citrus-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100026",
      "ccn": "100026",
      "name": "ASCENSION SACRED HEART BAY",
      "address": "615 N BONITA AVE",
      "city": "PANAMA CITY",
      "state": "FL",
      "zip": "32401",
      "county": "BAY",
      "latitude": 30.1597238429651,
      "longitude": -85.6486547176706,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 323,
      "rating": 3,
      "website": "https://healthcare.ascension.org/locations/florida/flpen/panama-city-ascension-sacred-heart-bay",
      "status": "corporate_chain",
      "parentSystem": "SACRED HEART HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-panama-city-ascension-sacred-heart-bay/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sacred-heart-health-system-inc",
      "siblingGroupId": "siblings-fl-sacred-heart-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100028",
      "ccn": "100028",
      "name": "PARRISH MEDICAL CENTER",
      "address": "951 N WASHINGTON AVE",
      "city": "TITUSVILLE",
      "state": "FL",
      "zip": "32796",
      "county": "BREVARD",
      "latitude": 28.6307417700102,
      "longitude": -80.8242014698801,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 210,
      "rating": 2,
      "website": "http://www.parrishhealthcare.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-titusville-parrish-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTH BREVARD COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-north-brevard-county-hospital-district",
      "siblingGroupId": "siblings-fl-north-brevard-county-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-north-brevard-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: NORTH BREVARD COUNTY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BREVARD COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: NORTH BREVARD COUNTY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BREVARD COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100029",
      "ccn": "100029",
      "name": "STEWARD NORTH SHORE MEDICAL CENTER",
      "address": "1100 NW 95TH ST",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33150",
      "county": "MIAMI-DADE",
      "latitude": 25.8597859499241,
      "longitude": -80.2147041103745,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 337,
      "rating": 1,
      "website": "https://www.northshoremedical.com/home",
      "status": "signal",
      "parentSystem": "Healthcare Systems of America",
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Steward Health Care",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-healthcare-systems-of-america",
      "siblingGroupId": "siblings-fl-healthcare-systems-of-america",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100030",
      "ccn": "100030",
      "name": "ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL",
      "address": "10000 W COLONIAL DR",
      "city": "OCOEE",
      "state": "FL",
      "zip": "34761",
      "county": "ORANGE",
      "latitude": 28.5496624203133,
      "longitude": -81.5276599302266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 216,
      "rating": 3,
      "website": "https://www.orlandohealth.com/facilities/health-central-hospital",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100034",
      "ccn": "100034",
      "name": "MOUNT SINAI MEDICAL CENTER",
      "address": "4300 ALTON RD",
      "city": "MIAMI BEACH",
      "state": "FL",
      "zip": "33140",
      "county": "MIAMI-DADE",
      "latitude": 25.8132190900178,
      "longitude": -80.1396815600513,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 664,
      "rating": 3,
      "website": "http://www.msmc.com/",
      "status": "corporate_chain",
      "parentSystem": "MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-beach-mount-sinai-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-medical-center-of-florida-inc",
      "siblingGroupId": "siblings-fl-mount-sinai-medical-center-of-florida-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-590624424"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/590624424"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Mount Sinai Medical Center Of Florida Inc. Resolved parent/control boundary: MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Mount Sinai Medical Center Of Florida Inc. Resolved parent/control boundary: MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100035",
      "ccn": "100035",
      "name": "MANATEE MEMORIAL HOSPITAL",
      "address": "206 2ND ST E",
      "city": "BRADENTON",
      "state": "FL",
      "zip": "34208",
      "county": "MANATEE",
      "latitude": 27.4970119203393,
      "longitude": -82.5619976502385,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 295,
      "rating": 3,
      "website": "http://www.manateememorialhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bradenton-manatee-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UHS OF PENNSYLVANIA, INC.",
      "parentSystemId": "entity-uhs-of-pennsylvania-inc",
      "siblingGroupId": "siblings-fl-uhs-of-pennsylvania-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF PENNSYLVANIA, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UHS OF PENNSYLVANIA, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100038",
      "ccn": "100038",
      "name": "MEMORIAL REGIONAL HOSPITAL",
      "address": "3501 JOHNSON ST",
      "city": "HOLLYWOOD",
      "state": "FL",
      "zip": "33021",
      "county": "BROWARD",
      "latitude": 26.01894180967,
      "longitude": -80.1800219898178,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 797,
      "rating": 3,
      "website": "https://www.mhs.net",
      "status": "corporate_chain",
      "parentSystem": "SOUTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Mhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hollywood-memorial-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-south-broward-hospital-district",
      "siblingGroupId": "siblings-fl-south-broward-hospital-district",
      "campusFamilyId": "campus-fl-100038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-south-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100038-loc-fl-hollywood-memorial-regional-hospital-south",
      "ccn": "100038",
      "name": "MEMORIAL REGIONAL HOSPITAL SOUTH",
      "address": "3600 WASHINGTON ST",
      "city": "HOLLYWOOD",
      "state": "FL",
      "zip": "33021",
      "county": "BROWARD",
      "latitude": 26.0021965698928,
      "longitude": -80.1799103498893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 216,
      "rating": 3,
      "website": "www.mhs.net",
      "status": "corporate_chain",
      "parentSystem": "SOUTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Mhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hollywood-memorial-regional-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-south-broward-hospital-district",
      "siblingGroupId": "siblings-fl-south-broward-hospital-district",
      "campusFamilyId": "campus-fl-100038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-south-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "100038"
    },
    {
      "id": "100039",
      "ccn": "100039",
      "name": "BROWARD HEALTH MEDICAL CENTER",
      "address": "1600 S ANDREWS AVE",
      "city": "FORT LAUDERDALE",
      "state": "FL",
      "zip": "33316",
      "county": "BROWARD",
      "latitude": 26.1026354901802,
      "longitude": -80.1408896395982,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 723,
      "rating": 3,
      "website": "http://www.browardhealth.org",
      "status": "corporate_chain",
      "parentSystem": "NORTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Browardhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Browardhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-lauderdale-broward-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-north-broward-hospital-district",
      "siblingGroupId": "siblings-fl-north-broward-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-north-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: NORTH BROWARD HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: NORTH BROWARD HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100040",
      "ccn": "100040",
      "name": "ASCENSION ST VINCENT'S RIVERSIDE",
      "address": "1 SHIRCLIFF WAY",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32204",
      "county": "DUVAL",
      "latitude": 30.3075286302413,
      "longitude": -81.6906105300788,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 584,
      "rating": 3,
      "website": "https://healthcare.ascension.org/locations/florida/fljac/jacksonville-ascension-st-vincents-riverside",
      "status": "corporate_chain",
      "parentSystem": "ST. VINCENT'S HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-s-health-system-inc",
      "siblingGroupId": "siblings-fl-st-vincent-s-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100043",
      "ccn": "100043",
      "name": "MEASE DUNEDIN HOSPITAL",
      "address": "601 MAIN ST",
      "city": "DUNEDIN",
      "state": "FL",
      "zip": "34698",
      "county": "PINELLAS",
      "latitude": 28.0140316420871,
      "longitude": -82.7829365498394,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 120,
      "rating": 4,
      "website": "http://www.measehospitals.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dunedin-mease-dunedin-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BayCare Health System",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baycare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baycare.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BayCare Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BayCare Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100044",
      "ccn": "100044",
      "name": "CLEVELAND CLINIC MARTIN NORTH HOSPITAL",
      "address": "200 SE HOSPITAL AVE",
      "city": "STUART",
      "state": "FL",
      "zip": "34994",
      "county": "MARTIN",
      "latitude": 27.1999986601265,
      "longitude": -80.2428133604052,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 3,
      "website": "http://www.martinhealth.org",
      "status": "corporate_chain",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-fl-the-cleveland-clinic-foundation",
      "campusFamilyId": "campus-fl-100044",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100045",
      "ccn": "100045",
      "name": "ADVENTHEALTH DELAND",
      "address": "701 W PLYMOUTH AVE",
      "city": "DELAND",
      "state": "FL",
      "zip": "32720",
      "county": "VOLUSIA",
      "latitude": 29.0436527403721,
      "longitude": -81.3173440400517,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 164,
      "rating": 4,
      "website": "www.adventhealthdeland.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-deland-adventhealth-deland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100046",
      "ccn": "100046",
      "name": "ADVENTHEALTH ZEPHYRHILLS",
      "address": "7050 GALL BLVD",
      "city": "ZEPHYRHILLS",
      "state": "FL",
      "zip": "33541",
      "county": "PASCO",
      "latitude": 28.261501469794,
      "longitude": -82.1853132196757,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 149,
      "rating": 4,
      "website": "www.adventhealthzephyrhills.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-zephyrhills-adventhealth-zephyrhills/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100050",
      "ccn": "100050",
      "name": "LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS",
      "address": "1475 W 49TH PL",
      "city": "HIALEAH",
      "state": "FL",
      "zip": "33012",
      "county": "MIAMI-DADE",
      "latitude": 25.8685424300616,
      "longitude": -80.3122696797335,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 247,
      "rating": 4,
      "website": "http://www.psghosp.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hialeah-larkin-community-hospital-palm-springs-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LARKIN HEALTH SYSTEM, LLC",
      "parentSystemId": "entity-larkin-health-system-llc",
      "siblingGroupId": "siblings-fl-larkin-health-system-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LARKIN HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LARKIN HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100051",
      "ccn": "100051",
      "name": "ORLANDO HEALTH SOUTH LAKE HOSPITAL",
      "address": "1900 DON WICKHAM DR",
      "city": "CLERMONT",
      "state": "FL",
      "zip": "34711",
      "county": "LAKE",
      "latitude": 28.5523736596576,
      "longitude": -81.7217765898162,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 170,
      "rating": 3,
      "website": "www.southlakehospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Orlando Health",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100052",
      "ccn": "100052",
      "name": "WINTER HAVEN HOSPITAL",
      "address": "200 AVE F NE",
      "city": "WINTER HAVEN",
      "state": "FL",
      "zip": "33881",
      "county": "POLK",
      "latitude": 28.0284833399294,
      "longitude": -81.7256116900035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 447,
      "rating": 3,
      "website": "https://baycare.org/whh",
      "status": "corporate_chain",
      "parentSystem": "BayCare Health System",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winter-haven-winter-haven-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100053",
      "ccn": "100053",
      "name": "STEWARD HIALEAH HOSPITAL",
      "address": "651 E 25TH ST",
      "city": "HIALEAH",
      "state": "FL",
      "zip": "33013",
      "county": "MIAMI-DADE",
      "latitude": 25.8455618197634,
      "longitude": -80.2689616196118,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 356,
      "rating": 3,
      "website": "http://www.hialeahhosp.com/",
      "status": "signal",
      "parentSystem": "Healthcare Systems of America",
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Steward Health Care",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-healthcare-systems-of-america",
      "siblingGroupId": "siblings-fl-healthcare-systems-of-america",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100054",
      "ccn": "100054",
      "name": "HCA FLORIDA TWIN CITIES HOSPITAL",
      "address": "2190 HWY 85 N",
      "city": "NICEVILLE",
      "state": "FL",
      "zip": "32578",
      "county": "OKALOOSA",
      "latitude": 30.5335890997423,
      "longitude": -86.4954773201478,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 65,
      "rating": 5,
      "website": "https://www.hcafloridahealthcare.com/locations/twin-cities-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-niceville-hca-florida-twin-cities-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100055",
      "ccn": "100055",
      "name": "ADVENTHEALTH NORTH PINELLAS",
      "address": "1395 S PINELLAS AVE",
      "city": "TARPON SPRINGS",
      "state": "FL",
      "zip": "34689",
      "county": "PINELLAS",
      "latitude": 28.1329338200454,
      "longitude": -82.7577861796747,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 168,
      "rating": 4,
      "website": "www.adventhealthnorthpinellas.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tarpon-springs-adventhealth-north-pinellas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100057",
      "ccn": "100057",
      "name": "ADVENTHEALTH WATERMAN",
      "address": "1000 WATERMAN WAY",
      "city": "TAVARES",
      "state": "FL",
      "zip": "32778",
      "county": "LAKE",
      "latitude": 28.8236726401484,
      "longitude": -81.7117937099801,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 300,
      "rating": 4,
      "website": "www.adventhealthwaterman.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tavares-adventhealth-waterman/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100062",
      "ccn": "100062",
      "name": "ADVENTHEALTH OCALA",
      "address": "1500 SW 1ST AVE",
      "city": "OCALA",
      "state": "FL",
      "zip": "34471",
      "county": "MARION",
      "latitude": 29.1749043901482,
      "longitude": -82.1389948196969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 385,
      "rating": 4,
      "website": "www.adventhealthocala.com",
      "status": "signal",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ocala-adventhealth-ocala/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100063",
      "ccn": "100063",
      "name": "MORTON PLANT NORTH BAY HOSPITAL",
      "address": "6600 MADISON ST",
      "city": "NEW PORT RICHEY",
      "state": "FL",
      "zip": "34652",
      "county": "PASCO",
      "latitude": 28.2540628897097,
      "longitude": -82.7148904597431,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 3,
      "website": "http://www.mortonplant.com/body.cfm?id=13",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-port-richey-morton-plant-north-bay-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BayCare Health System",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baycare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baycare.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BayCare Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BayCare Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100067",
      "ccn": "100067",
      "name": "ST ANTHONYS HOSPITAL",
      "address": "1200 SEVENTH AVE N",
      "city": "SAINT PETERSBURG",
      "state": "FL",
      "zip": "33705",
      "county": "PINELLAS",
      "latitude": 27.7786166203792,
      "longitude": -82.6505297197779,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 393,
      "rating": 3,
      "website": "https://baycare.org/sah",
      "status": "corporate_chain",
      "parentSystem": "BayCare Health System",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-petersburg-st.-anthony-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100068",
      "ccn": "100068",
      "name": "ADVENTHEALTH DAYTONA BEACH",
      "address": "301 MEMORIAL MEDICAL PKWY",
      "city": "DAYTONA BEACH",
      "state": "FL",
      "zip": "32117",
      "county": "VOLUSIA",
      "latitude": 29.2431095999615,
      "longitude": -81.1076567801329,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 362,
      "rating": 5,
      "website": "www.adventhealthdaytonabeach.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-daytona-beach-adventhealth-daytona-beach/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100069",
      "ccn": "100069",
      "name": "ADVENTHEALTH CARROLLWOOD",
      "address": "7171 N DALE MABRY HWY",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33614",
      "county": "HILLSBOROUGH",
      "latitude": 28.0132377301585,
      "longitude": -82.5040072502286,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 103,
      "rating": 3,
      "website": "www.adventhealthcarrollwood.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100072",
      "ccn": "100072",
      "name": "ADVENTHEALTH FISH MEMORIAL",
      "address": "1055 SAXON BLVD",
      "city": "ORANGE CITY",
      "state": "FL",
      "zip": "32763",
      "county": "VOLUSIA",
      "latitude": 28.9143712498771,
      "longitude": -81.2851623199013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 257,
      "rating": 5,
      "website": "http://www.adventhealthfishmemorial.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orange-city-adventhealth-fish-memorial/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100075",
      "ccn": "100075",
      "name": "ST JOSEPHS HOSPITAL",
      "address": "3001 W MARTIN LUTHER KING JR BLVD",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33607",
      "county": "HILLSBOROUGH",
      "latitude": 27.9821400903491,
      "longitude": -82.4918514795692,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 897,
      "rating": 4,
      "website": "https://baycare.org/sjh",
      "status": "corporate_chain",
      "parentSystem": "BayCare Health System",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-st.-joseph-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "campusFamilyId": "campus-fl-100075",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100075-loc-fl-tampa-st-josephs-hospital-behavioral-health-center",
      "ccn": "100075",
      "name": "ST JOSEPHS HOSPITAL BEHAVIORAL HEALTH CENTER",
      "address": "4918 HABANA AVE",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33607",
      "county": "HILLSBOROUGH",
      "latitude": 27.9916799802404,
      "longitude": -82.4898184699104,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 60,
      "rating": 4,
      "website": "https://baycare.org/locations/s/st-josephs-hospital-behavioral-health-center",
      "status": "corporate_chain",
      "parentSystem": "BayCare Health System",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baycare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-st-joseph-s-hospital-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "campusFamilyId": "campus-fl-100075",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "100075"
    },
    {
      "id": "100084",
      "ccn": "100084",
      "name": "UF HEALTH LEESBURG HOSPITAL",
      "address": "600 E DIXIE AVE",
      "city": "LEESBURG",
      "state": "FL",
      "zip": "34748",
      "county": "LAKE",
      "latitude": 28.8078347898198,
      "longitude": -81.8683142903011,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 330,
      "rating": 3,
      "website": "www.leesburgregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL FLORIDA HEALTH INC",
      "parentSystemId": "entity-central-florida-health-inc",
      "siblingGroupId": "siblings-fl-central-florida-health-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL FLORIDA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL FLORIDA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100087",
      "ccn": "100087",
      "name": "SARASOTA MEMORIAL HOSPITAL",
      "address": "1700 S TAMIAMI TRL",
      "city": "SARASOTA",
      "state": "FL",
      "zip": "34239",
      "county": "SARASOTA",
      "latitude": 27.3178507796058,
      "longitude": -82.5310823399413,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 895,
      "rating": 5,
      "website": "http://www.smh.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sarasota-sarasota-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT",
      "parentSystemId": "entity-sarasota-county-public-hospital-district",
      "siblingGroupId": "siblings-fl-sarasota-county-public-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-sarasota-county-public-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100090",
      "ccn": "100090",
      "name": "FLAGLER HOSPITAL",
      "address": "400 HEALTH PARK BLVD",
      "city": "SAINT AUGUSTINE",
      "state": "FL",
      "zip": "32086",
      "county": "ST. JOHNS",
      "latitude": 29.8630220299586,
      "longitude": -81.3170958301489,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 335,
      "rating": 3,
      "website": "http://www.flaglerhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-augustine-flagler-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHANDS TEACHING HOSPITAL AND CLINICS INC",
      "parentSystemId": "entity-shands-teaching-hospital-and-clinics-inc",
      "siblingGroupId": "siblings-fl-shands-teaching-hospital-and-clinics-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANDS TEACHING HOSPITAL AND CLINICS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANDS TEACHING HOSPITAL AND CLINICS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100093",
      "ccn": "100093",
      "name": "BAPTIST HOSPITAL",
      "address": "1000 W MORENO ST",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32501",
      "county": "ESCAMBIA",
      "latitude": 30.4294178997578,
      "longitude": -87.2304209002612,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 492,
      "rating": 4,
      "website": "www.ebaptisthealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH CARE, INC.",
      "affiliatedSystem": "Ebaptisthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ebaptisthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-care-inc",
      "siblingGroupId": "siblings-fl-baptist-health-care-inc",
      "campusFamilyId": "campus-fl-100093",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-590657322"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/590657322"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Baptist Health Care Inc. Resolved parent/control boundary: BAPTIST HEALTH CARE, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Baptist Health Care Inc. Resolved parent/control boundary: BAPTIST HEALTH CARE, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100093-loc-fl-pensacola-baptist-hospital",
      "ccn": "100093",
      "name": "BAPTIST HOSPITAL",
      "address": "123 BAPTIST WAY",
      "city": "PENSACOLA",
      "state": "FL",
      "zip": "32503",
      "county": "ESCAMBIA",
      "latitude": 30.4683280206956,
      "longitude": -87.2301735230965,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 492,
      "rating": 4,
      "website": "www.ebaptisthealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH CARE, INC.",
      "affiliatedSystem": "Ebaptisthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ebaptisthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-care-inc",
      "siblingGroupId": "siblings-fl-baptist-health-care-inc",
      "campusFamilyId": "campus-fl-100093",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-590657322"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/590657322"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Baptist Health Care Inc. Resolved parent/control boundary: BAPTIST HEALTH CARE, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Baptist Health Care Inc. Resolved parent/control boundary: BAPTIST HEALTH CARE, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "100093"
    },
    {
      "id": "100099",
      "ccn": "100099",
      "name": "ADVENTHEALTH LAKE WALES",
      "address": "410 S 11TH ST",
      "city": "LAKE WALES",
      "state": "FL",
      "zip": "33853",
      "county": "POLK",
      "latitude": 27.8961999298113,
      "longitude": -81.5652762700981,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 160,
      "rating": 2,
      "website": "www.adventhealth.com/hospital/adventhealth-lake-wales",
      "status": "signal",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-wales-adventhealth-lake-wales/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100105",
      "ccn": "100105",
      "name": "CLEVELAND CLINIC INDIAN RIVER HOSPITAL",
      "address": "1000 36TH ST",
      "city": "VERO BEACH",
      "state": "FL",
      "zip": "32960",
      "county": "INDIAN RIVER",
      "latitude": 27.6584231097017,
      "longitude": -80.3951633098987,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 332,
      "rating": 4,
      "website": "ccirh.org",
      "status": "corporate_chain",
      "parentSystem": "CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vero-beach-cleveland-clinic-indian-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cleveland-clinic-florida-regional-health-system-nonprofit-corporation",
      "siblingGroupId": "siblings-fl-cleveland-clinic-florida-regional-health-system-nonprofit-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100109",
      "ccn": "100109",
      "name": "ADVENTHEALTH SEBRING",
      "address": "4200 SUN N LAKE BLVD",
      "city": "SEBRING",
      "state": "FL",
      "zip": "33872",
      "county": "HIGHLANDS",
      "latitude": 27.5397512698097,
      "longitude": -81.5092099796801,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 171,
      "rating": 3,
      "website": "www.adventhealthsebring.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sebring-adventhealth-sebring/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100110",
      "ccn": "100110",
      "name": "HCA FLORIDA OSCEOLA HOSPITAL",
      "address": "700 WEST OAK STREET",
      "city": "KISSIMMEE",
      "state": "FL",
      "zip": "34741",
      "county": "OSCEOLA",
      "latitude": 28.300847053556,
      "longitude": -81.410961486655,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/osceola-hospital",
      "status": "corporate_chain",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "reviewedAt": "2026-06-25",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kissimmee-hca-florida-osceola-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "campusFamilyId": "campus-fl-100110",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100113",
      "ccn": "100113",
      "name": "UF HEALTH SHANDS HOSPITAL",
      "address": "1600 SW ARCHER RD",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32610",
      "county": "ALACHUA",
      "latitude": 29.6399901299257,
      "longitude": -82.3428648198045,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1014,
      "rating": 5,
      "website": "https://ufhealth.org/uf-health-shands-hospital",
      "status": "corporate_chain",
      "parentSystem": "SHANDS TEACHING HOSPITAL AND CLINICS INC",
      "affiliatedSystem": "Ufhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ufhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shands-teaching-hospital-and-clinics-inc",
      "siblingGroupId": "siblings-fl-shands-teaching-hospital-and-clinics-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANDS TEACHING HOSPITAL AND CLINICS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANDS TEACHING HOSPITAL AND CLINICS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100117",
      "ccn": "100117",
      "name": "BAPTIST MEDICAL CENTER - BEACHES",
      "address": "1350 13TH AVE S",
      "city": "JACKSONVILLE BEACH",
      "state": "FL",
      "zip": "32250",
      "county": "DUVAL",
      "latitude": 30.2733735701705,
      "longitude": -81.3983162897069,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": 4,
      "website": "baptistjax.com",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SYSTEM INC",
      "affiliatedSystem": "Baptistjax",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistjax",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-beach-baptist-medical-center---beaches/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-system-inc",
      "siblingGroupId": "siblings-fl-baptist-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100118",
      "ccn": "100118",
      "name": "ADVENTHEALTH PALM COAST",
      "address": "60 MEMORIAL MEDICAL PKWY",
      "city": "PALM COAST",
      "state": "FL",
      "zip": "32164",
      "county": "FLAGLER",
      "latitude": 29.4789607196812,
      "longitude": -81.1890465101383,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 99,
      "rating": 5,
      "website": "https://www.adventhealthpalmcoast.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palm-coast-adventhealth-palm-coast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Church; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100121",
      "ccn": "100121",
      "name": "BARTOW REGIONAL MEDICAL CENTER",
      "address": "2200 OSPREY BLVD",
      "city": "BARTOW",
      "state": "FL",
      "zip": "33831",
      "county": "POLK",
      "latitude": 27.9188959196099,
      "longitude": -81.8442102202871,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": 3,
      "website": "https://baycare.org/brmc",
      "status": "signal",
      "parentSystem": "BayCare Health System",
      "affiliatedSystem": "Baycare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Baycare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bartow-bartow-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100122",
      "ccn": "100122",
      "name": "NORTH OKALOOSA MEDICAL CENTER",
      "address": "151 E REDSTONE AVE",
      "city": "CRESTVIEW",
      "state": "FL",
      "zip": "32539",
      "county": "OKALOOSA",
      "latitude": 30.7353546299693,
      "longitude": -86.5625252903354,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 110,
      "rating": 3,
      "website": "http://www.northokaloosa.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crestview-north-okaloosa-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001108109"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001108109.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100124",
      "ccn": "100124",
      "name": "SANTA ROSA MEDICAL CENTER",
      "address": "6002 BERRYHILL RD",
      "city": "MILTON",
      "state": "FL",
      "zip": "32570",
      "county": "SANTA ROSA",
      "latitude": 30.634218690199,
      "longitude": -87.0670950597418,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 129,
      "rating": 4,
      "website": "http://www.srmcfl.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milton-santa-rosa-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001108109"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001108109.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100125",
      "ccn": "100125",
      "name": "HOMESTEAD HOSPITAL",
      "address": "975 BAPTIST WAY",
      "city": "HOMESTEAD",
      "state": "FL",
      "zip": "33033",
      "county": "MIAMI-DADE",
      "latitude": 25.479974489657,
      "longitude": -80.43008633975,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 147,
      "rating": 4,
      "website": "http://www.baptisthealth.net/",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-homestead-homestead-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100127",
      "ccn": "100127",
      "name": "MORTON PLANT HOSPITAL",
      "address": "300 PINELLAS ST",
      "city": "CLEARWATER",
      "state": "FL",
      "zip": "33756",
      "county": "PINELLAS",
      "latitude": 27.9528167497465,
      "longitude": -82.8036968397359,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 599,
      "rating": 4,
      "website": "http://www.mortonplant.com/body.cfm?id=421",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clearwater-morton-plant-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BayCare Health System",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baycare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baycare.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BayCare Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BayCare Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100128",
      "ccn": "100128",
      "name": "TAMPA GENERAL HOSPITAL",
      "address": "1 TAMPA GENERAL CIR",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33606",
      "county": "HILLSBOROUGH",
      "latitude": 27.9379626998518,
      "longitude": -82.4591553203067,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1041,
      "rating": 3,
      "website": "http://www.tgh.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-tampa-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FLORIDA HEALTH SCIENCES CENTER INC",
      "parentSystemId": "entity-florida-health-sciences-center-inc",
      "siblingGroupId": "siblings-fl-florida-health-sciences-center-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100130",
      "ccn": "100130",
      "name": "LAKESIDE MEDICAL CENTER",
      "address": "39200 HOOKER HWY",
      "city": "BELLE GLADE",
      "state": "FL",
      "zip": "33430",
      "county": "PALM BEACH",
      "latitude": 26.7242715498476,
      "longitude": -80.6711118799209,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 70,
      "rating": null,
      "website": "www.lakesidemedical.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belle-glade-lakeside-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DISTRICT HOSPITAL HOLDINGS INC",
      "parentSystemId": "entity-district-hospital-holdings-inc",
      "siblingGroupId": "siblings-fl-district-hospital-holdings-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: DISTRICT HOSPITAL HOLDINGS INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DISTRICT HOSPITAL HOLDINGS INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: DISTRICT HOSPITAL HOLDINGS INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DISTRICT HOSPITAL HOLDINGS INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100132",
      "ccn": "100132",
      "name": "SOUTH FLORIDA BAPTIST HOSPITAL",
      "address": "301 N ALEXANDER ST",
      "city": "PLANT CITY",
      "state": "FL",
      "zip": "33563",
      "county": "HILLSBOROUGH",
      "latitude": 28.0156788502181,
      "longitude": -82.1389293603605,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 147,
      "rating": 3,
      "website": "http://www.sjbhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plant-city-south-florida-baptist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BayCare Health System",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100134",
      "ccn": "100134",
      "name": "ED FRASER MEMORIAL HOSPITAL",
      "address": "159 N 3RD ST",
      "city": "MACCLENNY",
      "state": "FL",
      "zip": "32063",
      "county": "BAKER",
      "latitude": 30.2859959800198,
      "longitude": -82.1192587098356,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://www.edfraserhospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macclenny-ed-fraser-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BAKER COUNTY MEDICAL SERVICES INC",
      "parentSystemId": "entity-baker-county-medical-services-inc",
      "siblingGroupId": "siblings-fl-baker-county-medical-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAKER COUNTY MEDICAL SERVICES INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAKER COUNTY MEDICAL SERVICES INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100137",
      "ccn": "100137",
      "name": "ADVENTHEALTH HEART OF FLORIDA",
      "address": "40100 HIGHWAY 27",
      "city": "DAVENPORT",
      "state": "FL",
      "zip": "33837",
      "county": "POLK",
      "latitude": 28.1814319401871,
      "longitude": -81.6414127502383,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 202,
      "rating": 3,
      "website": "http://www.adventhealth.com/hospital/adventhealth-heart-florida",
      "status": "signal",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100140",
      "ccn": "100140",
      "name": "BAPTIST MEDICAL CENTER NASSAU",
      "address": "1250 S 18TH ST",
      "city": "FERNANDINA BEACH",
      "state": "FL",
      "zip": "32034",
      "county": "NASSAU",
      "latitude": 30.6532097998976,
      "longitude": -81.4491234903121,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 62,
      "rating": 4,
      "website": "www.baptistjax.com",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SYSTEM INC",
      "affiliatedSystem": "Baptistjax",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistjax",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fernandina-beach-baptist-medical-center---nassau/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-system-inc",
      "siblingGroupId": "siblings-fl-baptist-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100142",
      "ccn": "100142",
      "name": "JACKSON HOSPITAL",
      "address": "4250 HOSPITAL DR",
      "city": "MARIANNA",
      "state": "FL",
      "zip": "32446",
      "county": "JACKSON",
      "latitude": 30.7868444097311,
      "longitude": -85.2413148297779,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 100,
      "rating": 1,
      "website": "http://www.jacksonhosp.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marianna-jackson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JACKSON COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-jackson-county-hospital-district",
      "siblingGroupId": "siblings-fl-jackson-county-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-jackson-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: JACKSON COUNTY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: JACKSON COUNTY HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100150",
      "ccn": "100150",
      "name": "LOWER KEYS MEDICAL CENTER",
      "address": "5900 COLLEGE RD",
      "city": "KEY WEST",
      "state": "FL",
      "zip": "33040",
      "county": "MONROE",
      "latitude": 24.5808249500162,
      "longitude": -81.742580280019,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": 4,
      "website": "http://www.lkmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-key-west-lower-keys-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001108109"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001108109.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100151",
      "ccn": "100151",
      "name": "MAYO CLINIC",
      "address": "4500 SAN PABLO RD",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32224",
      "county": "DUVAL",
      "latitude": 30.2639131301966,
      "longitude": -81.4410826800854,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 304,
      "rating": 5,
      "website": "http://www.mayoclinic.org/jacksonville",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-mayo-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-fl-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100154",
      "ccn": "100154",
      "name": "SOUTH MIAMI HOSPITAL",
      "address": "6200 SW 73RD ST",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33143",
      "county": "MIAMI-DADE",
      "latitude": 25.7021077703753,
      "longitude": -80.2942731798778,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 436,
      "rating": 4,
      "website": "http://www.baptisthealth.net",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-south-miami-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100157",
      "ccn": "100157",
      "name": "LAKELAND REGIONAL MEDICAL CENTER",
      "address": "1324 LAKELAND HILLS BLVD",
      "city": "LAKELAND",
      "state": "FL",
      "zip": "33805",
      "county": "POLK",
      "latitude": 28.0603819499732,
      "longitude": -81.9540763301017,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 864,
      "rating": 1,
      "website": "https://mylrh.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakeland-lakeland-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAKELAND REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-lakeland-regional-medical-center-inc",
      "siblingGroupId": "siblings-fl-lakeland-regional-medical-center-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-592650456"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/592650456"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Lakeland Regional Medical Center Inc. Resolved parent/control boundary: LAKELAND REGIONAL MEDICAL CENTER INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKELAND REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Lakeland Regional Medical Center Inc. Resolved parent/control boundary: LAKELAND REGIONAL MEDICAL CENTER INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKELAND REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100168",
      "ccn": "100168",
      "name": "BOCA RATON REGIONAL HOSPITAL",
      "address": "800 MEADOWS RD",
      "city": "BOCA RATON",
      "state": "FL",
      "zip": "33486",
      "county": "PALM BEACH",
      "latitude": 26.3587327200227,
      "longitude": -80.1028348095786,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 400,
      "rating": 2,
      "website": "baptisthealth.net/locations/hospitals/boca-raton-regional-hospital",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boca-raton-boca-raton-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100173",
      "ccn": "100173",
      "name": "ADVENTHEALTH TAMPA",
      "address": "3100 E FLETCHER AVE",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33613",
      "county": "HILLSBOROUGH",
      "latitude": 28.0710959702578,
      "longitude": -82.4240611802585,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 626,
      "rating": 3,
      "website": "www.adventhealthtampa.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-adventhealth-tampa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100175",
      "ccn": "100175",
      "name": "DESOTO MEMORIAL HOSPITAL",
      "address": "900 N ROBERT AVE",
      "city": "ARCADIA",
      "state": "FL",
      "zip": "34266",
      "county": "DESOTO",
      "latitude": 27.2274047698472,
      "longitude": -81.8510234000331,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 2,
      "website": "https://www.dmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arcadia-desoto-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DESOTO COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-desoto-county-hospital-district",
      "siblingGroupId": "siblings-fl-desoto-county-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-desoto-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: DESOTO COUNTY HOSPITAL DISTRICT. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DESOTO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: DESOTO COUNTY HOSPITAL DISTRICT. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DESOTO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100176",
      "ccn": "100176",
      "name": "PALM BEACH GARDENS MEDICAL CENTER",
      "address": "3360 BURNS RD",
      "city": "PALM BEACH GARDENS",
      "state": "FL",
      "zip": "33410",
      "county": "PALM BEACH",
      "latitude": 26.8296138999573,
      "longitude": -80.0865699202309,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 199,
      "rating": 2,
      "website": "http://www.pbgmc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palm-beach-gardens-palm-beach-gardens-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-fl-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100177",
      "ccn": "100177",
      "name": "CAPE CANAVERAL HOSPITAL",
      "address": "701 W COCOA BEACH CSWY",
      "city": "COCOA BEACH",
      "state": "FL",
      "zip": "32931",
      "county": "BREVARD",
      "latitude": 28.3601248002153,
      "longitude": -80.6229851703769,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 3,
      "website": "http://www.hf.org/hospitals_services/cch/",
      "status": "corporate_chain",
      "parentSystem": "HEALTH FIRST SHARED SERVICES, INC",
      "affiliatedSystem": "Hf",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hf",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cocoa-beach-cape-canaveral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-health-first-shared-services-inc",
      "siblingGroupId": "siblings-fl-health-first-shared-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-health-first"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hf.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100181",
      "ccn": "100181",
      "name": "LARKIN COMMUNITY HOSPITAL",
      "address": "7031 SW 62ND AVE",
      "city": "SOUTH MIAMI",
      "state": "FL",
      "zip": "33143",
      "county": "MIAMI-DADE",
      "latitude": 25.7056015499972,
      "longitude": -80.2932347399858,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 146,
      "rating": 1,
      "website": "http://www.larkinhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-miami-larkin-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LARKIN HEALTH SYSTEM, LLC",
      "parentSystemId": "entity-larkin-health-system-llc",
      "siblingGroupId": "siblings-fl-larkin-health-system-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LARKIN HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LARKIN HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100183",
      "ccn": "100183",
      "name": "STEWARD CORAL GABLES HOSPITAL",
      "address": "3100 S DOUGLAS RD",
      "city": "CORAL GABLES",
      "state": "FL",
      "zip": "33134",
      "county": "MIAMI-DADE",
      "latitude": 25.7437568101942,
      "longitude": -80.2548242301143,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 245,
      "rating": 3,
      "website": "www.coralgableshospital.com",
      "status": "signal",
      "parentSystem": "Healthcare Systems of America",
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Steward Health Care",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-healthcare-systems-of-america",
      "siblingGroupId": "siblings-fl-healthcare-systems-of-america",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100187",
      "ccn": "100187",
      "name": "STEWARD PALMETTO GENERAL HOSPITAL",
      "address": "2001 W 68TH ST",
      "city": "HIALEAH",
      "state": "FL",
      "zip": "33016",
      "county": "MIAMI-DADE",
      "latitude": 25.8857668901984,
      "longitude": -80.3263609703855,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 368,
      "rating": 2,
      "website": "http://www.palmettogeneral.com/",
      "status": "signal",
      "parentSystem": "Healthcare Systems of America",
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Steward Health Care",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-healthcare-systems-of-america",
      "siblingGroupId": "siblings-fl-healthcare-systems-of-america",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100200",
      "ccn": "100200",
      "name": "BROWARD HEALTH IMPERIAL POINT",
      "address": "6401 N FEDERAL HWY",
      "city": "FORT LAUDERDALE",
      "state": "FL",
      "zip": "33308",
      "county": "BROWARD",
      "latitude": 26.2070517598477,
      "longitude": -80.1108702002692,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 204,
      "rating": 3,
      "website": "http://www.browardhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "NORTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Browardhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Browardhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-lauderdale-broward-health-imperial-point/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-north-broward-hospital-district",
      "siblingGroupId": "siblings-fl-north-broward-hospital-district",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-north-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is identified as GOVERNMENT. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100204",
      "ccn": "100204",
      "name": "HCA FLORIDA NORTH FLORIDA HOSPITAL",
      "address": "6500 W NEWBERRY RD",
      "city": "GAINESVILLE",
      "state": "FL",
      "zip": "32605",
      "county": "ALACHUA",
      "latitude": 29.659772315249,
      "longitude": -82.410659687636,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/north-florida-hospital",
      "status": "corporate_chain",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "reviewedAt": "2026-06-25",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gainesville-hca-florida-north-florida-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100206",
      "ccn": "100206",
      "name": "HCA FLORIDA SOUTH TAMPA HOSPITAL",
      "address": "2901 W SWANN AVE",
      "city": "TAMPA",
      "state": "FL",
      "zip": "33609",
      "county": "HILLSBOROUGH",
      "latitude": 27.9379217799266,
      "longitude": -82.4899045500742,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 183,
      "rating": 5,
      "website": "https://www.hcafloridahealthcare.com/locations/south-tampa-hospital",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tampa-hca-florida-south-tampa-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100211",
      "ccn": "100211",
      "name": "ADVENTHEALTH DADE CITY",
      "address": "13100 FORT KING RD",
      "city": "DADE CITY",
      "state": "FL",
      "zip": "33525",
      "county": "PASCO",
      "latitude": 28.3479628603147,
      "longitude": -82.2007200795866,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": 4,
      "website": "www.adventhealthdadecity.com",
      "status": "signal",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "10021F",
      "ccn": "10021F",
      "name": "96TH MEDICAL GROUP",
      "address": "307 BOATNER ROAD, SUITE 114",
      "city": "EGLIN AFB",
      "state": "FL",
      "zip": "32542",
      "county": "OKALOOSA",
      "latitude": 30.4608398598556,
      "longitude": -86.5552326500779,
      "hospitalType": "Acute Care - Department of Defense",
      "sourceOwner": "Department of Defense",
      "beds": null,
      "rating": null,
      "website": "https://eglin.tricare.mil/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "Department of Defense",
      "publicControlBadge": "Not completely researched",
      "ownershipClass": "government",
      "parentSystem": "Department of Defense",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-fl-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-u-s-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://eglin.tricare.mil/About-Us"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus 96th Medical Group official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Department of Defense. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus 96th Medical Group official page. Resolved parent/control boundary: U.S. Department of Defense. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100228",
      "ccn": "100228",
      "name": "WESTSIDE REGIONAL MEDICAL CENTER",
      "address": "8201 W BROWARD BLVD",
      "city": "PLANTATION",
      "state": "FL",
      "zip": "33324",
      "county": "BROWARD",
      "latitude": 26.1232936701541,
      "longitude": -80.2597341501661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 250,
      "rating": 2,
      "website": "www.westsideregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100230",
      "ccn": "100230",
      "name": "MEMORIAL HOSPITAL PEMBROKE",
      "address": "7800 SHERIDAN ST",
      "city": "PEMBROKE PINES",
      "state": "FL",
      "zip": "33024",
      "county": "BROWARD",
      "latitude": 26.0297930997635,
      "longitude": -80.2455848202619,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 301,
      "rating": 4,
      "website": "https://www.mhs.net",
      "status": "corporate_chain",
      "parentSystem": "SOUTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Mhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pembroke-pines-memorial-hospital-pembroke/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-south-broward-hospital-district",
      "siblingGroupId": "siblings-fl-south-broward-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-south-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100238",
      "ccn": "100238",
      "name": "HCA FLORIDA NORTHSIDE HOSPITAL",
      "address": "6000 49TH ST N",
      "city": "SAINT PETERSBURG",
      "state": "FL",
      "zip": "33709",
      "county": "PINELLAS",
      "latitude": 27.8255596000209,
      "longitude": -82.7021119904035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 288,
      "rating": 1,
      "website": "https://www.hcafloridahealthcare.com/locations/northside-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-petersburg-hca-florida-northside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100243",
      "ccn": "100243",
      "name": "HCA FLORIDA BRANDON HOSPITAL",
      "address": "119 OAKFIELD DR",
      "city": "BRANDON",
      "state": "FL",
      "zip": "33511",
      "county": "HILLSBOROUGH",
      "latitude": 27.9329988802425,
      "longitude": -82.2878102003814,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 436,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/brandon-hospital",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brandon-hca-florida-brandon-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100244",
      "ccn": "100244",
      "name": "CAPE CORAL HOSPITAL",
      "address": "636 DEL PRADO BLVD",
      "city": "CAPE CORAL",
      "state": "FL",
      "zip": "33990",
      "county": "LEE",
      "latitude": 26.6392051798319,
      "longitude": -81.9420225002608,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 291,
      "rating": 3,
      "website": "www.leehealth.org",
      "status": "corporate_chain",
      "parentSystem": "Lee Health",
      "affiliatedSystem": "Leehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Leehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cape-coral-cape-coral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lee-health",
      "siblingGroupId": "siblings-fl-lee-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "lee-health-2024-nonprofit-conversion"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.leehealth.org/about-us/media/press-releases/lee-health-and-lee-county-vote-to-approve-mission"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Lee Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. Parent-family class audit correction: Lee Health converted from a public district to a community-focused nonprofit effective 2024-11-01. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Lee Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100252",
      "ccn": "100252",
      "name": "HCA FLORIDA RAULERSON HOSPITAL",
      "address": "1796 HWY 441 NORTH",
      "city": "OKEECHOBEE",
      "state": "FL",
      "zip": "34972",
      "county": "OKEECHOBEE",
      "latitude": 27.2602680303334,
      "longitude": -80.8286949803734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/raulerson-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-okeechobee-hca-florida-raulerson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100253",
      "ccn": "100253",
      "name": "JUPITER MEDICAL CENTER",
      "address": "1210 S OLD DIXIE HWY",
      "city": "JUPITER",
      "state": "FL",
      "zip": "33458",
      "county": "PALM BEACH",
      "latitude": 26.9228733097284,
      "longitude": -80.0963666799198,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 248,
      "rating": 4,
      "website": "https://www.jupitermed.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jupiter-jupiter-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Jupiter Medical Center",
      "parentSystemId": "entity-jupiter-medical-center",
      "siblingGroupId": "siblings-fl-jupiter-medical-center",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-jupiter-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.jupitermed.com/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Jupiter Medical Center Inc. Resolved parent/control boundary: JUPITER MEDICAL CENTER INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Jupiter Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Jupiter Medical Center Inc. Resolved parent/control boundary: JUPITER MEDICAL CENTER INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Jupiter Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100258",
      "ccn": "100258",
      "name": "DELRAY MEDICAL CENTER",
      "address": "5352 LINTON BLVD",
      "city": "DELRAY BEACH",
      "state": "FL",
      "zip": "33484",
      "county": "PALM BEACH",
      "latitude": 26.4371928400196,
      "longitude": -80.1277877498068,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 536,
      "rating": 1,
      "website": "https://www.delraymedicalctr.com/",
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Delraymedicalctr",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Delraymedicalctr",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-delray-beach-delray-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-fl-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100260",
      "ccn": "100260",
      "name": "ST LUCIE MEDICAL CENTER",
      "address": "1800 SE TIFFANY AVE",
      "city": "PORT SAINT LUCIE",
      "state": "FL",
      "zip": "34952",
      "county": "ST. LUCIE",
      "latitude": 27.2884280000746,
      "longitude": -80.2942960303237,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 207,
      "rating": 1,
      "website": "https://stluciemed.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100264",
      "ccn": "100264",
      "name": "HCA FLORIDA OAK HILL HOSPITAL",
      "address": "11375 CORTEZ BLVD",
      "city": "BROOKSVILLE",
      "state": "FL",
      "zip": "34613",
      "county": "HERNANDO",
      "latitude": 28.5362240600913,
      "longitude": -82.5340960502773,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 350,
      "rating": 1,
      "website": "https://www.hcafloridahealthcare.com/locations/oak-hill-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooksville-hca-florida-oak-hill-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100265",
      "ccn": "100265",
      "name": "MEASE COUNTRYSIDE HOSPITAL",
      "address": "3231 MCMULLEN BOOTH RD",
      "city": "SAFETY HARBOR",
      "state": "FL",
      "zip": "34695",
      "county": "PINELLAS",
      "latitude": 28.0387469798871,
      "longitude": -82.7079851703412,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 387,
      "rating": 4,
      "website": "http://www.mpmhealth.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-safety-harbor-mease-countryside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MORTON PLANT MEASE HEALTH CARE INC",
      "parentSystemId": "entity-morton-plant-mease-health-care-inc",
      "siblingGroupId": "siblings-fl-morton-plant-mease-health-care-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORTON PLANT MEASE HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORTON PLANT MEASE HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100266",
      "ccn": "100266",
      "name": "GULF BREEZE HOSPITAL",
      "address": "1110 GULF BREEZE PKWY",
      "city": "GULF BREEZE",
      "state": "FL",
      "zip": "32561",
      "county": "SANTA ROSA",
      "latitude": 30.3604819501728,
      "longitude": -87.157054650184,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 77,
      "rating": 4,
      "website": "http://www.ebaptisthealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH CARE, INC.",
      "affiliatedSystem": "Ebaptisthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ebaptisthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gulf-breeze-gulf-breeze-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-care-inc",
      "siblingGroupId": "siblings-fl-baptist-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-care-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BAPTIST HEALTH CARE, INC.; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to BAPTIST HEALTH CARE, INC.; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100268",
      "ccn": "100268",
      "name": "WEST BOCA MEDICAL CENTER",
      "address": "21644 STATE RD 7",
      "city": "BOCA RATON",
      "state": "FL",
      "zip": "33428",
      "county": "PALM BEACH",
      "latitude": 26.3561962603033,
      "longitude": -80.1991885803654,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 195,
      "rating": 3,
      "website": "http://www.westbocamedctr.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boca-raton-west-boca-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-fl-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100269",
      "ccn": "100269",
      "name": "HCA FLORIDA PALMS WEST HOSPITAL",
      "address": "13001 SOUTHERN BLVD",
      "city": "LOXAHATCHEE",
      "state": "FL",
      "zip": "33470",
      "county": "PALM BEACH",
      "latitude": 26.6835656503219,
      "longitude": -80.2529053100898,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 204,
      "rating": 2,
      "website": "https://www.hcafloridahealthcare.com/locations/palms-west-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-loxahatchee-hca-florida-palms-west-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100275",
      "ccn": "100275",
      "name": "WELLINGTON REGIONAL MEDICAL CENTER",
      "address": "10101 FOREST HILL BLVD",
      "city": "WELLINGTON",
      "state": "FL",
      "zip": "33414",
      "county": "PALM BEACH",
      "latitude": 26.6516621799363,
      "longitude": -80.2050636296972,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 235,
      "rating": 2,
      "website": "https://www.wellingtonregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wellington-wellington-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100276",
      "ccn": "100276",
      "name": "BROWARD HEALTH CORAL SPRINGS",
      "address": "3000 CORAL HILLS DR",
      "city": "CORAL SPRINGS",
      "state": "FL",
      "zip": "33065",
      "county": "BROWARD",
      "latitude": 26.2687527803582,
      "longitude": -80.2556562200861,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 250,
      "rating": 4,
      "website": "http://www.browardhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "NORTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Browardhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Browardhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coral-springs-broward-health-coral-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-north-broward-hospital-district",
      "siblingGroupId": "siblings-fl-north-broward-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-north-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100277",
      "ccn": "100277",
      "name": "DOUGLAS GARDENS HOSPITAL",
      "address": "5200 NE 2ND AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33137",
      "county": "MIAMI-DADE",
      "latitude": 25.8228281600022,
      "longitude": -80.1924465202405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": null,
      "website": "www.miamijewishhealthsystems.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-douglas-gardens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MIAMI JEWISH HEALTH SYSTEMS INC",
      "parentSystemId": "entity-miami-jewish-health-systems-inc",
      "siblingGroupId": "siblings-fl-miami-jewish-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-miami-jewish-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.miamijewishhealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Miami Jewish Health official about page. Resolved parent/control boundary: Miami Jewish Health Systems. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIAMI JEWISH HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Miami Jewish Health official about page. Resolved parent/control boundary: Miami Jewish Health Systems. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIAMI JEWISH HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100281",
      "ccn": "100281",
      "name": "MEMORIAL HOSPITAL WEST",
      "address": "703 N FLAMINGO RD",
      "city": "PEMBROKE PINES",
      "state": "FL",
      "zip": "33028",
      "county": "BROWARD",
      "latitude": 26.0130154096319,
      "longitude": -80.3108003602205,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 486,
      "rating": 3,
      "website": "https://www.mhs.net",
      "status": "corporate_chain",
      "parentSystem": "SOUTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Mhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pembroke-pines-memorial-hospital-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-south-broward-hospital-district",
      "siblingGroupId": "siblings-fl-south-broward-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-south-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100284",
      "ccn": "100284",
      "name": "KERALTY HOSPITAL",
      "address": "2500 SW 75TH AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33155",
      "county": "MIAMI-DADE",
      "latitude": 25.7475093597643,
      "longitude": -80.3174558497015,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 125,
      "rating": 2,
      "website": "http://www.westchesterhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SANITAS USA, INC",
      "parentSystemId": "entity-sanitas-usa-inc",
      "siblingGroupId": "siblings-fl-sanitas-usa-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANITAS USA, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANITAS USA, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "100285",
      "ccn": "100285",
      "name": "MEMORIAL HOSPITAL MIRAMAR",
      "address": "1901 SW 172ND AVE",
      "city": "MIRAMAR",
      "state": "FL",
      "zip": "33029",
      "county": "BROWARD",
      "latitude": 25.990868149973,
      "longitude": -80.3727511798915,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 178,
      "rating": 5,
      "website": "www.mhs.net",
      "status": "corporate_chain",
      "parentSystem": "SOUTH BROWARD HOSPITAL DISTRICT",
      "affiliatedSystem": "Mhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mhs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miramar-memorial-hospital-miramar/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-south-broward-hospital-district",
      "siblingGroupId": "siblings-fl-south-broward-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-south-broward-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH BROWARD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100286",
      "ccn": "100286",
      "name": "PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE",
      "address": "6101 PINE RIDGE RD",
      "city": "NAPLES",
      "state": "FL",
      "zip": "34119",
      "county": "COLLIER",
      "latitude": 26.2139528701806,
      "longitude": -81.7326837902655,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 109,
      "rating": 2,
      "website": "http://www.physiciansregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-fl-community-health-systems",
      "campusFamilyId": "campus-fl-100286",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001108109"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001108109.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant COMMUNITY HEALTH SYSTEMS INC (CYH). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100287",
      "ccn": "100287",
      "name": "GOOD SAMARITAN MEDICAL CENTER",
      "address": "1309 N FLAGLER DR",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33401",
      "county": "PALM BEACH",
      "latitude": 26.72546173036,
      "longitude": -80.0518812698204,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 333,
      "rating": 2,
      "website": "http://www.goodsamaritanmc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-palm-beach-good-samaritan-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-fl-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100288",
      "ccn": "100288",
      "name": "ST MARY'S MEDICAL CENTER",
      "address": "901 45TH ST",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33407",
      "county": "PALM BEACH",
      "latitude": 26.755871139694,
      "longitude": -80.062462029682,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 460,
      "rating": 1,
      "website": "http://www.stmarysmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-palm-beach-st-mary-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-fl-tenet-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000070318"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000070318.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant TENET HEALTHCARE CORP (THC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100289",
      "ccn": "100289",
      "name": "CLEVELAND CLINIC HOSPITAL",
      "address": "3100 WESTON RD",
      "city": "WESTON",
      "state": "FL",
      "zip": "33331",
      "county": "BROWARD",
      "latitude": 26.0819221703391,
      "longitude": -80.3648947497752,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 206,
      "rating": 5,
      "website": "http://www.clevelandclinic.org/florida/weston/hospital/",
      "status": "corporate_chain",
      "parentSystem": "CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weston-cleveland-clinic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cleveland-clinic-florida-regional-health-system-nonprofit-corporation",
      "siblingGroupId": "siblings-fl-cleveland-clinic-florida-regional-health-system-nonprofit-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLEVELAND CLINIC FLORIDA REGIONAL HEALTH SYSTEM NONPROFIT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100296",
      "ccn": "100296",
      "name": "DOCTORS HOSPITAL",
      "address": "5000 UNIVERSITY DR",
      "city": "CORAL GABLES",
      "state": "FL",
      "zip": "33146",
      "county": "MIAMI-DADE",
      "latitude": 25.7241030999235,
      "longitude": -80.2742310795762,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 281,
      "rating": 5,
      "website": "http://www.baptisthealth.net",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coral-gables-doctors-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100298",
      "ccn": "100298",
      "name": "FLORIDA STATE HOSPITAL",
      "address": "100 N MAIN ST",
      "city": "CHATTAHOOCHEE",
      "state": "FL",
      "zip": "32324",
      "county": "GADSDEN",
      "latitude": 30.7065016701061,
      "longitude": -84.8413308998956,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 949,
      "rating": null,
      "website": "http://www.myflfamilies.com/service-programs/mental-health/fsh",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chattahoochee-florida-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
      "parentSystemId": "entity-florida-department-of-children-and-families",
      "siblingGroupId": "siblings-fl-florida-department-of-children-and-families",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100299",
      "ccn": "100299",
      "name": "LAKEWOOD RANCH MEDICAL CENTER",
      "address": "8330 LAKEWOOD RANCH BLVD",
      "city": "BRADENTON",
      "state": "FL",
      "zip": "34202",
      "county": "MANATEE",
      "latitude": 27.3905978097775,
      "longitude": -82.4353961701242,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": 4,
      "website": "http://www.lakewoodranchmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bradenton-lakewood-ranch-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100302",
      "ccn": "100302",
      "name": "ORLANDO HEALTH ST CLOUD HOSPITAL",
      "address": "2906 17TH ST",
      "city": "SAINT CLOUD",
      "state": "FL",
      "zip": "34769",
      "county": "OSCEOLA",
      "latitude": 28.243622320151,
      "longitude": -81.3028067196915,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 84,
      "rating": 2,
      "website": "https://www.orlandohealth.com/facilities/st-cloud-hospital",
      "status": "corporate_chain",
      "parentSystem": "Orlando Health",
      "affiliatedSystem": "Orlandohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Orlandohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-orlando-health",
      "siblingGroupId": "siblings-fl-orlando-health",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Orlando Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100307",
      "ccn": "100307",
      "name": "ASCENSION ST VINCENT'S SOUTHSIDE",
      "address": "4201 BELFORT RD",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32216",
      "county": "DUVAL",
      "latitude": 30.2533777800286,
      "longitude": -81.5823688500806,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 313,
      "rating": 4,
      "website": "https://healthcare.ascension.org/locations/florida/fljac/jacksonville-ascension-st-vincents-southside",
      "status": "corporate_chain",
      "parentSystem": "ST LUKES - ST VINCENTS HEALTHCARE",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-lukes-st-vincents-healthcare",
      "siblingGroupId": "siblings-fl-st-lukes-st-vincents-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES - ST VINCENTS HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES - ST VINCENTS HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100313",
      "ccn": "100313",
      "name": "ASCENSION SACRED HEART GULF",
      "address": "3801 E HWY 98",
      "city": "PORT SAINT JOE",
      "state": "FL",
      "zip": "32456",
      "county": "GULF",
      "latitude": 29.7790236697191,
      "longitude": -85.2878970200399,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 19,
      "rating": 3,
      "website": "https://healthcare.ascension.org/locations/florida/flpen/port-st-joe-ascension-sacred-heart-gulf",
      "status": "corporate_chain",
      "parentSystem": "SACRED HEART HEALTH SYSTEM INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sacred-heart-health-system-inc",
      "siblingGroupId": "siblings-fl-sacred-heart-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100314",
      "ccn": "100314",
      "name": "WEST KENDALL BAPTIST HOSPITAL",
      "address": "9555 SW 162ND AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33196",
      "county": "MIAMI-DADE",
      "latitude": 25.6781657703771,
      "longitude": -80.4559557600957,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 133,
      "rating": 5,
      "website": "www.baptisthealth.net",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-west-kendall-baptist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100315",
      "ccn": "100315",
      "name": "VIERA HOSPITAL",
      "address": "8745 N WICKHAM RD",
      "city": "MELBOURNE",
      "state": "FL",
      "zip": "32940",
      "county": "BREVARD",
      "latitude": 28.2279678798288,
      "longitude": -80.7293320501159,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 84,
      "rating": 5,
      "website": "http://www.hf.org/hospitals_services/viera/",
      "status": "corporate_chain",
      "parentSystem": "HEALTH FIRST SHARED SERVICES, INC",
      "affiliatedSystem": "Hf",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hf",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-health-first-shared-services-inc",
      "siblingGroupId": "siblings-fl-health-first-shared-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-health-first"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hf.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100316",
      "ccn": "100316",
      "name": "PALM BAY HOSPITAL",
      "address": "1425 MALABAR RD NE",
      "city": "PALM BAY",
      "state": "FL",
      "zip": "32907",
      "county": "BREVARD",
      "latitude": 27.9994282401005,
      "longitude": -80.6109488495992,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": 3,
      "website": "https://hf.org/hospitals_services/pbch/",
      "status": "corporate_chain",
      "parentSystem": "HEALTH FIRST SHARED SERVICES, INC",
      "affiliatedSystem": "Hf",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hf",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palm-bay-palm-bay-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-health-first-shared-services-inc",
      "siblingGroupId": "siblings-fl-health-first-shared-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-health-first"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hf.org/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Health First; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH FIRST SHARED SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100319",
      "ccn": "100319",
      "name": "ADVENTHEALTH WESLEY CHAPEL",
      "address": "2600 BRUCE B DOWNS BLVD",
      "city": "WESLEY CHAPEL",
      "state": "FL",
      "zip": "33544",
      "county": "PASCO",
      "latitude": 28.1956241296589,
      "longitude": -82.3511426100947,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 169,
      "rating": 5,
      "website": "www.adventhealthwesleychapel.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wesley-chapel-adventhealth-wesley-chapel/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100321",
      "ccn": "100321",
      "name": "ASCENSION ST VINCENT'S CLAY COUNTY",
      "address": "1670 ST VINCENTS WAY",
      "city": "MIDDLEBURG",
      "state": "FL",
      "zip": "32068",
      "county": "CLAY",
      "latitude": 30.1087624301671,
      "longitude": -81.8326886898628,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 134,
      "rating": 3,
      "website": "https://healthcare.ascension.org/locations/florida/fljac/middleburg-ascension-st-vincents-clay-county",
      "status": "corporate_chain",
      "parentSystem": "ST. VINCENT'S HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-s-health-system-inc",
      "siblingGroupId": "siblings-fl-st-vincent-s-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. VINCENT'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100329",
      "ccn": "100329",
      "name": "OVIEDO MEDICAL CENTER",
      "address": "8300 RED BUG LAKE RD",
      "city": "OVIEDO",
      "state": "FL",
      "zip": "32765",
      "county": "SEMINOLE",
      "latitude": 28.6578410000103,
      "longitude": -81.2280639999691,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": 3,
      "website": "www.oviedomedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oviedo-oviedo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100330",
      "ccn": "100330",
      "name": "HALIFAX HEALTH UF HEALTH MEDICAL CENTER OF DELTONA",
      "address": "3300 HALIFAX CROSSINGS BLVD",
      "city": "DELTONA",
      "state": "FL",
      "zip": "32725",
      "county": "VOLUSIA",
      "latitude": 28.9576585996462,
      "longitude": -81.2557246996189,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 43,
      "rating": null,
      "website": "halifaxhealth.org",
      "status": "corporate_chain",
      "parentSystem": "HALIFAX HOSPITAL MEDICAL CENTER",
      "affiliatedSystem": "Halifaxhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Halifaxhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-halifax-hospital-medical-center",
      "siblingGroupId": "siblings-fl-halifax-hospital-medical-center",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HALIFAX HOSPITAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HALIFAX HOSPITAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100359",
      "ccn": "100359",
      "name": "SARASOTA MEMORIAL HOSPITAL - VENICE",
      "address": "2600 LAUREL RD E",
      "city": "NORTH VENICE",
      "state": "FL",
      "zip": "34275",
      "county": "TAYLOR",
      "latitude": 30.1279125202954,
      "longitude": -83.5780487199478,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 110,
      "rating": 5,
      "website": "smhvenice.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT",
      "parentSystemId": "entity-sarasota-county-public-hospital-district",
      "siblingGroupId": "siblings-fl-sarasota-county-public-hospital-district",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-sarasota-county-public-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "100360",
      "ccn": "100360",
      "name": "HCA FLORIDA UNIVERSITY HOSPITAL",
      "address": "3476 S UNIVERSITY DR.",
      "city": "DAVIE",
      "state": "FL",
      "zip": "33328",
      "county": "BROWARD",
      "latitude": 26.213155199842,
      "longitude": -80.2567745004439,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 165,
      "rating": 3,
      "website": "https://www.hcafloridahealthcare.com/locations/university-hospital",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "CMS Hospital General Information matched to current HCA Florida brand; HCA Healthcare 2025 Form 10-K Florida segment disclosure",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information + HCA Healthcare public filings",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS and HCA public filings connect this facility to the for-profit HCA Healthcare corporate hospital chain; this is not a direct private-equity ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "HCA Healthcare 2025 Form 10-K",
        "CMS Hospital General Information + HCA Healthcare public filings",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "relationshipType": "corporate_chain",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-fl-hca-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000860730"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000860730.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant HCA Healthcare, Inc. (HCA). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "100362",
      "ccn": "100362",
      "name": "BAYCARE HOSPITAL WESLEY CHAPEL",
      "address": "4501 BRUCE B DOWNS BLVD",
      "city": "WESLEY CHAPEL",
      "state": "FL",
      "zip": "33544",
      "county": "PASCO",
      "latitude": 28.2233815759844,
      "longitude": -82.3559156816945,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": null,
      "website": "baycarehospitalwesleychapel.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "BayCare Health System",
      "parentSystemId": "entity-baycare-health-system",
      "siblingGroupId": "siblings-fl-baycare-health-system",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BayCare Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100363",
      "ccn": "100363",
      "name": "ADVENTHEALTH PALM COAST PARKWAY",
      "address": "1 ADVENTHEALTH WAY",
      "city": "PALM COAST",
      "state": "FL",
      "zip": "32137",
      "county": "FLAGLER",
      "latitude": 29.5520741023218,
      "longitude": -81.244392923027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 4,
      "website": "https://www.adventhealth.com/hospital/adventhealth-palm-coast-parkway",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "100364",
      "ccn": "100364",
      "name": "ADVENTHEALTH RIVERVIEW",
      "address": "9330 US HIGHWAY 301 S",
      "city": "RIVERVIEW",
      "state": "FL",
      "zip": "33578",
      "county": "HILLSBOROUGH",
      "latitude": 27.8609379831491,
      "longitude": -82.3252871199242,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 82,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "101300",
      "ccn": "101300",
      "name": "ADVENTHEALTH WAUCHULA",
      "address": "735 S 5TH AVE",
      "city": "WAUCHULA",
      "state": "FL",
      "zip": "33873",
      "county": "HARDEE",
      "latitude": 27.5394212998671,
      "longitude": -81.8072774004305,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.adventhealth.com/hospital/adventhealth-wauchula",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "campusFamilyId": "campus-fl-101300",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "101300-loc-fl-wauchula-adventhealth-wauchula",
      "ccn": "101300",
      "name": "ADVENTHEALTH WAUCHULA",
      "address": "533 W CARLTON ST",
      "city": "WAUCHULA",
      "state": "FL",
      "zip": "33873",
      "county": "HARDEE",
      "latitude": 27.5354532703827,
      "longitude": -81.8169619102348,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://fh.floridahospital.com/heartland/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-fl-adventist-health-system-sunbelt-healthcare-corporation",
      "campusFamilyId": "campus-fl-101300",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "101300"
    },
    {
      "id": "101303",
      "ccn": "101303",
      "name": "LAKE BUTLER HOSPITAL",
      "address": "850 E MAIN ST",
      "city": "LAKE BUTLER",
      "state": "FL",
      "zip": "32054",
      "county": "UNION",
      "latitude": 30.0227142498658,
      "longitude": -82.3269097099909,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.lakebutlerhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MEDLINK MANAGEMENT SERVICES INC",
      "parentSystemId": "entity-medlink-management-services-inc",
      "siblingGroupId": "siblings-fl-medlink-management-services-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MEDLINK MANAGEMENT SERVICES INC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDLINK MANAGEMENT SERVICES INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MEDLINK MANAGEMENT SERVICES INC. Ownership class: for_profit_private. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDLINK MANAGEMENT SERVICES INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "101304",
      "ccn": "101304",
      "name": "CALHOUN - LIBERTY HOSPITAL",
      "address": "20370 NE BURNS AVENUE",
      "city": "BLOUNTSTOWN",
      "state": "FL",
      "zip": "32424",
      "county": "CALHOUN",
      "latitude": 30.4586228298859,
      "longitude": -85.0501038599081,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.calhounlibertyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blountstown-calhoun-liberty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC.",
      "parentSystemId": "entity-calhoun-liberty-hospital-association-inc",
      "siblingGroupId": "siblings-fl-calhoun-liberty-hospital-association-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-593051173"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/593051173"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Calhoun Liberty Hospital Association Inc. Resolved parent/control boundary: CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Calhoun Liberty Hospital Association Inc. Resolved parent/control boundary: CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "101305",
      "ccn": "101305",
      "name": "GEORGE E WEEMS MEMORIAL HOSPITAL",
      "address": "135 AVE G",
      "city": "APALACHICOLA",
      "state": "FL",
      "zip": "32320",
      "county": "FRANKLIN",
      "latitude": 29.7245342101616,
      "longitude": -84.9925947601594,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.weemsmemorial.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-apalachicola-george-e-weems-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS",
      "parentSystemId": "entity-franklin-county-board-of-county-commissioners",
      "siblingGroupId": "siblings-fl-franklin-county-board-of-county-commissioners",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as OTHER( COUNTY GOVERNMENT ). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local; the selected CMS ownership-interest organization is identified as OTHER( COUNTY GOVERNMENT ). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "101307",
      "ccn": "101307",
      "name": "DOCTORS MEMORIAL HOSPITAL",
      "address": "2600 HOSPITAL DRIVE",
      "city": "BONIFAY",
      "state": "FL",
      "zip": "32425",
      "county": "HOLMES",
      "latitude": 30.7610808100635,
      "longitude": -85.6830323704314,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": 2,
      "website": "http://www.doctorsmemorialhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bonifay-doctors-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOLMES COUNTY HOSPITAL CORP",
      "parentSystemId": "entity-holmes-county-hospital-corp",
      "siblingGroupId": "siblings-fl-holmes-county-hospital-corp",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: HOLMES COUNTY HOSPITAL CORP. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLMES COUNTY HOSPITAL CORP, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: HOLMES COUNTY HOSPITAL CORP. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLMES COUNTY HOSPITAL CORP, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "101308",
      "ccn": "101308",
      "name": "NORTHWEST FLORIDA COMMUNITY HOSPITAL",
      "address": "1360 BRICKYARD RD",
      "city": "CHIPLEY",
      "state": "FL",
      "zip": "32428",
      "county": "WASHINGTON",
      "latitude": 30.7654920698095,
      "longitude": -85.5428615397098,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 59,
      "rating": 2,
      "website": "www.nfch.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chipley-northwest-florida-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NFCH, INC",
      "parentSystemId": "entity-nfch-inc",
      "siblingGroupId": "siblings-fl-nfch-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NFCH, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked FOR PROFIT - OWNER=Y and no disclosed owner-chain name matched the fetched current SEC company-ticker registry. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NFCH, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "101309",
      "ccn": "101309",
      "name": "HENDRY REGIONAL MEDICAL CENTER",
      "address": "524 W SAGAMORE AVE",
      "city": "CLEWISTON",
      "state": "FL",
      "zip": "33440",
      "county": "HENDRY",
      "latitude": 26.7526814003102,
      "longitude": -80.9412655500976,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.hrmc.us",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clewiston-hendry-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HENDRY COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-hendry-county-hospital-authority",
      "siblingGroupId": "siblings-fl-hendry-county-hospital-authority",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "fl-verified-parent-hendry-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: HENDRY COUNTY HOSPITAL AUTHORITY. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDRY COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: HENDRY COUNTY HOSPITAL AUTHORITY. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDRY COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "101311",
      "ccn": "101311",
      "name": "MADISON COUNTY MEMORIAL HOSPITAL",
      "address": "224 NW CRANE AVENUE",
      "city": "MADISON",
      "state": "FL",
      "zip": "32340",
      "county": "MADISON",
      "latitude": 30.471301000162,
      "longitude": -83.4187869997076,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.mcmh.us/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-madison-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC",
      "parentSystemId": "entity-madison-county-hospital-health-systems-inc",
      "siblingGroupId": "siblings-fl-madison-county-hospital-health-systems-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "cms-hospital-general-information"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://data.cms.gov/provider-data/dataset/xubh-q36u"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Hospital District or Authority. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus CMS Hospital General Information. Resolved parent/control boundary: MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "101312",
      "ccn": "101312",
      "name": "FISHERMEN'S COMMUNITY HOSPITAL",
      "address": "3301 OVERSEAS HWY",
      "city": "MARATHON",
      "state": "FL",
      "zip": "33050",
      "county": "MONROE",
      "latitude": 24.7103624899935,
      "longitude": -81.0944363297921,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": null,
      "website": "www.baptisthealth.net",
      "status": "signal",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "101313",
      "ccn": "101313",
      "name": "MARINERS HOSPITAL",
      "address": "91500 OVERSEAS HWY",
      "city": "TAVERNIER",
      "state": "FL",
      "zip": "33070",
      "county": "MONROE",
      "latitude": 25.0061565398414,
      "longitude": -80.5223050799441,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://baptisthealth.net/en/facilities/mariners-hospital/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTH SOUTH FLORIDA INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tavernier-mariners-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-health-south-florida-inc",
      "siblingGroupId": "siblings-fl-baptist-health-south-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-baptist-health-south-florida"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://baptisthealth.net/locations"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Baptist Health South Florida; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH SOUTH FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "101314",
      "ccn": "101314",
      "name": "DOCTORS' MEMORIAL HOSPITAL",
      "address": "333 N BYRON BUTLER PKWY",
      "city": "PERRY",
      "state": "FL",
      "zip": "32348",
      "county": "TAYLOR",
      "latitude": 30.1201216401679,
      "longitude": -83.5933221396148,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": null,
      "website": "www.doctorsmemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-perry-doctors-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DOCTORS MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-doctors-memorial-hospital-inc",
      "siblingGroupId": "siblings-fl-doctors-memorial-hospital-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-593122517"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/593122517"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Doctors Memorial Hospital Inc. Resolved parent/control boundary: DOCTORS MEMORIAL HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOCTORS MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Doctors Memorial Hospital Inc. Resolved parent/control boundary: DOCTORS MEMORIAL HOSPITAL INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOCTORS MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "101315",
      "ccn": "101315",
      "name": "JAY HOSPITAL",
      "address": "14114 ALABAMA ST",
      "city": "JAY",
      "state": "FL",
      "zip": "32565",
      "county": "SANTA ROSA",
      "latitude": 30.9498495403598,
      "longitude": -87.1512692302597,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "website": "http://www.bhcpns.org/jayhospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jay-jay-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTH CARE, INC.",
      "parentSystemId": "entity-baptist-health-care-inc",
      "siblingGroupId": "siblings-fl-baptist-health-care-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTH CARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "103300",
      "ccn": "103300",
      "name": "JOHNS HOPKINS ALL CHILDREN'S HOSPITAL",
      "address": "501 SIXTH AVE S",
      "city": "SAINT PETERSBURG",
      "state": "FL",
      "zip": "33701",
      "county": "PINELLAS",
      "latitude": 27.7646375200692,
      "longitude": -82.6407537102737,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 259,
      "rating": null,
      "website": "http://www.hopkinsallchildrens.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION",
      "parentSystemId": "entity-the-johns-hopkins-health-system-corporation",
      "siblingGroupId": "siblings-fl-the-johns-hopkins-health-system-corporation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "103301",
      "ccn": "103301",
      "name": "NICKLAUS CHILDREN'S HOSPITAL",
      "address": "3100 SW 62ND AVE",
      "city": "MIAMI",
      "state": "FL",
      "zip": "33155",
      "county": "MIAMI-DADE",
      "latitude": 25.7414562398697,
      "longitude": -80.2942967498742,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 309,
      "rating": null,
      "website": "www.nicklauschildrens.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-nicklaus-childrens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MIAMI CHILDREN'S HEALTH SYSTEM INC",
      "parentSystemId": "entity-miami-children-s-health-system-inc",
      "siblingGroupId": "siblings-fl-miami-children-s-health-system-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIAMI CHILDREN'S HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIAMI CHILDREN'S HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "103304",
      "ccn": "103304",
      "name": "NEMOURS CHILDREN'S HOSPITAL FLORIDA",
      "address": "6535 NEMOURS PKWY",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32827",
      "county": "ORANGE",
      "latitude": 28.3767995896602,
      "longitude": -81.2736389596087,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": null,
      "website": "http://www.nemours.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE NEMOURS FOUNDATION",
      "parentSystemId": "entity-the-nemours-foundation",
      "siblingGroupId": "siblings-fl-the-nemours-foundation",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEMOURS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEMOURS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "104001",
      "ccn": "104001",
      "name": "SOUTH FLORIDA STATE HOSPITAL",
      "address": "800 E CYPRESS DR",
      "city": "PEMBROKE PINES",
      "state": "FL",
      "zip": "33025",
      "county": "BROWARD",
      "latitude": 26.001434349646,
      "longitude": -80.2498023503337,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 350,
      "rating": null,
      "website": "wellpath.us",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pembroke-pines-south-florida-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RECSOL RECOVERY SOLUTIONS LLC",
      "parentSystemId": "entity-recsol-recovery-solutions-llc",
      "siblingGroupId": "siblings-fl-recsol-recovery-solutions-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECSOL RECOVERY SOLUTIONS LLC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - Local. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECSOL RECOVERY SOLUTIONS LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "104007",
      "ccn": "104007",
      "name": "NORTHEAST FLORIDA STATE HOSPITAL",
      "address": "7487 S STATE RD 121",
      "city": "MACCLENNY",
      "state": "FL",
      "zip": "32063",
      "county": "BAKER",
      "latitude": 30.2374094697651,
      "longitude": -82.1339815296071,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 1138,
      "rating": null,
      "website": "http://www.dcf.state.fl.us/institutions/nefsh",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
      "peFirm": "H.I.G. Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Private equity",
      "operatorName": "Wellpath",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macclenny-northeast-florida-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-florida-department-of-children-and-families",
      "siblingGroupId": "siblings-fl-florida-department-of-children-and-families",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-florida-department-of-children-and-families"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.myflfamilies.com/services/substance-abuse-and-mental-health/state-mental-health-treatment-facilities"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Florida DCF state mental-health facilities page. Resolved parent/control boundary: Florida Department of Children and Families. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Government - State. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Florida DCF state mental-health facilities page. Resolved parent/control boundary: Florida Department of Children and Families. Ownership class: government. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "104016",
      "ccn": "104016",
      "name": "RIVER POINT BEHAVIORAL HEALTH",
      "address": "6300 BEACH BLVD",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32216",
      "county": "DUVAL",
      "latitude": 30.2907469701518,
      "longitude": -81.5969855401895,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 84,
      "rating": null,
      "website": "http://www.riverpointbehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-river-point-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104017",
      "ccn": "104017",
      "name": "WINDMOOR HEALTHCARE OF CLEARWATER",
      "address": "11300 US HWY 19 N",
      "city": "CLEARWATER",
      "state": "FL",
      "zip": "33764",
      "county": "PINELLAS",
      "latitude": 27.8747548303406,
      "longitude": -82.7108457295993,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 144,
      "rating": null,
      "website": "www.windmoor.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clearwater-windmoor-healthcare-of-clearwater/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104018",
      "ccn": "104018",
      "name": "LIFESTREAM BEHAVIORAL CENTER INC",
      "address": "2020 TALLY RD",
      "city": "LEESBURG",
      "state": "FL",
      "zip": "34748",
      "county": "LAKE",
      "latitude": 28.836904090339,
      "longitude": -81.8954830401619,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 46,
      "rating": null,
      "website": "http://www.lsbc.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leesburg-lifestream-behavioral-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIFESTREAM BEHAVIORAL CENTER INC",
      "parentSystemId": "entity-lifestream-behavioral-center-inc",
      "siblingGroupId": "siblings-fl-lifestream-behavioral-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-lifestream-behavioral-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifestreaminc.com/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LifeStream Behavioral Center; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESTREAM BEHAVIORAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to LifeStream Behavioral Center; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESTREAM BEHAVIORAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "104024",
      "ccn": "104024",
      "name": "CIRCLES OF CARE INC",
      "address": "400 E SHERIDAN RD",
      "city": "MELBOURNE",
      "state": "FL",
      "zip": "32901",
      "county": "BREVARD",
      "latitude": 28.0899205896541,
      "longitude": -80.6159156896023,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": null,
      "website": "http://www.circlesofcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CIRCLES OF CARE INC",
      "parentSystemId": "entity-circles-of-care-inc",
      "siblingGroupId": "siblings-fl-circles-of-care-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-591101553"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/591101553"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Circles Of Care Inc. Resolved parent/control boundary: CIRCLES OF CARE INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIRCLES OF CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Circles Of Care Inc. Resolved parent/control boundary: CIRCLES OF CARE INC. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIRCLES OF CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "104026",
      "ccn": "104026",
      "name": "FORT LAUDERDALE BEHAVIORAL HEALTH CENTER",
      "address": "5757 N DIXIE HIGHWAY",
      "city": "OAKLAND PARK",
      "state": "FL",
      "zip": "33334",
      "county": "BROWARD",
      "latitude": 26.1977746200631,
      "longitude": -80.1331516496571,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 182,
      "rating": null,
      "website": "https://ftlauderdalebehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakland-park-fort-lauderdale-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104040",
      "ccn": "104040",
      "name": "CENTERSTONE OF FLORIDA INC",
      "address": "2020 26TH AVE E",
      "city": "BRADENTON",
      "state": "FL",
      "zip": "34208",
      "county": "MANATEE",
      "latitude": 27.475655170215,
      "longitude": -82.5396864702079,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 37,
      "rating": null,
      "website": "centerstone.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bradenton-centerstone-of-florida/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTERSTONE OF FLORIDA INC",
      "parentSystemId": "entity-centerstone-of-florida-inc",
      "siblingGroupId": "siblings-fl-centerstone-of-florida-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-centerstone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://centerstone.org/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Centerstone official about page. Resolved parent/control boundary: Centerstone. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERSTONE OF FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Centerstone official about page. Resolved parent/control boundary: Centerstone. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERSTONE OF FLORIDA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "104049",
      "ccn": "104049",
      "name": "SOUTHERN WINDS",
      "address": "4225 W 20TH AVE",
      "city": "HIALEAH",
      "state": "FL",
      "zip": "33012",
      "county": "MIAMI-DADE",
      "latitude": 25.8603370096226,
      "longitude": -80.3215340501744,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "www.southernwindshospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHERN WINDS HOSPITAL HOLDINGS",
      "parentSystemId": "entity-southern-winds-hospital-holdings",
      "siblingGroupId": "siblings-fl-southern-winds-hospital-holdings",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-remediation-southern-winds-hospital-holdings"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SOUTHERN WINDS HOSPITAL HOLDINGS; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN WINDS HOSPITAL HOLDINGS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to SOUTHERN WINDS HOSPITAL HOLDINGS; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN WINDS HOSPITAL HOLDINGS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "104057",
      "ccn": "104057",
      "name": "SPRINGBROOK HOSPITAL",
      "address": "7007 GROVE RD",
      "city": "BROOKSVILLE",
      "state": "FL",
      "zip": "34609",
      "county": "HERNANDO",
      "latitude": 28.5329355403248,
      "longitude": -82.4842086697258,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 66,
      "rating": null,
      "website": "http://www.springbrookhospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooksville-springbrook-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oglethorpe, Inc.",
      "parentSystemId": "entity-oglethorpe-inc",
      "siblingGroupId": "siblings-fl-oglethorpe-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-oglethorpe-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oglethorpeinc.com/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to OGLETHORPE INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to OGLETHORPE INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "104059",
      "ccn": "104059",
      "name": "EASTSIDE PSYCHIATRIC HOSPITAL",
      "address": "2634B CAPITAL CIR NE",
      "city": "TALLAHASSEE",
      "state": "FL",
      "zip": "32308",
      "county": "LEON",
      "latitude": 30.487511050031,
      "longitude": -84.2393447003319,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": null,
      "website": "http://www.apalacheecenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tallahassee-eastside-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "APALACHEE CENTER INC",
      "parentSystemId": "entity-apalachee-center-inc",
      "siblingGroupId": "siblings-fl-apalachee-center-inc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APALACHEE CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; the selected CMS ownership-interest organization is marked NON PROFIT - OWNER=Y. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APALACHEE CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "104063",
      "ccn": "104063",
      "name": "THE WILLOUGH AT NAPLES",
      "address": "9001 TAMIAMI TRL E",
      "city": "NAPLES",
      "state": "FL",
      "zip": "34113",
      "county": "COLLIER",
      "latitude": 26.0960285102496,
      "longitude": -81.7363097599598,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 87,
      "rating": null,
      "website": "http://www.thewilloughatnaples.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oglethorpe, Inc.",
      "parentSystemId": "entity-oglethorpe-inc",
      "siblingGroupId": "siblings-fl-oglethorpe-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-oglethorpe-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oglethorpeinc.com/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Oglethorpe, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: facility-specific primary-source resolution to Oglethorpe, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "104067",
      "ccn": "104067",
      "name": "ASPIRE HEALTH PARTNERS",
      "address": "1800 MERCY DR",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32808",
      "county": "ORANGE",
      "latitude": 28.5676328897904,
      "longitude": -81.4342448802125,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": null,
      "website": "http://aspirehealthpartners.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-aspire-health-partners-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRE HEALTH PARTNERS, INC.",
      "parentSystemId": "entity-aspire-health-partners-inc",
      "siblingGroupId": "siblings-fl-aspire-health-partners-inc",
      "ownershipRelationship": "legally_operated_and_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "propublica-nonprofit-explorer-592301233"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/organizations/592301233"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Aspire Health Partners Inc. Resolved parent/control boundary: ASPIRE HEALTH PARTNERS, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRE HEALTH PARTNERS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus ProPublica Nonprofit Explorer (IRS filing mirror): Aspire Health Partners Inc. Resolved parent/control boundary: ASPIRE HEALTH PARTNERS, INC.. Ownership class: nonprofit. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRE HEALTH PARTNERS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "104069",
      "ccn": "104069",
      "name": "WEKIVA SPRINGS",
      "address": "3947 SALISBURY RD",
      "city": "JACKSONVILLE",
      "state": "FL",
      "zip": "32216",
      "county": "DUVAL",
      "latitude": 30.2578221203525,
      "longitude": -81.5955399496747,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": null,
      "website": "http://www.wekivacenter.com/financial-information/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-wekiva-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104070",
      "ccn": "104070",
      "name": "PORT ST LUCIE HOSPITAL",
      "address": "2550 SE WALTON RD",
      "city": "PORT SAINT LUCIE",
      "state": "FL",
      "zip": "34952",
      "county": "ST. LUCIE",
      "latitude": 27.2975300597521,
      "longitude": -80.2711114704447,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 75,
      "rating": null,
      "website": "http://www.portstluciehospitalinc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-saint-lucie-port-st-lucie-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oglethorpe, Inc.",
      "parentSystemId": "entity-oglethorpe-inc",
      "siblingGroupId": "siblings-fl-oglethorpe-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-oglethorpe-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oglethorpeinc.com/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to OGLETHORPE INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to OGLETHORPE INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "104071",
      "ccn": "104071",
      "name": "THE VINES HOSPITAL",
      "address": "3130 SW 27TH AVE",
      "city": "OCALA",
      "state": "FL",
      "zip": "34474",
      "county": "MARION",
      "latitude": 29.1555542596395,
      "longitude": -82.1705288796804,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 98,
      "rating": null,
      "website": "http://www.thevineshospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ocala-the-vines-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104072",
      "ccn": "104072",
      "name": "CENTRAL FLORIDA BEHAVIORAL HOSPITAL",
      "address": "6601 CENTRAL FLORIDA PKWY",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32821",
      "county": "ORANGE",
      "latitude": 28.4091140503313,
      "longitude": -81.4695933899116,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 174,
      "rating": null,
      "website": "http://www.centralfloridabehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-central-florida-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104073",
      "ccn": "104073",
      "name": "EMERALD COAST BEHAVIORAL HOSPITAL",
      "address": "1940 HARRISON AVE",
      "city": "PANAMA CITY",
      "state": "FL",
      "zip": "32405",
      "county": "BAY",
      "latitude": 30.1837817498529,
      "longitude": -85.6577823797966,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": null,
      "website": "www.emeraldcoastbehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-panama-city-emerald-coast-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104074",
      "ccn": "104074",
      "name": "PARK ROYAL HOSPITAL",
      "address": "9241 PARK ROYAL DR",
      "city": "FORT MYERS",
      "state": "FL",
      "zip": "33908",
      "county": "LEE",
      "latitude": 26.5104316598075,
      "longitude": -81.9095689804481,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 114,
      "rating": null,
      "website": "www.parkroyalhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-myers-park-royal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-fl-acadia-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001520697"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001520697.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104075",
      "ccn": "104075",
      "name": "NORTH TAMPA BEHAVIORAL HEALTH",
      "address": "29910 SR 56",
      "city": "WESLEY CHAPEL",
      "state": "FL",
      "zip": "33543",
      "county": "PASCO",
      "latitude": 28.2003665403651,
      "longitude": -82.3238114196777,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 126,
      "rating": null,
      "website": "www.northtampabehavioralhealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wesley-chapel-north-tampa-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-fl-acadia-healthcare",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0001520697"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0001520697.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant Acadia Healthcare Company, Inc. (ACHC). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104076",
      "ccn": "104076",
      "name": "UNIVERSITY BEHAVIORAL CENTER",
      "address": "2500 DISCOVERY DR",
      "city": "ORLANDO",
      "state": "FL",
      "zip": "32826",
      "county": "ORANGE",
      "latitude": 28.5818054903747,
      "longitude": -81.1923045604349,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 112,
      "rating": null,
      "website": "www.universitybehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orlando-university-behavioral-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104078",
      "ccn": "104078",
      "name": "SUNCOAST BEHAVIORAL HEALTH CENTER",
      "address": "4480 51ST ST W",
      "city": "BRADENTON",
      "state": "FL",
      "zip": "34210",
      "county": "MANATEE",
      "latitude": 27.4597279600923,
      "longitude": -82.6129514298469,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "website": "www.suncoastbhc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bradenton-suncoast-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "official-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://suncoastbhc.com/about-us/"
      ],
      "ownershipProofNotes": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Suncoast Behavioral Health Center official page. Resolved parent/control boundary: Universal Health Services. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. No organization ownership/control parent was resolved; source silence is not independence. PE status is separate and no contract/vendor relationship was converted into ownership. Tail-resolution method: CMS legal-operator/CCN anchor plus Suncoast Behavioral Health Center official page. Resolved parent/control boundary: Universal Health Services. Ownership class: for_profit_public. PE status remains separate; no contract or branding relationship was promoted to ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104080",
      "ccn": "104080",
      "name": "CORAL SHORES BEHAVIORAL HEALTH",
      "address": "5995 SE COMMUNITY DRIVE",
      "city": "STUART",
      "state": "FL",
      "zip": "34997",
      "county": "MARTIN",
      "latitude": 27.1314489997274,
      "longitude": -80.2212609998716,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 80,
      "rating": null,
      "website": "coralshoresbehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stuart-coral-shores-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Other; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104081",
      "ccn": "104081",
      "name": "BLACKBERRY CENTER",
      "address": "91 BEEHIVE CIR",
      "city": "SAINT CLOUD",
      "state": "FL",
      "zip": "34769",
      "county": "OSCEOLA",
      "latitude": 28.260086999842,
      "longitude": -81.3141390002383,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 64,
      "rating": null,
      "website": "www.blackberrycenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-cloud-blackberry-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oglethorpe, Inc.",
      "parentSystemId": "entity-oglethorpe-inc",
      "siblingGroupId": "siblings-fl-oglethorpe-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-verified-parent-oglethorpe-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oglethorpeinc.com/about/"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to OGLETHORPE INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS evidence supports managerial/control exposure only; this row is not proposed as legal ownership. PE status is separate and no contract/vendor relationship was converted into ownership. Residual remediation: normalized CMS owner/operator to OGLETHORPE INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "104082",
      "ccn": "104082",
      "name": "PALM POINT BEHAVIORAL HEALTH",
      "address": "2355 TRUMAN SCARBOROUGH WAY",
      "city": "TITUSVILLE",
      "state": "FL",
      "zip": "32796",
      "county": "BREVARD",
      "latitude": 28.6403539598129,
      "longitude": -80.8300075402761,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 74,
      "rating": null,
      "website": "www.palmpointbehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-titusville-palm-point-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-fl-universal-health-services",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-submissions-0000352915"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.sec.gov/submissions/CIK0000352915.json"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Proprietary; public/private boundary requires parent routing; CMS ownership-interest evidence connects the facility to current SEC registrant UNIVERSAL HEALTH SERVICES INC (UHS). CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "104085",
      "ccn": "104085",
      "name": "NEUROBEHAVIORAL HOSPITAL OF THE PALM BEACHES-SOUTH",
      "address": "4905 PARK RIDGE BLVD",
      "city": "BOYNTON BEACH",
      "state": "FL",
      "zip": "33426",
      "county": "PALM BEACH",
      "latitude": 26.5404610999381,
      "longitude": -80.0787419002337,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 71,
      "rating": null,
      "website": "nbhospitals.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COUNTY HOLDINGS 2 LLC",
      "parentSystemId": "entity-county-holdings-2-llc",
      "siblingGroupId": "siblings-fl-county-holdings-2-llc",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY HOLDINGS 2 LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: PDC + POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS PDC Hospital Ownership: Voluntary non-profit - Private. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY HOLDINGS 2 LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110001",
      "ccn": "110001",
      "name": "HAMILTON MEDICAL CENTER",
      "address": "1200 MEMORIAL DRIVE",
      "city": "DALTON",
      "state": "GA",
      "zip": "30720",
      "county": "WHITFIELD",
      "latitude": 34.7897349297839,
      "longitude": -84.9849769198876,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 255,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dalton-hamilton-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HAMILTON MEDICAL CENTER, INC",
      "parentSystemId": "entity-hamilton-medical-center-inc",
      "siblingGroupId": "siblings-ga-hamilton-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-hamilton-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAMILTON MEDICAL CENTER, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HAMILTON MEDICAL CENTER, INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAMILTON MEDICAL CENTER, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HAMILTON MEDICAL CENTER, INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110002",
      "ccn": "110002",
      "name": "UPSON REGIONAL MEDICAL CENTER",
      "address": "801 W GORDON STREET",
      "city": "THOMASTON",
      "state": "GA",
      "zip": "30286",
      "county": "UPSON",
      "latitude": 32.8862976999897,
      "longitude": -84.3365069899087,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 115,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thomaston-upson-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UPSON COUNTY HOSPITAL INC",
      "parentSystemId": "entity-upson-county-hospital-inc",
      "siblingGroupId": "siblings-ga-upson-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-upson-county-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY TARRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to UPSON COUNTY HOSPITAL INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPSON COUNTY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY TARRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to UPSON COUNTY HOSPITAL INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPSON COUNTY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110003",
      "ccn": "110003",
      "name": "MEMORIAL SATILLA HEALTH",
      "address": "1900 TEBEAU STREET",
      "city": "WAYCROSS",
      "state": "GA",
      "zip": "31501",
      "county": "WARE",
      "latitude": 31.225221389665,
      "longitude": -82.3482788600207,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 231,
      "rating": 3,
      "website": "https://memorialsatillahealth.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waycross-memorial-satilla-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ga-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "110005",
      "ccn": "110005",
      "name": "NORTHSIDE HOSPITAL FORSYTH",
      "address": "1200 NORTHSIDE FORSYTH DRIVE",
      "city": "CUMMING",
      "state": "GA",
      "zip": "30041",
      "county": "FORSYTH",
      "latitude": 34.1775970599328,
      "longitude": -84.1414718002462,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 320,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cumming-northside-hospital-forsyth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHSIDE HOSPITAL INC",
      "parentSystemId": "entity-northside-hospital-inc",
      "siblingGroupId": "siblings-ga-northside-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northside-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northside.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110006",
      "ccn": "110006",
      "name": "ST MARY'S HOSPITAL",
      "address": "1230 BAXTER STREET",
      "city": "ATHENS",
      "state": "GA",
      "zip": "30606",
      "county": "CLARKE",
      "latitude": 33.9472213196358,
      "longitude": -83.4052524597159,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 196,
      "rating": 1,
      "website": "http://www.stmarysathens.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ga-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110007",
      "ccn": "110007",
      "name": "PHOEBE PUTNEY MEMORIAL HOSPITAL",
      "address": "417 THIRD AVENUE",
      "city": "ALBANY",
      "state": "GA",
      "zip": "31703",
      "county": "DOUGHERTY",
      "latitude": 31.5902197502631,
      "longitude": -84.1586234696116,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 691,
      "rating": 2,
      "website": "http://phoebeputney.com/phoebecontentpage.aspx?nd=1523",
      "status": "corporate_chain",
      "parentSystem": "PHOEBE PUTNEY HEALTH SYSTEMS INC",
      "affiliatedSystem": "Phoebeputney",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Phoebeputney",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albany-phoebe-putney-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-phoebe-putney-health-systems-inc",
      "siblingGroupId": "siblings-ga-phoebe-putney-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-phoebe-putney-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phoebehealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHOEBE PUTNEY HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Phoebeputney; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Phoebeputney. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Phoebe Putney Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOEBE PUTNEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHOEBE PUTNEY HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Phoebeputney; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Phoebeputney. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Phoebe Putney Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOEBE PUTNEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110008",
      "ccn": "110008",
      "name": "NORTHSIDE HOSPITAL CHEROKEE",
      "address": "450 NORTHSIDE CHEROKEE BOULEVARD",
      "city": "CANTON",
      "state": "GA",
      "zip": "30115",
      "county": "CHEROKEE",
      "latitude": 34.2292379996507,
      "longitude": -84.466259000065,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 211,
      "rating": 4,
      "website": "https://www.northside.com/cherokee",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canton-northside-hospital---cherokee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHSIDE HOSPITAL INC",
      "parentSystemId": "entity-northside-hospital-inc",
      "siblingGroupId": "siblings-ga-northside-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northside-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northside.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110010",
      "ccn": "110010",
      "name": "EMORY UNIVERSITY HOSPITAL",
      "address": "1364 CLIFTON ROAD NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30322",
      "county": "DEKALB",
      "latitude": 33.7920228302257,
      "longitude": -84.3222632003558,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 751,
      "rating": 4,
      "website": "http://www.emoryhealthcare.org/emory-university-hospital-atlanta/index.html",
      "status": "corporate_chain",
      "parentSystem": "Emory University",
      "affiliatedSystem": "Emoryhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Emoryhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-emory-university",
      "siblingGroupId": "siblings-ga-emory-university",
      "campusFamilyId": "campus-ga-110010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-emory-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://secretary.emory.edu/governance/charter.html"
      ],
      "ownershipProofNotes": "CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Emoryhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Emoryhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110010-loc-ga-atlanta-emory-university-hospital-wesley-woods-geri",
      "ccn": "110010",
      "name": "EMORY UNIVERSITY HOSPITAL - WESLEY WOODS GERIATRIC HOSPITAL",
      "address": "1821 CLIFTON ROAD, NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30329",
      "county": "DEKALB",
      "latitude": 33.8048784499372,
      "longitude": -84.3314099597664,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 82,
      "rating": 4,
      "website": "https://www.emoryhealthcare.org/locations/offices/wesley-woods-geriatric-hospital.html",
      "status": "corporate_chain",
      "parentSystem": "Emory University",
      "affiliatedSystem": "Emoryhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Emoryhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-emory-university",
      "siblingGroupId": "siblings-ga-emory-university",
      "campusFamilyId": "campus-ga-110010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-emory-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://secretary.emory.edu/governance/charter.html"
      ],
      "ownershipProofNotes": "CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Emoryhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Emoryhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "110010"
    },
    {
      "id": "110010-loc-ga-atlanta-emory-university-hospital",
      "ccn": "110010",
      "name": "EMORY UNIVERSITY HOSPITAL",
      "address": "1821 CLIFTON ROAD NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30329",
      "county": "DEKALB",
      "latitude": 33.8048189598627,
      "longitude": -84.3311720203022,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": 4,
      "website": "https://www.emoryhealthcare.org/locations/hospitals/emory-university-hospital-wesley-woods/",
      "status": "corporate_chain",
      "parentSystem": "Emory University",
      "affiliatedSystem": "Emoryhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Emoryhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-emory-university",
      "siblingGroupId": "siblings-ga-emory-university",
      "campusFamilyId": "campus-ga-110010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-emory-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://secretary.emory.edu/governance/charter.html"
      ],
      "ownershipProofNotes": "CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Emoryhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Emoryhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "110010"
    },
    {
      "id": "110011",
      "ccn": "110011",
      "name": "TANNER MEDICAL CENTER - CARROLLTON",
      "address": "705 DIXIE STREET",
      "city": "CARROLLTON",
      "state": "GA",
      "zip": "30117",
      "county": "CARROLL",
      "latitude": 33.5694777196697,
      "longitude": -85.075226199941,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 181,
      "rating": 2,
      "website": "http://www.tanner.org/hospitals-and-facilities/hospitals/tanner-medical-center-carrollton",
      "status": "corporate_chain",
      "parentSystem": "TANNER MEDICAL CENTER INC",
      "affiliatedSystem": "Tanner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Tanner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carrollton-tanner-medical-center---carrollton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tanner-medical-center-inc",
      "siblingGroupId": "siblings-ga-tanner-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-tanner-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.tanner.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TANNER MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Tanner Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TANNER MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Tanner Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110015",
      "ccn": "110015",
      "name": "TANNER MEDICAL CENTER VILLA RICA",
      "address": "601 DALLAS HIGHWAY",
      "city": "VILLA RICA",
      "state": "GA",
      "zip": "30180",
      "county": "CARROLL",
      "latitude": 33.7442837597146,
      "longitude": -84.9166710199431,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 145,
      "rating": 3,
      "website": "http://www.tanner.org/hospitals-and-facilities/hospitals/tanner-medical-center-villa-rica",
      "status": "corporate_chain",
      "parentSystem": "TANNER MEDICAL CENTER INC",
      "affiliatedSystem": "Tanner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Tanner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-villa-rica-tanner-medical-center-villa-rica/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tanner-medical-center-inc",
      "siblingGroupId": "siblings-ga-tanner-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-tanner-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.tanner.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TANNER MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Tanner Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TANNER MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Tanner Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110016",
      "ccn": "110016",
      "name": "WELLSTAR WEST GEORGIA MEDICAL CENTER",
      "address": "1514 VERNON ROAD",
      "city": "LAGRANGE",
      "state": "GA",
      "zip": "30240",
      "county": "TROUP",
      "latitude": 33.0315906703441,
      "longitude": -85.0579534197091,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 276,
      "rating": 5,
      "website": "https://www.wellstar.org/locations/pages/wellstar-west-georgia-medical-center.aspx",
      "status": "corporate_chain",
      "parentSystem": "WELLSTAR HEALTH SYSTEM INC",
      "affiliatedSystem": "Wellstar",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellstar",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lagrange-wellstar-west-georgia-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wellstar-health-system-inc",
      "siblingGroupId": "siblings-ga-wellstar-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-wellstar-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellstar.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellstar; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellstar. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSTAR HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellstar; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellstar. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Wellstar Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSTAR HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110018",
      "ccn": "110018",
      "name": "PIEDMONT NEWTON HOSPITAL",
      "address": "5126 HOSPITAL DRIVE NE",
      "city": "COVINGTON",
      "state": "GA",
      "zip": "30014",
      "county": "NEWTON",
      "latitude": 33.6013400003323,
      "longitude": -83.8484299998613,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 101,
      "rating": 3,
      "website": "http://www.piedmont.org/locations/piedmont-newton/newton-home",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-piedmont-newton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110023",
      "ccn": "110023",
      "name": "ADVENTHEALTH GORDON",
      "address": "1035 RED BUD ROAD",
      "city": "CALHOUN",
      "state": "GA",
      "zip": "30701",
      "county": "GORDON",
      "latitude": 34.5102281996609,
      "longitude": -84.9265430000624,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 69,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-ga-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JUSTIN O BIRMELE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JUSTIN O BIRMELE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110024",
      "ccn": "110024",
      "name": "CANDLER HOSPITAL",
      "address": "5353 REYNOLDS STREET",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31412",
      "county": "CHATHAM",
      "latitude": 32.0281666698219,
      "longitude": -81.1001092501001,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 320,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-savannah-candler-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOSEPHS CANDLER HEALTH SYSTEM INC",
      "parentSystemId": "entity-st-josephs-candler-health-system-inc",
      "siblingGroupId": "siblings-ga-st-josephs-candler-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-st-joseph-s-candler-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sjchs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOSEPHS CANDLER HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to St. Joseph's/Candler Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPHS CANDLER HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOSEPHS CANDLER HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to St. Joseph's/Candler Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPHS CANDLER HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110025",
      "ccn": "110025",
      "name": "SOUTHEAST GEORGIA HEALTH SYSTEM - BRUNSWICK CAMPUS",
      "address": "2415 PARKWOOD DRIVE",
      "city": "BRUNSWICK",
      "state": "GA",
      "zip": "31520",
      "county": "GLYNN",
      "latitude": 31.1750805800697,
      "longitude": -81.4843129299339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 300,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brunswick-southeast-georgia-health-system--brunswick-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTHEAST GEORGIA HEALTH SYSTEM, INC",
      "parentSystemId": "entity-southeast-georgia-health-system-inc",
      "siblingGroupId": "siblings-ga-southeast-georgia-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-southeast-georgia-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS lists STEPHEN J GRIGSBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTHEAST GEORGIA HEALTH SYSTEM, INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST GEORGIA HEALTH SYSTEM, INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEPHEN J GRIGSBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTHEAST GEORGIA HEALTH SYSTEM, INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST GEORGIA HEALTH SYSTEM, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110029",
      "ccn": "110029",
      "name": "NORTHEAST GEORGIA MEDICAL CENTER, INC",
      "address": "743 SPRING STREET",
      "city": "GAINESVILLE",
      "state": "GA",
      "zip": "30501",
      "county": "HALL",
      "latitude": 34.3032552799432,
      "longitude": -83.817928200259,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 691,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gainesville-northeast-georgia-medical-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEAST GEORGIA MEDICAL CENTER, INC.",
      "parentSystemId": "entity-northeast-georgia-medical-center-inc",
      "siblingGroupId": "siblings-ga-northeast-georgia-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-northeast-georgia-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nghs.com/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110030",
      "ccn": "110030",
      "name": "PIEDMONT CARTERSVILLE MEDICAL CENTER",
      "address": "960 JOE FRANK HARRIS PARKWAY",
      "city": "CARTERSVILLE",
      "state": "GA",
      "zip": "30120",
      "county": "BARTOW",
      "latitude": 34.2004938901628,
      "longitude": -84.7948335896481,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 119,
      "rating": 3,
      "website": "http://www.cartersvillemedical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110032",
      "ccn": "110032",
      "name": "STEPHENS COUNTY HOSPITAL",
      "address": "163 HOSPITAL DRIVE",
      "city": "TOCCOA",
      "state": "GA",
      "zip": "30577",
      "county": "STEPHENS",
      "latitude": 34.5928619403107,
      "longitude": -83.3480736902601,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 96,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-toccoa-stephens-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STEPHENS COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-stephens-county-hospital-authority",
      "siblingGroupId": "siblings-ga-stephens-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-stephens-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STEPHENS COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STEPHENS COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110036",
      "ccn": "110036",
      "name": "MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER",
      "address": "4700 WATERS AVENUE",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31404",
      "county": "CHATHAM",
      "latitude": 32.0305308797726,
      "longitude": -81.0888624199981,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 512,
      "rating": 1,
      "website": "http://www.memorialhealth.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-savannah-memorial-health-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ga-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "110038",
      "ccn": "110038",
      "name": "JOHN D ARCHBOLD MEMORIAL HOSPITAL",
      "address": "915 GORDON AVENUE AND MIMOSA DRIVE",
      "city": "THOMASVILLE",
      "state": "GA",
      "zip": "31792",
      "county": "THOMAS",
      "latitude": 30.8252903100754,
      "longitude": -83.9722523700659,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 264,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thomasville-john-d-archbold-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARCHBOLD MEDICAL CENTER INC",
      "parentSystemId": "entity-archbold-medical-center-inc",
      "siblingGroupId": "siblings-ga-archbold-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-archbold-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.archbold.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ARCHBOLD MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Archbold Medical Center; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCHBOLD MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ARCHBOLD MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Archbold Medical Center; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARCHBOLD MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110043",
      "ccn": "110043",
      "name": "ST JOSEPH'S HOSPITAL - SAVANNAH",
      "address": "11705 MERCY BOULEVARD",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31419",
      "county": "CHATHAM",
      "latitude": 31.985430319627,
      "longitude": -81.1545563703376,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 294,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-savannah-st-joseph-s-hospital---savannah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOSEPHS CANDLER HEALTH SYSTEM INC",
      "parentSystemId": "entity-st-josephs-candler-health-system-inc",
      "siblingGroupId": "siblings-ga-st-josephs-candler-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-st-joseph-s-candler-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sjchs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOSEPHS CANDLER HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to St. Joseph's/Candler Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPHS CANDLER HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOSEPHS CANDLER HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to St. Joseph's/Candler Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPHS CANDLER HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110044",
      "ccn": "110044",
      "name": "PHOEBE SUMTER MEDICAL CENTER",
      "address": "126 HIGHWAY 280 W",
      "city": "AMERICUS",
      "state": "GA",
      "zip": "31719",
      "county": "SUMTER",
      "latitude": 32.0669623401954,
      "longitude": -84.2560501998518,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 76,
      "rating": 3,
      "website": "http://www.phoebeputney.com/phoebecontentpage.aspx?nd=1479",
      "status": "corporate_chain",
      "parentSystem": "PHOEBE PUTNEY HEALTH SYSTEMS INC",
      "affiliatedSystem": "Phoebeputney",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Phoebeputney",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-americus-phoebe-sumter-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-phoebe-putney-health-systems-inc",
      "siblingGroupId": "siblings-ga-phoebe-putney-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-phoebe-putney-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phoebehealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHOEBE PUTNEY HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Phoebeputney; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Phoebeputney. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Phoebe Putney Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOEBE PUTNEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHOEBE PUTNEY HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Phoebeputney; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Phoebeputney. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Phoebe Putney Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOEBE PUTNEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110046",
      "ccn": "110046",
      "name": "PIEDMONT WALTON HOSPITAL, INC",
      "address": "2151 W SPRING STREET",
      "city": "MONROE",
      "state": "GA",
      "zip": "30655",
      "county": "WALTON",
      "latitude": 33.7989447797997,
      "longitude": -83.7501412498676,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 77,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroe-piedmont-walton-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT C CROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT C CROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110050",
      "ccn": "110050",
      "name": "ADVENTHEALTH MURRAY",
      "address": "707 OLD DALTON ELLIJAY ROAD, PO BOX 1406",
      "city": "CHATSWORTH",
      "state": "GA",
      "zip": "30705",
      "county": "MURRAY",
      "latitude": 34.7800409998587,
      "longitude": -84.7831754497236,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 42,
      "rating": 5,
      "website": "http://www.murraymedical.org/",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chatsworth-adventhealth-murray/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-ga-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MICHAEL CIUREA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MICHAEL CIUREA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110051",
      "ccn": "110051",
      "name": "UNION GENERAL HOSPITAL",
      "address": "35 HOSPITAL ROAD",
      "city": "BLAIRSVILLE",
      "state": "GA",
      "zip": "30512",
      "county": "UNION",
      "latitude": 34.8861000003246,
      "longitude": -83.9622999997119,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 45,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blairsville-union-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF UNION COUNTY",
      "parentSystemId": "entity-hospital-authority-of-union-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-union-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-hospital-authority-of-union-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF UNION COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF UNION COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF UNION COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF UNION COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110054",
      "ccn": "110054",
      "name": "ATRIUM HEALTH FLOYD MEDICAL CENTER",
      "address": "304 TURNER MCCALL BOULEVARD",
      "city": "ROME",
      "state": "GA",
      "zip": "30162",
      "county": "FLOYD",
      "latitude": 34.2596462307694,
      "longitude": -85.179157364354,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 304,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rome-atrium-health-floyd-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-ga-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-atrium-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://atriumhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110064",
      "ccn": "110064",
      "name": "PIEDMONT COLUMBUS REGIONAL MIDTOWN",
      "address": "710 CENTER STREET",
      "city": "COLUMBUS",
      "state": "GA",
      "zip": "31901",
      "county": "MUSCOGEE",
      "latitude": 32.4808587200762,
      "longitude": -84.9811770201847,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 583,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-piedmont-columbus-regional-midtown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURA DREW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURA DREW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110073",
      "ccn": "110073",
      "name": "DORMINY MEDICAL CENTER",
      "address": "200 PERRY HOUSE ROAD, BOX 1447",
      "city": "FITZGERALD",
      "state": "GA",
      "zip": "31750",
      "county": "BEN HILL",
      "latitude": 31.6975645200643,
      "longitude": -83.2601459802944,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 75,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fitzgerald-dorminy-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ER HOSPITAL, LLC",
      "parentSystemId": "entity-er-hospital-llc",
      "siblingGroupId": "siblings-ga-er-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: ER HOSPITAL, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAIGE P WYNN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ER HOSPITAL, LLC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ER HOSPITAL, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAIGE P WYNN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ER HOSPITAL, LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110074",
      "ccn": "110074",
      "name": "PIEDMONT ATHENS REGIONAL MEDICAL CENTER",
      "address": "1199 PRINCE AVENUE",
      "city": "ATHENS",
      "state": "GA",
      "zip": "30606",
      "county": "CLARKE",
      "latitude": 33.9612924699709,
      "longitude": -83.3979450700198,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 359,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athens-piedmont-athens-regional-med-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS ARNOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS ARNOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110075",
      "ccn": "110075",
      "name": "EAST GEORGIA REGIONAL MEDICAL CENTER",
      "address": "1499 FAIR ROAD",
      "city": "STATESBORO",
      "state": "GA",
      "zip": "30458",
      "county": "BULLOCH",
      "latitude": 32.4147913900652,
      "longitude": -81.769961009829,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 149,
      "rating": 3,
      "website": "http://www.eastgeorgiaregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-statesboro-east-georgia-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ga-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "110076",
      "ccn": "110076",
      "name": "EMORY DECATUR HOSPITAL",
      "address": "2701 N DECATUR ROAD",
      "city": "DECATUR",
      "state": "GA",
      "zip": "30033",
      "county": "DEKALB",
      "latitude": 33.7910891401242,
      "longitude": -84.2829100999348,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 451,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-decatur-emory-decatur-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEKALB REGIONAL HEALTH SYSTEM",
      "parentSystemId": "entity-dekalb-regional-health-system",
      "siblingGroupId": "siblings-ga-dekalb-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-emory-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.emoryhealthcare.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEKALB REGIONAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEKALB REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEKALB REGIONAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEKALB REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110078",
      "ccn": "110078",
      "name": "EMORY UNIVERSITY HOSPITAL MIDTOWN",
      "address": "550 PEACHTREE STREET NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30308",
      "county": "FULTON",
      "latitude": 33.7691746602735,
      "longitude": -84.3867315701701,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 529,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-emory-university-hospital-midtown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Emory University",
      "parentSystemId": "entity-emory-university",
      "siblingGroupId": "siblings-ga-emory-university",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-emory-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://secretary.emory.edu/governance/charter.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMORY UNIVERSITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EMORY UNIVERSITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110079",
      "ccn": "110079",
      "name": "GRADY MEMORIAL HOSPITAL",
      "address": "80 JESSE HILL JR DRIVE SE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30303",
      "county": "FULTON",
      "latitude": 33.7519885501527,
      "longitude": -84.381791570031,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 953,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-grady-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRADY MEMORIAL HOSPITAL CORPORATION",
      "parentSystemId": "entity-grady-memorial-hospital-corporation",
      "siblingGroupId": "siblings-ga-grady-memorial-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-grady-memorial-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to GRADY MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRADY MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to GRADY MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRADY MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110082",
      "ccn": "110082",
      "name": "SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC",
      "address": "5665 PEACHTREE DUNWOODY ROAD",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30342",
      "county": "FULTON",
      "latitude": 33.9087579796577,
      "longitude": -84.348983500447,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 410,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "EMORY/SAINT JOSEPH'S INC.",
      "parentSystemId": "entity-emory-saint-joseph-s-inc",
      "siblingGroupId": "siblings-ga-emory-saint-joseph-s-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-st-joseph-s-candler-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sjchs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMORY/SAINT JOSEPH'S INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to St. Joseph's/Candler Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY/SAINT JOSEPH'S INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EMORY/SAINT JOSEPH'S INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CARLA CASHIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to St. Joseph's/Candler Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMORY/SAINT JOSEPH'S INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110083",
      "ccn": "110083",
      "name": "PIEDMONT HOSPITAL",
      "address": "1968 PEACHTREE RD NW",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30309",
      "county": "FULTON",
      "latitude": 33.8088153703467,
      "longitude": -84.3944153395972,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 643,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-piedmont-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110086",
      "ccn": "110086",
      "name": "WASHINGTON COUNTY REGIONAL MEDICAL CENTER",
      "address": "610 SPARTA ROAD",
      "city": "SANDERSVILLE",
      "state": "GA",
      "zip": "31082",
      "county": "WASHINGTON",
      "latitude": 32.9958594799183,
      "longitude": -82.8041155202353,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 56,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sandersville-washington-county-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF WASHINGTON COUNTY",
      "parentSystemId": "entity-hospital-authority-of-washington-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-washington-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-hospital-authority-of-washington-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF WASHINGTON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF WASHINGTON COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110087",
      "ccn": "110087",
      "name": "NORTHSIDE HOSPITAL GWINNETT",
      "address": "1000 MEDICAL CENTER BOULEVARD",
      "city": "LAWRENCEVILLE",
      "state": "GA",
      "zip": "30046",
      "county": "GWINNETT",
      "latitude": 33.9636767798576,
      "longitude": -84.0175634495908,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 388,
      "rating": 3,
      "website": "http://www.gwinnettmedicalcenter.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrenceville-northside-hospital-gwinnett/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHSIDE HOSPITAL INC",
      "parentSystemId": "entity-northside-hospital-inc",
      "siblingGroupId": "siblings-ga-northside-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northside-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northside.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110089",
      "ccn": "110089",
      "name": "COFFEE REGIONAL MEDICAL CENTER, INC",
      "address": "1101 OCILLA ROAD",
      "city": "DOUGLAS",
      "state": "GA",
      "zip": "31533",
      "county": "COFFEE",
      "latitude": 31.5111881603519,
      "longitude": -82.8645825997381,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 88,
      "rating": 3,
      "website": "http://www.coffeeregional.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-douglas-coffee-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COFFEE REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-coffee-regional-medical-center-inc",
      "siblingGroupId": "siblings-ga-coffee-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-coffee-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS lists LAVONDA CRAVEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to COFFEE REGIONAL MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COFFEE REGIONAL MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LAVONDA CRAVEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to COFFEE REGIONAL MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COFFEE REGIONAL MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110091",
      "ccn": "110091",
      "name": "PIEDMONT ROCKDALE HOSPITAL",
      "address": "1412 MILSTEAD AVENUE NE",
      "city": "CONYERS",
      "state": "GA",
      "zip": "30012",
      "county": "ROCKDALE",
      "latitude": 33.680723830145,
      "longitude": -84.0015752503337,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 138,
      "rating": 3,
      "website": "http://www.rockdalemedicalcenter.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conyers-piedmont-rockdale-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110092",
      "ccn": "110092",
      "name": "DODGE COUNTY HOSPITAL",
      "address": "901 GRIFFIN AVE",
      "city": "EASTMAN",
      "state": "GA",
      "zip": "31023",
      "county": "DODGE",
      "latitude": 32.1855622300612,
      "longitude": -83.1778767601,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 94,
      "rating": null,
      "website": "http://www.dodgecountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eastman-dodge-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DODGE COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-dodge-county-hospital-authority",
      "siblingGroupId": "siblings-ga-dodge-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-dodge-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DODGE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DODGE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110095",
      "ccn": "110095",
      "name": "TIFT REGIONAL MEDICAL CENTER",
      "address": "901 E 18TH STREET",
      "city": "TIFTON",
      "state": "GA",
      "zip": "31793",
      "county": "TIFT",
      "latitude": 31.4713461800133,
      "longitude": -83.4914369601266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 241,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tifton-tift-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TIFT REGIONAL HEALTH SYSTEM INC",
      "parentSystemId": "entity-tift-regional-health-system-inc",
      "siblingGroupId": "siblings-ga-tift-regional-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-tift-regional-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: TIFT REGIONAL HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to TIFT REGIONAL HEALTH SYSTEM INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIFT REGIONAL HEALTH SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TIFT REGIONAL HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to TIFT REGIONAL HEALTH SYSTEM INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIFT REGIONAL HEALTH SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110100",
      "ccn": "110100",
      "name": "JEFFERSON HOSPITAL",
      "address": "1067 PEACHTREE ST",
      "city": "LOUISVILLE",
      "state": "GA",
      "zip": "30434",
      "county": "JEFFERSON",
      "latitude": 33.0098674899456,
      "longitude": -82.4055457901384,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 37,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-jefferson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE",
      "parentSystemId": "entity-hospital-authority-of-jefferson-county-and-the-city-of-louisville",
      "siblingGroupId": "siblings-ga-hospital-authority-of-jefferson-county-and-the-city-of-louisville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-hospital-authority-of-jefferson-county-and-the-city-of-louisville"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110101",
      "ccn": "110101",
      "name": "SOUTHWELL MEDICAL - A CAMPUS OF TRMC",
      "address": "260 MJ TAYLOR ROAD",
      "city": "ADEL",
      "state": "GA",
      "zip": "31620",
      "county": "COOK",
      "latitude": 31.108198930097,
      "longitude": -83.4273728501565,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "website": "https://mysouthwell.com/cook-medical-plaza/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHWELL MEDICAL, A CAMPUS OF TRMC",
      "parentSystemId": "entity-southwell-medical-a-campus-of-trmc",
      "siblingGroupId": "siblings-ga-southwell-medical-a-campus-of-trmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-proprietary"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWELL MEDICAL, A CAMPUS OF TRMC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWELL MEDICAL, A CAMPUS OF TRMC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "110104",
      "ccn": "110104",
      "name": "CRISP REGIONAL HOSPITAL",
      "address": "902 7TH STREET NORTH",
      "city": "CORDELE",
      "state": "GA",
      "zip": "31015",
      "county": "CRISP",
      "latitude": 31.977522849809,
      "longitude": -83.7813450298638,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 73,
      "rating": 2,
      "website": "http://www.crispregional.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cordele-crisp-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CRISP REGIONAL HOSPITAL INC",
      "parentSystemId": "entity-crisp-regional-hospital-inc",
      "siblingGroupId": "siblings-ga-crisp-regional-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-crisp-regional-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: CRISP REGIONAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to CRISP REGIONAL HOSPITAL INC; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRISP REGIONAL HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CRISP REGIONAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to CRISP REGIONAL HOSPITAL INC; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRISP REGIONAL HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "110105",
      "ccn": "110105",
      "name": "COLQUITT REGIONAL MEDICAL CENTER",
      "address": "3131 THOMASVILLE HWY, PO BOX 40",
      "city": "MOULTRIE",
      "state": "GA",
      "zip": "31768",
      "county": "COLQUITT",
      "latitude": 31.125630099703,
      "longitude": -83.7803788495549,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 99,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moultrie-colquitt-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COLQUITT REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-colquitt-regional-medical-center",
      "siblingGroupId": "siblings-ga-colquitt-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-colquitt-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to COLQUITT REGIONAL MEDICAL CENTER; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLQUITT REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to COLQUITT REGIONAL MEDICAL CENTER; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLQUITT REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110107",
      "ccn": "110107",
      "name": "ATRIUM HEALTH NAVICENT THE MEDICAL CENTER",
      "address": "777 HEMLOCK STREET",
      "city": "MACON",
      "state": "GA",
      "zip": "31201",
      "county": "BIBB",
      "latitude": 32.8332538801028,
      "longitude": -83.6355053203546,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 637,
      "rating": 2,
      "website": "https://www.navicenthealth.org/",
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macon-atrium-health-navicent-the-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-ga-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-atrium-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://atriumhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110109",
      "ccn": "110109",
      "name": "EMANUEL MEDICAL CENTER",
      "address": "117 KITE ROAD",
      "city": "SWAINSBORO",
      "state": "GA",
      "zip": "30401",
      "county": "EMANUEL",
      "latitude": 32.592497760086,
      "longitude": -82.3478042504117,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 72,
      "rating": 4,
      "website": "http://www.emanuelmedical.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-swainsboro-emanuel-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EMANUEL COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-emanuel-county-hospital-authority",
      "siblingGroupId": "siblings-ga-emanuel-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-emanuel-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMANUEL COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANUEL COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EMANUEL COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMANUEL COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110113",
      "ccn": "110113",
      "name": "BURKE MEDICAL CENTER",
      "address": "351 SOUTH LIBERTY STREET",
      "city": "WAYNESBORO",
      "state": "GA",
      "zip": "30830",
      "county": "BURKE",
      "latitude": 33.0834757402904,
      "longitude": -82.0124621702963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 40,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BURKE HOSPITAL COMPANY",
      "parentSystemId": "entity-burke-hospital-company",
      "siblingGroupId": "siblings-ga-burke-hospital-company",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-burke-hospital-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS lists RICHARD WILLIAM POPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to BURKE HOSPITAL COMPANY; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BURKE HOSPITAL COMPANY, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD WILLIAM POPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to BURKE HOSPITAL COMPANY; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BURKE HOSPITAL COMPANY, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "110121",
      "ccn": "110121",
      "name": "GRADY GENERAL HOSPITAL",
      "address": "1155 5TH STREET SE",
      "city": "CAIRO",
      "state": "GA",
      "zip": "39828",
      "county": "GRADY",
      "latitude": 30.8637239002332,
      "longitude": -84.1990862301569,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cairo-grady-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JOHN D ARCHBOLD MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-john-d-archbold-memorial-hospital-inc",
      "siblingGroupId": "siblings-ga-john-d-archbold-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-archbold-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.archbold.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JOHN D ARCHBOLD MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Archbold Medical Center; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN D ARCHBOLD MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JOHN D ARCHBOLD MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Archbold Medical Center; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN D ARCHBOLD MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110124",
      "ccn": "110124",
      "name": "WAYNE MEMORIAL HOSPITAL",
      "address": "865 SOUTH FIRST STREET",
      "city": "JESUP",
      "state": "GA",
      "zip": "31545",
      "county": "WAYNE",
      "latitude": 31.600957130047,
      "longitude": -81.8999085598664,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 88,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jesup-wayne-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA",
      "parentSystemId": "entity-hospital-authority-of-wayne-county-georgia",
      "siblingGroupId": "siblings-ga-hospital-authority-of-wayne-county-georgia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-verified-parent-hospital-authority-of-wayne-county-georgia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110125",
      "ccn": "110125",
      "name": "FAIRVIEW PARK HOSPITAL",
      "address": "200 INDUSTRIAL BOULEVARD",
      "city": "DUBLIN",
      "state": "GA",
      "zip": "31021",
      "county": "LAURENS",
      "latitude": 32.5321546003616,
      "longitude": -82.9504093101543,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 190,
      "rating": 4,
      "website": "http://www.fairviewparkhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dublin-fairview-park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DUBLIN COMMUNITY HOSPITAL LLC",
      "parentSystemId": "entity-dublin-community-hospital-llc",
      "siblingGroupId": "siblings-ga-dublin-community-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-dublin-community-hospital-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: DUBLIN COMMUNITY HOSPITAL LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to DUBLIN COMMUNITY HOSPITAL LLC; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUBLIN COMMUNITY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DUBLIN COMMUNITY HOSPITAL LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to DUBLIN COMMUNITY HOSPITAL LLC; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUBLIN COMMUNITY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "110128",
      "ccn": "110128",
      "name": "MEMORIAL HEALTH MEADOWS HOSPITAL",
      "address": "1 MEADOWS PARKWAY",
      "city": "VIDALIA",
      "state": "GA",
      "zip": "30474",
      "county": "TOOMBS",
      "latitude": 32.2085952698093,
      "longitude": -82.3752472002333,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 57,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vidalia-memorial-health-meadows-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ga-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "110129",
      "ccn": "110129",
      "name": "ST FRANCIS HOSPITAL - EMORY HEALTHCARE",
      "address": "2122 MANCHESTER EXPRESSWAY",
      "city": "COLUMBUS",
      "state": "GA",
      "zip": "31995",
      "county": "MUSCOGEE",
      "latitude": 32.5063854203106,
      "longitude": -84.9606789898421,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 376,
      "rating": 3,
      "website": "http://www.sfhga.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-ga-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-emory-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.emoryhealthcare.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "110132",
      "ccn": "110132",
      "name": "MEMORIAL HOSPITAL AND MANOR",
      "address": "1500 E SHOTWELL STREET",
      "city": "BAINBRIDGE",
      "state": "GA",
      "zip": "39819",
      "county": "DECATUR",
      "latitude": 30.9027739798622,
      "longitude": -84.5524471898567,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 80,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bainbridge-memorial-hospital-and-manor/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY",
      "parentSystemId": "entity-hospital-authority-of-the-city-of-bainbridge-and-decatur-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-the-city-of-bainbridge-and-decatur-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-hospital-authority-of-the-city-of-bainbridge-and-decatur-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110142",
      "ccn": "110142",
      "name": "EVANS MEMORIAL HOSPITAL",
      "address": "200 N RIVER STREET",
      "city": "CLAXTON",
      "state": "GA",
      "zip": "30417",
      "county": "EVANS",
      "latitude": 32.1658831400063,
      "longitude": -81.8990244496419,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-claxton-evans-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EVANS MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-evans-memorial-hospital-inc",
      "siblingGroupId": "siblings-ga-evans-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-evans-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to EVANS MEMORIAL HOSPITAL INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EVANS MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to EVANS MEMORIAL HOSPITAL INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EVANS MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110146",
      "ccn": "110146",
      "name": "SOUTHEAST GEORGIA HEALTH SYSTEM - CAMDEN CAMPUS",
      "address": "2000 DAN PROCTOR DRIVE",
      "city": "SAINT MARYS",
      "state": "GA",
      "zip": "31558",
      "county": "CAMDEN",
      "latitude": 30.7809022901397,
      "longitude": -81.6151089100111,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 40,
      "rating": 4,
      "website": "http://www.sghs.org/locations/hospital-campuses/camden/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-marys-southeast-georgia-health-system---camden-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTHEAST GEORGIA HEALTH SYSTEM, INC",
      "parentSystemId": "entity-southeast-georgia-health-system-inc",
      "siblingGroupId": "siblings-ga-southeast-georgia-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-southeast-georgia-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS lists STEPHEN J GRIGSBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTHEAST GEORGIA HEALTH SYSTEM, INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST GEORGIA HEALTH SYSTEM, INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEPHEN J GRIGSBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTHEAST GEORGIA HEALTH SYSTEM, INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEAST GEORGIA HEALTH SYSTEM, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110150",
      "ccn": "110150",
      "name": "NAVICENT HEALTH BALDWIN",
      "address": "821 NORTH COBB STREET",
      "city": "MILLEDGEVILLE",
      "state": "GA",
      "zip": "31061",
      "county": "BALDWIN",
      "latitude": 33.0894382496861,
      "longitude": -83.2458414403738,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 140,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "Advocate Health",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-ga-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-atrium-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://atriumhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Atrium Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110161",
      "ccn": "110161",
      "name": "NORTHSIDE HOSPITAL",
      "address": "1000 JOHNSON FERRY ROAD NE",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30342",
      "county": "FULTON",
      "latitude": 33.9089116300419,
      "longitude": -84.3539246396499,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 621,
      "rating": 3,
      "website": "http://www.northside.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-northside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHSIDE HOSPITAL INC",
      "parentSystemId": "entity-northside-hospital-inc",
      "siblingGroupId": "siblings-ga-northside-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northside-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northside.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110165",
      "ccn": "110165",
      "name": "SOUTHERN REGIONAL MEDICAL CENTER",
      "address": "11 UPPER RIVERDALE ROAD SW",
      "city": "RIVERDALE",
      "state": "GA",
      "zip": "30274",
      "county": "CLAYTON",
      "latitude": 33.5790197902322,
      "longitude": -84.3899514196093,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 331,
      "rating": 1,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverdale-southern-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ga-prime-healthcare",
      "campusFamilyId": "campus-ga-110165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "110177",
      "ccn": "110177",
      "name": "DOCTORS HOSPITAL",
      "address": "3651 WHEELER ROAD",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30909",
      "county": "RICHMOND",
      "latitude": 33.4861599698983,
      "longitude": -82.0944324500288,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 354,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ga-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "110190",
      "ccn": "110190",
      "name": "FLINT RIVER COMMUNITY HOSPITAL",
      "address": "509 SUMTER STREET, PO BOX 770",
      "city": "MONTEZUMA",
      "state": "GA",
      "zip": "31063",
      "county": "MACON",
      "latitude": 32.2949848899972,
      "longitude": -84.0307541899502,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "website": "http://www.flintriverhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montezuma-flint-river-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MACON COUNTY HEALTHCARE INVESTORS, LLC",
      "parentSystemId": "entity-macon-county-healthcare-investors-llc",
      "siblingGroupId": "siblings-ga-macon-county-healthcare-investors-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-macon-county-healthcare-investors-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: MACON COUNTY HEALTHCARE INVESTORS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MICHAEL PATTERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to MACON COUNTY HEALTHCARE INVESTORS, LLC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACON COUNTY HEALTHCARE INVESTORS, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MACON COUNTY HEALTHCARE INVESTORS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MICHAEL PATTERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to MACON COUNTY HEALTHCARE INVESTORS, LLC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACON COUNTY HEALTHCARE INVESTORS, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110191",
      "ccn": "110191",
      "name": "PIEDMONT HENRY HOSPITAL",
      "address": "1133 EAGLE'S LANDING PARKWAY",
      "city": "STOCKBRIDGE",
      "state": "GA",
      "zip": "30281",
      "county": "HENRY",
      "latitude": 33.5103354303606,
      "longitude": -84.2272951797094,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 215,
      "rating": 2,
      "website": "http://www.henrymedical.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stockbridge-piedmont-henry-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS ARNOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS ARNOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110192",
      "ccn": "110192",
      "name": "PIEDMONT EASTSIDE MEDICAL CENTER",
      "address": "1700 MEDICAL WAY",
      "city": "SNELLVILLE",
      "state": "GA",
      "zip": "30078",
      "county": "GWINNETT",
      "latitude": 33.8775685502652,
      "longitude": -84.0210738698884,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 281,
      "rating": 2,
      "website": "http://eastsidemedical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110194",
      "ccn": "110194",
      "name": "DONALSONVILLE HOSPITAL INC",
      "address": "102 HOSPITAL CIR",
      "city": "DONALSONVILLE",
      "state": "GA",
      "zip": "39845",
      "county": "SEMINOLE",
      "latitude": 31.0512377896512,
      "longitude": -84.8806336201005,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 65,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-donalsonville-donalsonville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DONALSONVILLE HOSPITAL INC",
      "parentSystemId": "entity-donalsonville-hospital-inc",
      "siblingGroupId": "siblings-ga-donalsonville-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-donalsonville-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: DONALSONVILLE HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to DONALSONVILLE HOSPITAL INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DONALSONVILLE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DONALSONVILLE HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to DONALSONVILLE HOSPITAL INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DONALSONVILLE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110200",
      "ccn": "110200",
      "name": "PIEDMONT COLUMBUS REGIONAL NORTHSIDE",
      "address": "100 FRIST COURT",
      "city": "COLUMBUS",
      "state": "GA",
      "zip": "31909",
      "county": "MUSCOGEE",
      "latitude": 32.5345247997592,
      "longitude": -84.9512125703275,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-piedmont-columbus-regional-northside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHANE B DARRAH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHANE B DARRAH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110201",
      "ccn": "110201",
      "name": "PIEDMONT MACON NORTH HOSPITAL",
      "address": "400 CHARTER BOULEVARD",
      "city": "MACON",
      "state": "GA",
      "zip": "31210",
      "county": "BIBB",
      "latitude": 32.8715919602992,
      "longitude": -83.6947108696527,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 103,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northside-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northside.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110209",
      "ccn": "110209",
      "name": "TURNING POINT HOSPITAL",
      "address": "3015 VETERANS PARKWAY",
      "city": "MOULTRIE",
      "state": "GA",
      "zip": "31788",
      "county": "COLQUITT",
      "latitude": 31.1276249999438,
      "longitude": -83.7700959997876,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 79,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "110215",
      "ccn": "110215",
      "name": "PIEDMONT FAYETTE HOSPITAL",
      "address": "1255 HIGHWAY 54 WEST",
      "city": "FAYETTEVILLE",
      "state": "GA",
      "zip": "30214",
      "county": "FAYETTE",
      "latitude": 33.4521471096457,
      "longitude": -84.5079899895521,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 282,
      "rating": 3,
      "website": "http://www.fayettehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-piedmont-fayette-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MERRY N HEATH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MERRY N HEATH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110225",
      "ccn": "110225",
      "name": "PIEDMONT MOUNTAINSIDE HOSPITAL INC",
      "address": "1266 HIGHWAY 515 SOUTH",
      "city": "JASPER",
      "state": "GA",
      "zip": "30143",
      "county": "PICKENS",
      "latitude": 34.458248679861,
      "longitude": -84.412912890074,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 52,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jasper-piedmont-mountainside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110226",
      "ccn": "110226",
      "name": "EMORY HILLANDALE HOSPITAL",
      "address": "2801 DEKALB MEDICAL PARKWAY",
      "city": "LITHONIA",
      "state": "GA",
      "zip": "30058",
      "county": "DEKALB",
      "latitude": 33.7052203196887,
      "longitude": -84.1479827202553,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 100,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lithonia-emory-hillandale-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEKALB REGIONAL HEALTH SYSTEM",
      "parentSystemId": "entity-dekalb-regional-health-system",
      "siblingGroupId": "siblings-ga-dekalb-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-emory-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.emoryhealthcare.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEKALB REGIONAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEN SCHUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEKALB REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEKALB REGIONAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEN SCHUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Emory Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEKALB REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110229",
      "ccn": "110229",
      "name": "PIEDMONT NEWNAN HOSPITAL, INC",
      "address": "745 POPLAR ROAD",
      "city": "NEWNAN",
      "state": "GA",
      "zip": "30265",
      "county": "COWETA",
      "latitude": 33.3571285496692,
      "longitude": -84.7550190399371,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 154,
      "rating": 4,
      "website": "http://www.piedmont.org/locations/pnh-home.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newnan-piedmont-newnan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIEDMONT HEALTHCARE INC",
      "parentSystemId": "entity-piedmont-healthcare-inc",
      "siblingGroupId": "siblings-ga-piedmont-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-piedmont-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.piedmont.org/about-piedmont"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIEDMONT HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Piedmont Healthcare; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIEDMONT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110230",
      "ccn": "110230",
      "name": "EMORY JOHNS CREEK HOSPITAL",
      "address": "6325 HOSPITAL PARKWAY",
      "city": "JOHNS CREEK",
      "state": "GA",
      "zip": "30097",
      "county": "FULTON",
      "latitude": 34.0666751397109,
      "longitude": -84.176628080356,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 110,
      "rating": 4,
      "website": "http://www.emoryjohnscreek.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-johns-creek-emory-johns-creek-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BAIN CAPITAL FUND IX LP",
      "parentSystemId": "entity-bain-capital-fund-ix-lp",
      "siblingGroupId": "siblings-ga-bain-capital-fund-ix-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAIN CAPITAL FUND IX LP (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists HEATHER REDRICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAIN CAPITAL FUND IX LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAIN CAPITAL FUND IX LP (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists HEATHER REDRICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAIN CAPITAL FUND IX LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "110233",
      "ccn": "110233",
      "name": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
      "address": "600 CELEBRATE LIFE PARKWAY NORTH",
      "city": "NEWNAN",
      "state": "GA",
      "zip": "30265",
      "county": "COWETA",
      "latitude": 33.3848346498318,
      "longitude": -84.7577466898556,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 50,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC",
      "parentSystemId": "entity-cancer-treatment-centers-of-america-global-inc",
      "siblingGroupId": "siblings-ga-cancer-treatment-centers-of-america-global-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-city-of-hope"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cancercenter.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to City of Hope; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to City of Hope; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANCER TREATMENT CENTERS OF AMERICA GLOBAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110234",
      "ccn": "110234",
      "name": "SGMC BERRIEN CAMPUS",
      "address": "1221 E MCPHERSON AVENUE",
      "city": "NASHVILLE",
      "state": "GA",
      "zip": "31639",
      "county": "BERRIEN",
      "latitude": 31.203071040136,
      "longitude": -83.2387072800004,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 63,
      "rating": null,
      "website": "http://www.berrienhospital.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-sgmc-berrien-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH GEORGIA MEDICAL CENTER INC",
      "parentSystemId": "entity-south-georgia-medical-center-inc",
      "siblingGroupId": "siblings-ga-south-georgia-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-south-georgia-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH GEORGIA MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTH GEORGIA MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH GEORGIA MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH GEORGIA MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SOUTH GEORGIA MEDICAL CENTER INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH GEORGIA MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110237",
      "ccn": "110237",
      "name": "NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN",
      "address": "227 MOUNTAIN DRIVE",
      "city": "DAHLONEGA",
      "state": "GA",
      "zip": "30533",
      "county": "LUMPKIN",
      "latitude": 34.5228337598283,
      "longitude": -83.9756287796895,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 52,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dahlonega-northeast-georgia-medical-center-lumpkin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEAST GEORGIA HEALTH SYSTEM INC",
      "parentSystemId": "entity-northeast-georgia-health-system-inc",
      "siblingGroupId": "siblings-ga-northeast-georgia-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northeast-georgia-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nghs.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEAST GEORGIA HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEAST GEORGIA HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northeast Georgia Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST GEORGIA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110252",
      "ccn": "110252",
      "name": "NORTHSIDE HOSPITAL DULUTH",
      "address": "3620 HOWELL FERRY ROAD",
      "city": "DULUTH",
      "state": "GA",
      "zip": "30096",
      "county": "GWINNETT",
      "latitude": 33.9997220596712,
      "longitude": -84.1634250501451,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 122,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-duluth-northside-hospital-duluth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHSIDE HOSPITAL INC",
      "parentSystemId": "entity-northside-hospital-inc",
      "siblingGroupId": "siblings-ga-northside-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-northside-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northside.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHSIDE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Northside Hospital; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHSIDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "110256",
      "ccn": "110256",
      "name": "TAYLOR REGIONAL HOSPITAL",
      "address": "222 PERRY HWY",
      "city": "HAWKINSVILLE",
      "state": "GA",
      "zip": "31036",
      "county": "PULASKI",
      "latitude": 32.2978499201631,
      "longitude": -83.4851163302443,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hawkinsville-taylor-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TAYLOR REGIONAL HOSPITAL",
      "parentSystemId": "entity-taylor-regional-hospital",
      "siblingGroupId": "siblings-ga-taylor-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-taylor-regional-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to TAYLOR REGIONAL HOSPITAL; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAYLOR REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to TAYLOR REGIONAL HOSPITAL; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAYLOR REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "11029F",
      "ccn": "11029F",
      "name": "ATLANTA VA MEDICAL CENTER",
      "address": "1670 CLAIRMONT ROAD",
      "city": "DECATUR",
      "state": "GA",
      "zip": "30033",
      "county": "DEKALB",
      "latitude": 33.8018609996701,
      "longitude": -84.3114250004018,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 466,
      "rating": 3,
      "website": "https://www.atlanta.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ga-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "11030F",
      "ccn": "11030F",
      "name": "AUGUSTA VA MEDICAL CENTER",
      "address": "1 FREEDOM WAY",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30904",
      "county": "RICHMOND",
      "latitude": 33.4646370002186,
      "longitude": -82.0264566001028,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ga-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "110779",
      "ccn": "110779",
      "name": "IRWIN COUNTY HOSPITAL",
      "address": "710 N IRWIN AVENUE",
      "city": "OCILLA",
      "state": "GA",
      "zip": "31774",
      "county": "IRWIN",
      "latitude": 31.6033805699345,
      "longitude": -83.2509989495926,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 34,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ocilla-irwin-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PROGRESSIVE MEDICAL ENTERPRISE",
      "parentSystemId": "entity-progressive-medical-enterprise",
      "siblingGroupId": "siblings-ga-progressive-medical-enterprise",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-progressive-medical-enterprise"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROGRESSIVE MEDICAL ENTERPRISE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to PROGRESSIVE MEDICAL ENTERPRISE; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSIVE MEDICAL ENTERPRISE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROGRESSIVE MEDICAL ENTERPRISE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to PROGRESSIVE MEDICAL ENTERPRISE; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSIVE MEDICAL ENTERPRISE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111302",
      "ccn": "111302",
      "name": "BLECKLEY MEMORIAL HOSPITAL",
      "address": "145 PEACOCK STREET",
      "city": "COCHRAN",
      "state": "GA",
      "zip": "31014",
      "county": "BLECKLEY",
      "latitude": 32.3849223402748,
      "longitude": -83.3468548695574,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cochran-bleckley-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BLECKLEY COUNTY HOSPITAL",
      "parentSystemId": "entity-bleckley-county-hospital",
      "siblingGroupId": "siblings-ga-bleckley-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-bleckley-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to BLECKLEY COUNTY HOSPITAL; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLECKLEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to BLECKLEY COUNTY HOSPITAL; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLECKLEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111303",
      "ccn": "111303",
      "name": "JASPER MEMORIAL HOSPITAL",
      "address": "898 COLLEGE STREET",
      "city": "MONTICELLO",
      "state": "GA",
      "zip": "31064",
      "county": "JASPER",
      "latitude": 33.3141925797532,
      "longitude": -83.6864821201905,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 17,
      "rating": null,
      "website": "http://www.jaspermemorialhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-jasper-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JASPER HEALTH SERVICES INC.",
      "parentSystemId": "entity-jasper-health-services-inc",
      "siblingGroupId": "siblings-ga-jasper-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-jasper-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to JASPER HEALTH SERVICES INC.; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JASPER HEALTH SERVICES INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to JASPER HEALTH SERVICES INC.; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JASPER HEALTH SERVICES INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111304",
      "ccn": "111304",
      "name": "MORGAN MEDICAL CENTER",
      "address": "1740 LIONS CLUB ROAD",
      "city": "MADISON",
      "state": "GA",
      "zip": "30650",
      "county": "MORGAN",
      "latitude": 33.5687036803666,
      "longitude": -83.4716827698736,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://morganmedical.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-morgan-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY",
      "parentSystemId": "entity-morgan-county-georgia-hospital-authority",
      "siblingGroupId": "siblings-ga-morgan-county-georgia-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-morgan-county-georgia-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111305",
      "ccn": "111305",
      "name": "MILLER COUNTY HOSPITAL",
      "address": "209 N CUTHBERT STREET",
      "city": "COLQUITT",
      "state": "GA",
      "zip": "39837",
      "county": "MILLER",
      "latitude": 31.1754823099848,
      "longitude": -84.7350183196307,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colquitt-miller-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE HOSPITAL AUTHORITY OF MILLER COUNTY",
      "parentSystemId": "entity-the-hospital-authority-of-miller-county",
      "siblingGroupId": "siblings-ga-the-hospital-authority-of-miller-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-the-hospital-authority-of-miller-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HOSPITAL AUTHORITY OF MILLER COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL AUTHORITY OF MILLER COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE HOSPITAL AUTHORITY OF MILLER COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL AUTHORITY OF MILLER COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111306",
      "ccn": "111306",
      "name": "EFFINGHAM HEALTH SYSTEM",
      "address": "459 GA HIGHWAY 119 SOUTH",
      "city": "SPRINGFIELD",
      "state": "GA",
      "zip": "31329",
      "county": "EFFINGHAM",
      "latitude": 32.3638351701395,
      "longitude": -81.3209129604373,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "EFFINGHAM HOSPITAL INC",
      "parentSystemId": "entity-effingham-hospital-inc",
      "siblingGroupId": "siblings-ga-effingham-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-effingham-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: EFFINGHAM HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRAN BAKER-WITT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to EFFINGHAM HOSPITAL INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EFFINGHAM HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EFFINGHAM HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRAN BAKER-WITT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to EFFINGHAM HOSPITAL INC; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EFFINGHAM HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111308",
      "ccn": "111308",
      "name": "CLINCH MEMORIAL HOSPITAL",
      "address": "1050 VALDOSTA HIGHWAY",
      "city": "HOMERVILLE",
      "state": "GA",
      "zip": "31634",
      "county": "CLINCH",
      "latitude": 31.0341000801342,
      "longitude": -82.7642722397065,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-homerville-clinch-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CLINCH COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-clinch-county-hospital-authority",
      "siblingGroupId": "siblings-ga-clinch-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-clinch-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLINCH COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINCH COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLINCH COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINCH COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111311",
      "ccn": "111311",
      "name": "JENKINS COUNTY MEDICAL CENTER",
      "address": "931 EAST WINTHROPE AVENUE",
      "city": "MILLEN",
      "state": "GA",
      "zip": "30442",
      "county": "JENKINS",
      "latitude": 32.8042395098876,
      "longitude": -81.9345370896282,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://jenkins.optimhealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF JENKINS COUNTY",
      "parentSystemId": "entity-hospital-authority-of-jenkins-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-jenkins-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-hospital-authority-of-jenkins-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF JENKINS COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists ANDREA PIERCE GRAHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF JENKINS COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF JENKINS COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists ANDREA PIERCE GRAHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF JENKINS COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111312",
      "ccn": "111312",
      "name": "OPTIM MEDICAL CENTER - SCREVEN",
      "address": "215 MIMS ROAD",
      "city": "SYLVANIA",
      "state": "GA",
      "zip": "30467",
      "county": "SCREVEN",
      "latitude": 32.7502504001955,
      "longitude": -81.6470195599313,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://screven.optimhealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "COMMUNITY HOSPITAL HOLDING COMPANY, LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sylvania-optim-medical-center-screven/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-community-hospital-holding-company-llc",
      "siblingGroupId": "siblings-ga-community-hospital-holding-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-surgery-partners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.surgerypartners.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HOSPITAL HOLDING COMPANY, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Surgery Partners; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL HOLDING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HOSPITAL HOLDING COMPANY, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Surgery Partners; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL HOLDING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "111313",
      "ccn": "111313",
      "name": "PUTNAM GENERAL HOSPITAL",
      "address": "101 LAKE OCONEE PARKWAY",
      "city": "EATONTON",
      "state": "GA",
      "zip": "31024",
      "county": "PUTNAM",
      "latitude": 33.3358662000131,
      "longitude": -83.3709456202506,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.putnamgeneral.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eatonton-putnam-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PUTNAM GENERAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-putnam-general-hospital-authority",
      "siblingGroupId": "siblings-ga-putnam-general-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-putnam-general-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUTNAM GENERAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANITA CULBERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUTNAM GENERAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUTNAM GENERAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANITA CULBERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUTNAM GENERAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111314",
      "ccn": "111314",
      "name": "LIFEBRITE COMMUNITY HOSPITAL OF EARLY",
      "address": "11740 COLUMBIA STREET",
      "city": "BLAKELY",
      "state": "GA",
      "zip": "39823",
      "county": "EARLY",
      "latitude": 31.3736698598588,
      "longitude": -84.9460124899474,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "ECHP, INC.",
      "parentSystemId": "entity-echp-inc",
      "siblingGroupId": "siblings-ga-echp-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-echp-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: ECHP, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MORGAN DUNN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to ECHP, INC.; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ECHP, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ECHP, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MORGAN DUNN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to ECHP, INC.; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ECHP, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "111316",
      "ccn": "111316",
      "name": "WARM SPRINGS MEDICAL CENTER",
      "address": "5995 SPRING STREET",
      "city": "WARM SPRINGS",
      "state": "GA",
      "zip": "31830",
      "county": "MERIWETHER",
      "latitude": 32.88963190028,
      "longitude": -84.683742459857,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.warmspringsmc.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warm-springs-warm-springs-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MERIWETHER COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-meriwether-county-hospital-authority",
      "siblingGroupId": "siblings-ga-meriwether-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-meriwether-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERIWETHER COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERIWETHER COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERIWETHER COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERIWETHER COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111318",
      "ccn": "111318",
      "name": "MONROE COUNTY HOSPITAL",
      "address": "88 MARTIN LUTHER KING JR DRIVE",
      "city": "FORSYTH",
      "state": "GA",
      "zip": "31029",
      "county": "MONROE",
      "latitude": 33.0312566403387,
      "longitude": -83.9459592197906,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.monroehospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-forsyth-monroe-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA",
      "parentSystemId": "entity-the-hospital-authority-of-monroe-county-georgia",
      "siblingGroupId": "siblings-ga-the-hospital-authority-of-monroe-county-georgia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-the-hospital-authority-of-monroe-county-georgia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEGAN RANDALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEGAN RANDALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111320",
      "ccn": "111320",
      "name": "HIGGINS GENERAL HOSPITAL",
      "address": "200 ALLEN MEMORIAL DRIVE",
      "city": "BREMEN",
      "state": "GA",
      "zip": "30110",
      "county": "HARALSON",
      "latitude": 33.716727240041,
      "longitude": -85.1450202903077,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.tanner.org/main/higginsgeneralhospitalbremen.aspx",
      "status": "corporate_chain",
      "parentSystem": "TANNER MEDICAL CENTER INC",
      "affiliatedSystem": "Tanner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Tanner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bremen-higgins-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tanner-medical-center-inc",
      "siblingGroupId": "siblings-ga-tanner-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-tanner-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.tanner.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TANNER MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Tanner Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TANNER MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tanner; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tanner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Tanner Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TANNER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "111323",
      "ccn": "111323",
      "name": "OPTIM MEDICAL CENTER - TATTNALL",
      "address": "247 S MAIN STREET",
      "city": "REIDSVILLE",
      "state": "GA",
      "zip": "30453",
      "county": "TATTNALL",
      "latitude": 32.0805277499648,
      "longitude": -82.1091226304127,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "COMMUNITY HOSPITAL HOLDING COMPANY, LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reidsville-optim-medical-center-tattnall/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-community-hospital-holding-company-llc",
      "siblingGroupId": "siblings-ga-community-hospital-holding-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-surgery-partners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.surgerypartners.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HOSPITAL HOLDING COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRADLEY A HEIGES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Surgery Partners; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL HOLDING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HOSPITAL HOLDING COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRADLEY A HEIGES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Surgery Partners; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL HOLDING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "111324",
      "ccn": "111324",
      "name": "CHATUGE REGIONAL HOSPITAL",
      "address": "110 S MAIN STREET",
      "city": "HIAWASSEE",
      "state": "GA",
      "zip": "30546",
      "county": "TOWNS",
      "latitude": 34.9465764601507,
      "longitude": -83.75391529965,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hiawassee-chatuge-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNION COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-union-county-hospital-authority",
      "siblingGroupId": "siblings-ga-union-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-union-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNION COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNION COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111325",
      "ccn": "111325",
      "name": "WILLS MEMORIAL HOSPITAL",
      "address": "120 GORDON STREET",
      "city": "WASHINGTON",
      "state": "GA",
      "zip": "30673",
      "county": "WILKES",
      "latitude": 33.7286062898373,
      "longitude": -82.7423994195683,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.willsmemorialhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-wills-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF WILKES COUNTY",
      "parentSystemId": "entity-hospital-authority-of-wilkes-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-wilkes-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-hospital-authority-of-wilkes-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF WILKES COUNTY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TRACIE HAUGHEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF WILKES COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF WILKES COUNTY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TRACIE HAUGHEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF WILKES COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111327",
      "ccn": "111327",
      "name": "BACON COUNTY HOSPITAL",
      "address": "302 SOUTH WAYNE STREET",
      "city": "ALMA",
      "state": "GA",
      "zip": "31510",
      "county": "BACON",
      "latitude": 31.5394712098623,
      "longitude": -82.4586866800028,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.baconcountyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alma-bacon-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BACON COUNTY HEALTH SERVICES, INC.",
      "parentSystemId": "entity-bacon-county-health-services-inc",
      "siblingGroupId": "siblings-ga-bacon-county-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-bacon-county-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to BACON COUNTY HEALTH SERVICES, INC.; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BACON COUNTY HEALTH SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to BACON COUNTY HEALTH SERVICES, INC.; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BACON COUNTY HEALTH SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "111328",
      "ccn": "111328",
      "name": "PHOEBE WORTH MEDICAL CENTER",
      "address": "807 SOUTH ISABELLA STREET",
      "city": "SYLVESTER",
      "state": "GA",
      "zip": "31791",
      "county": "WORTH",
      "latitude": 31.51172259974,
      "longitude": -83.8401557902558,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.phoebeputney.com/phoebecontentpage.aspx?nd=1483",
      "status": "corporate_chain",
      "parentSystem": "PHOEBE PUTNEY HEALTH SYSTEMS INC",
      "affiliatedSystem": "Phoebeputney",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Phoebeputney",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sylvester-phoebe-worth-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-phoebe-putney-health-systems-inc",
      "siblingGroupId": "siblings-ga-phoebe-putney-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-phoebe-putney-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phoebehealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHOEBE PUTNEY HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Phoebeputney; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Phoebeputney. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Phoebe Putney Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOEBE PUTNEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHOEBE PUTNEY HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Phoebeputney; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Phoebeputney. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Phoebe Putney Health System; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHOEBE PUTNEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "111329",
      "ccn": "111329",
      "name": "ST MARY'S GOOD SAMARITAN HOSPITAL",
      "address": "5401 LAKE OCONEE PARKWAY",
      "city": "GREENSBORO",
      "state": "GA",
      "zip": "30642",
      "county": "GREENE",
      "latitude": 33.4814322397031,
      "longitude": -83.2422251096025,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 4,
      "website": "http://www.stmarysgoodsam.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensboro-st-mary-s-good-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ga-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTOINETTE M PRATT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTOINETTE M PRATT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "111330",
      "ccn": "111330",
      "name": "POLK MEDICAL CENTER",
      "address": "2360 ROCKMART HIGHWAY",
      "city": "CEDARTOWN",
      "state": "GA",
      "zip": "30125",
      "county": "POLK",
      "latitude": 34.0138168698498,
      "longitude": -85.1962715802601,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "POLK MEDICAL CENTER INC",
      "parentSystemId": "entity-polk-medical-center-inc",
      "siblingGroupId": "siblings-ga-polk-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-polk-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: POLK MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to POLK MEDICAL CENTER INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POLK MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POLK MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to POLK MEDICAL CENTER INC; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POLK MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "111333",
      "ccn": "111333",
      "name": "JEFF DAVIS HOSPITAL",
      "address": "163 SOUTH TALLAHASSEE STREET",
      "city": "HAZLEHURST",
      "state": "GA",
      "zip": "31539",
      "county": "JEFF DAVIS",
      "latitude": 31.8572098599052,
      "longitude": -82.6071469602487,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hazlehurst-jeff-davis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA",
      "parentSystemId": "entity-hospital-authority-of-jeff-davis-county-georgia",
      "siblingGroupId": "siblings-ga-hospital-authority-of-jeff-davis-county-georgia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-hospital-authority-of-jeff-davis-county-georgia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111334",
      "ccn": "111334",
      "name": "CANDLER COUNTY HOSPITAL",
      "address": "400 CEDAR STREET",
      "city": "METTER",
      "state": "GA",
      "zip": "30439",
      "county": "CANDLER",
      "latitude": 32.4071325296744,
      "longitude": -82.0655242096383,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-metter-candler-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF CANDLER COUNTY",
      "parentSystemId": "entity-hospital-authority-of-candler-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-candler-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-hospital-authority-of-candler-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF CANDLER COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANA HANSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF CANDLER COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF CANDLER COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANA HANSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF CANDLER COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111335",
      "ccn": "111335",
      "name": "LIBERTY REGIONAL MEDICAL CENTER",
      "address": "462 E G MILES PARKWAY",
      "city": "HINESVILLE",
      "state": "GA",
      "zip": "31310",
      "county": "LIBERTY",
      "latitude": 31.8396057200511,
      "longitude": -81.6009201000485,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hinesville-liberty-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL AUTHORITY OF LIBERTY COUNTY",
      "parentSystemId": "entity-hospital-authority-of-liberty-county",
      "siblingGroupId": "siblings-ga-hospital-authority-of-liberty-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-verified-parent-hospital-authority-of-liberty-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL AUTHORITY OF LIBERTY COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF LIBERTY COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL AUTHORITY OF LIBERTY COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL AUTHORITY OF LIBERTY COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "111336",
      "ccn": "111336",
      "name": "MOUNTAIN LAKES MEDICAL CENTER",
      "address": "162 LEGACY POINT",
      "city": "CLAYTON",
      "state": "GA",
      "zip": "30525",
      "county": "RABUN",
      "latitude": 34.8922957999556,
      "longitude": -83.3935363497094,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://mountainlakesmedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clayton-mountain-lakes-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ML HEALTHCARE LP",
      "parentSystemId": "entity-ml-healthcare-lp",
      "siblingGroupId": "siblings-ga-ml-healthcare-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-ml-healthcare-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: ML HEALTHCARE LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 83.05%). CMS lists ROBERT LUBIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to ML HEALTHCARE LP; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ML HEALTHCARE LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ML HEALTHCARE LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 83.05%). CMS lists ROBERT LUBIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to ML HEALTHCARE LP; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ML HEALTHCARE LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "111337",
      "ccn": "111337",
      "name": "ELBERT MEMORIAL HOSPITAL",
      "address": "4 MEDICAL DRIVE",
      "city": "ELBERTON",
      "state": "GA",
      "zip": "30635",
      "county": "ELBERT",
      "latitude": 34.1133932402873,
      "longitude": -82.8749545003978,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.emhcare.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elberton-elbert-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ELBERT MEMORIAL HOSPITAL",
      "parentSystemId": "entity-elbert-memorial-hospital",
      "siblingGroupId": "siblings-ga-elbert-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ga-parent-elbert-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to ELBERT MEMORIAL HOSPITAL; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELBERT MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to ELBERT MEMORIAL HOSPITAL; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELBERT MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "113301",
      "ccn": "113301",
      "name": "CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE",
      "address": "1001 JOHNSON FERRY ROAD",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30342",
      "county": "FULTON",
      "latitude": 33.9060816396365,
      "longitude": -84.3539518397384,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 319,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlanta-children-s-healthcare-of-atlanta-at-scottish-rite/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCOTTISH RITE CHILDRENS MEDICAL CENTER",
      "parentSystemId": "entity-scottish-rite-childrens-medical-center",
      "siblingGroupId": "siblings-ga-scottish-rite-childrens-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-scottish-rite-childrens-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: SCOTTISH RITE CHILDRENS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SCOTTISH RITE CHILDRENS MEDICAL CENTER; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCOTTISH RITE CHILDRENS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SCOTTISH RITE CHILDRENS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to SCOTTISH RITE CHILDRENS MEDICAL CENTER; ownership class nonprofit. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCOTTISH RITE CHILDRENS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "114008",
      "ccn": "114008",
      "name": "COASTAL HARBOR TREATMENT CENTER",
      "address": "1150 CORNELL AVE",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31406",
      "county": "CHATHAM",
      "latitude": 32.0122514302072,
      "longitude": -81.0955813700639,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-savannah-coastal-harbor-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "114010",
      "ccn": "114010",
      "name": "PEACHFORD BEHAVIORAL HEALTH SYSTEM OF ATLANTA",
      "address": "2151 PEACHFORD ROAD",
      "city": "ATLANTA",
      "state": "GA",
      "zip": "30338",
      "county": "DEKALB",
      "latitude": 33.9287370799261,
      "longitude": -84.3006144595753,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 246,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "114012",
      "ccn": "114012",
      "name": "RIDGEVIEW INSTITUTE",
      "address": "3995 S COBB DRIVE SE",
      "city": "SMYRNA",
      "state": "GA",
      "zip": "30080",
      "county": "COBB",
      "latitude": 33.8564432896606,
      "longitude": -84.5110548301974,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 216,
      "rating": null,
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "US HEALTHVEST, LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "US HealthVest",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-smyrna-ridgeview-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-ga-us-healthvest-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-us-healthvest"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "114013",
      "ccn": "114013",
      "name": "WEST CENTRAL GEORGIA REGIONAL HOSPITAL",
      "address": "3000 SCHATULGA RD, PO BOX 12435",
      "city": "COLUMBUS",
      "state": "GA",
      "zip": "31917",
      "county": "MUSCOGEE",
      "latitude": 32.4901908101322,
      "longitude": -84.8685576000754,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 58,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-west-central-georgia-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "114016",
      "ccn": "114016",
      "name": "ST SIMONS - BY THE SEA",
      "address": "2927 DEMERE ROAD",
      "city": "SAINT SIMONS ISLAND",
      "state": "GA",
      "zip": "31522",
      "county": "GLYNN",
      "latitude": 31.164026050284,
      "longitude": -81.402326479628,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Federal",
      "beds": 101,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "114019",
      "ccn": "114019",
      "name": "GEORGIA REGIONAL HOSPITAL ATLANTA",
      "address": "3073 PANTHERSVILLE ROAD",
      "city": "DECATUR",
      "state": "GA",
      "zip": "30034",
      "county": "DEKALB",
      "latitude": 33.6961922296856,
      "longitude": -84.2741066200319,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 334,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHARLES LI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHARLES LI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "114028",
      "ccn": "114028",
      "name": "GEORGIA REGIONAL HOSP SAVANNAH",
      "address": "1915 EISENHOWER DRIVE",
      "city": "SAVANNAH",
      "state": "GA",
      "zip": "31416",
      "county": "CHATHAM",
      "latitude": 32.0005040696421,
      "longitude": -81.080908510097,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 262,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARY JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARY JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "114029",
      "ccn": "114029",
      "name": "EAST CENTRAL REGIONAL HOSPITAL",
      "address": "3405 MIKE PADGETT HWY",
      "city": "AUGUSTA",
      "state": "GA",
      "zip": "30906",
      "county": "RICHMOND",
      "latitude": 33.3969321696522,
      "longitude": -82.011873439612,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 355,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-augusta-east-central-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Georgia Department of Behavioral Health and Developmental Disabilities",
      "parentSystemId": "entity-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "siblingGroupId": "siblings-ga-georgia-department-of-behavioral-health-and-developmental-disabilities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-georgia-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dch.georgia.gov/hospital-transparency-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Georgia public authority; ownership class government. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "114032",
      "ccn": "114032",
      "name": "SO CRESCENT BEH HLTH SYS - ANCHOR HOSPITAL CAMPUS",
      "address": "5454 YORKTOWNE DRIVE",
      "city": "COLLEGE PARK",
      "state": "GA",
      "zip": "30349",
      "county": "CLAYTON",
      "latitude": 33.606993540373,
      "longitude": -84.4521891099781,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 122,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-college-park-so-crescent-beh-hlth-sys---anchor-hospital-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ga-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "114035",
      "ccn": "114035",
      "name": "RIVERWOODS BEHAVIORAL HEALTH SYSTEM",
      "address": "223 MEDICAL CENTER DRIVE",
      "city": "RIVERDALE",
      "state": "GA",
      "zip": "30274",
      "county": "CLAYTON",
      "latitude": 33.582212959994,
      "longitude": -84.3907167096712,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 95,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverdale-riverwoods-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ga-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "114036",
      "ccn": "114036",
      "name": "GREENLEAF CENTER",
      "address": "2209 PINEVIEW DRIVE",
      "city": "VALDOSTA",
      "state": "GA",
      "zip": "31602",
      "county": "LOWNDES",
      "latitude": 30.8601573896304,
      "longitude": -83.2591332196431,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 113,
      "rating": null,
      "website": "http://www.greenleafcounseling.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valdosta-greenleaf-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ga-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "114037",
      "ccn": "114037",
      "name": "RIDGEVIEW INSTITUTE MONROE",
      "address": "709 BREEDLOVE DRIVE",
      "city": "MONROE",
      "state": "GA",
      "zip": "30655",
      "county": "WALTON",
      "latitude": 33.7831703103445,
      "longitude": -83.718579229821,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": null,
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "US HEALTHVEST, LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "US HealthVest",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroe-ridgeview-institute-monroe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-ga-us-healthvest-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ga-parent-us-healthvest"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Georgia resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. The parent edge is separate from any PE or service-contract exposure. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "120001",
      "ccn": "120001",
      "name": "THE QUEEN'S MEDICAL CENTER",
      "address": "1301 PUNCHBOWL STREET",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96813",
      "county": "HONOLULU",
      "latitude": 21.308039599677,
      "longitude": -157.853638519893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 535,
      "rating": 3,
      "website": "https://www.queens.org/the-queens-medical-center/queens-medical-center",
      "status": "signal",
      "parentSystem": "THE QUEEN'S HEALTH SYSTEMS",
      "affiliatedSystem": "Queens",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Queens",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-queens-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-queen-s-health-systems",
      "siblingGroupId": "siblings-hi-the-queen-s-health-systems",
      "campusFamilyId": "campus-hi-120001",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-the-queen-s-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.queens.org/maps/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120001-loc-hi-honolulu-the-queen-s-medical-center-hale-pulama-mau",
      "ccn": "120001",
      "name": "THE QUEEN'S MEDICAL CENTER - HALE PULAMA MAU",
      "address": "347 N KUAKINI STREET",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96817",
      "county": "HONOLULU",
      "latitude": 21.3218730003997,
      "longitude": -157.857444299968,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 3,
      "website": "https://www.queens.org/the-queens-medical-center/services/hale-pulama-mau/contact-us-hale-pulama-mau-qmc",
      "status": "signal",
      "parentSystem": "THE QUEEN'S HEALTH SYSTEMS",
      "affiliatedSystem": "Queens",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Queens",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-queen-s-health-systems",
      "siblingGroupId": "siblings-hi-the-queen-s-health-systems",
      "campusFamilyId": "campus-hi-120001",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-the-queen-s-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.queens.org/maps/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "120001"
    },
    {
      "id": "120002",
      "ccn": "120002",
      "name": "MAUI MEMORIAL MEDICAL CENTER",
      "address": "221 MAHALANI STREET",
      "city": "WAILUKU",
      "state": "HI",
      "zip": "96793",
      "county": "MAUI",
      "latitude": 20.8845135898404,
      "longitude": -156.489331029644,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 219,
      "rating": 2,
      "website": "https://www.mauihealth.org/locations/maui-memorial-medical-center/",
      "status": "signal",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Mauihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Mauihealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wailuku-maui-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-hi-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-maui-health-kaiser-foundation-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mauihealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE EBERSOLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mauihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mauihealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WADE EBERSOLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mauihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mauihealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120006",
      "ccn": "120006",
      "name": "ADVENTIST HEALTH CASTLE",
      "address": "640 ULUKAHIKI STREET",
      "city": "KAILUA",
      "state": "HI",
      "zip": "96734",
      "county": "HONOLULU",
      "latitude": 21.3809793601169,
      "longitude": -157.757800479996,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 160,
      "rating": 4,
      "website": "https://www.adventisthealth.org/castle/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-hi-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM/WEST (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Adventist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM/WEST (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Adventist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120007",
      "ccn": "120007",
      "name": "KUAKINI MEDICAL CENTER",
      "address": "347 NORTH KUAKINI STREET",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96817",
      "county": "HONOLULU",
      "latitude": 21.3220399700524,
      "longitude": -157.856944049746,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 212,
      "rating": 4,
      "website": "https://www.kuakini.org/wps/portal/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-kuakini-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KUAKINI MEDICAL CENTER",
      "parentSystemId": "entity-kuakini-medical-center",
      "siblingGroupId": "siblings-hi-kuakini-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-kuakini-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kuakini.org/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KUAKINI MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GREGG Y OISHI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Kuakini Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KUAKINI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KUAKINI MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GREGG Y OISHI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Kuakini Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KUAKINI MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120011",
      "ccn": "120011",
      "name": "KAISER FOUNDATION HOSPITAL",
      "address": "3288 MOANALUA ROAD",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96819",
      "county": "HONOLULU",
      "latitude": 21.3632484700594,
      "longitude": -157.899927490165,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 295,
      "rating": 4,
      "website": "https://healthy.kaiserpermanente.org/hawaii/facilities/kaiser-permanente-moanalua-medical-center-100434",
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-kaiser-foundation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-hi-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-maui-health-kaiser-foundation-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mauihealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists INES GAETA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists INES GAETA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120014",
      "ccn": "120014",
      "name": "WILCOX MEMORIAL HOSPITAL",
      "address": "3-3420 KUHIO HIGHWAY",
      "city": "LIHUE",
      "state": "HI",
      "zip": "96766",
      "county": "KAUAI",
      "latitude": 21.9861478502407,
      "longitude": -159.364924460039,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 72,
      "rating": 2,
      "website": "https://www.hawaiipacifichealth.org/wilcox/",
      "status": "corporate_chain",
      "parentSystem": "HAWAII PACIFIC HEALTH",
      "affiliatedSystem": "Hawaiipacifichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hawaiipacifichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lihue-wilcox-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hawaii-pacific-health",
      "siblingGroupId": "siblings-hi-hawaii-pacific-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-pacific-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hawaiipacifichealth.org/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII PACIFIC HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Hawaiipacifichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hawaiipacifichealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII PACIFIC HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Hawaiipacifichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hawaiipacifichealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120019",
      "ccn": "120019",
      "name": "KONA COMMUNITY HOSPITAL",
      "address": "79-1019 HAUKAPILA STREET",
      "city": "KEALAKEKUA",
      "state": "HI",
      "zip": "96750",
      "county": "HAWAII",
      "latitude": 19.5200309697157,
      "longitude": -155.91741004037,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 94,
      "rating": 2,
      "website": "https://kch.hhsc.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kealakekua-kona-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAWAII HEALTH SYSTEMS CORPORATION",
      "parentSystemId": "entity-hawaii-health-systems-corporation",
      "siblingGroupId": "siblings-hi-hawaii-health-systems-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "120022",
      "ccn": "120022",
      "name": "STRAUB CLINIC AND HOSPITAL",
      "address": "888 SOUTH KING STREET",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96813",
      "county": "HONOLULU",
      "latitude": 21.3028508197339,
      "longitude": -157.85070591036,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 159,
      "rating": 4,
      "website": "https://www.hawaiipacifichealth.org/straub/",
      "status": "corporate_chain",
      "parentSystem": "HAWAII PACIFIC HEALTH",
      "affiliatedSystem": "Hawaiipacifichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hawaiipacifichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-straub-clinic-and-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hawaii-pacific-health",
      "siblingGroupId": "siblings-hi-hawaii-pacific-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-pacific-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hawaiipacifichealth.org/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII PACIFIC HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREW MOATS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Hawaiipacifichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hawaiipacifichealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII PACIFIC HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREW MOATS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Hawaiipacifichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hawaiipacifichealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120026",
      "ccn": "120026",
      "name": "PALI MOMI MEDICAL CENTER",
      "address": "98-1079 MOANALUA ROAD",
      "city": "AIEA",
      "state": "HI",
      "zip": "96701",
      "county": "HONOLULU",
      "latitude": 21.3834786400313,
      "longitude": -157.938695569944,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": 4,
      "website": "https://www.hawaiipacifichealth.org/pali-momi/",
      "status": "corporate_chain",
      "parentSystem": "HAWAII PACIFIC HEALTH",
      "affiliatedSystem": "Hawaiipacifichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hawaiipacifichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aiea-pali-momi-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hawaii-pacific-health",
      "siblingGroupId": "siblings-hi-hawaii-pacific-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-pacific-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hawaiipacifichealth.org/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII PACIFIC HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GLORIA BROOKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Hawaiipacifichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hawaiipacifichealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII PACIFIC HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GLORIA BROOKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Hawaiipacifichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hawaiipacifichealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII PACIFIC HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "120028",
      "ccn": "120028",
      "name": "NORTH HAWAII COMMUNITY HOSPITAL",
      "address": "67-1125 MAMALAHOA HIGHWAY",
      "city": "KAMUELA",
      "state": "HI",
      "zip": "96743",
      "county": "HAWAII",
      "latitude": 20.0223089000645,
      "longitude": -155.664420889959,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 3,
      "website": "https://www.queens.org/north-hawaii/north-hawaii-community-hospital",
      "status": "corporate_chain",
      "parentSystem": "THE QUEEN'S HEALTH SYSTEMS",
      "affiliatedSystem": "Queens",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Queens",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kamuela-north-hawaii-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-queen-s-health-systems",
      "siblingGroupId": "siblings-hi-the-queen-s-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-the-queen-s-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.queens.org/maps/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "121300",
      "ccn": "121300",
      "name": "KAUAI VETERANS MEMORIAL HOSPITAL",
      "address": "4643 WAIMEA CANYON ROAD",
      "city": "WAIMEA",
      "state": "HI",
      "zip": "96796",
      "county": "KAUAI",
      "latitude": 21.9608562401978,
      "longitude": -159.670619239609,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 25,
      "rating": null,
      "website": "http://kauai.hhsc.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waimea-kauai-veterans-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KAUAI VETERANS MEMORIAL HOSPITAL",
      "parentSystemId": "entity-kauai-veterans-memorial-hospital",
      "siblingGroupId": "siblings-hi-kauai-veterans-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hi-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/pacific-islands-health-care/"
      ],
      "ownershipProofNotes": "CMS lists LANCE K SEGAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAUAI VETERANS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LANCE K SEGAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAUAI VETERANS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "121301",
      "ccn": "121301",
      "name": "KAU HOSPITAL",
      "address": "1 KAMANI STREET",
      "city": "PAHALA",
      "state": "HI",
      "zip": "96777",
      "county": "HAWAII",
      "latitude": 19.1996625401517,
      "longitude": -155.472136039862,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 21,
      "rating": null,
      "website": "https://www.kauhospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pahala-kau-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAWAII HEALTH SYSTEMS CORPORATION",
      "parentSystemId": "entity-hawaii-health-systems-corporation",
      "siblingGroupId": "siblings-hi-hawaii-health-systems-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL JOHN BRINKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL JOHN BRINKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "121302",
      "ccn": "121302",
      "name": "KOHALA HOSPITAL",
      "address": "54-383 HOSPITAL ROAD",
      "city": "KAPAAU",
      "state": "HI",
      "zip": "96755",
      "county": "HAWAII",
      "latitude": 20.23251042004,
      "longitude": -155.796829239969,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 6,
      "rating": null,
      "website": "https://kohala.hhsc.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kapaau-kohala-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KOHALA HOSPITAL",
      "parentSystemId": "entity-kohala-hospital",
      "siblingGroupId": "siblings-hi-kohala-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KOHALA HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOHALA HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KOHALA HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOHALA HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "121303",
      "ccn": "121303",
      "name": "MOLOKAI GENERAL HOSPITAL",
      "address": "280 HOME OLU PLACE",
      "city": "KAUNAKAKAI",
      "state": "HI",
      "zip": "96748",
      "county": "MAUI",
      "latitude": 21.0941080203743,
      "longitude": -157.017252670151,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "https://www.queens.org/molokai/molokai-general-hospital",
      "status": "corporate_chain",
      "parentSystem": "THE QUEEN'S HEALTH SYSTEMS",
      "affiliatedSystem": "Queens",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Queens",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kaunakakai-molokai-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-queen-s-health-systems",
      "siblingGroupId": "siblings-hi-the-queen-s-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-the-queen-s-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.queens.org/maps/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JANICE KALANIHUIA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE QUEEN'S HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JANICE KALANIHUIA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Queens; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Queens. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to The Queen's Health Systems; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE QUEEN'S HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "121304",
      "ccn": "121304",
      "name": "KAHUKU MEDICAL CENTER",
      "address": "56-117 PUALALEA STREET",
      "city": "KAHUKU",
      "state": "HI",
      "zip": "96731",
      "county": "HONOLULU",
      "latitude": 21.6765637898176,
      "longitude": -157.954296700416,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 15,
      "rating": null,
      "website": "http://www.kmc-hi.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kahuku-kahuku-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAWAII HEALTH SYSTEMS CORPORATION",
      "parentSystemId": "entity-hawaii-health-systems-corporation",
      "siblingGroupId": "siblings-hi-hawaii-health-systems-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "121305",
      "ccn": "121305",
      "name": "LANAI COMMUNITY HOSPITAL",
      "address": "628 7TH STREET",
      "city": "LANAI CITY",
      "state": "HI",
      "zip": "96763",
      "county": "MAUI",
      "latitude": 20.8261424496152,
      "longitude": -156.917895770284,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 4,
      "rating": null,
      "website": "https://www.mauihealth.org/locations/lanai-community-hospital/",
      "status": "signal",
      "parentSystem": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC",
      "affiliatedSystem": "Mauihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Mauihealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lanai-city-lanai-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-maui-health-system-a-kaiser-foundation-hospitals-llc",
      "siblingGroupId": "siblings-hi-maui-health-system-a-kaiser-foundation-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-maui-health-kaiser-foundation-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mauihealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL A REMBIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mauihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mauihealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL A REMBIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mauihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mauihealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "121306",
      "ccn": "121306",
      "name": "SAMUEL MAHELONA MEMORIAL HOSPITAL",
      "address": "4800 KAWAIHAU ROAD",
      "city": "KAPAA",
      "state": "HI",
      "zip": "96746",
      "county": "KAUAI",
      "latitude": 22.0878219503109,
      "longitude": -159.312875360113,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 14,
      "rating": null,
      "website": "http://kauai.hhsc.org/facilities/samuel-mahelona-memorial-hospital-smmh/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kapaa-samuel-mahelona-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAWAII HEALTH SYSTEMS CORPORATION",
      "parentSystemId": "entity-hawaii-health-systems-corporation",
      "siblingGroupId": "siblings-hi-hawaii-health-systems-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-hawaii-health-systems-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhsc.org/regions-and-facilities/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 5%). CMS lists LANCE K SEGAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAWAII HEALTH SYSTEMS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 5%). CMS lists LANCE K SEGAWA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Health Systems Corporation; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAWAII HEALTH SYSTEMS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "121308",
      "ccn": "121308",
      "name": "KULA HOSPITAL",
      "address": "100 KEOKEA PLACE",
      "city": "KULA",
      "state": "HI",
      "zip": "96790",
      "county": "MAUI",
      "latitude": 20.7014026498067,
      "longitude": -156.357429630389,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 9,
      "rating": null,
      "website": "https://www.mauihealth.org/locations/kula-hospital/",
      "status": "signal",
      "parentSystem": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC",
      "affiliatedSystem": "Mauihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Mauihealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kula-kula-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-maui-health-system-a-kaiser-foundation-hospitals-llc",
      "siblingGroupId": "siblings-hi-maui-health-system-a-kaiser-foundation-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-maui-health-kaiser-foundation-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mauihealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL A REMBIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mauihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mauihealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL A REMBIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mauihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mauihealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Maui Health / Kaiser Foundation Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "123301",
      "ccn": "123301",
      "name": "SHRINERS HOSPITAL FOR CHILDREN",
      "address": "1310 PUNAHOU STREET",
      "city": "HONOLULU",
      "state": "HI",
      "zip": "96826",
      "county": "HONOLULU",
      "latitude": 21.3004712501519,
      "longitude": -157.835143529615,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "https://www.shrinershospitalsforchildren.org/shc",
      "status": "corporate_chain",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "affiliatedSystem": "Shrinershospitalsforchildren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Shrinershospitalsforchildren",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honolulu-shriners-hospital-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-hi-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "hi-parent-shriners-children-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.shrinerschildrens.org/en/locations/honolulu"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Shrinershospitalsforchildren; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Shrinershospitalsforchildren. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Shriners Children's; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Shrinershospitalsforchildren; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Shrinershospitalsforchildren. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Hawaii resolution: normalized CMS legal owner/operator to Shriners Children's; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "124001",
      "ccn": "124001",
      "name": "KAHI MOHALA",
      "address": "91-2301 FORT WEAVER ROAD",
      "city": "EWA BEACH",
      "state": "HI",
      "zip": "96706",
      "county": "HONOLULU",
      "latitude": 21.3739368697229,
      "longitude": -158.034026539609,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 88,
      "rating": null,
      "website": "https://www.sutterhealth.org/kahi",
      "status": "signal",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ewa-beach-kahi-mohala/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KAHI MOHALA",
      "parentSystemId": "entity-kahi-mohala",
      "siblingGroupId": "siblings-hi-kahi-mohala",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "hi-parent-hawaii-pacific-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hawaiipacifichealth.org/"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAHI MOHALA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Hawaii resolution: normalized CMS legal owner/operator to Hawaii Pacific Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAHI MOHALA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "130003",
      "ccn": "130003",
      "name": "ST JOSEPH REGIONAL MEDICAL CENTER",
      "address": "415 SIXTH ST",
      "city": "LEWISTON",
      "state": "ID",
      "zip": "83501",
      "county": "NEZ PERCE",
      "latitude": 46.4164397399264,
      "longitude": -117.024366110262,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 145,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "March 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewiston-st.-joseph-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-id-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-kindred-healthcare-operating-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JACQUELYN JOY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JACQUELYN JOY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "130006",
      "ccn": "130006",
      "name": "ST LUKE'S REGIONAL MEDICAL CENTER",
      "address": "190 E BANNOCK ST",
      "city": "BOISE",
      "state": "ID",
      "zip": "83712",
      "county": "ADA",
      "latitude": 43.6125653801485,
      "longitude": -116.192449190412,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 605,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-st.-luke-s-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HEALTH SYSTEM LTD",
      "parentSystemId": "entity-st-lukes-health-system-ltd",
      "siblingGroupId": "siblings-id-st-lukes-health-system-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-st-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stlukesonline.org/en/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "130007",
      "ccn": "130007",
      "name": "SAINT ALPHONSUS REGIONAL MEDICAL CENTER",
      "address": "1055 N CURTIS RD",
      "city": "BOISE",
      "state": "ID",
      "zip": "83706",
      "county": "ADA",
      "latitude": 43.6134327996835,
      "longitude": -116.255808100426,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 362,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-saint-alphonsus-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT ALPHONSUS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-alphonsus-health-system-inc",
      "siblingGroupId": "siblings-id-saint-alphonsus-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-saint-alphonsus-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintalphonsus.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN L CHECKETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN L CHECKETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "130013",
      "ccn": "130013",
      "name": "SAINT ALPHONSUS MEDICAL CENTER - NAMPA",
      "address": "4300 E FLAMINGO AVE",
      "city": "NAMPA",
      "state": "ID",
      "zip": "83687",
      "county": "CANYON",
      "latitude": 43.5974489001136,
      "longitude": -116.517391999998,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 109,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nampa-saint-alphonsus-medical-center---nampa/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT ALPHONSUS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-alphonsus-health-system-inc",
      "siblingGroupId": "siblings-id-saint-alphonsus-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-saint-alphonsus-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintalphonsus.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CLINTON CHILD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CLINTON CHILD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "130014",
      "ccn": "130014",
      "name": "WEST VALLEY MEDICAL CENTER",
      "address": "1717 ARLINGTON ST",
      "city": "CALDWELL",
      "state": "ID",
      "zip": "83605",
      "county": "CANYON",
      "latitude": 43.6543279299996,
      "longitude": -116.694275929844,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 150,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-caldwell-west-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-id-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "130018",
      "ccn": "130018",
      "name": "EASTERN IDAHO REGIONAL MEDICAL CENTER",
      "address": "3100 CHANNING WAY",
      "city": "IDAHO FALLS",
      "state": "ID",
      "zip": "83404",
      "county": "BONNEVILLE",
      "latitude": 43.4699759100336,
      "longitude": -111.991654080161,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 292,
      "rating": 3,
      "website": "http://www.eirmc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-idaho-falls-eastern-idaho-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-id-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "130025",
      "ccn": "130025",
      "name": "MADISON MEMORIAL HOSPITAL",
      "address": "450 E MAIN ST",
      "city": "REXBURG",
      "state": "ID",
      "zip": "83440",
      "county": "MADISON",
      "latitude": 43.8257797900987,
      "longitude": -111.770886650084,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 69,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rexburg-madison-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MADISON CO MEMORIAL HOSPITAL",
      "parentSystemId": "entity-madison-co-memorial-hospital",
      "siblingGroupId": "siblings-id-madison-co-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-madison-co-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to MADISON CO MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON CO MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to MADISON CO MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON CO MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "130028",
      "ccn": "130028",
      "name": "PORTNEUF MEDICAL CENTER",
      "address": "777 HOSPITAL WAY",
      "city": "POCATELLO",
      "state": "ID",
      "zip": "83201",
      "county": "BANNOCK",
      "latitude": 42.8738530099045,
      "longitude": -112.420762030257,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 205,
      "rating": 4,
      "website": "http://www.portmed.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pocatello-portneuf-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-id-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-ardent-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Ardent Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Ardent Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "13003F",
      "ccn": "13003F",
      "name": "BOISE VA MEDICAL CENTER",
      "address": "500 WEST FORT STREET",
      "city": "BOISE",
      "state": "ID",
      "zip": "83702",
      "county": "ADA",
      "latitude": 43.621216649798,
      "longitude": -116.190276700238,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 85,
      "rating": 5,
      "website": "https://www.boise.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-boise-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-id-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/boise-health-care/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Idaho resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Idaho resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "130049",
      "ccn": "130049",
      "name": "KOOTENAI HEALTH",
      "address": "2003 KOOTENAI HEALTH WAY",
      "city": "COEUR D'ALENE",
      "state": "ID",
      "zip": "83814",
      "county": "KOOTENAI",
      "latitude": 47.6955033198953,
      "longitude": -116.793702670131,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 330,
      "rating": 4,
      "website": "http://www.kmc.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kootenai Health",
      "parentSystemId": "entity-kootenai-health",
      "siblingGroupId": "siblings-id-kootenai-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-kootenai-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kh.org/about/"
      ],
      "ownershipProofNotes": "CMS lists MICHELE BOUIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Kootenai Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOOTENAI HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MICHELE BOUIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Kootenai Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOOTENAI HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "130063",
      "ccn": "130063",
      "name": "TREASURE VALLEY HOSPITAL",
      "address": "8800 W EMERALD ST",
      "city": "BOISE",
      "state": "ID",
      "zip": "83704",
      "county": "ADA",
      "latitude": 43.6126192702157,
      "longitude": -116.290926009897,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-treasure-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "SCA Health / Optum",
      "parentSystemId": "entity-sca-health-optum",
      "siblingGroupId": "siblings-id-sca-health-optum",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-verified-parent-sca-health-optum"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.optum.com/en/care/specialty-care/surgery.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL, 40.63%). CMS lists LADD W MARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgery Partners network; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL, 40.63%). CMS lists LADD W MARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgery Partners network; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "130065",
      "ccn": "130065",
      "name": "MOUNTAIN VIEW HOSPITAL",
      "address": "2325 CORONADO ST",
      "city": "IDAHO FALLS",
      "state": "ID",
      "zip": "83404",
      "county": "BONNEVILLE",
      "latitude": 43.4743660200814,
      "longitude": -111.987920699807,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 43,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SMBI IDAHO LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-idaho-falls-mountain-view-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-smbi-idaho-llc",
      "siblingGroupId": "siblings-id-smbi-idaho-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-unitedhealth-group-surgery-partners-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitedhealthgroup.com/about-us.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SMBI IDAHO LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NED HILLYARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgery Partners network; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SMBI IDAHO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SMBI IDAHO LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NED HILLYARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgery Partners network; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SMBI IDAHO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "130066",
      "ccn": "130066",
      "name": "NORTHWEST SPECIALTY HOSPITAL",
      "address": "1593 E POLSTON AVE",
      "city": "POST FALLS",
      "state": "ID",
      "zip": "83854",
      "county": "KOOTENAI",
      "latitude": 47.7154556798718,
      "longitude": -116.924388549992,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "Hammes Partners",
      "acquiredDate": "August 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-post-falls-northwest-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SP Management Services",
      "parentSystemId": "entity-sp-management-services",
      "siblingGroupId": "siblings-id-sp-management-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-sp-management-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROGER C DUNTEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to SP MANAGEMENT SERVICES INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROGER C DUNTEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to SP MANAGEMENT SERVICES INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "130071",
      "ccn": "130071",
      "name": "ST LUKE'S NAMPA MEDICAL CENTER",
      "address": "9850 W ST LUKE'S DR",
      "city": "NAMPA",
      "state": "ID",
      "zip": "83687",
      "county": "CANYON",
      "latitude": 43.6183669702096,
      "longitude": -116.590239540372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 87,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nampa-st-luke-s-nampa-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HEALTH SYSTEM LTD",
      "parentSystemId": "entity-st-lukes-health-system-ltd",
      "siblingGroupId": "siblings-id-st-lukes-health-system-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-st-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stlukesonline.org/en/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "130073",
      "ccn": "130073",
      "name": "GROVE CREEK MEDICAL CENTER",
      "address": "350 N MERIDIAN ST",
      "city": "BLACKFOOT",
      "state": "ID",
      "zip": "83221",
      "county": "BINGHAM",
      "latitude": 43.1963020901927,
      "longitude": -112.354169569699,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blackfoot-grove-creek-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BMH INC",
      "parentSystemId": "entity-bmh-inc",
      "siblingGroupId": "siblings-id-bmh-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: BMH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BMH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "130074",
      "ccn": "130074",
      "name": "IDAHO FALLS COMMUNITY HOSPITAL",
      "address": "2327 CORONADO STREET",
      "city": "IDAHO FALLS",
      "state": "ID",
      "zip": "83406",
      "county": "BONNEVILLE",
      "latitude": 43.4742984202018,
      "longitude": -111.987535339618,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": 4,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SMBI IDAHO LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-idaho-falls-idaho-falls-community-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-smbi-idaho-llc",
      "siblingGroupId": "siblings-id-smbi-idaho-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-unitedhealth-group-surgery-partners-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitedhealthgroup.com/about-us.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SMBI IDAHO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS lists CASEY JACKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgery Partners network; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SMBI IDAHO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SMBI IDAHO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS lists CASEY JACKMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgery Partners network; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SMBI IDAHO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "130779",
      "ccn": "130779",
      "name": "CASCADE MEDICAL CENTER",
      "address": "402 LAKE CASCADE PARKWAY",
      "city": "CASCADE",
      "state": "ID",
      "zip": "83611",
      "county": "VALLEY",
      "latitude": 44.5183698796976,
      "longitude": -116.049379080349,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "website": "http://www.cascademedicalcenter.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cascade-cascade-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CASCADE MEDICAL CENTER HOSPITAL DISTRICT",
      "parentSystemId": "entity-cascade-medical-center-hospital-district",
      "siblingGroupId": "siblings-id-cascade-medical-center-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-verified-parent-cascade-medical-center-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CASCADE MEDICAL CENTER HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASCADE MEDICAL CENTER HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CASCADE MEDICAL CENTER HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASCADE MEDICAL CENTER HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131301",
      "ccn": "131301",
      "name": "BOUNDARY COMMUNITY HOSPITAL",
      "address": "6640 KANIKSU ST",
      "city": "BONNERS FERRY",
      "state": "ID",
      "zip": "83805",
      "county": "BOUNDARY",
      "latitude": 48.7023010801847,
      "longitude": -116.32108155028,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bonners-ferry-boundary-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BOUNDARY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-boundary-community-hospital",
      "siblingGroupId": "siblings-id-boundary-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOUNDARY COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOUNDARY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOUNDARY COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOUNDARY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131302",
      "ccn": "131302",
      "name": "NORTH CANYON MEDICAL CENTER",
      "address": "267 N CANYON DR",
      "city": "GOODING",
      "state": "ID",
      "zip": "83330",
      "county": "GOODING",
      "latitude": 42.9209954500061,
      "longitude": -114.709657459838,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gooding-north-canyon-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH CANYON MEDICAL CENTER INC",
      "parentSystemId": "entity-north-canyon-medical-center-inc",
      "siblingGroupId": "siblings-id-north-canyon-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH CANYON MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH CANYON MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131304",
      "ccn": "131304",
      "name": "POWER COUNTY HOSPITAL DISTRICT",
      "address": "510 ROOSEVELT ST",
      "city": "AMERICAN FALLS",
      "state": "ID",
      "zip": "83211",
      "county": "POWER",
      "latitude": 42.781448579793,
      "longitude": -112.848630660095,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-american-falls-power-county-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "POWER COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-power-county-hospital-district",
      "siblingGroupId": "siblings-id-power-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-verified-parent-power-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: POWER COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SCOTT P CONOVER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POWER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POWER COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SCOTT P CONOVER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POWER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131305",
      "ccn": "131305",
      "name": "STEELE MEMORIAL MEDICAL CENTER",
      "address": "203 S DAISY ST",
      "city": "SALMON",
      "state": "ID",
      "zip": "83467",
      "county": "LEMHI",
      "latitude": 45.1732896701979,
      "longitude": -113.891746970388,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": 3,
      "website": "www.steelemh.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salmon-steele-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF LEMHI",
      "parentSystemId": "entity-county-of-lemhi",
      "siblingGroupId": "siblings-id-county-of-lemhi",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF LEMHI (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists PRESTON J BECKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LEMHI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF LEMHI (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists PRESTON J BECKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LEMHI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131307",
      "ccn": "131307",
      "name": "WEISER MEMORIAL HOSPITAL",
      "address": "645 E 5TH ST",
      "city": "WEISER",
      "state": "ID",
      "zip": "83672",
      "county": "WASHINGTON",
      "latitude": 44.2487240101268,
      "longitude": -116.962441259988,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weiser-weiser-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WEISER VALLEY HOSPITAL DISTRICT",
      "parentSystemId": "entity-weiser-valley-hospital-district",
      "siblingGroupId": "siblings-id-weiser-valley-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-verified-parent-weiser-valley-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEISER VALLEY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEISER VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEISER VALLEY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEISER VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131310",
      "ccn": "131310",
      "name": "ST LUKE'S JEROME",
      "address": "709 N LINCOLN AVE",
      "city": "JEROME",
      "state": "ID",
      "zip": "83338",
      "county": "JEROME",
      "latitude": 42.7300685802086,
      "longitude": -114.519214229736,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jerome-st.-luke-s-jerome/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HEALTH SYSTEM LTD",
      "parentSystemId": "entity-st-lukes-health-system-ltd",
      "siblingGroupId": "siblings-id-st-lukes-health-system-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-st-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stlukesonline.org/en/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131311",
      "ccn": "131311",
      "name": "ST LUKE'S ELMORE MEDICAL CENTER",
      "address": "895 N 6TH E",
      "city": "MOUNTAIN HOME",
      "state": "ID",
      "zip": "83647",
      "county": "ELMORE",
      "latitude": 43.1388910599133,
      "longitude": -115.693596289592,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mountain-home-st.-luke-s-elmore-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HEALTH SYSTEM LTD",
      "parentSystemId": "entity-st-lukes-health-system-ltd",
      "siblingGroupId": "siblings-id-st-lukes-health-system-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-st-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stlukesonline.org/en/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131312",
      "ccn": "131312",
      "name": "ST LUKE'S MCCALL",
      "address": "1000 STATE ST",
      "city": "MCCALL",
      "state": "ID",
      "zip": "83638",
      "county": "VALLEY",
      "latitude": 44.9090481301853,
      "longitude": -116.110139299892,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mccall-st.-luke-s-mccall/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HEALTH SYSTEM LTD",
      "parentSystemId": "entity-st-lukes-health-system-ltd",
      "siblingGroupId": "siblings-id-st-lukes-health-system-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-st-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stlukesonline.org/en/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131313",
      "ccn": "131313",
      "name": "TETON VALLEY HOSPITAL",
      "address": "120 E HOWARD AVE",
      "city": "DRIGGS",
      "state": "ID",
      "zip": "83422",
      "county": "TETON",
      "latitude": 43.7269833802034,
      "longitude": -111.108222060313,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 13,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "TETON VALLEY HEALTH CARE INC",
      "parentSystemId": "entity-teton-valley-health-care-inc",
      "siblingGroupId": "siblings-id-teton-valley-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TETON VALLEY HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TETON VALLEY HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131314",
      "ccn": "131314",
      "name": "SHOSHONE MEDICAL CENTER",
      "address": "25 JACOBS GULCH RD",
      "city": "KELLOGG",
      "state": "ID",
      "zip": "83837",
      "county": "SHOSHONE",
      "latitude": 47.5463982698606,
      "longitude": -116.130613099976,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kellogg-shoshone-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SHOSHONE MEDICAL CENTER",
      "parentSystemId": "entity-shoshone-medical-center",
      "siblingGroupId": "siblings-id-shoshone-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-shoshone-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHOSHONE MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to SHOSHONE MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHOSHONE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHOSHONE MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to SHOSHONE MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHOSHONE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131315",
      "ccn": "131315",
      "name": "SYRINGA GENERAL HOSPITAL",
      "address": "607 W MAIN ST",
      "city": "GRANGEVILLE",
      "state": "ID",
      "zip": "83530",
      "county": "IDAHO",
      "latitude": 45.927068360029,
      "longitude": -116.12721658965,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grangeville-syringa-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SYRINGA GENERAL HOSPITAL DISTRICT C I F",
      "parentSystemId": "entity-syringa-general-hospital-district-c-i-f",
      "siblingGroupId": "siblings-id-syringa-general-hospital-district-c-i-f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-verified-parent-syringa-general-hospital-district-c-i-f"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SYRINGA GENERAL HOSPITAL DISTRICT C I F (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SYRINGA GENERAL HOSPITAL DISTRICT C I F, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SYRINGA GENERAL HOSPITAL DISTRICT C I F (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SYRINGA GENERAL HOSPITAL DISTRICT C I F, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131316",
      "ccn": "131316",
      "name": "BEAR LAKE MEMORIAL HOSPITAL",
      "address": "164 S FIFTH ST",
      "city": "MONTPELIER",
      "state": "ID",
      "zip": "83254",
      "county": "BEAR LAKE",
      "latitude": 42.3161630697564,
      "longitude": -111.300273870357,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 21,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montpelier-bear-lake-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BEAR LAKE COUNTY",
      "parentSystemId": "entity-bear-lake-county",
      "siblingGroupId": "siblings-id-bear-lake-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-bear-lake-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAR LAKE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to BEAR LAKE COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAR LAKE COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAR LAKE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to BEAR LAKE COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAR LAKE COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131318",
      "ccn": "131318",
      "name": "VALOR HEALTH",
      "address": "1202 E LOCUST ST",
      "city": "EMMETT",
      "state": "ID",
      "zip": "83617",
      "county": "GEM",
      "latitude": 43.8799792202161,
      "longitude": -116.484902940137,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-emmett-valor-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF GEM",
      "parentSystemId": "entity-county-of-gem",
      "siblingGroupId": "siblings-id-county-of-gem",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF GEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists BRADLEY TURPEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF GEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists BRADLEY TURPEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131319",
      "ccn": "131319",
      "name": "MINIDOKA MEMORIAL HOSPITAL",
      "address": "1224 8TH ST",
      "city": "RUPERT",
      "state": "ID",
      "zip": "83350",
      "county": "MINIDOKA",
      "latitude": 42.6203972896996,
      "longitude": -113.686096680068,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rupert-minidoka-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF MINIDOKA",
      "parentSystemId": "entity-county-of-minidoka",
      "siblingGroupId": "siblings-id-county-of-minidoka",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF MINIDOKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS J MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MINIDOKA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF MINIDOKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS J MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MINIDOKA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131321",
      "ccn": "131321",
      "name": "ST MARY'S HOSPITAL",
      "address": "701 LEWISTON ST",
      "city": "COTTONWOOD",
      "state": "ID",
      "zip": "83522",
      "county": "IDAHO",
      "latitude": 46.0503801600421,
      "longitude": -116.35329953991,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.smh-cvhc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Kootenai Health",
      "parentSystemId": "entity-kootenai-health",
      "siblingGroupId": "siblings-id-kootenai-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-kootenai-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kh.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KOOTENAI HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Kootenai Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOOTENAI HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KOOTENAI HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Kootenai Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOOTENAI HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131322",
      "ccn": "131322",
      "name": "FRANKLIN COUNTY MEDICAL CENTER",
      "address": "44 N FIRST E",
      "city": "PRESTON",
      "state": "ID",
      "zip": "83263",
      "county": "FRANKLIN",
      "latitude": 42.0976506296919,
      "longitude": -111.872976749661,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 20,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-preston-franklin-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF FRANKLIN",
      "parentSystemId": "entity-county-of-franklin",
      "siblingGroupId": "siblings-id-county-of-franklin",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF FRANKLIN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF FRANKLIN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF FRANKLIN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF FRANKLIN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131323",
      "ccn": "131323",
      "name": "ST LUKE'S WOOD RIVER MEDICAL CENTER",
      "address": "100 HOSPITAL DR",
      "city": "KETCHUM",
      "state": "ID",
      "zip": "83340",
      "county": "BLAINE",
      "latitude": 43.6483202497866,
      "longitude": -114.350021030362,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ketchum-st.-luke-s-wood-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HEALTH SYSTEM LTD",
      "parentSystemId": "entity-st-lukes-health-system-ltd",
      "siblingGroupId": "siblings-id-st-lukes-health-system-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-st-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stlukesonline.org/en/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES HEALTH SYSTEM LTD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to St. Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HEALTH SYSTEM LTD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131324",
      "ccn": "131324",
      "name": "LOST RIVERS MEDICAL CENTER",
      "address": "551 HIGHLAND DR",
      "city": "ARCO",
      "state": "ID",
      "zip": "83213",
      "county": "BUTTE",
      "latitude": 43.63957480978,
      "longitude": -113.295232870056,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arco-lost-rivers-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LOST RIVERS MEDICAL CENTER",
      "parentSystemId": "entity-lost-rivers-medical-center",
      "siblingGroupId": "siblings-id-lost-rivers-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-lost-rivers-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOST RIVERS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to LOST RIVERS MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOST RIVERS MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOST RIVERS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to LOST RIVERS MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOST RIVERS MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "131325",
      "ccn": "131325",
      "name": "BINGHAM MEMORIAL HOSPITAL",
      "address": "98 POPLAR ST",
      "city": "BLACKFOOT",
      "state": "ID",
      "zip": "83221",
      "county": "BINGHAM",
      "latitude": 43.1932397198847,
      "longitude": -112.346831310296,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blackfoot-bingham-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BMH INC",
      "parentSystemId": "entity-bmh-inc",
      "siblingGroupId": "siblings-id-bmh-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: BMH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BMH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131326",
      "ccn": "131326",
      "name": "CASSIA REGIONAL HOSPITAL",
      "address": "1501 HILAND AVE",
      "city": "BURLEY",
      "state": "ID",
      "zip": "83318",
      "county": "CASSIA",
      "latitude": 42.5348710499274,
      "longitude": -113.781777489637,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-id-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131327",
      "ccn": "131327",
      "name": "GRITMAN MEDICAL CENTER",
      "address": "700 S MAIN ST",
      "city": "MOSCOW",
      "state": "ID",
      "zip": "83843",
      "county": "LATAH",
      "latitude": 46.7282264600422,
      "longitude": -117.000547349674,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moscow-gritman-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRITMAN MEDICAL CENTER INC",
      "parentSystemId": "entity-gritman-medical-center-inc",
      "siblingGroupId": "siblings-id-gritman-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRITMAN MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRITMAN MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "131328",
      "ccn": "131328",
      "name": "BONNER GENERAL HOSPITAL",
      "address": "520 N THIRD AVE",
      "city": "SANDPOINT",
      "state": "ID",
      "zip": "83864",
      "county": "BONNER",
      "latitude": 48.2775957899699,
      "longitude": -116.549406779931,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sandpoint-bonner-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BONNER GENERAL HOSPITAL INC",
      "parentSystemId": "entity-bonner-general-hospital-inc",
      "siblingGroupId": "siblings-id-bonner-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BONNER GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BONNER GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "134002",
      "ccn": "134002",
      "name": "INTERMOUNTAIN HOSPITAL",
      "address": "303 N ALLUMBAUGH ST",
      "city": "BOISE",
      "state": "ID",
      "zip": "83704",
      "county": "ADA",
      "latitude": 43.6070727399761,
      "longitude": -116.266917250236,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 155,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-intermountain-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-id-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "134009",
      "ccn": "134009",
      "name": "LIFEWAYS HOSPITAL",
      "address": "8050 W NORTHVIEW ST",
      "city": "BOISE",
      "state": "ID",
      "zip": "83704",
      "county": "ADA",
      "latitude": 43.6271813200252,
      "longitude": -116.282462819909,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-lifeways-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIFEWAYS INC",
      "parentSystemId": "entity-lifeways-inc",
      "siblingGroupId": "siblings-id-lifeways-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-idaho-nonprofit-community-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/providers/acute-and-continuing-care/hospitals"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEWAYS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Idaho nonprofit community health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEWAYS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "134010",
      "ccn": "134010",
      "name": "STATE HOSPITAL SOUTH",
      "address": "700 E ALICE ST",
      "city": "BLACKFOOT",
      "state": "ID",
      "zip": "83221",
      "county": "BINGHAM",
      "latitude": 43.1874302298544,
      "longitude": -112.334714430401,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 120,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE",
      "parentSystemId": "entity-state-of-idaho-department-of-health-and-welfare",
      "siblingGroupId": "siblings-id-state-of-idaho-department-of-health-and-welfare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "id-parent-state-of-idaho-department-of-health-and-welfare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://healthandwelfare.idaho.gov/about-dhw/key-buildings-and-descriptions"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to State of Idaho Department of Health and Welfare; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to State of Idaho Department of Health and Welfare; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "134017",
      "ccn": "134017",
      "name": "COTTONWOOD CREEK BEHAVIORAL HOSPITAL",
      "address": "2131 S BONITO WAY",
      "city": "MERIDIAN",
      "state": "ID",
      "zip": "83624",
      "county": "ADA",
      "latitude": 43.5863289002755,
      "longitude": -116.35894920014,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 92,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "peFirm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "acquiredDate": "January 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Haven Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-haven-behavioral-healthcare-inc",
      "siblingGroupId": "siblings-id-haven-behavioral-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "id-parent-haven-behavioral-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://havenbehavioral.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Haven Behavioral Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Idaho resolution: normalized CMS legal owner/operator to Haven Behavioral Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "140001",
      "ccn": "140001",
      "name": "GRAHAM HOSPITAL ASSOCIATION",
      "address": "210 WEST WALNUT STREET",
      "city": "CANTON",
      "state": "IL",
      "zip": "61520",
      "county": "FULTON",
      "latitude": 40.5526690903163,
      "longitude": -90.0388299701569,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 87,
      "rating": 3,
      "website": "http://www.grahamhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canton-graham-hospital-association/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRAHAM HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-graham-hospital-association",
      "siblingGroupId": "siblings-il-graham-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAHAM HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Illinois resolution: normalized CMS legal owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAHAM HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140002",
      "ccn": "140002",
      "name": "ALTON MEMORIAL HOSPITAL",
      "address": "1 MEMORIAL DRIVE",
      "city": "ALTON",
      "state": "IL",
      "zip": "62002",
      "county": "MADISON",
      "latitude": 38.8995843200468,
      "longitude": -90.1591496401855,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 161,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alton-alton-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION",
      "parentSystemId": "entity-christian-health-services-development-corporation",
      "siblingGroupId": "siblings-il-christian-health-services-development-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-christian-health-services-development-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEOFFREY L TURNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GEOFFREY L TURNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140008",
      "ccn": "140008",
      "name": "GOTTLIEB MEMORIAL HOSPITAL",
      "address": "701 W NORTH AVE",
      "city": "MELROSE PARK",
      "state": "IL",
      "zip": "60160",
      "county": "COOK",
      "latitude": 41.9105297802305,
      "longitude": -87.8428150696398,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 247,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-melrose-park-gottlieb-memorial-hospital-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOYOLA UNIVERSITY HEALTH SYSTEM",
      "parentSystemId": "entity-loyola-university-health-system",
      "siblingGroupId": "siblings-il-loyola-university-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOYOLA UNIVERSITY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOYOLA UNIVERSITY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOYOLA UNIVERSITY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOYOLA UNIVERSITY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140010",
      "ccn": "140010",
      "name": "ENDEAVOR HEALTH EVANSTON HOSPITAL",
      "address": "2650 RIDGE AVENUE",
      "city": "EVANSTON",
      "state": "IL",
      "zip": "60201",
      "county": "COOK",
      "latitude": 42.0655334999522,
      "longitude": -87.6847127699025,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 374,
      "rating": 5,
      "status": "corporate_chain",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "ENDEAVOR HEALTH",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "affiliationConfidence": "high",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "NorthShore acute care hospital",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-endeavor-health",
      "siblingGroupId": "siblings-il-endeavor-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-endeavor-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.endeavorhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DOUGLAS D WELDAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DOUGLAS D WELDAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140011",
      "ccn": "140011",
      "name": "HERRIN HOSPITAL",
      "address": "201 S 14TH STREET",
      "city": "HERRIN",
      "state": "IL",
      "zip": "62948",
      "county": "WILLIAMSON",
      "latitude": 37.8010121002957,
      "longitude": -89.0263132698306,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 114,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-herrin-herrin-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
      "parentSystemId": "entity-southern-illinois-hospital-services",
      "siblingGroupId": "siblings-il-southern-illinois-hospital-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-southern-illinois-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sih.net/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHERN ILLINOIS HOSPITAL SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HOSPITAL SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHERN ILLINOIS HOSPITAL SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HOSPITAL SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140013",
      "ccn": "140013",
      "name": "CARLE HEALTH PROCTOR HOSPITAL",
      "address": "5409 NORTH KNOXVILLE AVENUE",
      "city": "PEORIA",
      "state": "IL",
      "zip": "61614",
      "county": "PEORIA",
      "latitude": 40.7530922407814,
      "longitude": -89.5977484007919,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 205,
      "rating": 3,
      "website": "https://carle.org/locations/carle-health-proctor-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-peoria-carle-health-proctor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CARLE FOUNDATION",
      "parentSystemId": "entity-the-carle-foundation",
      "siblingGroupId": "siblings-il-the-carle-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CARLE FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CARLE FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140015",
      "ccn": "140015",
      "name": "BLESSING HOSPITAL",
      "address": "1005 BROADWAY ST",
      "city": "QUINCY",
      "state": "IL",
      "zip": "62301",
      "county": "ADAMS",
      "latitude": 39.9374122502116,
      "longitude": -91.3992733203806,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 347,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quincy-blessing-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLESSING CORPORATE SERVICES, INC.",
      "parentSystemId": "entity-blessing-corporate-services-inc",
      "siblingGroupId": "siblings-il-blessing-corporate-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-blessing-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.blessinghealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BLESSING CORPORATE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY TRANOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Blessing Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLESSING CORPORATE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BLESSING CORPORATE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY TRANOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Blessing Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLESSING CORPORATE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140018",
      "ccn": "140018",
      "name": "MT. SINAI HOSPITAL MEDICAL CENTER",
      "address": "1500 S FAIRFIELD AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60608",
      "county": "COOK",
      "latitude": 41.860809729816,
      "longitude": -87.6943385801929,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 288,
      "rating": 1,
      "website": "http://www.sinai.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-mt-sinai-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SINAI HEALTH SYSTEM",
      "parentSystemId": "entity-sinai-health-system",
      "siblingGroupId": "siblings-il-sinai-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-sinai-chicago"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sinai.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: SINAI HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sinai Chicago; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SINAI HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sinai Chicago; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140030",
      "ccn": "140030",
      "name": "ADVOCATE SHERMAN HOSPITAL",
      "address": "1425 NORTH RANDALL ROAD",
      "city": "ELGIN",
      "state": "IL",
      "zip": "60123",
      "county": "KANE",
      "latitude": 42.0705874197507,
      "longitude": -88.3307022995667,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 255,
      "rating": 4,
      "website": "http://www.advocatehealth.com/sherman",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocatehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocatehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elgin-advocate-sherman-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140032",
      "ccn": "140032",
      "name": "ST. ANTHONY'S MEMORIAL HOSPITAL",
      "address": "503 N MAPLE ST",
      "city": "EFFINGHAM",
      "state": "IL",
      "zip": "62401",
      "county": "EFFINGHAM",
      "latitude": 39.1257760196557,
      "longitude": -88.5501252202604,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 133,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-effingham-st-anthonys-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS HEALTH SYSTEM INC",
      "parentSystemId": "entity-hospital-sisters-health-system-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140034",
      "ccn": "140034",
      "name": "ST. MARY'S HOSPITAL",
      "address": "400 NORTH PLEASANT AVENUE",
      "city": "CENTRALIA",
      "state": "IL",
      "zip": "62801",
      "county": "MARION",
      "latitude": 38.5302814297607,
      "longitude": -89.1172063095661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 125,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-centralia-st-marys-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-il-ssm-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DAMON R HARBISON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DAMON R HARBISON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140043",
      "ccn": "140043",
      "name": "CGH MEDICAL CENTER",
      "address": "100 EAST LEFEVRE ROAD",
      "city": "STERLING",
      "state": "IL",
      "zip": "61081",
      "county": "WHITESIDE",
      "latitude": 41.8022056198463,
      "longitude": -89.6966555797733,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 98,
      "rating": 1,
      "website": "http://www.cghmc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sterling-cgh-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CGH MEDICAL CENTER",
      "parentSystemId": "entity-cgh-medical-center",
      "siblingGroupId": "siblings-il-cgh-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-cgh-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CGH MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to CGH MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CGH MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CGH MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to CGH MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CGH MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "140048",
      "ccn": "140048",
      "name": "ADVOCATE TRINITY HOSPITAL",
      "address": "2320 EAST 93RD STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60617",
      "county": "COOK",
      "latitude": 41.7267025716797,
      "longitude": -87.5674753489711,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 205,
      "rating": 2,
      "website": "https://www.advocatehealth.com/trin/",
      "status": "signal",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocatehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Advocatehealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-advocate-trinity-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140049",
      "ccn": "140049",
      "name": "PIPELINE - WEST SUBURBAN MEDICAL CENTER, LLC",
      "address": "3 ERIE COURT",
      "city": "OAK PARK",
      "state": "IL",
      "zip": "60302",
      "county": "COOK",
      "latitude": 41.8914014001312,
      "longitude": -87.7761795600167,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 234,
      "rating": 1,
      "status": "closed",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "https://www.wbez.org/health-medicine/2026/03/25/west-suburban-medical-center-closing-runs-out-cash-weiss-memorial",
        "https://abc7chicago.com/post/future-west-suburban-medical-center-weiss-memorial-hospital-unclear-judge-rules-manoj-prasad-will-remain-charge/19215029/",
        "https://www.westsuburbanmc.com/category/news/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "expandedClosureResearch": {
        "sourceRow": 20,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (called 'temporary'; still shut mid-2026)",
        "closureDate": "2026-03-27",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care safety-net teaching hospital",
        "traumaLevel": "None",
        "licensedBeds": "172 (licensed, approx)",
        "patientsServedNote": "Safety-net hospital serving Chicago's West Side and Oak Park",
        "ruralUrban": "Urban",
        "ownershipCategory": "Direct PE (Pipeline), then investor-owned successor (Resilience)",
        "historicalSponsorOrOwner": "Pipeline Health",
        "parentCompany": "Resilience Healthcare",
        "acquiredYear": "2019 (Pipeline); 2022 (Resilience)",
        "acquisitionDealNote": "Pipeline bought from Tenet 2019; sold operations to Resilience in Pipeline's Chapter 11 with real estate split off",
        "yearsPeToClosure": "7",
        "extractionMoneyTrail": "Pipeline Health (PE-backed, incl. TWG/Deerfield-linked investors) bought 3 Chicago safety-net hospitals from Tenet (2019); monetized real estate; rapid expansion then Chapter 11 (Oct 2022); sold Weiss & West Suburban to thinly capitalized Resilience Healthcare with real estate separated from operations",
        "degradationRecord": "Ran out of cash to pay employees; owner blamed billing-system failure; long pattern of unpaid vendors",
        "communityImpact": "Two of the three former Pipeline safety-net hospitals now closed; West Side patients displaced; court fights over who controls reopening",
        "buildingFate": "Shut since Mar 2026; judge left current CEO in control amid dueling lawsuits",
        "peLinkConfidence": "Direct PE origin; PE-linked successor (documented)",
        "statusEvidenceUrl": "https://www.westsuburbanmc.com/category/news/",
        "statusEvidenceNote": "The operator announced a service suspension in March 2026; the Oak Park campus later closed after the final elevator failed.",
        "sourceUrls": [
          "https://www.wbez.org/health-medicine/2026/03/25/west-suburban-medical-center-closing-runs-out-cash-weiss-memorial",
          "https://abc7chicago.com/post/future-west-suburban-medical-center-weiss-memorial-hospital-unclear-judge-rules-manoj-prasad-will-remain-charge/19215029/",
          "https://www.westsuburbanmc.com/category/news/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "parentSystem": "WESTLAW MANAGEMENT GROUP, LLC",
      "formerOperator": "Resilience Healthcare",
      "peFirm": "Pipeline Health",
      "historicalPeOwnership": true,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "acquiredDate": "2019 (Pipeline); 2022 (Resilience)",
      "closureDate": "2026-03-27",
      "closureYear": 2026,
      "closureStatusLabel": "Hospital services suspended; campus closed in June 2026",
      "closureSummary": "West Suburban Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Resilience Healthcare. Historical PE sponsor/context: Pipeline Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-20",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.westsuburbanmc.com/category/news/",
      "closureEvidenceNote": "The operator announced a service suspension in March 2026; the Oak Park campus later closed after the final elevator failed.",
      "acquisitionSourceId": "expanded-ownership-row-20",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://abc7chicago.com/post/future-west-suburban-medical-center-weiss-memorial-hospital-unclear-judge-rules-manoj-prasad-will-remain-charge/19215029/",
      "acquisitionEvidenceNote": "Pipeline bought from Tenet 2019; sold operations to Resilience in Pipeline's Chapter 11 with real estate split off",
      "historicalSponsorPrecededOperator": true,
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-westlaw-management-group-llc",
      "siblingGroupId": "siblings-il-westlaw-management-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-resilience-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://resiliencehealthcare.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WESTLAW MANAGEMENT GROUP, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MANOJ K PRASAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Resilience Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Resilience Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Resilience Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTLAW MANAGEMENT GROUP, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WESTLAW MANAGEMENT GROUP, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MANOJ K PRASAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Resilience Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Resilience Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Resilience Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTLAW MANAGEMENT GROUP, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "140052",
      "ccn": "140052",
      "name": "OSF SAINT ANTHONY'S HEALTH CENTER",
      "address": "1 SAINT ANTHONY'S WAY",
      "city": "ALTON",
      "state": "IL",
      "zip": "62002",
      "county": "MADISON",
      "latitude": 38.9079958796988,
      "longitude": -90.1732933798736,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 49,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alton-osf-saint-anthony-s-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUGUST J QUERCIAGROSSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUGUST J QUERCIAGROSSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140053",
      "ccn": "140053",
      "name": "ST. JOHN'S HOSPITAL",
      "address": "800 E CARPENTER ST",
      "city": "SPRINGFIELD",
      "state": "IL",
      "zip": "62702",
      "county": "SANGAMON",
      "latitude": 39.8054390197042,
      "longitude": -89.6440080401714,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 422,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-st-johns-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS SERVICES INC",
      "parentSystemId": "entity-hospital-sisters-services-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140054",
      "ccn": "140054",
      "name": "LOYOLA MACNEAL HOSPITAL",
      "address": "3249 SOUTH OAK PARK AVENUE",
      "city": "BERWYN",
      "state": "IL",
      "zip": "60402",
      "county": "COOK",
      "latitude": 41.8320374907784,
      "longitude": -87.7921577619229,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 374,
      "rating": 3,
      "website": "https://www.loyolamedicine.org/location/macneal-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOYOLA UNIVERSITY HEALTH SYSTEM",
      "parentSystemId": "entity-loyola-university-health-system",
      "siblingGroupId": "siblings-il-loyola-university-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOYOLA UNIVERSITY HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOYOLA UNIVERSITY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOYOLA UNIVERSITY HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOYOLA UNIVERSITY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140059",
      "ccn": "140059",
      "name": "JERSEY COMMUNITY HOSPITAL",
      "address": "400 MAPLE SUMMIT RD",
      "city": "JERSEYVILLE",
      "state": "IL",
      "zip": "62052",
      "county": "JERSEY",
      "latitude": 39.1105406701991,
      "longitude": -90.3428871595924,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 43,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jerseyville-jersey-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JERSEY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-jersey-community-hospital",
      "siblingGroupId": "siblings-il-jersey-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-jersey-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: JERSEY COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to JERSEY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JERSEY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JERSEY COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to JERSEY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JERSEY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "140063",
      "ccn": "140063",
      "name": "RUSH OAK PARK HOSPITAL, INC",
      "address": "520 S MAPLE AVE",
      "city": "OAK PARK",
      "state": "IL",
      "zip": "60304",
      "county": "COOK",
      "latitude": 41.8786180099628,
      "longitude": -87.8033515303378,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 185,
      "rating": 4,
      "website": "http://www.roph.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oak-park-rush-oak-park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RUSH SYSTEM FOR HEALTH",
      "parentSystemId": "entity-rush-system-for-health",
      "siblingGroupId": "siblings-il-rush-system-for-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-rush-university-system-for-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rush.edu/about-us/bondholder-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: RUSH SYSTEM FOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Rush University System for Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH SYSTEM FOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RUSH SYSTEM FOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Rush University System for Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH SYSTEM FOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140064",
      "ccn": "140064",
      "name": "ST. MARY MEDICAL CENTER",
      "address": "3333 NORTH SEMINARY STREET",
      "city": "GALESBURG",
      "state": "IL",
      "zip": "61401",
      "county": "KNOX",
      "latitude": 40.9867102802821,
      "longitude": -90.3602449195519,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 83,
      "rating": 2,
      "website": "http://www.osfstmary.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUGUST J QUERCIAGROSSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AUGUST J QUERCIAGROSSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140067",
      "ccn": "140067",
      "name": "SAINT FRANCIS MEDICAL CENTER",
      "address": "530 NORTH EAST GLEN OAK AVE",
      "city": "PEORIA",
      "state": "IL",
      "zip": "61637",
      "county": "PEORIA",
      "latitude": 40.7025079097727,
      "longitude": -89.5919180004247,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 622,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "SAINT FRANCIS MEDICAL CENTER",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saint-francis-medical-center",
      "siblingGroupId": "siblings-il-saint-francis-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140068",
      "ccn": "140068",
      "name": "ROSELAND COMMUNITY HOSPITAL",
      "address": "45 W 111TH STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60628",
      "county": "COOK",
      "latitude": 41.6922994101373,
      "longitude": -87.6260097597339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 134,
      "rating": 1,
      "website": "http://www.roselandhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-roseland-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ROSELAND COMMUNITY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-roseland-community-hospital-association",
      "siblingGroupId": "siblings-il-roseland-community-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-roseland-community-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists KHURRAM A KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ROSELAND COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROSELAND COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KHURRAM A KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ROSELAND COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROSELAND COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140077",
      "ccn": "140077",
      "name": "TOUCHETTE REGIONAL HOSPITAL, INC",
      "address": "5900 BOND AVENUE",
      "city": "CENTREVILLE",
      "state": "IL",
      "zip": "62207",
      "county": "ST. CLAIR",
      "latitude": 38.5701499896658,
      "longitude": -90.108482489628,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 137,
      "rating": null,
      "website": "http://www.touchette.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-centreville-touchette-regional-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.",
      "parentSystemId": "entity-southern-illinois-healthcare-foundation-inc",
      "siblingGroupId": "siblings-il-southern-illinois-healthcare-foundation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-southern-illinois-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sih.net/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140083",
      "ccn": "140083",
      "name": "LORETTO HOSPITAL",
      "address": "645 S CENTRAL AVENUE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60644",
      "county": "COOK",
      "latitude": 41.872124569917,
      "longitude": -87.7640886504157,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 177,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-loretto-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LORETTO HOSPITAL",
      "parentSystemId": "entity-loretto-hospital",
      "siblingGroupId": "siblings-il-loretto-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-loretto-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to LORETTO HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LORETTO HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to LORETTO HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LORETTO HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140084",
      "ccn": "140084",
      "name": "VISTA MEDICAL CENTER EAST",
      "address": "1324 NORTH SHERIDAN ROAD",
      "city": "WAUKEGAN",
      "state": "IL",
      "zip": "60085",
      "county": "LAKE",
      "latitude": 42.3783626149713,
      "longitude": -87.8323073437091,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 228,
      "rating": 2,
      "website": "https://vistahealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS VISTA LLC",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waukegan-vista-medical-center-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-vista-llc",
      "siblingGroupId": "siblings-il-ahs-vista-llc",
      "campusFamilyId": "campus-il-140084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-quorum-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.quorumhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS VISTA LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN E BURKET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS VISTA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS VISTA LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN E BURKET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Quorum Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS VISTA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "140088",
      "ccn": "140088",
      "name": "THE UNIVERSITY OF CHICAGO MEDICAL CENTER",
      "address": "5841 S MARYLAND AVE MC 1000",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60637",
      "county": "COOK",
      "latitude": 41.7883127997686,
      "longitude": -87.6045656003779,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 891,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-the-university-of-chicago-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF CHICAGO",
      "parentSystemId": "entity-university-of-chicago",
      "siblingGroupId": "siblings-il-university-of-chicago",
      "campusFamilyId": "campus-il-140088",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-university-of-chicago-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchicagomedicine.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF CHICAGO (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to University of Chicago Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CHICAGO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF CHICAGO (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to University of Chicago Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF CHICAGO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140089",
      "ccn": "140089",
      "name": "MCDONOUGH DISTRICT HOSPITAL",
      "address": "525 E GRANT STREET",
      "city": "MACOMB",
      "state": "IL",
      "zip": "61455",
      "county": "MCDONOUGH",
      "latitude": 40.4471656102609,
      "longitude": -90.6644064698672,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 48,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MCDONOUGH COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-mcdonough-county-hospital-district",
      "siblingGroupId": "siblings-il-mcdonough-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-verified-parent-mcdonough-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCDONOUGH COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCDONOUGH COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCDONOUGH COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCDONOUGH COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "140091",
      "ccn": "140091",
      "name": "THE CARLE FOUNDATION HOSPITAL",
      "address": "611 WEST PARK STREET",
      "city": "URBANA",
      "state": "IL",
      "zip": "61801",
      "county": "CHAMPAIGN",
      "latitude": 40.1170417596623,
      "longitude": -88.214948660126,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 453,
      "rating": 2,
      "website": "http://www.carle.com/hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-urbana-the-carle-foundation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CARLE FOUNDATION",
      "parentSystemId": "entity-the-carle-foundation",
      "siblingGroupId": "siblings-il-the-carle-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140095",
      "ccn": "140095",
      "name": "SAINT ANTHONY HOSPITAL",
      "address": "2875 W 19TH ST",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60623",
      "county": "COOK",
      "latitude": 41.8552145297524,
      "longitude": -87.6982769596885,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 151,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-st-anthony-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT ANTHONY HOSPITAL",
      "parentSystemId": "entity-saint-anthony-hospital",
      "siblingGroupId": "siblings-il-saint-anthony-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-saint-anthony-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SAINT ANTHONY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ANTHONY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SAINT ANTHONY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ANTHONY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140101",
      "ccn": "140101",
      "name": "MORRIS HOSPITAL & HEALTHCARE CENTERS",
      "address": "150 WEST HIGH ST.",
      "city": "MORRIS",
      "state": "IL",
      "zip": "60450",
      "county": "GRUNDY",
      "latitude": 41.3693865839448,
      "longitude": -88.4268269496504,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 89,
      "rating": 4,
      "website": "https://www.morrishospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morris-morris-hospital-&-healthcare-centers/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MORRIS HOSPITAL",
      "parentSystemId": "entity-morris-hospital",
      "siblingGroupId": "siblings-il-morris-hospital",
      "campusFamilyId": "campus-il-140101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-morris-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MORRIS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRIS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MORRIS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRIS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140103",
      "ccn": "140103",
      "name": "ST. BERNARD HOSPITAL",
      "address": "326 W 64TH STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60621",
      "county": "COOK",
      "latitude": 41.7783945601077,
      "longitude": -87.633601339555,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 174,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-st-bernard-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST BERNARD HOSPITAL",
      "parentSystemId": "entity-st-bernard-hospital",
      "siblingGroupId": "siblings-il-st-bernard-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-st-bernard-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST BERNARD HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES A HOLLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ST BERNARD HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST BERNARD HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST BERNARD HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES A HOLLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ST BERNARD HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST BERNARD HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140115",
      "ccn": "140115",
      "name": "THOREK MEMORIAL HOSPITAL",
      "address": "850 WEST IRVING PARK RD",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60613",
      "county": "COOK",
      "latitude": 41.9551890203188,
      "longitude": -87.6516212396256,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 218,
      "rating": null,
      "website": "https://www.thorek.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THOREK MEMORIAL HOSPITAL",
      "parentSystemId": "entity-thorek-memorial-hospital",
      "siblingGroupId": "siblings-il-thorek-memorial-hospital",
      "campusFamilyId": "campus-il-140115",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-thorek-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists EDWARD J BUDD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to THOREK MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THOREK MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists EDWARD J BUDD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to THOREK MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THOREK MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140115-loc-il-chicago-thorek-memorial-hospital",
      "ccn": "140115",
      "name": "THOREK MEMORIAL HOSPITAL",
      "address": "5025 N PAULINA STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60640",
      "county": "COOK",
      "latitude": 41.9730867702102,
      "longitude": -87.670743059936,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 145,
      "rating": null,
      "website": "https://thorekandersonville.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THOREK MEMORIAL HOSPITAL",
      "parentSystemId": "entity-thorek-memorial-hospital",
      "siblingGroupId": "siblings-il-thorek-memorial-hospital",
      "campusFamilyId": "campus-il-140115",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-thorek-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists EDWARD J BUDD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to THOREK MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THOREK MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists EDWARD J BUDD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to THOREK MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THOREK MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "140115"
    },
    {
      "id": "140116",
      "ccn": "140116",
      "name": "NORTHWESTERN MEDICINE MCHENRY - WOODSTOCK - HUNTLEY HOSPITAL",
      "address": "4201 MEDICAL CENTER DRIVE MCHENRY; 3701 DOTY ROAD, WOODSTOCK",
      "city": "MCHENRY",
      "state": "IL",
      "zip": "60050",
      "county": "MCHENRY",
      "latitude": 42.3177981397227,
      "longitude": -88.2794680003495,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 166,
      "rating": 5,
      "website": "http://www.centegra.org",
      "status": "corporate_chain",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "campusFamilyId": "campus-il-140116",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140116-loc-il-mchenry-northwestern-medicine-mchenry",
      "ccn": "140116",
      "name": "NORTHWESTERN MEDICINE-MCHENRY",
      "address": "4201 MEDICAL CENTER DRIVE",
      "city": "MCHENRY",
      "state": "IL",
      "zip": "60050",
      "county": "MCHENRY",
      "latitude": 42.3178330996812,
      "longitude": -88.2792133001187,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 143,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "campusFamilyId": "campus-il-140116",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "140116"
    },
    {
      "id": "140119",
      "ccn": "140119",
      "name": "RUSH UNIVERSITY MEDICAL CENTER",
      "address": "1653 W CONGRESS PKWY",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60612",
      "county": "COOK",
      "latitude": 41.8745718600894,
      "longitude": -87.668909820325,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 727,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-rush-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RUSH SYSTEM FOR HEALTH",
      "parentSystemId": "entity-rush-system-for-health",
      "siblingGroupId": "siblings-il-rush-system-for-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-rush-university-system-for-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rush.edu/about-us/bondholder-information"
      ],
      "ownershipProofNotes": "CMS owner candidate: RUSH SYSTEM FOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Rush University System for Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH SYSTEM FOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RUSH SYSTEM FOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Rush University System for Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH SYSTEM FOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140124",
      "ccn": "140124",
      "name": "JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY",
      "address": "1901 W HARRISON STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60612",
      "county": "COOK",
      "latitude": 41.8723348701054,
      "longitude": -87.6743984602357,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 450,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COOK COUNTY",
      "parentSystemId": "entity-cook-county",
      "siblingGroupId": "siblings-il-cook-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-cook-county-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cookcountyhealth.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COOK COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Cook County Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COOK COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Cook County Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "140125",
      "ccn": "140125",
      "name": "GATEWAY REGIONAL MEDICAL CENTER",
      "address": "2100 MADISON AVENUE",
      "city": "GRANITE CITY",
      "state": "IL",
      "zip": "62040",
      "county": "MADISON",
      "latitude": 38.7008198987862,
      "longitude": -90.1438761971623,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 278,
      "rating": 2,
      "website": "https://gatewayregional.net/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-granite-city-gateway-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "American Healthcare Systems",
      "parentSystemId": "entity-american-healthcare-systems",
      "siblingGroupId": "siblings-il-american-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-american-healthcare-systems-corp-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTHCARE SYSTEMS CORP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN E BURKET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AMERICAN HEALTHCARE SYSTEMS CORP INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent American Healthcare Systems, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTHCARE SYSTEMS CORP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JONATHAN E BURKET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AMERICAN HEALTHCARE SYSTEMS CORP INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent American Healthcare Systems, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "140127",
      "ccn": "140127",
      "name": "CARLE BROMENN MEDICAL CENTER",
      "address": "1304 FRANKLIN AVENUE",
      "city": "NORMAL",
      "state": "IL",
      "zip": "61761",
      "county": "MCLEAN",
      "latitude": 40.4969709801797,
      "longitude": -88.990850000354,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 221,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-normal-carle-bromenn-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CARLE FOUNDATION",
      "parentSystemId": "entity-the-carle-foundation",
      "siblingGroupId": "siblings-il-the-carle-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140130",
      "ccn": "140130",
      "name": "NORTHWESTERN LAKE FOREST HOSPITAL",
      "address": "1000 N WESTMORELAND RD",
      "city": "LAKE FOREST",
      "state": "IL",
      "zip": "60045",
      "county": "LAKE",
      "latitude": 42.2557943197291,
      "longitude": -87.8654147499121,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 114,
      "rating": 5,
      "website": "https://www.nm.org/locations/lake-forest-hospital",
      "status": "corporate_chain",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "affiliatedSystem": "Nm",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Nm",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-forest-northwestern-lake-forest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "campusFamilyId": "campus-il-140130",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Nm; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nm. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Nm; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nm. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140133",
      "ccn": "140133",
      "name": "HOLY CROSS HOSPITAL",
      "address": "2701 W 68TH ST",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60629",
      "county": "COOK",
      "latitude": 41.7694066897495,
      "longitude": -87.6923803301286,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 248,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "SINAI HEALTH SYSTEM",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-holy-cross-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sinai-health-system",
      "siblingGroupId": "siblings-il-sinai-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-sinai-chicago"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sinai.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: SINAI HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sinai Chicago; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SINAI HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sinai Chicago; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINAI HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140135",
      "ccn": "140135",
      "name": "DECATUR MEMORIAL HOSPITAL",
      "address": "2300 N EDWARD STREET",
      "city": "DECATUR",
      "state": "IL",
      "zip": "62526",
      "county": "MACON",
      "latitude": 39.8672533999894,
      "longitude": -88.9609829503315,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 300,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-decatur-decatur-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SYSTEM",
      "parentSystemId": "entity-memorial-health-system",
      "siblingGroupId": "siblings-il-memorial-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-memorial-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.choosememorial.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140137",
      "ccn": "140137",
      "name": "HSHS HOLY FAMILY HOSPITAL, INC",
      "address": "200 HEALTH CARE DRIVE",
      "city": "GREENVILLE",
      "state": "IL",
      "zip": "62246",
      "county": "BOND",
      "latitude": 38.9032097101685,
      "longitude": -89.4076448201054,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 28,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-hshs-holy-family-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS HEALTH SYSTEM INC",
      "parentSystemId": "entity-hospital-sisters-health-system-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140145",
      "ccn": "140145",
      "name": "ST. JOSEPH'S HOSPITAL",
      "address": "9515 HOLY CROSS LN",
      "city": "BREESE",
      "state": "IL",
      "zip": "62230",
      "county": "CLINTON",
      "latitude": 38.6262249703117,
      "longitude": -89.5237313500375,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 52,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-breese-st-josephs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS SERVICES INC",
      "parentSystemId": "entity-hospital-sisters-services-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140158",
      "ccn": "140158",
      "name": "INSIGHT HOSPITAL AND MEDICAL CENTER",
      "address": "2525 SOUTH MICHIGAN AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60616",
      "county": "COOK",
      "latitude": 41.8468895796796,
      "longitude": -87.6214916003674,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 412,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-insight-hospital-and-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INSIGHT CHICAGO INC",
      "parentSystemId": "entity-insight-chicago-inc",
      "siblingGroupId": "siblings-il-insight-chicago-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-insight-chicago-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: INSIGHT CHICAGO INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to INSIGHT CHICAGO INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSIGHT CHICAGO INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INSIGHT CHICAGO INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to INSIGHT CHICAGO INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INSIGHT CHICAGO INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140160",
      "ccn": "140160",
      "name": "FHN MEMORIAL HOSPITAL",
      "address": "1045 W STEPHENSON ST",
      "city": "FREEPORT",
      "state": "IL",
      "zip": "61032",
      "county": "STEPHENSON",
      "latitude": 42.2957765601667,
      "longitude": -89.638345840358,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-freeport-fhn-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH CORPORATION",
      "parentSystemId": "entity-mercy-health-corporation",
      "siblingGroupId": "siblings-il-mercy-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-mercyhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140161",
      "ccn": "140161",
      "name": "SAINT JAMES HOSPITAL",
      "address": "2500 WEST REYNOLDS STREET",
      "city": "PONTIAC",
      "state": "IL",
      "zip": "61764",
      "county": "LIVINGSTON",
      "latitude": 40.8709974800587,
      "longitude": -88.6795150898812,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 42,
      "rating": 4,
      "website": "http://www.osfsaintjames.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140162",
      "ccn": "140162",
      "name": "ST. JOSEPH MEDICAL CENTER",
      "address": "2200 E WASHINGTON STREET",
      "city": "BLOOMINGTON",
      "state": "IL",
      "zip": "61701",
      "county": "MCLEAN",
      "latitude": 40.4826765897854,
      "longitude": -88.9555621997002,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 149,
      "rating": 2,
      "website": "http://www.osfstjoseph.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140164",
      "ccn": "140164",
      "name": "MEMORIAL HOSPITAL OF CARBONDALE",
      "address": "405 W JACKSON ST",
      "city": "CARBONDALE",
      "state": "IL",
      "zip": "62901",
      "county": "JACKSON",
      "latitude": 37.7274455499797,
      "longitude": -89.2205925298765,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 162,
      "rating": 1,
      "website": "http://www.sih.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carbondale-memorial-hospital-of-carbondale/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
      "parentSystemId": "entity-southern-illinois-hospital-services",
      "siblingGroupId": "siblings-il-southern-illinois-hospital-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-southern-illinois-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sih.net/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHERN ILLINOIS HOSPITAL SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HOSPITAL SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHERN ILLINOIS HOSPITAL SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HOSPITAL SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140166",
      "ccn": "140166",
      "name": "ST. MARY'S HOSPITAL",
      "address": "1800 E LAKE SHORE DR",
      "city": "DECATUR",
      "state": "IL",
      "zip": "62521",
      "county": "MACON",
      "latitude": 39.8274529501939,
      "longitude": -88.9316826303538,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-decatur-st-marys-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS SERVICES INC",
      "parentSystemId": "entity-hospital-sisters-services-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140177",
      "ccn": "140177",
      "name": "JACKSON PARK HOSPITAL",
      "address": "7531 S STONY ISLAND AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60649",
      "county": "COOK",
      "latitude": 41.7577306097367,
      "longitude": -87.5852350601045,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 239,
      "rating": 1,
      "website": "http://www.jacksonparkhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-jackson-park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JACKSON PARK HOSPITAL FOUNDATION",
      "parentSystemId": "entity-jackson-park-hospital-foundation",
      "siblingGroupId": "siblings-il-jackson-park-hospital-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-jackson-park-hospital-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists BARRY R MANDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to JACKSON PARK HOSPITAL FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON PARK HOSPITAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BARRY R MANDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to JACKSON PARK HOSPITAL FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON PARK HOSPITAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140179",
      "ccn": "140179",
      "name": "OSF LITTLE COMPANY OF MARY MEDICAL CENTER",
      "address": "2800 W 95TH ST",
      "city": "EVERGREEN PARK",
      "state": "IL",
      "zip": "60805",
      "county": "COOK",
      "latitude": 41.721464999801,
      "longitude": -87.6930288796278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 274,
      "rating": 2,
      "website": "http://www.lcmh.org",
      "status": "signal",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-evergreen-park-osf-little-company-of-mary-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140181",
      "ccn": "140181",
      "name": "SOUTH SHORE HOSPITAL",
      "address": "8012 S CRANDON AVENUE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60617",
      "county": "COOK",
      "latitude": 41.7493273899599,
      "longitude": -87.5689968803651,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 137,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTH SHORE HOSPITAL CORPORATION",
      "parentSystemId": "entity-south-shore-hospital-corporation",
      "siblingGroupId": "siblings-il-south-shore-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-south-shore-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SOUTH SHORE HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH SHORE HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SOUTH SHORE HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH SHORE HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140182",
      "ccn": "140182",
      "name": "ADVOCATE ILLINOIS MASONIC MEDICAL CENTER",
      "address": "836 WEST WELLINGTON AVENUE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60657",
      "county": "COOK",
      "latitude": 41.9367722999869,
      "longitude": -87.6511754003602,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 326,
      "rating": 3,
      "website": "https://www.advocatehealth.com/immc/",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocatehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocatehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140184",
      "ccn": "140184",
      "name": "HEARTLAND REGIONAL MEDICAL CENTER",
      "address": "3333 WEST DE YOUNG STREET",
      "city": "MARION",
      "state": "IL",
      "zip": "62959",
      "county": "WILLIAMSON",
      "latitude": 37.742835988964,
      "longitude": -88.9912399401543,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 106,
      "rating": 2,
      "website": "https://heartlandregional.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
      "parentSystemId": "entity-deaconess-regional-healthcare-services-illinois-inc",
      "siblingGroupId": "siblings-il-deaconess-regional-healthcare-services-illinois-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AMBER R LIPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140185",
      "ccn": "140185",
      "name": "MEMORIAL HOSPITAL",
      "address": "4500 MEMORIAL DRIVE",
      "city": "BELLEVILLE",
      "state": "IL",
      "zip": "62226",
      "county": "ST. CLAIR",
      "latitude": 38.5498184901023,
      "longitude": -90.0216165595821,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 222,
      "rating": 5,
      "website": "http://www.memhosp.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belleville-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-il-bjc-health-system",
      "campusFamilyId": "campus-il-140185",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-bjc-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KURTIS S SCHROEDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to BJC HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KURTIS S SCHROEDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to BJC HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140186",
      "ccn": "140186",
      "name": "RIVERSIDE MEDICAL CENTER",
      "address": "350 N WALL STREET",
      "city": "KANKAKEE",
      "state": "IL",
      "zip": "60901",
      "county": "KANKAKEE",
      "latitude": 41.1250868602934,
      "longitude": -87.8818988901729,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 300,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kankakee-riverside-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIVERSIDE MEDICAL CENTER",
      "parentSystemId": "entity-riverside-medical-center-il-kankakee-140186",
      "siblingGroupId": "siblings-il-riverside-medical-center-il-kankakee-140186",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-riverside-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to RIVERSIDE MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to RIVERSIDE MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140187",
      "ccn": "140187",
      "name": "HSHS ST ELIZABETH'S HOSPITAL",
      "address": "1 SAINT ELIZABETH BLVD",
      "city": "O'FALLON",
      "state": "IL",
      "zip": "62269",
      "county": "ST. CLAIR",
      "latitude": 38.5837719999267,
      "longitude": -89.9322819998465,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 144,
      "rating": 4,
      "website": "https://www.steliz.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-o-fallon-hshs-st-elizabeth-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS SERVICES INC",
      "parentSystemId": "entity-hospital-sisters-services-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140189",
      "ccn": "140189",
      "name": "SARAH BUSH LINCOLN HEALTH CENTER",
      "address": "1000 HEALTH CTR DR, PO BOX 372",
      "city": "MATTOON",
      "state": "IL",
      "zip": "61938",
      "county": "COLES",
      "latitude": 39.4885411800926,
      "longitude": -88.2731086396037,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 145,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mattoon-sarah-bush-lincoln-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SARAH BUSH LINCOLN HEALTH SYSTEM",
      "parentSystemId": "entity-sarah-bush-lincoln-health-system",
      "siblingGroupId": "siblings-il-sarah-bush-lincoln-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-sarah-bush-lincoln-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sarahbush.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SARAH BUSH LINCOLN HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sarah Bush Lincoln Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARAH BUSH LINCOLN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SARAH BUSH LINCOLN HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sarah Bush Lincoln Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARAH BUSH LINCOLN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140191",
      "ccn": "140191",
      "name": "INGALLS MEMORIAL HOSPITAL",
      "address": "1 INGALLS DRIVE",
      "city": "HARVEY",
      "state": "IL",
      "zip": "60426",
      "county": "COOK",
      "latitude": 41.607379970009,
      "longitude": -87.659418169829,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 485,
      "rating": 2,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harvey-ingalls-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNIVERSITY OF CHICAGO MEDICAL CENTER",
      "parentSystemId": "entity-the-university-of-chicago-medical-center",
      "siblingGroupId": "siblings-il-the-university-of-chicago-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-university-of-chicago-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchicagomedicine.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE UNIVERSITY OF CHICAGO MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to University of Chicago Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF CHICAGO MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE UNIVERSITY OF CHICAGO MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to University of Chicago Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF CHICAGO MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140200",
      "ccn": "140200",
      "name": "ENDEAVOR HEALTH ELMHURST HOSPITAL",
      "address": "155 E BRUSH HILL RD",
      "city": "ELMHURST",
      "state": "IL",
      "zip": "60126",
      "county": "DUPAGE",
      "latitude": 41.863761989845,
      "longitude": -87.9355791402119,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 258,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "EDWARD-ELMHURST HEALTHCARE",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "CMS Hospital General Information lists Elmhurst Memorial Hospital as Proprietary, while Endeavor Health states the parent organization remains a 501(c)(3) nonprofit.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-edward-elmhurst-healthcare",
      "siblingGroupId": "siblings-il-edward-elmhurst-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-endeavor-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.endeavorhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: EDWARD-ELMHURST HEALTHCARE (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EDWARD-ELMHURST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EDWARD-ELMHURST HEALTHCARE (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EDWARD-ELMHURST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140202",
      "ccn": "140202",
      "name": "ADVOCATE CONDELL MEDICAL CENTER",
      "address": "801 S MILWAUKEE AVE",
      "city": "LIBERTYVILLE",
      "state": "IL",
      "zip": "60048",
      "county": "LAKE",
      "latitude": 42.2742350003317,
      "longitude": -87.95769973996,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 275,
      "rating": 4,
      "website": "http://www.advocatehealth.com/condell/",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocatehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocatehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-libertyville-advocate-condell-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-il-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocatehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocatehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140206",
      "ccn": "140206",
      "name": "HUMBOLDT PARK HEALTH",
      "address": "1044 N FRANCISCO AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60622",
      "county": "COOK",
      "latitude": 41.9007998401511,
      "longitude": -87.6990954803209,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 210,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-humboldt-park-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HUMBOLDT PARK HEALTH",
      "parentSystemId": "entity-humboldt-park-health",
      "siblingGroupId": "siblings-il-humboldt-park-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-humboldt-park-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists RINA CHAVEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HUMBOLDT PARK HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMBOLDT PARK HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RINA CHAVEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HUMBOLDT PARK HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMBOLDT PARK HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140210",
      "ccn": "140210",
      "name": "HARRISBURG MEDICAL CENTER, INC",
      "address": "100 DR WARREN TUTTLE DR",
      "city": "HARRISBURG",
      "state": "IL",
      "zip": "62946",
      "county": "SALINE",
      "latitude": 37.7310436103511,
      "longitude": -88.5231339801946,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 77,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harrisburg-harrisburg-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARRISBURG MEDICAL CENTER INC",
      "parentSystemId": "entity-harrisburg-medical-center-inc",
      "siblingGroupId": "siblings-il-harrisburg-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-harrisburg-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARRISBURG MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HARRISBURG MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISBURG MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HARRISBURG MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HARRISBURG MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISBURG MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140211",
      "ccn": "140211",
      "name": "DELNOR COMMUNITY HOSPITAL",
      "address": "300 RANDALL RD",
      "city": "GENEVA",
      "state": "IL",
      "zip": "60134",
      "county": "KANE",
      "latitude": 41.88661497033,
      "longitude": -88.3434503600356,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 159,
      "rating": 5,
      "website": "http://www.delnor.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-geneva-delnor-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "campusFamilyId": "campus-il-140211",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140213",
      "ccn": "140213",
      "name": "SILVER CROSS HOSPITAL AND MEDICAL CENTERS",
      "address": "1900 SILVER CROSS BLVD",
      "city": "NEW LENOX",
      "state": "IL",
      "zip": "60451",
      "county": "WILL",
      "latitude": 41.5446873302404,
      "longitude": -87.9834359697935,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 348,
      "rating": 5,
      "website": "http://www.silvercross.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-lenox-silver-cross-hospital-and-medical-centers/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SILVER CROSS HEALTH SYSTEM",
      "parentSystemId": "entity-silver-cross-health-system",
      "siblingGroupId": "siblings-il-silver-cross-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-silver-cross-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: SILVER CROSS HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VINCENT E PRYOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SILVER CROSS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SILVER CROSS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SILVER CROSS HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VINCENT E PRYOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SILVER CROSS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SILVER CROSS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140228",
      "ccn": "140228",
      "name": "UW HEALTH SWEDISHAMERICAN HOSPITAL",
      "address": "1401 EAST STATE STREET",
      "city": "ROCKFORD",
      "state": "IL",
      "zip": "61104",
      "county": "WINNEBAGO",
      "latitude": 42.2656102272906,
      "longitude": -89.0741702000235,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 381,
      "rating": 3,
      "website": "https://www.uwhealth.org/locations/swedishamerican",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "REGIONAL DIVISION INC",
      "parentSystemId": "entity-regional-division-inc",
      "siblingGroupId": "siblings-il-regional-division-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-regional-division-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGIONAL DIVISION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to REGIONAL DIVISION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL DIVISION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGIONAL DIVISION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to REGIONAL DIVISION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL DIVISION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140231",
      "ccn": "140231",
      "name": "ENDEAVOR HEALTH EDWARD HOSPITAL",
      "address": "801 S WASHINGTON ST",
      "city": "NAPERVILLE",
      "state": "IL",
      "zip": "60540",
      "county": "DUPAGE",
      "latitude": 41.7609656397033,
      "longitude": -88.1499847301937,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 359,
      "rating": 3,
      "status": "corporate_chain",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "ENDEAVOR HEALTH",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "affiliationConfidence": "high",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "Edward-Elmhurst acute care hospital",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-endeavor-health",
      "siblingGroupId": "siblings-il-endeavor-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-endeavor-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.endeavorhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140233",
      "ccn": "140233",
      "name": "SAINT ANTHONY MEDICAL CENTER",
      "address": "5666 E STATE STREET",
      "city": "ROCKFORD",
      "state": "IL",
      "zip": "61108",
      "county": "WINNEBAGO",
      "latitude": 42.2695614000849,
      "longitude": -89.0077749996203,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 241,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140239",
      "ccn": "140239",
      "name": "MERCYHEALTH JAVON BEA HOSPITAL - ROCKTON AVENUE CAMPUS",
      "address": "2400 N ROCKTON AVENUE",
      "city": "ROCKFORD",
      "state": "IL",
      "zip": "61103",
      "county": "WINNEBAGO",
      "latitude": 42.298338799763,
      "longitude": -89.0994063997221,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 91,
      "rating": 3,
      "website": "https://mercyhealthsystem.org/location/javon-bea-hospital-rockton/",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH CORPORATION",
      "affiliatedSystem": "Mercyhealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercyhealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-corporation",
      "siblingGroupId": "siblings-il-mercy-health-corporation",
      "campusFamilyId": "campus-il-140239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-mercyhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercyhealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercyhealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140239-loc-il-rockford-mercyhealth-javon-bea-hospital-riverside-b",
      "ccn": "140239",
      "name": "MERCYHEALTH JAVON BEA HOSPITAL - RIVERSIDE BLVD CAMPUS",
      "address": "8201 EAST RIVERSIDE BOULEVARD",
      "city": "ROCKFORD",
      "state": "IL",
      "zip": "61114",
      "county": "WINNEBAGO",
      "latitude": 42.3161898098527,
      "longitude": -88.9603284899178,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 194,
      "rating": 3,
      "website": "https://mercyhealthsystem.org/riversideinfo/",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH CORPORATION",
      "affiliatedSystem": "Mercyhealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercyhealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-corporation",
      "siblingGroupId": "siblings-il-mercy-health-corporation",
      "campusFamilyId": "campus-il-140239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-mercyhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercyhealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercyhealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "140239"
    },
    {
      "id": "140242",
      "ccn": "140242",
      "name": "CENTRAL DUPAGE HOSPITAL",
      "address": "25 N WINFIELD RD",
      "city": "WINFIELD",
      "state": "IL",
      "zip": "60190",
      "county": "DUPAGE",
      "latitude": 41.873520560268,
      "longitude": -88.1557587001914,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 408,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winfield-central-dupage-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140251",
      "ccn": "140251",
      "name": "COMMUNITY FIRST MEDICAL CENTER",
      "address": "5645 WEST ADDISON STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60634",
      "county": "COOK",
      "latitude": 41.9456380999383,
      "longitude": -87.7677428999735,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 296,
      "rating": 2,
      "website": "https://www.cfmedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC",
      "parentSystemId": "entity-community-first-healthcare-of-illinois-inc",
      "siblingGroupId": "siblings-il-community-first-healthcare-of-illinois-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-community-first-healthcare-of-illinois-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists EDWARD J GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists EDWARD J GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "140252",
      "ccn": "140252",
      "name": "ENDEAVOR HEALTH NORTHWEST COMMUNITY HOSPITAL",
      "address": "800 W CENTRAL ROAD",
      "city": "ARLINGTON HEIGHTS",
      "state": "IL",
      "zip": "60005",
      "county": "COOK",
      "latitude": 42.0682911099164,
      "longitude": -87.9921816296331,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 509,
      "rating": 4,
      "website": "http://www.nch.org",
      "status": "corporate_chain",
      "evidenceSource": "Endeavor Health official FAQ plus CMS/PESP cross-check",
      "evidenceSourceUrl": "https://www.endeavorhealth.org/about/meet-endeavor-health",
      "evidenceAsOf": "2026-06-29",
      "reviewedAt": "2026-06-29",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official Endeavor sources connect this facility to a large nonprofit integrated health system and explicitly state Endeavor is not private-equity owned. The red public status is a major-system/accountability warning, not a PE-acquired label.",
      "classificationSources": [
        "Endeavor Health official FAQ",
        "Endeavor Health about page",
        "Endeavor Health leadership page",
        "ProPublica / IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital Enrollments",
        "PESP Private Equity Hospital Tracker import",
        "Existing PE Healthcare Watch evidence dossier",
        "Endeavor Health official FAQ plus CMS/PESP cross-check",
        "Endeavor Health official pages identify this facility as part of the unified Endeavor system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Endeavor Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "ENDEAVOR HEALTH",
      "affiliatedSystem": "Endeavor Health",
      "affiliatedSystemEvidence": "Endeavor Health official pages identify this facility as part of the unified Endeavor system family.",
      "affiliationConfidence": "high",
      "peFirm": "",
      "acquiredDate": "",
      "caseId": "illinois-endeavor-health",
      "classificationNote": "Northwest Community acute care hospital",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-endeavor-health",
      "siblingGroupId": "siblings-il-endeavor-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-endeavor-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.endeavorhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ENDEAVOR HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Endeavor Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Endeavor Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Endeavor Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDEAVOR HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140276",
      "ccn": "140276",
      "name": "FOSTER G. MCGAW HOSPITAL LOYOLA UNIVERSITY MEDICAL CENTER",
      "address": "2160 S 1ST ST",
      "city": "MAYWOOD",
      "state": "IL",
      "zip": "60153",
      "county": "COOK",
      "latitude": 41.8602285002646,
      "longitude": -87.8348543397291,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 547,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "LOYOLA UNIVERSITY HEALTH SYSTEM",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-loyola-university-health-system",
      "siblingGroupId": "siblings-il-loyola-university-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOYOLA UNIVERSITY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOYOLA UNIVERSITY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOYOLA UNIVERSITY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOYOLA UNIVERSITY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140281",
      "ccn": "140281",
      "name": "NORTHWESTERN MEMORIAL HOSPITAL",
      "address": "251 EAST HURON STREET",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60611",
      "county": "COOK",
      "latitude": 41.8946077101099,
      "longitude": -87.6210243704185,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 943,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "NORTHWESTERN MEMORIAL HEALTHCARE",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-northwestern-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwestern-memorial-healthcare",
      "siblingGroupId": "siblings-il-northwestern-memorial-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWESTERN MEMORIAL HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWESTERN MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140286",
      "ccn": "140286",
      "name": "NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL",
      "address": "ONE KISH HOSPITAL DRIVE",
      "city": "DEKALB",
      "state": "IL",
      "zip": "60115",
      "county": "DEKALB",
      "latitude": 41.9614098767209,
      "longitude": -88.7227908232292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 98,
      "rating": 5,
      "website": "https://www.nm.org/locations/kishwaukee-hospital",
      "status": "corporate_chain",
      "parentSystem": "KISHHEALTH SYSTEM",
      "affiliatedSystem": "Northwestern Medicine",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwestern Medicine",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kishhealth-system",
      "siblingGroupId": "siblings-il-kishhealth-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-northwestern-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nm.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: KISHHEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KISHHEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KISHHEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwestern Medicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwestern Medicine. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Northwestern Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KISHHEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140289",
      "ccn": "140289",
      "name": "ANDERSON HOSPITAL",
      "address": "6800 STATE ROUTE 162",
      "city": "MARYVILLE",
      "state": "IL",
      "zip": "62062",
      "county": "MADISON",
      "latitude": 38.7367705801797,
      "longitude": -89.9467076802782,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 134,
      "rating": 3,
      "website": "http://www.andersonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-maryville-anderson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ANDERSON HEALTHCARE",
      "parentSystemId": "entity-anderson-healthcare",
      "siblingGroupId": "siblings-il-anderson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-anderson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.andersonhospital.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ANDERSON HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Anderson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDERSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ANDERSON HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Anderson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDERSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140292",
      "ccn": "140292",
      "name": "ADVENTHEALTH GLENOAKS",
      "address": "701 WINTHROP AVENUE",
      "city": "GLENDALE HEIGHTS",
      "state": "IL",
      "zip": "60139",
      "county": "DUPAGE",
      "latitude": 41.9149602000269,
      "longitude": -88.0571868003219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 143,
      "rating": 3,
      "website": "https://www.uchicagomedicine.org/find-a-location/uchicago-medicine-adventhealth-glenoaks",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST MIDWEST HEALTH",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glendale-heights-adventhealth-glenoaks/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-midwest-health",
      "siblingGroupId": "siblings-il-adventist-midwest-health",
      "campusFamilyId": "campus-il-140292",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SELEEM CHOUDHURY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SELEEM CHOUDHURY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "140304",
      "ccn": "140304",
      "name": "ADVENTHEALTH BOLINGBROOK",
      "address": "500 REMINGTON BOULEVARD",
      "city": "BOLINGBROOK",
      "state": "IL",
      "zip": "60440",
      "county": "WILL",
      "latitude": 41.6806900006894,
      "longitude": -88.0850129516807,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 138,
      "rating": 3,
      "website": "https://www.uchicagomedicineadventhealth.org/uchicago-medicine-adventhealth-bolingbrook",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST MIDWEST HEALTH",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-midwest-health",
      "siblingGroupId": "siblings-il-adventist-midwest-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TRISTAN SHAW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST MIDWEST HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TRISTAN SHAW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST MIDWEST HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141300",
      "ccn": "141300",
      "name": "THOMAS H. BOYD MEMORIAL HOSPITAL",
      "address": "800 SCHOOL STREET",
      "city": "CARROLLTON",
      "state": "IL",
      "zip": "62016",
      "county": "GREENE",
      "latitude": 39.2968025900134,
      "longitude": -90.4127640099496,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carrollton-thomas-h-boyd-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THOMAS H BOYD MEMORIAL HOSPITAL",
      "parentSystemId": "entity-thomas-h-boyd-memorial-hospital",
      "siblingGroupId": "siblings-il-thomas-h-boyd-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-thomas-h-boyd-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists KATHRYN GARNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to THOMAS H BOYD MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THOMAS H BOYD MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KATHRYN GARNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to THOMAS H BOYD MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THOMAS H BOYD MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141301",
      "ccn": "141301",
      "name": "KIRBY MEDICAL CENTER",
      "address": "1000 MEDICAL CENTER DRIVE",
      "city": "MONTICELLO",
      "state": "IL",
      "zip": "61856",
      "county": "PIATT",
      "latitude": 40.0604480502281,
      "longitude": -88.5588217000332,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.kirbyhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-kirby-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KIRBY MEDICAL CENTER",
      "parentSystemId": "entity-kirby-medical-center",
      "siblingGroupId": "siblings-il-kirby-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-kirby-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists STEVEN D TENHOUSE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to KIRBY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIRBY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEVEN D TENHOUSE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to KIRBY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIRBY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141302",
      "ccn": "141302",
      "name": "MIDWEST MEDICAL CENTER",
      "address": "1 MEDICAL CENTER DR",
      "city": "GALENA",
      "state": "IL",
      "zip": "61036",
      "county": "JO DAVIESS",
      "latitude": 42.4491775699382,
      "longitude": -90.4577400996202,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-galena-midwest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MIDWEST MEDICAL FOUNDATION",
      "parentSystemId": "entity-midwest-medical-foundation",
      "siblingGroupId": "siblings-il-midwest-medical-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-midwest-medical-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MIDWEST MEDICAL FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MIDWEST MEDICAL FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDWEST MEDICAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MIDWEST MEDICAL FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MIDWEST MEDICAL FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDWEST MEDICAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141303",
      "ccn": "141303",
      "name": "WARNER HOSPITAL AND HEALTH SERVICES",
      "address": "422 W WHITE ST",
      "city": "CLINTON",
      "state": "IL",
      "zip": "61727",
      "county": "DE WITT",
      "latitude": 40.1484175196892,
      "longitude": -88.9646082103568,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 23,
      "rating": null,
      "website": "http://www.djwhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-warner-hospital-and-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF CLINTON",
      "parentSystemId": "entity-city-of-clinton",
      "siblingGroupId": "siblings-il-city-of-clinton",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-illinois-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF CLINTON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CLINTON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF CLINTON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CLINTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141304",
      "ccn": "141304",
      "name": "GENESIS MEDICAL CENTER ALEDO",
      "address": "409 NORTHWEST 9TH AVE",
      "city": "ALEDO",
      "state": "IL",
      "zip": "61231",
      "county": "MERCER",
      "latitude": 41.2055231999118,
      "longitude": -90.7594734399422,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aledo-genesis-medical-center-aledo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GENESIS HEALTH SYSTEM",
      "parentSystemId": "entity-genesis-health-system",
      "siblingGroupId": "siblings-il-genesis-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-genesis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: GENESIS HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to GENESIS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GENESIS HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to GENESIS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141305",
      "ccn": "141305",
      "name": "MEMORIAL HOSPITAL ASSOCIATION",
      "address": "1454 NORTH COUNTY ROAD 2050 E",
      "city": "CARTHAGE",
      "state": "IL",
      "zip": "62321",
      "county": "HANCOCK",
      "latitude": 40.407996809691,
      "longitude": -91.1132650304296,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": 4,
      "website": "http://www.mhtlc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carthage-memorial-hospital-association/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-il-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-iowa-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TERESA L SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TERESA L SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141306",
      "ccn": "141306",
      "name": "COMMUNITY HOSPITAL OF STAUNTON",
      "address": "400 N CALDWELL ST",
      "city": "STAUNTON",
      "state": "IL",
      "zip": "62088",
      "county": "MACOUPIN",
      "latitude": 39.0152807100502,
      "longitude": -89.7893869399909,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.stauntonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ANDERSON HEALTHCARE",
      "parentSystemId": "entity-anderson-healthcare",
      "siblingGroupId": "siblings-il-anderson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-anderson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.andersonhospital.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ANDERSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Anderson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDERSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ANDERSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Anderson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDERSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141307",
      "ccn": "141307",
      "name": "PINCKNEYVILLE COMMUNITY HOSPITAL",
      "address": "5383 STATE ROUTE 154",
      "city": "PINCKNEYVILLE",
      "state": "IL",
      "zip": "62274",
      "county": "PERRY",
      "latitude": 38.0848459999531,
      "longitude": -89.349108000061,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 17,
      "rating": null,
      "website": "http://www.pvillehosp.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pinckneyville-pinckneyville-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PINCKNEYVILLE COMMUNITY HOSPITAL",
      "parentSystemId": "entity-pinckneyville-community-hospital",
      "siblingGroupId": "siblings-il-pinckneyville-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-pinckneyville-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PINCKNEYVILLE COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to PINCKNEYVILLE COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PINCKNEYVILLE COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PINCKNEYVILLE COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to PINCKNEYVILLE COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PINCKNEYVILLE COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141308",
      "ccn": "141308",
      "name": "WASHINGTON COUNTY HOSPITAL",
      "address": "705 SOUTH GRAND AVENUE",
      "city": "NASHVILLE",
      "state": "IL",
      "zip": "62263",
      "county": "WASHINGTON",
      "latitude": 38.3389424998199,
      "longitude": -89.39127927992,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-washington-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WASHINGTON COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-washington-county-hospital-district",
      "siblingGroupId": "siblings-il-washington-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-verified-parent-washington-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: WASHINGTON COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WASHINGTON COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141309",
      "ccn": "141309",
      "name": "CARLE EUREKA HOSPITAL",
      "address": "101 SOUTH MAJOR STREET",
      "city": "EUREKA",
      "state": "IL",
      "zip": "61530",
      "county": "WOODFORD",
      "latitude": 40.7213898602096,
      "longitude": -89.2715864300421,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eureka-carle-eureka-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CARLE HEALTH - CENTRAL REGION",
      "parentSystemId": "entity-carle-health-central-region",
      "siblingGroupId": "siblings-il-carle-health-central-region",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARLE HEALTH - CENTRAL REGION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARLE HEALTH - CENTRAL REGION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARLE HEALTH - CENTRAL REGION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARLE HEALTH - CENTRAL REGION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141311",
      "ccn": "141311",
      "name": "FAIRFIELD MEMORIAL HOSPITAL",
      "address": "303 NW 11TH STREET",
      "city": "FAIRFIELD",
      "state": "IL",
      "zip": "62837",
      "county": "WAYNE",
      "latitude": 38.3812481896968,
      "longitude": -88.3752661101325,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 55,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairfield-fairfield-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS HEALTH SYSTEM INC",
      "parentSystemId": "entity-deaconess-health-system-inc",
      "siblingGroupId": "siblings-il-deaconess-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWN W MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWN W MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141312",
      "ccn": "141312",
      "name": "ROCHELLE COMMUNITY HOSPITAL",
      "address": "900 N 2ND ST",
      "city": "ROCHELLE",
      "state": "IL",
      "zip": "61068",
      "county": "OGLE",
      "latitude": 41.9283144503078,
      "longitude": -89.0634297403656,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.rcha.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochelle-rochelle-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ROCHELLE COMMUNITY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-rochelle-community-hospital-association",
      "siblingGroupId": "siblings-il-rochelle-community-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-rochelle-community-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ROCHELLE COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCHELLE COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to ROCHELLE COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCHELLE COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141313",
      "ccn": "141313",
      "name": "MASON DISTRICT HOSPITAL",
      "address": "615 N PROMENADE ST, PO BOX 530",
      "city": "HAVANA",
      "state": "IL",
      "zip": "62644",
      "county": "MASON",
      "latitude": 40.3054231400779,
      "longitude": -90.0540907002221,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-havana-mason-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MASON HOSPITAL DISTRICT",
      "parentSystemId": "entity-mason-hospital-district",
      "siblingGroupId": "siblings-il-mason-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-verified-parent-mason-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASON HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LEANN K BONNETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASON HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MASON HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LEANN K BONNETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASON HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141315",
      "ccn": "141315",
      "name": "ILLINI COMMUNITY HOSPITAL",
      "address": "640 WEST WASHINGTON STREET",
      "city": "PITTSFIELD",
      "state": "IL",
      "zip": "62363",
      "county": "PIKE",
      "latitude": 39.6075313663149,
      "longitude": -90.8152021722225,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 3,
      "website": "https://www.blessinghealth.org/locations/illini-community-hospital/illini-community-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsfield-illini-community-hospital-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLESSING CORPORATE SERVICES, INC.",
      "parentSystemId": "entity-blessing-corporate-services-inc",
      "siblingGroupId": "siblings-il-blessing-corporate-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-blessing-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.blessinghealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BLESSING CORPORATE SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Blessing Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLESSING CORPORATE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BLESSING CORPORATE SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Blessing Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLESSING CORPORATE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141316",
      "ccn": "141316",
      "name": "CARLE HOOPESTON REGIONAL HEALTH CENTER",
      "address": "701 EAST ORANGE STREET",
      "city": "HOOPESTON",
      "state": "IL",
      "zip": "60942",
      "county": "VERMILION",
      "latitude": 40.4586584002331,
      "longitude": -87.6598855003893,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "https://carle.org/locations/carle-hoopeston-regional-health-center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CARLE FOUNDATION",
      "parentSystemId": "entity-the-carle-foundation",
      "siblingGroupId": "siblings-il-the-carle-foundation",
      "campusFamilyId": "campus-il-141316",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141317",
      "ccn": "141317",
      "name": "GIBSON COMMUNITY HOSPITAL",
      "address": "1120 N MELVIN ST",
      "city": "GIBSON CITY",
      "state": "IL",
      "zip": "60936",
      "county": "FORD",
      "latitude": 40.4783669802278,
      "longitude": -88.3702649904182,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 41,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gibson-city-gibson-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GIBSON COMMUNITY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-gibson-community-hospital-association",
      "siblingGroupId": "siblings-il-gibson-community-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-gibson-community-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to GIBSON COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GIBSON COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to GIBSON COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GIBSON COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141318",
      "ccn": "141318",
      "name": "OSF HOLY FAMILY MEDICAL CENTER",
      "address": "1000 W HARLEM AVE",
      "city": "MONMOUTH",
      "state": "IL",
      "zip": "61462",
      "county": "WARREN",
      "latitude": 40.922252929883,
      "longitude": -90.6583013404316,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 23,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monmouth-osf-holy-family-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141319",
      "ccn": "141319",
      "name": "HAMMOND - HENRY HOSPITAL",
      "address": "600 N COLLEGE AVENUE OFC",
      "city": "GENESEO",
      "state": "IL",
      "zip": "61254",
      "county": "HENRY",
      "latitude": 41.460314789808,
      "longitude": -90.1576768495822,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 61,
      "rating": null,
      "website": "http://www.hammondhenry.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-geneseo-hammond-henry-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAMMOND HENRY DIST HOSPITAL",
      "parentSystemId": "entity-hammond-henry-dist-hospital",
      "siblingGroupId": "siblings-il-hammond-henry-dist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-hammond-henry-dist-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HAMMOND HENRY DIST HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMMOND HENRY DIST HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HAMMOND HENRY DIST HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMMOND HENRY DIST HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141320",
      "ccn": "141320",
      "name": "PARIS COMMUNITY HOSPITAL",
      "address": "721 E COURT ST",
      "city": "PARIS",
      "state": "IL",
      "zip": "61944",
      "county": "EDGAR",
      "latitude": 39.6078132001165,
      "longitude": -87.6773068996984,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paris-paris-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.",
      "parentSystemId": "entity-hospital-and-medical-foundation-of-paris-inc",
      "siblingGroupId": "siblings-il-hospital-and-medical-foundation-of-paris-inc",
      "campusFamilyId": "campus-il-141320",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-hospital-medical-foundation-of-paris-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141321",
      "ccn": "141321",
      "name": "FRANKLIN HOSPITAL",
      "address": "201 BAILEY LANE",
      "city": "BENTON",
      "state": "IL",
      "zip": "62812",
      "county": "FRANKLIN",
      "latitude": 38.010103780283,
      "longitude": -88.9182151900223,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "website": "http://www.franklinhospital.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-benton-franklin-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FRANKLIN HOSPITAL DISTRICT",
      "parentSystemId": "entity-franklin-hospital-district",
      "siblingGroupId": "siblings-il-franklin-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-verified-parent-franklin-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists JAMES M JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JAMES M JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141322",
      "ccn": "141322",
      "name": "LINCOLN MEMORIAL HOSPITAL",
      "address": "200 STAHLLHUT DRIVE",
      "city": "LINCOLN",
      "state": "IL",
      "zip": "62656",
      "county": "LOGAN",
      "latitude": 40.1537834003288,
      "longitude": -89.3898143783215,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "https://memorial.health/lincoln-memorial-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SYSTEM",
      "parentSystemId": "entity-memorial-health-system",
      "siblingGroupId": "siblings-il-memorial-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-memorial-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.choosememorial.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141323",
      "ccn": "141323",
      "name": "MASSAC MEMORIAL HOSPITAL",
      "address": "28 CHICK ST",
      "city": "METROPOLIS",
      "state": "IL",
      "zip": "62960",
      "county": "MASSAC",
      "latitude": 37.1663747598338,
      "longitude": -88.7400486698678,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-metropolis-massac-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MASSAC MEMORIAL HOSPITAL",
      "parentSystemId": "entity-massac-memorial-hospital",
      "siblingGroupId": "siblings-il-massac-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-massac-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASSAC MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MASSAC MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASSAC MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MASSAC MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MASSAC MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASSAC MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141324",
      "ccn": "141324",
      "name": "FERRELL HOSPITAL COMMUNITY FOUNDATION",
      "address": "1201 PINE ST",
      "city": "ELDORADO",
      "state": "IL",
      "zip": "62930",
      "county": "SALINE",
      "latitude": 37.8155104498967,
      "longitude": -88.4421715401424,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
      "parentSystemId": "entity-deaconess-regional-healthcare-services-illinois-inc",
      "siblingGroupId": "siblings-il-deaconess-regional-healthcare-services-illinois-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141325",
      "ccn": "141325",
      "name": "OSF SAINT LUKE MEDICAL CENTER",
      "address": "1051 WEST SOUTH STREET",
      "city": "KEWANEE",
      "state": "IL",
      "zip": "61443",
      "county": "HENRY",
      "latitude": 41.2208368199126,
      "longitude": -89.9469928199224,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "https://www.osfhealthcare.org/saint-luke/",
      "status": "corporate_chain",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "affiliatedSystem": "OSF HealthCare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "OSF HealthCare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kewanee-osf-saint-luke-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-il-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-osf-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.osfhealthcare.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: OSF HealthCare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: OSF HealthCare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to OSF HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141326",
      "ccn": "141326",
      "name": "HAMILTON MEMORIAL HOSPITAL",
      "address": "611 S MARSHALL AVE",
      "city": "MCLEANSBORO",
      "state": "IL",
      "zip": "62859",
      "county": "HAMILTON",
      "latitude": 38.0868519903005,
      "longitude": -88.5405041000741,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HAMILTON MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-hamilton-memorial-hospital-district",
      "siblingGroupId": "siblings-il-hamilton-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-verified-parent-hamilton-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141328",
      "ccn": "141328",
      "name": "HARDIN COUNTY GENERAL HOSPITAL",
      "address": "6 FERRELL RD, PO BOX 2467",
      "city": "ROSICLARE",
      "state": "IL",
      "zip": "62982",
      "county": "HARDIN",
      "latitude": 37.4222804196767,
      "longitude": -88.3517249397469,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rosiclare-hardin-county-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARDIN COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-hardin-county-general-hospital",
      "siblingGroupId": "siblings-il-hardin-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-hardin-county-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HARDIN COUNTY GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARDIN COUNTY GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HARDIN COUNTY GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARDIN COUNTY GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141329",
      "ccn": "141329",
      "name": "MORRISON COMMUNITY HOSPITAL",
      "address": "303 N JACKSON STREET",
      "city": "MORRISON",
      "state": "IL",
      "zip": "61270",
      "county": "WHITESIDE",
      "latitude": 41.8089348803257,
      "longitude": -89.9578780799193,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.morrisonhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morrison-morrison-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MORRISON COMMUNITY HOSPITAL DISTRICT",
      "parentSystemId": "entity-morrison-community-hospital-district",
      "siblingGroupId": "siblings-il-morrison-community-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-verified-parent-morrison-community-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MORRISON COMMUNITY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL BESICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRISON COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MORRISON COMMUNITY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL BESICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRISON COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141330",
      "ccn": "141330",
      "name": "HOPEDALE HOSPITAL",
      "address": "107 TREMONT STREET, PO BOX 267",
      "city": "HOPEDALE",
      "state": "IL",
      "zip": "61747",
      "county": "TAZEWELL",
      "latitude": 40.4184114601602,
      "longitude": -89.4175622397067,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.hopedalemc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOPEDALE MEDICAL FOUNDATION",
      "parentSystemId": "entity-hopedale-medical-foundation",
      "siblingGroupId": "siblings-il-hopedale-medical-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-hopedale-medical-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists EMILY WHITSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HOPEDALE MEDICAL FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPEDALE MEDICAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists EMILY WHITSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HOPEDALE MEDICAL FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOPEDALE MEDICAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141331",
      "ccn": "141331",
      "name": "MARSHALL BROWNING HOSPITAL",
      "address": "900 N WASHINGTON ST, PO BOX 192",
      "city": "DU QUOIN",
      "state": "IL",
      "zip": "62832",
      "county": "PERRY",
      "latitude": 38.0252684597948,
      "longitude": -89.2364749695769,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-du-quoin-marshall-browning-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHALL BROWNING HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-marshall-browning-hospital-association",
      "siblingGroupId": "siblings-il-marshall-browning-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-marshall-browning-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MARSHALL BROWNING HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL BROWNING HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MARSHALL BROWNING HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL BROWNING HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141332",
      "ccn": "141332",
      "name": "HILLSBORO AREA HOSPITAL",
      "address": "1200 EAST TREMONT STREET",
      "city": "HILLSBORO",
      "state": "IL",
      "zip": "62049",
      "county": "MONTGOMERY",
      "latitude": 39.1509303396541,
      "longitude": -89.4800431103111,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hillsboro-hillsboro-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HILLSBORO AREA HOSPITAL SYSTEM NFP",
      "parentSystemId": "entity-hillsboro-area-hospital-system-nfp",
      "siblingGroupId": "siblings-il-hillsboro-area-hospital-system-nfp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hillsboro-area-hospital-system-nfp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HILLSBORO AREA HOSPITAL SYSTEM NFP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALEXANDER NAZARIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HILLSBORO AREA HOSPITAL SYSTEM NFP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILLSBORO AREA HOSPITAL SYSTEM NFP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HILLSBORO AREA HOSPITAL SYSTEM NFP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALEXANDER NAZARIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to HILLSBORO AREA HOSPITAL SYSTEM NFP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HILLSBORO AREA HOSPITAL SYSTEM NFP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141333",
      "ccn": "141333",
      "name": "SARAH D. CULBERTSON MEMORIAL HOSPITAL",
      "address": "238 S CONGRESS STREET",
      "city": "RUSHVILLE",
      "state": "IL",
      "zip": "62681",
      "county": "SCHUYLER",
      "latitude": 40.1181627998113,
      "longitude": -90.5643154999877,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rushville-sarah-d-culbertson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SCHUYLER COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-schuyler-county-hospital-district",
      "siblingGroupId": "siblings-il-schuyler-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-verified-parent-schuyler-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: SCHUYLER COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCHUYLER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SCHUYLER COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCHUYLER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141334",
      "ccn": "141334",
      "name": "ST JOSEPH MEMORIAL HOSPITAL",
      "address": "2 S HOSPITAL DR",
      "city": "MURPHYSBORO",
      "state": "IL",
      "zip": "62966",
      "county": "JACKSON",
      "latitude": 37.7737123401533,
      "longitude": -89.3247550095768,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murphysboro-st-joseph-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
      "parentSystemId": "entity-southern-illinois-hospital-services",
      "siblingGroupId": "siblings-il-southern-illinois-hospital-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-southern-illinois-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sih.net/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHERN ILLINOIS HOSPITAL SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HOSPITAL SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHERN ILLINOIS HOSPITAL SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Southern Illinois Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN ILLINOIS HOSPITAL SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141335",
      "ccn": "141335",
      "name": "MERCY HARVARD HOSPITAL, INC",
      "address": "901 S GRANT STREET",
      "city": "HARVARD",
      "state": "IL",
      "zip": "60033",
      "county": "MCHENRY",
      "latitude": 42.4262369097175,
      "longitude": -88.6070400503126,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": null,
      "website": "http://www.mercyhealthsystem.org",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH CORPORATION",
      "affiliatedSystem": "Mercyhealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercyhealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-corporation",
      "siblingGroupId": "siblings-il-mercy-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-mercyhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercyhealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercyhealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Mercyhealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141336",
      "ccn": "141336",
      "name": "ST JOSEPH'S HOSPITAL",
      "address": "12866 TROXLER AVENUE",
      "city": "HIGHLAND",
      "state": "IL",
      "zip": "62249",
      "county": "MADISON",
      "latitude": 38.754583750259,
      "longitude": -89.667598379844,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-highland-st.-joseph-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS SERVICES INC",
      "parentSystemId": "entity-hospital-sisters-services-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141338",
      "ccn": "141338",
      "name": "MEMORIAL HOSPITAL",
      "address": "1900 STATE STREET",
      "city": "CHESTER",
      "state": "IL",
      "zip": "62233",
      "county": "RANDOLPH",
      "latitude": 37.9177079198181,
      "longitude": -89.8131326900044,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 222,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chester-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEMORIAL HOSPITAL",
      "parentSystemId": "entity-memorial-hospital-il-chester-141338",
      "siblingGroupId": "siblings-il-memorial-hospital-il-chester-141338",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141339",
      "ccn": "141339",
      "name": "TAYLORVILLE MEMORIAL HOSPITAL",
      "address": "201 E PLEASANT ST",
      "city": "TAYLORVILLE",
      "state": "IL",
      "zip": "62568",
      "county": "CHRISTIAN",
      "latitude": 39.5553253700192,
      "longitude": -89.2942595404024,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-taylorville-taylorville-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH SYSTEM",
      "parentSystemId": "entity-memorial-health-system",
      "siblingGroupId": "siblings-il-memorial-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-memorial-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.choosememorial.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Memorial Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141340",
      "ccn": "141340",
      "name": "VALLEY WEST COMMUNITY HOSPITAL",
      "address": "1302 NORTH MAIN STREET",
      "city": "SANDWICH",
      "state": "IL",
      "zip": "60548",
      "county": "DEKALB",
      "latitude": 41.6571901300588,
      "longitude": -88.6207348201066,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.kishhealth.org/locations/profile/?id=11",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sandwich-valley-west-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KISHHEALTH SYSTEM",
      "parentSystemId": "entity-kishhealth-system",
      "siblingGroupId": "siblings-il-kishhealth-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-kishhealth-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: KISHHEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to KISHHEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KISHHEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KISHHEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to KISHHEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KISHHEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141341",
      "ccn": "141341",
      "name": "PANA COMMUNITY HOSPITAL",
      "address": "101 EAST NINTH STREET",
      "city": "PANA",
      "state": "IL",
      "zip": "62557",
      "county": "CHRISTIAN",
      "latitude": 39.379701239692,
      "longitude": -89.0844042299484,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pana-pana-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PANA COMMUNITY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-pana-community-hospital-association",
      "siblingGroupId": "siblings-il-pana-community-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-pana-community-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to PANA COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PANA COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to PANA COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PANA COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141343",
      "ccn": "141343",
      "name": "CRAWFORD MEMORIAL HOSPITAL",
      "address": "1000 N ALLEN STREET",
      "city": "ROBINSON",
      "state": "IL",
      "zip": "62454",
      "county": "CRAWFORD",
      "latitude": 39.0145414596576,
      "longitude": -87.7504167696952,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 63,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-robinson-crawford-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CRAWFORD HOSPITAL DISTRICT",
      "parentSystemId": "entity-crawford-hospital-district",
      "siblingGroupId": "siblings-il-crawford-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-verified-parent-crawford-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CRAWFORD HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRAWFORD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CRAWFORD HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRAWFORD HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141344",
      "ccn": "141344",
      "name": "LAWRENCE COUNTY MEMORIAL HOSPITAL",
      "address": "2200 STATE ST",
      "city": "LAWRENCEVILLE",
      "state": "IL",
      "zip": "62439",
      "county": "LAWRENCE",
      "latitude": 38.7286151797878,
      "longitude": -87.6938732501808,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrenceville-lawrence-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAWRENCE COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-lawrence-county-memorial-hospital",
      "siblingGroupId": "siblings-il-lawrence-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-lawrence-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists CARL H ATEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to LAWRENCE COUNTY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE COUNTY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CARL H ATEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to LAWRENCE COUNTY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAWRENCE COUNTY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141345",
      "ccn": "141345",
      "name": "SALEM TOWNSHIP HOSPITAL",
      "address": "1201 RICKER DR",
      "city": "SALEM",
      "state": "IL",
      "zip": "62881",
      "county": "MARION",
      "latitude": 38.6414798897301,
      "longitude": -88.9485500503053,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salem-salem-township-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SALEM TOWNSHIP HOSPITAL",
      "parentSystemId": "entity-salem-township-hospital",
      "siblingGroupId": "siblings-il-salem-township-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-salem-township-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALEM TOWNSHIP HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SALEM TOWNSHIP HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM TOWNSHIP HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALEM TOWNSHIP HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SALEM TOWNSHIP HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM TOWNSHIP HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141346",
      "ccn": "141346",
      "name": "FAYETTE COUNTY HOSPITAL",
      "address": "650 W TAYLOR ST",
      "city": "VANDALIA",
      "state": "IL",
      "zip": "62471",
      "county": "FAYETTE",
      "latitude": 38.9698512601601,
      "longitude": -89.0986284802456,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 110,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "SARAH BUSH LINCOLN HEALTH SYSTEM",
      "parentSystemId": "entity-sarah-bush-lincoln-health-system",
      "siblingGroupId": "siblings-il-sarah-bush-lincoln-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-sarah-bush-lincoln-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sarahbush.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SARAH BUSH LINCOLN HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sarah Bush Lincoln Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARAH BUSH LINCOLN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SARAH BUSH LINCOLN HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Sarah Bush Lincoln Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SARAH BUSH LINCOLN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141347",
      "ccn": "141347",
      "name": "CARLINVILLE AREA HOSPITAL ASSOCIATION",
      "address": "20733 N BROAD ST",
      "city": "CARLINVILLE",
      "state": "IL",
      "zip": "62626",
      "county": "MACOUPIN",
      "latitude": 39.2994098396823,
      "longitude": -89.8830756599597,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MIDDLE MACOUPIN HEALTHCARE SYSTEMS, INC.",
      "parentSystemId": "entity-middle-macoupin-healthcare-systems-inc",
      "siblingGroupId": "siblings-il-middle-macoupin-healthcare-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-middle-macoupin-healthcare-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MIDDLE MACOUPIN HEALTHCARE SYSTEMS, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MIDDLE MACOUPIN HEALTHCARE SYSTEMS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDDLE MACOUPIN HEALTHCARE SYSTEMS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MIDDLE MACOUPIN HEALTHCARE SYSTEMS, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to MIDDLE MACOUPIN HEALTHCARE SYSTEMS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDDLE MACOUPIN HEALTHCARE SYSTEMS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141349",
      "ccn": "141349",
      "name": "SPARTA COMMUNITY HOSPITAL",
      "address": "818 E BROADWAY ST",
      "city": "SPARTA",
      "state": "IL",
      "zip": "62286",
      "county": "RANDOLPH",
      "latitude": 38.124114990108,
      "longitude": -89.6915385297765,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "website": "http://www.spartahospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sparta-sparta-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SPARTA COMMUNITY HOSPITAL",
      "parentSystemId": "entity-sparta-community-hospital",
      "siblingGroupId": "siblings-il-sparta-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-sparta-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPARTA COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SPARTA COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTA COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPARTA COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SPARTA COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTA COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141350",
      "ccn": "141350",
      "name": "ST. FRANCIS HOSPITAL",
      "address": "1215 FRANCISCAN DR, PO BOX 1215",
      "city": "LITCHFIELD",
      "state": "IL",
      "zip": "62056",
      "county": "MONTGOMERY",
      "latitude": 39.1812135601371,
      "longitude": -89.6390557501809,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 2,
      "website": "http://www.stfrancis-litchfield.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-litchfield-st-francis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS SERVICES INC",
      "parentSystemId": "entity-hospital-sisters-services-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141351",
      "ccn": "141351",
      "name": "CLAY COUNTY HOSPITAL",
      "address": "911 STACY BURK DRIVE",
      "city": "FLORA",
      "state": "IL",
      "zip": "62839",
      "county": "CLAY",
      "latitude": 38.6808508101547,
      "longitude": -88.4728170603086,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 20,
      "rating": 3,
      "website": "http://www.claycountyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flora-clay-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF CLAY",
      "parentSystemId": "entity-county-of-clay",
      "siblingGroupId": "siblings-il-county-of-clay",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-illinois-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF CLAY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ARIANE SOUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF CLAY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF CLAY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ARIANE SOUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Illinois public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF CLAY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "141353",
      "ccn": "141353",
      "name": "IROQUOIS MEMORIAL HOSPITAL",
      "address": "200 FAIRMAN AVE",
      "city": "WATSEKA",
      "state": "IL",
      "zip": "60970",
      "county": "IROQUOIS",
      "latitude": 40.765601890167,
      "longitude": -87.7325174801296,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-watseka-iroquois-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME",
      "parentSystemId": "entity-iroquois-memorial-hospital-and-resident-home",
      "siblingGroupId": "siblings-il-iroquois-memorial-hospital-and-resident-home",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-iroquois-memorial-hospital-and-resident-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141354",
      "ccn": "141354",
      "name": "HSHS GOOD SHEPHERD HOSPITAL, INC",
      "address": "200 S CEDAR ST",
      "city": "SHELBYVILLE",
      "state": "IL",
      "zip": "62565",
      "county": "SHELBY",
      "latitude": 39.4057818301362,
      "longitude": -88.8079506396499,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS HEALTH SYSTEM INC",
      "parentSystemId": "entity-hospital-sisters-health-system-inc",
      "siblingGroupId": "siblings-il-hospital-sisters-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-hospital-sisters-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hshs.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Hospital Sisters Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "141355",
      "ccn": "141355",
      "name": "RICHLAND MEMORIAL HOSPITAL INC",
      "address": "800 EAST LOCUST STREET",
      "city": "OLNEY",
      "state": "IL",
      "zip": "62450",
      "county": "RICHLAND",
      "latitude": 38.7365435701651,
      "longitude": -88.0771728897672,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": 2,
      "website": "http://www.richlandmemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olney-richland-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CARLE FOUNDATION",
      "parentSystemId": "entity-the-carle-foundation",
      "siblingGroupId": "siblings-il-the-carle-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-carle-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carle.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CARLE FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES C LEONARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Carle Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CARLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "143301",
      "ccn": "143301",
      "name": "LA RABIDA CHILDREN'S HOSPITAL",
      "address": "6501 S PROMONTORY DRIVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60649",
      "county": "COOK",
      "latitude": 41.7772933398047,
      "longitude": -87.5713124299437,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LA RABIDA CHILDREN'S HOSPITAL",
      "parentSystemId": "entity-la-rabida-children-s-hospital",
      "siblingGroupId": "siblings-il-la-rabida-children-s-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "il-parent-la-rabida-children-s-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS lists MICHELE WYSOGLAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to LA RABIDA CHILDREN'S HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LA RABIDA CHILDREN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MICHELE WYSOGLAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to LA RABIDA CHILDREN'S HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LA RABIDA CHILDREN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "143302",
      "ccn": "143302",
      "name": "SHRINERS HOSPITAL FOR CHILDREN - CHICAGO",
      "address": "2211 N OAK PARK AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60707",
      "county": "COOK",
      "latitude": 41.9198380400872,
      "longitude": -87.7934225197744,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-shriners-hospital-for-children---chicago/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-il-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "144009",
      "ccn": "144009",
      "name": "RIVEREDGE HOSPITAL INC",
      "address": "8311 WEST ROOSEVELT ROAD",
      "city": "FOREST PARK",
      "state": "IL",
      "zip": "60130",
      "county": "COOK",
      "latitude": 41.8648930698519,
      "longitude": -87.8282825103506,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 224,
      "rating": null,
      "website": "http://www.riveredgehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-forest-park-riveredge-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-il-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "144026",
      "ccn": "144026",
      "name": "UHS HARTGROVE HOSPITAL",
      "address": "5730 W ROOSEVELT RD",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60644",
      "county": "COOK",
      "latitude": 41.8663295301388,
      "longitude": -87.7674642398774,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 160,
      "rating": null,
      "website": "https://www.hartgrovehospital.com/",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Universal Health Services",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-uhs-hartgrove-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-il-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "144029",
      "ccn": "144029",
      "name": "THE PAVILION FOUNDATION",
      "address": "809 W CHURCH STREET",
      "city": "CHAMPAIGN",
      "state": "IL",
      "zip": "61820",
      "county": "CHAMPAIGN",
      "latitude": 40.117707709801,
      "longitude": -88.2575367403105,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 77,
      "rating": null,
      "website": "https://pavilionhospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-champaign-the-pavilion-foundation/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WEST CHURCH PARTNERSHIP",
      "parentSystemId": "entity-west-church-partnership",
      "siblingGroupId": "siblings-il-west-church-partnership",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-west-church-partnership"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://idph.illinois.gov/healthcarefacilities/hospital_list.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST CHURCH PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to WEST CHURCH PARTNERSHIP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CHURCH PARTNERSHIP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST CHURCH PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to WEST CHURCH PARTNERSHIP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CHURCH PARTNERSHIP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "144034",
      "ccn": "144034",
      "name": "BHC STREAMWOOD HOSPITAL, INC",
      "address": "1400 E IRVING PARK RD",
      "city": "STREAMWOOD",
      "state": "IL",
      "zip": "60107",
      "county": "COOK",
      "latitude": 42.009308839692,
      "longitude": -88.1510174397325,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 160,
      "rating": null,
      "website": "https://streamwoodhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-il-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "144039",
      "ccn": "144039",
      "name": "GARFIELD PARK HOSPITAL, LLC",
      "address": "520 N RIDGEWAY AVE",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60624",
      "county": "COOK",
      "latitude": 41.8907118601276,
      "longitude": -87.7201828297443,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": null,
      "website": "https://garfieldparkhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-garfield-park-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-il-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "144040",
      "ccn": "144040",
      "name": "CHICAGO BEHAVIORAL HOSPITAL",
      "address": "555 WILSON LANE",
      "city": "DES PLAINES",
      "state": "IL",
      "zip": "60016",
      "county": "COOK",
      "latitude": 42.0434376498486,
      "longitude": -87.879034140274,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 146,
      "rating": null,
      "website": "http://chicagobehavioralhospital.com/",
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "US HEALTHVEST, LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "US HealthVest",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-des-plaines-chicago-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-il-us-healthvest-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-us-healthvest"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "150001",
      "ccn": "150001",
      "name": "JOHNSON MEMORIAL HOSPITAL",
      "address": "1125 W JEFFERSON ST",
      "city": "FRANKLIN",
      "state": "IN",
      "zip": "46131",
      "county": "JOHNSON",
      "latitude": 39.4796677400015,
      "longitude": -86.0770005999614,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 125,
      "rating": 5,
      "website": "http://www.johnsonmemorial.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-johnson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JOHNSON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-johnson-memorial-hospital",
      "siblingGroupId": "siblings-in-johnson-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-johnson-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists DAVID H DUNKLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to JOHNSON MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAVID H DUNKLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to JOHNSON MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150002",
      "ccn": "150002",
      "name": "METHODIST HOSPITALS INC",
      "address": "600 GRANT ST",
      "city": "GARY",
      "state": "IN",
      "zip": "46402",
      "county": "LAKE",
      "latitude": 41.5995594299722,
      "longitude": -87.3576703298,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 536,
      "rating": 1,
      "website": "http://www.methodisthospitals.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gary-methodist-hospitals-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE METHODIST HOSPITALS INC",
      "parentSystemId": "entity-the-methodist-hospitals-inc",
      "siblingGroupId": "siblings-in-the-methodist-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-the-methodist-hospitals-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to THE METHODIST HOSPITALS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to THE METHODIST HOSPITALS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150005",
      "ccn": "150005",
      "name": "HENDRICKS REGIONAL HEALTH",
      "address": "1000 E MAIN ST",
      "city": "DANVILLE",
      "state": "IN",
      "zip": "46122",
      "county": "HENDRICKS",
      "latitude": 39.7619121596823,
      "longitude": -86.5018821302572,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 160,
      "rating": 5,
      "website": "http://www.hendrickshospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-hendricks-regional-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HENDRICKS COUNTY HOSPITAL",
      "parentSystemId": "entity-hendricks-county-hospital",
      "siblingGroupId": "siblings-in-hendricks-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-hendricks-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENDRICKS COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HENDRICKS COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDRICKS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENDRICKS COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HENDRICKS COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDRICKS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150006",
      "ccn": "150006",
      "name": "NORTHWEST HEALTH - LA PORTE",
      "address": "1331 STATE STREET",
      "city": "LA PORTE",
      "state": "IN",
      "zip": "46350",
      "county": "LAPORTE",
      "latitude": 41.6095964000328,
      "longitude": -86.7280147995733,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 227,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-porte-northwest-health-la-porte/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "campusFamilyId": "campus-in-150006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150007",
      "ccn": "150007",
      "name": "COMMUNITY HOWARD REGIONAL HEALTH INC",
      "address": "3500 S LAFOUNTAIN ST",
      "city": "KOKOMO",
      "state": "IN",
      "zip": "46902",
      "county": "HOWARD",
      "latitude": 40.4472016897691,
      "longitude": -86.1246590096629,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 107,
      "rating": 4,
      "website": "http://www.howardregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kokomo-community-howard-regional-health-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY HOWARD REGIONAL HEALTH INC",
      "parentSystemId": "entity-community-howard-regional-health-inc",
      "siblingGroupId": "siblings-in-community-howard-regional-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-community-howard-regional-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists ELIZABETH THARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to COMMUNITY HOWARD REGIONAL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOWARD REGIONAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ELIZABETH THARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to COMMUNITY HOWARD REGIONAL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOWARD REGIONAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150008",
      "ccn": "150008",
      "name": "ST CATHERINE HOSPITAL INC",
      "address": "4321 FIR STREET",
      "city": "EAST CHICAGO",
      "state": "IN",
      "zip": "46312",
      "county": "LAKE",
      "latitude": 41.6347893297146,
      "longitude": -87.4488223196959,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 197,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-chicago-st-catherine-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Powers Health",
      "parentSystemId": "entity-powers-health",
      "siblingGroupId": "siblings-in-powers-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-powers-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.powershealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150010",
      "ccn": "150010",
      "name": "ASCENSION ST VINCENT KOKOMO",
      "address": "1907 W SYCAMORE ST",
      "city": "KOKOMO",
      "state": "IN",
      "zip": "46904",
      "county": "HOWARD",
      "latitude": 40.4860802102158,
      "longitude": -86.1566947697494,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 117,
      "rating": 4,
      "website": "http://www.stvincent.org/st-joseph/",
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150011",
      "ccn": "150011",
      "name": "MARION GENERAL HOSPITAL",
      "address": "441 N WABASH AVE",
      "city": "MARION",
      "state": "IN",
      "zip": "46952",
      "county": "GRANT",
      "latitude": 40.5636952000079,
      "longitude": -85.6641632596851,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": 3,
      "website": "http://www.mgh.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-marion-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARION GENERAL HOSPITAL",
      "parentSystemId": "entity-marion-general-hospital",
      "siblingGroupId": "siblings-in-marion-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-marion-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARION GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE HILTON SIEBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to MARION GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARION GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARION GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE HILTON SIEBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to MARION GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARION GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150012",
      "ccn": "150012",
      "name": "SAINT JOSEPH REGIONAL MEDICAL CENTER",
      "address": "5215 HOLY CROSS PKWY",
      "city": "MISHAWAKA",
      "state": "IN",
      "zip": "46545",
      "county": "ST. JOSEPH",
      "latitude": 41.7071773802146,
      "longitude": -86.1744695797661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 294,
      "rating": 2,
      "website": "http://www.sjmed.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mishawaka-saint-joseph-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT JOSEPH REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-saint-joseph-regional-medical-center-inc",
      "siblingGroupId": "siblings-in-saint-joseph-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-saint-joseph-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT JOSEPH REGIONAL MEDICAL CENTER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to SAINT JOSEPH REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT JOSEPH REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT JOSEPH REGIONAL MEDICAL CENTER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to SAINT JOSEPH REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT JOSEPH REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150015",
      "ccn": "150015",
      "name": "FRANCISCAN HEALTH MICHIGAN CITY",
      "address": "301 WEST HOMER",
      "city": "MICHIGAN CITY",
      "state": "IN",
      "zip": "46360",
      "county": "LAPORTE",
      "latitude": 41.7068411296834,
      "longitude": -86.9004610896453,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 103,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "campusFamilyId": "campus-in-150015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150015-loc-in-michigan-city-franciscan-health-michigan-city",
      "ccn": "150015",
      "name": "FRANCISCAN HEALTH MICHIGAN CITY",
      "address": "3500 FRANCISCAN WAY",
      "city": "MICHIGAN CITY",
      "state": "IN",
      "zip": "46360",
      "county": "LAPORTE",
      "latitude": 41.6596749999853,
      "longitude": -86.8981889996618,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 123,
      "rating": 3,
      "website": "franciscanhealth.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "campusFamilyId": "campus-in-150015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "150015"
    },
    {
      "id": "150017",
      "ccn": "150017",
      "name": "LUTHERAN HOSPITAL OF INDIANA",
      "address": "7910 W JEFFERSON BLVD",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46804",
      "county": "ALLEN",
      "latitude": 41.0390806597689,
      "longitude": -85.2498583102882,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 396,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-wayne-lutheran-hospital-of-indiana/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "campusFamilyId": "campus-in-150017",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150017-loc-in-fort-wayne-lutheran-hospital-of-indiana-th",
      "ccn": "150017",
      "name": "LUTHERAN HOSPITAL OF INDIANA TH",
      "address": "7950 W JEFFERSON BLVD",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46804",
      "county": "ALLEN",
      "latitude": 41.0392116898698,
      "longitude": -85.2498493998989,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 396,
      "rating": 3,
      "website": "http://www.lutheranhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "campusFamilyId": "campus-in-150017",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "150017"
    },
    {
      "id": "150018",
      "ccn": "150018",
      "name": "ELKHART GENERAL HOSPITAL",
      "address": "600 E BLVD",
      "city": "ELKHART",
      "state": "IN",
      "zip": "46514",
      "county": "ELKHART",
      "latitude": 41.6793473499005,
      "longitude": -85.9932705601132,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 222,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elkhart-elkhart-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-in-beacon-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-beacon-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.beaconhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150021",
      "ccn": "150021",
      "name": "PARKVIEW REGIONAL MEDICAL CENTER",
      "address": "11109 PARKVIEW PLAZA DRIVE",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46845",
      "county": "ALLEN",
      "latitude": 41.1884519798362,
      "longitude": -85.1017934396843,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 725,
      "rating": 3,
      "website": "http://www.parkview.com",
      "status": "corporate_chain",
      "parentSystem": "Parkview Health",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-wayne-parkview-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150022",
      "ccn": "150022",
      "name": "FRANCISCAN HEALTH CRAWFORDSVILLE",
      "address": "1710 LAFAYETTE RD",
      "city": "CRAWFORDSVILLE",
      "state": "IN",
      "zip": "47933",
      "county": "MONTGOMERY",
      "latitude": 40.066471860306,
      "longitude": -86.9055719098256,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 103,
      "rating": 5,
      "website": "http://www.stclaremedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150023",
      "ccn": "150023",
      "name": "UNION HOSPITAL INC",
      "address": "1606 N SEVENTH ST",
      "city": "TERRE HAUTE",
      "state": "IN",
      "zip": "47804",
      "county": "VIGO",
      "latitude": 39.4858645796679,
      "longitude": -87.4069756101322,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 257,
      "rating": 3,
      "website": "http://www.uhhg.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-terre-haute-union-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNION HOSPITAL INC",
      "parentSystemId": "entity-union-hospital-inc",
      "siblingGroupId": "siblings-in-union-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-union-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNION HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to UNION HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNION HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to UNION HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150024",
      "ccn": "150024",
      "name": "ESKENAZI HEALTH",
      "address": "720 ESKENAZI AVENUE",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46202",
      "county": "MARION",
      "latitude": 39.777882759887,
      "longitude": -86.1839858899149,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 337,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-eskenazi-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY",
      "parentSystemId": "entity-the-health-and-hospital-corporation-of-marion-county",
      "siblingGroupId": "siblings-in-the-health-and-hospital-corporation-of-marion-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-indiana-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150030",
      "ccn": "150030",
      "name": "HENRY COUNTY MEMORIAL HOSPITAL",
      "address": "1000 N 16TH ST",
      "city": "NEW CASTLE",
      "state": "IN",
      "zip": "47362",
      "county": "HENRY",
      "latitude": 39.9433770097869,
      "longitude": -85.3629631503326,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 90,
      "rating": 4,
      "website": "http://www.hcmhcares.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-castle-henry-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HENRY COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-henry-county-memorial-hospital",
      "siblingGroupId": "siblings-in-henry-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-henry-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists CORRINE E MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HENRY COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CORRINE E MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HENRY COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150034",
      "ccn": "150034",
      "name": "ST MARY MEDICAL CENTER INC",
      "address": "1500 S LAKE PARK AVE",
      "city": "HOBART",
      "state": "IN",
      "zip": "46342",
      "county": "LAKE",
      "latitude": 41.5127491500047,
      "longitude": -87.2607915000178,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 215,
      "rating": 3,
      "website": "http://www.comhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hobart-st-mary-medical-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Powers Health",
      "parentSystemId": "entity-powers-health",
      "siblingGroupId": "siblings-in-powers-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-powers-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.powershealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150035",
      "ccn": "150035",
      "name": "NORTHWEST HEALTH - PORTER",
      "address": "85 EAST US HWY 6",
      "city": "VALPARAISO",
      "state": "IN",
      "zip": "46383",
      "county": "PORTER",
      "latitude": 41.5532767599266,
      "longitude": -87.0496817102359,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 301,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150037",
      "ccn": "150037",
      "name": "HANCOCK REGIONAL HOSPITAL",
      "address": "801 N STATE ST",
      "city": "GREENFIELD",
      "state": "IN",
      "zip": "46140",
      "county": "HANCOCK",
      "latitude": 39.7954933298638,
      "longitude": -85.7680810598616,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 68,
      "rating": 4,
      "website": "http://www.hancockregional.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenfield-hancock-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HANCOCK REGIONAL HOSPITAL",
      "parentSystemId": "entity-hancock-regional-hospital",
      "siblingGroupId": "siblings-in-hancock-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-hancock-regional-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HANCOCK REGIONAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANCOCK REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HANCOCK REGIONAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANCOCK REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150042",
      "ccn": "150042",
      "name": "GOOD SAMARITAN HOSPITAL",
      "address": "520 S 7TH ST",
      "city": "VINCENNES",
      "state": "IN",
      "zip": "47591",
      "county": "KNOX",
      "latitude": 38.6733129301453,
      "longitude": -87.5320933599597,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 144,
      "rating": 2,
      "website": "http://www.gshvin.org/goodsamaritan",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vincennes-good-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GOOD SAMARITAN HOSPITAL",
      "parentSystemId": "entity-good-samaritan-hospital",
      "siblingGroupId": "siblings-in-good-samaritan-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-good-samaritan-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists ADAM L THACKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GOOD SAMARITAN HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ADAM L THACKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GOOD SAMARITAN HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150044",
      "ccn": "150044",
      "name": "BAPTIST HEALTH FLOYD",
      "address": "1850 STATE ST",
      "city": "NEW ALBANY",
      "state": "IN",
      "zip": "47150",
      "county": "FLOYD",
      "latitude": 38.3013643899849,
      "longitude": -85.8343351897309,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 236,
      "rating": 3,
      "website": "http://www.floydmemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-albany-baptist-health-floyd/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-in-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptisthealth.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTHCARE SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTHCARE SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150045",
      "ccn": "150045",
      "name": "PARKVIEW DEKALB HOSPITAL",
      "address": "1316 E SEVENTH ST",
      "city": "AUBURN",
      "state": "IN",
      "zip": "46706",
      "county": "DEKALB",
      "latitude": 41.3688668600395,
      "longitude": -85.0353941699128,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 56,
      "rating": 3,
      "website": "http://www.dekalbhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Parkview Health",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150046",
      "ccn": "150046",
      "name": "TERRE HAUTE REGIONAL HOSPITAL",
      "address": "3901 S SEVENTH ST",
      "city": "TERRE HAUTE",
      "state": "IN",
      "zip": "47802",
      "county": "VIGO",
      "latitude": 39.4193961599655,
      "longitude": -87.4090467398001,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 278,
      "rating": 2,
      "website": "http://www.regionalhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-terre-haute-terre-haute-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TERRE HAUTE REGIONAL HOSPITAL",
      "parentSystemId": "entity-terre-haute-regional-hospital",
      "siblingGroupId": "siblings-in-terre-haute-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-proprietary"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERRE HAUTE REGIONAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERRE HAUTE REGIONAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "150048",
      "ccn": "150048",
      "name": "REID HEALTH",
      "address": "1100 REID PKWY",
      "city": "RICHMOND",
      "state": "IN",
      "zip": "47374",
      "county": "WAYNE",
      "latitude": 39.8647100101234,
      "longitude": -84.8842845198405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 221,
      "rating": 2,
      "website": "http://www.reidhosp.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "REID HOSPITAL & HEALTH CARE SERVICES INC",
      "parentSystemId": "entity-reid-hospital-and-health-care-services-inc",
      "siblingGroupId": "siblings-in-reid-hospital-and-health-care-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-reid-hospital-health-care-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: REID HOSPITAL & HEALTH CARE SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BENJAMIN WELLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to REID HOSPITAL & HEALTH CARE SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REID HOSPITAL & HEALTH CARE SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REID HOSPITAL & HEALTH CARE SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BENJAMIN WELLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to REID HOSPITAL & HEALTH CARE SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REID HOSPITAL & HEALTH CARE SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150056",
      "ccn": "150056",
      "name": "INDIANA UNIVERSITY HEALTH",
      "address": "1701 N SENATE BLVD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46202",
      "county": "MARION",
      "latitude": 39.7900450298564,
      "longitude": -86.1630525395789,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1244,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "INDIANA UNIVERSITY",
      "parentSystemId": "entity-indiana-university",
      "siblingGroupId": "siblings-in-indiana-university",
      "campusFamilyId": "campus-in-150056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER M ALVEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER M ALVEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150056-loc-in-indianapolis-indiana-university-health-transplant",
      "ccn": "150056",
      "name": "INDIANA UNIVERSITY HEALTH TRANSPLANT",
      "address": "1701 NORTH SENATE BLVD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46206",
      "county": "MARION",
      "latitude": 39.7894852599502,
      "longitude": -86.1623867397313,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 625,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-indiana-university-health-transplant/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INDIANA UNIVERSITY",
      "parentSystemId": "entity-indiana-university",
      "siblingGroupId": "siblings-in-indiana-university",
      "campusFamilyId": "campus-in-150056",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER M ALVEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER M ALVEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "150056"
    },
    {
      "id": "150057",
      "ccn": "150057",
      "name": "FRANCISCAN HEALTH MOORESVILLE",
      "address": "1201 HADLEY RD",
      "city": "MOORESVILLE",
      "state": "IN",
      "zip": "46158",
      "county": "MORGAN",
      "latitude": 39.6078571101739,
      "longitude": -86.3556925296398,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 115,
      "rating": 5,
      "website": "http://www.franciscanalliance.org/hospitals/mooresville/pages/defaul t.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150058",
      "ccn": "150058",
      "name": "MEMORIAL HOSPITAL OF SOUTH BEND",
      "address": "615 N MICHIGAN ST",
      "city": "SOUTH BEND",
      "state": "IN",
      "zip": "46601",
      "county": "ST. JOSEPH",
      "latitude": 41.6840552903143,
      "longitude": -86.251578850019,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 373,
      "rating": 2,
      "website": "http://www.qualityoflife.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-bend-memorial-hospital-of-south-bend/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-in-beacon-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-beacon-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.beaconhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150059",
      "ccn": "150059",
      "name": "RIVERVIEW HEALTH",
      "address": "395 WESTFIELD RD",
      "city": "NOBLESVILLE",
      "state": "IN",
      "zip": "46060",
      "county": "HAMILTON",
      "latitude": 40.0458176201349,
      "longitude": -86.0235218501254,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 156,
      "rating": 4,
      "website": "http://www.riverview.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "RIVERVIEW HOSPITAL",
      "parentSystemId": "entity-riverview-hospital",
      "siblingGroupId": "siblings-in-riverview-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-riverview-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERVIEW HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to RIVERVIEW HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERVIEW HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERVIEW HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to RIVERVIEW HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERVIEW HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150061",
      "ccn": "150061",
      "name": "DAVIESS COMMUNITY HOSPITAL",
      "address": "1314 E WALNUT ST",
      "city": "WASHINGTON",
      "state": "IN",
      "zip": "47501",
      "county": "DAVIESS",
      "latitude": 38.6596138402518,
      "longitude": -87.1597523996784,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 80,
      "rating": 3,
      "website": "http://www.dchosp.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-daviess-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DAVIESS COUNTY HOSPITAL",
      "parentSystemId": "entity-daviess-county-hospital",
      "siblingGroupId": "siblings-in-daviess-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-daviess-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DAVIESS COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to DAVIESS COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAVIESS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DAVIESS COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to DAVIESS COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAVIESS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150065",
      "ccn": "150065",
      "name": "SCHNECK MEDICAL CENTER",
      "address": "411 W TIPTON ST",
      "city": "SEYMOUR",
      "state": "IN",
      "zip": "47274",
      "county": "JACKSON",
      "latitude": 38.9557404399329,
      "longitude": -85.8918339301076,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 84,
      "rating": 4,
      "website": "http://www.schneckmed.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seymour-schneck-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL",
      "parentSystemId": "entity-jackson-county-schneck-memorial-hospital",
      "siblingGroupId": "siblings-in-jackson-county-schneck-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-jackson-county-schneck-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150069",
      "ccn": "150069",
      "name": "KING'S DAUGHTERS' HEALTH",
      "address": "1373 EAST SR 62",
      "city": "MADISON",
      "state": "IN",
      "zip": "47250",
      "county": "JEFFERSON",
      "latitude": 38.7925072398885,
      "longitude": -85.3642979597082,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 2,
      "website": "http://www.kdhmadison.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-king-s-daughters--health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTON - KINGS DAUGHTERS HEALTH INC",
      "parentSystemId": "entity-norton-kings-daughters-health-inc",
      "siblingGroupId": "siblings-in-norton-kings-daughters-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-norton-kings-daughters-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTON - KINGS DAUGHTERS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NORTON - KINGS DAUGHTERS HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON - KINGS DAUGHTERS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTON - KINGS DAUGHTERS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NORTON - KINGS DAUGHTERS HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON - KINGS DAUGHTERS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150072",
      "ccn": "150072",
      "name": "MEMORIAL HOSPITAL",
      "address": "1101 MICHIGAN AVE",
      "city": "LOGANSPORT",
      "state": "IN",
      "zip": "46947",
      "county": "CASS",
      "latitude": 40.7634787701851,
      "longitude": -86.3620203199933,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 83,
      "rating": 4,
      "website": "http://www.logansportmemorial.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Parkview Health",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150074",
      "ccn": "150074",
      "name": "COMMUNITY HOSPITAL EAST",
      "address": "1500 N RITTER AVE",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46219",
      "county": "MARION",
      "latitude": 39.7873137202316,
      "longitude": -86.0754981802251,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 360,
      "rating": 3,
      "website": "http://www.ecommunity.com/east/",
      "status": "corporate_chain",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "Ecommunity",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ecommunity",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-community-hospital-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-in-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELIZABETH THARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ecommunity; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ecommunity. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELIZABETH THARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ecommunity; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ecommunity. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150075",
      "ccn": "150075",
      "name": "BLUFFTON REGIONAL MEDICAL CENTER",
      "address": "303 S MAIN ST",
      "city": "BLUFFTON",
      "state": "IN",
      "zip": "46714",
      "county": "WELLS",
      "latitude": 40.7373548398225,
      "longitude": -85.1707749904017,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 79,
      "rating": 4,
      "website": "http://www.blufftonregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bluffton-bluffton-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150076",
      "ccn": "150076",
      "name": "SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH",
      "address": "1915 LAKE AVE",
      "city": "PLYMOUTH",
      "state": "IN",
      "zip": "46563",
      "county": "MARSHALL",
      "latitude": 41.3335056799646,
      "longitude": -86.3318612896557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 48,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT JOSEPH REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-saint-joseph-regional-medical-center-inc",
      "siblingGroupId": "siblings-in-saint-joseph-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-saint-joseph-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT JOSEPH REGIONAL MEDICAL CENTER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to SAINT JOSEPH REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT JOSEPH REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT JOSEPH REGIONAL MEDICAL CENTER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to SAINT JOSEPH REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT JOSEPH REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150082",
      "ccn": "150082",
      "name": "DEACONESS HOSPITAL INC",
      "address": "600 MARY ST",
      "city": "EVANSVILLE",
      "state": "IN",
      "zip": "47747",
      "county": "VANDERBURGH",
      "latitude": 37.9837395398894,
      "longitude": -87.5711067804223,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 571,
      "rating": 2,
      "website": "http://www.deaconess.com",
      "status": "corporate_chain",
      "parentSystem": "DEACONESS HEALTH SYSTEM INC",
      "affiliatedSystem": "Deaconess",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Deaconess",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-deaconess-health-system-inc",
      "siblingGroupId": "siblings-in-deaconess-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Deaconess. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Deaconess. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150084",
      "ccn": "150084",
      "name": "ASCENSION ST VINCENT HOSPITAL",
      "address": "2001 W 86TH ST",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46260",
      "county": "MARION",
      "latitude": 39.9089874496564,
      "longitude": -86.1957322201459,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 840,
      "rating": 2,
      "website": "http://www.stvincent.org",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-in-ascension-health",
      "campusFamilyId": "campus-in-150084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150084-loc-in-indianapolis-st-vincent-hospital",
      "ccn": "150084",
      "name": "ST VINCENT HOSPITAL",
      "address": "2001 W 86TH ST",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46260",
      "county": "MARION",
      "latitude": 39.9090802998301,
      "longitude": -86.1958346002405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": null,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-st-vincent-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASCENSION HEALTH",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-in-ascension-health",
      "campusFamilyId": "campus-in-150084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "150084"
    },
    {
      "id": "150086",
      "ccn": "150086",
      "name": "ST ELIZABETH DEARBORN HOSPITAL",
      "address": "600 WILSON CREEK RD",
      "city": "LAWRENCEBURG",
      "state": "IN",
      "zip": "47025",
      "county": "DEARBORN",
      "latitude": 39.1115913502198,
      "longitude": -84.8833990495666,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 64,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrenceburg-st.-elizabeth-dearborn-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST ELIZABETH MEDICAL CENTER, INC",
      "parentSystemId": "entity-st-elizabeth-medical-center-inc",
      "siblingGroupId": "siblings-in-st-elizabeth-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-st-elizabeth-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST ELIZABETH MEDICAL CENTER, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ST ELIZABETH MEDICAL CENTER, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST ELIZABETH MEDICAL CENTER, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ST ELIZABETH MEDICAL CENTER, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150088",
      "ccn": "150088",
      "name": "ASCENSION ST VINCENT ANDERSON",
      "address": "2015 JACKSON ST",
      "city": "ANDERSON",
      "state": "IN",
      "zip": "46016",
      "county": "MADISON",
      "latitude": 40.0954849403378,
      "longitude": -85.6813059396094,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 195,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150089",
      "ccn": "150089",
      "name": "INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL",
      "address": "2401 UNIVERSITY AVE",
      "city": "MUNCIE",
      "state": "IN",
      "zip": "47303",
      "county": "DELAWARE",
      "latitude": 40.1967775302111,
      "longitude": -85.4155559403128,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 379,
      "rating": 3,
      "website": "http://www.iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muncie-indiana-university-health-ball-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KREIGH COOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KREIGH COOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150090",
      "ccn": "150090",
      "name": "FRANCISCAN HEALTH DYER",
      "address": "24 JOLIET ST",
      "city": "DYER",
      "state": "IN",
      "zip": "46311",
      "county": "LAKE",
      "latitude": 41.4923514598473,
      "longitude": -87.5247174395872,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 177,
      "rating": 2,
      "website": "https://www.franciscanhealth.org/dyer",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150091",
      "ccn": "150091",
      "name": "PARKVIEW HUNTINGTON HOSPITAL",
      "address": "2001 STULTS RD",
      "city": "HUNTINGTON",
      "state": "IN",
      "zip": "46750",
      "county": "HUNTINGTON",
      "latitude": 40.9058777400062,
      "longitude": -85.488746980282,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 4,
      "website": "http://www.parkview.com",
      "status": "corporate_chain",
      "parentSystem": "Parkview Health",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-parkview-huntington-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DOUG SELIG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DOUG SELIG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150097",
      "ccn": "150097",
      "name": "MAJOR HOSPITAL",
      "address": "2451 INTELLIPLEX DR",
      "city": "SHELBYVILLE",
      "state": "IN",
      "zip": "46176",
      "county": "SHELBY",
      "latitude": 39.5603559997351,
      "longitude": -85.7858169997759,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 40,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MAJOR HOSPITAL",
      "parentSystemId": "entity-major-hospital",
      "siblingGroupId": "siblings-in-major-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-major-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to MAJOR HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAJOR HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to MAJOR HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAJOR HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150100",
      "ccn": "150100",
      "name": "ASCENSION ST VINCENT EVANSVILLE",
      "address": "3700 WASHINGTON AVE",
      "city": "EVANSVILLE",
      "state": "IN",
      "zip": "47750",
      "county": "VANDERBURGH",
      "latitude": 37.9633444502378,
      "longitude": -87.5029261496459,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 426,
      "rating": 4,
      "website": "http://www.stmarys.org",
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150101",
      "ccn": "150101",
      "name": "PARKVIEW WHITLEY HOSPITAL",
      "address": "1260 E SR 205",
      "city": "COLUMBIA CITY",
      "state": "IN",
      "zip": "46725",
      "county": "WHITLEY",
      "latitude": 41.1586463701679,
      "longitude": -85.4649015900356,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": 4,
      "website": "http://www.parkview.com",
      "status": "corporate_chain",
      "parentSystem": "Parkview Health",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-city-parkview-whitley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150102",
      "ccn": "150102",
      "name": "NORTHWEST HEALTH - STARKE",
      "address": "102 E CULVER RD",
      "city": "KNOX",
      "state": "IN",
      "zip": "46534",
      "county": "STARKE",
      "latitude": 41.2875688002328,
      "longitude": -86.6219972898282,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 53,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150104",
      "ccn": "150104",
      "name": "WITHAM HEALTH SERVICES",
      "address": "2605 N LEBANON ST",
      "city": "LEBANON",
      "state": "IN",
      "zip": "46052",
      "county": "BOONE",
      "latitude": 40.0774734499957,
      "longitude": -86.4729904000033,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 60,
      "rating": 4,
      "website": "http://www.witham.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lebanon-witham-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WITHAM MEMORIAL HOSPITAL",
      "parentSystemId": "entity-witham-memorial-hospital",
      "siblingGroupId": "siblings-in-witham-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-witham-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: WITHAM MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to WITHAM MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WITHAM MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WITHAM MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to WITHAM MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WITHAM MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150109",
      "ccn": "150109",
      "name": "FRANCISCAN HEALTH LAFAYETTE",
      "address": "1701 S CREASY LN",
      "city": "LAFAYETTE",
      "state": "IN",
      "zip": "47905",
      "county": "TIPPECANOE",
      "latitude": 40.3940202303211,
      "longitude": -86.8345490597958,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 203,
      "rating": 3,
      "website": "http://www.ste.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150112",
      "ccn": "150112",
      "name": "COLUMBUS REGIONAL HOSPITAL",
      "address": "2400 E 17TH ST",
      "city": "COLUMBUS",
      "state": "IN",
      "zip": "47201",
      "county": "BARTHOLOMEW",
      "latitude": 39.2169529201305,
      "longitude": -85.8954637904054,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 198,
      "rating": 4,
      "website": "http://www.crh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-columbus-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COLUMBUS REGIONAL HOSPITAL",
      "parentSystemId": "entity-columbus-regional-hospital",
      "siblingGroupId": "siblings-in-columbus-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-columbus-regional-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBUS REGIONAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to COLUMBUS REGIONAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBUS REGIONAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to COLUMBUS REGIONAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "150113",
      "ccn": "150113",
      "name": "COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY",
      "address": "1515 N MADISON AVE",
      "city": "ANDERSON",
      "state": "IN",
      "zip": "46011",
      "county": "MADISON",
      "latitude": 40.130645590313,
      "longitude": -85.6932091803676,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 137,
      "rating": 3,
      "website": "http://www.communityanderson.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anderson-community-hospital-of-anderson-and-madison-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-in-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRYAN A MILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRYAN A MILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150115",
      "ccn": "150115",
      "name": "MEMORIAL HOSPITAL AND HEALTH CARE CENTER",
      "address": "800 W 9TH ST",
      "city": "JASPER",
      "state": "IN",
      "zip": "47546",
      "county": "DUBOIS",
      "latitude": 38.3950121697505,
      "longitude": -86.941229410338,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 114,
      "rating": 4,
      "website": "http://www.mhhcc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jasper-memorial-hospital-and-health-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS HEALTH SYSTEM INC",
      "parentSystemId": "entity-deaconess-health-system-inc",
      "siblingGroupId": "siblings-in-deaconess-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150125",
      "ccn": "150125",
      "name": "COMMUNITY HOSPITAL",
      "address": "901 MACARTHUR BLVD",
      "city": "MUNSTER",
      "state": "IN",
      "zip": "46321",
      "county": "LAKE",
      "latitude": 41.5506175099857,
      "longitude": -87.505909610113,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 451,
      "rating": 3,
      "website": "http://www.comhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-munster-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Powers Health",
      "parentSystemId": "entity-powers-health",
      "siblingGroupId": "siblings-in-powers-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-powers-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.powershealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Powers Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150126",
      "ccn": "150126",
      "name": "FRANCISCAN HEALTH CROWN POINT",
      "address": "1201 S MAIN ST",
      "city": "CROWN POINT",
      "state": "IN",
      "zip": "46307",
      "county": "LAKE",
      "latitude": 41.3956203398827,
      "longitude": -87.3669749995629,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 148,
      "rating": 3,
      "website": "http://www.stanthonymedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150128",
      "ccn": "150128",
      "name": "COMMUNITY HOSPITAL SOUTH",
      "address": "1402 E COUNTY LINE RD S",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46227",
      "county": "MARION",
      "latitude": 39.6368029798591,
      "longitude": -86.1326513396104,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 167,
      "rating": 3,
      "website": "http://www.ecommunity.com",
      "status": "corporate_chain",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "Ecommunity",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ecommunity",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-community-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-in-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ELIZABETH THARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ecommunity; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ecommunity. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ELIZABETH THARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ecommunity; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ecommunity. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150133",
      "ccn": "150133",
      "name": "KOSCIUSKO COMMUNITY HOSPITAL",
      "address": "2101 E DUBOIS DR",
      "city": "WARSAW",
      "state": "IN",
      "zip": "46580",
      "county": "KOSCIUSKO",
      "latitude": 41.2483438198735,
      "longitude": -85.8288442402516,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": 4,
      "website": "http://www.kch.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150146",
      "ccn": "150146",
      "name": "PARKVIEW NOBLE HOSPITAL",
      "address": "401 SAWYER RD",
      "city": "KENDALLVILLE",
      "state": "IN",
      "zip": "46755",
      "county": "NOBLE",
      "latitude": 41.4483403497336,
      "longitude": -85.296158310075,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 31,
      "rating": 3,
      "website": "http://www.parkview.com",
      "status": "corporate_chain",
      "parentSystem": "Parkview Health",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kendallville-parkview-noble-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150149",
      "ccn": "150149",
      "name": "THE WOMEN'S HOSPITAL",
      "address": "4199 GATEWAY BLVD",
      "city": "NEWBURGH",
      "state": "IN",
      "zip": "47630",
      "county": "WARRICK",
      "latitude": 37.9737925303059,
      "longitude": -87.4473020603164,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 74,
      "rating": 5,
      "website": "http://www.deaconess.com",
      "status": "corporate_chain",
      "parentSystem": "DEACONESS HEALTH SYSTEM INC",
      "affiliatedSystem": "Deaconess",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Deaconess",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newburgh-the-women-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-deaconess-health-system-inc",
      "siblingGroupId": "siblings-in-deaconess-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Deaconess. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Deaconess. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150150",
      "ccn": "150150",
      "name": "DUPONT HOSPITAL LLC",
      "address": "2520 E DUPONT RD",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46825",
      "county": "ALLEN",
      "latitude": 41.175269160147,
      "longitude": -85.1089306201936,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 110,
      "rating": 4,
      "website": "http://www.thedupontdifference.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-wayne-dupont-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150153",
      "ccn": "150153",
      "name": "ASCENSION ST VINCENT HEART CENTER",
      "address": "10580 N MERIDIAN ST",
      "city": "CARMEL",
      "state": "IN",
      "zip": "46290",
      "county": "HAMILTON",
      "latitude": 39.9393473703039,
      "longitude": -86.1591702598728,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 107,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-in-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150157",
      "ccn": "150157",
      "name": "ASCENSION ST VINCENT CARMEL",
      "address": "13500 N MERIDIAN ST",
      "city": "CARMEL",
      "state": "IN",
      "zip": "46032",
      "county": "HAMILTON",
      "latitude": 39.9824463499576,
      "longitude": -86.1440200396554,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 107,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-in-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150158",
      "ccn": "150158",
      "name": "IU HEALTH WEST HOSPITAL",
      "address": "1111 N RONALD REAGAN PKWY",
      "city": "AVON",
      "state": "IN",
      "zip": "46123",
      "county": "HENDRICKS",
      "latitude": 39.7805043901147,
      "longitude": -86.3404466298615,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 173,
      "rating": 4,
      "website": "http://www.iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "IU HEALTH WEST HOSPITAL",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-iu-health-west-hospital",
      "siblingGroupId": "siblings-in-iu-health-west-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IU HEALTH WEST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IU HEALTH WEST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150160",
      "ccn": "150160",
      "name": "ORTHOINDY HOSPITAL",
      "address": "8400 NORTHWEST BLVD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46278",
      "county": "MARION",
      "latitude": 39.9076954301659,
      "longitude": -86.2672164997028,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 38,
      "rating": null,
      "website": "http://www.orthoindy.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-orthoindy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ORTHOPAEDICS-INDIANAPOLIS, INC",
      "parentSystemId": "entity-orthopaedics-indianapolis-inc",
      "siblingGroupId": "siblings-in-orthopaedics-indianapolis-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-orthopaedics-indianapolis-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ORTHOPAEDICS-INDIANAPOLIS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 69.8%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ORTHOPAEDICS-INDIANAPOLIS, INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORTHOPAEDICS-INDIANAPOLIS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ORTHOPAEDICS-INDIANAPOLIS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 69.8%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ORTHOPAEDICS-INDIANAPOLIS, INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ORTHOPAEDICS-INDIANAPOLIS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "150161",
      "ccn": "150161",
      "name": "INDIANA UNIVERSITY HEALTH NORTH HOSPITAL",
      "address": "11700 N MERIDIAN ST",
      "city": "CARMEL",
      "state": "IN",
      "zip": "46032",
      "county": "HAMILTON",
      "latitude": 39.9593444796975,
      "longitude": -86.1596556699265,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 149,
      "rating": 4,
      "website": "http://www.iuhealth.org",
      "status": "signal",
      "parentSystem": "INDIANA UNIVERSITY HEALTH NORTH HOSPITAL",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carmel-indiana-university-health-north-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-indiana-university-health-north-hospital",
      "siblingGroupId": "siblings-in-indiana-university-health-north-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH NORTH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH NORTH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150162",
      "ccn": "150162",
      "name": "FRANCISCAN HEALTH INDIANAPOLIS",
      "address": "8111 S EMERSON AVE",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46237",
      "county": "MARION",
      "latitude": 39.6487177596715,
      "longitude": -86.0794676297514,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 485,
      "rating": 4,
      "website": "http://www.stfrancishospitals.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150165",
      "ccn": "150165",
      "name": "FRANCISCAN HEALTH MUNSTER",
      "address": "701 SUPERIOR AVE",
      "city": "MUNSTER",
      "state": "IN",
      "zip": "46321",
      "county": "LAKE",
      "latitude": 41.5377579300457,
      "longitude": -87.5120193200582,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 63,
      "rating": 3,
      "website": "http://www.franciscanalliance.org/hospitals/munster/pages/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150166",
      "ccn": "150166",
      "name": "PINNACLE HOSPITAL",
      "address": "9301 CONNECTICUT DR",
      "city": "CROWN POINT",
      "state": "IN",
      "zip": "46307",
      "county": "LAKE",
      "latitude": 41.44808169978,
      "longitude": -87.3285665396469,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 18,
      "rating": null,
      "website": "http://www.pinnaclehealthcare.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crown-point-pinnacle-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PINNACLE HEALTHCARE LLC",
      "parentSystemId": "entity-pinnacle-healthcare-llc",
      "siblingGroupId": "siblings-in-pinnacle-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-pinnacle-healthcare-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PINNACLE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists BRENT A JACOBUS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PINNACLE HEALTHCARE LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PINNACLE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PINNACLE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists BRENT A JACOBUS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PINNACLE HEALTHCARE LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PINNACLE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "150167",
      "ccn": "150167",
      "name": "ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC",
      "address": "11130 PARKVIEW CIRCLE DR",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46845",
      "county": "ALLEN",
      "latitude": 41.1895775802768,
      "longitude": -85.1006695700087,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 37,
      "rating": null,
      "website": "www.parkview.com",
      "status": "corporate_chain",
      "parentSystem": "Parkview Health",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-wayne-orthopaedic-hospital-at-parkview-north-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150169",
      "ccn": "150169",
      "name": "COMMUNITY HOSPITAL NORTH",
      "address": "7150 CLEARVISTA DR",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46256",
      "county": "MARION",
      "latitude": 39.9011160897984,
      "longitude": -86.0421630897251,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 348,
      "rating": 3,
      "website": "http://www.ecommunity.com",
      "status": "corporate_chain",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "Ecommunity",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ecommunity",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-community-hospital-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-in-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON R FAHRLANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ecommunity; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ecommunity. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON R FAHRLANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ecommunity; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ecommunity. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150172",
      "ccn": "150172",
      "name": "PHYSICIANS' MEDICAL CENTER LLC",
      "address": "4023 REAS LN",
      "city": "NEW ALBANY",
      "state": "IN",
      "zip": "47150",
      "county": "FLOYD",
      "latitude": 38.3399541299499,
      "longitude": -85.8279899496029,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 10,
      "rating": null,
      "website": "http://www.pmcindiana.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "SCA Health / Optum",
      "parentSystemId": "entity-sca-health-optum",
      "siblingGroupId": "siblings-in-sca-health-optum",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-sca-health-optum"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.optum.com/en/care/specialty-care/surgery.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HOWARD F PREUSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgical Care Affiliates; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HOWARD F PREUSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to UnitedHealth Group / Surgical Care Affiliates; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "150173",
      "ccn": "150173",
      "name": "INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL",
      "address": "5165 MCCARTY LN",
      "city": "LAFAYETTE",
      "state": "IN",
      "zip": "47905",
      "county": "TIPPECANOE",
      "latitude": 40.4005304399171,
      "longitude": -86.806373220348,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 191,
      "rating": 4,
      "website": "http://www.iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-indiana-university-health-arnett-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150177",
      "ccn": "150177",
      "name": "UNITY PHYSICIANS HOSPITAL",
      "address": "4455 EDISON LAKES PKWY",
      "city": "MISHAWAKA",
      "state": "IN",
      "zip": "46545",
      "county": "ST. JOSEPH",
      "latitude": 41.7012324300288,
      "longitude": -86.1780038099103,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 29,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PHYSICIANS ASC MANAGEMENT LLC",
      "parentSystemId": "entity-physicians-asc-management-llc",
      "siblingGroupId": "siblings-in-physicians-asc-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-physicians-asc-management-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHYSICIANS ASC MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL, 87.61%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PHYSICIANS ASC MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIANS ASC MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHYSICIANS ASC MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL, 87.61%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PHYSICIANS ASC MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIANS ASC MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "150179",
      "ccn": "150179",
      "name": "COMMUNITY FAIRBANKS RECOVERY CENTER",
      "address": "8102 CLEARVISTA PARKWAY",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46256",
      "county": "MARION",
      "latitude": 39.9026892697638,
      "longitude": -86.0409444801265,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 86,
      "rating": null,
      "website": "http://www.fairbankscd.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-in-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRYAN A MILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRYAN A MILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150181",
      "ccn": "150181",
      "name": "ASCENSION ST VINCENT FISHERS",
      "address": "13861 OLIO ROAD",
      "city": "FISHERS",
      "state": "IN",
      "zip": "46037",
      "county": "HAMILTON",
      "latitude": 39.9893360600631,
      "longitude": -85.9166019701009,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150183",
      "ccn": "150183",
      "name": "MONROE HOSPITAL",
      "address": "4011 S MONROE MEDICAL PARK BLVD",
      "city": "BLOOMINGTON",
      "state": "IN",
      "zip": "47403",
      "county": "MONROE",
      "latitude": 39.1206086603063,
      "longitude": -86.5719522199101,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": 4,
      "website": "http://www.monroehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bloomington-monroe-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-in-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "150193",
      "ccn": "150193",
      "name": "FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL",
      "address": "10777 ILLINOIS STREET",
      "city": "CARMEL",
      "state": "IN",
      "zip": "46032",
      "county": "HAMILTON",
      "latitude": 39.9593710339696,
      "longitude": -86.1600371934108,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 21,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL",
      "parentSystemId": "entity-franciscan-health-orthopedic-hospital-carmel",
      "siblingGroupId": "siblings-in-franciscan-health-orthopedic-hospital-carmel",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "150195",
      "ccn": "150195",
      "name": "UCHICAGO MEDICINE NORTHWEST INDIANA",
      "address": "10855 VIRGINIA STREET",
      "city": "CROWN POINT",
      "state": "IN",
      "zip": "46307",
      "county": "LAKE",
      "latitude": 41.4212900909038,
      "longitude": -87.324610571138,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 0,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNIVERSITY OF CHICAGO MEDICAL CENTER",
      "parentSystemId": "entity-the-university-of-chicago-medical-center",
      "siblingGroupId": "siblings-in-the-university-of-chicago-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-the-university-of-chicago-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE UNIVERSITY OF CHICAGO MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to THE UNIVERSITY OF CHICAGO MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF CHICAGO MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE UNIVERSITY OF CHICAGO MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to THE UNIVERSITY OF CHICAGO MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF CHICAGO MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151300",
      "ccn": "151300",
      "name": "COMMUNITY HOSPITAL OF BREMEN INC",
      "address": "1020 HIGH RD",
      "city": "BREMEN",
      "state": "IN",
      "zip": "46506",
      "county": "MARSHALL",
      "latitude": 41.4564677698415,
      "longitude": -86.1588497203182,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "http://www.bremenhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bremen-community-hospital-of-bremen-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-in-beacon-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-beacon-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.beaconhealthsystem.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151301",
      "ccn": "151301",
      "name": "ASCENSION ST VINCENT RANDOLPH",
      "address": "473 E GREENVILLE AVE",
      "city": "WINCHESTER",
      "state": "IN",
      "zip": "47394",
      "county": "RANDOLPH",
      "latitude": 40.1690090002859,
      "longitude": -84.968978000136,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-in-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151303",
      "ccn": "151303",
      "name": "ASCENSION ST VINCENT JENNINGS",
      "address": "301 HENRY ST",
      "city": "NORTH VERNON",
      "state": "IN",
      "zip": "47265",
      "county": "JENNINGS",
      "latitude": 39.0102301999455,
      "longitude": -85.6409883701701,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 17,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-in-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151304",
      "ccn": "151304",
      "name": "RUSH MEMORIAL HOSPITAL",
      "address": "1300 N MAIN ST",
      "city": "RUSHVILLE",
      "state": "IN",
      "zip": "46173",
      "county": "RUSH",
      "latitude": 39.6217545899981,
      "longitude": -85.4440369203947,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.rushmemorial.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rushville-rush-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RUSH MEMORIAL HOSPITAL",
      "parentSystemId": "entity-rush-memorial-hospital",
      "siblingGroupId": "siblings-in-rush-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-rush-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to RUSH MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to RUSH MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSH MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "151305",
      "ccn": "151305",
      "name": "PULASKI MEMORIAL HOSPITAL",
      "address": "616 E 13TH ST",
      "city": "WINAMAC",
      "state": "IN",
      "zip": "46996",
      "county": "PULASKI",
      "latitude": 41.0562675700169,
      "longitude": -86.5959984896237,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 24,
      "rating": null,
      "website": "http://www.pmhnet.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winamac-pulaski-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PULASKI MEMORIAL HOSPITAL",
      "parentSystemId": "entity-pulaski-memorial-hospital",
      "siblingGroupId": "siblings-in-pulaski-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-pulaski-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PULASKI MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PULASKI MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PULASKI MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PULASKI MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151306",
      "ccn": "151306",
      "name": "INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL",
      "address": "642 W HOSPITAL RD",
      "city": "PAOLI",
      "state": "IN",
      "zip": "47454",
      "county": "ORANGE",
      "latitude": 38.5683614401224,
      "longitude": -86.4751637202213,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "http://www.iuhealth.org/paoli",
      "status": "corporate_chain",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paoli-indiana-university-health-paoli-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DENZIL ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DENZIL ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151307",
      "ccn": "151307",
      "name": "ASCENSION ST VINCENT WILLIAMSPORT",
      "address": "412 N MONROE ST",
      "city": "WILLIAMSPORT",
      "state": "IN",
      "zip": "47993",
      "county": "WARREN",
      "latitude": 40.2904321102301,
      "longitude": -87.2967014702442,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151308",
      "ccn": "151308",
      "name": "ASCENSION ST VINCENT MERCY",
      "address": "1331 S A ST",
      "city": "ELWOOD",
      "state": "IN",
      "zip": "46036",
      "county": "MADISON",
      "latitude": 40.2754102500082,
      "longitude": -85.8436606402211,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-in-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151309",
      "ccn": "151309",
      "name": "ASCENSION ST VINCENT CLAY",
      "address": "1206 E NATIONAL AVE",
      "city": "BRAZIL",
      "state": "IN",
      "zip": "47834",
      "county": "CLAY",
      "latitude": 39.5290711597595,
      "longitude": -87.1118112102068,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151310",
      "ccn": "151310",
      "name": "PARKVIEW WABASH HOSPITAL, INC",
      "address": "10 JOHN KISSINGER DRIVE",
      "city": "WABASH",
      "state": "IN",
      "zip": "46992",
      "county": "WABASH",
      "latitude": 40.8209369999165,
      "longitude": -85.8239009998893,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": 3,
      "website": "parkview.com",
      "status": "corporate_chain",
      "parentSystem": "Parkview Health",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wabash-parkview-wabash-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151311",
      "ccn": "151311",
      "name": "INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC",
      "address": "1000 S MAIN ST",
      "city": "TIPTON",
      "state": "IN",
      "zip": "46072",
      "county": "TIPTON",
      "latitude": 40.2719303500683,
      "longitude": -86.0421622498003,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "website": "http://www.iuhealth.org",
      "status": "corporate_chain",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tipton-indiana-university-health-tipton-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151312",
      "ccn": "151312",
      "name": "INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL",
      "address": "720 SOUTH SIXTH ST",
      "city": "MONTICELLO",
      "state": "IN",
      "zip": "47960",
      "county": "WHITE",
      "latitude": 40.7339746898551,
      "longitude": -86.7775996095708,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://www.iuhealth.org/white-memorial",
      "status": "corporate_chain",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "affiliatedSystem": "Iuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Iuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-indiana-university-health-white-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LIESEL DELAMATER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LIESEL DELAMATER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Iuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151313",
      "ccn": "151313",
      "name": "WOODLAWN HOSPITAL",
      "address": "1400 E 9TH ST",
      "city": "ROCHESTER",
      "state": "IN",
      "zip": "46975",
      "county": "FULTON",
      "latitude": 41.0639643397233,
      "longitude": -86.1956920501813,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "website": "http://www.woodlawnhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-woodlawn-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WOODLAWN HOSPITAL",
      "parentSystemId": "entity-woodlawn-hospital",
      "siblingGroupId": "siblings-in-woodlawn-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-woodlawn-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: WOODLAWN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KENDRA CHUDZYNSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to WOODLAWN HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOODLAWN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WOODLAWN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KENDRA CHUDZYNSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to WOODLAWN HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOODLAWN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "151314",
      "ccn": "151314",
      "name": "ASCENSION ST VINCENT SALEM",
      "address": "911 N SHELBY ST",
      "city": "SALEM",
      "state": "IN",
      "zip": "47167",
      "county": "WASHINGTON",
      "latitude": 38.6132688299774,
      "longitude": -86.1070791196899,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151315",
      "ccn": "151315",
      "name": "CAMERON MEMORIAL COMMUNITY HOSPITAL INC",
      "address": "416 E MAUMEE ST",
      "city": "ANGOLA",
      "state": "IN",
      "zip": "46703",
      "county": "STEUBEN",
      "latitude": 41.6343787703058,
      "longitude": -84.9946891103791,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.cameronmch.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-angola-cameron-memorial-community-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAMERON MEMORIAL COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-cameron-memorial-community-hospital-inc",
      "siblingGroupId": "siblings-in-cameron-memorial-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-cameron-memorial-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to CAMERON MEMORIAL COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMERON MEMORIAL COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to CAMERON MEMORIAL COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMERON MEMORIAL COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151316",
      "ccn": "151316",
      "name": "INDIANA UNIVERSITY HEALTH FRANKFORT INC",
      "address": "1300 S JACKSON ST",
      "city": "FRANKFORT",
      "state": "IN",
      "zip": "46041",
      "county": "CLINTON",
      "latitude": 40.2695506501301,
      "longitude": -86.5112807098998,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.stvincent.org",
      "status": "corporate_chain",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "affiliatedSystem": "Stvincent",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Stvincent",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LIESEL DELAMATER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CHI St. Vincent; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Stvincent. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LIESEL DELAMATER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CHI St. Vincent; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Stvincent. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151317",
      "ccn": "151317",
      "name": "GREENE COUNTY GENERAL HOSPITAL",
      "address": "1185 N 1000 W",
      "city": "LINTON",
      "state": "IN",
      "zip": "47441",
      "county": "GREENE",
      "latitude": 39.0407422102136,
      "longitude": -87.1303099096288,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "http://www.greenecountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-linton-greene-county-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GREENE COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-greene-county-general-hospital",
      "siblingGroupId": "siblings-in-greene-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-greene-county-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREENE COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists REBECCA WITTMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GREENE COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENE COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREENE COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists REBECCA WITTMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GREENE COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENE COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "151318",
      "ccn": "151318",
      "name": "DUKES MEMORIAL HOSPITAL",
      "address": "275 W 12TH ST",
      "city": "PERU",
      "state": "IN",
      "zip": "46970",
      "county": "MIAMI",
      "latitude": 40.7566462797432,
      "longitude": -86.082403800207,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 2,
      "website": "http://www.dukesmemorialhosp.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-peru-dukes-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-in-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "151322",
      "ccn": "151322",
      "name": "PERRY COUNTY MEMORIAL HOSPITAL",
      "address": "8885 SR 237",
      "city": "TELL CITY",
      "state": "IN",
      "zip": "47586",
      "county": "PERRY",
      "latitude": 37.9679309998606,
      "longitude": -86.7316670000739,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 2,
      "website": "https://www.pchospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tell-city-perry-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PERRY COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-perry-county-memorial-hospital",
      "siblingGroupId": "siblings-in-perry-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-perry-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PERRY COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RANDALL RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PERRY COUNTY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERRY COUNTY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PERRY COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RANDALL RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PERRY COUNTY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERRY COUNTY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151323",
      "ccn": "151323",
      "name": "PARKVIEW LAGRANGE HOSPITAL",
      "address": "207 N TOWNLINE RD",
      "city": "LAGRANGE",
      "state": "IN",
      "zip": "46761",
      "county": "LAGRANGE",
      "latitude": 41.6458040898004,
      "longitude": -85.4261370603989,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://www.parkview.com",
      "status": "corporate_chain",
      "parentSystem": "Parkview Health",
      "affiliatedSystem": "Parkview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Parkview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lagrange-parkview-lagrange-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STANTON RISSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Parkview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Parkview. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151324",
      "ccn": "151324",
      "name": "FRANCISCAN HEALTH RENSSELAER, INC",
      "address": "1104 E GRACE ST",
      "city": "RENSSELAER",
      "state": "IN",
      "zip": "47978",
      "county": "JASPER",
      "latitude": 40.9345131201727,
      "longitude": -87.1387792099578,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": null,
      "website": "http://www.jchh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN ALLIANCE INC",
      "parentSystemId": "entity-franciscan-alliance-inc",
      "siblingGroupId": "siblings-in-franciscan-alliance-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.franciscanhealth.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN ALLIANCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Franciscan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN ALLIANCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151325",
      "ccn": "151325",
      "name": "ASCENSION ST VINCENT WARRICK",
      "address": "1116 MILLIS AVE",
      "city": "BOONVILLE",
      "state": "IN",
      "zip": "47601",
      "county": "WARRICK",
      "latitude": 38.0419286301604,
      "longitude": -87.2628112002374,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ST VINCENT HEALTH INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-vincent-health-inc",
      "siblingGroupId": "siblings-in-st-vincent-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARTY MATTINGLY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARTY MATTINGLY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151326",
      "ccn": "151326",
      "name": "UNION HOSPITAL CLINTON",
      "address": "801 S MAIN ST",
      "city": "CLINTON",
      "state": "IN",
      "zip": "47842",
      "county": "VERMILLION",
      "latitude": 39.652902510103,
      "longitude": -87.3991842099576,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "http://www.uhhg.org/wcch/index.html",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-union-hospital-clinton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNION HOSPITAL INC",
      "parentSystemId": "entity-union-hospital-inc",
      "siblingGroupId": "siblings-in-union-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-union-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNION HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to UNION HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNION HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to UNION HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151327",
      "ccn": "151327",
      "name": "SULLIVAN COUNTY COMMUNITY HOSPITAL",
      "address": "2200 N SECTION ST",
      "city": "SULLIVAN",
      "state": "IN",
      "zip": "47882",
      "county": "SULLIVAN",
      "latitude": 39.1255702496833,
      "longitude": -87.4126100699697,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.schosp.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sullivan-sullivan-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SULLIVAN COUNTY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-sullivan-county-community-hospital",
      "siblingGroupId": "siblings-in-sullivan-county-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-sullivan-county-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUORUM HEALTH RESOURCES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to QUORUM HEALTH RESOURCES LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SULLIVAN COUNTY COMMUNITY HOSPITAL, ownership class government. Excluded QUORUM HEALTH RESOURCES LLC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QUORUM HEALTH RESOURCES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to QUORUM HEALTH RESOURCES LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SULLIVAN COUNTY COMMUNITY HOSPITAL, ownership class government. Excluded QUORUM HEALTH RESOURCES LLC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "151328",
      "ccn": "151328",
      "name": "INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL",
      "address": "2900 W 16TH ST",
      "city": "BEDFORD",
      "state": "IN",
      "zip": "47421",
      "county": "LAWRENCE",
      "latitude": 38.8599208802473,
      "longitude": -86.5131983201806,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.iuhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bedford-indiana-university-health-bedford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INDIANA UNIVERSITY HEALTH INC",
      "parentSystemId": "entity-indiana-university-health-inc",
      "siblingGroupId": "siblings-in-indiana-university-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-iu-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://iuhealth.org/about-iu-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DENZIL ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDIANA UNIVERSITY HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DENZIL ROSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to IU Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDIANA UNIVERSITY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "151330",
      "ccn": "151330",
      "name": "ADAMS MEMORIAL HOSPITAL",
      "address": "1100 MERCER AVE",
      "city": "DECATUR",
      "state": "IN",
      "zip": "46733",
      "county": "ADAMS",
      "latitude": 40.8162224397406,
      "longitude": -84.9143616696383,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": null,
      "website": "http://www.adamshospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-decatur-adams-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ADAMS COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-adams-county-memorial-hospital",
      "siblingGroupId": "siblings-in-adams-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-adams-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADAMS COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ADAMS COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADAMS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADAMS COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ADAMS COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADAMS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "151331",
      "ccn": "151331",
      "name": "HARRISON COUNTY HOSPITAL",
      "address": "1141 HOSPITAL DR NW",
      "city": "CORYDON",
      "state": "IN",
      "zip": "47112",
      "county": "HARRISON",
      "latitude": 38.2378752897031,
      "longitude": -86.1476889901428,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "website": "http://www.hchin.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corydon-harrison-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HARRISON COUNTY HOSPITAL",
      "parentSystemId": "entity-harrison-county-hospital",
      "siblingGroupId": "siblings-in-harrison-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-harrison-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HARRISON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HARRISON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "151332",
      "ccn": "151332",
      "name": "DECATUR COUNTY MEMORIAL HOSPITAL",
      "address": "720 N LINCOLN ST",
      "city": "GREENSBURG",
      "state": "IN",
      "zip": "47240",
      "county": "DECATUR",
      "latitude": 39.3442238899562,
      "longitude": -85.478711939769,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "website": "http://www.dcmh.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensburg-decatur-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DECATUR COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-decatur-county-memorial-hospital",
      "siblingGroupId": "siblings-in-decatur-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-decatur-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to DECATUR COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DECATUR COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to DECATUR COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DECATUR COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "151333",
      "ccn": "151333",
      "name": "PUTNAM COUNTY HOSPITAL",
      "address": "1542 S BLOOMINGTON ST",
      "city": "GREENCASTLE",
      "state": "IN",
      "zip": "46135",
      "county": "PUTNAM",
      "latitude": 39.6211712601517,
      "longitude": -86.8477997402426,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 5,
      "website": "http://www.pchosp.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greencastle-putnam-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PUTNAM COUNTY HOSPITAL",
      "parentSystemId": "entity-putnam-county-hospital",
      "siblingGroupId": "siblings-in-putnam-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-putnam-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUTNAM COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES A NERONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PUTNAM COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUTNAM COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUTNAM COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES A NERONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PUTNAM COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUTNAM COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "154005",
      "ccn": "154005",
      "name": "RIVER BEND HOSPITAL",
      "address": "2900 N RIVER RD",
      "city": "WEST LAFAYETTE",
      "state": "IN",
      "zip": "47906",
      "county": "TIPPECANOE",
      "latitude": 40.4597146998182,
      "longitude": -86.8938819902012,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.nchsi.com/riverbendhospital.cfm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-lafayette-river-bend-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH CENTRAL HEALTH SERVICES, INC.",
      "parentSystemId": "entity-north-central-health-services-inc",
      "siblingGroupId": "siblings-in-north-central-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-north-central-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH CENTRAL HEALTH SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NORTH CENTRAL HEALTH SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH CENTRAL HEALTH SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH CENTRAL HEALTH SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NORTH CENTRAL HEALTH SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH CENTRAL HEALTH SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154008",
      "ccn": "154008",
      "name": "NEURODIAGNOSTIC INSTITUTE",
      "address": "5435 E 16TH ST",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46218",
      "county": "MARION",
      "latitude": 39.7883649002291,
      "longitude": -86.075104400127,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 159,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-neurodiagnostic-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF INDIANA AUDITOR OF STATE",
      "parentSystemId": "entity-state-of-indiana-auditor-of-state",
      "siblingGroupId": "siblings-in-state-of-indiana-auditor-of-state",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-indiana-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "154009",
      "ccn": "154009",
      "name": "HAMILTON CENTER INC",
      "address": "620 8TH AVE",
      "city": "TERRE HAUTE",
      "state": "IN",
      "zip": "47804",
      "county": "VIGO",
      "latitude": 39.4854108598366,
      "longitude": -87.4099836197594,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.hamiltoncenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-terre-haute-hamilton-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HAMILTON CENTER, INC.",
      "parentSystemId": "entity-hamilton-center-inc",
      "siblingGroupId": "siblings-in-hamilton-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-hamilton-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAMILTON CENTER, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HAMILTON CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAMILTON CENTER, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HAMILTON CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154014",
      "ccn": "154014",
      "name": "OTIS R BOWEN CENTER FOR HUMAN SERVICES INC",
      "address": "9 PEQUIGNOT DR",
      "city": "PIERCETON",
      "state": "IN",
      "zip": "46562",
      "county": "KOSCIUSKO",
      "latitude": 41.2060191797895,
      "longitude": -85.7006035000338,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pierceton-otis-r-bowen-center-for-human-services-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BOWEN HEALTH INC",
      "parentSystemId": "entity-bowen-health-inc",
      "siblingGroupId": "siblings-in-bowen-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-bowen-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to BOWEN HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOWEN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to BOWEN HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOWEN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154018",
      "ccn": "154018",
      "name": "RICHMOND STATE HOSPITAL",
      "address": "498 NW 18TH ST",
      "city": "RICHMOND",
      "state": "IN",
      "zip": "47374",
      "county": "WAYNE",
      "latitude": 39.8389126499329,
      "longitude": -84.9257137499523,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "website": "http://www.richmondstatehospital.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-richmond-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF INDIANA AUDITOR OF STATE",
      "parentSystemId": "entity-state-of-indiana-auditor-of-state",
      "siblingGroupId": "siblings-in-state-of-indiana-auditor-of-state",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-indiana-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DHIANN KINSWORTHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DHIANN KINSWORTHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "154019",
      "ccn": "154019",
      "name": "MADISON STATE HOSPITAL",
      "address": "711 GREEN RD",
      "city": "MADISON",
      "state": "IN",
      "zip": "47250",
      "county": "JEFFERSON",
      "latitude": 38.7460615102771,
      "longitude": -85.4019929201334,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 150,
      "rating": null,
      "website": "http://www.in.gov/fssa/msh",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-madison-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF INDIANA AUDITOR OF STATE",
      "parentSystemId": "entity-state-of-indiana-auditor-of-state",
      "siblingGroupId": "siblings-in-state-of-indiana-auditor-of-state",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-indiana-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "154020",
      "ccn": "154020",
      "name": "REGIONAL MENTAL HEALTH CENTER",
      "address": "8555 TAFT ST",
      "city": "MERRILLVILLE",
      "state": "IN",
      "zip": "46410",
      "county": "LAKE",
      "latitude": 41.4633470899002,
      "longitude": -87.3633652300864,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.regionalmentalhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-merrillville-regional-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC",
      "parentSystemId": "entity-southlake-community-mental-health-center-inc",
      "siblingGroupId": "siblings-in-southlake-community-mental-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-southlake-community-mental-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists WILLIAM TROWBRIDGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists WILLIAM TROWBRIDGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154021",
      "ccn": "154021",
      "name": "GRANT - BLACKFORD MENTAL HEALTH, INC",
      "address": "505 WABASH AVE",
      "city": "MARION",
      "state": "IN",
      "zip": "46952",
      "county": "GRANT",
      "latitude": 40.5642327896754,
      "longitude": -85.6662407997309,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.cornerstone.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-grant-blackford-mental-health-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRANT-BLACKFORD MENTAL HEALTH, INC.",
      "parentSystemId": "entity-grant-blackford-mental-health-inc",
      "siblingGroupId": "siblings-in-grant-blackford-mental-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-grant-blackford-mental-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists LISA DOMINISSE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GRANT-BLACKFORD MENTAL HEALTH, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT-BLACKFORD MENTAL HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LISA DOMINISSE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to GRANT-BLACKFORD MENTAL HEALTH, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT-BLACKFORD MENTAL HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154024",
      "ccn": "154024",
      "name": "VALLE VISTA HEALTH SYSTEM",
      "address": "898 E MAIN ST",
      "city": "GREENWOOD",
      "state": "IN",
      "zip": "46143",
      "county": "JOHNSON",
      "latitude": 39.6156778703427,
      "longitude": -86.0864136397851,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 98,
      "rating": null,
      "website": "http://www.vallevistahospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenwood-valle-vista-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-in-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "154031",
      "ccn": "154031",
      "name": "OAKLAWN PSYCHIATRIC CENTER INC",
      "address": "330 LAKEVIEW DR",
      "city": "GOSHEN",
      "state": "IN",
      "zip": "46527",
      "county": "ELKHART",
      "latitude": 41.6036041201445,
      "longitude": -85.839485400138,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.oaklawn.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-goshen-oaklawn-psychiatric-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OAKLAWN PSYCHIATRIC CENTER INC",
      "parentSystemId": "entity-oaklawn-psychiatric-center-inc",
      "siblingGroupId": "siblings-in-oaklawn-psychiatric-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-oaklawn-psychiatric-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists LAURIE NAFZIGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to OAKLAWN PSYCHIATRIC CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAKLAWN PSYCHIATRIC CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LAURIE NAFZIGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to OAKLAWN PSYCHIATRIC CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAKLAWN PSYCHIATRIC CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154041",
      "ccn": "154041",
      "name": "BLOOMINGTON MEADOWS HOSPITAL",
      "address": "3600 N PROW RD",
      "city": "BLOOMINGTON",
      "state": "IN",
      "zip": "47404",
      "county": "MONROE",
      "latitude": 39.2059795101987,
      "longitude": -86.5509221300011,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 78,
      "rating": null,
      "website": "http://www.bloomingtonmeadows.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bloomington-bloomington-meadows-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-in-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "154047",
      "ccn": "154047",
      "name": "MICHIANA BEHAVIORAL HEALTH CENTER",
      "address": "1800 N OAK RD",
      "city": "PLYMOUTH",
      "state": "IN",
      "zip": "46563",
      "county": "MARSHALL",
      "latitude": 41.3569279201109,
      "longitude": -86.3275739200621,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 51,
      "rating": null,
      "website": "http://www.michianabhc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plymouth-michiana-behavioral-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-in-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "154050",
      "ccn": "154050",
      "name": "NORTHEASTERN CENTER",
      "address": "1850 WESLEY RD",
      "city": "AUBURN",
      "state": "IN",
      "zip": "46706",
      "county": "DEKALB",
      "latitude": 41.3709560497706,
      "longitude": -85.0299538503813,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.necmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-auburn-northeastern-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEASTERN CENTER INC",
      "parentSystemId": "entity-northeastern-center-inc",
      "siblingGroupId": "siblings-in-northeastern-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-northeastern-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEASTERN CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NORTHEASTERN CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEASTERN CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NORTHEASTERN CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154051",
      "ccn": "154051",
      "name": "WELLSTONE REGIONAL HOSPITAL",
      "address": "2700 VISSING PARK RD",
      "city": "JEFFERSONVILLE",
      "state": "IN",
      "zip": "47130",
      "county": "CLARK",
      "latitude": 38.3269072900916,
      "longitude": -85.7093252296526,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": null,
      "website": "http://www.wellstonehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jeffersonville-wellstone-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-in-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526062846/uhs-20251231.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "154052",
      "ccn": "154052",
      "name": "PORTER - STARKE SERVICES INC",
      "address": "701 WALL ST",
      "city": "VALPARAISO",
      "state": "IN",
      "zip": "46383",
      "county": "PORTER",
      "latitude": 41.4896903698726,
      "longitude": -87.0520331097809,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.porterstarke.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valparaiso-porter-starke-services-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PORTER-STARKE SERVICES INC",
      "parentSystemId": "entity-porter-starke-services-inc",
      "siblingGroupId": "siblings-in-porter-starke-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-porter-starke-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: PORTER-STARKE SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW BURDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PORTER-STARKE SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORTER-STARKE SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PORTER-STARKE SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW BURDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to PORTER-STARKE SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORTER-STARKE SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154054",
      "ccn": "154054",
      "name": "HARSHA BEHAVIORAL CENTER INC",
      "address": "1980 E WOODSMALL DR",
      "city": "TERRE HAUTE",
      "state": "IN",
      "zip": "47802",
      "county": "VIGO",
      "latitude": 39.4001399899043,
      "longitude": -87.3959506297693,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 81,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-terre-haute-harsha-behavioral-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARSHA BEHAVIORAL CENTER, INC",
      "parentSystemId": "entity-harsha-behavioral-center-inc",
      "siblingGroupId": "siblings-in-harsha-behavioral-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-harsha-behavioral-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS lists PARAS HARSHAWAT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HARSHA BEHAVIORAL CENTER, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARSHA BEHAVIORAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists PARAS HARSHAWAT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to HARSHA BEHAVIORAL CENTER, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARSHA BEHAVIORAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154056",
      "ccn": "154056",
      "name": "EVANSVILLE STATE HOSPITAL",
      "address": "3400 LINCOLN AVENUE",
      "city": "EVANSVILLE",
      "state": "IN",
      "zip": "47714",
      "county": "VANDERBURGH",
      "latitude": 37.9728535599476,
      "longitude": -87.501553709843,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 168,
      "rating": null,
      "website": "www.in.gov",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-evansville-evansville-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF INDIANA AUDITOR OF STATE",
      "parentSystemId": "entity-state-of-indiana-auditor-of-state",
      "siblingGroupId": "siblings-in-state-of-indiana-auditor-of-state",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-indiana-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF INDIANA AUDITOR OF STATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Indiana public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF INDIANA AUDITOR OF STATE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "154057",
      "ccn": "154057",
      "name": "OPTIONS BEHAVIORAL HEALTH SYSTEM",
      "address": "5602 CAITO DRIVE",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46226",
      "county": "MARION",
      "latitude": 39.8557615698236,
      "longitude": -86.0437385901047,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 56,
      "rating": null,
      "website": "http://www.optionsbehavioralhealthsystem.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-options-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OPTIONS BEHAVIORAL HEALTH SYSTEM",
      "parentSystemId": "entity-options-behavioral-health-system",
      "siblingGroupId": "siblings-in-options-behavioral-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "in-parent-proprietary"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OPTIONS BEHAVIORAL HEALTH SYSTEM, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Indiana resolution: normalized CMS legal owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OPTIONS BEHAVIORAL HEALTH SYSTEM, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154058",
      "ccn": "154058",
      "name": "DOCTORS NEUROPSYCHIATRIC HOSPITAL",
      "address": "417 S WHITLOCK ST",
      "city": "BREMEN",
      "state": "IN",
      "zip": "46506",
      "county": "MARSHALL",
      "latitude": 41.4433350302752,
      "longitude": -86.1503193498212,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 37,
      "rating": null,
      "website": "http://www.physicianshospitalsystem.net",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "peFirm": "Enhanced Healthcare Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NeuroPsychiatric Hospitals",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bremen-doctors-neuropsychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-in-neuropychiatric-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-neuropsychiatric-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://neuropsychiatrichospitals.net/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154059",
      "ccn": "154059",
      "name": "SYCAMORE SPRINGS HOSPITAL LLC",
      "address": "833 PARK EAST BLVD",
      "city": "LAFAYETTE",
      "state": "IN",
      "zip": "47905",
      "county": "TIPPECANOE",
      "latitude": 40.4066718002054,
      "longitude": -86.8274464599333,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": null,
      "website": "http://www.sycamorespringshealth.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-in-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154060",
      "ccn": "154060",
      "name": "PARK CENTER, INC",
      "address": "1909 CAREW STREET",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46805",
      "county": "ALLEN",
      "latitude": 41.0936254397726,
      "longitude": -85.1084820204053,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.parkcenter.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-wayne-park-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Parkview Health",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-in-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-parkview-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE MEITZLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE MEITZLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Parkview Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "154061",
      "ccn": "154061",
      "name": "MEDICAL BEHAVIORAL HOSPITAL - MISHAWAKA",
      "address": "1625 EAST JEFFERSON BLVD",
      "city": "MISHAWAKA",
      "state": "IN",
      "zip": "46545",
      "county": "ST. JOSEPH",
      "latitude": 41.6712483500456,
      "longitude": -86.1588727504271,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "peFirm": "Enhanced Healthcare Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NeuroPsychiatric Hospitals",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mishawaka-medical-behavioral-hospital---mishawaka/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-in-neuropychiatric-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-neuropsychiatric-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://neuropsychiatrichospitals.net/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154063",
      "ccn": "154063",
      "name": "NEUROPSYCHIATRIC HOSPITAL OF INDIANAPOLIS, LLC",
      "address": "6720 PARKDALE PLACE, SUITE 100",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46254",
      "county": "MARION",
      "latitude": 39.8262647602377,
      "longitude": -86.2789873395679,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "peFirm": "Enhanced Healthcare Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NeuroPsychiatric Hospitals",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianapolis-neuropsychiatric-hospital-of-indianapolis-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-in-neuropychiatric-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-neuropsychiatric-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://neuropsychiatrichospitals.net/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154064",
      "ccn": "154064",
      "name": "ASSURANCE HEALTH PSYCHIATRIC HOSPITAL",
      "address": "900 NORTH HIGH SCHOOL ROAD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46214",
      "county": "MARION",
      "latitude": 39.777528000274,
      "longitude": -86.2733129999218,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": null,
      "website": "http://www.assurancehealthsystem.com/",
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "ASSURANCE HEALTH SYSTEM LLC",
      "peFirm": "Elevate Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "affiliatedSystem": "Assurancehealthsystem",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "low",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Assurance Health System",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-assurance-health-system-llc",
      "siblingGroupId": "siblings-in-assurance-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-assurance-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://assurancehealthsystem.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Assurance Health System; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Assurance Health System; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154065",
      "ccn": "154065",
      "name": "NEURO BEHAVIORAL HOSPITAL",
      "address": "9330 BROADWAY",
      "city": "CROWN POINT",
      "state": "IN",
      "zip": "46307",
      "county": "LAKE",
      "latitude": 41.4488030698084,
      "longitude": -87.3372601196579,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 70,
      "rating": null,
      "website": "https://www.neuropsychiatrichospitals.net/find-a-location/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "peFirm": "Enhanced Healthcare Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NeuroPsychiatric Hospitals",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crown-point-neuro-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-in-neuropychiatric-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-neuropsychiatric-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://neuropsychiatrichospitals.net/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EMILY JAYNE STROUP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EMILY JAYNE STROUP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NeuroPsychiatric Hospitals; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154066",
      "ccn": "154066",
      "name": "BRIGHTWELL BEHAVIORAL HEALTH",
      "address": "1612 BLACKISTON VIEW DRIVE",
      "city": "CLARKSVILLE",
      "state": "IN",
      "zip": "47129",
      "county": "CLARK",
      "latitude": 38.320278480073,
      "longitude": -85.7671773600756,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "CLARKSVILLE PSYCH JV, LLC",
      "peFirm": "Elevate Ventures",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Assurance Health System",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-clarksville-psych-jv-llc",
      "siblingGroupId": "siblings-in-clarksville-psych-jv-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-assurance-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://assurancehealthsystem.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLARKSVILLE PSYCH JV, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Assurance Health System; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLARKSVILLE PSYCH JV, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLARKSVILLE PSYCH JV, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Assurance Health System; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLARKSVILLE PSYCH JV, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154067",
      "ccn": "154067",
      "name": "HENDRICKS BEHAVIORAL HOSPITAL",
      "address": "1051 SOUTHFIELD DRIVE",
      "city": "PLAINFIELD",
      "state": "IN",
      "zip": "46168",
      "county": "HENDRICKS",
      "latitude": 39.6928413799768,
      "longitude": -86.3717228598837,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "US HealthVest",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "US HEALTHVEST, LLC",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-in-us-healthvest-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-us-healthvest"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154068",
      "ccn": "154068",
      "name": "MEDICAL BEHAVIORAL HOSPITAL OF INDIANAPOLIS",
      "address": "1167 WILSON DR",
      "city": "GREENWOOD",
      "state": "IN",
      "zip": "46143",
      "county": "JOHNSON",
      "latitude": 39.632377555679,
      "longitude": -86.0789090959353,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-in-neuropychiatric-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-neuropychiatric-hospitals-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.in.gov/health/reports/QAMIS/hosdir/wdirHos.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAMERON R GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CAMERON R GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "154070",
      "ccn": "154070",
      "name": "MAPLE HEIGHTS BEHAVIORAL HEALTH",
      "address": "3955 WEST WASHINGTON CENTER ROAD",
      "city": "FORT WAYNE",
      "state": "IN",
      "zip": "46818",
      "county": "ALLEN",
      "latitude": 41.1306845288036,
      "longitude": -85.1942699523474,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 0,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ACADIA FORT WAYNE JV HOLDINGS LLC",
      "parentSystemId": "entity-acadia-fort-wayne-jv-holdings-llc",
      "siblingGroupId": "siblings-in-acadia-fort-wayne-jv-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA FORT WAYNE JV HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 65%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA FORT WAYNE JV HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA FORT WAYNE JV HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 65%). CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Acadia Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA FORT WAYNE JV HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "160001",
      "ccn": "160001",
      "name": "UNITYPOINT HEALTH MARSHALLTOWN",
      "address": "3 SOUTH FOURTH AVENUE",
      "city": "MARSHALLTOWN",
      "state": "IA",
      "zip": "50158",
      "county": "MARSHALL",
      "latitude": 42.0484046400349,
      "longitude": -92.9068310697387,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 125,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLEN HEALTH SYSTEMS INC",
      "parentSystemId": "entity-allen-health-systems-inc",
      "siblingGroupId": "siblings-ia-allen-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SHARON K KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SHARON K KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160013",
      "ccn": "160013",
      "name": "TRINITY MUSCATINE",
      "address": "1518 MULBERRY AVENUE",
      "city": "MUSCATINE",
      "state": "IA",
      "zip": "52761",
      "county": "MUSCATINE",
      "latitude": 41.4334078200189,
      "longitude": -91.0544575102608,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": 4,
      "website": "http://www.trinitymuscatine.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-ia-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160016",
      "ccn": "160016",
      "name": "TRINITY REGIONAL MEDICAL CENTER",
      "address": "802 KENYON ROAD",
      "city": "FORT DODGE",
      "state": "IA",
      "zip": "50501",
      "county": "WEBSTER",
      "latitude": 42.4922101797583,
      "longitude": -94.1921795696318,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 200,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-ia-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SARAH MARSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SARAH MARSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160028",
      "ccn": "160028",
      "name": "CHI HEALTH MERCY COUNCIL BLUFFS",
      "address": "800 MERCY DRIVE",
      "city": "COUNCIL BLUFFS",
      "state": "IA",
      "zip": "51503",
      "county": "POTTAWATTAMIE",
      "latitude": 41.268786729867,
      "longitude": -95.8387943196076,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 278,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "CHI NEBRASKA",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ia-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160029",
      "ccn": "160029",
      "name": "UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN",
      "address": "500 EAST MARKET STREET",
      "city": "IOWA CITY",
      "state": "IA",
      "zip": "52245",
      "county": "JOHNSON",
      "latitude": 41.6640377998119,
      "longitude": -91.5278700997764,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 234,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "STATE UNIVERSITY OF IOWA",
      "parentSystemId": "entity-state-university-of-iowa",
      "siblingGroupId": "siblings-ia-state-university-of-iowa",
      "campusFamilyId": "campus-ia-160029",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-university-of-iowa-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://uihc.org/about-us"
      ],
      "ownershipProofNotes": "CMS lists DENISE J JAMIESON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to University of Iowa Health Care; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE UNIVERSITY OF IOWA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DENISE J JAMIESON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to University of Iowa Health Care; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE UNIVERSITY OF IOWA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "160030",
      "ccn": "160030",
      "name": "MARY GREELEY MEDICAL CENTER",
      "address": "1111 DUFF AVENUE",
      "city": "AMES",
      "state": "IA",
      "zip": "50010",
      "county": "STORY",
      "latitude": 42.0325913297635,
      "longitude": -93.6115060304397,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 220,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ames-mary-greeley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MARY GREELEY MEDICAL CENTER",
      "parentSystemId": "entity-mary-greeley-medical-center",
      "siblingGroupId": "siblings-ia-mary-greeley-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARY GREELEY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GARY BOTINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY GREELEY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARY GREELEY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GARY BOTINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY GREELEY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "160032",
      "ccn": "160032",
      "name": "MERCYONE NEWTON MEDICAL CENTER",
      "address": "204 NORTH FOURTH AVENUE EAST",
      "city": "NEWTON",
      "state": "IA",
      "zip": "50208",
      "county": "JASPER",
      "latitude": 41.7030654496849,
      "longitude": -93.0516267599196,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 68,
      "rating": 4,
      "website": "http:www.skiffmed.com",
      "status": "corporate_chain",
      "parentSystem": "CATHOLIC HEALTH INITIATIVES-IOWA CORP",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-catholic-health-initiatives-iowa-corp",
      "siblingGroupId": "siblings-ia-catholic-health-initiatives-iowa-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH INITIATIVES-IOWA CORP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH INITIATIVES-IOWA CORP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH INITIATIVES-IOWA CORP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH INITIATIVES-IOWA CORP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160033",
      "ccn": "160033",
      "name": "GENESIS MEDICAL CENTER",
      "address": "1227 EAST RUSHOLME STREET",
      "city": "DAVENPORT",
      "state": "IA",
      "zip": "52803",
      "county": "SCOTT",
      "latitude": 41.5421679700148,
      "longitude": -90.5572573999694,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 502,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "campusFamilyId": "campus-ia-160033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160045",
      "ccn": "160045",
      "name": "ST LUKE'S HOSPITAL CR",
      "address": "1026 A AVENUE NE",
      "city": "CEDAR RAPIDS",
      "state": "IA",
      "zip": "52402",
      "county": "LINN",
      "latitude": 41.985331440051,
      "longitude": -91.6606936502134,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 540,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-ia-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SCOTT KIZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160047",
      "ccn": "160047",
      "name": "METHODIST JENNIE EDMUNDSON",
      "address": "933 EAST PIERCE STREET",
      "city": "COUNCIL BLUFFS",
      "state": "IA",
      "zip": "51503",
      "county": "POTTAWATTAMIE",
      "latitude": 41.2685824601201,
      "longitude": -95.8353574704335,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 236,
      "rating": 3,
      "website": "https://www.bestcare.org/jennie-edmundson/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-council-bluffs-methodist-jennie-edmundson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JENNIE EDMUNDSON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-jennie-edmundson-memorial-hospital",
      "siblingGroupId": "siblings-ia-jennie-edmundson-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: JENNIE EDMUNDSON MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY E FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JENNIE EDMUNDSON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JENNIE EDMUNDSON MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY E FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JENNIE EDMUNDSON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "16004F",
      "ccn": "16004F",
      "name": "IOWA CITY VA MEDICAL CENTER",
      "address": "601 HIGHWAY 6 WEST",
      "city": "IOWA CITY",
      "state": "IA",
      "zip": "52246",
      "county": "JOHNSON",
      "latitude": 41.6637023001946,
      "longitude": -91.548488509757,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 93,
      "rating": 5,
      "website": "https://www.iowacity.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-iowa-city-iowa-city-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ia-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-u-s-department-of-veterans-affairs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/central-iowa-health-care/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Iowa resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Iowa resolution: normalized CMS legal owner/operator to U.S. Department of Veterans Affairs; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "160064",
      "ccn": "160064",
      "name": "MERCYONE NORTH IOWA MEDICAL CENTER",
      "address": "1000 FOURTH STREET SW",
      "city": "MASON CITY",
      "state": "IA",
      "zip": "50401",
      "county": "CERRO GORDO",
      "latitude": 43.150075579843,
      "longitude": -93.2167193099217,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 346,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIN C PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIN C PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160067",
      "ccn": "160067",
      "name": "MERCYONE WATERLOO MEDICAL CENTER",
      "address": "3421 WEST NINTH STREET",
      "city": "WATERLOO",
      "state": "IA",
      "zip": "50702",
      "county": "BLACK HAWK",
      "latitude": 42.4611828697338,
      "longitude": -92.3458736196551,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 346,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waterloo-mercyone-waterloo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160069",
      "ccn": "160069",
      "name": "MERCYONE DUBUQUE MEDICAL CENTER",
      "address": "250 MERCY DRIVE",
      "city": "DUBUQUE",
      "state": "IA",
      "zip": "52001",
      "county": "DUBUQUE",
      "latitude": 42.4925056401098,
      "longitude": -90.6747786301401,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 303,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160080",
      "ccn": "160080",
      "name": "MERCYONE CLINTON MEDICAL CENTER",
      "address": "1410 NORTH 4TH STREET",
      "city": "CLINTON",
      "state": "IA",
      "zip": "52732",
      "county": "CLINTON",
      "latitude": 41.8615018197094,
      "longitude": -90.1890155295846,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 175,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160082",
      "ccn": "160082",
      "name": "UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDICAL CENTER",
      "address": "1200 PLEASANT STREET",
      "city": "DES MOINES",
      "state": "IA",
      "zip": "50309",
      "county": "POLK",
      "latitude": 41.5894433301424,
      "longitude": -93.6338109896369,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 460,
      "rating": 3,
      "website": "http://www.iowahealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-des-moines-unitypoint-health-des-moines--iowa-methodist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160083",
      "ccn": "160083",
      "name": "MERCYONE DES MOINES MEDICAL CENTER",
      "address": "1111 SIXTH AVENUE",
      "city": "DES MOINES",
      "state": "IA",
      "zip": "50314",
      "county": "POLK",
      "latitude": 41.5987815901886,
      "longitude": -93.6231191396157,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 656,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160089",
      "ccn": "160089",
      "name": "OTTUMWA REGIONAL HEALTH CENTER",
      "address": "1001 PENNSYLVANIA AVENUE",
      "city": "OTTUMWA",
      "state": "IA",
      "zip": "52501",
      "county": "WAPELLO",
      "latitude": 41.037389519804,
      "longitude": -92.3992936897401,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 217,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ottumwa-ottumwa-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-ia-dsb-acquisition-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KENNETH C DEBOER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KENNETH C DEBOER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "160101",
      "ccn": "160101",
      "name": "BROADLAWNS MEDICAL CENTER",
      "address": "1801 HICKMAN ROAD",
      "city": "DES MOINES",
      "state": "IA",
      "zip": "50314",
      "county": "POLK",
      "latitude": 41.6166160199779,
      "longitude": -93.6417744998334,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 200,
      "rating": 3,
      "website": "http://www.broadlawns.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-des-moines-broadlawns-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BROADLAWNS MEDICAL CENTER",
      "parentSystemId": "entity-broadlawns-medical-center",
      "siblingGroupId": "siblings-ia-broadlawns-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BROADLAWNS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROADLAWNS MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BROADLAWNS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROADLAWNS MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "160112",
      "ccn": "160112",
      "name": "SPENCER MUNICIPAL HOSPITAL",
      "address": "1200 FIRST AVENUE EAST",
      "city": "SPENCER",
      "state": "IA",
      "zip": "51301",
      "county": "CLAY",
      "latitude": 43.1500263798486,
      "longitude": -95.1430898598754,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 99,
      "rating": 4,
      "website": "http://www.spencerhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spencer-spencer-municipal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF SPENCER IOWA",
      "parentSystemId": "entity-city-of-spencer-iowa",
      "siblingGroupId": "siblings-ia-city-of-spencer-iowa",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF SPENCER IOWA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF SPENCER IOWA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF SPENCER IOWA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF SPENCER IOWA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "160117",
      "ccn": "160117",
      "name": "FINLEY HOSPITAL",
      "address": "350 NORTH GRANDVIEW AVENUE",
      "city": "DUBUQUE",
      "state": "IA",
      "zip": "52001",
      "county": "DUBUQUE",
      "latitude": 42.4962569801872,
      "longitude": -90.686159019962,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 142,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-ia-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160124",
      "ccn": "160124",
      "name": "LAKES REGIONAL HEALTHCARE",
      "address": "2301 HIGHWAY 71, PO BOX AB",
      "city": "SPIRIT LAKE",
      "state": "IA",
      "zip": "51360",
      "county": "DICKINSON",
      "latitude": 43.4177456299923,
      "longitude": -95.1246720896773,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spirit-lake-lakes-regional-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA MCKENNAN",
      "parentSystemId": "entity-avera-mckennan",
      "siblingGroupId": "siblings-ia-avera-mckennan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA MCKENNAN (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MCKENNAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA MCKENNAN (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MCKENNAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160146",
      "ccn": "160146",
      "name": "ST LUKE'S REGIONAL MEDICAL CENTER HOSPITAL",
      "address": "2720 STONE PARK BOULEVARD",
      "city": "SIOUX CITY",
      "state": "IA",
      "zip": "51104",
      "county": "WOODBURY",
      "latitude": 42.5194501702644,
      "longitude": -96.4059420198899,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 346,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-ia-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LEAH L KNAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LEAH L KNAPP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160147",
      "ccn": "160147",
      "name": "GRINNELL REGIONAL MEDICAL CENTER",
      "address": "210 FOURTH AVENUE",
      "city": "GRINNELL",
      "state": "IA",
      "zip": "50112",
      "county": "POWESHIEK",
      "latitude": 41.7426734696937,
      "longitude": -92.7344011496662,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-central-iowa-health-system",
      "siblingGroupId": "siblings-ia-central-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID PAUL CAVAZOS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID PAUL CAVAZOS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "160153",
      "ccn": "160153",
      "name": "MERCYONE SIOUXLAND",
      "address": "801 FIFTH STREET",
      "city": "SIOUX CITY",
      "state": "IA",
      "zip": "51101",
      "county": "WOODBURY",
      "latitude": 42.4956385998991,
      "longitude": -96.400914600199,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 484,
      "rating": 2,
      "status": "signal",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161301",
      "ccn": "161301",
      "name": "IOWA SPECIALTY HOSPITAL - BELMOND",
      "address": "403 FIRST STREET SE",
      "city": "BELMOND",
      "state": "IA",
      "zip": "50421",
      "county": "WRIGHT",
      "latitude": 42.8452706602939,
      "longitude": -93.6122834899787,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 22,
      "rating": null,
      "website": "http://www.iowaspecialtyhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belmond-iowa-specialty-hospital---belmond/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BELMOND COMMUNITY HOSPITAL",
      "parentSystemId": "entity-belmond-community-hospital",
      "siblingGroupId": "siblings-ia-belmond-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-belmond-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELMOND COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to BELMOND COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELMOND COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELMOND COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to BELMOND COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELMOND COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161302",
      "ccn": "161302",
      "name": "IOWA SPECIALTY HOSPITAL - CLARION",
      "address": "1316 SOUTH MAIN STREET",
      "city": "CLARION",
      "state": "IA",
      "zip": "50525",
      "county": "WRIGHT",
      "latitude": 42.7214000299391,
      "longitude": -93.7332470598266,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarion-iowa-specialty-hospital-clarion/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "IOWA SPECIALTY HOSPITAL- CLARION",
      "parentSystemId": "entity-iowa-specialty-hospital-clarion",
      "siblingGroupId": "siblings-ia-iowa-specialty-hospital-clarion",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-specialty-hospital-clarion"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA SPECIALTY HOSPITAL- CLARION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to IOWA SPECIALTY HOSPITAL- CLARION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA SPECIALTY HOSPITAL- CLARION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA SPECIALTY HOSPITAL- CLARION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to IOWA SPECIALTY HOSPITAL- CLARION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA SPECIALTY HOSPITAL- CLARION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161303",
      "ccn": "161303",
      "name": "GRUNDY COUNTY MEMORIAL HOSPITAL",
      "address": "201 EAST J AVENUE",
      "city": "GRUNDY CENTER",
      "state": "IA",
      "zip": "50638",
      "county": "GRUNDY",
      "latitude": 42.3593931901496,
      "longitude": -92.7619632798748,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 80,
      "rating": null,
      "website": "http://www.grundycountyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grundy-center-grundy-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLEN HEALTH SYSTEMS INC",
      "parentSystemId": "entity-allen-health-systems-inc",
      "siblingGroupId": "siblings-ia-allen-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEREMY G CORDES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEREMY G CORDES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161304",
      "ccn": "161304",
      "name": "CHI HEALTH - MERCY CORNING",
      "address": "603 ROSARY DRIVE",
      "city": "CORNING",
      "state": "IA",
      "zip": "50841",
      "county": "ADAMS",
      "latitude": 40.9890158201278,
      "longitude": -94.7484629801893,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 22,
      "rating": 3,
      "website": "http://www.chihealth.com/chi-health-mercy-corning",
      "status": "corporate_chain",
      "parentSystem": "CHI NEBRASKA",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corning-chi-health---mercy-corning/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ia-chi-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALICIA REED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALICIA REED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161305",
      "ccn": "161305",
      "name": "POCAHONTAS COMMUNITY HOSPITAL",
      "address": "606 NW SEVENTH STREET",
      "city": "POCAHONTAS",
      "state": "IA",
      "zip": "50574",
      "county": "POCAHONTAS",
      "latitude": 42.7410247897657,
      "longitude": -94.6778750099784,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pocahontas-pocahontas-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161306",
      "ccn": "161306",
      "name": "JONES REGIONAL MEDICAL CENTER",
      "address": "1795 HIGHWAY 64 EAST",
      "city": "ANAMOSA",
      "state": "IA",
      "zip": "52205",
      "county": "JONES",
      "latitude": 42.101512749733,
      "longitude": -91.2626148503176,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-ia-iowa-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RACHEL A VONBEHREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RACHEL A VONBEHREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161307",
      "ccn": "161307",
      "name": "HANCOCK COUNTY HEALTH SYSTEM",
      "address": "532 FIRST STREET NW",
      "city": "BRITT",
      "state": "IA",
      "zip": "50423",
      "county": "HANCOCK",
      "latitude": 43.0982140298466,
      "longitude": -93.808195260187,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-britt-hancock-county-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HANCOCK COUNTY HEALTH SYSTEM",
      "parentSystemId": "entity-hancock-county-health-system",
      "siblingGroupId": "siblings-ia-hancock-county-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HANCOCK COUNTY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANCOCK COUNTY HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HANCOCK COUNTY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANCOCK COUNTY HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161308",
      "ccn": "161308",
      "name": "FRANKLIN GENERAL HOSPITAL",
      "address": "1720 CENTRAL AVENUE EAST",
      "city": "HAMPTON",
      "state": "IA",
      "zip": "50441",
      "county": "FRANKLIN",
      "latitude": 42.7435625599537,
      "longitude": -93.1855795798053,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.franklingeneral.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hampton-franklin-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FRANKLIN GENERAL HOSPITAL",
      "parentSystemId": "entity-franklin-general-hospital",
      "siblingGroupId": "siblings-ia-franklin-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-franklin-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANKLIN GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to FRANKLIN GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANKLIN GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to FRANKLIN GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161309",
      "ccn": "161309",
      "name": "CHI HEALTH MISSOURI VALLEY",
      "address": "631 NORTH 8TH STREET",
      "city": "MISSOURI VALLEY",
      "state": "IA",
      "zip": "51555",
      "county": "PAGE",
      "latitude": 40.7578232301097,
      "longitude": -95.0355805502773,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "CHI NEBRASKA",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-missouri-valley-chi-health---missouri-valley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ia-chi-nebraska",
      "campusFamilyId": "campus-ia-161309",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161310",
      "ccn": "161310",
      "name": "ADAIR COUNTY MEMORIAL HOSPITAL",
      "address": "609 S E KENT STREET",
      "city": "GREENFIELD",
      "state": "IA",
      "zip": "50849",
      "county": "ADAIR",
      "latitude": 41.3037979798124,
      "longitude": -94.4520354501597,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenfield-adair-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW R HALEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW R HALEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161311",
      "ccn": "161311",
      "name": "HAWARDEN REGIONAL HEALTHCARE",
      "address": "1111 11TH STREET",
      "city": "HAWARDEN",
      "state": "IA",
      "zip": "51023",
      "county": "SIOUX",
      "latitude": 42.9985740300667,
      "longitude": -96.4798485904408,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://hawardenregionalhealthcare.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hawarden-hawarden-regional-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AMY L CRAVAACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AMY L CRAVAACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161312",
      "ccn": "161312",
      "name": "GUTTENBERG MUNICIPAL HOSPITAL",
      "address": "200 MAIN ST PO BOX 550",
      "city": "GUTTENBERG",
      "state": "IA",
      "zip": "52052",
      "county": "CLAYTON",
      "latitude": 42.7861275397398,
      "longitude": -91.0994611602443,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-guttenberg-guttenberg-municipal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161313",
      "ccn": "161313",
      "name": "GENESIS MEDICAL CENTER - DEWITT",
      "address": "1118 11TH STREET",
      "city": "DEWITT",
      "state": "IA",
      "zip": "52742",
      "county": "CLINTON",
      "latitude": 41.8264533299253,
      "longitude": -90.5474822896788,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": null,
      "website": "http://www.genesishealth.com/facilities/hospital/dewitt/",
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Genesishealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Genesishealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dewitt-genesis-medical-center-dewitt/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Genesishealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Genesishealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Genesishealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Genesishealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161314",
      "ccn": "161314",
      "name": "GUTHRIE COUNTY HOSPITAL",
      "address": "710 NORTH 12TH STREET",
      "city": "GUTHRIE CENTER",
      "state": "IA",
      "zip": "50115",
      "county": "GUTHRIE",
      "latitude": 41.6836194901026,
      "longitude": -94.4936769297152,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.guthriecountyhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-guthrie-center-guthrie-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRANDON G JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRANDON G JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161315",
      "ccn": "161315",
      "name": "KEOKUK COUNTY HEALTH CENTER",
      "address": "23019 HIGHWAY 149",
      "city": "SIGOURNEY",
      "state": "IA",
      "zip": "52591",
      "county": "KEOKUK",
      "latitude": 41.3225068997446,
      "longitude": -92.2060869498715,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.kchc.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sigourney-keokuk-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KEOKUK COUNTY HEALTH CENTER",
      "parentSystemId": "entity-keokuk-county-health-center",
      "siblingGroupId": "siblings-ia-keokuk-county-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEOKUK COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEOKUK COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161316",
      "ccn": "161316",
      "name": "GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS",
      "address": "112 JEFFERSON STREET",
      "city": "WEST UNION",
      "state": "IA",
      "zip": "52175",
      "county": "FAYETTE",
      "latitude": 42.9682880502371,
      "longitude": -91.8101148798783,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "parentSystemId": "entity-bellin-gundersen-health-system-inc",
      "siblingGroupId": "siblings-ia-bellin-gundersen-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161317",
      "ccn": "161317",
      "name": "COMPASS MEMORIAL HEALTHCARE",
      "address": "300 WEST MAY STREET",
      "city": "MARENGO",
      "state": "IA",
      "zip": "52301",
      "county": "IOWA",
      "latitude": 41.8021261699095,
      "longitude": -92.0735171097219,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTHCARE",
      "parentSystemId": "entity-st-luke-s-healthcare",
      "siblingGroupId": "siblings-ia-st-luke-s-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161318",
      "ccn": "161318",
      "name": "VETERANS MEMORIAL HOSPITAL",
      "address": "40 FIRST AVENUE SE",
      "city": "WAUKON",
      "state": "IA",
      "zip": "52172",
      "county": "ALLAMAKEE",
      "latitude": 43.268675080227,
      "longitude": -91.4741109902319,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waukon-veterans-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA",
      "parentSystemId": "entity-veterans-memorial-hospital-city-of-waukon-ia",
      "siblingGroupId": "siblings-ia-veterans-memorial-hospital-city-of-waukon-ia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists MICHAEL F COYLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MICHAEL F COYLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161319",
      "ccn": "161319",
      "name": "MERCYONE ELKADER MEDICAL CENTER",
      "address": "901 DAVIDSON STREET NW",
      "city": "ELKADER",
      "state": "IA",
      "zip": "52043",
      "county": "CLAYTON",
      "latitude": 42.8566700898505,
      "longitude": -91.4075728696636,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "MERCY COMMUNITY HOSPITAL GROUP LLC",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-community-hospital-group-llc",
      "siblingGroupId": "siblings-ia-mercy-community-hospital-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY COMMUNITY HOSPITAL GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONNA M LAWLOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY COMMUNITY HOSPITAL GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY COMMUNITY HOSPITAL GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONNA M LAWLOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY COMMUNITY HOSPITAL GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161320",
      "ccn": "161320",
      "name": "COMMUNITY MEMORIAL HOSPITAL",
      "address": "909 WEST FIRST STREET, PO BOX 148",
      "city": "SUMNER",
      "state": "IA",
      "zip": "50674",
      "county": "BREMER",
      "latitude": 42.8469818598907,
      "longitude": -92.1092293499744,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sumner-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLEN HEALTH SYSTEMS INC",
      "parentSystemId": "entity-allen-health-systems-inc",
      "siblingGroupId": "siblings-ia-allen-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-unitypoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unitypoint.org/about-unitypoint-health"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UnityPoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161321",
      "ccn": "161321",
      "name": "AVERA MERRILL PIONEER HOSPITAL",
      "address": "1100 S 10TH AVENUE",
      "city": "ROCK RAPIDS",
      "state": "IA",
      "zip": "51246",
      "county": "LYON",
      "latitude": 43.4210058496998,
      "longitude": -96.1788619800886,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rock-rapids-avera-merrill-pioneer-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-ia-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161322",
      "ccn": "161322",
      "name": "DALLAS COUNTY HOSPITAL",
      "address": "610 TENTH STREET",
      "city": "PERRY",
      "state": "IA",
      "zip": "50220",
      "county": "DALLAS",
      "latitude": 41.8336315499135,
      "longitude": -94.0938922003488,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.dallascohospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-perry-dallas-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161323",
      "ccn": "161323",
      "name": "MITCHELL COUNTY REGIONAL HEALTH CENTER",
      "address": "616 NORTH EIGHTH STREET",
      "city": "OSAGE",
      "state": "IA",
      "zip": "50461",
      "county": "MITCHELL",
      "latitude": 43.2895281200308,
      "longitude": -92.8084406196751,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GREGORY J BURKEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GREGORY J BURKEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161324",
      "ccn": "161324",
      "name": "GEORGE C GRAPE COMMUNITY HOSPITAL",
      "address": "2959 U S HIGHWAY 275",
      "city": "HAMBURG",
      "state": "IA",
      "zip": "51640",
      "county": "FREMONT",
      "latitude": 40.6204931298812,
      "longitude": -95.6506231498445,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hamburg-george-c-grape-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-community-hospital-inc-ia-hamburg-161324",
      "siblingGroupId": "siblings-ia-community-hospital-inc-ia-hamburg-161324",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists CRISTIN A HENDRICKSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CRISTIN A HENDRICKSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161325",
      "ccn": "161325",
      "name": "GREENE COUNTY MEDICAL CENTER",
      "address": "1000 WEST LINCOLN WAY",
      "city": "JEFFERSON",
      "state": "IA",
      "zip": "50129",
      "county": "GREENE",
      "latitude": 42.0159976396911,
      "longitude": -94.3889336604377,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jefferson-greene-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-central-iowa-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T WALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CENTRAL IOWA HOSPITAL CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T WALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CENTRAL IOWA HOSPITAL CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161326",
      "ccn": "161326",
      "name": "MADISON COUNTY HEALTH CARE SYSTEM",
      "address": "300 WEST HUTCHINGS STREET",
      "city": "WINTERSET",
      "state": "IA",
      "zip": "50273",
      "county": "MADISON",
      "latitude": 41.3279970197798,
      "longitude": -94.0169060100695,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AMY N KIMBALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists AMY N KIMBALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161327",
      "ccn": "161327",
      "name": "DAVIS COUNTY HOSPITAL",
      "address": "509 NORTH MADISON STREET",
      "city": "BLOOMFIELD",
      "state": "IA",
      "zip": "52537",
      "county": "DAVIS",
      "latitude": 40.7591714500032,
      "longitude": -92.4155248599253,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.daviscountyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bloomfield-davis-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161328",
      "ccn": "161328",
      "name": "REGIONAL HEALTH SERVICES OF HOWARD COUNTY",
      "address": "235 EIGHTH AVENUE WEST",
      "city": "CRESCO",
      "state": "IA",
      "zip": "52136",
      "county": "HOWARD",
      "latitude": 43.3813765798311,
      "longitude": -92.1179943999495,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 19,
      "rating": 4,
      "website": "http://www.rhshc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cresco-regional-health-services-of-howard-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOWARD COUNTY",
      "parentSystemId": "entity-howard-county",
      "siblingGroupId": "siblings-ia-howard-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-howard-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOWARD COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to HOWARD COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOWARD COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOWARD COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to HOWARD COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOWARD COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161329",
      "ccn": "161329",
      "name": "JACKSON COUNTY REGIONAL HEALTH CENTER",
      "address": "700 WEST GROVE STREET",
      "city": "MAQUOKETA",
      "state": "IA",
      "zip": "52060",
      "county": "JACKSON",
      "latitude": 42.0723888698661,
      "longitude": -90.6733228302721,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-maquoketa-jackson-county-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161330",
      "ccn": "161330",
      "name": "AUDUBON COUNTY MEMORIAL HOSPITAL",
      "address": "515 PACIFIC STREET",
      "city": "AUDUBON",
      "state": "IA",
      "zip": "50025",
      "county": "AUDUBON",
      "latitude": 41.7153517699758,
      "longitude": -94.9378361497014,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.acmhhosp.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-audubon-audubon-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "AUDUBON COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-audubon-county-memorial-hospital",
      "siblingGroupId": "siblings-ia-audubon-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AUDUBON COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AUDUBON COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AUDUBON COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AUDUBON COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161332",
      "ccn": "161332",
      "name": "MANNING REGIONAL HEALTHCARE CENTER CAH",
      "address": "1550 6TH STREET",
      "city": "MANNING",
      "state": "IA",
      "zip": "51455",
      "county": "CARROLL",
      "latitude": 41.9045421997379,
      "longitude": -95.0755542203713,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 17,
      "rating": null,
      "website": "http://www.mrhcia.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHANNON BLACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHANNON BLACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161333",
      "ccn": "161333",
      "name": "STORY COUNTY HOSPITAL",
      "address": "640 SOUTH 19TH STREET",
      "city": "NEVADA",
      "state": "IA",
      "zip": "50201",
      "county": "STORY",
      "latitude": 42.0050623400197,
      "longitude": -93.4369130201636,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 17,
      "rating": null,
      "website": "http://www.storymedical.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nevada-story-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "campusFamilyId": "campus-ia-161333",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ARTHUR P CHECK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ARTHUR P CHECK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161333-loc-ia-nevada-story-county-hospital-north",
      "ccn": "161333",
      "name": "STORY COUNTY HOSPITAL NORTH",
      "address": "640 6TH STREET",
      "city": "NEVADA",
      "state": "IA",
      "zip": "50201",
      "county": "STORY",
      "latitude": 42.017098270167,
      "longitude": -93.4527647599391,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 17,
      "rating": null,
      "website": "http://www.storymedical.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nevada-story-county-hospital-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "campusFamilyId": "campus-ia-161333",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ARTHUR P CHECK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ARTHUR P CHECK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "161333"
    },
    {
      "id": "161334",
      "ccn": "161334",
      "name": "HUMBOLDT COUNTY MEMORIAL HOSPITAL",
      "address": "1000 NORTH 15TH STREET",
      "city": "HUMBOLDT",
      "state": "IA",
      "zip": "50548",
      "county": "HUMBOLDT",
      "latitude": 42.7326974097025,
      "longitude": -94.2322139101435,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": null,
      "website": "http://www.humboldthospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-humboldt-humboldt-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CASSIDY R LONG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CASSIDY R LONG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161335",
      "ccn": "161335",
      "name": "BUCHANAN COUNTY HEALTH CENTER",
      "address": "1600 FIRST STREET EAST",
      "city": "INDEPENDENCE",
      "state": "IA",
      "zip": "50644",
      "county": "BUCHANAN",
      "latitude": 42.4703413599639,
      "longitude": -91.8744237295594,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.bchealth.info",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-independence-buchanan-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PEOPLES MEMORIAL HOSPITAL",
      "parentSystemId": "entity-peoples-memorial-hospital",
      "siblingGroupId": "siblings-ia-peoples-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEOPLES MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEOPLES MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161337",
      "ccn": "161337",
      "name": "VAN BUREN COUNTY HOSPITAL",
      "address": "304 FRANKLIN STREET",
      "city": "KEOSAUQUA",
      "state": "IA",
      "zip": "52565",
      "county": "VAN BUREN",
      "latitude": 40.7365392000662,
      "longitude": -91.9580447498647,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.vbch.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-keosauqua-van-buren-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KARA MCENTEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KARA MCENTEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161338",
      "ccn": "161338",
      "name": "MERCYONE OELWEIN MEDICAL CENTER",
      "address": "201 EIGHTH AVENUE SE",
      "city": "OELWEIN",
      "state": "IA",
      "zip": "50662",
      "county": "FAYETTE",
      "latitude": 42.6754480002374,
      "longitude": -91.9022153999843,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161339",
      "ccn": "161339",
      "name": "WAVERLY HEALTH CENTER",
      "address": "312 NINTH STREET SW",
      "city": "WAVERLY",
      "state": "IA",
      "zip": "50677",
      "county": "BREMER",
      "latitude": 42.7226887900029,
      "longitude": -92.482576440442,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WAVERLY HEALTH CENTER",
      "parentSystemId": "entity-waverly-health-center",
      "siblingGroupId": "siblings-ia-waverly-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-waverly-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists RENU BANSAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to WAVERLY HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAVERLY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RENU BANSAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to WAVERLY HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAVERLY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161340",
      "ccn": "161340",
      "name": "DECATUR COUNTY HOSPITAL",
      "address": "1405 NW CHURCH STREET",
      "city": "LEON",
      "state": "IA",
      "zip": "50144",
      "county": "DECATUR",
      "latitude": 40.7509346699155,
      "longitude": -93.7469407696085,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leon-decatur-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161341",
      "ccn": "161341",
      "name": "LUCAS COUNTY HEALTH CENTER",
      "address": "1200 NORTH SEVENTH STREET",
      "city": "CHARITON",
      "state": "IA",
      "zip": "50049",
      "county": "LUCAS",
      "latitude": 41.0276737698641,
      "longitude": -93.3017061503446,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chariton-lucas-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161342",
      "ccn": "161342",
      "name": "MONROE COUNTY HOSPITAL",
      "address": "6580 165TH STREET",
      "city": "ALBIA",
      "state": "IA",
      "zip": "52531",
      "county": "MONROE",
      "latitude": 41.0434764497174,
      "longitude": -92.7965868796823,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albia-monroe-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TANNER J CROSSLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TANNER J CROSSLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161343",
      "ccn": "161343",
      "name": "REGIONAL MEDICAL CENTER",
      "address": "709 WEST MAIN STREET, PO BOX 359",
      "city": "MANCHESTER",
      "state": "IA",
      "zip": "52057",
      "county": "DELAWARE",
      "latitude": 42.484988669898,
      "longitude": -91.4666245195872,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "http://www.regmedctr.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manchester-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DELAWARE COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-delaware-county-memorial-hospital",
      "siblingGroupId": "siblings-ia-delaware-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: DELAWARE COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELAWARE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DELAWARE COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELAWARE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161344",
      "ccn": "161344",
      "name": "WASHINGTON COUNTY HOSPITAL AND CLINICS",
      "address": "400 EAST POLK STREET",
      "city": "WASHINGTON",
      "state": "IA",
      "zip": "52353",
      "county": "WASHINGTON",
      "latitude": 41.2892483598425,
      "longitude": -91.6876421897605,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WASHINGTON COUNTY HOSPITAL",
      "parentSystemId": "entity-washington-county-hospital",
      "siblingGroupId": "siblings-ia-washington-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161345",
      "ccn": "161345",
      "name": "OSCEOLA COMMUNITY HOSPITAL",
      "address": "600 9TH AVENUE NORTH",
      "city": "SIBLEY",
      "state": "IA",
      "zip": "51249",
      "county": "OSCEOLA",
      "latitude": 43.4103078902865,
      "longitude": -95.7430985297321,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.avera.org/osceola-community-hospital/",
      "status": "corporate_chain",
      "parentSystem": "OSCEOLA COMMUNITY HOSPITAL INC",
      "affiliatedSystem": "Avera",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Avera",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sibley-osceola-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-osceola-community-hospital-inc",
      "siblingGroupId": "siblings-ia-osceola-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.avera.org/about/"
      ],
      "ownershipProofNotes": "CMS lists ANDREA R JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSCEOLA COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ANDREA R JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSCEOLA COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161346",
      "ccn": "161346",
      "name": "SIOUX CENTER HEALTH",
      "address": "1101 9TH ST SE",
      "city": "SIOUX CENTER",
      "state": "IA",
      "zip": "51250",
      "county": "SIOUX",
      "latitude": 43.0684930400068,
      "longitude": -96.1580686501559,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": null,
      "website": "http://siouxcenterhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sioux-center-sioux-center-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SIOUX CENTER HEALTH",
      "parentSystemId": "entity-sioux-center-health",
      "siblingGroupId": "siblings-ia-sioux-center-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-sioux-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIOUX CENTER HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIM VONK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SIOUX CENTER HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIOUX CENTER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SIOUX CENTER HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIM VONK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SIOUX CENTER HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIOUX CENTER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161347",
      "ccn": "161347",
      "name": "FLOYD COUNTY MEDICAL CENTER",
      "address": "800 11TH STREET",
      "city": "CHARLES CITY",
      "state": "IA",
      "zip": "50616",
      "county": "FLOYD",
      "latitude": 43.0514546497122,
      "longitude": -92.6836437103378,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION",
      "parentSystemId": "entity-floyd-county-memorial-hospital-commission",
      "siblingGroupId": "siblings-ia-floyd-county-memorial-hospital-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists DAWNETT L WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAWNETT L WILLIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161349",
      "ccn": "161349",
      "name": "VIRGINIA GAY HOSPITAL",
      "address": "502 NORTH NINTH AVENUE",
      "city": "VINTON",
      "state": "IA",
      "zip": "52349",
      "county": "BENTON",
      "latitude": 42.1734205803288,
      "longitude": -92.0125403899073,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vinton-virginia-gay-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VIRGINIA GAY HOSPITAL INC",
      "parentSystemId": "entity-virginia-gay-hospital-inc",
      "siblingGroupId": "siblings-ia-virginia-gay-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-virginia-gay-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists JOHN F. YUNDT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to VIRGINIA GAY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA GAY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOHN F. YUNDT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to VIRGINIA GAY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA GAY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161350",
      "ccn": "161350",
      "name": "STEWART MEMORIAL COMMUNITY HOSPITAL",
      "address": "1301 WEST MAIN STREET",
      "city": "LAKE CITY",
      "state": "IA",
      "zip": "51449",
      "county": "CALHOUN",
      "latitude": 42.2656178902631,
      "longitude": -94.749184049783,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.stewartmemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-city-stewart-memorial-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANN LYNN LENGELING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANN LYNN LENGELING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161351",
      "ccn": "161351",
      "name": "AVERA HOLY FAMILY HOSPITAL",
      "address": "826 NORTH EIGHTH STREET",
      "city": "ESTHERVILLE",
      "state": "IA",
      "zip": "51334",
      "county": "EMMET",
      "latitude": 43.409986670263,
      "longitude": -94.8336579198393,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-estherville-avera-holy-family-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-ia-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHELLE MAJERUS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHELLE MAJERUS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161352",
      "ccn": "161352",
      "name": "CLARINDA REGIONAL HEALTH CENTER",
      "address": "220 ESSIE DAVISON DRIVE",
      "city": "CLARINDA",
      "state": "IA",
      "zip": "51632",
      "county": "PAGE",
      "latitude": 40.7234814297678,
      "longitude": -95.0432056004275,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarinda-clarinda-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF CLARINDA",
      "parentSystemId": "entity-city-of-clarinda",
      "siblingGroupId": "siblings-ia-city-of-clarinda",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF CLARINDA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CLARINDA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF CLARINDA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CLARINDA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161353",
      "ccn": "161353",
      "name": "KOSSUTH REGIONAL HEALTH CENTER",
      "address": "1515 SOUTH PHILLIPS",
      "city": "ALGONA",
      "state": "IA",
      "zip": "50511",
      "county": "KOSSUTH",
      "latitude": 43.0565652197181,
      "longitude": -94.2258125801075,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "KOSSUTH REGIONAL HEALTH CENTER",
      "parentSystemId": "entity-kossuth-regional-health-center",
      "siblingGroupId": "siblings-ia-kossuth-regional-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-kossuth-regional-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KOSSUTH REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to KOSSUTH REGIONAL HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOSSUTH REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KOSSUTH REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to KOSSUTH REGIONAL HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KOSSUTH REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161354",
      "ccn": "161354",
      "name": "HORN MEMORIAL HOSPITAL",
      "address": "701 EAST SECOND STREET",
      "city": "IDA GROVE",
      "state": "IA",
      "zip": "51445",
      "county": "IDA",
      "latitude": 42.3388911600028,
      "longitude": -95.4598174998309,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ida-grove-horn-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "IDA COUNTY IOWA COMMUNITY HOSPITAL",
      "parentSystemId": "entity-ida-county-iowa-community-hospital",
      "siblingGroupId": "siblings-ia-ida-county-iowa-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-ida-county-iowa-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists SHANNON M FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to IDA COUNTY IOWA COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IDA COUNTY IOWA COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SHANNON M FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to IDA COUNTY IOWA COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IDA COUNTY IOWA COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161356",
      "ccn": "161356",
      "name": "HENRY COUNTY HEALTH CENTER CAH",
      "address": "407 SOUTH WHITE STREET",
      "city": "MOUNT PLEASANT",
      "state": "IA",
      "zip": "52641",
      "county": "HENRY",
      "latitude": 40.9622976402303,
      "longitude": -91.5595095698719,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Physician",
      "beds": 74,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Physician",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "GREAT RIVER HEALTH SYSTEM INC",
      "parentSystemId": "entity-great-river-health-system-inc",
      "siblingGroupId": "siblings-ia-great-river-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT RIVER HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREAT RIVER HEALTH SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT RIVER HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREAT RIVER HEALTH SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161357",
      "ccn": "161357",
      "name": "PALO ALTO COUNTY HOSPITAL",
      "address": "3201 FIRST STREET",
      "city": "EMMETSBURG",
      "state": "IA",
      "zip": "50536",
      "county": "PALO ALTO",
      "latitude": 43.1201938002538,
      "longitude": -94.6912412901276,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 47,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-emmetsburg-palo-alto-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PALO ALTO COUNTY HOSPITAL",
      "parentSystemId": "entity-palo-alto-county-hospital",
      "siblingGroupId": "siblings-ia-palo-alto-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PALO ALTO COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COLLETTE JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO ALTO COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PALO ALTO COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COLLETTE JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO ALTO COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161358",
      "ccn": "161358",
      "name": "WAYNE COUNTY HOSPITAL",
      "address": "417 SOUTH EAST STREET",
      "city": "CORYDON",
      "state": "IA",
      "zip": "50060",
      "county": "WAYNE",
      "latitude": 40.7540510298903,
      "longitude": -93.3115214701256,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.waynecountyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corydon-wayne-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WAYNE COUNTY HOSPITAL",
      "parentSystemId": "entity-wayne-county-hospital",
      "siblingGroupId": "siblings-ia-wayne-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161359",
      "ccn": "161359",
      "name": "BURGESS HEALTH CENTER",
      "address": "1600 DIAMOND STREET",
      "city": "ONAWA",
      "state": "IA",
      "zip": "51040",
      "county": "MONONA",
      "latitude": 42.0253455002397,
      "longitude": -96.1062408798447,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-onawa-burgess-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BURGESS HEALTH CENTER",
      "parentSystemId": "entity-burgess-health-center",
      "siblingGroupId": "siblings-ia-burgess-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-burgess-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists LYNN R WOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to BURGESS HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BURGESS HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LYNN R WOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to BURGESS HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BURGESS HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161360",
      "ccn": "161360",
      "name": "ORANGE CITY AREA HEALTH SYSTEM",
      "address": "1000 LINCOLN CIRCLE SE",
      "city": "ORANGE CITY",
      "state": "IA",
      "zip": "51041",
      "county": "SIOUX",
      "latitude": 42.9945415401522,
      "longitude": -96.0451105903373,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orange-city-orange-city-area-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF ORANGE CITY",
      "parentSystemId": "entity-city-of-orange-city",
      "siblingGroupId": "siblings-ia-city-of-orange-city",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF ORANGE CITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ORANGE CITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF ORANGE CITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ORANGE CITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161361",
      "ccn": "161361",
      "name": "VAN DIEST MEDICAL CENTER",
      "address": "2350 HOSPITAL DRIVE, PO BOX 430",
      "city": "WEBSTER CITY",
      "state": "IA",
      "zip": "50595",
      "county": "HAMILTON",
      "latitude": 42.4529401501527,
      "longitude": -93.8122242895763,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 5,
      "website": "http://www.hamiltonhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-webster-city-van-diest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KYLE MARTIN HEFFERNAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KYLE MARTIN HEFFERNAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161362",
      "ccn": "161362",
      "name": "CHEROKEE REGIONAL MEDICAL CENTER",
      "address": "300 SIOUX VALLEY DRIVE",
      "city": "CHEROKEE",
      "state": "IA",
      "zip": "51012",
      "county": "CHEROKEE",
      "latitude": 42.7594424302252,
      "longitude": -95.5478429797372,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "http://www.cherokeermc.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cherokee-cherokee-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. LUKE'S HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-st-luke-s-health-system-inc",
      "siblingGroupId": "siblings-ia-st-luke-s-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-st-luke-s-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST. LUKE'S HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to ST. LUKE'S HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. LUKE'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST. LUKE'S HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to ST. LUKE'S HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. LUKE'S HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161363",
      "ccn": "161363",
      "name": "MONTGOMERY COUNTY MEMORIAL HOSPITAL",
      "address": "2301 EASTERN AVENUE",
      "city": "RED OAK",
      "state": "IA",
      "zip": "51566",
      "county": "MONTGOMERY",
      "latitude": 41.0143170800635,
      "longitude": -95.2165224604177,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.mcmh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-red-oak-montgomery-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MONTGOMERY COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-montgomery-county-memorial-hospital",
      "siblingGroupId": "siblings-ia-montgomery-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists DANIELA M DONOSO PENA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTGOMERY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DANIELA M DONOSO PENA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTGOMERY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161365",
      "ccn": "161365",
      "name": "GREATER REGIONAL MEDICAL CENTER",
      "address": "1700 WEST TOWNLINE",
      "city": "CRESTON",
      "state": "IA",
      "zip": "50801",
      "county": "UNION",
      "latitude": 41.0701663900261,
      "longitude": -94.3840950100256,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-creston-greater-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UnityPoint Health",
      "parentSystemId": "entity-unitypoint-health",
      "siblingGroupId": "siblings-ia-unitypoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-central-iowa-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW L MCCUTCHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CENTRAL IOWA HOSPITAL CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL IOWA HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW L MCCUTCHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to CENTRAL IOWA HOSPITAL CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UnityPoint Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161366",
      "ccn": "161366",
      "name": "SHENANDOAH MEDICAL CENTER",
      "address": "300 PERSHING AVENUE",
      "city": "SHENANDOAH",
      "state": "IA",
      "zip": "51601",
      "county": "PAGE",
      "latitude": 40.7550845498364,
      "longitude": -95.3731752098665,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHENANDOAH MEDICAL CENTER",
      "parentSystemId": "entity-shenandoah-medical-center",
      "siblingGroupId": "siblings-ia-shenandoah-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-shenandoah-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHENANDOAH MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SHENANDOAH MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHENANDOAH MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHENANDOAH MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SHENANDOAH MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHENANDOAH MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161367",
      "ccn": "161367",
      "name": "PELLA REGIONAL HEALTH CENTER CAH",
      "address": "404 JEFFERSON STREET",
      "city": "PELLA",
      "state": "IA",
      "zip": "50219",
      "county": "MARION",
      "latitude": 41.4130032401208,
      "longitude": -92.910922559888,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.pellahealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PELLA REGIONAL HEALTH CENTER",
      "parentSystemId": "entity-pella-regional-health-center",
      "siblingGroupId": "siblings-ia-pella-regional-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-pella-regional-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PELLA REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to PELLA REGIONAL HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PELLA REGIONAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PELLA REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to PELLA REGIONAL HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PELLA REGIONAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161368",
      "ccn": "161368",
      "name": "FLOYD VALLEY HEALTHCARE",
      "address": "714 LINCOLN ST NE",
      "city": "LEMARS",
      "state": "IA",
      "zip": "51031",
      "county": "PLYMOUTH",
      "latitude": 42.7962370002028,
      "longitude": -96.1556253197197,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FLOYD VALLEY HEALTHCARE",
      "parentSystemId": "entity-floyd-valley-healthcare",
      "siblingGroupId": "siblings-ia-floyd-valley-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-floyd-valley-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: FLOYD VALLEY HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to FLOYD VALLEY HEALTHCARE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLOYD VALLEY HEALTHCARE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FLOYD VALLEY HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to FLOYD VALLEY HEALTHCARE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLOYD VALLEY HEALTHCARE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161369",
      "ccn": "161369",
      "name": "CRAWFORD COUNTY MEMORIAL HOSPITAL",
      "address": "100 MEDICAL PARKWAY",
      "city": "DENISON",
      "state": "IA",
      "zip": "51442",
      "county": "CRAWFORD",
      "latitude": 42.0243522500391,
      "longitude": -95.3780239303929,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 2,
      "website": "http://www.ccmhia.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denison-crawford-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CRAWFORD COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-crawford-county-memorial-hospital",
      "siblingGroupId": "siblings-ia-crawford-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists ERIN C MUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRAWFORD COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ERIN C MUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRAWFORD COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161370",
      "ccn": "161370",
      "name": "LORING HOSPITAL",
      "address": "211 HIGHLAND AVENUE",
      "city": "SAC CITY",
      "state": "IA",
      "zip": "50583",
      "county": "SAC",
      "latitude": 42.4189944899809,
      "longitude": -94.9795067202991,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.loringhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sac-city-loring-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW DONALD JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW DONALD JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161372",
      "ccn": "161372",
      "name": "BOONE COUNTY HOSPITAL",
      "address": "1015 UNION STREET",
      "city": "BOONE",
      "state": "IA",
      "zip": "50036",
      "county": "BOONE",
      "latitude": 42.0559935802697,
      "longitude": -93.8769626399644,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 42,
      "rating": null,
      "website": "http://www.boonehospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boone-boone-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BOONE COUNTY HOSPITAL",
      "parentSystemId": "entity-boone-county-hospital",
      "siblingGroupId": "siblings-ia-boone-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOONE COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOONE COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161373",
      "ccn": "161373",
      "name": "RINGGOLD COUNTY HOSPITAL",
      "address": "504 NORTH CLEVELAND STREET",
      "city": "MOUNT AYR",
      "state": "IA",
      "zip": "50854",
      "county": "RINGGOLD",
      "latitude": 40.7188233097763,
      "longitude": -94.2225789002062,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-ayr-ringgold-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MercyOne",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELISSA D WALTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELISSA D WALTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161374",
      "ccn": "161374",
      "name": "MYRTUE MEDICAL CENTER",
      "address": "1213 GARFIELD AVENUE",
      "city": "HARLAN",
      "state": "IA",
      "zip": "51537",
      "county": "SHELBY",
      "latitude": 41.6469824001577,
      "longitude": -95.3268375796524,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-shelby-county-chris-a-myrtue-memorial-hospital",
      "siblingGroupId": "siblings-ia-shelby-county-chris-a-myrtue-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-shelby-county-chris-a-myrtue-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KRISTY L HANSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KRISTY L HANSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161375",
      "ccn": "161375",
      "name": "BUENA VISTA REGIONAL MEDICAL CENTER",
      "address": "1525 WEST FIFTH STREET, PO BOX 309",
      "city": "STORM LAKE",
      "state": "IA",
      "zip": "50588",
      "county": "BUENA VISTA",
      "latitude": 42.6447821699282,
      "longitude": -95.2227930101214,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": 2,
      "website": "http://www.bvrmc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-storm-lake-buena-vista-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-ia-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVEN ROBERT COLERICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVEN ROBERT COLERICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161376",
      "ccn": "161376",
      "name": "CASS COUNTY MEMORIAL HOSPITAL",
      "address": "1501 EAST TENTH STREET",
      "city": "ATLANTIC",
      "state": "IA",
      "zip": "50022",
      "county": "CASS",
      "latitude": 41.4013203597643,
      "longitude": -94.9911145599576,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 33,
      "rating": 5,
      "website": "http://www.casshealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atlantic-cass-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CASS COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-cass-county-memorial-hospital",
      "siblingGroupId": "siblings-ia-cass-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists BRETT A ALTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRETT A ALTMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161377",
      "ccn": "161377",
      "name": "MERCYONE CENTERVILLE MEDICAL CENTER",
      "address": "1 ST JOSEPHS DRIVE",
      "city": "CENTERVILLE",
      "state": "IA",
      "zip": "52544",
      "county": "APPANOOSE",
      "latitude": 40.7556235301317,
      "longitude": -92.8569004595608,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 45,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CATHOLIC HEALTH INITIATIVES-IOWA CORP",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-catholic-health-initiatives-iowa-corp",
      "siblingGroupId": "siblings-ia-catholic-health-initiatives-iowa-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mercyone-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH INITIATIVES-IOWA CORP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH INITIATIVES-IOWA CORP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH INITIATIVES-IOWA CORP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH INITIATIVES-IOWA CORP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161378",
      "ccn": "161378",
      "name": "MERCYONE DYERSVILLE MEDICAL CENTER",
      "address": "1111 3RD STREET SW",
      "city": "DYERSVILLE",
      "state": "IA",
      "zip": "52040",
      "county": "DUBUQUE",
      "latitude": 42.4756271399878,
      "longitude": -91.1305356798576,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "MercyOne",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercyone",
      "siblingGroupId": "siblings-ia-mercyone",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-verified-parent-mercyone"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercyone.org/about-us/history"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MercyOne / Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MercyOne, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161379",
      "ccn": "161379",
      "name": "MAHASKA HEALTH PARTNERSHIP",
      "address": "1229 C AVENUE EAST",
      "city": "OSKALOOSA",
      "state": "IA",
      "zip": "52577",
      "county": "MAHASKA",
      "latitude": 41.2992892899651,
      "longitude": -92.6295635896231,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 33,
      "rating": 4,
      "website": "http://www.mahaskahealth.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oskaloosa-mahaska-health-partnership/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MAHASKA COUNTY HOSPITAL",
      "parentSystemId": "entity-mahaska-county-hospital",
      "siblingGroupId": "siblings-ia-mahaska-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists ERIC W MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHASKA COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ERIC W MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHASKA COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161380",
      "ccn": "161380",
      "name": "HANSEN FAMILY HOSPITAL",
      "address": "920 SOUTH OAK STREET",
      "city": "IOWA FALLS",
      "state": "IA",
      "zip": "50126",
      "county": "HARDIN",
      "latitude": 42.5006957500195,
      "longitude": -93.2606865600872,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": null,
      "website": "http://www.hansenfamilyhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-iowa-falls-hansen-family-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ELLSWORTH MUNICIPAL HOSPITAL",
      "parentSystemId": "entity-ellsworth-municipal-hospital",
      "siblingGroupId": "siblings-ia-ellsworth-municipal-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-iowa-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ELLSWORTH MUNICIPAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GEORGE VONMOCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLSWORTH MUNICIPAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ELLSWORTH MUNICIPAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GEORGE VONMOCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Iowa public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLSWORTH MUNICIPAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "161381",
      "ccn": "161381",
      "name": "SANFORD SHELDON MEDICAL CENTER",
      "address": "118 NORTH SEVENTH AVENUE, PO BOX 250",
      "city": "SHELDON",
      "state": "IA",
      "zip": "51201",
      "county": "O'BRIEN",
      "latitude": 43.1871186197382,
      "longitude": -95.8464370701623,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sheldon-sanford-sheldon-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-ia-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "161382",
      "ccn": "161382",
      "name": "ST ANTHONY REGIONAL HOSPITAL",
      "address": "311 SOUTH CLARK STREET",
      "city": "CARROLL",
      "state": "IA",
      "zip": "51401",
      "county": "CARROLL",
      "latitude": 42.0564958702342,
      "longitude": -94.867074229719,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 99,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME",
      "parentSystemId": "entity-st-anthony-regional-hospital-and-nursing-home",
      "siblingGroupId": "siblings-ia-st-anthony-regional-hospital-and-nursing-home",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ia-parent-st-anthony-regional-hospital-and-nursing-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS lists ERIC SALMONSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ERIC SALMONSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "164002",
      "ccn": "164002",
      "name": "MENTAL HEALTH INSTITUTE CHEROKEE",
      "address": "1251 WEST CEDAR LOOP",
      "city": "CHEROKEE",
      "state": "IA",
      "zip": "51012",
      "county": "CHEROKEE",
      "latitude": 42.7571628497402,
      "longitude": -95.5726143102593,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 58,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HUMAN SERVICES-CHEROKEE",
      "parentSystemId": "entity-human-services-cherokee",
      "siblingGroupId": "siblings-ia-human-services-cherokee",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-human-services-cherokee"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUMAN SERVICES-CHEROKEE (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists CORY TURNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to HUMAN SERVICES-CHEROKEE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMAN SERVICES-CHEROKEE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HUMAN SERVICES-CHEROKEE (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists CORY TURNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to HUMAN SERVICES-CHEROKEE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMAN SERVICES-CHEROKEE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "164003",
      "ccn": "164003",
      "name": "MENTAL HEALTH INSTITUTE HOSPITAL IND",
      "address": "2277 IOWA AVENUE",
      "city": "INDEPENDENCE",
      "state": "IA",
      "zip": "50644",
      "county": "BUCHANAN",
      "latitude": 42.4569611899651,
      "longitude": -91.9262367001263,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 95,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MENTAL HEALTH INSTITUTE",
      "parentSystemId": "entity-mental-health-institute",
      "siblingGroupId": "siblings-ia-mental-health-institute",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-mental-health-institute"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MENTAL HEALTH INSTITUTE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MENTAL HEALTH INSTITUTE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MENTAL HEALTH INSTITUTE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MENTAL HEALTH INSTITUTE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to MENTAL HEALTH INSTITUTE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MENTAL HEALTH INSTITUTE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "164006",
      "ccn": "164006",
      "name": "EAGLE VIEW BEHAVIORAL HEALTH",
      "address": "770 TANGLEFOOT LANE",
      "city": "BETTENDORF",
      "state": "IA",
      "zip": "52722",
      "county": "SCOTT",
      "latitude": 41.5609046402652,
      "longitude": -90.5208709399601,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://www.eagleviewbh.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "January 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-ia-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-sbhc-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "164007",
      "ccn": "164007",
      "name": "CLIVE BEHAVIORAL HEALTH",
      "address": "1450 NW 114TH STREET",
      "city": "CLIVE",
      "state": "IA",
      "zip": "50325",
      "county": "WOODBURY",
      "latitude": 42.5134734502998,
      "longitude": -96.3964445096833,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "website": "http://www.clivebehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ia-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-uhs-of-delaware-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dia-hfd.iowa.gov/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UHS OF DELAWARE INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to UHS OF DELAWARE INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "170009",
      "ccn": "170009",
      "name": "SAINT JOHN HOSPITAL",
      "address": "3500 SOUTH 4TH STREET",
      "city": "LEAVENWORTH",
      "state": "KS",
      "zip": "66048",
      "county": "LEAVENWORTH",
      "latitude": 39.282619979973,
      "longitude": -94.9033388404464,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 46,
      "rating": 3,
      "website": "http://www.stjohnleavenworth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leavenworth-saint-john-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ks-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170012",
      "ccn": "170012",
      "name": "SALINA REGIONAL HEALTH CENTER",
      "address": "400 S SANTA FE AVE",
      "city": "SALINA",
      "state": "KS",
      "zip": "67401",
      "county": "SALINE",
      "latitude": 38.8334336998005,
      "longitude": -97.6100313500227,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 374,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salina-salina-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SALINA REGIONAL HEALTH CENTER INC",
      "parentSystemId": "entity-salina-regional-health-center-inc",
      "siblingGroupId": "siblings-ks-salina-regional-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "170013",
      "ccn": "170013",
      "name": "HAYS MEDICAL CENTER INC",
      "address": "2220 CANTERBURY DRIVE",
      "city": "HAYS",
      "state": "KS",
      "zip": "67601",
      "county": "ELLIS",
      "latitude": 38.8805654999442,
      "longitude": -99.2960939502241,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 206,
      "rating": 3,
      "website": "www.haysmed.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hays-hays-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HAYS MEDICAL CENTER INC",
      "parentSystemId": "entity-hays-medical-center-inc",
      "siblingGroupId": "siblings-ks-hays-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-hays-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAYS MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HAYS MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAYS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAYS MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HAYS MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAYS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170017",
      "ccn": "170017",
      "name": "SUSAN B ALLEN MEMORIAL HOSPITAL",
      "address": "720 WEST CENTRAL AVE",
      "city": "EL DORADO",
      "state": "KS",
      "zip": "67042",
      "county": "BUTLER",
      "latitude": 37.8182842102548,
      "longitude": -96.8589003000678,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": null,
      "website": "www.sbamh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-dorado-susan-b-allen-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SUSAN B ALLEN MEMORIAL HOSPITAL",
      "parentSystemId": "entity-susan-b-allen-memorial-hospital",
      "siblingGroupId": "siblings-ks-susan-b-allen-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-susan-b-allen-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists LEONARD HERNANDEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SUSAN B ALLEN MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUSAN B ALLEN MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LEONARD HERNANDEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SUSAN B ALLEN MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUSAN B ALLEN MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170020",
      "ccn": "170020",
      "name": "HUTCHINSON REGIONAL MEDICAL CENTER INC",
      "address": "1701 EAST 23RD AVENUE",
      "city": "HUTCHINSON",
      "state": "KS",
      "zip": "67502",
      "county": "RENO",
      "latitude": 38.0776338700559,
      "longitude": -97.8920438500466,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 190,
      "rating": 2,
      "website": "www.hutchregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hutchinson-hutchinson-regional-medical-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HUTCHINSON REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-hutchinson-regional-medical-center-inc",
      "siblingGroupId": "siblings-ks-hutchinson-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-hutchinson-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HUTCHINSON REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUTCHINSON REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HUTCHINSON REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUTCHINSON REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170023",
      "ccn": "170023",
      "name": "ST CATHERINE HOSPITAL",
      "address": "401 EAST SPRUCE STREET",
      "city": "GARDEN CITY",
      "state": "KS",
      "zip": "67846",
      "county": "FINNEY",
      "latitude": 37.9698665496551,
      "longitude": -100.868387830233,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 100,
      "rating": 2,
      "website": "www.catholichealth.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-garden-city-st-catherine-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ks-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWNA RENE ROARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHAWNA RENE ROARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170027",
      "ccn": "170027",
      "name": "PRATT REGIONAL MEDICAL CENTER",
      "address": "200 COMMODORE ST",
      "city": "PRATT",
      "state": "KS",
      "zip": "67124",
      "county": "PRATT",
      "latitude": 37.6445001902259,
      "longitude": -98.7292835098388,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 35,
      "rating": 4,
      "website": "www.prmc.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pratt-pratt-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PRATT REGIONAL MEDICAL CENTER CORPORATION",
      "parentSystemId": "entity-pratt-regional-medical-center-corporation",
      "siblingGroupId": "siblings-ks-pratt-regional-medical-center-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-pratt-regional-medical-center-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to PRATT REGIONAL MEDICAL CENTER CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRATT REGIONAL MEDICAL CENTER CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to PRATT REGIONAL MEDICAL CENTER CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRATT REGIONAL MEDICAL CENTER CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170040",
      "ccn": "170040",
      "name": "UNIVERSITY OF KANSAS HOSPITAL",
      "address": "4000 CAMBRIDGE STREET",
      "city": "KANSAS CITY",
      "state": "KS",
      "zip": "66160",
      "county": "WYANDOTTE",
      "latitude": 39.0558273002623,
      "longitude": -94.6089825002719,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 1045,
      "rating": 5,
      "website": "www.kumc.edu",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
      "parentSystemId": "entity-university-of-kansas-hospital-authority",
      "siblingGroupId": "siblings-ks-university-of-kansas-hospital-authority",
      "campusFamilyId": "campus-ks-170040",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-university-of-kansas-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT K PAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT K PAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "170040-loc-ks-kansas-city-university-of-kansas-hospital-transplan",
      "ccn": "170040",
      "name": "UNIVERSITY OF KANSAS HOSPITAL TRANSPLANT CENTER",
      "address": "3901 RAINBOW BLDV",
      "city": "KANSAS CITY",
      "state": "KS",
      "zip": "66106",
      "county": "WYANDOTTE",
      "latitude": 39.0561670102074,
      "longitude": -94.6112989203181,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 910,
      "rating": 5,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-university-of-kansas-hospital-transplant-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
      "parentSystemId": "entity-university-of-kansas-hospital-authority",
      "siblingGroupId": "siblings-ks-university-of-kansas-hospital-authority",
      "campusFamilyId": "campus-ks-170040",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-university-of-kansas-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT K PAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT K PAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "170040"
    },
    {
      "id": "170068",
      "ccn": "170068",
      "name": "SOUTHWEST MEDICAL CENTER",
      "address": "315 WEST 15TH STREET",
      "city": "LIBERAL",
      "state": "KS",
      "zip": "67901",
      "county": "SEWARD",
      "latitude": 37.0566830799633,
      "longitude": -100.926788289611,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 69,
      "rating": 1,
      "website": "http://www.swmedcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-liberal-southwest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTHWEST MEDICAL CENTER",
      "parentSystemId": "entity-southwest-medical-center",
      "siblingGroupId": "siblings-ks-southwest-medical-center",
      "campusFamilyId": "campus-ks-170068",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-southwest-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists AMBER WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SOUTHWEST MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AMBER WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SOUTHWEST MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "170068-loc-ks-liberal-southwest-medical-center-snf",
      "ccn": "170068",
      "name": "SOUTHWEST MEDICAL CENTER SNF",
      "address": "315 W. 15TH STREET",
      "city": "LIBERAL",
      "state": "KS",
      "zip": "67905",
      "county": "SEWARD",
      "latitude": 37.0567711700808,
      "longitude": -100.926727435937,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": 1,
      "website": "swmedcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SOUTHWEST MEDICAL CENTER",
      "parentSystemId": "entity-southwest-medical-center",
      "siblingGroupId": "siblings-ks-southwest-medical-center",
      "campusFamilyId": "campus-ks-170068",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-southwest-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists AMBER WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SOUTHWEST MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AMBER WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SOUTHWEST MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "170068"
    },
    {
      "id": "170074",
      "ccn": "170074",
      "name": "STORMONT VAIL HEALTH  FLINT HILLS",
      "address": "1102 ST MARY'S RD",
      "city": "JUNCTION CITY",
      "state": "KS",
      "zip": "66441",
      "county": "GEARY",
      "latitude": 39.01394824586,
      "longitude": -96.85101292299,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 4,
      "website": "www.stormontvail.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "STORMONT-VAIL HEALTHCARE INC",
      "parentSystemId": "entity-stormont-vail-healthcare-inc",
      "siblingGroupId": "siblings-ks-stormont-vail-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-stormont-vail-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stormontvail.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: STORMONT-VAIL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Stormont Vail Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STORMONT-VAIL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STORMONT-VAIL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Stormont Vail Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STORMONT-VAIL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170086",
      "ccn": "170086",
      "name": "STORMONT VAIL HOSPITAL",
      "address": "1500 SW 10TH AVENUE",
      "city": "TOPEKA",
      "state": "KS",
      "zip": "66604",
      "county": "SHAWNEE",
      "latitude": 39.0520616296946,
      "longitude": -95.6961520097404,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 586,
      "rating": 4,
      "website": "www.stormontvail.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "STORMONT-VAIL HEALTHCARE INC",
      "parentSystemId": "entity-stormont-vail-healthcare-inc",
      "siblingGroupId": "siblings-ks-stormont-vail-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-stormont-vail-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://stormontvail.org/about-us/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Stormont Vail Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STORMONT-VAIL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Stormont Vail Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STORMONT-VAIL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170103",
      "ccn": "170103",
      "name": "NMC HEALTH",
      "address": "600 MEDICAL CENTER DRIVE PO BOX 308",
      "city": "NEWTON",
      "state": "KS",
      "zip": "67114",
      "county": "HARVEY",
      "latitude": 38.0229694397816,
      "longitude": -97.3329042298737,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 103,
      "rating": 5,
      "website": "www.newmedctr.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEWTON HEALTHCARE CORPORATION",
      "parentSystemId": "entity-newton-healthcare-corporation",
      "siblingGroupId": "siblings-ks-newton-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-newton-healthcare-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEWTON HEALTHCARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWTON HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEWTON HEALTHCARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWTON HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170104",
      "ccn": "170104",
      "name": "ADVENTHEALTH SHAWNEE MISSION",
      "address": "9100 W 74TH ST",
      "city": "SHAWNEE MISSION",
      "state": "KS",
      "zip": "66204",
      "county": "JOHNSON",
      "latitude": 38.9955427899964,
      "longitude": -94.6926594802295,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 504,
      "rating": 3,
      "website": "www.adventhealth.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTISIT HEALTH MID-AMERICA INC",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventisit-health-mid-america-inc",
      "siblingGroupId": "siblings-ks-adventisit-health-mid-america-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTISIT HEALTH MID-AMERICA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RODNEY ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTISIT HEALTH MID-AMERICA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTISIT HEALTH MID-AMERICA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RODNEY ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTISIT HEALTH MID-AMERICA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170105",
      "ccn": "170105",
      "name": "MCPHERSON HOSPITAL INC",
      "address": "1000 HOSPITAL DRIVE",
      "city": "MCPHERSON",
      "state": "KS",
      "zip": "67460",
      "county": "MCPHERSON",
      "latitude": 38.3785403796767,
      "longitude": -97.6706502699613,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 2,
      "website": "www.mcphersonmemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcpherson-mcpherson-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCPHERSON HOSPITAL INC",
      "parentSystemId": "entity-mcpherson-hospital-inc",
      "siblingGroupId": "siblings-ks-mcpherson-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-mcpherson-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MCPHERSON HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCPHERSON HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MCPHERSON HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCPHERSON HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170109",
      "ccn": "170109",
      "name": "MIAMI COUNTY MEDICAL CENTER",
      "address": "2100 BAPTISTE DRIVE",
      "city": "PAOLA",
      "state": "KS",
      "zip": "66071",
      "county": "MIAMI",
      "latitude": 38.5693179302435,
      "longitude": -94.8490646998,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 39,
      "rating": null,
      "website": "www.olathehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paola-miami-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
      "parentSystemId": "entity-university-of-kansas-hospital-authority",
      "siblingGroupId": "siblings-ks-university-of-kansas-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-university-of-kansas-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT K PAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT K PAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "170120",
      "ccn": "170120",
      "name": "LABETTE HEALTH",
      "address": "1902 S US HWY 59",
      "city": "PARSONS",
      "state": "KS",
      "zip": "67357",
      "county": "LABETTE",
      "latitude": 37.3210807303404,
      "longitude": -95.2644563798237,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 99,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parsons-labette-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LABETTE COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-labette-county-medical-center",
      "siblingGroupId": "siblings-ks-labette-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-labette-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: LABETTE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LABETTE COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LABETTE COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LABETTE COUNTY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LABETTE COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LABETTE COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "170122",
      "ccn": "170122",
      "name": "ASCENSION VIA CHRISTI HOSPITALS WICHITA INC",
      "address": "929 NORTH ST FRANCIS",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67214",
      "county": "SEDGWICK",
      "latitude": 37.6998994500934,
      "longitude": -97.3322781499347,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1433,
      "rating": 2,
      "website": "www.viachristi.org",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-ks-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170123",
      "ccn": "170123",
      "name": "WESLEY MEDICAL CENTER",
      "address": "550 NORTH HILLSIDE STREET",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67214",
      "county": "SEDGWICK",
      "latitude": 37.6949930302088,
      "longitude": -97.2979034598177,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 859,
      "rating": 4,
      "website": "www.wesleymc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-wesley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AC MED LLC",
      "parentSystemId": "entity-ac-med-llc",
      "siblingGroupId": "siblings-ks-ac-med-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM VOLOCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM VOLOCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170142",
      "ccn": "170142",
      "name": "ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC",
      "address": "1823 COLLEGE AVENUE",
      "city": "MANHATTAN",
      "state": "KS",
      "zip": "66502",
      "county": "RILEY",
      "latitude": 39.2013092098982,
      "longitude": -96.5989304296186,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 4,
      "website": "www.viachristi.org",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-ks-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT COPPLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT COPPLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170146",
      "ccn": "170146",
      "name": "PROVIDENCE MEDICAL CENTER",
      "address": "8929 PARALLEL PARKWAY",
      "city": "KANSAS CITY",
      "state": "KS",
      "zip": "66112",
      "county": "WYANDOTTE",
      "latitude": 39.1266564397436,
      "longitude": -94.7867027400881,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 400,
      "rating": 3,
      "website": "www.phsi.com",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-providence-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ks-prime-healthcare",
      "campusFamilyId": "campus-ks-170146",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID F DULNY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID F DULNY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170182",
      "ccn": "170182",
      "name": "MENORAH MEDICAL CENTER",
      "address": "5721 WEST 119TH STREET",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66209",
      "county": "JOHNSON",
      "latitude": 38.9105562201114,
      "longitude": -94.651996569649,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 190,
      "rating": 3,
      "website": "www.menorahmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-overland-park-menorah-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ks-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SEAN ROBERT KAMBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SEAN ROBERT KAMBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "170185",
      "ccn": "170185",
      "name": "SAINT LUKE'S SOUTH HOSPITAL",
      "address": "12300 METCALF AVENUE",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66213",
      "county": "JOHNSON",
      "latitude": 38.9039696102252,
      "longitude": -94.6690350198474,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 158,
      "rating": 4,
      "website": "www.saintlukeshealthsystem.org",
      "status": "corporate_chain",
      "parentSystem": "BJC HEALTH SYSTEM",
      "affiliatedSystem": "Saintlukeshealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintlukeshealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-overland-park-saint-luke-s-south-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-ks-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Saintlukeshealthsystem; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeshealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Saintlukeshealthsystem; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeshealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170186",
      "ccn": "170186",
      "name": "KANSAS HEART HOSPITAL",
      "address": "3601 NORTH WEBB ROAD",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67226",
      "county": "SEDGWICK",
      "latitude": 37.750038380108,
      "longitude": -97.2275432700236,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": 4,
      "website": "www.kansasheart.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-kansas-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASCENSION VIA CHRISTI HOSPITALS WICHITA INC",
      "parentSystemId": "entity-ascension-via-christi-hospitals-wichita-inc",
      "siblingGroupId": "siblings-ks-ascension-via-christi-hospitals-wichita-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION VIA CHRISTI HOSPITALS WICHITA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 49%). CMS lists BASIL HOURANI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HOSPITALS WICHITA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION VIA CHRISTI HOSPITALS WICHITA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 49%). CMS lists BASIL HOURANI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HOSPITALS WICHITA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170187",
      "ccn": "170187",
      "name": "SALINA SURGICAL HOSPITAL",
      "address": "401 SOUTH SANTA FE AVENUE",
      "city": "SALINA",
      "state": "KS",
      "zip": "67401",
      "county": "SALINE",
      "latitude": 38.8336133503324,
      "longitude": -97.6084466302334,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 18,
      "rating": null,
      "website": "http://www.salinasurgical.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salina-salina-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PHYSICIANS AND INVESTORS, LLC",
      "parentSystemId": "entity-physicians-and-investors-llc",
      "siblingGroupId": "siblings-ks-physicians-and-investors-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHYSICIANS AND INVESTORS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIANS AND INVESTORS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHYSICIANS AND INVESTORS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIANS AND INVESTORS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170188",
      "ccn": "170188",
      "name": "KANSAS CITY ORTHOPAEDIC INSTITUTE LLC",
      "address": "3651 COLLEGE BLVD",
      "city": "LEAWOOD",
      "state": "KS",
      "zip": "66211",
      "county": "JOHNSON",
      "latitude": 38.9266860602702,
      "longitude": -94.6282022899489,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 25,
      "rating": null,
      "website": "http://www.kcoi.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leawood-kansas-city-orthopaedic-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KANSAS CITY ORTHOPAEDIC CENTER OF EXCELLENCE LLC",
      "parentSystemId": "entity-kansas-city-orthopaedic-center-of-excellence-llc",
      "siblingGroupId": "siblings-ks-kansas-city-orthopaedic-center-of-excellence-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: KANSAS CITY ORTHOPAEDIC CENTER OF EXCELLENCE LLC (OPERATIONAL/MANAGERIAL CONTROL, 80%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KANSAS CITY ORTHOPAEDIC CENTER OF EXCELLENCE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KANSAS CITY ORTHOPAEDIC CENTER OF EXCELLENCE LLC (OPERATIONAL/MANAGERIAL CONTROL, 80%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KANSAS CITY ORTHOPAEDIC CENTER OF EXCELLENCE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170190",
      "ccn": "170190",
      "name": "MANHATTAN SURGICAL HOSPITAL LLC",
      "address": "1829 COLLEGE AVENUE",
      "city": "MANHATTAN",
      "state": "KS",
      "zip": "66502",
      "county": "RILEY",
      "latitude": 39.2027680302086,
      "longitude": -96.5990271799713,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 13,
      "rating": null,
      "website": "www.manhattansurgical.com.",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manhattan-manhattan-surgical-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "STORMONT-VAIL HEALTHCARE INC",
      "parentSystemId": "entity-stormont-vail-healthcare-inc",
      "siblingGroupId": "siblings-ks-stormont-vail-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-stormont-vail-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stormontvail.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: STORMONT-VAIL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 49%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Stormont Vail Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STORMONT-VAIL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STORMONT-VAIL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 49%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Stormont Vail Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STORMONT-VAIL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170197",
      "ccn": "170197",
      "name": "KANSAS MEDICAL CENTER LLC",
      "address": "1124 WEST 21ST STREET",
      "city": "ANDOVER",
      "state": "KS",
      "zip": "67002",
      "county": "BUTLER",
      "latitude": 37.7242966401264,
      "longitude": -97.1473074601367,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 58,
      "rating": 2,
      "website": "www.ksmedcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-andover-kansas-medical-center-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ANDOVER HOLDING LLC",
      "parentSystemId": "entity-andover-holding-llc",
      "siblingGroupId": "siblings-ks-andover-holding-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: ANDOVER HOLDING LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 9.7%). CMS lists ROBERT H FLEMING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDOVER HOLDING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ANDOVER HOLDING LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 9.7%). CMS lists ROBERT H FLEMING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDOVER HOLDING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170198",
      "ccn": "170198",
      "name": "SUMMIT SURGICAL LLC",
      "address": "1818 EAST 23RD AVENUE",
      "city": "HUTCHINSON",
      "state": "KS",
      "zip": "67502",
      "county": "RENO",
      "latitude": 38.0802160098895,
      "longitude": -97.8885052702598,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 10,
      "rating": null,
      "website": "www.summitks.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hutchinson-summit-surgical-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FENIXSURG, LLC",
      "parentSystemId": "entity-fenixsurg-llc",
      "siblingGroupId": "siblings-ks-fenixsurg-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: FENIXSURG, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 10%). CMS lists RANDY ROATCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FENIXSURG, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FENIXSURG, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 10%). CMS lists RANDY ROATCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FENIXSURG, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170199",
      "ccn": "170199",
      "name": "MINIMALLY INVASIVE SURGERY HOSPITAL",
      "address": "11217 LAKEVIEW AVENUE",
      "city": "LENEXA",
      "state": "KS",
      "zip": "66219",
      "county": "JOHNSON",
      "latitude": 38.9244229498407,
      "longitude": -94.769005430426,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 9,
      "rating": null,
      "website": "http://www.mishhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lenexa-minimally-invasive-surgery-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MINIMALLY INVASIVE SURGERY HOSPITAL",
      "parentSystemId": "entity-minimally-invasive-surgery-hospital",
      "siblingGroupId": "siblings-ks-minimally-invasive-surgery-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-minimally-invasive-surgery-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists PARAMJEET SABHARWAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MINIMALLY INVASIVE SURGERY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINIMALLY INVASIVE SURGERY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists PARAMJEET SABHARWAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MINIMALLY INVASIVE SURGERY HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINIMALLY INVASIVE SURGERY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170203",
      "ccn": "170203",
      "name": "MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS",
      "address": "1619 K 66",
      "city": "GALENA",
      "state": "KS",
      "zip": "66739",
      "county": "CHEROKEE",
      "latitude": 37.0781127998433,
      "longitude": -94.6225331596331,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": null,
      "website": "www.mercy.net",
      "status": "signal",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Mercy",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ks-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170204",
      "ccn": "170204",
      "name": "ROCK REGIONAL HOSPITAL LLC",
      "address": "3251 NORTH ROCK ROAD",
      "city": "DERBY",
      "state": "KS",
      "zip": "67037",
      "county": "SEDGWICK",
      "latitude": 37.5827716797315,
      "longitude": -97.2469857098387,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 31,
      "rating": 4,
      "website": "www.rockregionalhospitalderby.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "ROCK REGIONAL HOSPITAL, LLC",
      "peFirm": "ASI Capital, The Convergence Group",
      "acquiredDate": "April 2019",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: PartnersHealth. PESP PE firm/sponsor: ASI Capital, The Convergence Group.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "PartnersHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-derby-rock-regional-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-rock-regional-hospital-llc",
      "siblingGroupId": "siblings-ks-rock-regional-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: PartnersHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: PartnersHealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCK REGIONAL HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: PartnersHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: PartnersHealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCK REGIONAL HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "170208",
      "ccn": "170208",
      "name": "ADVENTHEALTH SOUTH OVERLAND PARK INC",
      "address": "7820 W 165TH STREET",
      "city": "OVERLAND PARK",
      "state": "KS",
      "zip": "66223",
      "county": "JOHNSON",
      "latitude": 38.8328311001637,
      "longitude": -94.6805899002267,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 85,
      "rating": 4,
      "website": "www.adventhealth.com",
      "status": "corporate_chain",
      "parentSystem": "ADVENTISIT HEALTH MID-AMERICA INC",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventisit-health-mid-america-inc",
      "siblingGroupId": "siblings-ks-adventisit-health-mid-america-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTISIT HEALTH MID-AMERICA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAYTON BOTTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTISIT HEALTH MID-AMERICA INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTISIT HEALTH MID-AMERICA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAYTON BOTTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTISIT HEALTH MID-AMERICA INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170780",
      "ccn": "170780",
      "name": "MERCY HOSPITAL",
      "address": "218 E PACK ST, PO BOX 180",
      "city": "MOUNDRIDGE",
      "state": "KS",
      "zip": "67107",
      "county": "MCPHERSON",
      "latitude": 38.2052811400803,
      "longitude": -97.5168931095752,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 21,
      "rating": null,
      "website": "www.mercyh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moundridge-mercy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHURCH OF GOD IN CHRIST MENNONITE",
      "parentSystemId": "entity-church-of-god-in-christ-mennonite",
      "siblingGroupId": "siblings-ks-church-of-god-in-christ-mennonite",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHURCH OF GOD IN CHRIST MENNONITE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHURCH OF GOD IN CHRIST MENNONITE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHURCH OF GOD IN CHRIST MENNONITE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHURCH OF GOD IN CHRIST MENNONITE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "170781",
      "ccn": "170781",
      "name": "RUSH COUNTY MEMORIAL HOSPITAL",
      "address": "801 LOCUST STREET",
      "city": "LA CROSSE",
      "state": "KS",
      "zip": "67548",
      "county": "RUSH",
      "latitude": 38.5305423098601,
      "longitude": -99.3170271101173,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-crosse-rush-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF RUSH",
      "parentSystemId": "entity-county-of-rush",
      "siblingGroupId": "siblings-ks-county-of-rush",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF RUSH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF RUSH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF RUSH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF RUSH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171300",
      "ccn": "171300",
      "name": "GRISELL MEMORIAL HOSPITAL DIST NUMBER 1",
      "address": "210 SOUTH VERMONT",
      "city": "RANSOM",
      "state": "KS",
      "zip": "67572",
      "county": "NESS",
      "latitude": 38.6359886198872,
      "longitude": -99.9311524103035,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.grisell.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Great Plains Health Alliance",
      "parentSystemId": "entity-great-plains-health-alliance",
      "siblingGroupId": "siblings-ks-great-plains-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists FRANK SAFRIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists FRANK SAFRIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171301",
      "ccn": "171301",
      "name": "ELLINWOOD DISTRICT HOSPITAL",
      "address": "605 NORTH MAIN STREET",
      "city": "ELLINWOOD",
      "state": "KS",
      "zip": "67526",
      "county": "BARTON",
      "latitude": 38.360328210339,
      "longitude": -98.5806494702641,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ellinwood-ellinwood-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Great Plains Health Alliance",
      "parentSystemId": "entity-great-plains-health-alliance",
      "siblingGroupId": "siblings-ks-great-plains-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-great-plains-health-alliance-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171303",
      "ccn": "171303",
      "name": "LANE COUNTY HOSPITAL",
      "address": "235 W VINE, PO BOX 969",
      "city": "DIGHTON",
      "state": "KS",
      "zip": "67839",
      "county": "LANE",
      "latitude": 38.4804680702608,
      "longitude": -100.469153810357,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.lanecountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dighton-lane-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF LANE",
      "parentSystemId": "entity-county-of-lane",
      "siblingGroupId": "siblings-ks-county-of-lane",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LANE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LANE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171304",
      "ccn": "171304",
      "name": "ASHLAND HEALTH CENTER",
      "address": "625 SOUTH KENTUCKY, PO BOX 188",
      "city": "ASHLAND",
      "state": "KS",
      "zip": "67831",
      "county": "CLARK",
      "latitude": 37.1891801098921,
      "longitude": -99.7724215701417,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "www.ashlandhc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ashland-ashland-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ASHLAND DISTRICT HOSPITAL",
      "parentSystemId": "entity-ashland-district-hospital",
      "siblingGroupId": "siblings-ks-ashland-district-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists STEVE L ELMORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHLAND DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEVE L ELMORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHLAND DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171306",
      "ccn": "171306",
      "name": "WICHITA COUNTY HEALTH CENTER",
      "address": "211 E EARL STREET",
      "city": "LEOTI",
      "state": "KS",
      "zip": "67861",
      "county": "WICHITA",
      "latitude": 38.47534448012,
      "longitude": -101.355078310166,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.wichitacountyhealthcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WICHITA COUNTY HEALTH CENTER",
      "parentSystemId": "entity-wichita-county-health-center",
      "siblingGroupId": "siblings-ks-wichita-county-health-center",
      "campusFamilyId": "campus-ks-171306",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: WICHITA COUNTY HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA S CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WICHITA COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WICHITA COUNTY HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA S CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WICHITA COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171306-loc-ks-leoti-wichita-county-health-center",
      "ccn": "171306",
      "name": "WICHITA COUNTY HEALTH CENTER",
      "address": "211 EAST EARL STREET",
      "city": "LEOTI",
      "state": "KS",
      "zip": "67861",
      "county": "WICHITA",
      "latitude": 38.4753716987522,
      "longitude": -101.355206506045,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WICHITA COUNTY HEALTH CENTER",
      "parentSystemId": "entity-wichita-county-health-center",
      "siblingGroupId": "siblings-ks-wichita-county-health-center",
      "campusFamilyId": "campus-ks-171306",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: WICHITA COUNTY HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA S CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WICHITA COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WICHITA COUNTY HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA S CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WICHITA COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "171306"
    },
    {
      "id": "171307",
      "ccn": "171307",
      "name": "RAWLINS COUNTY HEALTH CENTER",
      "address": "707 GRANT STREET",
      "city": "ATWOOD",
      "state": "KS",
      "zip": "67730",
      "county": "RAWLINS",
      "latitude": 39.8138896000153,
      "longitude": -101.038342589864,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 15,
      "rating": null,
      "website": "www.rchc.us",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atwood-rawlins-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ks-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT MOUNTAIN REGION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171308",
      "ccn": "171308",
      "name": "MERCY HOSPITAL COLUMBUS",
      "address": "220 NORTH PENNSYLVANIA AVE",
      "city": "COLUMBUS",
      "state": "KS",
      "zip": "66725",
      "county": "CHEROKEE",
      "latitude": 37.172567669988,
      "longitude": -94.8431390501649,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-mercy-hospital-columbus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ks-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171309",
      "ccn": "171309",
      "name": "JEWELL COUNTY HOSPITAL",
      "address": "100 CRESTVUE AVE, PO BOX 327",
      "city": "MANKATO",
      "state": "KS",
      "zip": "66956",
      "county": "JEWELL",
      "latitude": 39.7862196800815,
      "longitude": -98.1998303396887,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://jewellcountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mankato-jewell-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF JEWELL",
      "parentSystemId": "entity-county-of-jewell",
      "siblingGroupId": "siblings-ks-county-of-jewell",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF JEWELL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF JEWELL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF JEWELL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF JEWELL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171310",
      "ccn": "171310",
      "name": "CHEYENNE COUNTY HOSPITAL",
      "address": "210 WEST 1ST STREET",
      "city": "ST. FRANCIS",
      "state": "KS",
      "zip": "67756",
      "county": "CHEYENNE",
      "latitude": 39.7713532699358,
      "longitude": -101.803224300095,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.cheyennecountyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-francis-cheyenne-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Great Plains Health Alliance",
      "parentSystemId": "entity-great-plains-health-alliance",
      "siblingGroupId": "siblings-ks-great-plains-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-great-plains-health-alliance-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists HEIDI TICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists HEIDI TICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171311",
      "ccn": "171311",
      "name": "ROOKS COUNTY HEALTH CENTER",
      "address": "1210 NORTH WASHINGTON, PO BOX 389",
      "city": "PLAINVILLE",
      "state": "KS",
      "zip": "67663",
      "county": "ROOKS",
      "latitude": 39.2475649499179,
      "longitude": -99.296462440052,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 22,
      "rating": null,
      "website": "www.rookscountyhealthcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plainville-rooks-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ROOKS COUNTY HEALTH CENTER",
      "parentSystemId": "entity-rooks-county-health-center",
      "siblingGroupId": "siblings-ks-rooks-county-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY B VANDYKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROOKS COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY B VANDYKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROOKS COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171312",
      "ccn": "171312",
      "name": "COMANCHE COUNTY HOSPITAL",
      "address": "2ND AND FRISCO",
      "city": "COLDWATER",
      "state": "KS",
      "zip": "67029",
      "county": "COMANCHE",
      "latitude": 37.268079410062,
      "longitude": -99.3326546501608,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coldwater-comanche-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMANCHE COUNTY HOSPITAL",
      "parentSystemId": "entity-comanche-county-hospital",
      "siblingGroupId": "siblings-ks-comanche-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-comanche-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMANCHE COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMANCHE COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COMANCHE COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171313",
      "ccn": "171313",
      "name": "KEARNY COUNTY HOSPITAL",
      "address": "500 THORPE STREET",
      "city": "LAKIN",
      "state": "KS",
      "zip": "67860",
      "county": "KEARNY",
      "latitude": 37.9465932702492,
      "longitude": -101.251929909843,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.kearnycountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakin-kearny-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KEARNY COUNTY HOSPITAL",
      "parentSystemId": "entity-kearny-county-hospital",
      "siblingGroupId": "siblings-ks-kearny-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-kearny-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: KEARNY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARLEY KOONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to KEARNY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEARNY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KEARNY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARLEY KOONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to KEARNY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEARNY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171314",
      "ccn": "171314",
      "name": "F. W. HUSTON MEDICAL CENTER",
      "address": "408 DELAWARE ST",
      "city": "WINCHESTER",
      "state": "KS",
      "zip": "66097",
      "county": "JEFFERSON",
      "latitude": 39.3258919797976,
      "longitude": -95.2701656801041,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.fwhuston.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON COUNTY MEMORIAL HOSPITAL, INC",
      "parentSystemId": "entity-jefferson-county-memorial-hospital-inc",
      "siblingGroupId": "siblings-ks-jefferson-county-memorial-hospital-inc",
      "campusFamilyId": "campus-ks-171314",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-jefferson-county-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to JEFFERSON COUNTY MEMORIAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to JEFFERSON COUNTY MEMORIAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171314-loc-ks-winchester-f-w-huston-medical-center",
      "ccn": "171314",
      "name": "F W HUSTON MEDICAL CENTER",
      "address": "408 DELAWARE STREET",
      "city": "WINCHESTER",
      "state": "KS",
      "zip": "66097",
      "county": "JEFFERSON",
      "latitude": 39.3256230999691,
      "longitude": -95.2696394002983,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 38,
      "rating": null,
      "website": "www.fwhuston.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON COUNTY MEMORIAL HOSPITAL, INC",
      "parentSystemId": "entity-jefferson-county-memorial-hospital-inc",
      "siblingGroupId": "siblings-ks-jefferson-county-memorial-hospital-inc",
      "campusFamilyId": "campus-ks-171314",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-jefferson-county-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to JEFFERSON COUNTY MEMORIAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to JEFFERSON COUNTY MEMORIAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "171314"
    },
    {
      "id": "171315",
      "ccn": "171315",
      "name": "NEMAHA VALLEY COMMUNITY HOSPITAL",
      "address": "1600 COMMUNITY DRIVE",
      "city": "SENECA",
      "state": "KS",
      "zip": "66538",
      "county": "NEMAHA",
      "latitude": 39.8374399997147,
      "longitude": -96.0781305096148,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seneca-nemaha-valley-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEMAHA VALLEY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-nemaha-valley-community-hospital",
      "siblingGroupId": "siblings-ks-nemaha-valley-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-nemaha-valley-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEMAHA VALLEY COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEMAHA VALLEY COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEMAHA VALLEY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEMAHA VALLEY COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NEMAHA VALLEY COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEMAHA VALLEY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171316",
      "ccn": "171316",
      "name": "ANDERSON COUNTY HOSPITAL",
      "address": "421 SOUTH MAPLE, PO BOX 309",
      "city": "GARNETT",
      "state": "KS",
      "zip": "66032",
      "county": "ANDERSON",
      "latitude": 38.2797210598428,
      "longitude": -95.2517732298206,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "website": "www.saintlukeshealthsystem.org",
      "status": "corporate_chain",
      "parentSystem": "BJC HEALTH SYSTEM",
      "affiliatedSystem": "Saintlukeshealthsystem",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintlukeshealthsystem",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-garnett-anderson-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-ks-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintlukeshealthsystem; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeshealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintlukeshealthsystem; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeshealthsystem. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171318",
      "ccn": "171318",
      "name": "SEDAN CITY HOSPITAL",
      "address": "300 WEST NORTH STREET",
      "city": "SEDAN",
      "state": "KS",
      "zip": "67361",
      "county": "CHAUTAUQUA",
      "latitude": 37.1338822199379,
      "longitude": -96.1891179199232,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sedan-sedan-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Jane Phillips Memorial Medical Center",
      "parentSystemId": "entity-jane-phillips-memorial-medical-center",
      "siblingGroupId": "siblings-ks-jane-phillips-memorial-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-jane-phillips-memorial-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: JANE PHILLIPS MEMORIAL MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to JANE PHILLIPS MEMORIAL MEDICAL CENTER INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Jane Phillips Memorial Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JANE PHILLIPS MEMORIAL MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to JANE PHILLIPS MEMORIAL MEDICAL CENTER INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Jane Phillips Memorial Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171319",
      "ccn": "171319",
      "name": "HOLTON COMMUNITY HOSPITAL",
      "address": "1110 COLUMBINE DR",
      "city": "HOLTON",
      "state": "KS",
      "zip": "66436",
      "county": "JACKSON",
      "latitude": 39.4800795697879,
      "longitude": -95.7515375496495,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "website": "rhrjc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-holton-holton-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RURAL HEALTH RESOURCES OF JACKSON CO INC",
      "parentSystemId": "entity-rural-health-resources-of-jackson-co-inc",
      "siblingGroupId": "siblings-ks-rural-health-resources-of-jackson-co-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-rural-health-resources-of-jackson-co-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: RURAL HEALTH RESOURCES OF JACKSON CO INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CARRIE L LUTZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to RURAL HEALTH RESOURCES OF JACKSON CO INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RURAL HEALTH RESOURCES OF JACKSON CO INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RURAL HEALTH RESOURCES OF JACKSON CO INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CARRIE L LUTZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to RURAL HEALTH RESOURCES OF JACKSON CO INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RURAL HEALTH RESOURCES OF JACKSON CO INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171321",
      "ccn": "171321",
      "name": "MEADE DISTRICT HOSPITAL",
      "address": "510 EAST CARTHAGE",
      "city": "MEADE",
      "state": "KS",
      "zip": "67864",
      "county": "MEADE",
      "latitude": 37.2865996202085,
      "longitude": -100.334089919992,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "website": "www.avhealthsystem.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meade-meade-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEADE HOSPITAL DISTRICT",
      "parentSystemId": "entity-meade-hospital-district",
      "siblingGroupId": "siblings-ks-meade-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-meade-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists STEPHANIE SAUCEDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEADE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEPHANIE SAUCEDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEADE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171322",
      "ccn": "171322",
      "name": "HAMILTON COUNTY HOSPITAL",
      "address": "700 NORTH HUSER, PO BOX 948",
      "city": "SYRACUSE",
      "state": "KS",
      "zip": "67878",
      "county": "HAMILTON",
      "latitude": 37.9848631502891,
      "longitude": -101.742432410447,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.myhch.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-syracuse-hamilton-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HAMILTON COUNTY HOSPITAL",
      "parentSystemId": "entity-hamilton-county-hospital",
      "siblingGroupId": "siblings-ks-hamilton-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-hamilton-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAMILTON COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PEGGY POWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HAMILTON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAMILTON COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PEGGY POWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HAMILTON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171323",
      "ccn": "171323",
      "name": "STAFFORD COUNTY HOSPITAL",
      "address": "502 S BUCKEYE",
      "city": "STAFFORD",
      "state": "KS",
      "zip": "67578",
      "county": "STAFFORD",
      "latitude": 37.9566833202129,
      "longitude": -98.5954438103053,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.staffordcountyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stafford-stafford-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STAFFORD COUNTY HOSPITAL",
      "parentSystemId": "entity-stafford-county-hospital",
      "siblingGroupId": "siblings-ks-stafford-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-stafford-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to STAFFORD COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STAFFORD COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to STAFFORD COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STAFFORD COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171324",
      "ccn": "171324",
      "name": "SATANTA DISTRICT HOSPITAL",
      "address": "401 S CHEYENNE STREET, PO BOX 159",
      "city": "SATANTA",
      "state": "KS",
      "zip": "67870",
      "county": "HASKELL",
      "latitude": 37.437092919918,
      "longitude": -100.986562880319,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 13,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-satanta-satanta-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE",
      "parentSystemId": "entity-satanta-district-hospital-and-long-term-care",
      "siblingGroupId": "siblings-ks-satanta-district-hospital-and-long-term-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-satanta-district-hospital-and-long-term-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists TINA PENDERGRAFT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists TINA PENDERGRAFT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171325",
      "ccn": "171325",
      "name": "GRAHAM COUNTY HOSPITAL",
      "address": "304 W PROUT ST, PO BOX 339",
      "city": "HILL CITY",
      "state": "KS",
      "zip": "67642",
      "county": "GRAHAM",
      "latitude": 39.3721226899688,
      "longitude": -99.844606329906,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hill-city-graham-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GRAHAM COUNTY HOSPITAL",
      "parentSystemId": "entity-graham-county-hospital",
      "siblingGroupId": "siblings-ks-graham-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-graham-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GRAHAM COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAHAM COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GRAHAM COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAHAM COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171326",
      "ccn": "171326",
      "name": "LOGAN COUNTY HOSPITAL",
      "address": "211 CHERRY AVE",
      "city": "OAKLEY",
      "state": "KS",
      "zip": "67748",
      "county": "LOGAN",
      "latitude": 39.1271009101341,
      "longitude": -100.862954300169,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakley-logan-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF LOGAN",
      "parentSystemId": "entity-county-of-logan",
      "siblingGroupId": "siblings-ks-county-of-logan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF LOGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF LOGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LOGAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171327",
      "ccn": "171327",
      "name": "ELLSWORTH COUNTY MEDICAL CENTER",
      "address": "1604 AYLWARD AVENUE, PO BOX 87",
      "city": "ELLSWORTH",
      "state": "KS",
      "zip": "67439",
      "county": "ELLSWORTH",
      "latitude": 38.7427109698179,
      "longitude": -98.219660479804,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": 2,
      "website": "www.ewmed.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ellsworth-ellsworth-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ELLSWORTH COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-ellsworth-county-medical-center",
      "siblingGroupId": "siblings-ks-ellsworth-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-ellsworth-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to ELLSWORTH COUNTY MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLSWORTH COUNTY MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to ELLSWORTH COUNTY MEDICAL CENTER; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLSWORTH COUNTY MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "171328",
      "ccn": "171328",
      "name": "OTTAWA COUNTY HEALTH CENTER",
      "address": "215 E 8TH ST, PO BOX 290",
      "city": "MINNEAPOLIS",
      "state": "KS",
      "zip": "67467",
      "county": "OTTAWA",
      "latitude": 39.1293319598357,
      "longitude": -97.7039442499606,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minneapolis-ottawa-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Great Plains Health Alliance",
      "parentSystemId": "entity-great-plains-health-alliance",
      "siblingGroupId": "siblings-ks-great-plains-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JODY N PARKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JODY N PARKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171329",
      "ccn": "171329",
      "name": "CALDWELL REGIONAL MEDICAL CENTER",
      "address": "761 W. 175TH ST. S",
      "city": "CALDWELL",
      "state": "KS",
      "zip": "67022",
      "county": "SUMNER",
      "latitude": 37.0297708693269,
      "longitude": -97.5945192767308,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.schd1.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SUMNER COUNTY HOSPITAL DISTRICT NO 1",
      "parentSystemId": "entity-sumner-county-hospital-district-no-1",
      "siblingGroupId": "siblings-ks-sumner-county-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-sumner-county-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMNER COUNTY HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMNER COUNTY HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171331",
      "ccn": "171331",
      "name": "KIOWA DISTRICT HOSPITAL",
      "address": "1002 SOUTH 4TH STREET",
      "city": "KIOWA",
      "state": "KS",
      "zip": "67070",
      "county": "BARBER",
      "latitude": 37.0076996097375,
      "longitude": -98.4885726198675,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "website": "http://www.k-d-h.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kiowa-kiowa-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KIOWA DISTRICT HOSPITAL",
      "parentSystemId": "entity-kiowa-district-hospital",
      "siblingGroupId": "siblings-ks-kiowa-district-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-kiowa-district-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists JANELL L GOODNO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to KIOWA DISTRICT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIOWA DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JANELL L GOODNO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to KIOWA DISTRICT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIOWA DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171332",
      "ccn": "171332",
      "name": "KIOWA COUNTY MEMORIAL HOSPITAL",
      "address": "721 WEST KANSAS",
      "city": "GREENSBURG",
      "state": "KS",
      "zip": "67054",
      "county": "KIOWA",
      "latitude": 37.6055527799235,
      "longitude": -99.3014375598271,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "website": "http://www.kcmh.net",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensburg-kiowa-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KIOWA COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-kiowa-county-memorial-hospital",
      "siblingGroupId": "siblings-ks-kiowa-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-kiowa-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists JANE OBORNY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to KIOWA COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIOWA COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JANE OBORNY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to KIOWA COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIOWA COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171333",
      "ccn": "171333",
      "name": "CLARA BARTON HOSPITAL",
      "address": "250 WEST 9TH STREET",
      "city": "HOISINGTON",
      "state": "KS",
      "zip": "67544",
      "county": "BARTON",
      "latitude": 38.5224353299656,
      "longitude": -98.7784632398303,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hoisington-clara-barton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS",
      "parentSystemId": "entity-the-clara-barton-hospital-association-inc-hoisington-kansas",
      "siblingGroupId": "siblings-ks-the-clara-barton-hospital-association-inc-hoisington-kansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-the-clara-barton-hospital-association-inc-hoisington-kansas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171334",
      "ccn": "171334",
      "name": "MEDICINE LODGE MEMORIAL HOSPITAL",
      "address": "710 N WALNUT ST",
      "city": "MEDICINE LODGE",
      "state": "KS",
      "zip": "67104",
      "county": "BARBER",
      "latitude": 37.289174640223,
      "longitude": -98.5772441699228,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-medicine-lodge-medicine-lodge-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Great Plains Health Alliance",
      "parentSystemId": "entity-great-plains-health-alliance",
      "siblingGroupId": "siblings-ks-great-plains-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-great-plains-health-alliance-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171335",
      "ccn": "171335",
      "name": "STEVENS COUNTY HOSPITAL",
      "address": "1006 S JACKSON",
      "city": "HUGOTON",
      "state": "KS",
      "zip": "67951",
      "county": "STEVENS",
      "latitude": 37.1711117397593,
      "longitude": -101.349186299743,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "http://www.healthcarefor the heartland.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hugoton-stevens-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF STEVENS",
      "parentSystemId": "entity-county-of-stevens",
      "siblingGroupId": "siblings-ks-county-of-stevens",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF STEVENS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF STEVENS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF STEVENS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF STEVENS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171337",
      "ccn": "171337",
      "name": "WAMEGO HEALTH CENTER",
      "address": "711 GENN DRIVE",
      "city": "WAMEGO",
      "state": "KS",
      "zip": "66547",
      "county": "POTTAWATOMIE",
      "latitude": 39.2048334201971,
      "longitude": -96.3190578100262,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "www.wamegocityhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wamego-wamego-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASCENSION VIA CHRISTI HEALTH INC",
      "parentSystemId": "entity-ascension-via-christi-health-inc",
      "siblingGroupId": "siblings-ks-ascension-via-christi-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION VIA CHRISTI HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 51%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION VIA CHRISTI HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 51%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION VIA CHRISTI HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171339",
      "ccn": "171339",
      "name": "GREENWOOD COUNTY HOSPITAL",
      "address": "100 WEST 16TH STREET",
      "city": "EUREKA",
      "state": "KS",
      "zip": "67045",
      "county": "GREENWOOD",
      "latitude": 37.8356975797398,
      "longitude": -96.2938024995683,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.gwch.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eureka-greenwood-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF GREENWOOD",
      "parentSystemId": "entity-county-of-greenwood",
      "siblingGroupId": "siblings-ks-county-of-greenwood",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF GREENWOOD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GREENWOOD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF GREENWOOD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GREENWOOD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171344",
      "ccn": "171344",
      "name": "WILSON MEDICAL CENTER",
      "address": "REECE CAMPUS 2600 OTTAWA ROAD",
      "city": "NEODESHA",
      "state": "KS",
      "zip": "66757",
      "county": "WILSON",
      "latitude": 37.4095705899526,
      "longitude": -95.7083321498967,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "website": "http://www.wilsonmedical.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-neodesha-wilson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF WILSON",
      "parentSystemId": "entity-county-of-wilson",
      "siblingGroupId": "siblings-ks-county-of-wilson",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF WILSON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF WILSON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF WILSON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF WILSON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171345",
      "ccn": "171345",
      "name": "PAWNEE VALLEY COMMUNITY HOSPITAL",
      "address": "923 CARROLL AVENUE",
      "city": "LARNED",
      "state": "KS",
      "zip": "67550",
      "county": "PAWNEE",
      "latitude": 38.1843346399532,
      "longitude": -99.1074824900892,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.haysmed.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-larned-pawnee-valley-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HAYS MEDICAL CENTER INC",
      "parentSystemId": "entity-hays-medical-center-inc",
      "siblingGroupId": "siblings-ks-hays-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-hays-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAYS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HAYS MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAYS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAYS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HAYS MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAYS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171346",
      "ccn": "171346",
      "name": "PATTERSON HEALTH CENTER",
      "address": "485 N KS HWY 2",
      "city": "ANTHONY",
      "state": "KS",
      "zip": "67003",
      "county": "HARPER",
      "latitude": 37.2227509600237,
      "longitude": -98.0408822500602,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.hhd5.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS",
      "parentSystemId": "entity-hospital-district-no-6-of-harper-county-kansas",
      "siblingGroupId": "siblings-ks-hospital-district-no-6-of-harper-county-kansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-hospital-district-no-6-of-harper-county-kansas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171347",
      "ccn": "171347",
      "name": "SHERIDAN COUNTY HOSPITAL",
      "address": "826 EIGHTEENTH BOX 167",
      "city": "HOXIE",
      "state": "KS",
      "zip": "67740",
      "county": "SHERIDAN",
      "latitude": 39.3543918098877,
      "longitude": -100.431989350023,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hoxie-sheridan-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SHERIDAN COUNTY HOSPITAL",
      "parentSystemId": "entity-sheridan-county-hospital",
      "siblingGroupId": "siblings-ks-sheridan-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-sheridan-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists REBECCA BIRD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SHERIDAN COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHERIDAN COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists REBECCA BIRD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SHERIDAN COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHERIDAN COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171348",
      "ccn": "171348",
      "name": "NORTON COUNTY HOSPITAL",
      "address": "102 EAST HOLME, PO BOX 250",
      "city": "NORTON",
      "state": "KS",
      "zip": "67654",
      "county": "NORTON",
      "latitude": 39.8379458902628,
      "longitude": -99.8881128000263,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.ntcohosp.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norton-norton-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTON COUNTY HOSPITAL",
      "parentSystemId": "entity-norton-county-hospital",
      "siblingGroupId": "siblings-ks-norton-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-norton-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists KEVIN FAUGHNDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NORTON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KEVIN FAUGHNDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NORTON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171349",
      "ccn": "171349",
      "name": "CLOUD COUNTY HEALTH CENTER",
      "address": "1100 HIGHLAND DRIVE",
      "city": "CONCORDIA",
      "state": "KS",
      "zip": "66901",
      "county": "CLOUD",
      "latitude": 39.5655372599165,
      "longitude": -97.6734924595702,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.cchc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SALINA REGIONAL HEALTH CENTER INC",
      "parentSystemId": "entity-salina-regional-health-center-inc",
      "siblingGroupId": "siblings-ks-salina-regional-health-center-inc",
      "campusFamilyId": "campus-ks-171349",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID GARNAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID GARNAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171350",
      "ccn": "171350",
      "name": "RUSSELL REGIONAL HOSPITAL",
      "address": "200 SOUTH MAIN STREET",
      "city": "RUSSELL",
      "state": "KS",
      "zip": "67665",
      "county": "RUSSELL",
      "latitude": 38.8827571203169,
      "longitude": -98.8597045798288,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "www.russellhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-russell-russell-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WEST CENTRAL KANSAS ASSOCIATION INC",
      "parentSystemId": "entity-west-central-kansas-association-inc",
      "siblingGroupId": "siblings-ks-west-central-kansas-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-west-central-kansas-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to WEST CENTRAL KANSAS ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CENTRAL KANSAS ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to WEST CENTRAL KANSAS ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CENTRAL KANSAS ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171351",
      "ccn": "171351",
      "name": "WASHINGTON COUNTY HOSPITAL",
      "address": "304 EAST 3RD STREET",
      "city": "WASHINGTON",
      "state": "KS",
      "zip": "66968",
      "county": "WASHINGTON",
      "latitude": 39.8180910699577,
      "longitude": -97.0458455704037,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-washington-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WASHINGTON COUNTY HOSPITAL",
      "parentSystemId": "entity-washington-county-hospital",
      "siblingGroupId": "siblings-ks-washington-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-washington-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: WASHINGTON COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists ROXANNE SCHOTTEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to WASHINGTON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WASHINGTON COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists ROXANNE SCHOTTEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to WASHINGTON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171354",
      "ccn": "171354",
      "name": "COMMUNITY HOSPITAL - ONAGA AND ST MARYS CAMPUS",
      "address": "120 WEST 8TH STREET",
      "city": "ONAGA",
      "state": "KS",
      "zip": "66521",
      "county": "POTTAWATOMIE",
      "latitude": 39.4959885998721,
      "longitude": -96.1714280698712,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.chcsks.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-onaga-community-hospital-onaga-and-st-marys-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ks-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-community-healthcare-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COMMUNITY HEALTHCARE SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COMMUNITY HEALTHCARE SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171356",
      "ccn": "171356",
      "name": "ST LUKE HOSPITAL",
      "address": "535 SOUTH FREEBORN",
      "city": "MARION",
      "state": "KS",
      "zip": "66861",
      "county": "MARION",
      "latitude": 38.3426870900383,
      "longitude": -97.0105083300699,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "website": "www.slhmarion.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-st-luke-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL DISTRICT NO 1 MARION CO",
      "parentSystemId": "entity-hospital-district-no-1-marion-co",
      "siblingGroupId": "siblings-ks-hospital-district-no-1-marion-co",
      "campusFamilyId": "campus-ks-171356",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-hospital-district-no-1-marion-co"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 MARION CO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 MARION CO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171357",
      "ccn": "171357",
      "name": "HILLSBORO COMMUNITY HOSPITAL",
      "address": "101 INDUSTRAIL ROAD",
      "city": "HILLSBORO",
      "state": "KS",
      "zip": "67063",
      "county": "MARION",
      "latitude": 38.3619941601446,
      "longitude": -97.1887778600379,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 15,
      "rating": null,
      "website": "www.hchks.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hillsboro-hillsboro-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RHG CONSOLIDATED LLC",
      "parentSystemId": "entity-rhg-consolidated-llc",
      "siblingGroupId": "siblings-ks-rhg-consolidated-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: RHG CONSOLIDATED LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RHG CONSOLIDATED LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "171358",
      "ccn": "171358",
      "name": "LINDSBORG COMMUNITY HOSPITAL",
      "address": "605 WEST LINCOLN STREET",
      "city": "LINDSBORG",
      "state": "KS",
      "zip": "67456",
      "county": "MCPHERSON",
      "latitude": 38.572953980241,
      "longitude": -97.6835321596446,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lindsborg-lindsborg-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SALINA REGIONAL HEALTH CENTER INC",
      "parentSystemId": "entity-salina-regional-health-center-inc",
      "siblingGroupId": "siblings-ks-salina-regional-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171359",
      "ccn": "171359",
      "name": "GREELEY COUNTY HEALTH SERVICES",
      "address": "506 THIRD STREET, PO BOX 338",
      "city": "TRIBUNE",
      "state": "KS",
      "zip": "67879",
      "county": "GREELEY",
      "latitude": 38.4703359503024,
      "longitude": -101.74939495038,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "GREELEY COUNTY HEALTH SERVICES INC",
      "parentSystemId": "entity-greeley-county-health-services-inc",
      "siblingGroupId": "siblings-ks-greeley-county-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-greeley-county-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREELEY COUNTY HEALTH SERVICES INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREELEY COUNTY HEALTH SERVICES INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREELEY COUNTY HEALTH SERVICES INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREELEY COUNTY HEALTH SERVICES INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171360",
      "ccn": "171360",
      "name": "LINCOLN COUNTY HOSPITAL",
      "address": "624 N 2ND ST, PO BOX 406",
      "city": "LINCOLN",
      "state": "KS",
      "zip": "67455",
      "county": "LINCOLN",
      "latitude": 39.0454118402027,
      "longitude": -98.1438905796734,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lincoln-lincoln-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF LINCOLN",
      "parentSystemId": "entity-county-of-lincoln",
      "siblingGroupId": "siblings-ks-county-of-lincoln",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF LINCOLN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LINCOLN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF LINCOLN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF LINCOLN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171361",
      "ccn": "171361",
      "name": "REPUBLIC COUNTY HOSPITAL",
      "address": "2420 G STREET",
      "city": "BELLEVILLE",
      "state": "KS",
      "zip": "66935",
      "county": "REPUBLIC",
      "latitude": 39.8176727998225,
      "longitude": -97.6373780004458,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "https://www.rphospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belleville-republic-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Great Plains Health Alliance",
      "parentSystemId": "entity-great-plains-health-alliance",
      "siblingGroupId": "siblings-ks-great-plains-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-great-plains-health-alliance-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171362",
      "ccn": "171362",
      "name": "CITIZENS MEDICAL CENTER",
      "address": "100 EAST COLLEGE DRIVE",
      "city": "COLBY",
      "state": "KS",
      "zip": "67701",
      "county": "THOMAS",
      "latitude": 39.3787194197615,
      "longitude": -101.044389189567,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colby-citizens-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CITIZENS MEDICAL CENTER INC",
      "parentSystemId": "entity-citizens-medical-center-inc",
      "siblingGroupId": "siblings-ks-citizens-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-citizens-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITIZENS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT E STANDAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CITIZENS MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITIZENS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT E STANDAGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CITIZENS MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171363",
      "ccn": "171363",
      "name": "COMMUNITY MEMORIAL HEALTHCARE",
      "address": "708 N 18TH ST",
      "city": "MARYSVILLE",
      "state": "KS",
      "zip": "66508",
      "county": "MARSHALL",
      "latitude": 39.8487001300848,
      "longitude": -96.6354392401695,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marysville-community-memorial-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEMORIAL HEALTHCARE INC",
      "parentSystemId": "entity-community-memorial-healthcare-inc",
      "siblingGroupId": "siblings-ks-community-memorial-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-community-memorial-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171364",
      "ccn": "171364",
      "name": "OSBORNE COUNTY MEMORIAL HOSPITAL",
      "address": "237 W HARRISON STREET, SUITE 100",
      "city": "OSBORNE",
      "state": "KS",
      "zip": "67473",
      "county": "OSBORNE",
      "latitude": 39.4371759500294,
      "longitude": -98.7014839099849,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "website": "www.ochm.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-osborne-osborne-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF OSBORNE",
      "parentSystemId": "entity-county-of-osborne",
      "siblingGroupId": "siblings-ks-county-of-osborne",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF OSBORNE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF OSBORNE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF OSBORNE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF OSBORNE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171365",
      "ccn": "171365",
      "name": "HANOVER HOSPITAL",
      "address": "205 SOUTH HANOVER STREET",
      "city": "HANOVER",
      "state": "KS",
      "zip": "66945",
      "county": "WASHINGTON",
      "latitude": 39.8911049299278,
      "longitude": -96.8751438104101,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.hanoverhospitalks.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hanover-hanover-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HANOVER HOSPITAL",
      "parentSystemId": "entity-hanover-hospital",
      "siblingGroupId": "siblings-ks-hanover-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-hanover-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: HANOVER HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HANOVER HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANOVER HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HANOVER HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to HANOVER HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANOVER HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171367",
      "ccn": "171367",
      "name": "GOVE COUNTY MEDICAL CENTER",
      "address": "520 WEST 5TH STREET",
      "city": "QUINTER",
      "state": "KS",
      "zip": "67752",
      "county": "GOVE",
      "latitude": 39.0675735702454,
      "longitude": -100.240715850223,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 21,
      "rating": null,
      "website": "www.govecountymedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quinter-gove-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GOVE COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-gove-county-medical-center",
      "siblingGroupId": "siblings-ks-gove-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-gove-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GOVE COUNTY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOVE COUNTY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GOVE COUNTY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOVE COUNTY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171368",
      "ccn": "171368",
      "name": "MINNEOLA DISTRICT HOSPITAL",
      "address": "212 MAIN, PO BOX 127",
      "city": "MINNEOLA",
      "state": "KS",
      "zip": "67865",
      "county": "CLARK",
      "latitude": 37.4415276300003,
      "longitude": -100.013320209804,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "website": "www.minneolahealthcare.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minneola-minneola-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MINNEOLA DISTRICT HOSPITAL NBR 2",
      "parentSystemId": "entity-minneola-district-hospital-nbr-2",
      "siblingGroupId": "siblings-ks-minneola-district-hospital-nbr-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-minneola-district-hospital-nbr-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MINNEOLA DISTRICT HOSPITAL NBR 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINNEOLA DISTRICT HOSPITAL NBR 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MINNEOLA DISTRICT HOSPITAL NBR 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINNEOLA DISTRICT HOSPITAL NBR 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171369",
      "ccn": "171369",
      "name": "HODGEMAN COUNTY HEALTH CENTER",
      "address": "809 WEST BRAMLEY, PO BOX 310",
      "city": "JETMORE",
      "state": "KS",
      "zip": "67854",
      "county": "HODGEMAN",
      "latitude": 38.0832527399399,
      "longitude": -99.903364399615,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 50,
      "rating": null,
      "website": "www.hchconline.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jetmore-hodgeman-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF HODGEMAN",
      "parentSystemId": "entity-county-of-hodgeman",
      "siblingGroupId": "siblings-ks-county-of-hodgeman",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF HODGEMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF HODGEMAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF HODGEMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF HODGEMAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171370",
      "ccn": "171370",
      "name": "GOODLAND REGIONAL MEDICAL CENTER",
      "address": "220 WEST SECOND STREET",
      "city": "GOODLAND",
      "state": "KS",
      "zip": "67735",
      "county": "SHERMAN",
      "latitude": 39.3579751200766,
      "longitude": -101.713749010287,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 2,
      "website": "www.goodlandregional.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-goodland-goodland-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF SHERMAN",
      "parentSystemId": "entity-county-of-sherman",
      "siblingGroupId": "siblings-ks-county-of-sherman",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF SHERMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SHERMAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF SHERMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF SHERMAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171371",
      "ccn": "171371",
      "name": "CLAY COUNTY MEDICAL CENTER",
      "address": "617 LIBERTY STREET, PO BOX 512",
      "city": "CLAY CENTER",
      "state": "KS",
      "zip": "67432",
      "county": "CLAY",
      "latitude": 39.3917007997019,
      "longitude": -97.1235706600384,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "website": "www.ccmcks.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clay-center-clay-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CLAY COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-clay-county-medical-center",
      "siblingGroupId": "siblings-ks-clay-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-clay-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLAY COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANGELA KOBEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CLAY COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAY COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLAY COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANGELA KOBEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to CLAY COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAY COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171372",
      "ccn": "171372",
      "name": "SCOTT COUNTY HOSPITAL",
      "address": "201 ALBERT AVENUE",
      "city": "SCOTT CITY",
      "state": "KS",
      "zip": "67871",
      "county": "SCOTT",
      "latitude": 38.4666411902873,
      "longitude": -100.903651350323,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scott-city-scott-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCOTT COUNTY HOSPITAL",
      "parentSystemId": "entity-scott-county-hospital",
      "siblingGroupId": "siblings-ks-scott-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-scott-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SCOTT COUNTY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCOTT COUNTY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to SCOTT COUNTY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCOTT COUNTY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171373",
      "ccn": "171373",
      "name": "ALLEN COUNTY REGIONAL HOSPITAL",
      "address": "3066 NORTH KENTUCKY STREET",
      "city": "IOLA",
      "state": "KS",
      "zip": "66749",
      "county": "ALLEN",
      "latitude": 37.9487993301734,
      "longitude": -95.3917338502742,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "www.allencountyregional.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-ks-bjc-health-system",
      "campusFamilyId": "campus-ks-171373",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171373-loc-ks-iola-allen-county-regional-hospital",
      "ccn": "171373",
      "name": "ALLEN COUNTY REGIONAL HOSPITAL",
      "address": "3066 NORTH KENTUCKY STREET",
      "city": "IOLA",
      "state": "KS",
      "zip": "66749",
      "county": "ALLEN",
      "latitude": 37.9486542999522,
      "longitude": -95.3921150997723,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "www.allencountyregional.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-ks-bjc-health-system",
      "campusFamilyId": "campus-ks-171373",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "171373"
    },
    {
      "id": "171374",
      "ccn": "171374",
      "name": "FREDONIA REGIONAL HOSPITAL",
      "address": "1527 MADISON, PO BOX 579",
      "city": "FREDONIA",
      "state": "KS",
      "zip": "66736",
      "county": "WILSON",
      "latitude": 37.5340678801242,
      "longitude": -95.8141520203979,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.frh1.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fredonia-fredonia-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF FREDONIA",
      "parentSystemId": "entity-city-of-fredonia",
      "siblingGroupId": "siblings-ks-city-of-fredonia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF FREDONIA (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHNATHAN DURRETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF FREDONIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF FREDONIA (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHNATHAN DURRETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF FREDONIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171375",
      "ccn": "171375",
      "name": "MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS",
      "address": "400 W 8TH STREET, PO BOX 399",
      "city": "BELOIT",
      "state": "KS",
      "zip": "67420",
      "county": "MITCHELL",
      "latitude": 39.4672038203213,
      "longitude": -98.114379799696,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "website": "www.mchks.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beloit-mitchell-county-hospital-health-systems/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS",
      "parentSystemId": "entity-mitchell-county-hospital-health-systems",
      "siblingGroupId": "siblings-ks-mitchell-county-hospital-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-mitchell-county-hospital-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171376",
      "ccn": "171376",
      "name": "GIRARD MEDICAL CENTER",
      "address": "302 NORTH HOSPITAL DRIVE",
      "city": "GIRARD",
      "state": "KS",
      "zip": "66743",
      "county": "CRAWFORD",
      "latitude": 37.5146036599325,
      "longitude": -94.8577298104031,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "website": "http://www.girardmedicalcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-girard-girard-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY",
      "parentSystemId": "entity-hospital-district-no-1-crawford-county",
      "siblingGroupId": "siblings-ks-hospital-district-no-1-crawford-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-verified-parent-hospital-district-no-1-crawford-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171377",
      "ccn": "171377",
      "name": "SMITH COUNTY MEMORIAL HOSPITAL",
      "address": "921 E HIGHWAY 36, PO BOX 349",
      "city": "SMITH CENTER",
      "state": "KS",
      "zip": "66967",
      "county": "SMITH",
      "latitude": 39.7710886199247,
      "longitude": -98.7848422503247,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "website": "www.scmhks.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-smith-center-smith-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Great Plains Health Alliance",
      "parentSystemId": "entity-great-plains-health-alliance",
      "siblingGroupId": "siblings-ks-great-plains-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-great-plains-health-alliance-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREAT PLAINS HEALTH ALLIANCE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to GREAT PLAINS HEALTH ALLIANCE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Great Plains Health Alliance, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171378",
      "ccn": "171378",
      "name": "KINGMAN HEALTHCARE CENTER",
      "address": "750 W AVE D",
      "city": "KINGMAN",
      "state": "KS",
      "zip": "67068",
      "county": "KINGMAN",
      "latitude": 37.647648680071,
      "longitude": -98.1232199802698,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.kchks.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingman-kingman-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NINNESCAH VALLEY HEALTH SYSTEMS INC",
      "parentSystemId": "entity-ninnescah-valley-health-systems-inc",
      "siblingGroupId": "siblings-ks-ninnescah-valley-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-ninnescah-valley-health-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS lists THAD TURNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NINNESCAH VALLEY HEALTH SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NINNESCAH VALLEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists THAD TURNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to NINNESCAH VALLEY HEALTH SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NINNESCAH VALLEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171379",
      "ccn": "171379",
      "name": "MORRIS COUNTY HOSPITAL",
      "address": "600 N WASHINGTON ST",
      "city": "COUNCIL GROVE",
      "state": "KS",
      "zip": "66846",
      "county": "MORRIS",
      "latitude": 38.6658171502061,
      "longitude": -96.4996438696349,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 21,
      "rating": 3,
      "website": "http://www.mrcohosp.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-council-grove-morris-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MORRIS COUNTY",
      "parentSystemId": "entity-morris-county",
      "siblingGroupId": "siblings-ks-morris-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-morris-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: MORRIS COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MORRIS COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRIS COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MORRIS COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to MORRIS COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRIS COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171381",
      "ccn": "171381",
      "name": "MEMORIAL HOSPITAL",
      "address": "511 NE 10TH ST",
      "city": "ABILENE",
      "state": "KS",
      "zip": "67410",
      "county": "DICKINSON",
      "latitude": 38.9253529402977,
      "longitude": -97.205967249662,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "website": "www.mhsks.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SALINA REGIONAL HEALTH CENTER INC",
      "parentSystemId": "entity-salina-regional-health-center-inc",
      "siblingGroupId": "siblings-ks-salina-regional-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALINA REGIONAL HEALTH CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALINA REGIONAL HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171382",
      "ccn": "171382",
      "name": "AMBERWELL ATCHISON ASSOCIATION",
      "address": "800 RAVENHILL DRIVE",
      "city": "ATCHISON",
      "state": "KS",
      "zip": "66002",
      "county": "ATCHISON",
      "latitude": 39.5362052000212,
      "longitude": -95.128385799622,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.atchisonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AMBERWELL ATCHISON ASSOCIATION",
      "parentSystemId": "entity-amberwell-atchison-association",
      "siblingGroupId": "siblings-ks-amberwell-atchison-association",
      "campusFamilyId": "campus-ks-171382",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-amberwell-atchison-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AMBERWELL ATCHISON ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMBERWELL ATCHISON ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AMBERWELL ATCHISON ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMBERWELL ATCHISON ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "171382-loc-ks-atchison-amberwell-atchison-association",
      "ccn": "171382",
      "name": "AMBERWELL ATCHISON ASSOCIATION",
      "address": "800 RAVENHILL DRIVE",
      "city": "ATCHISON",
      "state": "KS",
      "zip": "66002",
      "county": "ATCHISON",
      "latitude": 39.5362052000212,
      "longitude": -95.128385799622,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.atchisonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AMBERWELL ATCHISON ASSOCIATION",
      "parentSystemId": "entity-amberwell-atchison-association",
      "siblingGroupId": "siblings-ks-amberwell-atchison-association",
      "campusFamilyId": "campus-ks-171382",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ks-parent-amberwell-atchison-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AMBERWELL ATCHISON ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMBERWELL ATCHISON ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to AMBERWELL ATCHISON ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMBERWELL ATCHISON ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "171382"
    },
    {
      "id": "171384",
      "ccn": "171384",
      "name": "NEWMAN REGIONAL HEALTH",
      "address": "1201 W 12TH AVE",
      "city": "EMPORIA",
      "state": "KS",
      "zip": "66801",
      "county": "LYON",
      "latitude": 38.4117228702328,
      "longitude": -96.1961985496888,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LYON COUNTY",
      "parentSystemId": "entity-lyon-county",
      "siblingGroupId": "siblings-ks-lyon-county",
      "campusFamilyId": "campus-ks-171384",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-lyon-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: LYON COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LYON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LYON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LYON COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LYON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LYON COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171384-loc-ks-emporia-newman-regional-health",
      "ccn": "171384",
      "name": "NEWMAN REGIONAL HEALTH",
      "address": "1201 W 12TH AVE",
      "city": "EMPORIA",
      "state": "KS",
      "zip": "66801",
      "county": "LYON",
      "latitude": 38.411725884992,
      "longitude": -96.1960880110948,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LYON COUNTY",
      "parentSystemId": "entity-lyon-county",
      "siblingGroupId": "siblings-ks-lyon-county",
      "campusFamilyId": "campus-ks-171384",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-lyon-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: LYON COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LYON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LYON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LYON COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to LYON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LYON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "171384"
    },
    {
      "id": "171385",
      "ccn": "171385",
      "name": "COFFEY COUNTY HOSPITAL",
      "address": "801 N FOURTH STREET",
      "city": "BURLINGTON",
      "state": "KS",
      "zip": "66839",
      "county": "COFFEY",
      "latitude": 38.202271770309,
      "longitude": -95.7376996396032,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "www.coffeyhealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COFFEY COUNTY HOSPITAL",
      "parentSystemId": "entity-coffey-county-hospital",
      "siblingGroupId": "siblings-ks-coffey-county-hospital",
      "campusFamilyId": "campus-ks-171385",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-coffey-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COFFEY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COFFEY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COFFEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COFFEY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COFFEY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COFFEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "171385-loc-ks-burlington-coffey-county-hospital",
      "ccn": "171385",
      "name": "COFFEY COUNTY HOSPITAL",
      "address": "801 NORTH 4TH ST",
      "city": "BURLINGTON",
      "state": "KS",
      "zip": "66839",
      "county": "COFFEY",
      "latitude": 38.2021741661974,
      "longitude": -95.7376192008594,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "www.coffeyhealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COFFEY COUNTY HOSPITAL",
      "parentSystemId": "entity-coffey-county-hospital",
      "siblingGroupId": "siblings-ks-coffey-county-hospital",
      "campusFamilyId": "campus-ks-171385",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-coffey-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COFFEY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COFFEY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COFFEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COFFEY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to COFFEY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COFFEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "171385"
    },
    {
      "id": "171386",
      "ccn": "171386",
      "name": "MORTON COUNTY HOSPITAL",
      "address": "445 N HILLTOP, PO BOX 937",
      "city": "ELKHART",
      "state": "KS",
      "zip": "67950",
      "county": "MORTON",
      "latitude": 37.001783660226,
      "longitude": -101.90533468992,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 20,
      "rating": null,
      "website": "http://www.mchswecare.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elkhart-morton-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF MORTON",
      "parentSystemId": "entity-county-of-morton",
      "siblingGroupId": "siblings-ks-county-of-morton",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF MORTON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MORTON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF MORTON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MORTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "174006",
      "ccn": "174006",
      "name": "LARNED STATE HOSPITAL",
      "address": "1301 KS HIGHWAY 264",
      "city": "LARNED",
      "state": "KS",
      "zip": "67550",
      "county": "PAWNEE",
      "latitude": 38.1714900097121,
      "longitude": -99.1509510800505,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 613,
      "rating": null,
      "website": "http://www.larnedstatehospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-larned-larned-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF KANSAS-ACCOUNTING SERVICES",
      "parentSystemId": "entity-state-of-kansas-accounting-services",
      "siblingGroupId": "siblings-ks-state-of-kansas-accounting-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF KANSAS-ACCOUNTING SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STACY PARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF KANSAS-ACCOUNTING SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF KANSAS-ACCOUNTING SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STACY PARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF KANSAS-ACCOUNTING SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "174020",
      "ccn": "174020",
      "name": "COTTONWOOD SPRINGS LLC",
      "address": "13351 S ARAPAHO DR",
      "city": "OLATHE",
      "state": "KS",
      "zip": "66062",
      "county": "JOHNSON",
      "latitude": 38.8857849998761,
      "longitude": -94.7678100000566,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://www.cottonwoodsprings.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olathe-cottonwood-springs-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ks-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "174022",
      "ccn": "174022",
      "name": "ADAIR ACUTE CARE AT OSAWATOMIE STATE HOSPITAL",
      "address": "500 STATE HOSPITAL DRIVE",
      "city": "OSAWATOMIE",
      "state": "KS",
      "zip": "66064",
      "county": "MIAMI",
      "latitude": 38.513615540265,
      "longitude": -94.9399427098224,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 182,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "OSAWATOMIE STATE HOSPITAL",
      "parentSystemId": "entity-osawatomie-state-hospital",
      "siblingGroupId": "siblings-ks-osawatomie-state-hospital",
      "campusFamilyId": "campus-ks-174022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-osawatomie-state-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSAWATOMIE STATE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CLINTON GLIDEWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to OSAWATOMIE STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSAWATOMIE STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSAWATOMIE STATE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CLINTON GLIDEWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to OSAWATOMIE STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSAWATOMIE STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "174022-loc-ks-osawatomie-osawatomie-state-hospital",
      "ccn": "174022",
      "name": "OSAWATOMIE STATE HOSPITAL",
      "address": "500 STATE HOSPITAL DRIVE",
      "city": "OSAWATOMIE",
      "state": "KS",
      "zip": "66064",
      "county": "MIAMI",
      "latitude": 38.5110998401104,
      "longitude": -94.9441824399599,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 206,
      "rating": null,
      "website": "www.kdads.ks.gov",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "OSAWATOMIE STATE HOSPITAL",
      "parentSystemId": "entity-osawatomie-state-hospital",
      "siblingGroupId": "siblings-ks-osawatomie-state-hospital",
      "campusFamilyId": "campus-ks-174022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-osawatomie-state-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSAWATOMIE STATE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CLINTON GLIDEWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to OSAWATOMIE STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSAWATOMIE STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSAWATOMIE STATE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CLINTON GLIDEWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to OSAWATOMIE STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSAWATOMIE STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "174022"
    },
    {
      "id": "180001",
      "ccn": "180001",
      "name": "ST ELIZABETH FT THOMAS",
      "address": "85 NORTH GRAND AVENUE",
      "city": "FORT THOMAS",
      "state": "KY",
      "zip": "41075",
      "county": "CAMPBELL",
      "latitude": 39.0786607197039,
      "longitude": -84.4676775099672,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 178,
      "rating": 5,
      "website": "http://www.stelizabeth.com",
      "status": "corporate_chain",
      "parentSystem": "ST ELIZABETH MEDICAL CENTER, INC",
      "affiliatedSystem": "Stelizabeth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Stelizabeth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-elizabeth-medical-center-inc",
      "siblingGroupId": "siblings-ky-st-elizabeth-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-st-elizabeth-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.stelizabeth.com/about/locations/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Stelizabeth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stelizabeth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Stelizabeth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stelizabeth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180002",
      "ccn": "180002",
      "name": "WHITESBURG ARH HOSPITAL",
      "address": "240 HOSPITAL ROAD",
      "city": "WHITESBURG",
      "state": "KY",
      "zip": "41858",
      "county": "LETCHER",
      "latitude": 37.1129272199508,
      "longitude": -82.8125217902724,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 90,
      "rating": 3,
      "website": "http://www.arh.org/whitesburg",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-whitesburg-whitesburg-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180004",
      "ccn": "180004",
      "name": "OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL",
      "address": "440 HOPKINSVILLE STREET",
      "city": "GREENVILLE",
      "state": "KY",
      "zip": "42345",
      "county": "MUHLENBERG",
      "latitude": 37.1965353899837,
      "longitude": -87.1892945003165,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": 4,
      "website": "http://www.mchky.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-owensboro-health-muhlenberg-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OWENSBORO HEALTH, INC",
      "parentSystemId": "entity-owensboro-health-inc",
      "siblingGroupId": "siblings-ky-owensboro-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-owensboro-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.owensborohealth.org/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OWENSBORO HEALTH, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OWENSBORO HEALTH, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180005",
      "ccn": "180005",
      "name": "HIGHLANDS ARH REGIONAL MEDICAL CENTER",
      "address": "5000 KENTUCKY ROUTE 321",
      "city": "PRESTONSBURG",
      "state": "KY",
      "zip": "41653",
      "county": "FLOYD",
      "latitude": 37.7290100597075,
      "longitude": -82.7673200797351,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 174,
      "rating": 2,
      "website": "http://www.hrmc.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "Appalachian Regional Healthcare",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180009",
      "ccn": "180009",
      "name": "KINGS DAUGHTERS MEDICAL CENTER",
      "address": "2201 LEXINGTON AVE",
      "city": "ASHLAND",
      "state": "KY",
      "zip": "41101",
      "county": "BOYD",
      "latitude": 38.4702027677162,
      "longitude": -82.6346528208862,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 455,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ashland-kings-daughters-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BEYOND BLUE CORPORATION",
      "parentSystemId": "entity-beyond-blue-corporation",
      "siblingGroupId": "siblings-ky-beyond-blue-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEYOND BLUE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SARA MARKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEYOND BLUE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEYOND BLUE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SARA MARKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEYOND BLUE CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180010",
      "ccn": "180010",
      "name": "SAINT JOSEPH HOSPITAL",
      "address": "1 SAINT JOSEPH DRIVE",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40504",
      "county": "FAYETTE",
      "latitude": 38.0323397303112,
      "longitude": -84.5232992897281,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 433,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-saint-joseph-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ky-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180011",
      "ccn": "180011",
      "name": "CHI SAINT JOSEPH LONDON",
      "address": "1001 SAINT JOSEPH LANE",
      "city": "LONDON",
      "state": "KY",
      "zip": "40741",
      "county": "LAUREL",
      "latitude": 37.1177121099064,
      "longitude": -84.1090023703715,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ky-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180012",
      "ccn": "180012",
      "name": "BAPTIST HEALTH HARDIN",
      "address": "913 NORTH DIXIE AVENUE",
      "city": "ELIZABETHTOWN",
      "state": "KY",
      "zip": "42701",
      "county": "HARDIN",
      "latitude": 37.7099440998211,
      "longitude": -85.8762963302887,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 285,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-ky-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180016",
      "ccn": "180016",
      "name": "UOFL HEALTH - SHELBYVILLE HOSPITAL",
      "address": "727 HOSPITAL DRIVE",
      "city": "SHELBYVILLE",
      "state": "KY",
      "zip": "40065",
      "county": "SHELBY",
      "latitude": 38.2090277097774,
      "longitude": -85.2359221802453,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": 3,
      "website": "http://www.kentuckyonehealth.org/jewish-hospital-shelbyville",
      "status": "signal",
      "parentSystem": "UNIVERSITY OF LOUISVILLE",
      "affiliatedSystem": "Kentuckyonehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Kentuckyonehealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shelbyville-uofl-health-shelbyville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-university-of-louisville",
      "siblingGroupId": "siblings-ky-university-of-louisville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-uofl-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://uoflhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF LOUISVILLE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Kentuckyonehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kentuckyonehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to UofL Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF LOUISVILLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF LOUISVILLE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Kentuckyonehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kentuckyonehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to UofL Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF LOUISVILLE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180017",
      "ccn": "180017",
      "name": "T J SAMSON COMMUNITY HOSPITAL",
      "address": "1301 NORTH RACE STREET",
      "city": "GLASGOW",
      "state": "KY",
      "zip": "42141",
      "county": "BARREN",
      "latitude": 37.0113923901091,
      "longitude": -85.9045139701432,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 180,
      "rating": 3,
      "website": "http://www.tjsamson.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glasgow-t-j-samson-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TJ REGIONAL HEALTH INC",
      "parentSystemId": "entity-tj-regional-health-inc",
      "siblingGroupId": "siblings-ky-tj-regional-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-t-j-regional-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.tjsamson.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: TJ REGIONAL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to T.J. Regional Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TJ REGIONAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TJ REGIONAL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to T.J. Regional Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TJ REGIONAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180018",
      "ccn": "180018",
      "name": "ST CLAIRE REGIONAL MEDICAL CENTER",
      "address": "222 MEDICAL CIRCLE",
      "city": "MOREHEAD",
      "state": "KY",
      "zip": "40351",
      "county": "ROWAN",
      "latitude": 38.179470450245,
      "longitude": -83.4393242495972,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 149,
      "rating": 2,
      "website": "http://www.st-claire.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morehead-st.-claire-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ST. CLAIRE MEDICAL CENTER INC",
      "parentSystemId": "entity-st-claire-medical-center-inc",
      "siblingGroupId": "siblings-ky-st-claire-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-st-claire-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to ST. CLAIRE MEDICAL CENTER INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. CLAIRE MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to ST. CLAIRE MEDICAL CENTER INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. CLAIRE MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "180019",
      "ccn": "180019",
      "name": "MEADOWVIEW REGIONAL MEDICAL CENTER",
      "address": "989 MEDICAL PARK DRIVE",
      "city": "MAYSVILLE",
      "state": "KY",
      "zip": "41056",
      "county": "MASON",
      "latitude": 38.6399743797503,
      "longitude": -83.8081051702379,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": 4,
      "website": "http://www.meadowviewregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-maysville-meadowview-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180020",
      "ccn": "180020",
      "name": "MIDDLESBORO ARH HOSPITAL",
      "address": "3600 W CUMBERLAND AVE",
      "city": "MIDDLESBORO",
      "state": "KY",
      "zip": "40965",
      "county": "BELL",
      "latitude": 36.6059261758326,
      "longitude": -83.7401870703066,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 96,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middlesboro-middlesboro-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Appalachian Regional Healthcare",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "campusFamilyId": "campus-ky-180020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180024",
      "ccn": "180024",
      "name": "SPRING VIEW HOSPITAL",
      "address": "320 LORETTO ROAD",
      "city": "LEBANON",
      "state": "KY",
      "zip": "40033",
      "county": "MARION",
      "latitude": 37.5698288800624,
      "longitude": -85.2614564104124,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 75,
      "rating": 5,
      "website": "http://www.springviewhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lebanon-spring-view-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180025",
      "ccn": "180025",
      "name": "FLAGET MEMORIAL HOSPITAL",
      "address": "4305 NEW SHEPHERDSVILLE ROAD",
      "city": "BARDSTOWN",
      "state": "KY",
      "zip": "40004",
      "county": "NELSON",
      "latitude": 37.8616510198129,
      "longitude": -85.5237858299229,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 3,
      "website": "http://www.flaget.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bardstown-flaget-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ky-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180027",
      "ccn": "180027",
      "name": "MURRAY - CALLOWAY COUNTY HOSPITAL",
      "address": "803 POPLAR STREET",
      "city": "MURRAY",
      "state": "KY",
      "zip": "42071",
      "county": "CALLOWAY",
      "latitude": 36.6068889100606,
      "longitude": -88.3099938999542,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 152,
      "rating": 3,
      "website": "http://www.murrayhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murray-murray-calloway-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION",
      "parentSystemId": "entity-murray-calloway-county-public-hospital-corporation",
      "siblingGroupId": "siblings-ky-murray-calloway-county-public-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY EYE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY EYE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "180029",
      "ccn": "180029",
      "name": "HAZARD ARH REGIONAL MEDICAL CENTER",
      "address": "100 MEDICAL CENTER DRIVE",
      "city": "HAZARD",
      "state": "KY",
      "zip": "41701",
      "county": "PERRY",
      "latitude": 37.2782979497947,
      "longitude": -83.2278822403653,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 358,
      "rating": 2,
      "website": "http://www.arh.org",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hazard-hazard-arh-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS lists BRIAN E. SPRINGATE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRIAN E. SPRINGATE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180035",
      "ccn": "180035",
      "name": "ST ELIZABETH EDGEWOOD",
      "address": "1 MEDICAL VILLAGE DRIVE",
      "city": "EDGEWOOD",
      "state": "KY",
      "zip": "41017",
      "county": "KENTON",
      "latitude": 39.0133176308499,
      "longitude": -84.5636219418353,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 518,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edgewood-st.-elizabeth-edgewood/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST ELIZABETH MEDICAL CENTER, INC",
      "parentSystemId": "entity-st-elizabeth-medical-center-inc",
      "siblingGroupId": "siblings-ky-st-elizabeth-medical-center-inc",
      "campusFamilyId": "campus-ky-180035",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-st-elizabeth-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.stelizabeth.com/about/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180038",
      "ccn": "180038",
      "name": "OWENSBORO HEALTH REGIONAL HOSPITAL",
      "address": "1201 PLEASANT VALLEY ROAD",
      "city": "OWENSBORO",
      "state": "KY",
      "zip": "42303",
      "county": "DAVIESS",
      "latitude": 37.779484499909,
      "longitude": -87.0642916504037,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 447,
      "rating": 2,
      "website": "https://www.owensborohealth.org/locations/owensboro-health-regional-hospital-home/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-owensboro-owensboro-health-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OWENSBORO HEALTH, INC",
      "parentSystemId": "entity-owensboro-health-inc",
      "siblingGroupId": "siblings-ky-owensboro-health-inc",
      "campusFamilyId": "campus-ky-180038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-owensboro-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.owensborohealth.org/about-us/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180038-loc-ky-owensboro-owensboro-health",
      "ccn": "180038",
      "name": "OWENSBORO HEALTH",
      "address": "811 E PARRISH AVE",
      "city": "OWENSBORO",
      "state": "KY",
      "zip": "42303",
      "county": "DAVIESS",
      "latitude": 37.766668999783,
      "longitude": -87.1008339995558,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 2,
      "website": "http://www.owensborohealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OWENSBORO HEALTH, INC",
      "parentSystemId": "entity-owensboro-health-inc",
      "siblingGroupId": "siblings-ky-owensboro-health-inc",
      "campusFamilyId": "campus-ky-180038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-owensboro-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.owensborohealth.org/about-us/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "180038"
    },
    {
      "id": "180040",
      "ccn": "180040",
      "name": "UOFL HEALTH - JEWISH HOSPITAL",
      "address": "200 ABRAHAM FLEXNER WAY",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40202",
      "county": "JEFFERSON",
      "latitude": 38.2491316502113,
      "longitude": -85.7511895003817,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 462,
      "rating": 2,
      "website": "http://www.kentuckyonehealth.org/body.cfm?id=3299&fr=true",
      "status": "signal",
      "parentSystem": "UNIVERSITY OF LOUISVILLE",
      "affiliatedSystem": "Kentuckyonehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Kentuckyonehealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-uofl-health---jewish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-university-of-louisville",
      "siblingGroupId": "siblings-ky-university-of-louisville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-uofl-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://uoflhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF LOUISVILLE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Kentuckyonehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kentuckyonehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to UofL Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF LOUISVILLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF LOUISVILLE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Kentuckyonehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kentuckyonehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to UofL Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF LOUISVILLE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180043",
      "ccn": "180043",
      "name": "ADVENTHEALTH MANCHESTER",
      "address": "210 MARIE LANGDON DRIVE",
      "city": "MANCHESTER",
      "state": "KY",
      "zip": "40962",
      "county": "CLAY",
      "latitude": 37.1619776499768,
      "longitude": -83.7620240198172,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 49,
      "rating": 3,
      "website": "http://www.manchestermemorial.org/",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manchester-adventhealth-manchester/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-ky-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ZEAH SCHLISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ZEAH SCHLISNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180044",
      "ccn": "180044",
      "name": "PIKEVILLE MEDICAL CENTER",
      "address": "911 BYPASS ROAD",
      "city": "PIKEVILLE",
      "state": "KY",
      "zip": "41501",
      "county": "PIKE",
      "latitude": 37.4712416702322,
      "longitude": -82.5222474998518,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 340,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pikeville-pikeville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIKEVILLE MEDICAL CENTER INC",
      "parentSystemId": "entity-pikeville-medical-center-inc",
      "siblingGroupId": "siblings-ky-pikeville-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-pikeville-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to PIKEVILLE MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIKEVILLE MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to PIKEVILLE MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIKEVILLE MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180045",
      "ccn": "180045",
      "name": "ST ELIZABETH FLORENCE",
      "address": "4900 HOUSTON ROAD",
      "city": "FLORENCE",
      "state": "KY",
      "zip": "41042",
      "county": "BOONE",
      "latitude": 39.0165918202277,
      "longitude": -84.6307672103479,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 231,
      "rating": 3,
      "website": "http://www.stelizabeth.com",
      "status": "corporate_chain",
      "parentSystem": "ST ELIZABETH MEDICAL CENTER, INC",
      "affiliatedSystem": "Stelizabeth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Stelizabeth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-florence-st.-elizabeth-florence/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-elizabeth-medical-center-inc",
      "siblingGroupId": "siblings-ky-st-elizabeth-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-st-elizabeth-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.stelizabeth.com/about/locations/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Stelizabeth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stelizabeth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Stelizabeth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Stelizabeth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180046",
      "ccn": "180046",
      "name": "BOURBON COMMUNITY HOSPITAL",
      "address": "9 LINVILLE DRIVE",
      "city": "PARIS",
      "state": "KY",
      "zip": "40361",
      "county": "BOURBON",
      "latitude": 38.2211939101649,
      "longitude": -84.238352409591,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 58,
      "rating": 2,
      "website": "http://www.bourbonhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paris-bourbon-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180048",
      "ccn": "180048",
      "name": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER",
      "address": "217 SOUTH THIRD STREET",
      "city": "DANVILLE",
      "state": "KY",
      "zip": "40422",
      "county": "BOYLE",
      "latitude": 37.643873309658,
      "longitude": -84.7730011397988,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 197,
      "rating": 3,
      "website": "http://www.emrmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-ephraim-mcdowell-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED",
      "parentSystemId": "entity-ephraim-mcdowell-regional-medical-center-incorporated",
      "siblingGroupId": "siblings-ky-ephraim-mcdowell-regional-medical-center-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-ephraim-mcdowell-regional-medical-center-incorporated"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180049",
      "ccn": "180049",
      "name": "BAPTIST HEALTH RICHMOND",
      "address": "801 EASTERN BYPASS",
      "city": "RICHMOND",
      "state": "KY",
      "zip": "40475",
      "county": "MADISON",
      "latitude": 37.730923010026,
      "longitude": -84.2923692799266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 105,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-baptist-health-richmond/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-ky-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180050",
      "ccn": "180050",
      "name": "HARLAN ARH HOSPITAL",
      "address": "81 BALL PARK ROAD",
      "city": "HARLAN",
      "state": "KY",
      "zip": "40831",
      "county": "HARLAN",
      "latitude": 36.8094551700986,
      "longitude": -83.3135983897296,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 150,
      "rating": 2,
      "website": "http://www.arh.org/locations/harlan.aspx",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harlan-harlan-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS lists JOSEPH B HORTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOSEPH B HORTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180051",
      "ccn": "180051",
      "name": "JENNIE STUART MEDICAL CENTER",
      "address": "320 WEST 18TH STREET",
      "city": "HOPKINSVILLE",
      "state": "KY",
      "zip": "42240",
      "county": "CHRISTIAN",
      "latitude": 36.8611871197243,
      "longitude": -87.4949512497099,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 194,
      "rating": 1,
      "website": "http://www.jsmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hopkinsville-jennie-stuart-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "JENNIE STUART MEDICAL CENTER INC",
      "parentSystemId": "entity-jennie-stuart-medical-center-inc",
      "siblingGroupId": "siblings-ky-jennie-stuart-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-jennie-stuart-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JENNIE STUART MEDICAL CENTER INC, ownership class for_profit_private. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JENNIE STUART MEDICAL CENTER INC, ownership class for_profit_private. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "180056",
      "ccn": "180056",
      "name": "DEACONESS HENDERSON HOSPITAL",
      "address": "1305 N ELM ST",
      "city": "HENDERSON",
      "state": "KY",
      "zip": "42420",
      "county": "HENDERSON",
      "latitude": 37.8549746097413,
      "longitude": -87.5831990204282,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 192,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-deaconess-henderson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEACONESS HEALTH KENTUCKY INC",
      "parentSystemId": "entity-deaconess-health-kentucky-inc",
      "siblingGroupId": "siblings-ky-deaconess-health-kentucky-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-deaconess-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.deaconess.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEACONESS HEALTH KENTUCKY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH KENTUCKY INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DEACONESS HEALTH KENTUCKY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Deaconess Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEACONESS HEALTH KENTUCKY INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180064",
      "ccn": "180064",
      "name": "CHI SAINT JOSEPH MOUNT STERLING",
      "address": "225 FALCON DRIVE",
      "city": "MOUNT STERLING",
      "state": "KY",
      "zip": "40353",
      "county": "MONTGOMERY",
      "latitude": 38.0771212498297,
      "longitude": -83.9452558002956,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 42,
      "rating": 4,
      "website": "http://www.sjhlex.org/system-locations-saint-joseph-mount-sterling-mount-sterling-ky",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ky-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180066",
      "ccn": "180066",
      "name": "THE MEDICAL CENTER AT RUSSELLVILLE",
      "address": "1625 NASHVILLE STREET",
      "city": "RUSSELLVILLE",
      "state": "KY",
      "zip": "42276",
      "county": "LOGAN",
      "latitude": 36.8156639251792,
      "longitude": -86.8816122934008,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 75,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonwealth-health-corporation-inc",
      "siblingGroupId": "siblings-ky-commonwealth-health-corporation-inc",
      "campusFamilyId": "campus-ky-180066",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-med-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medcenterhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180067",
      "ccn": "180067",
      "name": "UNIVERSITY OF KENTUCKY HOSPITAL",
      "address": "800 ROSE STREET",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40536",
      "county": "FAYETTE",
      "latitude": 38.0309646099299,
      "longitude": -84.5074429901042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 724,
      "rating": 4,
      "website": "http://www.ukhealthcare.uky.edu",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KENTUCKY",
      "parentSystemId": "entity-university-of-kentucky",
      "siblingGroupId": "siblings-ky-university-of-kentucky",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-university-of-kentucky"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ukhealthcare.uky.edu/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KENTUCKY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CRAIG C COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to University of Kentucky; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KENTUCKY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CRAIG C COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to University of Kentucky; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "180069",
      "ccn": "180069",
      "name": "TUG VALLEY ARH REGIONAL MEDICAL CENTER",
      "address": "260 HOSPITAL DRIVE",
      "city": "SOUTH WILLIAMSON",
      "state": "KY",
      "zip": "41503",
      "county": "PIKE",
      "latitude": 37.6765106399901,
      "longitude": -82.2970227200641,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 113,
      "rating": 2,
      "website": "http://www.arh.org/locations/tug_valley.aspx",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-williamson-tug-valley-arh-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180070",
      "ccn": "180070",
      "name": "OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER",
      "address": "910 WALLACE AVENUE",
      "city": "LEITCHFIELD",
      "state": "KY",
      "zip": "42754",
      "county": "GRAYSON",
      "latitude": 37.4725153000657,
      "longitude": -86.2885930895797,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 75,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC",
      "parentSystemId": "entity-owensboro-health-twin-lakes-regional-medical-center-inc",
      "siblingGroupId": "siblings-ky-owensboro-health-twin-lakes-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-owensboro-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.owensborohealth.org/about-us/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Owensboro Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180078",
      "ccn": "180078",
      "name": "PAINTSVILLE ARH HOSPITAL",
      "address": "625 JAMES S TRIMBLE BLVD",
      "city": "PAINTSVILLE",
      "state": "KY",
      "zip": "41240",
      "county": "JOHNSON",
      "latitude": 37.8155090710288,
      "longitude": -82.8130975097582,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paintsville-paintsville-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Appalachian Regional Healthcare",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "campusFamilyId": "campus-ky-180078",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180079",
      "ccn": "180079",
      "name": "HARRISON MEMORIAL HOSPITAL",
      "address": "1210 KY HWY 36 E",
      "city": "CYNTHIANA",
      "state": "KY",
      "zip": "41031",
      "county": "HARRISON",
      "latitude": 38.3839687302669,
      "longitude": -84.2776864603381,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 61,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cynthiana-harrison-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARRISON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-harrison-memorial-hospital",
      "siblingGroupId": "siblings-ky-harrison-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-harrison-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to HARRISON MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to HARRISON MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "18007F",
      "ccn": "18007F",
      "name": "LEXINGTON VA MEDICAL CENTER - LEESTOWN",
      "address": "2250 LEESTOWN ROAD LEXINGTON",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40511",
      "county": "FAYETTE",
      "latitude": 38.0738589997708,
      "longitude": -84.5383809999304,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 93,
      "rating": 3,
      "website": "https://www.lexington.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-lexington-va-medical-center---leestown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ky-veterans-health-administration",
      "campusFamilyId": "campus-ky-18007f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "18007F-loc-ky-lexington-lexington-va-medical-center",
      "ccn": "18007F",
      "name": "LEXINGTON VA MEDICAL CENTER",
      "address": "1101 VETERANS DRIVE",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40502",
      "county": "FAYETTE",
      "latitude": 38.0298040002779,
      "longitude": -84.5064040004433,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 3,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ky-veterans-health-administration",
      "campusFamilyId": "campus-ky-18007f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Kentucky resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "18007F"
    },
    {
      "id": "180080",
      "ccn": "180080",
      "name": "BAPTIST HEALTH CORBIN",
      "address": "1 TRILLIUM WAY",
      "city": "CORBIN",
      "state": "KY",
      "zip": "40701",
      "county": "WHITLEY",
      "latitude": 36.9228222000748,
      "longitude": -84.1197299095607,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 273,
      "rating": 3,
      "website": "http://www.baptistregional.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-ky-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180087",
      "ccn": "180087",
      "name": "TAYLOR REGIONAL HOSPITAL",
      "address": "1700 OLD LEBANON ROAD",
      "city": "CAMPBELLSVILLE",
      "state": "KY",
      "zip": "42718",
      "county": "TAYLOR",
      "latitude": 37.3663517598858,
      "longitude": -85.3381065598085,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 90,
      "rating": 2,
      "website": "http://www.trhosp.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-campbellsville-taylor-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION",
      "parentSystemId": "entity-taylor-county-hospital-district-health-facilities-corporation",
      "siblingGroupId": "siblings-ky-taylor-county-hospital-district-health-facilities-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-verified-parent-taylor-county-hospital-district-health-facilities-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists JAMES SABO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JAMES SABO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "180092",
      "ccn": "180092",
      "name": "CLARK REGIONAL MEDICAL CENTER",
      "address": "175 HOSPITAL DRIVE",
      "city": "WINCHESTER",
      "state": "KY",
      "zip": "40391",
      "county": "CLARK",
      "latitude": 38.0120706496885,
      "longitude": -84.2168374998216,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winchester-clark-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180101",
      "ccn": "180101",
      "name": "GEORGETOWN COMMUNITY HOSPITAL",
      "address": "1140 LEXINGTON ROAD",
      "city": "GEORGETOWN",
      "state": "KY",
      "zip": "40324",
      "county": "SCOTT",
      "latitude": 38.1865185096582,
      "longitude": -84.5609107903752,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 75,
      "rating": 3,
      "website": "http://www.georgetowncommunityhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-georgetown-georgetown-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180102",
      "ccn": "180102",
      "name": "LOURDES HOSPITAL",
      "address": "1530 LONE OAK ROAD",
      "city": "PADUCAH",
      "state": "KY",
      "zip": "42003",
      "county": "MCCRACKEN",
      "latitude": 37.0506390198109,
      "longitude": -88.647368960084,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 359,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paducah-lourdes-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-ky-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180103",
      "ccn": "180103",
      "name": "BAPTIST HEALTH LEXINGTON",
      "address": "1740 NICHOLASVILLE ROAD",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40503",
      "county": "FAYETTE",
      "latitude": 38.0188051897812,
      "longitude": -84.5118577102624,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 391,
      "rating": 4,
      "website": "https://www.baptisthealth.com/lexington/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-baptist-health-lexington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-ky-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baptisthealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baptisthealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180104",
      "ccn": "180104",
      "name": "BAPTIST HEALTH PADUCAH",
      "address": "2501 KENTUCKY AVENUE",
      "city": "PADUCAH",
      "state": "KY",
      "zip": "42003",
      "county": "MCCRACKEN",
      "latitude": 37.0737593796597,
      "longitude": -88.6265971897182,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 349,
      "rating": 4,
      "website": "http://www.westernbaptist.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-ky-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180105",
      "ccn": "180105",
      "name": "MONROE COUNTY MEDICAL CENTER",
      "address": "529 CAPP HARLAN ROAD",
      "city": "TOMPKINSVILLE",
      "state": "KY",
      "zip": "42167",
      "county": "MONROE",
      "latitude": 36.6988825003492,
      "longitude": -85.6764662597279,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tompkinsville-monroe-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MONROE MEDICAL FOUNDATION, INC.",
      "parentSystemId": "entity-monroe-medical-foundation-inc",
      "siblingGroupId": "siblings-ky-monroe-medical-foundation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONROE MEDICAL FOUNDATION, INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONROE MEDICAL FOUNDATION, INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "180116",
      "ccn": "180116",
      "name": "JACKSON PURCHASE MEDICAL CENTER",
      "address": "1099 MEDICAL CENTER CIRCLE",
      "city": "MAYFIELD",
      "state": "KY",
      "zip": "42066",
      "county": "GRAVES",
      "latitude": 36.7592089900807,
      "longitude": -88.6512590802859,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 107,
      "rating": 1,
      "website": "http://www.jacksonpurchase.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mayfield-jackson-purchase-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID D ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID D ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180124",
      "ccn": "180124",
      "name": "TRISTAR GREENVIEW REGIONAL HOSPITAL",
      "address": "1801 ASHLEY CIRCLE",
      "city": "BOWLING GREEN",
      "state": "KY",
      "zip": "42104",
      "county": "WARREN",
      "latitude": 36.9650376196658,
      "longitude": -86.4359797698734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 211,
      "rating": 2,
      "website": "http://www.greenviewhospital.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bowling-green-tristar-greenview-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ky-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "180127",
      "ccn": "180127",
      "name": "FRANKFORT REGIONAL MEDICAL CENTER",
      "address": "299 KINGS DAUGHTERS DRIVE",
      "city": "FRANKFORT",
      "state": "KY",
      "zip": "40601",
      "county": "FRANKLIN",
      "latitude": 38.1606617497207,
      "longitude": -84.9068936997969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 173,
      "rating": 3,
      "website": "http://www.frankfortregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-frankfort-frankfort-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GREENVIEW HOSPITAL INC",
      "parentSystemId": "entity-greenview-hospital-inc",
      "siblingGroupId": "siblings-ky-greenview-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-greenview-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GREENVIEW HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to GREENVIEW HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENVIEW HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GREENVIEW HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to GREENVIEW HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GREENVIEW HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180128",
      "ccn": "180128",
      "name": "THREE RIVERS MEDICAL CENTER",
      "address": "2485 HIGHWAY 644",
      "city": "LOUISA",
      "state": "KY",
      "zip": "41230",
      "county": "LAWRENCE",
      "latitude": 38.0924866401963,
      "longitude": -82.6044082996796,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 90,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisa-three-rivers-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-goldentree-distressed-onshore-master-fund-iii-lp",
      "siblingGroupId": "siblings-ky-goldentree-distressed-onshore-master-fund-iii-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180130",
      "ccn": "180130",
      "name": "BAPTIST HEALTH LOUISVILLE",
      "address": "4000 KRESGE WAY",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40207",
      "county": "JEFFERSON",
      "latitude": 38.2381182500824,
      "longitude": -85.6371443003046,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 519,
      "rating": 4,
      "website": "https://www.baptisthealth.com/louisville/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-baptist-health-louisville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-ky-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baptisthealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baptisthealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180132",
      "ccn": "180132",
      "name": "LAKE CUMBERLAND REGIONAL HOSPITAL",
      "address": "305 LANGDON STREET",
      "city": "SOMERSET",
      "state": "KY",
      "zip": "42503",
      "county": "PULASKI",
      "latitude": 37.086006280039,
      "longitude": -84.6201770496168,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 283,
      "rating": 2,
      "website": "http://www.lakecumberlandhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-somerset-lake-cumberland-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180138",
      "ccn": "180138",
      "name": "BAPTIST HEALTH LA GRANGE",
      "address": "1025 NEW MOODY LANE",
      "city": "LA GRANGE",
      "state": "KY",
      "zip": "40031",
      "county": "OLDHAM",
      "latitude": 38.394890189756,
      "longitude": -85.3760651497184,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": 5,
      "website": "https://www.baptisthealth.com/lagrange/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTHCARE SYSTEM INC",
      "affiliatedSystem": "Baptisthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptisthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-healthcare-system-inc",
      "siblingGroupId": "siblings-ky-baptist-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-baptist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.baptisthealth.com/locations"
      ],
      "ownershipProofNotes": "CMS lists NATHAN K WILSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baptisthealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists NATHAN K WILSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baptisthealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Baptist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180141",
      "ccn": "180141",
      "name": "UNIVERSITY OF LOUISVILLE HOSPITAL",
      "address": "530 SOUTH JACKSON STREET",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40202",
      "county": "JEFFERSON",
      "latitude": 38.2483229597905,
      "longitude": -85.7443359602284,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 404,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-university-of-louisville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF LOUISVILLE",
      "parentSystemId": "entity-university-of-louisville",
      "siblingGroupId": "siblings-ky-university-of-louisville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-uofl-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://uoflhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF LOUISVILLE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to UofL Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF LOUISVILLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF LOUISVILLE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to UofL Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF LOUISVILLE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180143",
      "ccn": "180143",
      "name": "CHI SAINT JOSEPH EAST",
      "address": "150 NORTH EAGLE CREEK DRIVE",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40509",
      "county": "FAYETTE",
      "latitude": 37.9994201001914,
      "longitude": -84.4391549998715,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 217,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ky-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180149",
      "ccn": "180149",
      "name": "T J HEALTH COLUMBIA",
      "address": "901 WESTLAKE DRIVE",
      "city": "COLUMBIA",
      "state": "KY",
      "zip": "42728",
      "county": "ADAIR",
      "latitude": 37.0966415698219,
      "longitude": -85.2945456499854,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 74,
      "rating": null,
      "website": "http://www.westlakeregionalhospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "TJ REGIONAL HEALTH INC",
      "parentSystemId": "entity-tj-regional-health-inc",
      "siblingGroupId": "siblings-ky-tj-regional-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-t-j-regional-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.tjsamson.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: TJ REGIONAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to T.J. Regional Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TJ REGIONAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TJ REGIONAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to T.J. Regional Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TJ REGIONAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180154",
      "ccn": "180154",
      "name": "PINEVILLE COMMUNITY HEALTH CENTER, INC",
      "address": "850 RIVERVIEW AVENUE",
      "city": "PINEVILLE",
      "state": "KY",
      "zip": "40977",
      "county": "BELL",
      "latitude": 36.7629169400817,
      "longitude": -83.707768730317,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 120,
      "rating": 1,
      "website": "https://www.pinevillehospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pineville-pineville-community-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ky-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-pineville-community-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to PINEVILLE COMMUNITY HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to PINEVILLE COMMUNITY HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "180779",
      "ccn": "180779",
      "name": "CRITTENDEN COMMUNITY HOSPITAL",
      "address": "520 WEST GUM STREET",
      "city": "MARION",
      "state": "KY",
      "zip": "42064",
      "county": "CRITTENDEN",
      "latitude": 37.3292112300574,
      "longitude": -88.0925754395613,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 48,
      "rating": null,
      "website": "http://www.crittenden-health.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Local",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RHG CONSOLIDATED LLC",
      "parentSystemId": "entity-rhg-consolidated-llc",
      "siblingGroupId": "siblings-ky-rhg-consolidated-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: RHG CONSOLIDATED LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RHG CONSOLIDATED LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "180780",
      "ccn": "180780",
      "name": "FLEMING COUNTY HOSPITAL",
      "address": "55 FOUNDATION DRIVE",
      "city": "FLEMINGSBURG",
      "state": "KY",
      "zip": "41041",
      "county": "FLEMING",
      "latitude": 38.4221510498589,
      "longitude": -83.7515453103685,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.flemingcountyhospital.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flemingsburg-fleming-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "181301",
      "ccn": "181301",
      "name": "MARCUM AND WALLACE MEMORIAL HOSPITAL",
      "address": "60 MERCY COURT",
      "city": "IRVINE",
      "state": "KY",
      "zip": "40336",
      "county": "ESTILL",
      "latitude": 37.7061970998121,
      "longitude": -83.9772771397268,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.marcumandwallace.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-irvine-marcum-and-wallace-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-ky-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181302",
      "ccn": "181302",
      "name": "THE JAMES B HAGGIN MEMORIAL HOSPITAL",
      "address": "464 LINDEN AVENUE",
      "city": "HARRODSBURG",
      "state": "KY",
      "zip": "40330",
      "county": "MERCER",
      "latitude": 37.7570638796632,
      "longitude": -84.848739110211,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "EPHRAIM MCDOWELL HEALTH INC",
      "parentSystemId": "entity-ephraim-mcdowell-health-inc",
      "siblingGroupId": "siblings-ky-ephraim-mcdowell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-ephraim-mcdowell-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPHRAIM MCDOWELL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to EPHRAIM MCDOWELL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPHRAIM MCDOWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPHRAIM MCDOWELL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to EPHRAIM MCDOWELL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPHRAIM MCDOWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181304",
      "ccn": "181304",
      "name": "TRIGG COUNTY HOSPITAL",
      "address": "254 MAIN STREET",
      "city": "CADIZ",
      "state": "KY",
      "zip": "42211",
      "county": "TRIGG",
      "latitude": 36.8663402296442,
      "longitude": -87.8215387802576,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cadiz-trigg-county-hospital-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TRIGG COUNTY HOSPITAL, INC",
      "parentSystemId": "entity-trigg-county-hospital-inc",
      "siblingGroupId": "siblings-ky-trigg-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIGG COUNTY HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIGG COUNTY HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181305",
      "ccn": "181305",
      "name": "ARH OUR LADY OF THE WAY",
      "address": "11203 MAIN STREET",
      "city": "MARTIN",
      "state": "KY",
      "zip": "41649",
      "county": "FLOYD",
      "latitude": 37.5788245499416,
      "longitude": -82.7503077498502,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.saintjosephmartin.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "Appalachian Regional Healthcare",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists VANESSA JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists VANESSA JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181307",
      "ccn": "181307",
      "name": "MORGAN COUNTY ARH HOSPITAL",
      "address": "476 LIBERTY ROAD",
      "city": "WEST LIBERTY",
      "state": "KY",
      "zip": "41472",
      "county": "MORGAN",
      "latitude": 37.9200331402058,
      "longitude": -83.2655755101611,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.arh.org",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-liberty-morgan-county-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181308",
      "ccn": "181308",
      "name": "BLUEGRASS COMMUNITY HOSPITAL",
      "address": "360 AMSDEN AVENUE",
      "city": "VERSAILLES",
      "state": "KY",
      "zip": "40383",
      "county": "WOODFORD",
      "latitude": 38.054765690003,
      "longitude": -84.7237883401268,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-versailles-bluegrass-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ky-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "181309",
      "ccn": "181309",
      "name": "CASEY COUNTY HOSPITAL",
      "address": "187 WOLFORD AVENUE",
      "city": "LIBERTY",
      "state": "KY",
      "zip": "42539",
      "county": "CASEY",
      "latitude": 37.3177168102086,
      "longitude": -84.9331719101908,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-liberty-casey-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TUNGATE HEALTHCARE ENTERPRISES INC",
      "parentSystemId": "entity-tungate-healthcare-enterprises-inc",
      "siblingGroupId": "siblings-ky-tungate-healthcare-enterprises-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TUNGATE HEALTHCARE ENTERPRISES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUNGATE HEALTHCARE ENTERPRISES INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TUNGATE HEALTHCARE ENTERPRISES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUNGATE HEALTHCARE ENTERPRISES INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181310",
      "ccn": "181310",
      "name": "CARROLL COUNTY MEMORIAL HOSPITAL",
      "address": "309 ELEVENTH STREET",
      "city": "CARROLLTON",
      "state": "KY",
      "zip": "41008",
      "county": "CARROLL",
      "latitude": 38.6803123398423,
      "longitude": -85.1687860997014,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.ccmhosp.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carrollton-carroll-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CCMH CORPORATION",
      "parentSystemId": "entity-ccmh-corporation",
      "siblingGroupId": "siblings-ky-ccmh-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CCMH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CCMH CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CCMH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CCMH CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181311",
      "ccn": "181311",
      "name": "ST ELIZABETH GRANT",
      "address": "238 BARNES ROAD",
      "city": "WILLIAMSTOWN",
      "state": "KY",
      "zip": "41097",
      "county": "GRANT",
      "latitude": 38.6472036502129,
      "longitude": -84.5781684304013,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williamstown-st.-elizabeth-grant/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST ELIZABETH MEDICAL CENTER, INC",
      "parentSystemId": "entity-st-elizabeth-medical-center-inc",
      "siblingGroupId": "siblings-ky-st-elizabeth-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-st-elizabeth-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.stelizabeth.com/about/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to St. Elizabeth Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181315",
      "ccn": "181315",
      "name": "EPHRAIM MCDOWELL FORT LOGAN HOSPITAL",
      "address": "110 METKER TRAIL",
      "city": "STANFORD",
      "state": "KY",
      "zip": "40484",
      "county": "LINCOLN",
      "latitude": 37.5427943199648,
      "longitude": -84.6530365603273,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.fortloganhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stanford-ephraim-mcdowell-fort-logan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EPHRAIM MCDOWELL HEALTH INC",
      "parentSystemId": "entity-ephraim-mcdowell-health-inc",
      "siblingGroupId": "siblings-ky-ephraim-mcdowell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-ephraim-mcdowell-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPHRAIM MCDOWELL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to EPHRAIM MCDOWELL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPHRAIM MCDOWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPHRAIM MCDOWELL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to EPHRAIM MCDOWELL HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPHRAIM MCDOWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181316",
      "ccn": "181316",
      "name": "MARY BRECKINRIDGE ARH HOSPITAL",
      "address": "130 KATE IRELAND DRIVE",
      "city": "HYDEN",
      "state": "KY",
      "zip": "41749",
      "county": "LESLIE",
      "latitude": 37.164105980215,
      "longitude": -83.3785838603642,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.frontiernursing.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hyden-mary-breckinridge-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Appalachian Regional Healthcare",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APPALACHIAN REGIONAL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181317",
      "ccn": "181317",
      "name": "CUMBERLAND COUNTY HOSPITAL",
      "address": "299 GLASGOW ROAD",
      "city": "BURKESVILLE",
      "state": "KY",
      "zip": "42717",
      "county": "CUMBERLAND",
      "latitude": 36.7961945800869,
      "longitude": -85.3729620695881,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.cchospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burkesville-cumberland-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC.",
      "parentSystemId": "entity-cumberland-county-hospital-association-inc",
      "siblingGroupId": "siblings-ky-cumberland-county-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181318",
      "ccn": "181318",
      "name": "THE MEDICAL CENTER AT FRANKLIN",
      "address": "1100 BROOKHAVEN ROAD",
      "city": "FRANKLIN",
      "state": "KY",
      "zip": "42135",
      "county": "SIMPSON",
      "latitude": 36.7000175800664,
      "longitude": -86.5768283902566,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.themedicalcenterfranklin.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-the-medical-center-at-franklin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "parentSystemId": "entity-commonwealth-health-corporation-inc",
      "siblingGroupId": "siblings-ky-commonwealth-health-corporation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-med-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medcenterhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181319",
      "ccn": "181319",
      "name": "BRECKINRIDGE MEMORIAL HOSPITAL",
      "address": "1011 OLD HIGHWAY 60",
      "city": "HARDINSBURG",
      "state": "KY",
      "zip": "40143",
      "county": "BRECKINRIDGE",
      "latitude": 37.7665701398881,
      "longitude": -86.4403904503077,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hardinsburg-breckinridge-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BRECKINRIDGE HEALTH, INC.",
      "parentSystemId": "entity-breckinridge-health-inc",
      "siblingGroupId": "siblings-ky-breckinridge-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-breckinridge-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists AMY ARNDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to BRECKINRIDGE HEALTH, INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRECKINRIDGE HEALTH, INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AMY ARNDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to BRECKINRIDGE HEALTH, INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRECKINRIDGE HEALTH, INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181320",
      "ccn": "181320",
      "name": "LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC",
      "address": "131 HOSPITAL DRIVE",
      "city": "SALEM",
      "state": "KY",
      "zip": "42078",
      "county": "LIVINGSTON",
      "latitude": 37.2630531898251,
      "longitude": -88.2285024599974,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.lhhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salem-livingston-hospital-and-healthcare-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.",
      "parentSystemId": "entity-livingston-hospital-and-healthcare-services-inc",
      "siblingGroupId": "siblings-ky-livingston-hospital-and-healthcare-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-livingston-hospital-and-healthcare-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181321",
      "ccn": "181321",
      "name": "WAYNE COUNTY HOSPITAL",
      "address": "166 HOSPITAL STREET",
      "city": "MONTICELLO",
      "state": "KY",
      "zip": "42633",
      "county": "WAYNE",
      "latitude": 36.8198647700724,
      "longitude": -84.8668926104255,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.waynehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-wayne-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WAYNE COUNTY HOSPITAL INC",
      "parentSystemId": "entity-wayne-county-hospital-inc",
      "siblingGroupId": "siblings-ky-wayne-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists JOHN J MURRELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE COUNTY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOHN J MURRELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE COUNTY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181322",
      "ccn": "181322",
      "name": "CALDWELL MEDICAL CENTER",
      "address": "100 MEDICAL CENTER DRIVE",
      "city": "PRINCETON",
      "state": "KY",
      "zip": "42445",
      "county": "CALDWELL",
      "latitude": 37.1136743097965,
      "longitude": -87.9096004802361,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://cmcky.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-princeton-caldwell-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CALDWELL COUNTY HOSPITAL, INC",
      "parentSystemId": "entity-caldwell-county-hospital-inc",
      "siblingGroupId": "siblings-ky-caldwell-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-caldwell-county-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUORUM HEALTH RESOURCES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALDWELL COUNTY HOSPITAL, INC, ownership class for_profit_private. Excluded QUORUM HEALTH RESOURCES LLC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QUORUM HEALTH RESOURCES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALDWELL COUNTY HOSPITAL, INC, ownership class for_profit_private. Excluded QUORUM HEALTH RESOURCES LLC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "181323",
      "ccn": "181323",
      "name": "OHIO COUNTY HOSPITAL",
      "address": "1211 OLD MAIN STREET",
      "city": "HARTFORD",
      "state": "KY",
      "zip": "42347",
      "county": "OHIO",
      "latitude": 37.4484669903158,
      "longitude": -86.8964476801622,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hartford-ohio-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OHIO COUNTY HOSPITAL CORPORATION",
      "parentSystemId": "entity-ohio-county-hospital-corporation",
      "siblingGroupId": "siblings-ky-ohio-county-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-verified-parent-ohio-county-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIO COUNTY HOSPITAL CORPORATION, ownership class for_profit_private. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIO COUNTY HOSPITAL CORPORATION, ownership class for_profit_private. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "181324",
      "ccn": "181324",
      "name": "THE MEDICAL CENTER AT SCOTTSVILLE",
      "address": "456 BURNLEY ROAD",
      "city": "SCOTTSVILLE",
      "state": "KY",
      "zip": "42164",
      "county": "ALLEN",
      "latitude": 36.7614750296846,
      "longitude": -86.21496915956,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.themedicalcenterscottsville.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scottsville-the-medical-center-at-scottsville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "parentSystemId": "entity-commonwealth-health-corporation-inc",
      "siblingGroupId": "siblings-ky-commonwealth-health-corporation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-med-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medcenterhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181325",
      "ccn": "181325",
      "name": "JANE TODD CRAWFORD HOSPITAL",
      "address": "202-206 MILBY STREET",
      "city": "GREENSBURG",
      "state": "KY",
      "zip": "42743",
      "county": "GREEN",
      "latitude": 37.2428699202954,
      "longitude": -85.4947909101923,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JANE TODD CRAWFORD MEMORIAL HOSPITAL INC.",
      "parentSystemId": "entity-jane-todd-crawford-memorial-hospital-inc",
      "siblingGroupId": "siblings-ky-jane-todd-crawford-memorial-hospital-inc",
      "campusFamilyId": "campus-ky-181325",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-jane-todd-crawford-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to JANE TODD CRAWFORD MEMORIAL HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JANE TODD CRAWFORD MEMORIAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to JANE TODD CRAWFORD MEMORIAL HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JANE TODD CRAWFORD MEMORIAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181327",
      "ccn": "181327",
      "name": "MARSHALL COUNTY HOSPITAL",
      "address": "615 OLD SYMSONIA ROAD",
      "city": "BENTON",
      "state": "KY",
      "zip": "42025",
      "county": "MARSHALL",
      "latitude": 36.8670836201327,
      "longitude": -88.3697993900131,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-benton-marshall-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MARSHALL COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-marshall-county-hospital-district",
      "siblingGroupId": "siblings-ky-marshall-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-verified-parent-marshall-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181329",
      "ccn": "181329",
      "name": "CHI SAINT JOSEPH BEREA NF",
      "address": "305 ESTILL STREET",
      "city": "BEREA",
      "state": "KY",
      "zip": "40403",
      "county": "MADISON",
      "latitude": 37.5760949599562,
      "longitude": -84.2865705496647,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.saintjosephberea.org",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-ky-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181330",
      "ccn": "181330",
      "name": "RUSSELL COUNTY HOSPITAL",
      "address": "153 DOWELL ROAD",
      "city": "RUSSELL SPRINGS",
      "state": "KY",
      "zip": "42642",
      "county": "RUSSELL",
      "latitude": 37.0575804497882,
      "longitude": -85.0673528096321,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-russell-springs-russell-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RUSSELL COUNTY HOSPITAL",
      "parentSystemId": "entity-russell-county-hospital",
      "siblingGroupId": "siblings-ky-russell-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists NEAL DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSSELL COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists NEAL DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUSSELL COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "181331",
      "ccn": "181331",
      "name": "MCDOWELL ARH HOSPITAL",
      "address": "9879 KENTUCKY ROUTE 122",
      "city": "MC DOWELL",
      "state": "KY",
      "zip": "41647",
      "county": "FLOYD",
      "latitude": 37.4567064603213,
      "longitude": -82.7472078704172,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.arh.org",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-ky-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-appalachian-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.arh.org/locations"
      ],
      "ownershipProofNotes": "CMS lists DANITA HAMPTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DANITA HAMPTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Appalachian Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181333",
      "ccn": "181333",
      "name": "THE MEDICAL CENTER AT ALBANY",
      "address": "723 BURKESVILLE ROAD",
      "city": "ALBANY",
      "state": "KY",
      "zip": "42602",
      "county": "CLINTON",
      "latitude": 36.6981876299497,
      "longitude": -85.147554930001,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 42,
      "rating": null,
      "website": "http://www.clintoncountyhospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albany-the-medical-center-at-albany/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMONWEALTH HEALTH CORPORATION, INC.",
      "parentSystemId": "entity-commonwealth-health-corporation-inc",
      "siblingGroupId": "siblings-ky-commonwealth-health-corporation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-med-center-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medcenterhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH HEALTH CORPORATION, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Med Center Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH HEALTH CORPORATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "181334",
      "ccn": "181334",
      "name": "KENTUCKY RIVER MEDICAL CENTER",
      "address": "540 JETT DRIVE",
      "city": "JACKSON",
      "state": "KY",
      "zip": "41339",
      "county": "BREATHITT",
      "latitude": 37.565887269714,
      "longitude": -83.3696206402408,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 55,
      "rating": null,
      "website": "http://www.kentuckyrivermc.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-kentucky-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-goldentree-distressed-master-fund-iii-ltd",
      "siblingGroupId": "siblings-ky-goldentree-distressed-master-fund-iii-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GOLDENTREE DISTRESSED MASTER FUND III LTD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED MASTER FUND III LTD, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GOLDENTREE DISTRESSED MASTER FUND III LTD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED MASTER FUND III LTD, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "184002",
      "ccn": "184002",
      "name": "WESTERN STATE HOSPITAL",
      "address": "2400 RUSSELLVILLE ROAD",
      "city": "HOPKINSVILLE",
      "state": "KY",
      "zip": "42240",
      "county": "CHRISTIAN",
      "latitude": 36.8646692197068,
      "longitude": -87.4512667200256,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 495,
      "rating": null,
      "website": "http://ww2.westernstatehospital.org/?folio=9po8qu3x6",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hopkinsville-western-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMMONWEALTH OF KENTUCKY",
      "parentSystemId": "entity-commonwealth-of-kentucky",
      "siblingGroupId": "siblings-ky-commonwealth-of-kentucky",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ky-parent-commonwealth-of-kentucky"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists REBECCA FROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to COMMONWEALTH OF KENTUCKY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists REBECCA FROST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to COMMONWEALTH OF KENTUCKY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "184004",
      "ccn": "184004",
      "name": "EASTERN STATE HOSPITAL",
      "address": "1350 BULL LEA ROAD",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40511",
      "county": "FAYETTE",
      "latitude": 38.0829240597683,
      "longitude": -84.4979543399813,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 195,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-eastern-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KENTUCKY",
      "parentSystemId": "entity-university-of-kentucky",
      "siblingGroupId": "siblings-ky-university-of-kentucky",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-university-of-kentucky"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ukhealthcare.uky.edu/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KENTUCKY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LINDSEY J JASINSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to University of Kentucky; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KENTUCKY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LINDSEY J JASINSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to University of Kentucky; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "184006",
      "ccn": "184006",
      "name": "SUN BEHAVIORAL HEALTH",
      "address": "820 DOLWICK DRIVE",
      "city": "ERLANGER",
      "state": "KY",
      "zip": "41018",
      "county": "KENTON",
      "latitude": 39.0388409997137,
      "longitude": -84.5944360003219,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 197,
      "rating": null,
      "website": "https://sunbehavioral.com/kentucky/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SUN KENTUCKY, LLC",
      "peFirm": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors",
      "acquiredDate": "February 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "SUN Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erlanger-sun-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sun-kentucky-llc",
      "siblingGroupId": "siblings-ky-sun-kentucky-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUN KENTUCKY, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN KENTUCKY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SUN KENTUCKY, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN KENTUCKY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "184007",
      "ccn": "184007",
      "name": "THE BROOK HOSPITAL - DUPONT",
      "address": "1405 BROWNS LANE",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40207",
      "county": "JEFFERSON",
      "latitude": 38.2356966303242,
      "longitude": -85.6273409496764,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 88,
      "rating": null,
      "website": "http://www.thebrookhospitals.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-the-brook-hospital---dupont/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ky-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "184008",
      "ccn": "184008",
      "name": "THE BROOK HOSPITAL - KMI",
      "address": "8521 LAGRANGE ROAD",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40242",
      "county": "JEFFERSON",
      "latitude": 38.2725392997456,
      "longitude": -85.5964787801182,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Federal",
      "beds": 98,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-the-brook-hospital---kmi/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ky-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "184009",
      "ccn": "184009",
      "name": "THE RIDGE BEHAVIORAL HEALTH SYSTEM",
      "address": "3050 RIO DOSA DRIVE",
      "city": "LEXINGTON",
      "state": "KY",
      "zip": "40509",
      "county": "FAYETTE",
      "latitude": 38.0047936501593,
      "longitude": -84.4424055195911,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 110,
      "rating": null,
      "website": "http://www.ridgebhs.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-the-ridge-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ky-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "184012",
      "ccn": "184012",
      "name": "LINCOLN TRAIL BEHAVIORAL HEALTH SYSTEM",
      "address": "3909 S WILSON ROAD",
      "city": "RADCLIFF",
      "state": "KY",
      "zip": "40160",
      "county": "HARDIN",
      "latitude": 37.7879236800332,
      "longitude": -85.9147806295742,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 140,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-radcliff-lincoln-trail-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ky-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "184014",
      "ccn": "184014",
      "name": "CUMBERLAND HALL",
      "address": "270 WALTON WAY",
      "city": "HOPKINSVILLE",
      "state": "KY",
      "zip": "42240",
      "county": "CHRISTIAN",
      "latitude": 36.7382516599196,
      "longitude": -87.4684033300335,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 97,
      "rating": null,
      "website": "http://www.cumberlandhallhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ky-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "184015",
      "ccn": "184015",
      "name": "CENTRAL STATE HOSPITAL",
      "address": "10510 LAGRANGE ROAD",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "40223",
      "county": "JEFFERSON",
      "latitude": 38.2721909601684,
      "longitude": -85.5580962204285,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 192,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisville-central-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMMONWEALTH OF KENTUCKY",
      "parentSystemId": "entity-commonwealth-of-kentucky",
      "siblingGroupId": "siblings-ky-commonwealth-of-kentucky",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-commonwealth-of-kentucky"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chfs.ky.gov/agencies/os/oig/dhc/Documents/HospitalDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH OF KENTUCKY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JENNIFER MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to COMMONWEALTH OF KENTUCKY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH OF KENTUCKY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JENNIFER MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to COMMONWEALTH OF KENTUCKY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF KENTUCKY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "184017",
      "ccn": "184017",
      "name": "RIVENDELL BEHAVIORAL HEALTH SERVICES",
      "address": "1035 PORTER PIKE",
      "city": "BOWLING GREEN",
      "state": "KY",
      "zip": "42103",
      "county": "WARREN",
      "latitude": 36.9970720102715,
      "longitude": -86.3831369500035,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Federal",
      "beds": 125,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bowling-green-rivendell-behavioral-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ky-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ky-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Kentucky resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "190002",
      "ccn": "190002",
      "name": "OCHSNER LAFAYETTE GENERAL MEDICAL CENTER",
      "address": "1214 COOLIDGE AVENUE",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70503",
      "county": "LAFAYETTE",
      "latitude": 30.2026861000024,
      "longitude": -92.0193627396557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 461,
      "rating": 3,
      "website": "https://www.ochsner.org/locations/ochsner-lafayette-general-medical-center",
      "status": "corporate_chain",
      "parentSystem": "LAFAYETTE GENERAL HEALTH SYSTEM INC",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-ochsner-lafayette-general-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lafayette-general-health-system-inc",
      "siblingGroupId": "siblings-la-lafayette-general-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190004",
      "ccn": "190004",
      "name": "THIBODAUX REGIONAL MEDICAL CENTER",
      "address": "602 N ACADIA ROAD",
      "city": "THIBODAUX",
      "state": "LA",
      "zip": "70301",
      "county": "LAFOURCHE",
      "latitude": 29.7815910503463,
      "longitude": -90.8057654402314,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 180,
      "rating": 3,
      "website": "https://www.thibodaux.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thibodaux-thibodaux-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THIBODAUX REGIONAL HEALTH SYSTEM INC",
      "parentSystemId": "entity-thibodaux-regional-health-system-inc",
      "siblingGroupId": "siblings-la-thibodaux-regional-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-thibodaux-regional-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.thibodaux.com/locations/"
      ],
      "ownershipProofNotes": "CMS lists JACOB GIARDINA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Thibodaux Regional Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THIBODAUX REGIONAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JACOB GIARDINA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Thibodaux Regional Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THIBODAUX REGIONAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190005",
      "ccn": "190005",
      "name": "UNIVERSITY MEDICAL CENTER NEW ORLEANS",
      "address": "2000 CANAL STREET",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70112",
      "county": "ORLEANS",
      "latitude": 29.9601857599763,
      "longitude": -90.0819489403012,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 506,
      "rating": 2,
      "website": "https://www.umcno.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-university-medical-center-new-orleans/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION",
      "parentSystemId": "entity-university-medical-center-management-corporation",
      "siblingGroupId": "siblings-la-university-medical-center-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS PATRIAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS PATRIAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190006",
      "ccn": "190006",
      "name": "OCHSNER UNIVERSITY HOSPITAL AND CLINICS",
      "address": "2390 WEST CONGRESS ST",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70506",
      "county": "LAFAYETTE",
      "latitude": 30.2171608096357,
      "longitude": -92.0462537196509,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 116,
      "rating": 3,
      "website": "https://www.ochsner.org/locations/ochsner-university-hospital-clinics",
      "status": "corporate_chain",
      "parentSystem": "LAFAYETTE GENERAL HEALTH SYSTEM INC",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lafayette-general-health-system-inc",
      "siblingGroupId": "siblings-la-lafayette-general-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190007",
      "ccn": "190007",
      "name": "NATCHITOCHES REGIONAL MEDICAL CENTER",
      "address": "501 KEYSER AVENUE",
      "city": "NATCHITOCHES",
      "state": "LA",
      "zip": "71457",
      "county": "NATCHITOCHES",
      "latitude": 31.7525704703675,
      "longitude": -93.0782198199391,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 96,
      "rating": 4,
      "website": "https://www.nrmchospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-natchitoches-natchitoches-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT",
      "parentSystemId": "entity-natchitoches-parish-hospital-service-district",
      "siblingGroupId": "siblings-la-natchitoches-parish-hospital-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190011",
      "ccn": "190011",
      "name": "OCHSNER LSU HEALTH MONROE",
      "address": "4864 JACKSON STREET",
      "city": "MONROE",
      "state": "LA",
      "zip": "71202",
      "county": "OUACHITA",
      "latitude": 32.4508891299295,
      "longitude": -92.106795800395,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 3,
      "website": "http://www.uhsystem.com/conway/home",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroe-ochsner-lsu-health-monroe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRF HOSPITAL HOLDINGS LLC",
      "parentSystemId": "entity-brf-hospital-holdings-llc",
      "siblingGroupId": "siblings-la-brf-hospital-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRF HOSPITAL HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRF HOSPITAL HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRF HOSPITAL HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRF HOSPITAL HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190013",
      "ccn": "190013",
      "name": "WEST CALCASIEU CAMERON HOSPITAL",
      "address": "701 CYPRESS STREET",
      "city": "SULPHUR",
      "state": "LA",
      "zip": "70663",
      "county": "CALCASIEU",
      "latitude": 30.2302535500599,
      "longitude": -93.3686748999038,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 107,
      "rating": 4,
      "website": "https://www.wcch.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sulphur-west-calcasieu-cameron-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT",
      "parentSystemId": "entity-calcasieu-cameron-hospital-service-district",
      "siblingGroupId": "siblings-la-calcasieu-cameron-hospital-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JANIE FRUGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JANIE FRUGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190014",
      "ccn": "190014",
      "name": "OCHSNER ST. MARY",
      "address": "1125 MARGUERITE STREET",
      "city": "MORGAN CITY",
      "state": "LA",
      "zip": "70380",
      "county": "ST. MARY",
      "latitude": 29.7085885999157,
      "longitude": -91.2010190996441,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 164,
      "rating": 2,
      "website": "https://www.ochsner.org/locations/ochsner-st-mary",
      "status": "signal",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ochsner",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER WISE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER WISE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190015",
      "ccn": "190015",
      "name": "NORTH OAKS MEDICAL CENTER, LLC",
      "address": "15790 PAUL VEGA MD DRIVE",
      "city": "HAMMOND",
      "state": "LA",
      "zip": "70403",
      "county": "TANGIPAHOA",
      "latitude": 30.4651110201096,
      "longitude": -90.4611135600746,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 330,
      "rating": 2,
      "website": "https://www.northoaks.org/locations/north-oaks-medical-center/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hammond-north-oaks-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA",
      "parentSystemId": "entity-hospital-service-district-1-of-tangipahoa",
      "siblingGroupId": "siblings-la-hospital-service-district-1-of-tangipahoa",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK T ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK T ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190017",
      "ccn": "190017",
      "name": "OPELOUSAS GENERAL HEALTH SYSTEM",
      "address": "539 E PRUDHOMME ST",
      "city": "OPELOUSAS",
      "state": "LA",
      "zip": "70570",
      "county": "ST. LANDRY",
      "latitude": 30.4716036202789,
      "longitude": -92.0794871801495,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 197,
      "rating": 2,
      "website": "https://www.opelousasgeneral.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "OPELOUSAS GENERAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-opelousas-general-hospital-authority",
      "siblingGroupId": "siblings-la-opelousas-general-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-opelousas-general-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.brgeneral.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OPELOUSAS GENERAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Baton Rouge General; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OPELOUSAS GENERAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OPELOUSAS GENERAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Baton Rouge General; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OPELOUSAS GENERAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190019",
      "ccn": "190019",
      "name": "CHRISTUS ST. FRANCES CABRINI HOSPITAL",
      "address": "3330 MASONIC DRIVE",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71301",
      "county": "RAPIDES",
      "latitude": 31.2830844299413,
      "longitude": -92.4614581602267,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 241,
      "rating": 3,
      "website": "https://www.christushealth.org/st-frances-cabrini",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "Christushealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christushealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-christus-st.-frances-cabrini-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-la-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190020",
      "ccn": "190020",
      "name": "LANE REGIONAL MEDICAL CENTER",
      "address": "6300 MAIN STREET",
      "city": "ZACHARY",
      "state": "LA",
      "zip": "70791",
      "county": "EAST BATON ROUGE",
      "latitude": 30.6488306398877,
      "longitude": -91.1375790196574,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 182,
      "rating": 3,
      "website": "https://www.lanermc.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-zachary-lane-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH",
      "parentSystemId": "entity-hospital-service-district-1-of-east-baton-rouge-parish",
      "siblingGroupId": "siblings-la-hospital-service-district-1-of-east-baton-rouge-parish",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists FRANK ASHTON CORCORAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists FRANK ASHTON CORCORAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190025",
      "ccn": "190025",
      "name": "SAVOY MEDICAL CENTER",
      "address": "801 POINCIANA AVENUE",
      "city": "MAMOU",
      "state": "LA",
      "zip": "70554",
      "county": "EVANGELINE",
      "latitude": 30.642225239718,
      "longitude": -92.4178773895509,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 98,
      "rating": 4,
      "website": "https://savoymedical.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mamou-savoy-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TOWN OF MAMOU",
      "parentSystemId": "entity-town-of-mamou",
      "siblingGroupId": "siblings-la-town-of-mamou",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: TOWN OF MAMOU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWN OF MAMOU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TOWN OF MAMOU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWN OF MAMOU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190026",
      "ccn": "190026",
      "name": "RAPIDES REGIONAL MEDICAL CENTER",
      "address": "211 FOURTH STREET, BOX 30101",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71301",
      "county": "RAPIDES",
      "latitude": 31.3150812100959,
      "longitude": -92.4496687000823,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 362,
      "rating": 2,
      "website": "https://rapidesregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-rapides-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FRISCO HOLDING II",
      "parentSystemId": "entity-frisco-holding-ii",
      "siblingGroupId": "siblings-la-frisco-holding-ii",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRISCO HOLDING II (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists JOHN WILLIAM DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRISCO HOLDING II, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRISCO HOLDING II (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists JOHN WILLIAM DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRISCO HOLDING II, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190027",
      "ccn": "190027",
      "name": "CHRISTUS OCHSNER ST. PATRICK HOSPITAL",
      "address": "524 DR MICHAEL DEBAKEY DRIVE",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70601",
      "county": "CALCASIEU",
      "latitude": 30.2159442399124,
      "longitude": -93.2279166203938,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 230,
      "rating": 3,
      "website": "https://www.christushealth.org/southwest-louisiana/st-patrick",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "Christushealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christushealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-la-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190034",
      "ccn": "190034",
      "name": "ABBEVILLE GENERAL HOSPITAL",
      "address": "118 N HOSPITAL DRIVE",
      "city": "ABBEVILLE",
      "state": "LA",
      "zip": "70510",
      "county": "VERMILION",
      "latitude": 29.9736656399885,
      "longitude": -92.1076989899379,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 60,
      "rating": 3,
      "website": "https://www.abbevillegeneral.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abbeville-abbeville-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ABBEVILLE GENERAL HOSPITAL",
      "parentSystemId": "entity-abbeville-general-hospital",
      "siblingGroupId": "siblings-la-abbeville-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-abbeville-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists WILLIAM TROY HAIR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to ABBEVILLE GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ABBEVILLE GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists WILLIAM TROY HAIR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to ABBEVILLE GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ABBEVILLE GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190036",
      "ccn": "190036",
      "name": "OCHSNER MEDICAL CENTER",
      "address": "1516 JEFFERSON HIGHWAY",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70121",
      "county": "JEFFERSON",
      "latitude": 29.9614017500797,
      "longitude": -90.1455505697153,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 767,
      "rating": 4,
      "website": "https://www.ochsner.org/locations/ochsner-medical-center/",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-ochsner-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT WOLTERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT WOLTERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190039",
      "ccn": "190039",
      "name": "WEST JEFFERSON MEDICAL CENTER",
      "address": "1101 MEDICAL CENTER BOULEVARD",
      "city": "MARRERO",
      "state": "LA",
      "zip": "70072",
      "county": "JEFFERSON",
      "latitude": 29.8922135400519,
      "longitude": -90.0948045003635,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 419,
      "rating": 3,
      "website": "https://www.wjmc.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marrero-west-jefferson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WEST JEFFERSON HOLDINGS LLC",
      "parentSystemId": "entity-west-jefferson-holdings-llc",
      "siblingGroupId": "siblings-la-west-jefferson-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-lcmc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lcmchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST JEFFERSON HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHAD MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST JEFFERSON HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST JEFFERSON HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHAD MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST JEFFERSON HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190040",
      "ccn": "190040",
      "name": "SLIDELL MEMORIAL HOSPITAL",
      "address": "1001 GAUSE BOULEVARD",
      "city": "SLIDELL",
      "state": "LA",
      "zip": "70458",
      "county": "ST. TAMMANY",
      "latitude": 30.2840199698882,
      "longitude": -89.7697239502988,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 223,
      "rating": 2,
      "website": "https://www.slidellmemorial.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-slidell-slidell-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SLIDELL MEMORIAL HOSPITAL",
      "parentSystemId": "entity-slidell-memorial-hospital",
      "siblingGroupId": "siblings-la-slidell-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: SLIDELL MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SLIDELL MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SLIDELL MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SLIDELL MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190044",
      "ccn": "190044",
      "name": "OCHSNER ACADIA GENERAL HOSPITAL",
      "address": "1305 CROWLEY RAYNE HIGHWAY",
      "city": "CROWLEY",
      "state": "LA",
      "zip": "70526",
      "county": "ACADIA",
      "latitude": 30.2260091799632,
      "longitude": -92.3636507095959,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 140,
      "rating": 3,
      "website": "http://www.lafayettegeneral.com/our_facilities/main_facilities/acadia_general_hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "LAFAYETTE GENERAL HEALTH SYSTEM INC",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crowley-ochsner-acadia-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lafayette-general-health-system-inc",
      "siblingGroupId": "siblings-la-lafayette-general-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK GANDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK GANDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190045",
      "ccn": "190045",
      "name": "ST. TAMMANY PARISH HOSPITAL",
      "address": "1202 SOUTH TYLER STREET",
      "city": "COVINGTON",
      "state": "LA",
      "zip": "70433",
      "county": "ST. TAMMANY",
      "latitude": 30.4686638899794,
      "longitude": -90.1129295599162,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 218,
      "rating": 4,
      "website": "https://www.sttammany.health/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-st.-tammany-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
      "parentSystemId": "entity-st-tammany-parish-hospital-service-district-no-1",
      "siblingGroupId": "siblings-la-st-tammany-parish-hospital-service-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190046",
      "ccn": "190046",
      "name": "TOURO INFIRMARY",
      "address": "1401 FOUCHER STREET",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70115",
      "county": "ORLEANS",
      "latitude": 29.9257767999077,
      "longitude": -90.0921527500016,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 411,
      "rating": 3,
      "website": "https://www.touro.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-touro-infirmary/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOUISIANA CHILDREN'S MEDICAL CENTER",
      "parentSystemId": "entity-louisiana-children-s-medical-center",
      "siblingGroupId": "siblings-la-louisiana-children-s-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-lcmc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lcmchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOUISIANA CHILDREN'S MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHAD MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUISIANA CHILDREN'S MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOUISIANA CHILDREN'S MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHAD MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUISIANA CHILDREN'S MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190050",
      "ccn": "190050",
      "name": "BEAUREGARD MEMORIAL HOSPITAL",
      "address": "600 SOUTH PINE STREET",
      "city": "DERIDDER",
      "state": "LA",
      "zip": "70634",
      "county": "BEAUREGARD",
      "latitude": 30.8415646802795,
      "longitude": -93.2884279598905,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 28,
      "rating": 3,
      "website": "https://www.beauregard.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WEST LOUISIANA HEALTH SERVICES INC",
      "parentSystemId": "entity-west-louisiana-health-services-inc",
      "siblingGroupId": "siblings-la-west-louisiana-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST LOUISIANA HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST LOUISIANA HEALTH SERVICES INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST LOUISIANA HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST LOUISIANA HEALTH SERVICES INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190054",
      "ccn": "190054",
      "name": "IBERIA MEDICAL CENTER",
      "address": "2315 EAST MAIN STREET",
      "city": "NEW IBERIA",
      "state": "LA",
      "zip": "70562",
      "county": "IBERIA",
      "latitude": 29.9899452001589,
      "longitude": -91.7856603797669,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 84,
      "rating": 2,
      "website": "https://www.iberiamedicalcenter.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-iberia-iberia-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH",
      "parentSystemId": "entity-hospital-service-district-no-1-of-iberia-parish",
      "siblingGroupId": "siblings-la-hospital-service-district-no-1-of-iberia-parish",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190060",
      "ccn": "190060",
      "name": "LAKE CHARLES MEMORIAL HOSPITAL",
      "address": "1701 OAK PARK BOULEVARD",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70601",
      "county": "CALCASIEU",
      "latitude": 30.204318729853,
      "longitude": -93.1974437501369,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 314,
      "rating": 3,
      "website": "https://www.lcmh.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-charles-lake-charles-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC",
      "parentSystemId": "entity-southwest-louisiana-hospital-association-inc",
      "siblingGroupId": "siblings-la-southwest-louisiana-hospital-association-inc",
      "campusFamilyId": "campus-la-190060",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-southwest-louisiana-hospital-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists DAWN JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAWN JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190060-loc-la-lake-charles-lake-charles-memorial-hospital-for-wom",
      "ccn": "190060",
      "name": "LAKE CHARLES MEMORIAL HOSPITAL FOR WOMEN",
      "address": "1900 W GAUTHIER RD",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70605",
      "county": "CALCASIEU",
      "latitude": 30.1406177596807,
      "longitude": -93.2470627500141,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 38,
      "rating": 3,
      "website": "http://www.lcmh.com/womens-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-charles-lake-charles-memorial-hospital-for-women/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC",
      "parentSystemId": "entity-southwest-louisiana-hospital-association-inc",
      "siblingGroupId": "siblings-la-southwest-louisiana-hospital-association-inc",
      "campusFamilyId": "campus-la-190060",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-southwest-louisiana-hospital-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists DAWN JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAWN JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "190060"
    },
    {
      "id": "190064",
      "ccn": "190064",
      "name": "OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER",
      "address": "5000 HENNESSY BLVD",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70808",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4037200598367,
      "longitude": -91.1063438300674,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 988,
      "rating": 3,
      "website": "http://www.ololrmc.com",
      "status": "signal",
      "parentSystem": "FMOL-NORTH AMERICAN PROVIDENCE INC",
      "affiliatedSystem": "Ololrmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ololrmc",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-our-lady-of-the-lake-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-fmol-north-american-providence-inc",
      "siblingGroupId": "siblings-la-fmol-north-american-providence-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FMOL-NORTH AMERICAN PROVIDENCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists RICHARD VATH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ololrmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ololrmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FMOL-NORTH AMERICAN PROVIDENCE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FMOL-NORTH AMERICAN PROVIDENCE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists RICHARD VATH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ololrmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ololrmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FMOL-NORTH AMERICAN PROVIDENCE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190065",
      "ccn": "190065",
      "name": "BATON ROUGE GENERAL MEDICAL CENTER",
      "address": "8585 PICARDY AVE",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70809",
      "county": "EAST BATON ROUGE",
      "latitude": 30.3937268801152,
      "longitude": -91.0948317795642,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 201,
      "rating": 3,
      "website": "https://www.brgeneral.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GENERAL HEALTH SYSTEM",
      "parentSystemId": "entity-general-health-system",
      "siblingGroupId": "siblings-la-general-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-baton-rouge-general"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.brgeneral.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GENERAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Baton Rouge General; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GENERAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Baton Rouge General; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190079",
      "ccn": "190079",
      "name": "ST. CHARLES PARISH HOSPITAL",
      "address": "1057 PAUL MAILLARD ROAD",
      "city": "LULING",
      "state": "LA",
      "zip": "70070",
      "county": "ST. CHARLES",
      "latitude": 29.9239139398043,
      "longitude": -90.3706915699247,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 59,
      "rating": null,
      "website": "https://www.ochsner.org/locations/st-charles-parish-hospital",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-luling-st.-charles-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190086",
      "ccn": "190086",
      "name": "NORTHERN LOUISIANA MEDICAL CENTER",
      "address": "401 EAST VAUGHN AVENUE",
      "city": "RUSTON",
      "state": "LA",
      "zip": "71270",
      "county": "LINCOLN",
      "latitude": 32.5172926999809,
      "longitude": -92.633748219796,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 130,
      "rating": 2,
      "website": "https://www.northernlouisianamedicalcenter.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ruston-northern-louisiana-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190088",
      "ccn": "190088",
      "name": "SPRINGHILL MEDICAL CENTER",
      "address": "2001 DOCTORS DRIVE",
      "city": "SPRINGHILL",
      "state": "LA",
      "zip": "71075",
      "county": "WEBSTER",
      "latitude": 33.0102877397067,
      "longitude": -93.4435518000819,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 4,
      "website": "https://www.smccare.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springhill-springhill-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SPRINGHILL MEDICAL SERVICES, INC.",
      "parentSystemId": "entity-springhill-medical-services-inc",
      "siblingGroupId": "siblings-la-springhill-medical-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPRINGHILL MEDICAL SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PETER B JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPRINGHILL MEDICAL SERVICES, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPRINGHILL MEDICAL SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PETER B JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPRINGHILL MEDICAL SERVICES, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190090",
      "ccn": "190090",
      "name": "WINN PARISH MEDICAL CENTER",
      "address": "301 WEST BOUNDARY AVE",
      "city": "WINNFIELD",
      "state": "LA",
      "zip": "71483",
      "county": "WINN",
      "latitude": 31.9245059301679,
      "longitude": -92.6455095500955,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": null,
      "website": "https://winnparishmedical.ahmgt.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winnfield-winn-parish-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190098",
      "ccn": "190098",
      "name": "OCHSNER LSU HEALTH SHREVEPORT",
      "address": "1541 KINGS HIGHWAY",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71103",
      "county": "CADDO",
      "latitude": 32.4807370298642,
      "longitude": -93.7616599197621,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 2,
      "website": "https://www.ochsnerlsuhs.org/locations/monroe-medical-center",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shreveport-ochsner-lsu-health-shreveport/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRF HOSPITAL HOLDINGS LLC",
      "parentSystemId": "entity-brf-hospital-holdings-llc",
      "siblingGroupId": "siblings-la-brf-hospital-holdings-llc",
      "campusFamilyId": "campus-la-190098",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRF HOSPITAL HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRF HOSPITAL HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRF HOSPITAL HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRF HOSPITAL HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190098-loc-la-shreveport-ochsner-lsu-health-shreveport-st-mary-me",
      "ccn": "190098",
      "name": "OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER",
      "address": "1 ST MARY PLACE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71101",
      "county": "CADDO",
      "latitude": 32.4952131002287,
      "longitude": -93.7500123000078,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 162,
      "rating": 2,
      "website": "https://www.ochsnerlsuhs.org/locations/st-mary-medical-center",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRF HOSPITAL HOLDINGS LLC",
      "parentSystemId": "entity-brf-hospital-holdings-llc",
      "siblingGroupId": "siblings-la-brf-hospital-holdings-llc",
      "campusFamilyId": "campus-la-190098",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRF HOSPITAL HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRF HOSPITAL HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRF HOSPITAL HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRF HOSPITAL HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "190098"
    },
    {
      "id": "190099",
      "ccn": "190099",
      "name": "AVOYELLES HOSPITAL",
      "address": "4231 HWY 1192",
      "city": "MARKSVILLE",
      "state": "LA",
      "zip": "71351",
      "county": "AVOYELLES",
      "latitude": 31.143545199799,
      "longitude": -92.0629460103428,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": 1,
      "website": "https://avoyelleshospital.ahmgt.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marksville-avoyelles-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190102",
      "ccn": "190102",
      "name": "OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC",
      "address": "4801 AMBASSADOR CAFFERY PARKWAY",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1508905799285,
      "longitude": -92.036366540037,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 218,
      "rating": 3,
      "website": "https://lourdesrmc.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-our-lady-of-lourdes-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC",
      "parentSystemId": "entity-franciscan-missionaries-of-our-lady-health-system-inc",
      "siblingGroupId": "siblings-la-franciscan-missionaries-of-our-lady-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190106",
      "ccn": "190106",
      "name": "OAKDALE COMMUNITY HOSPITAL",
      "address": "130 N HOSPITAL DRIVE",
      "city": "OAKDALE",
      "state": "LA",
      "zip": "71463",
      "county": "ALLEN",
      "latitude": 30.8161589999403,
      "longitude": -92.6437387398035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 27,
      "rating": 3,
      "website": "https://oakdalecommunityhospital.ahmgt.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oakdale-oakdale-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190111",
      "ccn": "190111",
      "name": "WILLIS - KNIGHTON MEDICAL CENTER",
      "address": "2600 GREENWOOD ROAD",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71103",
      "county": "CADDO",
      "latitude": 32.4844177402568,
      "longitude": -93.7799171996464,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 896,
      "rating": 3,
      "website": "https://www.wkhs.com/",
      "status": "signal",
      "parentSystem": "WILLIS KNIGHTON MEDICAL CENTER, INC.",
      "affiliatedSystem": "Wkhs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Wkhs",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shreveport-willis-knighton-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-willis-knighton-medical-center-inc",
      "siblingGroupId": "siblings-la-willis-knighton-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-willis-knighton-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.wkhs.com/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wkhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wkhs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Willis-Knighton Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIS KNIGHTON MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wkhs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wkhs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Willis-Knighton Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIS KNIGHTON MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190114",
      "ccn": "190114",
      "name": "CLAIBORNE MEMORIAL MEDICAL CENTER",
      "address": "620 EAST COLLEGE STREET",
      "city": "HOMER",
      "state": "LA",
      "zip": "71040",
      "county": "CLAIBORNE",
      "latitude": 32.7940643800655,
      "longitude": -93.0617495002589,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 47,
      "rating": 1,
      "website": "http://www.claibornemedical.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-homer-claiborne-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOMER MEMORIAL HOSPITAL",
      "parentSystemId": "entity-homer-memorial-hospital",
      "siblingGroupId": "siblings-la-homer-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-homer-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists BEVERLEE KILLGORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to HOMER MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOMER MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BEVERLEE KILLGORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to HOMER MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOMER MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190116",
      "ccn": "190116",
      "name": "MOREHOUSE GENERAL HOSPITAL",
      "address": "323 WEST WALNUT",
      "city": "BASTROP",
      "state": "LA",
      "zip": "71220",
      "county": "MOREHOUSE",
      "latitude": 32.7749942696286,
      "longitude": -91.9173583402546,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bastrop-morehouse-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1",
      "parentSystemId": "entity-morehouse-parish-hospital-service-district-1",
      "siblingGroupId": "siblings-la-morehouse-parish-hospital-service-district-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOREHOUSE PARISH HOSPITAL SERVICE DISTRICT 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190118",
      "ccn": "190118",
      "name": "DESOTO REGIONAL HEALTH SYSTEM",
      "address": "207 JEFFERSON STREET",
      "city": "MANSFIELD",
      "state": "LA",
      "zip": "71052",
      "county": "DE SOTO",
      "latitude": 32.0354041299558,
      "longitude": -93.7081470599964,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 34,
      "rating": 2,
      "website": "https://www.desotoregional.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mansfield-desoto-regional-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DESOTO HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-desoto-hospital-association",
      "siblingGroupId": "siblings-la-desoto-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-desoto-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: DESOTO HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LARRY T EPPLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to DESOTO HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DESOTO HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DESOTO HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LARRY T EPPLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to DESOTO HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DESOTO HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190125",
      "ccn": "190125",
      "name": "ST. FRANCIS MEDICAL CENTER",
      "address": "309 JACKSON STREET",
      "city": "MONROE",
      "state": "LA",
      "zip": "71201",
      "county": "OUACHITA",
      "latitude": 32.49982124026,
      "longitude": -92.1145542297037,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 317,
      "rating": 3,
      "website": "https://stfran.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroe-st.-francis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ST FRANCIS MEDICAL CENTER INC",
      "parentSystemId": "entity-st-francis-medical-center-inc",
      "siblingGroupId": "siblings-la-st-francis-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.scionhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST FRANCIS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J GULLATT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST FRANCIS MEDICAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST FRANCIS MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J GULLATT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST FRANCIS MEDICAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190128",
      "ccn": "190128",
      "name": "WOMAN'S HOSPITAL",
      "address": "100 WOMAN'S WAY",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70817",
      "county": "EAST BATON ROUGE",
      "latitude": 30.3856553296522,
      "longitude": -91.0380502100928,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 168,
      "rating": 4,
      "website": "https://www.womans.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-woman-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WOMAN'S HOSPITAL FOUNDATION",
      "parentSystemId": "entity-woman-s-hospital-foundation",
      "siblingGroupId": "siblings-la-woman-s-hospital-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-lcmc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.lcmchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS lists CINDY M AMEDEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOMAN'S HOSPITAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CINDY M AMEDEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOMAN'S HOSPITAL FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190133",
      "ccn": "190133",
      "name": "ALLEN PARISH HOSPITAL",
      "address": "108 6TH AVENUE",
      "city": "KINDER",
      "state": "LA",
      "zip": "70648",
      "county": "ALLEN",
      "latitude": 30.4925264201375,
      "longitude": -92.856017260228,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kinder-allen-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ALLEN PARISH HOSPITAL DISTRICT NO 3",
      "parentSystemId": "entity-allen-parish-hospital-district-no-3",
      "siblingGroupId": "siblings-la-allen-parish-hospital-district-no-3",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-verified-parent-allen-parish-hospital-district-no-3"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN PARISH HOSPITAL DISTRICT NO 3, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEN PARISH HOSPITAL DISTRICT NO 3, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190140",
      "ccn": "190140",
      "name": "FRANKLIN MEDICAL CENTER",
      "address": "2106 LOOP ROAD",
      "city": "WINNSBORO",
      "state": "LA",
      "zip": "71295",
      "county": "FRANKLIN",
      "latitude": 32.1587305998889,
      "longitude": -91.7068080697406,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 43,
      "rating": null,
      "website": "https://www.fmc-cares.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winnsboro-franklin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FRANKLIN PARISH HOSPITAL SERVICE DIST 1",
      "parentSystemId": "entity-franklin-parish-hospital-service-dist-1",
      "siblingGroupId": "siblings-la-franklin-parish-hospital-service-dist-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN PARISH HOSPITAL SERVICE DIST 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN PARISH HOSPITAL SERVICE DIST 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190144",
      "ccn": "190144",
      "name": "MINDEN MEDICAL CENTER",
      "address": "1 MEDICAL PLAZA",
      "city": "MINDEN",
      "state": "LA",
      "zip": "71055",
      "county": "WEBSTER",
      "latitude": 32.6168825401285,
      "longitude": -93.2861563496074,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 161,
      "rating": 2,
      "website": "https://mindenmedicalcenter.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minden-minden-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190145",
      "ccn": "190145",
      "name": "LASALLE GENERAL HOSPITAL",
      "address": "187 NINTH STREET, HIGHWAY 84 WEST",
      "city": "JENA",
      "state": "LA",
      "zip": "71342",
      "county": "LASALLE",
      "latitude": 31.6940719596709,
      "longitude": -92.1574718703249,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": 1,
      "website": "https://www.lasallegeneralhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jena-lasalle-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH",
      "parentSystemId": "entity-hospital-service-district-2-of-lasalle-parish",
      "siblingGroupId": "siblings-la-hospital-service-district-2-of-lasalle-parish",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LANA FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LANA FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190151",
      "ccn": "190151",
      "name": "RICHARDSON MEDICAL CENTER",
      "address": "254 HIGHWAY 3048",
      "city": "RAYVILLE",
      "state": "LA",
      "zip": "71269",
      "county": "RICHLAND",
      "latitude": 32.4631635597985,
      "longitude": -91.7492241000903,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 31,
      "rating": null,
      "website": "http://www.richardsonmed.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rayville-richardson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B",
      "parentSystemId": "entity-richland-parish-hospital-service-district-no-1-b",
      "siblingGroupId": "siblings-la-richland-parish-hospital-service-district-no-1-b",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190160",
      "ccn": "190160",
      "name": "GLENWOOD REGIONAL MEDICAL CENTER",
      "address": "503 MCMILLAN ROAD",
      "city": "WEST MONROE",
      "state": "LA",
      "zip": "71291",
      "county": "OUACHITA",
      "latitude": 32.5127069303609,
      "longitude": -92.1564050499581,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 278,
      "rating": 2,
      "website": "https://www.glenwoodregional.org/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-monroe-glenwood-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HSA GLENWOOD LLC",
      "parentSystemId": "entity-hsa-glenwood-llc",
      "siblingGroupId": "siblings-la-hsa-glenwood-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HSA GLENWOOD LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE GILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HSA GLENWOOD LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HSA GLENWOOD LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE GILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HSA GLENWOOD LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190164",
      "ccn": "190164",
      "name": "BYRD REGIONAL HOSPITAL",
      "address": "1020 FERTITTA BOULEVARD",
      "city": "LEESVILLE",
      "state": "LA",
      "zip": "71446",
      "county": "VERNON",
      "latitude": 31.1386712803781,
      "longitude": -93.2690876702013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": 2,
      "website": "https://byrdregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leesville-byrd-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190167",
      "ccn": "190167",
      "name": "MERCY REGIONAL MEDICAL CENTER",
      "address": "800 EAST MAIN STREET",
      "city": "VILLE PLATTE",
      "state": "LA",
      "zip": "70586",
      "county": "EVANGELINE",
      "latitude": 30.6822252498004,
      "longitude": -92.2662460797083,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 50,
      "rating": 3,
      "website": "https://mercyregionalmedicalcenter.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ville-platte-mercy-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190176",
      "ccn": "190176",
      "name": "EAST JEFFERSON GENERAL HOSPITAL",
      "address": "4200 HOUMA BLVD",
      "city": "METAIRIE",
      "state": "LA",
      "zip": "70006",
      "county": "JEFFERSON",
      "latitude": 30.0130396696653,
      "longitude": -90.1809752502623,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 420,
      "rating": 2,
      "website": "http://www.ejgh.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-metairie-east-jefferson-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LOUISIANA CHILDREN'S MEDICAL CENTER",
      "parentSystemId": "entity-louisiana-children-s-medical-center",
      "siblingGroupId": "siblings-la-louisiana-children-s-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-lcmc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lcmchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOUISIANA CHILDREN'S MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRADLEY SINCLAIR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUISIANA CHILDREN'S MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOUISIANA CHILDREN'S MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRADLEY SINCLAIR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to LCMC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUISIANA CHILDREN'S MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190183",
      "ccn": "190183",
      "name": "LEONARD J. CHABERT MEDICAL CENTER",
      "address": "1978 INDUSTRIAL BOULEVARD",
      "city": "HOUMA",
      "state": "LA",
      "zip": "70363",
      "county": "TERREBONNE",
      "latitude": 29.56985347032,
      "longitude": -90.6884892596904,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 156,
      "rating": 3,
      "website": "https://www.ochsner.org/locations/leonard-j-chabert-medical-center",
      "status": "corporate_chain",
      "parentSystem": "CHABERT OPERATIONAL MANAGMEMENT COMPANY LLC",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houma-leonard-j.-chabert-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chabert-operational-managmement-company-llc",
      "siblingGroupId": "siblings-la-chabert-operational-managmement-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHABERT OPERATIONAL MANAGMEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHABERT OPERATIONAL MANAGMEMENT COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHABERT OPERATIONAL MANAGMEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHABERT OPERATIONAL MANAGMEMENT COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190184",
      "ccn": "190184",
      "name": "CITIZENS MEDICAL CENTER",
      "address": "7939 US HWY 165 SOUTH",
      "city": "COLUMBIA",
      "state": "LA",
      "zip": "71418",
      "county": "CALDWELL",
      "latitude": 32.077329799881,
      "longitude": -92.0944482097781,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 40,
      "rating": 3,
      "website": "https://citizensmedcenter.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-citizens-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT NO. 1 OF CALDWELL PARISH",
      "parentSystemId": "entity-hospital-service-district-no-1-of-caldwell-parish",
      "siblingGroupId": "siblings-la-hospital-service-district-no-1-of-caldwell-parish",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists STEVEN BARBO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO. 1 OF CALDWELL PARISH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEVEN BARBO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO. 1 OF CALDWELL PARISH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190190",
      "ccn": "190190",
      "name": "CALDWELL MEMORIAL HOSPITAL",
      "address": "411 MAIN STREET",
      "city": "COLUMBIA",
      "state": "LA",
      "zip": "71418",
      "county": "CALDWELL",
      "latitude": 32.1035536700286,
      "longitude": -92.0757124099183,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 37,
      "rating": null,
      "website": "https://www.mycaldwellmemorial.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-caldwell-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CALDWELL MEMORIAL HOSPITAL, INC.",
      "parentSystemId": "entity-caldwell-memorial-hospital-inc",
      "siblingGroupId": "siblings-la-caldwell-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-caldwell-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists MICHAEL KRAMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CALDWELL MEMORIAL HOSPITAL, INC.; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALDWELL MEMORIAL HOSPITAL, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MICHAEL KRAMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CALDWELL MEMORIAL HOSPITAL, INC.; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALDWELL MEMORIAL HOSPITAL, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190201",
      "ccn": "190201",
      "name": "CHRISTUS OCHSNER LAKE AREA HOSPITAL",
      "address": "4200 NELSON ROAD",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70605",
      "county": "CALCASIEU",
      "latitude": 30.1811320802671,
      "longitude": -93.2503495499931,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 88,
      "rating": null,
      "website": "https://www.christushealth.org/southwest-louisiana",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "Christushealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christushealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-la-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190202",
      "ccn": "190202",
      "name": "OCHSNER MEDICAL CENTER - BATON ROUGE",
      "address": "17000 MEDICAL CENTER DRIVE",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70816",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4425539500283,
      "longitude": -90.9996521796173,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 4,
      "website": "https://www.ochsner.org/locations/ochsner-medical-center-baton-rouge",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-ochsner-medical-center-baton-rouge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES D DAIGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHARLES D DAIGLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190208",
      "ccn": "190208",
      "name": "EAST CARROLL PARISH HOSPITAL",
      "address": "336 NORTH HOOD STREET",
      "city": "LAKE PROVIDENCE",
      "state": "LA",
      "zip": "71254",
      "county": "EAST CARROLL",
      "latitude": 32.8105696801569,
      "longitude": -91.1723544401378,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 23,
      "rating": null,
      "website": "https://www.ecphospital.com/",
      "status": "corporate_chain",
      "parentSystem": "EAST CARROLL PARISH HOSPITAL",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-providence-east-carroll-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-east-carroll-parish-hospital",
      "siblingGroupId": "siblings-la-east-carroll-parish-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CARROLL PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CARROLL PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190218",
      "ccn": "190218",
      "name": "SABINE MEDICAL CENTER",
      "address": "240 HIGHLAND DRIVE",
      "city": "MANY",
      "state": "LA",
      "zip": "71449",
      "county": "SABINE",
      "latitude": 31.5603097001035,
      "longitude": -93.4714453897657,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": null,
      "website": "https://sabinemedicalcenter.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-many-sabine-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190241",
      "ccn": "190241",
      "name": "PHYSICIANS MEDICAL CENTER",
      "address": "218 CORPORATE DRIVE",
      "city": "HOUMA",
      "state": "LA",
      "zip": "70360",
      "county": "TERREBONNE",
      "latitude": 29.5995622999385,
      "longitude": -90.7483707795617,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 30,
      "rating": null,
      "website": "https://physicianshouma.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houma-physicians-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TERREBONNE GENERAL EQUITY HOLDINGS LLC",
      "parentSystemId": "entity-terrebonne-general-equity-holdings-llc",
      "siblingGroupId": "siblings-la-terrebonne-general-equity-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: TERREBONNE GENERAL EQUITY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 53.4%). CMS lists CHRISTOPHER E CENAC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERREBONNE GENERAL EQUITY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TERREBONNE GENERAL EQUITY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 53.4%). CMS lists CHRISTOPHER E CENAC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERREBONNE GENERAL EQUITY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190245",
      "ccn": "190245",
      "name": "MONROE SURGICAL HOSPITAL",
      "address": "2408 BROADMOOR BLVD",
      "city": "MONROE",
      "state": "LA",
      "zip": "71201",
      "county": "OUACHITA",
      "latitude": 32.5359085197757,
      "longitude": -92.1023483195767,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 10,
      "rating": null,
      "website": "http://www.monroesurgical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroe-monroe-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ELEHEALTH MEDICAL GROUP LLC",
      "parentSystemId": "entity-elehealth-medical-group-llc",
      "siblingGroupId": "siblings-la-elehealth-medical-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ELEHEALTH MEDICAL GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELEHEALTH MEDICAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ELEHEALTH MEDICAL GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELEHEALTH MEDICAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190251",
      "ccn": "190251",
      "name": "SURGICAL SPECIALTY CENTER OF BATON ROUGE",
      "address": "8080 BLUEBONNET BLVD",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70810",
      "county": "EAST BATON ROUGE",
      "latitude": 30.3764898801627,
      "longitude": -91.100856470256,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 14,
      "rating": null,
      "website": "http://www.sscbr.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-surgical-specialty-center-of-baton-rouge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SSH MANAGEMENT SERVICES LLC",
      "parentSystemId": "entity-ssh-management-services-llc",
      "siblingGroupId": "siblings-la-ssh-management-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSH MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists ANN HEINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSH MANAGEMENT SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSH MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists ANN HEINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSH MANAGEMENT SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190255",
      "ccn": "190255",
      "name": "PARK PLACE SURGICAL HOSPITAL",
      "address": "4811 AMBASSADOR CAFFERY PARKWAY",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1494288999591,
      "longitude": -92.0365801001227,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 15,
      "rating": null,
      "website": "https://parkplacesurgery.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC.",
      "parentSystemId": "entity-our-lady-of-lourdes-regional-medical-center-inc",
      "siblingGroupId": "siblings-la-our-lady-of-lourdes-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES B MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES B MOORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190256",
      "ccn": "190256",
      "name": "STERLING SURGICAL HOSPITAL",
      "address": "989 ROBERT BLVD",
      "city": "SLIDELL",
      "state": "LA",
      "zip": "70458",
      "county": "ST. TAMMANY",
      "latitude": 30.2917571601151,
      "longitude": -89.7709814003554,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 10,
      "rating": null,
      "website": "http://sterlingsurgical.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-slidell-sterling-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DHMC LLC",
      "parentSystemId": "entity-dhmc-llc",
      "siblingGroupId": "siblings-la-dhmc-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: DHMC LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RICHARD P TEXADA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHMC LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DHMC LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RICHARD P TEXADA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHMC LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190259",
      "ccn": "190259",
      "name": "LAFAYETTE SURGICAL SPECIALTY HOSPITAL",
      "address": "1101 KALISTE SALOOM ROAD",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1753261100249,
      "longitude": -92.0266102799943,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 20,
      "rating": null,
      "website": "https://lafayettesurgical.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NATIONAL SURGICAL HOSPITALS, LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafayette-lafayette-surgical-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-national-surgical-hospitals-llc",
      "siblingGroupId": "siblings-la-national-surgical-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 38.99%). CMS lists JASON CORMIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 38.99%). CMS lists JASON CORMIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190266",
      "ccn": "190266",
      "name": "THE SPINE HOSPITAL OF LOUISIANA",
      "address": "10105 PARK ROW CIRCLE, SUITE 250",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70810",
      "county": "EAST BATON ROUGE",
      "latitude": 30.3802789202164,
      "longitude": -91.0940341600335,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 23,
      "rating": null,
      "website": "https://spinehola.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "OUR LADY OF THE LAKE HOSPITAL INC",
      "parentSystemId": "entity-our-lady-of-the-lake-hospital-inc",
      "siblingGroupId": "siblings-la-our-lady-of-the-lake-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OUR LADY OF THE LAKE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 35%). CMS lists ERIC K OBERLANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF THE LAKE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OUR LADY OF THE LAKE HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 35%). CMS lists ERIC K OBERLANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF THE LAKE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190267",
      "ccn": "190267",
      "name": "AVALA",
      "address": "67252 INDUSTRY LANE",
      "city": "COVINGTON",
      "state": "LA",
      "zip": "70433",
      "county": "ST. TAMMANY",
      "latitude": 30.4082235597494,
      "longitude": -90.0821140704134,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 21,
      "rating": null,
      "website": "https://avala.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-avala/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KSS SURGICAL, LLC",
      "parentSystemId": "entity-kss-surgical-llc",
      "siblingGroupId": "siblings-la-kss-surgical-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: KSS SURGICAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 66.51%). CMS lists BROOKE CUMMINGS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KSS SURGICAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KSS SURGICAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 66.51%). CMS lists BROOKE CUMMINGS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KSS SURGICAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190270",
      "ccn": "190270",
      "name": "OUR LADY OF THE LAKE SURGICAL HOSPITAL",
      "address": "1700 W LINDBERG DRIVE",
      "city": "SLIDELL",
      "state": "LA",
      "zip": "70458",
      "county": "ST. TAMMANY",
      "latitude": 30.2732191997616,
      "longitude": -89.75581689962,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 988,
      "rating": null,
      "website": "https://ololrmc.com/",
      "status": "corporate_chain",
      "parentSystem": "OUR LADY OF THE LAKE HOSPITAL INC",
      "affiliatedSystem": "Ololrmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ololrmc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-slidell-our-lady-of-the-lake-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-our-lady-of-the-lake-hospital-inc",
      "siblingGroupId": "siblings-la-our-lady-of-the-lake-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OUR LADY OF THE LAKE HOSPITAL INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 33.06%). Official parent-system candidate from existing system-family mapping: Ololrmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ololrmc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF THE LAKE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OUR LADY OF THE LAKE HOSPITAL INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 33.06%). Official parent-system candidate from existing system-family mapping: Ololrmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ololrmc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF THE LAKE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190274",
      "ccn": "190274",
      "name": "OCHSNER MEDICAL CENTER - KENNER LLC",
      "address": "180 WEST ESPLANADE AVENUE",
      "city": "KENNER",
      "state": "LA",
      "zip": "70065",
      "county": "JEFFERSON",
      "latitude": 30.0245240699677,
      "longitude": -90.2708084001333,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 110,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kenner-ochsner-medical-center--kenner-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "campusFamilyId": "campus-la-190274",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ABDUL M KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ABDUL M KHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190278",
      "ccn": "190278",
      "name": "SPECIALISTS HOSPITAL SHREVEPORT",
      "address": "1500 LINE AVENUE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71101",
      "county": "CADDO",
      "latitude": 32.4976489500975,
      "longitude": -93.7467141695781,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 15,
      "rating": null,
      "website": "https://specialistshospitalshreveport.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shreveport-specialists-hospital-shreveport/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC",
      "parentSystemId": "entity-musculoskeletal-institute-of-louisiana-llc",
      "siblingGroupId": "siblings-la-musculoskeletal-institute-of-louisiana-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 73.68%). CMS lists DEVIN JENKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 73.68%). CMS lists DEVIN JENKINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190298",
      "ccn": "190298",
      "name": "CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL",
      "address": "651 NORTH BOLTON AVE",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71301",
      "county": "RAPIDES",
      "latitude": 31.3139423603022,
      "longitude": -92.4679179795707,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "https://www.clshospital.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "IRA Capital",
      "acquiredDate": "January 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "Christus Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-la-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS AMBULATORY SERVICES HOLDINGS (OPERATIONAL/MANAGERIAL CONTROL, 51%). CMS lists CHRISTOPHER S JANIK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS AMBULATORY SERVICES HOLDINGS (OPERATIONAL/MANAGERIAL CONTROL, 51%). CMS lists CHRISTOPHER S JANIK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190300",
      "ccn": "190300",
      "name": "ST. CHARLES SURGICAL HOSPITAL",
      "address": "1717 ST CHARLES AVE",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70130",
      "county": "ORLEANS",
      "latitude": 29.9375172302025,
      "longitude": -90.0771309196996,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 59,
      "rating": null,
      "website": "http://www.scsh.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-st.-charles-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CRBS MANAGEMENT, LLC",
      "parentSystemId": "entity-crbs-management-llc",
      "siblingGroupId": "siblings-la-crbs-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CRBS MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRBS MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CRBS MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CRBS MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190302",
      "ccn": "190302",
      "name": "OMEGA HOSPITAL LLC",
      "address": "2525 SEVERN AVENUE",
      "city": "METAIRIE",
      "state": "LA",
      "zip": "70002",
      "county": "JEFFERSON",
      "latitude": 29.9991478901616,
      "longitude": -90.1591850203329,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 16,
      "rating": null,
      "website": "https://www.omegahospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-metairie-omega-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OMEGA MANAGEMENT SERVICES, LLC",
      "parentSystemId": "entity-omega-management-services-llc",
      "siblingGroupId": "siblings-la-omega-management-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OMEGA MANAGEMENT SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC R GEORGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OMEGA MANAGEMENT SERVICES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OMEGA MANAGEMENT SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIC R GEORGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OMEGA MANAGEMENT SERVICES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190303",
      "ccn": "190303",
      "name": "CYPRESS POINTE SURGICAL HOSPITAL",
      "address": "42570 S AIRPORT RD",
      "city": "HAMMOND",
      "state": "LA",
      "zip": "70403",
      "county": "TANGIPAHOA",
      "latitude": 30.4770289796522,
      "longitude": -90.4129944700408,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "http://www.cypresspointsurgical.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "Umbono Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hammond-cypress-pointe-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ILSF HSH AGGREGATE LLC",
      "parentSystemId": "entity-ilsf-hsh-aggregate-llc",
      "siblingGroupId": "siblings-la-ilsf-hsh-aggregate-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ILSF HSH AGGREGATE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 35.69%). CMS lists BRETT J CHIASSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ILSF HSH AGGREGATE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ILSF HSH AGGREGATE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 35.69%). CMS lists BRETT J CHIASSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ILSF HSH AGGREGATE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190308",
      "ccn": "190308",
      "name": "ST. BERNARD PARISH HOSPITAL",
      "address": "8000 WEST JUDGE PEREZ DRIVE",
      "city": "CHALMETTE",
      "state": "LA",
      "zip": "70043",
      "county": "ST. BERNARD",
      "latitude": 29.9547125802034,
      "longitude": -89.9892219701503,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 40,
      "rating": 4,
      "website": "https://www.ochsner.org/locations/st-bernard-parish-hospital",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chalmette-st.-bernard-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL F HULEFELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190312",
      "ccn": "190312",
      "name": "OUR LADY OF THE ANGELS HOSPITAL",
      "address": "433 PLAZA ST",
      "city": "BOGALUSA",
      "state": "LA",
      "zip": "70427",
      "county": "WASHINGTON",
      "latitude": 30.7782294002109,
      "longitude": -89.8693410498829,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 98,
      "rating": 4,
      "website": "https://oloah.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bogalusa-our-lady-of-the-angels-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC",
      "parentSystemId": "entity-franciscan-missionaries-of-our-lady-health-system-inc",
      "siblingGroupId": "siblings-la-franciscan-missionaries-of-our-lady-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190313",
      "ccn": "190313",
      "name": "NEW ORLEANS EAST HOSPITAL",
      "address": "5620 READ BOULEVARD",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70127",
      "county": "ORLEANS",
      "latitude": 30.0289762998051,
      "longitude": -89.9751704802553,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 50,
      "rating": null,
      "website": "https://www.noehospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-new-orleans-east-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS - DIST A",
      "parentSystemId": "entity-parish-hospital-service-district-for-the-parish-of-orleans-dist-a",
      "siblingGroupId": "siblings-la-parish-hospital-service-district-for-the-parish-of-orleans-dist-a",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists CHRISTINE M BOND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS - DIST A, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTINE M BOND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS - DIST A, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "190316",
      "ccn": "190316",
      "name": "THE GENERAL",
      "address": "3600 FLORIDA BLVD, SUITE 2020",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70806",
      "county": "EAST BATON ROUGE",
      "latitude": 30.449534089667,
      "longitude": -91.153153920222,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 466,
      "rating": null,
      "website": "https://www.brgeneral.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GENERAL HEALTH SYSTEM",
      "parentSystemId": "entity-general-health-system",
      "siblingGroupId": "siblings-la-general-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-baton-rouge-general"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.brgeneral.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GENERAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Baton Rouge General; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GENERAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Baton Rouge General; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "190318",
      "ccn": "190318",
      "name": "ACADIAN MEDICAL CENTER",
      "address": "3501 HIGHWAY 190 EAST",
      "city": "EUNICE",
      "state": "LA",
      "zip": "70535",
      "county": "ST. LANDRY",
      "latitude": 30.4966373603711,
      "longitude": -92.386182760202,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 109,
      "rating": 3,
      "website": "https://acadianmedicalcenter.com/",
      "status": "corporate_chain",
      "parentSystem": "Allegiance Health Management",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eunice-acadian-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "190779",
      "ccn": "190779",
      "name": "ASSUMPTION COMMUNITY HOSPITAL",
      "address": "135 HIGHWAY 402",
      "city": "NAPOLEONVILLE",
      "state": "LA",
      "zip": "70390",
      "county": "ASSUMPTION",
      "latitude": 29.9565747998381,
      "longitude": -91.0338927602455,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.ololrmc.com",
      "status": "corporate_chain",
      "parentSystem": "FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC",
      "affiliatedSystem": "Ololrmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ololrmc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-napoleonville-assumption-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-franciscan-missionaries-of-our-lady-health-system-inc",
      "siblingGroupId": "siblings-la-franciscan-missionaries-of-our-lady-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Ololrmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ololrmc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Ololrmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ololrmc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "191300",
      "ccn": "191300",
      "name": "ST. HELENA PARISH HOSPITAL",
      "address": "16874 HIGHWAY 43",
      "city": "GREENSBURG",
      "state": "LA",
      "zip": "70441",
      "county": "ST. HELENA",
      "latitude": 30.8311870497898,
      "longitude": -90.6659301895572,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.sthelenaparishhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greensburg-st.-helena-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ST HELENA PARISH HOSPITAL",
      "parentSystemId": "entity-st-helena-parish-hospital",
      "siblingGroupId": "siblings-la-st-helena-parish-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST HELENA PARISH HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST HELENA PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST HELENA PARISH HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST HELENA PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191301",
      "ccn": "191301",
      "name": "UNION GENERAL HOSPITAL",
      "address": "901 JAMES AVENUE",
      "city": "FARMERVILLE",
      "state": "LA",
      "zip": "71241",
      "county": "UNION",
      "latitude": 32.787715069838,
      "longitude": -92.3922996297201,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-farmerville-union-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNION GENERAL HOSPITAL",
      "parentSystemId": "entity-union-general-hospital",
      "siblingGroupId": "siblings-la-union-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-union-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to UNION GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to UNION GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNION GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "191302",
      "ccn": "191302",
      "name": "OCHSNER ST. MARTIN HOSPITAL",
      "address": "210 CHAMPAGNE BOULEVARD",
      "city": "BREAUX BRIDGE",
      "state": "LA",
      "zip": "70517",
      "county": "ST. MARTIN",
      "latitude": 30.2827920898279,
      "longitude": -91.8898582800389,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.ochsner.org/locations/ochsner-st-martin-hospital",
      "status": "corporate_chain",
      "parentSystem": "LAFAYETTE GENERAL HEALTH SYSTEM INC",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-breaux-bridge-ochsner-st.-martin-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lafayette-general-health-system-inc",
      "siblingGroupId": "siblings-la-lafayette-general-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAFAYETTE GENERAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE GENERAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "191304",
      "ccn": "191304",
      "name": "NORTH CADDO MEDICAL CENTER",
      "address": "815 SOUTH PINE STREET",
      "city": "VIVIAN",
      "state": "LA",
      "zip": "71082",
      "county": "CADDO",
      "latitude": 32.8639922802074,
      "longitude": -93.989075229692,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://ncmcla.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vivian-north-caddo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTH CADDO HOSPITAL SERVICE DISTRICT",
      "parentSystemId": "entity-north-caddo-hospital-service-district",
      "siblingGroupId": "siblings-la-north-caddo-hospital-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists DAKOTA ROBINSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH CADDO HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAKOTA ROBINSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH CADDO HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191305",
      "ccn": "191305",
      "name": "ST. JAMES PARISH HOSPITAL",
      "address": "1645 LUTCHER AVENUE",
      "city": "LUTCHER",
      "state": "LA",
      "zip": "70071",
      "county": "ST. JAMES",
      "latitude": 30.0518708900487,
      "longitude": -90.7039844796893,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://www.sjph.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lutcher-st.-james-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ST. JAMES PARISH HOSP SERV DIST",
      "parentSystemId": "entity-st-james-parish-hosp-serv-dist",
      "siblingGroupId": "siblings-la-st-james-parish-hosp-serv-dist",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST. JAMES PARISH HOSP SERV DIST (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JAMES PARISH HOSP SERV DIST, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST. JAMES PARISH HOSP SERV DIST (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JAMES PARISH HOSP SERV DIST, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191306",
      "ccn": "191306",
      "name": "WEST FELICIANA PARISH HOSPITAL",
      "address": "5266 COMMERCE STREET, BUILDING B",
      "city": "SAINT FRANCISVILLE",
      "state": "LA",
      "zip": "70775",
      "county": "WEST FELICIANA",
      "latitude": 30.7837148099467,
      "longitude": -91.3666728496621,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 12,
      "rating": null,
      "website": "https://www.wfph.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-francisville-west-feliciana-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA",
      "parentSystemId": "entity-the-hospital-service-district-of-west-feliciana-parish-louisiana",
      "siblingGroupId": "siblings-la-the-hospital-service-district-of-west-feliciana-parish-louisiana",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191307",
      "ccn": "191307",
      "name": "DEQUINCY MEMORIAL HOSPITAL",
      "address": "110 WEST FOURTH STREET",
      "city": "DEQUINCY",
      "state": "LA",
      "zip": "70633",
      "county": "CALCASIEU",
      "latitude": 30.4525208398933,
      "longitude": -93.4364244399552,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 19,
      "rating": null,
      "website": "https://dequincymemorial.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dequincy-dequincy-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "191308",
      "ccn": "191308",
      "name": "PREVOST MEMORIAL HOSPITAL",
      "address": "301 MEMORIAL DRIVE",
      "city": "DONALDSONVILLE",
      "state": "LA",
      "zip": "70346",
      "county": "ASCENSION",
      "latitude": 30.0887389098899,
      "longitude": -91.0027219097927,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.prevosthospital.net/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-donaldsonville-prevost-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WEST ASCENSION PARISH HOSPITAL SERVICE DISTRICT",
      "parentSystemId": "entity-west-ascension-parish-hospital-service-district",
      "siblingGroupId": "siblings-la-west-ascension-parish-hospital-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists SHELTON ANTHONY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST ASCENSION PARISH HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SHELTON ANTHONY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST ASCENSION PARISH HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191309",
      "ccn": "191309",
      "name": "HOOD MEMORIAL HOSPITAL",
      "address": "301 WEST WALNUT ST",
      "city": "AMITE",
      "state": "LA",
      "zip": "70422",
      "county": "TANGIPAHOA",
      "latitude": 30.7325457801286,
      "longitude": -90.5130663102964,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 45,
      "rating": null,
      "website": "www.hoodmemorial.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amite-hood-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA",
      "parentSystemId": "entity-hospital-service-district-2-of-the-parish-of-tangipahoa-state-of-la",
      "siblingGroupId": "siblings-la-hospital-service-district-2-of-the-parish-of-tangipahoa-state-of-la",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists JAMES WHITTINGTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JAMES WHITTINGTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191311",
      "ccn": "191311",
      "name": "BUNKIE GENERAL HOSPITAL",
      "address": "427 EVERGREEN ST",
      "city": "BUNKIE",
      "state": "LA",
      "zip": "71322",
      "county": "AVOYELLES",
      "latitude": 30.9529786303771,
      "longitude": -92.1762760499441,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "website": "https://www.bunkiegeneralhealth.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bunkie-bunkie-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LA",
      "parentSystemId": "entity-hospital-service-district-no-1-parish-of-avoyelles-state-of-la",
      "siblingGroupId": "siblings-la-hospital-service-district-no-1-parish-of-avoyelles-state-of-la",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LA (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191312",
      "ccn": "191312",
      "name": "CHRISTUS COUSHATTA HEALTH CARE CENTER",
      "address": "1635 MARVEL ST",
      "city": "COUSHATTA",
      "state": "LA",
      "zip": "71019",
      "county": "RED RIVER",
      "latitude": 32.0205017097626,
      "longitude": -93.3438480696668,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.christuscoushatta.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coushatta-christus-coushatta-health-care-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Christus Health",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-la-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "191313",
      "ccn": "191313",
      "name": "RIVERSIDE MEDICAL CENTER",
      "address": "1900 SOUTH MAIN ST",
      "city": "FRANKLINTON",
      "state": "LA",
      "zip": "70438",
      "county": "WASHINGTON",
      "latitude": 30.8342167198313,
      "longitude": -90.1527314802127,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://www.rmchospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklinton-riverside-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RIVERSIDE MEDICAL CENTER",
      "parentSystemId": "entity-riverside-medical-center-la-franklinton-191313",
      "siblingGroupId": "siblings-la-riverside-medical-center-la-franklinton-191313",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-riverside-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERSIDE MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to RIVERSIDE MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERSIDE MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to RIVERSIDE MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191314",
      "ccn": "191314",
      "name": "MADISON PARISH HOSPITAL",
      "address": "900 JOHNSON STREET",
      "city": "TALLULAH",
      "state": "LA",
      "zip": "71282",
      "county": "MADISON",
      "latitude": 32.4035253001645,
      "longitude": -91.1848171696214,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://www.madisonparishhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tallulah-madison-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MADISON PARISH HOSPITAL",
      "parentSystemId": "entity-madison-parish-hospital",
      "siblingGroupId": "siblings-la-madison-parish-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191315",
      "ccn": "191315",
      "name": "HARDTNER MEDICAL CENTER",
      "address": "1102 N PINE RD",
      "city": "OLLA",
      "state": "LA",
      "zip": "71465",
      "county": "LASALLE",
      "latitude": 31.8606586198206,
      "longitude": -92.2755896698791,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 35,
      "rating": null,
      "website": "http://www.hardtnermedical.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olla-hardtner-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LASALLE PARISH HOSPITAL SERVICE DIST NO1",
      "parentSystemId": "entity-lasalle-parish-hospital-service-dist-no1",
      "siblingGroupId": "siblings-la-lasalle-parish-hospital-service-dist-no1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LASALLE PARISH HOSPITAL SERVICE DIST NO1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LASALLE PARISH HOSPITAL SERVICE DIST NO1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191316",
      "ccn": "191316",
      "name": "POINTE COUPEE GENERAL HOSPITAL",
      "address": "2202 FALSE RIVER DRIVE",
      "city": "NEW ROADS",
      "state": "LA",
      "zip": "70760",
      "county": "POINTE COUPEE",
      "latitude": 30.6837418100437,
      "longitude": -91.4614226102372,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 60,
      "rating": null,
      "website": "https://pcgh.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-roads-pointe-coupee-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "POINTE COUPEE PARISH HEALTH SERVICES DISTRICT NUMBER ONE",
      "parentSystemId": "entity-pointe-coupee-parish-health-services-district-number-one",
      "siblingGroupId": "siblings-la-pointe-coupee-parish-health-services-district-number-one",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: POINTE COUPEE PARISH HEALTH SERVICES DISTRICT NUMBER ONE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAD OLINDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POINTE COUPEE PARISH HEALTH SERVICES DISTRICT NUMBER ONE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POINTE COUPEE PARISH HEALTH SERVICES DISTRICT NUMBER ONE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAD OLINDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POINTE COUPEE PARISH HEALTH SERVICES DISTRICT NUMBER ONE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191317",
      "ccn": "191317",
      "name": "JACKSON PARISH HOSPITAL",
      "address": "165 BEECH SPRINGS ROAD",
      "city": "JONESBORO",
      "state": "LA",
      "zip": "71251",
      "county": "JACKSON",
      "latitude": 32.2531433300324,
      "longitude": -92.7198327404106,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://jacksonparishhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jonesboro-jackson-parish-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JACKSON PARISH HOSPITAL",
      "parentSystemId": "entity-jackson-parish-hospital",
      "siblingGroupId": "siblings-la-jackson-parish-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON PARISH HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON THOMAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON PARISH HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON THOMAS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON PARISH HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191318",
      "ccn": "191318",
      "name": "RIVERLAND MEDICAL CENTER",
      "address": "1700 EE WALLACE BLVD",
      "city": "FERRIDAY",
      "state": "LA",
      "zip": "71334",
      "county": "CONCORDIA",
      "latitude": 31.6469751197757,
      "longitude": -91.5547851600111,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://riverlandmedcenter.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ferriday-riverland-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE",
      "parentSystemId": "entity-concordia-parish-hospital-service-district-number-one",
      "siblingGroupId": "siblings-la-concordia-parish-hospital-service-district-number-one",
      "campusFamilyId": "campus-la-191318",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191319",
      "ccn": "191319",
      "name": "ACADIA ST. LANDRY HOSPITAL",
      "address": "810 SOUTH BROADWAY ST",
      "city": "CHURCH POINT",
      "state": "LA",
      "zip": "70525",
      "county": "ACADIA",
      "latitude": 30.3955956299276,
      "longitude": -92.2111498197785,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://www.aslh.org/",
      "status": "corporate_chain",
      "parentSystem": "ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-church-point-acadia---st.-landry-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-acadia-st-landry-hospital-service-district",
      "siblingGroupId": "siblings-la-acadia-st-landry-hospital-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TIFFANY YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TIFFANY YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191320",
      "ccn": "191320",
      "name": "BIENVILLE MEDICAL CENTER",
      "address": "1175 PINE STREET, SUITE 200",
      "city": "ARCADIA",
      "state": "LA",
      "zip": "71001",
      "county": "BIENVILLE",
      "latitude": 32.5539551497836,
      "longitude": -92.9130922203695,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 21,
      "rating": null,
      "website": "https://bienvillemedicalcenter.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arcadia-bienville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BIENVILLE MEDICAL CENTER INC",
      "parentSystemId": "entity-bienville-medical-center-inc",
      "siblingGroupId": "siblings-la-bienville-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-bienville-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists KIRK MATTHEW LEMOINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BIENVILLE MEDICAL CENTER INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BIENVILLE MEDICAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KIRK MATTHEW LEMOINE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to BIENVILLE MEDICAL CENTER INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BIENVILLE MEDICAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "191321",
      "ccn": "191321",
      "name": "LALLIE KEMP MEDICAL CENTER",
      "address": "52579 HIGHWAY 51 SOUTH",
      "city": "INDEPENDENCE",
      "state": "LA",
      "zip": "70443",
      "county": "TANGIPAHOA",
      "latitude": 30.6222688003606,
      "longitude": -90.4978020300891,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 24,
      "rating": null,
      "website": "https://www.lsuhospitals.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - HEALTH CARE SERVIC",
      "parentSystemId": "entity-louisiana-state-university-health-sciences-center-health-care-servic",
      "siblingGroupId": "siblings-la-louisiana-state-university-health-sciences-center-health-care-servic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - HEALTH CARE SERVIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - HEALTH CARE SERVIC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - HEALTH CARE SERVIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER - HEALTH CARE SERVIC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191322",
      "ccn": "191322",
      "name": "OCHSNER ABROM KAPLAN MEMORIAL HOSPITAL",
      "address": "1310 WEST SEVENTH STREET",
      "city": "KAPLAN",
      "state": "LA",
      "zip": "70548",
      "county": "VERMILION",
      "latitude": 30.0080871702722,
      "longitude": -92.2970676795517,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "website": "https://ochsnerlg.org/location/ochsner-abrom-kaplan-memorial-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ABROM KAPLAN MEMORIAL HOSPITAL",
      "parentSystemId": "entity-abrom-kaplan-memorial-hospital",
      "siblingGroupId": "siblings-la-abrom-kaplan-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ABROM KAPLAN MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ABROM KAPLAN MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "191323",
      "ccn": "191323",
      "name": "RICHLAND PARISH HOSPITAL - DELHI",
      "address": "407 CINCINNATI STREET",
      "city": "DELHI",
      "state": "LA",
      "zip": "71232",
      "county": "RICHLAND",
      "latitude": 32.4528512599339,
      "longitude": -91.4932380099912,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://www.ruralcenter.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-delhi-richland-parish-hospital---delhi/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOSPITAL SERVICE DISTRICT NO 1A OF THE PARISH OF RICHLAND STATE OF LA",
      "parentSystemId": "entity-hospital-service-district-no-1a-of-the-parish-of-richland-state-of-la",
      "siblingGroupId": "siblings-la-hospital-service-district-no-1a-of-the-parish-of-richland-state-of-la",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SERVICE DISTRICT NO 1A OF THE PARISH OF RICHLAND STATE OF LA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO 1A OF THE PARISH OF RICHLAND STATE OF LA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SERVICE DISTRICT NO 1A OF THE PARISH OF RICHLAND STATE OF LA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SERVICE DISTRICT NO 1A OF THE PARISH OF RICHLAND STATE OF LA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191324",
      "ccn": "191324",
      "name": "OCHSNER ST. ANNE GENERAL HOSPITAL",
      "address": "4608 HIGHWAY 1",
      "city": "RACELAND",
      "state": "LA",
      "zip": "70394",
      "county": "LAFOURCHE",
      "latitude": 29.7026714202378,
      "longitude": -90.5652538998964,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 38,
      "rating": null,
      "website": "https://www.ochsner.org/locations/ochsner-st-anne",
      "status": "corporate_chain",
      "parentSystem": "Ochsner Health",
      "affiliatedSystem": "Ochsner",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ochsner",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-la-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists FERNIS J LEBLANC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists FERNIS J LEBLANC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Ochsner. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "191325",
      "ccn": "191325",
      "name": "LADY OF THE SEA GENERAL HOSPITAL",
      "address": "200 WEST 134TH PLACE",
      "city": "CUT OFF",
      "state": "LA",
      "zip": "70345",
      "county": "LAFOURCHE",
      "latitude": 29.4568908699406,
      "longitude": -90.3113598100241,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "https://www.losgh.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cut-off-lady-of-the-sea-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1",
      "parentSystemId": "entity-lafourche-parish-hospital-service-district-no-1",
      "siblingGroupId": "siblings-la-lafourche-parish-hospital-service-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KAREN S COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KAREN S COLLINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191326",
      "ccn": "191326",
      "name": "REEVES MEMORIAL MEDICAL CENTER",
      "address": "409 FIRST STREET",
      "city": "BERNICE",
      "state": "LA",
      "zip": "71222",
      "county": "UNION",
      "latitude": 32.8239916703558,
      "longitude": -92.6566486802799,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 15,
      "rating": null,
      "website": "https://reevesmemorial.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bernice-reeves-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WARD 3 4 & 10 HOSPITAL SERVICE DISTRICT OF PARISH OF UNION",
      "parentSystemId": "entity-ward-3-4-and-10-hospital-service-district-of-parish-of-union",
      "siblingGroupId": "siblings-la-ward-3-4-and-10-hospital-service-district-of-parish-of-union",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists DAVID CASTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARD 3 4 & 10 HOSPITAL SERVICE DISTRICT OF PARISH OF UNION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAVID CASTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARD 3 4 & 10 HOSPITAL SERVICE DISTRICT OF PARISH OF UNION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "191327",
      "ccn": "191327",
      "name": "WEST CARROLL MEMORIAL HOSPITAL",
      "address": "706 ROSS STREET",
      "city": "OAK GROVE",
      "state": "LA",
      "zip": "71263",
      "county": "WEST CARROLL",
      "latitude": 32.8682987402799,
      "longitude": -91.3823819899711,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "website": "https://www.wchsystems.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oak-grove-west-carroll-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WEST CARROLL HEALTH SYSTEMS, LLC",
      "parentSystemId": "entity-west-carroll-health-systems-llc",
      "siblingGroupId": "siblings-la-west-carroll-health-systems-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists DEWANA F LITTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CARROLL HEALTH SYSTEMS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DEWANA F LITTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CARROLL HEALTH SYSTEMS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "192008",
      "ccn": "192008",
      "name": "SAGE SPECIALTY HOSPITAL",
      "address": "8375 FLORIDA BOULEVARD",
      "city": "DENHAM SPRINGS",
      "state": "LA",
      "zip": "70726",
      "county": "LIVINGSTON",
      "latitude": 30.4843855300254,
      "longitude": -90.9185794102784,
      "hospitalType": "Long-term",
      "sourceOwner": "Proprietary",
      "beds": 59,
      "rating": null,
      "website": "https://www.thecarpenterhealthnetwork.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denham-springs-sage-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PCM HOLDINGS I, INC.",
      "parentSystemId": "entity-pcm-holdings-i-inc",
      "siblingGroupId": "siblings-la-pcm-holdings-i-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK THOMAS MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PCM HOLDINGS I, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PATRICK THOMAS MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PCM HOLDINGS I, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "192010",
      "ccn": "192010",
      "name": "INTENSIVE SPECIALTY HOSPITAL",
      "address": "1800 IRVING PLACE, SUITE 100",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71101",
      "county": "CADDO",
      "latitude": 32.4938706701374,
      "longitude": -93.7448805796242,
      "hospitalType": "Long-term",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": null,
      "website": "https://intensivespecialty.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "INTENSIVE SPECIALTY HOSPITAL, LLC",
      "peFirm": "Cedar Health Group",
      "acquiredDate": "2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Cedar Health Group",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-intensive-specialty-hospital-llc",
      "siblingGroupId": "siblings-la-intensive-specialty-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTENSIVE SPECIALTY HOSPITAL, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAIM ROTTENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Cedar Health Group; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cedar Health Group. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTENSIVE SPECIALTY HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTENSIVE SPECIALTY HOSPITAL, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAIM ROTTENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Cedar Health Group; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cedar Health Group. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTENSIVE SPECIALTY HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "193300",
      "ccn": "193300",
      "name": "CHILDRENS HOSPITAL",
      "address": "200 HENRY CLAY AVENUE",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70118",
      "county": "ORLEANS",
      "latitude": 29.9178641896117,
      "longitude": -90.1273962601187,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 222,
      "rating": null,
      "website": "https://www.chnola.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITAL",
      "parentSystemId": "entity-children-s-hospital",
      "siblingGroupId": "siblings-la-children-s-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-children-s-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILDREN'S HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHILDREN'S HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "194007",
      "ccn": "194007",
      "name": "NORTHLAKE BEHAVIORAL HEALTH SYSTEM",
      "address": "23515 HIGHWAY 190",
      "city": "MANDEVILLE",
      "state": "LA",
      "zip": "70448",
      "county": "ST. TAMMANY",
      "latitude": 30.347352150197,
      "longitude": -90.0182324999056,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 140,
      "rating": null,
      "website": "http://www.northlakebehavioralhealth.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mandeville-northlake-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NESS HEALTHCARE NFP",
      "parentSystemId": "entity-ness-healthcare-nfp",
      "siblingGroupId": "siblings-la-ness-healthcare-nfp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ness-healthcare-nfp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: NESS HEALTHCARE NFP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN HEMMERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to NESS HEALTHCARE NFP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NESS HEALTHCARE NFP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NESS HEALTHCARE NFP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN HEMMERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to NESS HEALTHCARE NFP; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NESS HEALTHCARE NFP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "194008",
      "ccn": "194008",
      "name": "EASTERN LA MENTAL HEALTH SYSTEM",
      "address": "4502 HIGHWAY 951",
      "city": "JACKSON",
      "state": "LA",
      "zip": "70748",
      "county": "EAST FELICIANA",
      "latitude": 30.8327568900558,
      "longitude": -91.21400736962,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 334,
      "rating": null,
      "website": "http://new.dhh.louisiana.gov/index.cfm/directory/detail/219",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-eastern-la-mental-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EAST LOUISIANA STATE HOSPITAL",
      "parentSystemId": "entity-east-louisiana-state-hospital",
      "siblingGroupId": "siblings-la-east-louisiana-state-hospital",
      "campusFamilyId": "campus-la-194008",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-east-louisiana-state-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists BRANDI CASTIGLONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to EAST LOUISIANA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST LOUISIANA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRANDI CASTIGLONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to EAST LOUISIANA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST LOUISIANA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "194020",
      "ccn": "194020",
      "name": "BRENTWOOD HOSPITAL",
      "address": "1006 HIGHLAND AVENUE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71101",
      "county": "CADDO",
      "latitude": 32.5024746202964,
      "longitude": -93.7396435802825,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 260,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shreveport-brentwood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-la-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "194022",
      "ccn": "194022",
      "name": "LONGLEAF HOSPITAL",
      "address": "44 VERSAILLES BLVD",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71303",
      "county": "RAPIDES",
      "latitude": 31.2919791596363,
      "longitude": -92.5048827803498,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 139,
      "rating": null,
      "website": "http://www.longleafhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-longleaf-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-la-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "194025",
      "ccn": "194025",
      "name": "CENTRAL LOUISIANA STATE HOSPITAL",
      "address": "242 WEST SHAMROCK STREET",
      "city": "PINEVILLE",
      "state": "LA",
      "zip": "71360",
      "county": "RAPIDES",
      "latitude": 31.327378940374,
      "longitude": -92.4401351099406,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 148,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pineville-central-louisiana-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CENTRAL LA STATE HOSPITAL",
      "parentSystemId": "entity-central-la-state-hospital",
      "siblingGroupId": "siblings-la-central-la-state-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-central-la-state-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CENTRAL LA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL LA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to CENTRAL LA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL LA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "194044",
      "ccn": "194044",
      "name": "VERMILION BEHAVIORAL HEALTH SYSTEMS",
      "address": "2520 NORTH UNIVERSITY AVENUE",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70507",
      "county": "LAFAYETTE",
      "latitude": 30.2713421297594,
      "longitude": -92.046020439748,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-la-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "194056",
      "ccn": "194056",
      "name": "COMMUNITY CARE HOSPITAL",
      "address": "1421 GENERAL TAYLOR ST",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70115",
      "county": "ORLEANS",
      "latitude": 29.9260333800012,
      "longitude": -90.0959511099922,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": null,
      "website": "http://www.communitycarehospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-community-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COMMUNITY CARE LLC",
      "parentSystemId": "entity-community-care-llc",
      "siblingGroupId": "siblings-la-community-care-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists PAUL KAVANAUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY CARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists PAUL KAVANAUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY CARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194073",
      "ccn": "194073",
      "name": "OCEANS HOSPITAL OF BROUSSARD",
      "address": "420 ALBERTSONS PARKWAY",
      "city": "BROUSSARD",
      "state": "LA",
      "zip": "70518",
      "county": "LAFAYETTE",
      "latitude": 30.1378777696371,
      "longitude": -91.9809241502451,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 38,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-broussard-oceans-hospital-of-broussard/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194074",
      "ccn": "194074",
      "name": "SERENITY SPRINGS SPECIALTY HOSPITAL",
      "address": "1495 FRAZIER ROAD",
      "city": "RUSTON",
      "state": "LA",
      "zip": "71270",
      "county": "LINCOLN",
      "latitude": 32.5770452702187,
      "longitude": -92.6020924901938,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": null,
      "website": "http://www.serenityhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ruston-serenity-springs-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOLUTIONS MEDICAL CONSULTING, LLC",
      "parentSystemId": "entity-solutions-medical-consulting-llc",
      "siblingGroupId": "siblings-la-solutions-medical-consulting-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists ARUNA GULLAPALLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLUTIONS MEDICAL CONSULTING, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ARUNA GULLAPALLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLUTIONS MEDICAL CONSULTING, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194079",
      "ccn": "194079",
      "name": "RED RIVER BEHAVIORAL CENTER, LLC",
      "address": "2800 MELROSE AVENUE",
      "city": "BOSSIER CITY",
      "state": "LA",
      "zip": "71111",
      "county": "BOSSIER",
      "latitude": 32.5458299503671,
      "longitude": -93.7044884401349,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bossier-city-red-river-behavioral-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "QUALITY CARE GIVERS INC",
      "parentSystemId": "entity-quality-care-givers-inc",
      "siblingGroupId": "siblings-la-quality-care-givers-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUALITY CARE GIVERS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD R PAYNE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUALITY CARE GIVERS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QUALITY CARE GIVERS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD R PAYNE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUALITY CARE GIVERS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194080",
      "ccn": "194080",
      "name": "BEACON BEHAVIORAL HOSPITAL - NORTHSHORE, LLC",
      "address": "64026 HWY 434, SUITE 300, 3RD FLOOR",
      "city": "LACOMBE",
      "state": "LA",
      "zip": "70445",
      "county": "ST. TAMMANY",
      "latitude": 30.3565113399341,
      "longitude": -89.9160698703521,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 22,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BEACON HOSPITAL MANAGEMENT, LLC",
      "peFirm": "Latticework Capital Management",
      "acquiredDate": "December 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Beacon Behavioral",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lacombe-beacon-behavioral-hospital-northshore/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-beacon-hospital-management-llc",
      "siblingGroupId": "siblings-la-beacon-hospital-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194081",
      "ccn": "194081",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF DERIDDER",
      "address": "1420 BLANKENSHIP DRIVE",
      "city": "DERIDDER",
      "state": "LA",
      "zip": "70634",
      "county": "BEAUREGARD",
      "latitude": 30.841920929798,
      "longitude": -93.3116669900151,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-deridder-oceans-behavioral-hospital-of-deridder/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194082",
      "ccn": "194082",
      "name": "COMPASS SENIOR CARE HOSPITAL",
      "address": "1 HOSPITAL DRIVE, SUITE 201",
      "city": "JENNINGS",
      "state": "LA",
      "zip": "70546",
      "county": "JEFFERSON DAVIS",
      "latitude": 30.2398968401481,
      "longitude": -92.6626696196071,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COMPASS HEALTH LLC",
      "parentSystemId": "entity-compass-health-llc",
      "siblingGroupId": "siblings-la-compass-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMPASS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMPASS HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMPASS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMPASS HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194084",
      "ccn": "194084",
      "name": "BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS, LLC",
      "address": "14500 HAYNE BLVD, SUITE 200",
      "city": "NEW ORLEANS",
      "state": "LA",
      "zip": "70128",
      "county": "ORLEANS",
      "latitude": 30.0713425100291,
      "longitude": -89.9484026700653,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 34,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BEACON HOSPITAL MANAGEMENT, LLC",
      "peFirm": "Latticework Capital Management",
      "acquiredDate": "December 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Beacon Behavioral",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-orleans-beacon-behavioral-hospital-new-orleans/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-beacon-hospital-management-llc",
      "siblingGroupId": "siblings-la-beacon-hospital-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194085",
      "ccn": "194085",
      "name": "COMPASS BEHAVIORAL CENTER OF LAFAYETTE",
      "address": "312 YOUNGSVILLE HWY",
      "city": "LAFAYETTE",
      "state": "LA",
      "zip": "70508",
      "county": "LAFAYETTE",
      "latitude": 30.1558321696785,
      "longitude": -91.9921661501058,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "http://www.compasshealthcare.com/site184.php",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CULLEN HOLDINGS LLC",
      "parentSystemId": "entity-cullen-holdings-llc",
      "siblingGroupId": "siblings-la-cullen-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CULLEN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULLEN HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CULLEN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULLEN HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194086",
      "ccn": "194086",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF BATON ROUGE",
      "address": "7855 HOWELL BLVD, SUITE 100",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70807",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4589144302513,
      "longitude": -91.0612264003683,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-oceans-behavioral-hospital-of-baton-rouge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194087",
      "ccn": "194087",
      "name": "FREEDOM BEHAVIORAL HOSPITAL OF MONROE",
      "address": "3421 MEDICAL PARK DRIVE",
      "city": "MONROE",
      "state": "LA",
      "zip": "71203",
      "county": "OUACHITA",
      "latitude": 32.5799599301869,
      "longitude": -92.0708236101571,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-la-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD CAMERON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194088",
      "ccn": "194088",
      "name": "ST JAMES BEHAVIORAL HEALTH HOSPITAL, INC",
      "address": "3136 SOUTH ST LANDRY RD",
      "city": "GONZALES",
      "state": "LA",
      "zip": "70737",
      "county": "ASCENSION",
      "latitude": 30.2035020398355,
      "longitude": -90.951952009933,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Physician",
      "beds": 32,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gonzales-st.-james-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ST. JAMES BEHAVIORAL HEALTH HOSPITAL INC",
      "parentSystemId": "entity-st-james-behavioral-health-hospital-inc",
      "siblingGroupId": "siblings-la-st-james-behavioral-health-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-st-james-behavioral-health-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists GOPINATH KONGARA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to ST. JAMES BEHAVIORAL HEALTH HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JAMES BEHAVIORAL HEALTH HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists GOPINATH KONGARA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to ST. JAMES BEHAVIORAL HEALTH HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JAMES BEHAVIORAL HEALTH HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194089",
      "ccn": "194089",
      "name": "GENESIS BEHAVIORAL HOSPITAL",
      "address": "606 LATIOLAIS ROAD",
      "city": "BREAUX BRIDGE",
      "state": "LA",
      "zip": "70517",
      "county": "ST. MARTIN",
      "latitude": 30.2933676898563,
      "longitude": -91.9064162699009,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-breaux-bridge-genesis-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GENESIS BEHAVIORAL HOSPITAL INC",
      "parentSystemId": "entity-genesis-behavioral-hospital-inc",
      "siblingGroupId": "siblings-la-genesis-behavioral-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-genesis-behavioral-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists WILLIAM ARLEDGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to GENESIS BEHAVIORAL HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS BEHAVIORAL HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists WILLIAM ARLEDGE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to GENESIS BEHAVIORAL HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENESIS BEHAVIORAL HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194090",
      "ccn": "194090",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF LAKE CHARLES",
      "address": "302 W MCNEESE ST",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70607",
      "county": "CALCASIEU",
      "latitude": 30.1764601198831,
      "longitude": -93.2229589899189,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "website": "http://www.obhlc.info/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-charles-oceans-behavioral-hospital-of-lake-charles/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194091",
      "ccn": "194091",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF KENTWOOD",
      "address": "921 AVENUE G",
      "city": "KENTWOOD",
      "state": "LA",
      "zip": "70444",
      "county": "TANGIPAHOA",
      "latitude": 30.9373615698425,
      "longitude": -90.5297187598072,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": null,
      "website": "http://www.obhk.info/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kentwood-oceans-behavioral-hospital-of-kentwood/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194094",
      "ccn": "194094",
      "name": "PHYSICIANS BEHAVIORAL HOSPITAL",
      "address": "2025 DESOTO STREET",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71103",
      "county": "CADDO",
      "latitude": 32.4722658296261,
      "longitude": -93.7709254696909,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shreveport-physicians-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RIVERIDGE MANAGEMENT COMPANY, LLC",
      "parentSystemId": "entity-riveridge-management-company-llc",
      "siblingGroupId": "siblings-la-riveridge-management-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERIDGE MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM LOGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERIDGE MANAGEMENT COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERIDGE MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists WILLIAM LOGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERIDGE MANAGEMENT COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194095",
      "ccn": "194095",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF OPELOUSAS",
      "address": "1310 HEATHER DRIVE",
      "city": "OPELOUSAS",
      "state": "LA",
      "zip": "70570",
      "county": "ST. LANDRY",
      "latitude": 30.5082084501501,
      "longitude": -92.0728687398858,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-opelousas-oceans-behavioral-hospital-of-opelousas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194096",
      "ccn": "194096",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF ALEXANDRIA",
      "address": "2621 N BOLTON AVE",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71303",
      "county": "RAPIDES",
      "latitude": 31.323674420081,
      "longitude": -92.479820869986,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "http://www.obha.info/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-oceans-behavioral-hospital-of-alexandria/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194102",
      "ccn": "194102",
      "name": "BEACON BEHAVIORAL HOSPITAL, LLC",
      "address": "2471 LOUISIANA AVE",
      "city": "LUTCHER",
      "state": "LA",
      "zip": "70071",
      "county": "ST. JAMES",
      "latitude": 30.046654340315,
      "longitude": -90.7001729800411,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "http://beaconbh.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BEACON HOSPITAL MANAGEMENT, LLC",
      "peFirm": "Latticework Capital Management",
      "acquiredDate": "December 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Beacon Behavioral",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lutcher-beacon-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-beacon-hospital-management-llc",
      "siblingGroupId": "siblings-la-beacon-hospital-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194103",
      "ccn": "194103",
      "name": "SEASIDE HEALTH SYSTEM",
      "address": "4363 CONVENTION STREET",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70806",
      "county": "EAST BATON ROUGE",
      "latitude": 30.449645089736,
      "longitude": -91.1449121397983,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Federal",
      "beds": 64,
      "rating": null,
      "website": "http://www.seasidehc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-seaside-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SEASIDE HEALTHCARE BH LLC",
      "parentSystemId": "entity-seaside-healthcare-bh-llc",
      "siblingGroupId": "siblings-la-seaside-healthcare-bh-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: SEASIDE HEALTHCARE BH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JEREMIE PARITZKY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEASIDE HEALTHCARE BH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SEASIDE HEALTHCARE BH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JEREMIE PARITZKY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEASIDE HEALTHCARE BH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194105",
      "ccn": "194105",
      "name": "APOLLO BEHAVIORAL HEALTH HOSPITAL, LLC",
      "address": "9938 AIRLINE HWY",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70809",
      "county": "ACADIA",
      "latitude": 30.2315548101095,
      "longitude": -92.3444572899641,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "APOLLO BEHAVIORAL HEALTH HOSPITAL LLC",
      "parentSystemId": "entity-apollo-behavioral-health-hospital-llc",
      "siblingGroupId": "siblings-la-apollo-behavioral-health-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists GOPINATH GOPALAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APOLLO BEHAVIORAL HEALTH HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists GOPINATH GOPALAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APOLLO BEHAVIORAL HEALTH HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194106",
      "ccn": "194106",
      "name": "COMPASS BEHAVIORAL CENTER OF ALEXANDRIA, LLC",
      "address": "6410 MASONIC DRIVE",
      "city": "ALEXANDRIA",
      "state": "LA",
      "zip": "71301",
      "county": "RAPIDES",
      "latitude": 31.2521915601324,
      "longitude": -92.4819878103689,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": null,
      "website": "https://www.compasshealthcare.com/locations/compass-mental-health-alexandria/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-compass-behavioral-center-of-alexandria/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CULLEN HOLDINGS LLC",
      "parentSystemId": "entity-cullen-holdings-llc",
      "siblingGroupId": "siblings-la-cullen-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CULLEN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULLEN HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CULLEN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULLEN HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194107",
      "ccn": "194107",
      "name": "BATON ROUGE BEHAVIORAL HOSPITAL",
      "address": "4040 NORTH BLVD",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70806",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4480481399053,
      "longitude": -91.1477502097333,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 53,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-baton-rouge-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oglethorpe, Inc.",
      "parentSystemId": "entity-oglethorpe-inc",
      "siblingGroupId": "siblings-la-oglethorpe-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-oglethorpe-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oglethorpeinc.com/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OGLETHORPE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M COHEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OGLETHORPE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M COHEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194109",
      "ccn": "194109",
      "name": "COMPASS BEHAVIORAL CENTER OF HOUMA, LLC",
      "address": "4701 WEST PARK AVENUE",
      "city": "HOUMA",
      "state": "LA",
      "zip": "70364",
      "county": "TERREBONNE",
      "latitude": 29.6648084897617,
      "longitude": -90.7710060196445,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houma-compass-behavioral-center-of-houma/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CULLEN HOLDINGS LLC",
      "parentSystemId": "entity-cullen-holdings-llc",
      "siblingGroupId": "siblings-la-cullen-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: CULLEN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULLEN HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CULLEN HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN F CULLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULLEN HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194112",
      "ccn": "194112",
      "name": "BEACON BEHAVIORAL HOSPITAL - CENTRAL",
      "address": "323 EVERGREEN STREET, SUITE B",
      "city": "BUNKIE",
      "state": "LA",
      "zip": "71322",
      "county": "AVOYELLES",
      "latitude": 30.9531003297053,
      "longitude": -92.176224609716,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BEACON HOSPITAL MANAGEMENT, LLC",
      "peFirm": "Latticework Capital Management",
      "acquiredDate": "December 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Beacon Behavioral",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bunkie-beacon-behavioral-hospital---central/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-beacon-hospital-management-llc",
      "siblingGroupId": "siblings-la-beacon-hospital-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HOSPITAL MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PHILLIP SEAN WENDELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beacon Behavioral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Beacon Behavioral. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HOSPITAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194113",
      "ccn": "194113",
      "name": "PERIMETER BEHAVIORAL HOSPITAL OF NEW ORLEANS",
      "address": "3639 LOYOLA AVE",
      "city": "KENNER",
      "state": "LA",
      "zip": "70065",
      "county": "JEFFERSON",
      "latitude": 30.0279888602735,
      "longitude": -90.2721752398387,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Perimeter Behavioral Health",
      "peFirm": "Ridgemont Equity Partners",
      "acquiredDate": "February 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Perimeter Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-la-perimeter-behavioral-health",
      "campusFamilyId": "campus-la-194113",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBORAH M TULLIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBORAH M TULLIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194114",
      "ccn": "194114",
      "name": "RIVER PLACE BEHAVIORAL HEALTH",
      "address": "500 RUE DE SANTE",
      "city": "LA PLACE",
      "state": "LA",
      "zip": "70068",
      "county": "ST. JOHN THE BAPTIST",
      "latitude": 30.0717267497516,
      "longitude": -90.5143632799373,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 104,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-la-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "194115",
      "ccn": "194115",
      "name": "REGIONS BEHAVIORAL HOSPITAL",
      "address": "8416 CUMBERLAND",
      "city": "BATON ROUGE",
      "state": "LA",
      "zip": "70806",
      "county": "EAST BATON ROUGE",
      "latitude": 30.4447976297555,
      "longitude": -91.0975623597872,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "https://www.regionsbh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baton-rouge-regions-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "REGIONS BEHAVIORAL HOSPITAL, LLC",
      "parentSystemId": "entity-regions-behavioral-hospital-llc",
      "siblingGroupId": "siblings-la-regions-behavioral-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists SHARON DUPLECHAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONS BEHAVIORAL HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SHARON DUPLECHAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONS BEHAVIORAL HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194116",
      "ccn": "194116",
      "name": "LOUISIANA BEHAVIORAL HEALTH",
      "address": "9320 LINWOOD AVENUE",
      "city": "SHREVEPORT",
      "state": "LA",
      "zip": "71106",
      "county": "CADDO",
      "latitude": 32.4029471500599,
      "longitude": -93.7656930499606,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 89,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-la-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194117",
      "ccn": "194117",
      "name": "UNIVERSAL BEHAVIORAL HEALTH HOSPITAL",
      "address": "800 S OAK ST",
      "city": "HAMMOND",
      "state": "LA",
      "zip": "70403",
      "county": "TANGIPAHOA",
      "latitude": 30.4965802802193,
      "longitude": -90.4608539999581,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "UNIVERSAL BEHAVIORAL HEALTH HOSPITAL INC",
      "parentSystemId": "entity-universal-behavioral-health-hospital-inc",
      "siblingGroupId": "siblings-la-universal-behavioral-health-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "la-parent-universal-behavioral-health-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS lists NAVEED AWAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to UNIVERSAL BEHAVIORAL HEALTH HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSAL BEHAVIORAL HEALTH HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists NAVEED AWAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to UNIVERSAL BEHAVIORAL HEALTH HOSPITAL INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSAL BEHAVIORAL HEALTH HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194118",
      "ccn": "194118",
      "name": "MERCY BEHAVIORAL HOSPITAL",
      "address": "2810 US HWY 71 S",
      "city": "LECOMPTE",
      "state": "LA",
      "zip": "71346",
      "county": "RAPIDES",
      "latitude": 31.097618049863,
      "longitude": -92.3977210298334,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MERCY HOLDINGS LLC",
      "parentSystemId": "entity-mercy-holdings-llc",
      "siblingGroupId": "siblings-la-mercy-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT RAYFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT RAYFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194120",
      "ccn": "194120",
      "name": "STONEBRIDGE BEHAVIORAL HOSPITAL",
      "address": "2837 ERNEST STREET, SUITE A",
      "city": "LAKE CHARLES",
      "state": "LA",
      "zip": "70601",
      "county": "CALCASIEU",
      "latitude": 30.2040410528864,
      "longitude": -93.2213063772571,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FREEDOM BEHAVIORAL HOSPITAL OF LAKE CHARLES LLC",
      "parentSystemId": "entity-freedom-behavioral-hospital-of-lake-charles-llc",
      "siblingGroupId": "siblings-la-freedom-behavioral-hospital-of-lake-charles-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: FREEDOM BEHAVIORAL HOSPITAL OF LAKE CHARLES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEDOM BEHAVIORAL HOSPITAL OF LAKE CHARLES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FREEDOM BEHAVIORAL HOSPITAL OF LAKE CHARLES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEDOM BEHAVIORAL HOSPITAL OF LAKE CHARLES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "194121",
      "ccn": "194121",
      "name": "FREEDOM BEHAVIORAL HOSPITAL OF LEESVILLE",
      "address": "1103 PORT ARTHUR TERRACE",
      "city": "LEESVILLE",
      "state": "LA",
      "zip": "71446",
      "county": "VERNON",
      "latitude": 31.1397112001283,
      "longitude": -93.2701483999904,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ROCKNJAY INVESTMENTS LLC",
      "parentSystemId": "entity-rocknjay-investments-llc",
      "siblingGroupId": "siblings-la-rocknjay-investments-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ldh.la.gov/page/3789"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROCKNJAY INVESTMENTS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 85%). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCKNJAY INVESTMENTS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROCKNJAY INVESTMENTS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 85%). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCKNJAY INVESTMENTS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "200001",
      "ccn": "200001",
      "name": "ST JOSEPH HOSPITAL",
      "address": "360 BROADWAY",
      "city": "BANGOR",
      "state": "ME",
      "zip": "04401",
      "county": "PENOBSCOT",
      "latitude": 44.8142165998298,
      "longitude": -68.7724674703829,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 112,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bangor-saint-joseph-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-me-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-covenant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.covenanthealth.net/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Covenant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Covenant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200008",
      "ccn": "200008",
      "name": "NORTHERN LIGHT MERCY HOSPITAL",
      "address": "144 STATE STREET",
      "city": "PORTLAND",
      "state": "ME",
      "zip": "04101",
      "county": "CUMBERLAND",
      "latitude": 43.6513329199095,
      "longitude": -70.2649496998295,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 200,
      "rating": 4,
      "website": "https://northernlighthealth.org/mercy-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "EASTERN MAINE HEALTHCARE SYSTEMS",
      "parentSystemId": "entity-eastern-maine-healthcare-systems",
      "siblingGroupId": "siblings-me-eastern-maine-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLIE THERRIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLIE THERRIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200009",
      "ccn": "200009",
      "name": "MAINE MEDICAL CENTER",
      "address": "22 BRAMHALL ST",
      "city": "PORTLAND",
      "state": "ME",
      "zip": "04102",
      "county": "CUMBERLAND",
      "latitude": 43.6529899999442,
      "longitude": -70.2760213997736,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 637,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-maine-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "campusFamilyId": "campus-me-200009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200018",
      "ccn": "200018",
      "name": "NORTHERN LIGHT A R GOULD HOSPITAL",
      "address": "140 ACADEMY STREET, PO BOX 151",
      "city": "PRESQUE ISLE",
      "state": "ME",
      "zip": "04769",
      "county": "AROOSTOOK",
      "latitude": 46.6751360102551,
      "longitude": -67.9984329101637,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 89,
      "rating": 2,
      "website": "http://www.tamc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "EASTERN MAINE HEALTHCARE SYSTEMS",
      "parentSystemId": "entity-eastern-maine-healthcare-systems",
      "siblingGroupId": "siblings-me-eastern-maine-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY J DENTRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY J DENTRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200020",
      "ccn": "200020",
      "name": "YORK HOSPITAL",
      "address": "15 HOSPITAL DRIVE",
      "city": "YORK",
      "state": "ME",
      "zip": "03909",
      "county": "YORK",
      "latitude": 43.1425179202616,
      "longitude": -70.651754159616,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 79,
      "rating": 4,
      "website": "http://www.yorkhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-york-york-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "YORK HOSPITAL",
      "parentSystemId": "entity-york-hospital",
      "siblingGroupId": "siblings-me-york-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS lists ROBIN LABONTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YORK HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROBIN LABONTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YORK HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200021",
      "ccn": "200021",
      "name": "MID COAST HOSPITAL",
      "address": "123 MEDICAL CENTER DRIVE",
      "city": "BRUNSWICK",
      "state": "ME",
      "zip": "04011",
      "county": "CUMBERLAND",
      "latitude": 43.9062963697035,
      "longitude": -69.8901815895668,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 93,
      "rating": 3,
      "website": "http://www.midcoasthealth.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brunswick-mid-coast-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200024",
      "ccn": "200024",
      "name": "CENTRAL MAINE MEDICAL CENTER",
      "address": "300 MAIN STREET",
      "city": "LEWISTON",
      "state": "ME",
      "zip": "04240",
      "county": "ANDROSCOGGIN",
      "latitude": 44.1017367397991,
      "longitude": -70.2145184702218,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 250,
      "rating": 4,
      "website": "http://www.cmmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewiston-central-maine-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL MAINE HEALTHCARE CORPORATION",
      "parentSystemId": "entity-central-maine-healthcare-corporation",
      "siblingGroupId": "siblings-me-central-maine-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL MAINE HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MAINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL MAINE HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MAINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200031",
      "ccn": "200031",
      "name": "CARY MEDICAL CENTER",
      "address": "163 VAN BUREN RD, SUITE 1",
      "city": "CARIBOU",
      "state": "ME",
      "zip": "04736",
      "county": "AROOSTOOK",
      "latitude": 46.8795784301927,
      "longitude": -68.0083202101519,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 65,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-caribou-cary-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF CARIBOU",
      "parentSystemId": "entity-city-of-caribou",
      "siblingGroupId": "siblings-me-city-of-caribou",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CARIBOU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF CARIBOU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "200033",
      "ccn": "200033",
      "name": "EASTERN MAINE MEDICAL CENTER",
      "address": "489 STATE STREET, PO BOX 404",
      "city": "BANGOR",
      "state": "ME",
      "zip": "04401",
      "county": "PENOBSCOT",
      "latitude": 44.8086603102378,
      "longitude": -68.7507771995886,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 411,
      "rating": 5,
      "website": "http://www.emh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bangor-eastern-maine-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EASTERN MAINE MEDICAL CENTER",
      "parentSystemId": "entity-eastern-maine-medical-center",
      "siblingGroupId": "siblings-me-eastern-maine-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200034",
      "ccn": "200034",
      "name": "ST MARY'S REGIONAL MEDICAL CENTER",
      "address": "93 CAMPUS AVENUE, PO BOX 291",
      "city": "LEWISTON",
      "state": "ME",
      "zip": "04243",
      "county": "ANDROSCOGGIN",
      "latitude": 44.1017538700256,
      "longitude": -70.1997812100322,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 233,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewiston-saint-marys-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-me-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-covenant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.covenanthealth.net/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN J GRUBBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Covenant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN J GRUBBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Covenant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200039",
      "ccn": "200039",
      "name": "MAINEGENERAL MEDICAL CENTER",
      "address": "35 MEDICAL CENTER PARKWAY",
      "city": "AUGUSTA",
      "state": "ME",
      "zip": "04330",
      "county": "KENNEBEC",
      "latitude": 44.3625840001495,
      "longitude": -69.7804458899786,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 192,
      "rating": 4,
      "website": "https://www.mainegeneral.org/",
      "status": "corporate_chain",
      "parentSystem": "MAINE GENERAL MEDICAL CENTER",
      "affiliatedSystem": "Mainegeneral",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mainegeneral",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-maine-general-medical-center",
      "siblingGroupId": "siblings-me-maine-general-medical-center",
      "campusFamilyId": "campus-me-200039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-voluntary-non-profit-other"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Mainegeneral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mainegeneral. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINE GENERAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Mainegeneral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mainegeneral. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINE GENERAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "200039-loc-me-augusta-mainegeneral-medical-center",
      "ccn": "200039",
      "name": "MAINEGENERAL MEDICAL CENTER",
      "address": "6 EAST CHESTNUT STREET",
      "city": "AUGUSTA",
      "state": "ME",
      "zip": "04330",
      "county": "KENNEBEC",
      "latitude": 44.3131197599982,
      "longitude": -69.7684343698893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 192,
      "rating": 4,
      "website": "https://www.mainegeneral.org/pages/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "MAINE GENERAL MEDICAL CENTER",
      "affiliatedSystem": "Mainegeneral",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mainegeneral",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-maine-general-medical-center",
      "siblingGroupId": "siblings-me-maine-general-medical-center",
      "campusFamilyId": "campus-me-200039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-voluntary-non-profit-other"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Mainegeneral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mainegeneral. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINE GENERAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Mainegeneral; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mainegeneral. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINE GENERAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "200039"
    },
    {
      "id": "20003F",
      "ccn": "20003F",
      "name": "TOGUS VA MEDICAL CENTER",
      "address": "1 VA CENTER",
      "city": "AUGUSTA",
      "state": "ME",
      "zip": "04330",
      "county": "KENNEBEC",
      "latitude": 44.2804620798366,
      "longitude": -69.7043521202386,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 4,
      "website": "https://www.maine.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-me-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "200050",
      "ccn": "200050",
      "name": "NORTHERN LIGHT MAINE COAST HOSPITAL",
      "address": "50 UNION STREET",
      "city": "ELLSWORTH",
      "state": "ME",
      "zip": "04605",
      "county": "HANCOCK",
      "latitude": 44.5470259497541,
      "longitude": -68.4161550302402,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 64,
      "rating": 3,
      "website": "http://www.mainehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ellsworth-northern-light-maine-coast-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EASTERN MAINE HEALTHCARE SYSTEMS",
      "parentSystemId": "entity-eastern-maine-healthcare-systems",
      "siblingGroupId": "siblings-me-eastern-maine-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201300",
      "ccn": "201300",
      "name": "NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL",
      "address": "57 WATER STREET",
      "city": "BLUE HILL",
      "state": "ME",
      "zip": "04614",
      "county": "HANCOCK",
      "latitude": 44.4114804298094,
      "longitude": -68.5871750498642,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.bhmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blue-hill-northern-light-blue-hill-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE BLUE HILL MEMORIAL HOSPITAL",
      "parentSystemId": "entity-the-blue-hill-memorial-hospital",
      "siblingGroupId": "siblings-me-the-blue-hill-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "CMS lists WENDY J MERCHANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BLUE HILL MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists WENDY J MERCHANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BLUE HILL MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201302",
      "ccn": "201302",
      "name": "LINCOLN HEALTH",
      "address": "35 MILES STREET",
      "city": "DAMARISCOTTA",
      "state": "ME",
      "zip": "04543",
      "county": "LINCOLN",
      "latitude": 44.0261293299645,
      "longitude": -69.5306613904103,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-me-mainehealth-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HEATHER R SHANKLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HEATHER R SHANKLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201303",
      "ccn": "201303",
      "name": "PENOBSCOT VALLEY HOSPITAL",
      "address": "7 TRANSALPINE ROAD, PO BOX 368",
      "city": "LINCOLN",
      "state": "ME",
      "zip": "04457",
      "county": "PENOBSCOT",
      "latitude": 45.3479285800458,
      "longitude": -68.5173335095859,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.pvhme.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lincoln-penobscot-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENOBSCOT VALLEY HOSPITAL",
      "parentSystemId": "entity-penobscot-valley-hospital",
      "siblingGroupId": "siblings-me-penobscot-valley-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENOBSCOT VALLEY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENOBSCOT VALLEY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201304",
      "ccn": "201304",
      "name": "MOUNT DESERT ISLAND HOSPITAL",
      "address": "10 WAYMAN LANE, PO BOX 8",
      "city": "BAR HARBOR",
      "state": "ME",
      "zip": "04609",
      "county": "HANCOCK",
      "latitude": 44.3848371697554,
      "longitude": -68.202052810313,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.mdihospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bar-harbor-mount-desert-island-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOUNT DESERT ISLAND HOSPITAL",
      "parentSystemId": "entity-mount-desert-island-hospital",
      "siblingGroupId": "siblings-me-mount-desert-island-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-mount-desert-island-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MOUNT DESERT ISLAND HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT DESERT ISLAND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MOUNT DESERT ISLAND HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT DESERT ISLAND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201305",
      "ccn": "201305",
      "name": "CALAIS COMMUNITY HOSPITAL",
      "address": "24 HOSPITAL LANE",
      "city": "CALAIS",
      "state": "ME",
      "zip": "04619",
      "county": "WASHINGTON",
      "latitude": 45.1775892898597,
      "longitude": -67.2680157099,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-calais-calais-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CALAIS COMMUNITY HOSPITAL",
      "parentSystemId": "entity-calais-community-hospital",
      "siblingGroupId": "siblings-me-calais-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-calais-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to CALAIS COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALAIS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to CALAIS COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALAIS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201306",
      "ccn": "201306",
      "name": "RUMFORD HOSPITAL",
      "address": "420 FRANKLIN STREET",
      "city": "RUMFORD",
      "state": "ME",
      "zip": "04276",
      "county": "OXFORD",
      "latitude": 44.5515775299876,
      "longitude": -70.5564343299583,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.rumfordhospital.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rumford-rumford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL MAINE HEALTHCARE CORPORATION",
      "parentSystemId": "entity-central-maine-healthcare-corporation",
      "siblingGroupId": "siblings-me-central-maine-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL MAINE HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MAINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL MAINE HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MAINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201307",
      "ccn": "201307",
      "name": "MILLINOCKET REGIONAL HOSPITAL",
      "address": "200 SOMERSET STREET",
      "city": "MILLINOCKET",
      "state": "ME",
      "zip": "04462",
      "county": "PENOBSCOT",
      "latitude": 45.6528715200555,
      "longitude": -68.7159278001496,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.mrhme.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-millinocket-millinocket-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MILLINOCKET REGIONAL HOSPITAL",
      "parentSystemId": "entity-millinocket-regional-hospital",
      "siblingGroupId": "siblings-me-millinocket-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLINOCKET REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLINOCKET REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201308",
      "ccn": "201308",
      "name": "HOULTON REGIONAL HOSPITAL",
      "address": "20 HARTFORD STREET",
      "city": "HOULTON",
      "state": "ME",
      "zip": "04730",
      "county": "AROOSTOOK",
      "latitude": 46.1338462402757,
      "longitude": -67.8436234704403,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.houlton.net/hrh",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houlton-houlton-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOULTON REGIONAL HOSPITAL",
      "parentSystemId": "entity-houlton-regional-hospital",
      "siblingGroupId": "siblings-me-houlton-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOULTON REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOULTON REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201309",
      "ccn": "201309",
      "name": "NORTHERN LIGHT MAYO HOSPITAL",
      "address": "897 WEST MAIN STREET",
      "city": "DOVER FOXCROFT",
      "state": "ME",
      "zip": "04426",
      "county": "PISCATAQUIS",
      "latitude": 45.1876706101243,
      "longitude": -69.2379929298574,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "MRH CORP",
      "parentSystemId": "entity-mrh-corp",
      "siblingGroupId": "siblings-me-mrh-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MRH CORP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MRH CORP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201310",
      "ccn": "201310",
      "name": "BRIDGTON HOSPITAL",
      "address": "10 HOSPITAL DRIVE",
      "city": "BRIDGTON",
      "state": "ME",
      "zip": "04009",
      "county": "CUMBERLAND",
      "latitude": 44.0461386597641,
      "longitude": -70.7137483598304,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.bridgtonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bridgton-bridgton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL MAINE HEALTHCARE CORPORATION",
      "parentSystemId": "entity-central-maine-healthcare-corporation",
      "siblingGroupId": "siblings-me-central-maine-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL MAINE HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MAINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL MAINE HEALTHCARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MAINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201311",
      "ccn": "201311",
      "name": "DOWN EAST COMMUNITY HOSPITAL",
      "address": "11 HOSPITAL DRIVE",
      "city": "MACHIAS",
      "state": "ME",
      "zip": "04654",
      "county": "WASHINGTON",
      "latitude": 44.7139691199471,
      "longitude": -67.4758552403823,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-machias-down-east-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DOWN EAST COMMUNITY HOSPITAL",
      "parentSystemId": "entity-down-east-community-hospital",
      "siblingGroupId": "siblings-me-down-east-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-down-east-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "CMS lists JUDD BRAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to DOWN EAST COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOWN EAST COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JUDD BRAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to DOWN EAST COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOWN EAST COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201313",
      "ccn": "201313",
      "name": "SEBASTICOOK VALLEY HEALTH",
      "address": "447 NORTH MAIN STREET",
      "city": "PITTSFIELD",
      "state": "ME",
      "zip": "04967",
      "county": "SOMERSET",
      "latitude": 44.7900064900605,
      "longitude": -69.3707694597775,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "EASTERN MAINE HEALTHCARE SYSTEMS",
      "parentSystemId": "entity-eastern-maine-healthcare-systems",
      "siblingGroupId": "siblings-me-eastern-maine-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RANDALL L. CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RANDALL L. CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201314",
      "ccn": "201314",
      "name": "REDINGTON FAIRVIEW GENERAL HOSPITAL",
      "address": "46 FAIRVIEW AVE, PO BOX 468",
      "city": "SKOWHEGAN",
      "state": "ME",
      "zip": "04976",
      "county": "SOMERSET",
      "latitude": 44.7589111000319,
      "longitude": -69.7130943898364,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-skowhegan-redington-fairview-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REDINGTON-FAIRVIEW GENERAL HOSPITAL",
      "parentSystemId": "entity-redington-fairview-general-hospital",
      "siblingGroupId": "siblings-me-redington-fairview-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-redington-fairview-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "CMS lists CRYSTAL NEACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to REDINGTON-FAIRVIEW GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REDINGTON-FAIRVIEW GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CRYSTAL NEACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to REDINGTON-FAIRVIEW GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REDINGTON-FAIRVIEW GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "201317",
      "ccn": "201317",
      "name": "NORTHERN MAINE MEDICAL CENTER",
      "address": "194 E MAIN STREET",
      "city": "FORT KENT",
      "state": "ME",
      "zip": "04743",
      "county": "AROOSTOOK",
      "latitude": 47.2655820597386,
      "longitude": -68.5918689700059,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-kent-northern-maine-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHERN MAINE MEDICAL CENTER",
      "parentSystemId": "entity-northern-maine-medical-center",
      "siblingGroupId": "siblings-me-northern-maine-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "me-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN MAINE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN MAINE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "204004",
      "ccn": "204004",
      "name": "DOROTHEA DIX PSYCHIATRIC CENTER",
      "address": "656 STATE STREET, PO BOX 926",
      "city": "BANGOR",
      "state": "ME",
      "zip": "04401",
      "county": "PENOBSCOT",
      "latitude": 44.8177986202137,
      "longitude": -68.7414200700097,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 100,
      "rating": null,
      "website": "http://www.maine.gov/dhhs/ddpc/index.shtml",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bangor-dorothea-dix-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MAINE",
      "parentSystemId": "entity-state-of-maine",
      "siblingGroupId": "siblings-me-state-of-maine",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MAINE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MAINE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MAINE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MAINE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "204006",
      "ccn": "204006",
      "name": "NORTHERN LIGHT ACADIA HOSPITAL",
      "address": "268 STILLWATER AVE, PO BOX 422",
      "city": "BANGOR",
      "state": "ME",
      "zip": "04401",
      "county": "PENOBSCOT",
      "latitude": 44.820496179844,
      "longitude": -68.7632531298152,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "EASTERN MAINE HEALTHCARE SYSTEMS",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bangor-northern-light-acadia-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-eastern-maine-healthcare-systems",
      "siblingGroupId": "siblings-me-eastern-maine-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-northern-light-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northernlighthealth.org/Our-System/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN J CAMPBELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EASTERN MAINE HEALTHCARE SYSTEMS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN J CAMPBELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Northern Light Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTERN MAINE HEALTHCARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "204008",
      "ccn": "204008",
      "name": "RIVERVIEW PSYCHIATRIC CENTER",
      "address": "250 ARSENAL ST, PO BOX 724",
      "city": "AUGUSTA",
      "state": "ME",
      "zip": "04330",
      "county": "KENNEBEC",
      "latitude": 44.2994922297904,
      "longitude": -69.7706072696957,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 92,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-augusta-riverview-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MAINE",
      "parentSystemId": "entity-state-of-maine",
      "siblingGroupId": "siblings-me-state-of-maine",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "me-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.maine.gov/dhhs/dlc/licensing-certification/medical-facilities/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MAINE (OPERATIONAL/MANAGERIAL CONTROL, 1%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MAINE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MAINE (OPERATIONAL/MANAGERIAL CONTROL, 1%). CMS universe sources: PDC matched; active POS matched. Maine resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MAINE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "210001",
      "ccn": "210001",
      "name": "MERITUS MEDICAL CENTER",
      "address": "11116 MEDICAL CAMPUS ROAD",
      "city": "HAGERSTOWN",
      "state": "MD",
      "zip": "21742",
      "county": "WASHINGTON",
      "latitude": 39.6221928100034,
      "longitude": -77.6825629499064,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 257,
      "rating": 3,
      "website": "http://www.meritushealth.com/for-hospital-patients-and-visitors/meritus-medical-center.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hagerstown-meritus-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERITUS MEDICAL CENTER INC",
      "parentSystemId": "entity-meritus-medical-center-inc",
      "siblingGroupId": "siblings-md-meritus-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS lists STEVE HULL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERITUS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEVE HULL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERITUS MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210002",
      "ccn": "210002",
      "name": "UNIVERSITY OF MARYLAND MEDICAL CENTER",
      "address": "22 SOUTH GREENE STREET",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21201",
      "county": "BALTIMORE",
      "latitude": 39.2879085700294,
      "longitude": -76.6249259300009,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 806,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-university-of-maryland-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
      "parentSystemId": "entity-university-of-maryland-medical-system-corporation",
      "siblingGroupId": "siblings-md-university-of-maryland-medical-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210004",
      "ccn": "210004",
      "name": "HOLY CROSS HOSPITAL",
      "address": "1500 FOREST GLEN ROAD",
      "city": "SILVER SPRING",
      "state": "MD",
      "zip": "20910",
      "county": "MONTGOMERY",
      "latitude": 39.0147221402596,
      "longitude": -77.0357352300984,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 377,
      "rating": 2,
      "website": "http://www.holycrosshealth.org",
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-silver-spring-holy-cross-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-md-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210005",
      "ccn": "210005",
      "name": "FREDERICK HEALTH HOSPITAL",
      "address": "400 WEST SEVENTH ST",
      "city": "FREDERICK",
      "state": "MD",
      "zip": "21701",
      "county": "FREDERICK",
      "latitude": 39.4226566797409,
      "longitude": -77.4146611100086,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 269,
      "rating": 3,
      "website": "https://www.frederickhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FREDERICK HEALTH HOSPITAL INC",
      "parentSystemId": "entity-frederick-health-hospital-inc",
      "siblingGroupId": "siblings-md-frederick-health-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREDERICK HEALTH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREDERICK HEALTH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210008",
      "ccn": "210008",
      "name": "MERCY MEDICAL CENTER INC",
      "address": "301 SAINT PAUL PLACE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21202",
      "county": "BALTIMORE",
      "latitude": 39.2929215496962,
      "longitude": -76.6128842301112,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 183,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-mercy-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY MEDICAL CENTER INC",
      "parentSystemId": "entity-mercy-medical-center-inc",
      "siblingGroupId": "siblings-md-mercy-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210009",
      "ccn": "210009",
      "name": "THE JOHNS HOPKINS HOSPITAL",
      "address": "600 NORTH WOLFE STREET",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21287",
      "county": "BALTIMORE",
      "latitude": 39.296108700245,
      "longitude": -76.5919722201531,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1113,
      "rating": 5,
      "website": "http://www.hopkinsmedicine.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-johns-hopkins-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION",
      "parentSystemId": "entity-the-johns-hopkins-health-system-corporation",
      "siblingGroupId": "siblings-md-the-johns-hopkins-health-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-johns-hopkins-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hopkinsmedicine.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210011",
      "ccn": "210011",
      "name": "SAINT AGNES HOSPITAL",
      "address": "900 CATON AVENUE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21229",
      "county": "BALTIMORE",
      "latitude": 39.272769910157,
      "longitude": -76.6721191103017,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 247,
      "rating": 3,
      "website": "http://www.stagnes.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-saint-agnes-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASCENSION HEALTH",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-md-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210012",
      "ccn": "210012",
      "name": "SINAI HOSPITAL OF BALTIMORE",
      "address": "2401 WEST BELVEDERE AVENUE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21215",
      "county": "BALTIMORE",
      "latitude": 39.352302509978,
      "longitude": -76.6620901495865,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 405,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-sinai-hospital-of-baltimore/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIFEBRIDGE HEALTH INC",
      "parentSystemId": "entity-lifebridge-health-inc",
      "siblingGroupId": "siblings-md-lifebridge-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-lifebridge-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifebridgehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEBRIDGE HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 74.7%). CMS lists JOSEPH Z KOONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to LifeBridge Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEBRIDGE HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 74.7%). CMS lists JOSEPH Z KOONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to LifeBridge Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210016",
      "ccn": "210016",
      "name": "ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER",
      "address": "11890 HEALING WAY",
      "city": "SILVER SPRING",
      "state": "MD",
      "zip": "20904",
      "county": "MONTGOMERY",
      "latitude": 39.0498535796618,
      "longitude": -76.957821380168,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 178,
      "rating": 3,
      "website": "https://www.adventisthealthcare.com/locations/profile/white-oak-medical-center/?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTHCARE, INC.",
      "affiliatedSystem": "Adventisthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Adventisthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-silver-spring-adventist-healthcare-white-oak-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-healthcare-inc",
      "siblingGroupId": "siblings-md-adventist-healthcare-inc",
      "campusFamilyId": "campus-md-210016",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-adventist-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealthcare.com/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAMELA MCCLAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Adventisthealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAMELA MCCLAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Adventisthealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210018",
      "ccn": "210018",
      "name": "MEDSTAR MONTGOMERY MEDICAL CENTER",
      "address": "18101 PRINCE PHILIP DRIVE",
      "city": "OLNEY",
      "state": "MD",
      "zip": "20832",
      "county": "MONTGOMERY",
      "latitude": 39.1540397200716,
      "longitude": -77.0547026901986,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": 3,
      "website": "http://www.montgomerygeneral.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olney-medstar-montgomery-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEDSTAR HEALTH, INC.",
      "parentSystemId": "entity-medstar-health-inc",
      "siblingGroupId": "siblings-md-medstar-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-medstar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/m/about-medstar/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDSTAR HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID HAVRILLA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDSTAR HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID HAVRILLA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210019",
      "ccn": "210019",
      "name": "TIDALHEALTH PENINSULA REGIONAL, INC",
      "address": "100 EAST CARROLL AVENUE",
      "city": "SALISBURY",
      "state": "MD",
      "zip": "21801",
      "county": "WICOMICO",
      "latitude": 38.362125000274,
      "longitude": -75.5987021098421,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 266,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "TIDALHEALTH PENINSULA REGIONAL INC",
      "parentSystemId": "entity-tidalhealth-peninsula-regional-inc",
      "siblingGroupId": "siblings-md-tidalhealth-peninsula-regional-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-tidalhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.tidalhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to TidalHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIDALHEALTH PENINSULA REGIONAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to TidalHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIDALHEALTH PENINSULA REGIONAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210022",
      "ccn": "210022",
      "name": "SUBURBAN HOSPITAL",
      "address": "8600 OLD GEORGETOWN ROAD",
      "city": "BETHESDA",
      "state": "MD",
      "zip": "20814",
      "county": "MONTGOMERY",
      "latitude": 38.997402480299,
      "longitude": -77.1103184000432,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 228,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethesda-suburban-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION",
      "parentSystemId": "entity-the-johns-hopkins-health-system-corporation",
      "siblingGroupId": "siblings-md-the-johns-hopkins-health-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-johns-hopkins-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hopkinsmedicine.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210023",
      "ccn": "210023",
      "name": "LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC",
      "address": "2001 MEDICAL PARKWAY",
      "city": "ANNAPOLIS",
      "state": "MD",
      "zip": "21401",
      "county": "ANNE ARUNDEL",
      "latitude": 38.9899267196608,
      "longitude": -76.5346124302861,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 349,
      "rating": 3,
      "website": "http://www.aahs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC",
      "parentSystemId": "entity-luminis-health-anne-arundel-medical-center-inc",
      "siblingGroupId": "siblings-md-luminis-health-anne-arundel-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-luminis-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.luminishealth.org/en/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Luminis Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Luminis Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210024",
      "ccn": "210024",
      "name": "MEDSTAR UNION MEMORIAL HOSPITAL",
      "address": "201 EAST UNIVERSITY PARKWAY",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21218",
      "county": "BALTIMORE",
      "latitude": 39.3290403002368,
      "longitude": -76.6147393499876,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 185,
      "rating": 5,
      "website": "http://www.unionmemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-medstar-union-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEDSTAR HEALTH, INC.",
      "parentSystemId": "entity-medstar-health-inc",
      "siblingGroupId": "siblings-md-medstar-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-medstar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/m/about-medstar/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDSTAR HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEANA L STOUT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDSTAR HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEANA L STOUT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210028",
      "ccn": "210028",
      "name": "MEDSTAR SAINT MARY'S HOSPITAL",
      "address": "25500 POINT LOOKOUT ROAD",
      "city": "LEONARDTOWN",
      "state": "MD",
      "zip": "20650",
      "county": "ST. MARY'S",
      "latitude": 38.3021376298491,
      "longitude": -76.6382702795789,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 93,
      "rating": 4,
      "website": "http://www.medstarstmarys.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leonardtown-medstar-saint-mary-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST MARYS HOSPITAL OF ST MARYS COUNTY INC",
      "parentSystemId": "entity-st-marys-hospital-of-st-marys-county-inc",
      "siblingGroupId": "siblings-md-st-marys-hospital-of-st-marys-county-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-medstar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/m/about-medstar/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS HOSPITAL OF ST MARYS COUNTY INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NONA P NOVELLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS HOSPITAL OF ST MARYS COUNTY INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS HOSPITAL OF ST MARYS COUNTY INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NONA P NOVELLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS HOSPITAL OF ST MARYS COUNTY INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210029",
      "ccn": "210029",
      "name": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER",
      "address": "4940 EASTERN AVENUE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21224",
      "county": "BALTIMORE",
      "latitude": 39.2906788099245,
      "longitude": -76.5467781902115,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 438,
      "rating": 3,
      "website": "http://www.hopkinsbayview.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-johns-hopkins-bayview-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION",
      "parentSystemId": "entity-the-johns-hopkins-health-system-corporation",
      "siblingGroupId": "siblings-md-the-johns-hopkins-health-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-johns-hopkins-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hopkinsmedicine.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210032",
      "ccn": "210032",
      "name": "UNION HOSPITAL OF CECIL COUNTY",
      "address": "106 BOW STREET",
      "city": "ELKTON",
      "state": "MD",
      "zip": "21921",
      "county": "CECIL",
      "latitude": 39.608514529946,
      "longitude": -75.8319670503746,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 75,
      "rating": 4,
      "website": "http://www.uhcc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elkton-union-hospital-of-cecil-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTIANA CARE HEALTH SERVICES INC",
      "parentSystemId": "entity-christiana-care-health-services-inc",
      "siblingGroupId": "siblings-md-christiana-care-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-christianacare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christianacare.org/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTIANA CARE HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to ChristianaCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIANA CARE HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTIANA CARE HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to ChristianaCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIANA CARE HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210033",
      "ccn": "210033",
      "name": "CARROLL HOSPITAL CENTER",
      "address": "200 MEMORIAL AVENUE",
      "city": "WESTMINSTER",
      "state": "MD",
      "zip": "21157",
      "county": "CARROLL",
      "latitude": 39.5581460302706,
      "longitude": -76.9907201301883,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 161,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westminster-carroll-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CARROLL HOSPITAL CENTER, INC.",
      "parentSystemId": "entity-carroll-hospital-center-inc",
      "siblingGroupId": "siblings-md-carroll-hospital-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS lists LAURA CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARROLL HOSPITAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LAURA CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARROLL HOSPITAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210034",
      "ccn": "210034",
      "name": "MEDSTAR HARBOR HOSPITAL",
      "address": "3001 SOUTH HANOVER STREET",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21225",
      "county": "BALTIMORE",
      "latitude": 39.2521638300735,
      "longitude": -76.6141732496619,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 131,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-medstar-harbor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARBOR HOSPITAL, INC",
      "parentSystemId": "entity-harbor-hospital-inc",
      "siblingGroupId": "siblings-md-harbor-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-medstar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/m/about-medstar/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARBOR HOSPITAL, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARBOR HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HARBOR HOSPITAL, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARBOR HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210038",
      "ccn": "210038",
      "name": "UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS",
      "address": "827 LINDEN AVENUE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21201",
      "county": "BALTIMORE",
      "latitude": 39.299703469782,
      "longitude": -76.6205691502802,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 180,
      "rating": 3,
      "website": "http://ummidtown.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-university-of-md-medical-center-midtown-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
      "parentSystemId": "entity-university-of-maryland-medical-system-corporation",
      "siblingGroupId": "siblings-md-university-of-maryland-medical-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210039",
      "ccn": "210039",
      "name": "CALVERTHEALTH MEDICAL CENTER",
      "address": "100 HOSPITAL ROAD",
      "city": "PRINCE FREDERICK",
      "state": "MD",
      "zip": "20678",
      "county": "CALVERT",
      "latitude": 38.5599068098413,
      "longitude": -76.5962725596228,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 73,
      "rating": 5,
      "website": "https://www.calverthealthmedicine.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CALVERT HEALTH SYSTEMS INC",
      "parentSystemId": "entity-calvert-health-systems-inc",
      "siblingGroupId": "siblings-md-calvert-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CALVERT HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JEREMY BRADFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALVERT HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CALVERT HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JEREMY BRADFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CALVERT HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210040",
      "ccn": "210040",
      "name": "NORTHWEST HOSPITAL CENTER",
      "address": "5401 OLD COURT ROAD",
      "city": "RANDALLSTOWN",
      "state": "MD",
      "zip": "21133",
      "county": "BALTIMORE",
      "latitude": 39.3585934500976,
      "longitude": -76.7818109604259,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 229,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-randallstown-northwest-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIFEBRIDGE HEALTH INC",
      "parentSystemId": "entity-lifebridge-health-inc",
      "siblingGroupId": "siblings-md-lifebridge-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-lifebridge-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifebridgehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEBRIDGE HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 76.4%). CMS lists LAURA CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to LifeBridge Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEBRIDGE HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 76.4%). CMS lists LAURA CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to LifeBridge Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210044",
      "ccn": "210044",
      "name": "GREATER BALTIMORE MEDICAL CENTER",
      "address": "6701 NORTH CHARLES STREET",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21204",
      "county": "BALTIMORE",
      "latitude": 39.3908563601504,
      "longitude": -76.6245565104167,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 257,
      "rating": 5,
      "website": "http://www.gbmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-greater-baltimore-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GBMC HEALTHCARE INC",
      "parentSystemId": "entity-gbmc-healthcare-inc",
      "siblingGroupId": "siblings-md-gbmc-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: GBMC HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOSHUA CAMPBELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GBMC HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GBMC HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOSHUA CAMPBELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GBMC HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210049",
      "ccn": "210049",
      "name": "UMD UPPER CHESAPEAKE MEDICAL CENTER",
      "address": "500 UPPER CHESAPEAKE DRIVE",
      "city": "BEL AIR",
      "state": "MD",
      "zip": "21014",
      "county": "HARFORD",
      "latitude": 39.5195780398477,
      "longitude": -76.3457257802471,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 161,
      "rating": 2,
      "website": "https://www.umms.org/uch/locations/um-upper-chesapeake-medical-center",
      "status": "corporate_chain",
      "parentSystem": "UPPER CHESAPEAKE MEDICAL CENTER INC",
      "affiliatedSystem": "Umms",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umms",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upper-chesapeake-medical-center-inc",
      "siblingGroupId": "siblings-md-upper-chesapeake-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS lists MARCUS PRIOLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Umms; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Umms. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPPER CHESAPEAKE MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARCUS PRIOLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Umms; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Umms. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPPER CHESAPEAKE MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210051",
      "ccn": "210051",
      "name": "LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CTR, INC",
      "address": "8118 GOOD LUCK ROAD",
      "city": "LANHAM",
      "state": "MD",
      "zip": "20706",
      "county": "PRINCE GEORGE'S",
      "latitude": 38.9826945401348,
      "longitude": -76.8652503997712,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 206,
      "rating": 3,
      "website": "https://www.dchweb.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUMINIS HEALTH INC",
      "parentSystemId": "entity-luminis-health-inc",
      "siblingGroupId": "siblings-md-luminis-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-luminis-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.luminishealth.org/en/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: LUMINIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAULA BRUENING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Luminis Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUMINIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LUMINIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAULA BRUENING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Luminis Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUMINIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210056",
      "ccn": "210056",
      "name": "MEDSTAR GOOD SAMARITAN HOSPITAL",
      "address": "5601 LOCH RAVEN BOULEVARD",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21239",
      "county": "BALTIMORE",
      "latitude": 39.3583957799833,
      "longitude": -76.5872828203339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 214,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-medstar-good-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEDSTAR HEALTH, INC.",
      "parentSystemId": "entity-medstar-health-inc",
      "siblingGroupId": "siblings-md-medstar-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-medstar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/m/about-medstar/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDSTAR HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEANA L STOUT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDSTAR HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEANA L STOUT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210057",
      "ccn": "210057",
      "name": "ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER",
      "address": "9901 MEDICAL CENTER DRIVE",
      "city": "ROCKVILLE",
      "state": "MD",
      "zip": "20850",
      "county": "MONTGOMERY",
      "latitude": 39.0978441402917,
      "longitude": -77.1979042300764,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 329,
      "rating": 2,
      "website": "http://www.adventisthealthcare.com",
      "status": "signal",
      "parentSystem": "ADVENTIST HEALTHCARE, INC.",
      "affiliatedSystem": "Adventisthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Adventisthealthcare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rockville-adventist-healthcare-shady-grove-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-healthcare-inc",
      "siblingGroupId": "siblings-md-adventist-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-adventist-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealthcare.com/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Adventisthealthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Adventisthealthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210060",
      "ccn": "210060",
      "name": "ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CTR",
      "address": "11711 LIVINGSTON ROAD",
      "city": "FORT WASHINGTON",
      "state": "MD",
      "zip": "20744",
      "county": "PRINCE GEORGE'S",
      "latitude": 38.7285633702191,
      "longitude": -76.9927016897376,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 28,
      "rating": 4,
      "website": "http://www.fortwashingtonmc.org/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-washington-adventist-healthcare-fort-washington-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTHCARE, INC.",
      "parentSystemId": "entity-adventist-healthcare-inc",
      "siblingGroupId": "siblings-md-adventist-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-adventist-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealthcare.com/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists OKEZUE NWACHUKU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists OKEZUE NWACHUKU as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Adventist HealthCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210061",
      "ccn": "210061",
      "name": "ATLANTIC GENERAL HOSPITAL",
      "address": "9733 HEALTHWAY DRIVE",
      "city": "BERLIN",
      "state": "MD",
      "zip": "21811",
      "county": "WORCESTER",
      "latitude": 38.3395251598871,
      "longitude": -75.2113330903406,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 3,
      "website": "http://www.atlanticgeneral.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berlin-atlantic-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ATLANTIC GENERAL HOSPITAL CORPORATION",
      "parentSystemId": "entity-atlantic-general-hospital-corporation",
      "siblingGroupId": "siblings-md-atlantic-general-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATLANTIC GENERAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATLANTIC GENERAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210062",
      "ccn": "210062",
      "name": "MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER",
      "address": "7503 SURRATTS ROAD",
      "city": "CLINTON",
      "state": "MD",
      "zip": "20735",
      "county": "PRINCE GEORGE'S",
      "latitude": 38.7481365402748,
      "longitude": -76.8758318702002,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 182,
      "rating": 2,
      "website": "https://www.medstarhealth.org/southern-maryland/pages/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-medstar-southern-maryland-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEDSTAR HEALTH, INC.",
      "parentSystemId": "entity-medstar-health-inc",
      "siblingGroupId": "siblings-md-medstar-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-medstar-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.medstarhealth.org/m/about-medstar/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDSTAR HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN T MICHAELS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDSTAR HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN T MICHAELS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to MedStar Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDSTAR HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210063",
      "ccn": "210063",
      "name": "UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER",
      "address": "7601 OSLER DRIVE",
      "city": "TOWSON",
      "state": "MD",
      "zip": "21204",
      "county": "BALTIMORE",
      "latitude": 39.3880571801237,
      "longitude": -76.6110635202018,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 219,
      "rating": 5,
      "website": "https://www.umms.org/sjmc/locations/um-st-joseph-medical-center?utm_campaign=website-link&utm_medium=organic&utm_source=local-listing",
      "status": "corporate_chain",
      "parentSystem": "UMSJ HEALTH SYSTEM LLC",
      "affiliatedSystem": "Umms",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Umms",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-umsj-health-system-llc",
      "siblingGroupId": "siblings-md-umsj-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-university-of-maryland-medical-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.umms.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UMSJ HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Umms; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Umms. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMSJ HEALTH SYSTEM LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UMSJ HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Umms; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Umms. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to University of Maryland Medical System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMSJ HEALTH SYSTEM LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210064",
      "ccn": "210064",
      "name": "LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL",
      "address": "2434 WEST BELVEDERE AVENUE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21209",
      "county": "BALTIMORE",
      "latitude": 39.354580600322,
      "longitude": -76.6646541102906,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-levindale-hebrew-geriatric-center-&-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIFEBRIDGE HEALTH INC",
      "parentSystemId": "entity-lifebridge-health-inc",
      "siblingGroupId": "siblings-md-lifebridge-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-lifebridge-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifebridgehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEBRIDGE HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LAURA CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to LifeBridge Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEBRIDGE HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LAURA CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to LifeBridge Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRIDGE HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "210065",
      "ccn": "210065",
      "name": "HOLY CROSS GERMANTOWN HOSPITAL",
      "address": "19801 OBSERVATION DRIVE",
      "city": "GERMANTOWN",
      "state": "MD",
      "zip": "20876",
      "county": "MONTGOMERY",
      "latitude": 39.1817612401265,
      "longitude": -77.2426098998969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-germantown-holy-cross-germantown-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-md-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "21010F",
      "ccn": "21010F",
      "name": "VA MARYLAND HEALTHCARE SYSTEM - PERRY POINT",
      "address": "VA MEDICAL CENTER",
      "city": "PERRY POINT",
      "state": "MD",
      "zip": "21902",
      "county": "CECIL",
      "latitude": 39.5500271999261,
      "longitude": -76.0629830999158,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Veterans Health Administration",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "Veterans Health Administration",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-md-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "213300",
      "ccn": "213300",
      "name": "MOUNT WASHINGTON PEDIATRIC HOSPITAL",
      "address": "1708 WEST ROGERS AVENUE",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21209",
      "county": "BALTIMORE",
      "latitude": 39.3631612802916,
      "longitude": -76.6537091401752,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 117,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-mount-washington-pediatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION",
      "parentSystemId": "entity-the-johns-hopkins-health-system-corporation",
      "siblingGroupId": "siblings-md-the-johns-hopkins-health-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-johns-hopkins-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hopkinsmedicine.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Johns Hopkins Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "213301",
      "ccn": "213301",
      "name": "KENNEDY KRIEGER INSTITUTE",
      "address": "707 NORTH BROADWAY",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21205",
      "county": "BALTIMORE",
      "latitude": 39.2992809801462,
      "longitude": -76.5928187098319,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "KENNEDY KRIEGER INSTITUTE",
      "parentSystemId": "entity-kennedy-krieger-institute",
      "siblingGroupId": "siblings-md-kennedy-krieger-institute",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENNEDY KRIEGER INSTITUTE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LISA BADIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KENNEDY KRIEGER INSTITUTE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENNEDY KRIEGER INSTITUTE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LISA BADIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KENNEDY KRIEGER INSTITUTE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "214000",
      "ccn": "214000",
      "name": "THE SHEPPARD AND ENOCH PRATT HOSPITAL",
      "address": "6501 NORTH CHARLES STREET",
      "city": "BALTIMORE",
      "state": "MD",
      "zip": "21204",
      "county": "BALTIMORE",
      "latitude": 39.3907529898146,
      "longitude": -76.6194268696329,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 322,
      "rating": null,
      "website": "http://www.sheppardpratt.org/sp_htmlcode/sp_locations/sp_loc_balt_sp.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baltimore-sheppard-and-enoch-pratt-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHEPPARD PRATT HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-sheppard-pratt-health-system-inc",
      "siblingGroupId": "siblings-md-sheppard-pratt-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS lists KELLY SAVOCA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHEPPARD PRATT HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KELLY SAVOCA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHEPPARD PRATT HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "214002",
      "ccn": "214002",
      "name": "EASTERN SHORE HOSPITAL CENTER",
      "address": "5262 WOODS RD, PO BOX 800",
      "city": "CAMBRIDGE",
      "state": "MD",
      "zip": "21613",
      "county": "DORCHESTER",
      "latitude": 38.5406272202892,
      "longitude": -76.0653280001497,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 84,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cambridge-eastern-shore-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
      "parentSystemId": "entity-state-of-maryland-central-payroll-bureau",
      "siblingGroupId": "siblings-md-state-of-maryland-central-payroll-bureau",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "214003",
      "ccn": "214003",
      "name": "BROOK LANE HEALTH SERVICES",
      "address": "13215 BROOK LANE DRIVE",
      "city": "HAGERSTOWN",
      "state": "MD",
      "zip": "21742",
      "county": "WASHINGTON",
      "latitude": 39.6769953002874,
      "longitude": -77.6105994002808,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 65,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hagerstown-brook-lane-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BROOK LANE HEALTH SERVICES INC",
      "parentSystemId": "entity-brook-lane-health-services-inc",
      "siblingGroupId": "siblings-md-brook-lane-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-brook-lane-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS lists JACOB ASHBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to BROOK LANE HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROOK LANE HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JACOB ASHBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to BROOK LANE HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROOK LANE HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "214004",
      "ccn": "214004",
      "name": "SPRINGFIELD HOSPITAL CENTER",
      "address": "6655 SYKESVILLE ROAD",
      "city": "SYKESVILLE",
      "state": "MD",
      "zip": "21784",
      "county": "CARROLL",
      "latitude": 39.3861860001826,
      "longitude": -76.961136000073,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 522,
      "rating": null,
      "website": "http://www.dhmh.state.md.us/springfield",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sykesville-springfield-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
      "parentSystemId": "entity-state-of-maryland-central-payroll-bureau",
      "siblingGroupId": "siblings-md-state-of-maryland-central-payroll-bureau",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "214012",
      "ccn": "214012",
      "name": "THOMAS B FINAN CENTER",
      "address": "10102 COUNTRY CLUB ROAD, POST OFFICE BOX 1722",
      "city": "CUMBERLAND",
      "state": "MD",
      "zip": "21502",
      "county": "ALLEGANY",
      "latitude": 39.6558734597897,
      "longitude": -78.7360624499875,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 119,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cumberland-thomas-b-finan-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
      "parentSystemId": "entity-state-of-maryland-central-payroll-bureau",
      "siblingGroupId": "siblings-md-state-of-maryland-central-payroll-bureau",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LESA DIEHL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LESA DIEHL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "214018",
      "ccn": "214018",
      "name": "SPRING GROVE HOSPITAL CENTER",
      "address": "55 WADE AVENUE",
      "city": "CATONSVILLE",
      "state": "MD",
      "zip": "21228",
      "county": "BALTIMORE",
      "latitude": 39.2647555001677,
      "longitude": -76.7225854002565,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 639,
      "rating": null,
      "website": "http://www.springgrove.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-catonsville-spring-grove-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MARYLAND CENTRAL PAYROLL BUREAU",
      "parentSystemId": "entity-state-of-maryland-central-payroll-bureau",
      "siblingGroupId": "siblings-md-state-of-maryland-central-payroll-bureau",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MARYLAND CENTRAL PAYROLL BUREAU (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MARYLAND CENTRAL PAYROLL BUREAU, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "214020",
      "ccn": "214020",
      "name": "LUMINIS HEALTH J KENT MCNEW FAMILY MEDICAL CENTER",
      "address": "175 HARRY S TRUMAN PARKWAY",
      "city": "ANNAPOLIS",
      "state": "MD",
      "zip": "21401",
      "county": "ANNE ARUNDEL",
      "latitude": 38.9779384099901,
      "longitude": -76.5582285399294,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "https://aahs.org/locations/j--kent-mcnew-family-medical-center/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-annapolis-luminis-health-j-kent-mcnew-family-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC.",
      "parentSystemId": "entity-luminis-health-j-kent-mcnew-family-medical-center-inc",
      "siblingGroupId": "siblings-md-luminis-health-j-kent-mcnew-family-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "md-parent-luminis-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.luminishealth.org/en/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Luminis Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Luminis Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "214022",
      "ccn": "214022",
      "name": "UM UPPER CHESAPEAKE BEHAVIORAL HEALTH PAVILION AT",
      "address": "660 MCHENRY ROAD",
      "city": "ABERDEEN",
      "state": "MD",
      "zip": "21001",
      "county": "HARFORD",
      "latitude": 39.5204532112971,
      "longitude": -76.1759918013602,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UPPER CHESAPEAKE MEDICAL CENTER INC",
      "parentSystemId": "entity-upper-chesapeake-medical-center-inc",
      "siblingGroupId": "siblings-md-upper-chesapeake-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "md-parent-independent-maryland-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.maryland.gov/ohcq/Pages/OHCQ-Licensee-Directories.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPPER CHESAPEAKE MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPPER CHESAPEAKE MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPPER CHESAPEAKE MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Maryland resolution: normalized CMS owner/operator to Independent Maryland nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPPER CHESAPEAKE MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220002",
      "ccn": "220002",
      "name": "MOUNT AUBURN HOSPITAL",
      "address": "330 MOUNT AUBURN STREET",
      "city": "CAMBRIDGE",
      "state": "MA",
      "zip": "02238",
      "county": "MIDDLESEX",
      "latitude": 42.3741000002579,
      "longitude": -71.134299999677,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 217,
      "rating": 4,
      "website": "http://www.mountauburnhospital.org",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Teaching hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cambridge-mount-auburn-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220008",
      "ccn": "220008",
      "name": "STURDY MEMORIAL HOSPITAL",
      "address": "211 PARK STREET",
      "city": "ATTLEBORO",
      "state": "MA",
      "zip": "02703",
      "county": "BRISTOL",
      "latitude": 41.9419999997852,
      "longitude": -71.2748000000681,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 108,
      "rating": 3,
      "website": "http://www.sturdymemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-attleboro-sturdy-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STURDY MEMORIAL HOSPITAL INC",
      "affiliatedSystem": "Sturdy Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Sturdy official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STURDY MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sturdy-memorial-hospital-inc",
      "siblingGroupId": "siblings-ma-sturdy-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220008"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Sturdy official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STURDY MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220015",
      "ccn": "220015",
      "name": "THE COOLEY DICKINSON HOSPITAL INC",
      "address": "30 LOCUST STREET",
      "city": "NORTHAMPTON",
      "state": "MA",
      "zip": "01060",
      "county": "HAMPSHIRE",
      "latitude": 42.330200000309,
      "longitude": -72.6531999999833,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 140,
      "rating": 2,
      "website": "http://www.cooley-dickinson.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-northampton-cooley-dickinson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COOLEY DICKINSON HEALTH CARE CORPORATION",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COOLEY DICKINSON HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate COOLEY DICKINSON HEALTH CARE CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOLEY DICKINSON HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cooley-dickinson-health-care-corporation",
      "siblingGroupId": "siblings-ma-cooley-dickinson-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: COOLEY DICKINSON HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate COOLEY DICKINSON HEALTH CARE CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOLEY DICKINSON HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220016",
      "ccn": "220016",
      "name": "BAYSTATE FRANKLIN MEDICAL CENTER",
      "address": "164 HIGH STREET",
      "city": "GREENFIELD",
      "state": "MA",
      "zip": "01301",
      "county": "FRANKLIN",
      "latitude": 42.5957000002003,
      "longitude": -72.5922999998872,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 89,
      "rating": 3,
      "website": "http://www.baystatehealth.com/fmc",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenfield-baystate-franklin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Baystate Health",
      "affiliatedSystem": "Baystate Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAYSTATE ADMINISTRATIVE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE ADMINISTRATIVE SERVICES, INC. was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE ADMINISTRATIVE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BAYSTATE ADMINISTRATIVE SERVICES, INC. to Baystate Health; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baystate-health",
      "siblingGroupId": "siblings-ma-baystate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42105941-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42105941.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYSTATE ADMINISTRATIVE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE ADMINISTRATIVE SERVICES, INC. was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE ADMINISTRATIVE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BAYSTATE ADMINISTRATIVE SERVICES, INC. to Baystate Health; the legal intermediate name remains available in source records."
    },
    {
      "id": "220017",
      "ccn": "220017",
      "name": "CARNEY HOSPITAL",
      "address": "2100 DORCHESTER AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02124",
      "county": "SUFFOLK",
      "latitude": 42.2775000003114,
      "longitude": -71.0653999998176,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 159,
      "rating": null,
      "website": "http://steward.org/carney-hospital",
      "status": "closed",
      "parentSystem": "CARNEY HOSPITAL",
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "Kim et al. verified PE hospital deal-and-exit dataset",
      "evidenceSourceUrl": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CARNEY HOSPITAL closed or ceased hospital operations in 2024 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care / Caritas Christi. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Kim et al., A practitioner’s guide to using data on private equity hospital acquisitions",
        "https://pmc.ncbi.nlm.nih.gov/articles/PMC13089501/",
        "Kim et al. verified PE hospital deal-and-exit dataset",
        "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
        "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/",
        "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-carney-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "historicalPeOwnership": true,
      "peFirm": "Cerberus Capital Management",
      "formerOperator": "Steward Health Care",
      "acquiredDate": "2010",
      "closureDate": "2024-08-31",
      "closureSource": "Kim et al. verified PE hospital deal-and-exit dataset",
      "closureSourceUrl": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "acquisitionSourceId": "kim-D-037-acquisition",
      "closureSourceId": "kim-D-037-closure",
      "closureYear": 2024,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Carney Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "Kim et al., A practitioner’s guide to using data on private equity hospital acquisitions",
      "acquisitionSourceUrl": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13089501/",
      "acquisitionEvidenceNote": "The public hospital-deal row D-037 identifies a LBO beginning in 2010 and classifies the exit as a closure in 2024. Sponsor naming is corroborated from the deal’s buyer/platform source trail.",
      "closureEvidenceNote": "Years of underinvestment; closed during Chapter 11 after no qualified bidder",
      "expandedClosureResearch": {
        "sourceRow": 6,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2024-08-31",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care safety-net hospital",
        "traumaLevel": "None",
        "licensedBeds": "91 staffed (159 licensed, approx)",
        "patientsServedNote": "Safety-net hospital for Dorchester; part of ~2M patients/yr Steward system",
        "ruralUrban": "Urban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2010",
        "acquisitionDealNote": "Part of original Caritas Christi LBO (2010)",
        "yearsPeToClosure": "14",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Years of underinvestment; closed during Chapter 11 after no qualified bidder",
        "communityImpact": "Part of ~2,400 layoffs post-bankruptcy; longer ambulance response times and ER crowding documented across region",
        "buildingFate": "Closed; redevelopment discussions ongoing",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/",
          "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: Documented Steward Massachusetts closure history. Facility is closed/historical; this is not a current active operator. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARNEY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-carney-hospital",
      "siblingGroupId": "siblings-ma-carney-hospital",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220017"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: Documented Steward Massachusetts closure history. Facility is closed/historical; this is not a current active operator. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARNEY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "22001F",
      "ccn": "22001F",
      "name": "BEDFORD VA MEDICAL CENTER",
      "address": "200 SPRINGS ROAD",
      "city": "BEDFORD",
      "state": "MA",
      "zip": "01730",
      "county": "MIDDLESEX",
      "latitude": 42.5046575999081,
      "longitude": -71.2734969003237,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ma-veterans-health-administration",
      "campusFamilyId": "campus-ma-22001f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/directory/guide/state.asp?STATE=MA"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "220020",
      "ccn": "220020",
      "name": "SAINT ANNE'S HOSPITAL",
      "address": "795 MIDDLE STREET",
      "city": "FALL RIVER",
      "state": "MA",
      "zip": "02721",
      "county": "BRISTOL",
      "latitude": 41.6926000001893,
      "longitude": -71.1637000003119,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 226,
      "rating": 3,
      "website": "http://www.saintanneshospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fall-river-saint-anne-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LIFESPAN OF MASSACHUSETTS, INC.",
      "affiliatedSystem": "Brown University Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: LIFESPAN OF MASSACHUSETTS, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate LIFESPAN OF MASSACHUSETTS, INC. was mapped through the reviewed alias registry to exact nonprofit filer Lifespan Corporation (EIN 222861978); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN OF MASSACHUSETTS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lifespan-of-massachusetts-inc",
      "siblingGroupId": "siblings-ma-lifespan-of-massachusetts-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-222861978-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/222861978.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFESPAN OF MASSACHUSETTS, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate LIFESPAN OF MASSACHUSETTS, INC. was mapped through the reviewed alias registry to exact nonprofit filer Lifespan Corporation (EIN 222861978); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN OF MASSACHUSETTS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220024",
      "ccn": "220024",
      "name": "HOLYOKE MEDICAL CENTER",
      "address": "575 BEECH STREET",
      "city": "HOLYOKE",
      "state": "MA",
      "zip": "01040",
      "county": "HAMPDEN",
      "latitude": 42.2002999997356,
      "longitude": -72.6275999996626,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 219,
      "rating": 4,
      "website": "http://www.holyokehealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-holyoke-holyoke-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "VALLEY HEALTH SYSTEMS INC",
      "affiliatedSystem": "Valley Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202305.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: VALLEY HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate VALLEY HEALTH SYSTEMS INC was mapped through the reviewed alias registry to exact nonprofit filer Valley Health Systems Inc (EIN 550554001); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-valley-health-systems-inc",
      "siblingGroupId": "siblings-ma-valley-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-550554001-202305"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/550554001.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: VALLEY HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate VALLEY HEALTH SYSTEMS INC was mapped through the reviewed alias registry to exact nonprofit filer Valley Health Systems Inc (EIN 550554001); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220029",
      "ccn": "220029",
      "name": "ANNA JAQUES HOSPITAL",
      "address": "25 HIGHLAND AVENUE",
      "city": "NEWBURYPORT",
      "state": "MA",
      "zip": "01950",
      "county": "ESSEX",
      "latitude": 42.8143999996961,
      "longitude": -70.8911000002243,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 3,
      "website": "http://www.ajh.org",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Community hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newburyport-anna-jaques-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220030",
      "ccn": "220030",
      "name": "BAYSTATE WING HOSPITAL AND MEDICAL CENTERS",
      "address": "40 WRIGHT STREET",
      "city": "PALMER",
      "state": "MA",
      "zip": "01069",
      "county": "HAMPDEN",
      "latitude": 42.1695999998245,
      "longitude": -72.3418000002799,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 68,
      "rating": 4,
      "website": "http://www.baystatewinghospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "BAYSTATE WING HOSPITAL CORPORATION",
      "affiliatedSystem": "Baystate Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAYSTATE WING HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE WING HOSPITAL CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE WING HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baystate-wing-hospital-corporation",
      "siblingGroupId": "siblings-ma-baystate-wing-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42105941-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42105941.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYSTATE WING HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE WING HOSPITAL CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE WING HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220031",
      "ccn": "220031",
      "name": "BOSTON MEDICAL CENTER",
      "address": "1 BOSTON MEDICAL CENTER PLACE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02118",
      "county": "SUFFOLK",
      "latitude": 42.334698967543,
      "longitude": -71.07540090299,
      "hospitalType": "Academic Medical Center / Acute Care Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 539,
      "rating": 3,
      "website": "https://www.bmc.org/",
      "formerOperator": "",
      "acquiredDate": "",
      "assistanceUrl": "https://dollarfor.org/medical-debt-help-boston-boston-medical-center/",
      "status": "corporate_chain",
      "parentSystem": "BOSTON MEDICAL CENTER CORPORATION",
      "affiliatedSystem": "Boston Medical Center Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "evidenceSource": "BMC Health System audited financial statements + IRS Form 990",
      "evidenceSourceUrl": "https://www.bmc.org/sites/default/files/Research/uniform-guidance/BMCHS-Independent-Auditors-Reports-FY24.pdf",
      "evidenceAsOf": "2026-07-12",
      "reviewedAt": "2026-07-12",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Reviewed records identify a nonprofit BMC Health System control relationship. The accountability warning reflects system scale, finances, acquisitions, labor disputes and a documented PE-backed temporary-staffing contract; it is not a direct PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Change of Ownership",
        "BMC Health System audited financial statements",
        "IRS Form 990",
        "CHIA HFY2024 hospital profile",
        "BMC Health System acquisition announcement"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-12",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "BMC Health System",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "caseId": "boston-medical-center-accountability",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-boston-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "facility_name_city_state",
      "financialAssistanceNote": "Dollar For lists a matching BMC facility for financial-assistance help. Listing does not guarantee eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: BMC Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate Boston Medical Center Health System was mapped through the reviewed alias registry to exact nonprofit filer Boston Medical Center Corporation (EIN 43314093); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOSTON MEDICAL CENTER CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-boston-medical-center-corporation",
      "siblingGroupId": "siblings-ma-boston-medical-center-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "irs-990-schedule-r-43314093-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43314093.json"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: BMC Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate Boston Medical Center Health System was mapped through the reviewed alias registry to exact nonprofit filer Boston Medical Center Corporation (EIN 43314093); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOSTON MEDICAL CENTER CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220036",
      "ccn": "220036",
      "name": "BOSTON MEDICAL CENTER-BRIGHTON",
      "address": "736 CAMBRIDGE STREET, NEVINS BUILDING",
      "city": "BRIGHTON",
      "state": "MA",
      "zip": "02135",
      "county": "SUFFOLK",
      "latitude": 42.349966444065,
      "longitude": -71.14746096573,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 252,
      "rating": 3,
      "website": "https://www.bmc.org/about-us/bmc-brighton",
      "formerOperator": "Steward Health Care",
      "acquiredDate": "2024-10-01",
      "assistanceUrl": "https://dollarfor.org/medical-debt-help-boston-st.-elizabeth-s-medical-center/",
      "status": "corporate_chain",
      "parentSystem": "BMC COMMUNITY HOSPITAL CORPORATION II",
      "affiliatedSystem": "Boston Medical Center Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital Change of Ownership + BMC Health System acquisition announcement",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
      "evidenceAsOf": "2026-07-12",
      "reviewedAt": "2026-07-12",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Reviewed records identify a nonprofit BMC Health System control relationship. The accountability warning reflects system scale, finances, acquisitions, labor disputes and a documented PE-backed temporary-staffing contract; it is not a direct PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Change of Ownership",
        "BMC Health System audited financial statements",
        "IRS Form 990",
        "CHIA HFY2024 hospital profile",
        "BMC Health System acquisition announcement"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-12",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "BMC Health System",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "caseId": "boston-medical-center-accountability",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-st.-elizabeth-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "facility_name_city_state",
      "financialAssistanceNote": "Dollar For lists a matching BMC facility for financial-assistance help. Listing does not guarantee eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BMC COMMUNITY HOSPITAL CORPORATION II (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: BMC Health System. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BMC COMMUNITY HOSPITAL CORPORATION II was mapped through the reviewed alias registry to exact nonprofit filer Boston Medical Center Corporation (EIN 43314093); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMC COMMUNITY HOSPITAL CORPORATION II, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bmc-community-hospital-corporation-ii",
      "siblingGroupId": "siblings-ma-bmc-community-hospital-corporation-ii",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43314093-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43314093.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BMC COMMUNITY HOSPITAL CORPORATION II (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: BMC Health System. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BMC COMMUNITY HOSPITAL CORPORATION II was mapped through the reviewed alias registry to exact nonprofit filer Boston Medical Center Corporation (EIN 43314093); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMC COMMUNITY HOSPITAL CORPORATION II, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220046",
      "ccn": "220046",
      "name": "BERKSHIRE MEDICAL CENTER - HILLCREST CAMPUS",
      "address": "165 TOR COURT",
      "city": "PITTSFIELD",
      "state": "MA",
      "zip": "01201",
      "county": "BERKSHIRE",
      "latitude": 42.4581000003016,
      "longitude": -73.2807000002278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": null,
      "rating": 4,
      "website": "http://www.berkshirehealthsystems.org/body.cfm?id=1153&otopid=1153",
      "status": "corporate_chain",
      "parentSystem": "BHS MANAGEMENT SERVICES INC",
      "affiliatedSystem": "Berkshire Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Berkshirehealthsystems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsfield-berkshire-medical-center---hillcrest-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Berkshirehealthsystems; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Berkshirehealthsystems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bhs-management-services-inc",
      "siblingGroupId": "siblings-ma-bhs-management-services-inc",
      "campusFamilyId": "campus-ma-220046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42442944-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42442944.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Berkshirehealthsystems; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Berkshirehealthsystems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220049",
      "ccn": "220049",
      "name": "MARLBOROUGH HOSPITAL",
      "address": "157 UNION STREET",
      "city": "MARLBOROUGH",
      "state": "MA",
      "zip": "01752",
      "county": "MIDDLESEX",
      "latitude": 42.3553000002113,
      "longitude": -71.5545999998529,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 79,
      "rating": 2,
      "website": "http://www.marlboroughhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marlborough-marlborough-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL",
      "affiliatedSystem": "UMass Memorial Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: UMass Memorial Health official system site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-umass-memorial-healthcare-marlborough-hospital",
      "siblingGroupId": "siblings-ma-umass-memorial-healthcare-marlborough-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220049"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ummhealth.org/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: UMass Memorial Health official system site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220052",
      "ccn": "220052",
      "name": "SIGNATURE HEALTHCARE BROCKTON HOSPITAL",
      "address": "680 CENTRE STREET",
      "city": "BROCKTON",
      "state": "MA",
      "zip": "02302",
      "county": "PLYMOUTH",
      "latitude": 42.0878999998214,
      "longitude": -70.991500000443,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 197,
      "rating": 3,
      "website": "http://www.signature-healthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brockton-signature-healthcare-brockton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BROCKTON HOSPITAL, INC.",
      "affiliatedSystem": "Signature Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists CYNTHIA M COLBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Signature Healthcare official hospital directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROCKTON HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-brockton-hospital-inc",
      "siblingGroupId": "siblings-ma-brockton-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220052"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://signature-healthcare.org/locations/brockton-hospital"
      ],
      "ownershipProofNotes": "CMS lists CYNTHIA M COLBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Signature Healthcare official hospital directory. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROCKTON HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220060",
      "ccn": "220060",
      "name": "BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH",
      "address": "275 SANDWICH STREET",
      "city": "PLYMOUTH",
      "state": "MA",
      "zip": "02360",
      "county": "PLYMOUTH",
      "latitude": 41.9427999997522,
      "longitude": -70.6450999996417,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 164,
      "rating": 4,
      "website": "http://www.bidplymouth.org/",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Community hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plymouth-beth-israel-deaconess-hospital-plymouth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEILAH RANGAVIZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEILAH RANGAVIZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220062",
      "ccn": "220062",
      "name": "ADCARE HOSPITAL OF WORCESTER INC",
      "address": "107 LINCOLN STREET",
      "city": "WORCESTER",
      "state": "MA",
      "zip": "01605",
      "county": "WORCESTER",
      "latitude": 42.2764120799295,
      "longitude": -71.794919790299,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 114,
      "rating": null,
      "website": "http://adcare.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-worcester-adcare-hospital-of-worcester-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "AAC HEALTHCARE NETWORK, INC.",
      "affiliatedSystem": "American Addiction Centers",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: AAC HEALTHCARE NETWORK, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts DPH AdCare transfer-of-ownership staff report. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AAC HEALTHCARE NETWORK, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-aac-healthcare-network-inc",
      "siblingGroupId": "siblings-ma-aac-healthcare-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-220062"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/doc/adcare-inc-transfer-of-ownership-staff-report/download"
      ],
      "ownershipProofNotes": "CMS owner candidate: AAC HEALTHCARE NETWORK, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts DPH AdCare transfer-of-ownership staff report. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AAC HEALTHCARE NETWORK, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "220063",
      "ccn": "220063",
      "name": "LOWELL GENERAL HOSPITAL",
      "address": "295 VARNUM AVENUE",
      "city": "LOWELL",
      "state": "MA",
      "zip": "01854",
      "county": "MIDDLESEX",
      "latitude": 42.647200000001,
      "longitude": -71.3420999997952,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 239,
      "rating": 2,
      "website": "http://www.lowellgeneral.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Tufts Medicine",
      "affiliatedSystem": "Tufts Medicine",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CIRCLE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate CIRCLE HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Tufts Medicine Inc (EIN 472250732); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIRCLE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps CIRCLE HEALTH, INC. to Tufts Medicine; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tufts-medicine",
      "siblingGroupId": "siblings-ma-tufts-medicine",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-472250732-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/472250732.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: CIRCLE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate CIRCLE HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Tufts Medicine Inc (EIN 472250732); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIRCLE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps CIRCLE HEALTH, INC. to Tufts Medicine; the legal intermediate name remains available in source records."
    },
    {
      "id": "220065",
      "ccn": "220065",
      "name": "BAYSTATE NOBLE HOSPITAL",
      "address": "115 WEST SILVER STREET, PO BOX 1634",
      "city": "WESTFIELD",
      "state": "MA",
      "zip": "01086",
      "county": "HAMPDEN",
      "latitude": 42.1182999999602,
      "longitude": -72.7595999998,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 85,
      "rating": 2,
      "website": "http://www.noblehospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westfield-baystate-noble-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Baystate Health",
      "affiliatedSystem": "Baystate Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAYSTATE ADMINISTRATIVE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE ADMINISTRATIVE SERVICES, INC. was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE ADMINISTRATIVE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BAYSTATE ADMINISTRATIVE SERVICES, INC. to Baystate Health; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baystate-health",
      "siblingGroupId": "siblings-ma-baystate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42105941-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42105941.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYSTATE ADMINISTRATIVE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE ADMINISTRATIVE SERVICES, INC. was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE ADMINISTRATIVE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BAYSTATE ADMINISTRATIVE SERVICES, INC. to Baystate Health; the legal intermediate name remains available in source records."
    },
    {
      "id": "220071",
      "ccn": "220071",
      "name": "MASSACHUSETTS GENERAL HOSPITAL",
      "address": "55 FRUIT STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02114",
      "county": "SUFFOLK",
      "latitude": 42.3626000001486,
      "longitude": -71.069299999691,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1043,
      "rating": 5,
      "website": "http://www.massgeneral.org",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to Mass General Brigham, a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mass General Brigham",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "THE GENERAL HOSPITAL CORPORATION",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-massachusetts-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS lists DAVID BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mass General Brigham; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mass General Brigham. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate Mass General Brigham was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GENERAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-general-hospital-corporation",
      "siblingGroupId": "siblings-ma-the-general-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS lists DAVID BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mass General Brigham; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mass General Brigham. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate Mass General Brigham was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GENERAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220073",
      "ccn": "220073",
      "name": "MORTON HOSPITAL",
      "address": "88 WASHINGTON STREET",
      "city": "TAUNTON",
      "state": "MA",
      "zip": "02780",
      "county": "BRISTOL",
      "latitude": 41.9061999997678,
      "longitude": -71.0944999999786,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 125,
      "rating": 1,
      "website": "http://www.mortonhospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "LIFESPAN OF MASSACHUSETTS, INC.",
      "affiliatedSystem": "Brown University Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: LIFESPAN OF MASSACHUSETTS, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate LIFESPAN OF MASSACHUSETTS, INC. was mapped through the reviewed alias registry to exact nonprofit filer Lifespan Corporation (EIN 222861978); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN OF MASSACHUSETTS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lifespan-of-massachusetts-inc",
      "siblingGroupId": "siblings-ma-lifespan-of-massachusetts-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-222861978-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/222861978.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFESPAN OF MASSACHUSETTS, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate LIFESPAN OF MASSACHUSETTS, INC. was mapped through the reviewed alias registry to exact nonprofit filer Lifespan Corporation (EIN 222861978); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN OF MASSACHUSETTS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220075",
      "ccn": "220075",
      "name": "MASSACHUSETTS EYE AND EAR INFIRMARY - MAIN CAMPUS",
      "address": "243 CHARLES STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02114",
      "county": "SUFFOLK",
      "latitude": 42.3629000001435,
      "longitude": -71.0700999997572,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 41,
      "rating": null,
      "website": "http://www.masseyeandear.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Mass General Brigham",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANNE KLIBANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANNE KLIBANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "220077",
      "ccn": "220077",
      "name": "BAYSTATE MEDICAL CENTER",
      "address": "759 CHESTNUT STREET",
      "city": "SPRINGFIELD",
      "state": "MA",
      "zip": "01199",
      "county": "HAMPDEN",
      "latitude": 42.1217000000153,
      "longitude": -72.6032000003396,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 746,
      "rating": 2,
      "website": "http://www.baystatehealth.org/bmc",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-baystate-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Baystate Health",
      "affiliatedSystem": "Baystate Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAYSTATE ADMINISTRATIVE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE ADMINISTRATIVE SERVICES, INC. was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE ADMINISTRATIVE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BAYSTATE ADMINISTRATIVE SERVICES, INC. to Baystate Health; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baystate-health",
      "siblingGroupId": "siblings-ma-baystate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42105941-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42105941.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYSTATE ADMINISTRATIVE SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BAYSTATE ADMINISTRATIVE SERVICES, INC. was mapped through the reviewed alias registry to exact nonprofit filer Baystate Health Inc (EIN 42105941); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYSTATE ADMINISTRATIVE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BAYSTATE ADMINISTRATIVE SERVICES, INC. to Baystate Health; the legal intermediate name remains available in source records."
    },
    {
      "id": "220080",
      "ccn": "220080",
      "name": "HOLY FAMILY HOSPITAL",
      "address": "70 EAST STREET",
      "city": "METHUEN",
      "state": "MA",
      "zip": "01844",
      "county": "ESSEX",
      "latitude": 42.7277000002614,
      "longitude": -71.168299999794,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 211,
      "rating": 2,
      "website": "https://www.holyfamily-hospital.org/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "LG NEWCORP INC.",
      "affiliatedSystem": "Merrimack Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts DPH Holy Family transfer-of-ownership application. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LG NEWCORP INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lg-newcorp-inc",
      "siblingGroupId": "siblings-ma-lg-newcorp-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220080"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mass.gov/doc/application-pdf-lawrence-general-hospital-emergency-application/download"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts DPH Holy Family transfer-of-ownership application. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LG NEWCORP INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220083",
      "ccn": "220083",
      "name": "BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM",
      "address": "148 CHESTNUT STREET",
      "city": "NEEDHAM",
      "state": "MA",
      "zip": "02192",
      "county": "NORFOLK",
      "latitude": 42.2770999997741,
      "longitude": -71.2369000000777,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 5,
      "website": "http://www.bidmc.org/centersanddepartments/departments/otherlocations/bethisraeldeaconesshospitalneedham.aspx",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Community hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-needham-beth-israel-deaconess-hospital---needham/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate Beth Israel Lahey Health was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-deaconess-hospital-needham",
      "siblingGroupId": "siblings-ma-beth-israel-deaconess-hospital-needham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate Beth Israel Lahey Health was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220088",
      "ccn": "220088",
      "name": "NEW ENGLAND BAPTIST HOSPITAL",
      "address": "125 PARKER HILL AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02120",
      "county": "SUFFOLK",
      "latitude": 42.3296999997023,
      "longitude": -71.1077000001719,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 118,
      "rating": 5,
      "website": "http://www.nebh.org",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Specialty teaching hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-new-england-baptist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220090",
      "ccn": "220090",
      "name": "MILFORD REGIONAL MEDICAL CENTER",
      "address": "14 PROSPECT STREET",
      "city": "MILFORD",
      "state": "MA",
      "zip": "01757",
      "county": "WORCESTER",
      "latitude": 42.1387537901126,
      "longitude": -71.5263678198671,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 24,
      "rating": 4,
      "website": "http://www.milfordregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milford-milford-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "UMASS MEMORIAL COMMUNITY HOSPITALS",
      "affiliatedSystem": "UMass Memorial Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: UMASS MEMORIAL COMMUNITY HOSPITALS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE DOMINO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate UMASS MEMORIAL COMMUNITY HOSPITALS was mapped through the reviewed alias registry to exact nonprofit filer Umass Memorial Health Care Inc (EIN 43358566); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-umass-memorial-community-hospitals",
      "siblingGroupId": "siblings-ma-umass-memorial-community-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43358566-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43358566.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: UMASS MEMORIAL COMMUNITY HOSPITALS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE DOMINO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate UMASS MEMORIAL COMMUNITY HOSPITALS was mapped through the reviewed alias registry to exact nonprofit filer Umass Memorial Health Care Inc (EIN 43358566); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UMASS MEMORIAL COMMUNITY HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220095",
      "ccn": "220095",
      "name": "HEYWOOD HOSPITAL -",
      "address": "242 GREEN STREET",
      "city": "GARDNER",
      "state": "MA",
      "zip": "01440",
      "county": "WORCESTER",
      "latitude": 42.5863000001697,
      "longitude": -71.9871000001396,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 134,
      "rating": 2,
      "website": "http://www.heywood.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gardner-heywood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HEYWOOD HEALTHCARE INC",
      "affiliatedSystem": "Heywood Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HEYWOOD HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate HEYWOOD HEALTHCARE INC was mapped through the reviewed alias registry to exact nonprofit filer Heywood Healthcare Inc (EIN 222720658); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEYWOOD HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-heywood-healthcare-inc",
      "siblingGroupId": "siblings-ma-heywood-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-222720658-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/222720658.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEYWOOD HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate HEYWOOD HEALTHCARE INC was mapped through the reviewed alias registry to exact nonprofit filer Heywood Healthcare Inc (EIN 222720658); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEYWOOD HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220098",
      "ccn": "220098",
      "name": "NASHOBA VALLEY MEDICAL CENTER",
      "address": "200 GROTON STREET",
      "city": "AYER",
      "state": "MA",
      "zip": "01432",
      "county": "MIDDLESEX",
      "latitude": 42.5774999998707,
      "longitude": -71.5739000001017,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 77,
      "rating": null,
      "status": "closed",
      "affiliationConfidence": "high",
      "evidenceSource": "Kim et al. verified PE hospital deal-and-exit dataset",
      "evidenceSourceUrl": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "NASHOBA VALLEY MEDICAL CENTER closed or ceased hospital operations in 2024 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Kim et al., A practitioner’s guide to using data on private equity hospital acquisitions",
        "https://pmc.ncbi.nlm.nih.gov/articles/PMC13089501/",
        "Kim et al. verified PE hospital deal-and-exit dataset",
        "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
        "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/",
        "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ayer-nashoba-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "historicalPeOwnership": true,
      "peFirm": "Cerberus Capital Management",
      "formerOperator": "Steward Health Care",
      "parentSystem": "NASHOBA VALLEY MEDICAL CENTER",
      "acquiredDate": "2011",
      "closureDate": "2024-08-31",
      "closureSource": "Kim et al. verified PE hospital deal-and-exit dataset",
      "closureSourceUrl": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "acquisitionSourceId": "kim-D-047-acquisition",
      "closureSourceId": "kim-D-047-closure",
      "closureYear": 2024,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Nashoba Valley Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "Kim et al., A practitioner’s guide to using data on private equity hospital acquisitions",
      "acquisitionSourceUrl": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13089501/",
      "acquisitionEvidenceNote": "The public hospital-deal row D-047 identifies a LBO beginning in 2011 and classifies the exit as a closure in 2024. Sponsor naming is corroborated from the deal’s buyer/platform source trail.",
      "closureEvidenceNote": "Closed during Chapter 11 after no qualified bidder",
      "expandedClosureResearch": {
        "sourceRow": 7,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2024-08-31",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "38 staffed",
        "patientsServedNote": "Only hospital for a cluster of rural/exurban towns NW of Boston",
        "ruralUrban": "Rural/exurban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2011",
        "acquisitionDealNote": "Acquired by Steward 2011",
        "yearsPeToClosure": "13",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Closed during Chapter 11 after no qualified bidder",
        "communityImpact": "Longer ambulance response times/rides documented; regional ER crowding",
        "buildingFate": "Closed",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.mhalink.org/news/mondayreport/steward-hospitals-bought-and-closed/",
          "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: Documented Steward Massachusetts closure history. Facility is closed/historical; this is not a current active operator. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NASHOBA VALLEY MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nashoba-valley-medical-center",
      "siblingGroupId": "siblings-ma-nashoba-valley-medical-center",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220098"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: Documented Steward Massachusetts closure history. Facility is closed/historical; this is not a current active operator. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NASHOBA VALLEY MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "22009F",
      "ccn": "22009F",
      "name": "NORTHAMPTON VA MEDICAL CENTER",
      "address": "421 N MAIN ST",
      "city": "LEEDS",
      "state": "MA",
      "zip": "01053",
      "county": "HAMPSHIRE",
      "latitude": 42.3496000000257,
      "longitude": -72.6823999997033,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": null,
      "website": "http://www.centralwesternmass.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leeds-northampton-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ma-veterans-health-administration",
      "campusFamilyId": "campus-ma-22009f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.va.gov/directory/guide/state.asp?STATE=MA"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "220101",
      "ccn": "220101",
      "name": "NEWTON - WELLESLEY HOSPITAL",
      "address": "2014 WASHINGTON STREET",
      "city": "NEWTON",
      "state": "MA",
      "zip": "02462",
      "county": "MIDDLESEX",
      "latitude": 42.3312000002242,
      "longitude": -71.2460000003812,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 245,
      "rating": 5,
      "website": "http://www.nwh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newton-newton-wellesley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NEWTON-WELLESLEY HOSPITAL",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Mass General Brigham official system site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWTON-WELLESLEY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newton-wellesley-hospital",
      "siblingGroupId": "siblings-ma-newton-wellesley-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220101"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.massgeneralbrigham.org/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Mass General Brigham official system site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWTON-WELLESLEY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220105",
      "ccn": "220105",
      "name": "WINCHESTER HOSPITAL",
      "address": "41 HIGHLAND AVENUE",
      "city": "WINCHESTER",
      "state": "MA",
      "zip": "01890",
      "county": "MIDDLESEX",
      "latitude": 42.4659999998448,
      "longitude": -71.1228000000733,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 178,
      "rating": 3,
      "website": "http://www.winchesterhospital.org",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Community hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winchester-winchester-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220108",
      "ccn": "220108",
      "name": "BETH ISRAEL DEACONESS HOSPITAL - MILTON INC",
      "address": "199 REEDSDALE ROAD",
      "city": "MILTON",
      "state": "MA",
      "zip": "02186",
      "county": "NORFOLK",
      "latitude": 42.2513000002591,
      "longitude": -71.0771999998952,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 102,
      "rating": 4,
      "website": "http://www.miltonhospital.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "Community hospital",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milton-beth-israel-deaconess-hospital-milton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD FERNANDEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-ma-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-832671600-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/832671600.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD FERNANDEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BETH ISRAEL LAHEY HEALTH, INC. was mapped through the reviewed alias registry to exact nonprofit filer Beth Israel Lahey Health Inc Hcsr (EIN 832671600); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "22010F",
      "ccn": "22010F",
      "name": "VA BOSTON HEALTHCARE SYSTEM - JAMAICA PLAIN",
      "address": "150 S. HUNTINGTON AVENUE",
      "city": "JAMAICA PLAIN",
      "state": "MA",
      "zip": "02130",
      "county": "SUFFOLK",
      "latitude": 42.3270000002712,
      "longitude": -71.110300000387,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 361,
      "rating": 4,
      "website": "http://www.boston.va.gov/",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Boston Va",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jamaica-plain-va-boston-healthcare-system---jamaica-plain/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Boston Va. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ma-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Boston Va. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "220110",
      "ccn": "220110",
      "name": "BRIGHAM AND WOMEN'S HOSPITAL",
      "address": "75 FRANCIS STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02115",
      "county": "SUFFOLK",
      "latitude": 42.3358999997578,
      "longitude": -71.1067999996484,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 811,
      "rating": 5,
      "website": "http://www.brighamandwomens.org",
      "status": "corporate_chain",
      "parentSystem": "Mass General Brigham",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "evidenceSource": "Brigham Boston contractor connections review",
      "evidenceSourceUrl": "/data/dossiers/220110.json",
      "evidenceAsOf": "2026-07-09",
      "reviewedAt": "2026-07-09",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Source-backed contractor connection review added Green Security PE-linked vendor credentialing exposure and Sodexo food-service context while preserving Mass General Brigham nonprofit system context. This is not a direct PE hospital ownership claim.",
      "classificationSources": [
        "Mass General Brigham Supplier/Vendor Information",
        "Green Security Spire/Strattam transaction release",
        "Brigham and Women's Faulkner Hospital Sodexo article",
        "BWH/BWFH official department pages",
        "CMS HCRIS 2023 cost report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-09",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major nonprofit health system",
      "operatorName": "Mass General Brigham",
      "publicControlBadge": "Major nonprofit system; PE-linked contractor exposure documented",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-brigham-and-women-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "caseId": "brigham-boston-contractors",
      "parentSystemEvidence": "CMS owner candidate: BRIGHAM INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GILES W BOLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mass General Brigham; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mass General Brigham. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BRIGHAM INC. was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRIGHAM INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BRIGHAM INC. to Mass General Brigham; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRIGHAM INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GILES W BOLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mass General Brigham; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mass General Brigham. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BRIGHAM INC. was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRIGHAM INC., ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps BRIGHAM INC. to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "220111",
      "ccn": "220111",
      "name": "BOSTON MEDICAL CENTER-SOUTH",
      "address": "235 NORTH PEARL STREET",
      "city": "BROCKTON",
      "state": "MA",
      "zip": "02301",
      "county": "PLYMOUTH",
      "latitude": 42.0978999999848,
      "longitude": -71.0618999999773,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 267,
      "rating": 2,
      "website": "https://www.bmc.org/about-us/bmc-south",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital Change of Ownership + BMC Health System acquisition announcement",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership",
      "evidenceAsOf": "2026-07-12",
      "reviewedAt": "2026-07-12",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Reviewed records identify a nonprofit BMC Health System control relationship. The accountability warning reflects system scale, finances, acquisitions, labor disputes and a documented PE-backed temporary-staffing contract; it is not a direct PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "CMS Hospital Change of Ownership",
        "BMC Health System audited financial statements",
        "IRS Form 990",
        "CHIA HFY2024 hospital profile",
        "BMC Health System acquisition announcement"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-12",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "BMC Health System",
      "publicControlBadge": "Major nonprofit health-system accountability warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brockton-good-samaritan-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "facility_name_city_state",
      "financialAssistanceNote": "Dollar For lists a matching BMC facility for financial-assistance help. Listing does not guarantee eligibility.",
      "formerOperator": "Steward Health Care",
      "acquiredDate": "2024-10-01",
      "assistanceUrl": "https://dollarfor.org/medical-debt-help-brockton-good-samaritan-medical-center/",
      "parentSystem": "BMC COMMUNITY HOSPITAL CORPORATION",
      "affiliatedSystem": "Boston Medical Center Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "caseId": "boston-medical-center-accountability",
      "parentSystemEvidence": "CMS owner candidate: BMC COMMUNITY HOSPITAL CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: BMC Health System. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BMC COMMUNITY HOSPITAL CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Boston Medical Center Corporation (EIN 43314093); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMC COMMUNITY HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bmc-community-hospital-corporation",
      "siblingGroupId": "siblings-ma-bmc-community-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43314093-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43314093.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BMC COMMUNITY HOSPITAL CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Boston Medical Center Health System; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: BMC Health System. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BMC COMMUNITY HOSPITAL CORPORATION was mapped through the reviewed alias registry to exact nonprofit filer Boston Medical Center Corporation (EIN 43314093); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BMC COMMUNITY HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220116",
      "ccn": "220116",
      "name": "TUFTS MEDICAL CENTER",
      "address": "800 WASHINGTON STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02111",
      "county": "SUFFOLK",
      "latitude": 42.34989999968,
      "longitude": -71.0639999997018,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 415,
      "rating": 2,
      "website": "http://www.tuftsmedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-tufts-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TUFTS MEDICINE, INC",
      "affiliatedSystem": "Tufts Medicine",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TUFTS MEDICINE, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN KAVOOGIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate TUFTS MEDICINE, INC was mapped through the reviewed alias registry to exact nonprofit filer Tufts Medicine Inc (EIN 472250732); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUFTS MEDICINE, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tufts-medicine-inc",
      "siblingGroupId": "siblings-ma-tufts-medicine-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-472250732-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/472250732.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: TUFTS MEDICINE, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN KAVOOGIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate TUFTS MEDICINE, INC was mapped through the reviewed alias registry to exact nonprofit filer Tufts Medicine Inc (EIN 472250732); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TUFTS MEDICINE, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220126",
      "ccn": "220126",
      "name": "NORWOOD HOSPITAL",
      "address": "800 WASHINGTON STREET",
      "city": "NORWOOD",
      "state": "MA",
      "zip": "02062",
      "county": "NORFOLK",
      "latitude": 42.1889999998159,
      "longitude": -71.2020999998945,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 94,
      "rating": null,
      "status": "closed",
      "affiliationConfidence": "high",
      "evidenceSource": "Kim et al. verified PE hospital deal-and-exit dataset",
      "evidenceSourceUrl": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "NORWOOD HOSPITAL closed or ceased hospital operations in 2020 after a documented private-equity acquisition. Former PE sponsor: Cerberus Capital Management; operating platform: Steward Health Care / Caritas Christi. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Kim et al., A practitioner’s guide to using data on private equity hospital acquisitions",
        "https://pmc.ncbi.nlm.nih.gov/articles/PMC13089501/",
        "Kim et al. verified PE hospital deal-and-exit dataset",
        "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
        "https://en.wikipedia.org/wiki/Norwood_Hospital",
        "https://finishthejobnorwood.com/background/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norwood-norwood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "historicalPeOwnership": true,
      "peFirm": "Cerberus Capital Management",
      "formerOperator": "Steward Health Care",
      "parentSystem": "NORWOOD HOSPITAL",
      "acquiredDate": "2010",
      "closureDate": "2020-06-28",
      "closureSource": "Kim et al. verified PE hospital deal-and-exit dataset",
      "closureSourceUrl": "https://github.com/sungilkim94/Kim-PE-Data/blob/main/Kim-et-al-Private-Equity-Deal-List-with-Exit.xlsx",
      "acquisitionSourceId": "kim-D-037-acquisition",
      "closureSourceId": "kim-D-037-closure",
      "closureYear": 2020,
      "closureStatusLabel": "Full closure (flood; never reopened)",
      "closureSummary": "Norwood Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "acquisitionSource": "Kim et al., A practitioner’s guide to using data on private equity hospital acquisitions",
      "acquisitionSourceUrl": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13089501/",
      "acquisitionEvidenceNote": "The public hospital-deal row D-037 identifies a LBO beginning in 2010 and classifies the exit as a closure in 2020. Sponsor naming is corroborated from the deal’s buyer/platform source trail.",
      "closureEvidenceNote": "Catastrophic June 2020 flood; Steward sued insurers; rebuild stalled and abandoned in bankruptcy",
      "expandedClosureResearch": {
        "sourceRow": 4,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (flood; never reopened)",
        "closureDate": "2020-06-28",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "215",
        "patientsServedNote": "Regional community hospital for Norwood area",
        "ruralUrban": "Suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2010",
        "acquisitionDealNote": "Part of original Caritas Christi LBO (2010)",
        "yearsPeToClosure": "10",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Catastrophic June 2020 flood; Steward sued insurers; rebuild stalled and abandoned in bankruptcy",
        "communityImpact": "Longer ambulance rides and patient overflow to neighboring hospitals; 'Finish Norwood Hospital' community campaign; eminent-domain reopening proposals",
        "buildingFate": "Half-rebuilt shell; unfinished as of 2026",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://en.wikipedia.org/wiki/Norwood_Hospital",
          "https://finishthejobnorwood.com/background/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "affiliatedSystem": "Steward Health Care",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: Documented Steward Massachusetts closure history. Facility is closed/historical; this is not a current active operator. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORWOOD HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-norwood-hospital",
      "siblingGroupId": "siblings-ma-norwood-hospital",
      "ownershipRelationship": "historically_owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220126"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hsph.harvard.edu/news/assessing-the-fallout-of-ma-hospital-closures-after-steward-bankruptcy/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Tail resolution: Documented Steward Massachusetts closure history. Facility is closed/historical; this is not a current active operator. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORWOOD HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "220135",
      "ccn": "220135",
      "name": "FALMOUTH HOSPITAL",
      "address": "100 TER HEUN DRIVE",
      "city": "FALMOUTH",
      "state": "MA",
      "zip": "02540",
      "county": "BARNSTABLE",
      "latitude": 41.5641999996659,
      "longitude": -70.6222999995526,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 81,
      "rating": 4,
      "website": "http://www.capecodhealth.org/hospitals-facilities/falmouth-hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-falmouth-falmouth-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "FALMOUTH HOSPITAL ASSOCIATION INC",
      "affiliatedSystem": "Cape Cod Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Cape Cod Healthcare official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALMOUTH HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-falmouth-hospital-association-inc",
      "siblingGroupId": "siblings-ma-falmouth-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ma-tail-220135"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Tail resolution: Massachusetts licensed-facility directory fallback after Cape Cod Healthcare official page returned 403. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALMOUTH HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "220176",
      "ccn": "220176",
      "name": "ST VINCENT HOSPITAL",
      "address": "123 SUMMER STREET",
      "city": "WORCESTER",
      "state": "MA",
      "zip": "01608",
      "county": "WORCESTER",
      "latitude": 42.2647608600953,
      "longitude": -71.7967348102794,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 290,
      "rating": 2,
      "website": "http://www.stvincenthospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-worcester-st-vincent-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2025-12-31.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate TENET HEALTHCARE CORPORATION was cross-checked once against cached Tenet Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-ma-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-tenet-healthcare-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/70318/000007031826000012/thc-20251231x10kex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate TENET HEALTHCARE CORPORATION was cross-checked once against cached Tenet Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "220177",
      "ccn": "220177",
      "name": "NANTUCKET COTTAGE HOSPITAL",
      "address": "57 PROSPECT STREET",
      "city": "NANTUCKET",
      "state": "MA",
      "zip": "02554",
      "county": "NANTUCKET",
      "latitude": 41.2751999998044,
      "longitude": -70.10079999999,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": 3,
      "website": "http://www.nantuckethospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nantucket-nantucket-cottage-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Mass General Brigham",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "221300",
      "ccn": "221300",
      "name": "MARTHA'S VINEYARD HOSPITAL INC",
      "address": "1 HOSPITAL ROAD, FIRST FLOOR, WING 5",
      "city": "OAK BLUFFS",
      "state": "MA",
      "zip": "02557",
      "county": "DUKES",
      "latitude": 41.4607999997457,
      "longitude": -70.57980000008,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oak-bluffs-martha-s-vineyard-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE MASSACHUSETTS GENERAL HOSPITAL",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE MASSACHUSETTS GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate THE MASSACHUSETTS GENERAL HOSPITAL was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE MASSACHUSETTS GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-massachusetts-general-hospital",
      "siblingGroupId": "siblings-ma-the-massachusetts-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE MASSACHUSETTS GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate THE MASSACHUSETTS GENERAL HOSPITAL was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE MASSACHUSETTS GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "221302",
      "ccn": "221302",
      "name": "FAIRVIEW HOSPITAL",
      "address": "29 LEWIS AVENUE",
      "city": "GREAT BARRINGTON",
      "state": "MA",
      "zip": "01230",
      "county": "BERKSHIRE",
      "latitude": 42.191099999979,
      "longitude": -73.3718999996857,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://www.berkshirehealthsystems.org/fairview",
      "status": "corporate_chain",
      "parentSystem": "BHS MANAGEMENT SERVICES INC",
      "affiliatedSystem": "Berkshire Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Berkshirehealthsystems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-great-barrington-fairview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Berkshirehealthsystems; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Berkshirehealthsystems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bhs-management-services-inc",
      "siblingGroupId": "siblings-ma-bhs-management-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42442944-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42442944.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Berkshirehealthsystems; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Berkshirehealthsystems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "221303",
      "ccn": "221303",
      "name": "ATHOL MEMORIAL HOSPITAL",
      "address": "2033 MAIN STREET",
      "city": "ATHOL",
      "state": "MA",
      "zip": "01331",
      "county": "WORCESTER",
      "latitude": 42.585500000299,
      "longitude": -72.208899999619,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": 2,
      "website": "http://www.atholhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athol-athol-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HEYWOOD HEALTHCARE INC",
      "affiliatedSystem": "Heywood Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HEYWOOD HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate HEYWOOD HEALTHCARE INC was mapped through the reviewed alias registry to exact nonprofit filer Heywood Healthcare Inc (EIN 222720658); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEYWOOD HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-heywood-healthcare-inc",
      "siblingGroupId": "siblings-ma-heywood-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-222720658-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/222720658.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEYWOOD HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate HEYWOOD HEALTHCARE INC was mapped through the reviewed alias registry to exact nonprofit filer Heywood Healthcare Inc (EIN 222720658); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEYWOOD HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "221304",
      "ccn": "221304",
      "name": "NORTH ADAMS REGIONAL HOSPITAL",
      "address": "71 HOSPITAL AVENUE",
      "city": "NORTH ADAMS",
      "state": "MA",
      "zip": "01247",
      "county": "BERKSHIRE",
      "latitude": 42.7071000001231,
      "longitude": -73.1095000004417,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 36,
      "rating": null,
      "website": "http://www.nbhealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "BHS MANAGEMENT SERVICES INC",
      "affiliatedSystem": "Berkshire Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "parentSystemEvidence": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURIE LAMARRE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bhs-management-services-inc",
      "siblingGroupId": "siblings-ma-bhs-management-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-42442944-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/42442944.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: BHS MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURIE LAMARRE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate BHS MANAGEMENT SERVICES INC was mapped through the reviewed alias registry to exact nonprofit filer Berkshire Health Systems Inc (EIN 42442944); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BHS MANAGEMENT SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "223302",
      "ccn": "223302",
      "name": "BOSTON CHILDREN'S HOSPITAL",
      "address": "300 LONGWOOD AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02115",
      "county": "SUFFOLK",
      "latitude": 42.3371999998538,
      "longitude": -71.1063999996153,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 415,
      "rating": null,
      "website": "http://www.childrenshospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-boston-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CHILDREN'S HOSPITAL CORPORATION",
      "affiliatedSystem": "Boston Children's Hospital",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS enrollment/operator evidence for BOSTON CHILDREN'S HOSPITAL was linked to Boston Children's Hospital through the official locations directory; transplant sub-unit rows inherit this host edge. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-children-s-hospital-corporation",
      "siblingGroupId": "siblings-ma-children-s-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "boston-childrens-official-locations"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.childrenshospital.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS enrollment/operator evidence for BOSTON CHILDREN'S HOSPITAL was linked to Boston Children's Hospital through the official locations directory; transplant sub-unit rows inherit this host edge. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "223304",
      "ccn": "223304",
      "name": "THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON",
      "address": "51 BLOSSOM STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02114",
      "county": "SUFFOLK",
      "latitude": 42.3630925500137,
      "longitude": -71.0663018796168,
      "hospitalType": "Childrens",
      "sourceOwner": "Proprietary",
      "beds": 9,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "THE SHRINERS HOSPITAL FOR CHILDREN",
      "affiliatedSystem": "Shriners Children's",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE SHRINERS HOSPITAL FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Tail resolution: Shriners Children’s official Boston hospital page. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE SHRINERS HOSPITAL FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-shriners-hospital-for-children",
      "siblingGroupId": "siblings-ma-the-shriners-hospital-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-223304"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.shrinerschildrens.org/en/locations/boston"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE SHRINERS HOSPITAL FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Tail resolution: Shriners Children’s official Boston hospital page. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE SHRINERS HOSPITAL FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "224001",
      "ccn": "224001",
      "name": "TAUNTON STATE HOSPITAL",
      "address": "60 HODGES AVENUE, PO BOX 151",
      "city": "TAUNTON",
      "state": "MA",
      "zip": "02780",
      "county": "BRISTOL",
      "latitude": 41.912671539757,
      "longitude": -71.1022058796398,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 45,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-taunton-taunton-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "affiliatedSystem": "Commonwealth of Massachusetts",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "224007",
      "ccn": "224007",
      "name": "MCLEAN HOSPITAL CORPORATION",
      "address": "115 MILL STREET",
      "city": "BELMONT",
      "state": "MA",
      "zip": "02478",
      "county": "MIDDLESEX",
      "latitude": 42.3937302099887,
      "longitude": -71.1912953502197,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 460,
      "rating": null,
      "website": "http://www.mcleanhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belmont-mclean-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Mass General Brigham",
      "affiliatedSystem": "Mass General Brigham",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 202309.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANNE KLIBANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mass-general-brigham",
      "siblingGroupId": "siblings-ma-mass-general-brigham",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "irs-990-schedule-r-43230035-202309"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://projects.propublica.org/nonprofits/api/v2/organizations/43230035.json"
      ],
      "ownershipProofNotes": "CMS owner candidate: MASS GENERAL BRIGHAM INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANNE KLIBANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS legal owner/control candidate MASS GENERAL BRIGHAM INCORPORATED was mapped through the reviewed alias registry to exact nonprofit filer Mass General Brigham Incorporated (EIN 43230035); its latest API-listed Form 990 was cached once for the system and reused. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MASS GENERAL BRIGHAM INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate. Reviewed alias normalization maps MASS GENERAL BRIGHAM INCORPORATED to Mass General Brigham; the legal intermediate name remains available in source records."
    },
    {
      "id": "224013",
      "ccn": "224013",
      "name": "THE ARBOUR HOSPITAL",
      "address": "49 ROBINWOOD AVENUE",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02130",
      "county": "SUFFOLK",
      "latitude": 42.3158184100482,
      "longitude": -71.1122731400271,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 136,
      "rating": null,
      "website": "http://arbourhealth.com/organizations/arbour-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2025-12-31.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Arbourhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-arbour-hospital-the/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arbourhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arbourhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ma-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-universal-health-services-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-ex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arbourhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arbourhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "224018",
      "ccn": "224018",
      "name": "ARBOUR HUMAN RESOURCE INSTITUTE",
      "address": "227 BABCOCK STREET",
      "city": "BROOKLINE",
      "state": "MA",
      "zip": "02146",
      "county": "NORFOLK",
      "latitude": 42.3507795098411,
      "longitude": -71.1212422800482,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 66,
      "rating": null,
      "website": "http://arbourhealth.com/organizations/arbour-hri-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2025-12-31.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Arbourhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arbourhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arbourhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ma-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-universal-health-services-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/352915/000119312526071676/uhs-ex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Arbourhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arbourhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate UHS OF DELAWARE INC was cross-checked once against cached Universal Health Services Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "224022",
      "ccn": "224022",
      "name": "BOURNEWOOD HOSPITAL",
      "address": "300 SOUTH STREET",
      "city": "BROOKLINE",
      "state": "MA",
      "zip": "02167",
      "county": "NORFOLK",
      "latitude": 42.2983185702364,
      "longitude": -71.1492856799753,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 170,
      "rating": null,
      "website": "http://www.bournewood.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ALITA CARE LLC",
      "peFirm": "Kohlberg & Company",
      "acquiredDate": "May 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Meadows Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brookline-bournewood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Alita Care",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ALITA CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Meadows Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Meadows Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Tail resolution: Alita Care acquisition announcement for Bournewood. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALITA CARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-alita-care-llc",
      "siblingGroupId": "siblings-ma-alita-care-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-224022"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.themeadows.com/blog/bournewood-health-systems-is-now-part-of-the-alita-care-family/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALITA CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Meadows Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Meadows Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Tail resolution: Alita Care acquisition announcement for Bournewood. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALITA CARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "224028",
      "ccn": "224028",
      "name": "DR JOHN C CORRIGAN MENTAL HEALTH CENTER",
      "address": "49 HILLSIDE STREET",
      "city": "FALL RIVER",
      "state": "MA",
      "zip": "02720",
      "county": "BRISTOL",
      "latitude": 41.7074869100884,
      "longitude": -71.1457144697841,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fall-river-dr-john-c-corrigan-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "affiliatedSystem": "Commonwealth of Massachusetts",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "224032",
      "ccn": "224032",
      "name": "WORCESTER RECOVERY CENTER AND HOSPITAL",
      "address": "309 BELMONT STREET",
      "city": "WORCESTER",
      "state": "MA",
      "zip": "01604",
      "county": "WORCESTER",
      "latitude": 42.2796671903175,
      "longitude": -71.769066940277,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 166,
      "rating": null,
      "website": "http://www.mass.gov/eohhs/gov/departments/dmh/worcester-recovery-center-and-hospital-.html",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-worcester-worcester-recovery-center-and-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "affiliatedSystem": "Commonwealth of Massachusetts",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "224039",
      "ccn": "224039",
      "name": "WHITTIER PAVILION",
      "address": "76 SUMMER STREET",
      "city": "HAVERHILL",
      "state": "MA",
      "zip": "01830",
      "county": "ESSEX",
      "latitude": 42.7785469599214,
      "longitude": -71.0731763702792,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 10,
      "rating": null,
      "website": "http://www.whittierhealth.com/psychiatric_hospital/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-haverhill-whittier-pavilion/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2025-12-31.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate ACADIA HEALTHCARE COMPANY INC was cross-checked once against cached Acadia Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ma-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-acadia-healthcare-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate ACADIA HEALTHCARE COMPANY INC was cross-checked once against cached Acadia Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "224040",
      "ccn": "224040",
      "name": "DR SOLOMON CARTER FULLER MENTAL HEALTH CENTER",
      "address": "85 EAST NEWTON STREET",
      "city": "BOSTON",
      "state": "MA",
      "zip": "02118",
      "county": "SUFFOLK",
      "latitude": 42.3362671301178,
      "longitude": -71.0706904201726,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boston-dr-solomon-carter-fuller-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE COMMONWEALTH OF MASSACHUSETTS",
      "affiliatedSystem": "Commonwealth of Massachusetts",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists VALENCIA DAILEY-REID as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-the-commonwealth-of-massachusetts",
      "siblingGroupId": "siblings-ma-the-commonwealth-of-massachusetts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-dph-licensed-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mass.gov/info-details/find-information-about-licensed-or-certified-health-care-facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COMMONWEALTH OF MASSACHUSETTS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists VALENCIA DAILEY-REID as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Resolution pass: Government route: CMS operator/owner coding plus the responsible public authority directory; no private system page was sought. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COMMONWEALTH OF MASSACHUSETTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "224041",
      "ccn": "224041",
      "name": "SOUTHCOAST BEHAVIORAL HEALTH",
      "address": "581 FAUNCE CORNER ROAD",
      "city": "DARTMOUTH",
      "state": "MA",
      "zip": "02747",
      "county": "BRISTOL",
      "latitude": 41.6727471400627,
      "longitude": -70.9847138303428,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 16,
      "rating": null,
      "website": "http://www.southcoastbehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dartmouth-southcoast-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2025-12-31.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 75%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate ACADIA HEALTHCARE COMPANY INC was cross-checked once against cached Acadia Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ma-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sec-exhibit-21-acadia-healthcare-2025"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1520697/000119312526078266/achc-ex21.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 75%). CMS universe sources: PDC matched; active POS matched. Resolution pass: CMS owner/control candidate ACADIA HEALTHCARE COMPANY INC was cross-checked once against cached Acadia Healthcare Exhibit 21. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "224044",
      "ccn": "224044",
      "name": "WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL LLC",
      "address": "300 FRIBERG PARKWAY",
      "city": "WESTBOROUGH",
      "state": "MA",
      "zip": "01581",
      "county": "WORCESTER",
      "latitude": 42.2836148401887,
      "longitude": -71.5806385136778,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westborough-westborough-behavioral-healthcare-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Signature Healthcare Services",
      "affiliatedSystem": "Signature Healthcare Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CARMEN ADDARIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: Signature Healthcare Services official ownership statement. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-ma-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-224044"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.signaturehc.com/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CARMEN ADDARIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: Signature Healthcare Services official ownership statement. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "224045",
      "ccn": "224045",
      "name": "HOSPITAL FOR BEHAVIORAL MEDICINE",
      "address": "100 CENTURY DRIVE",
      "city": "WORCESTER",
      "state": "MA",
      "zip": "01606",
      "county": "WORCESTER",
      "latitude": 42.3136785998102,
      "longitude": -71.7704960997069,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 82,
      "rating": null,
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "WORCESTER BEHAVIORAL INNOVATIONS LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "US HealthVest",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-worcester-hospital-for-behavioral-medicine/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "US HealthVest",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: WORCESTER BEHAVIORAL INNOVATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Tail resolution: US HealthVest official portfolio. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WORCESTER BEHAVIORAL INNOVATIONS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-worcester-behavioral-innovations-llc",
      "siblingGroupId": "siblings-ma-worcester-behavioral-innovations-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-224045"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WORCESTER BEHAVIORAL INNOVATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Tail resolution: US HealthVest official portfolio. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WORCESTER BEHAVIORAL INNOVATIONS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "224046",
      "ccn": "224046",
      "name": "MIRAVISTA BEHAVIORAL HEALTH CENTER",
      "address": "1233 MAIN STREET",
      "city": "HOLYOKE",
      "state": "MA",
      "zip": "01040",
      "county": "HAMPDEN",
      "latitude": 42.165906399788,
      "longitude": -72.633995999994,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "TPG HOLDINGS LLC",
      "affiliatedSystem": "TPG Holdings LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TPG HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists DEBRA L HARRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: MiraVista official facility site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TPG HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-tpg-holdings-llc",
      "siblingGroupId": "siblings-ma-tpg-holdings-llc",
      "campusFamilyId": "campus-ma-224046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ma-tail-224046"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.miravistabhc.care/"
      ],
      "ownershipProofNotes": "CMS owner candidate: TPG HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists DEBRA L HARRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Tail resolution: MiraVista official facility site. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TPG HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "230005",
      "ccn": "230005",
      "name": "PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL",
      "address": "5640 N ADRIAN HIGHWAY",
      "city": "ADRIAN",
      "state": "MI",
      "zip": "49221",
      "county": "PRESQUE ISLE",
      "latitude": 45.4221141599347,
      "longitude": -83.8352755703039,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-adrian-promedica-charles-and-virginia-hickman-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROMEDICA HEALTH SYSTEM INC",
      "parentSystemId": "entity-promedica-health-system-inc",
      "siblingGroupId": "siblings-mi-promedica-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-promedica"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.promedica.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230015",
      "ccn": "230015",
      "name": "THREE RIVERS HEALTH",
      "address": "701 S HEALTH PARKWAY",
      "city": "THREE RIVERS",
      "state": "MI",
      "zip": "49093",
      "county": "ST. JOSEPH",
      "latitude": 41.9354076698889,
      "longitude": -85.6479256099517,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 60,
      "rating": 2,
      "website": "http://www.threerivershealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-three-rivers-three-rivers-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEACON HEALTH SYSTEM INC",
      "parentSystemId": "entity-beacon-health-system-inc",
      "siblingGroupId": "siblings-mi-beacon-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-beacon-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.beaconhealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY P COSTELLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEACON HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY P COSTELLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Beacon Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEACON HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230017",
      "ccn": "230017",
      "name": "BRONSON METHODIST HOSPITAL",
      "address": "601 JOHN STREET",
      "city": "KALAMAZOO",
      "state": "MI",
      "zip": "49007",
      "county": "KALAMAZOO",
      "latitude": 42.2852575900781,
      "longitude": -85.5802913596839,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 434,
      "rating": 4,
      "website": "http://www.bronsonhealth.com",
      "status": "corporate_chain",
      "parentSystem": "BRONSON HEALTH CARE GROUP INC",
      "affiliatedSystem": "Bronsonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bronsonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kalamazoo-bronson-methodist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bronson-health-care-group-inc",
      "siblingGroupId": "siblings-mi-bronson-health-care-group-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bronson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bronsonhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230019",
      "ccn": "230019",
      "name": "ASCENSION PROVIDENCE HOSPITAL",
      "address": "16001 W NINE MILE RD",
      "city": "SOUTHFIELD",
      "state": "MI",
      "zip": "48075",
      "county": "OAKLAND",
      "latitude": 42.4577777102205,
      "longitude": -83.205131340393,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 359,
      "rating": 4,
      "website": "http://www.stjohnprovidence.org/providence-providence-park-hospital",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION MICHIGAN",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-michigan",
      "siblingGroupId": "siblings-mi-ascension-michigan",
      "campusFamilyId": "campus-mi-230019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230019-loc-mi-southfield-ascension-providence-hospital",
      "ccn": "230019",
      "name": "ASCENSION PROVIDENCE HOSPITAL",
      "address": "16001 W NINE MILE RD, FISHER CENTER, 5TH FLOOR",
      "city": "SOUTHFIELD",
      "state": "MI",
      "zip": "48037",
      "county": "OAKLAND",
      "latitude": 42.4579941197528,
      "longitude": -83.2048906296261,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION MICHIGAN",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-michigan",
      "siblingGroupId": "siblings-mi-ascension-michigan",
      "campusFamilyId": "campus-mi-230019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230019"
    },
    {
      "id": "230019-loc-mi-southfield-ascension-providence-hospital-2",
      "ccn": "230019",
      "name": "ASCENSION PROVIDENCE HOSPITAL",
      "address": "16001 W NINE MILE RD",
      "city": "SOUTHFIELD",
      "state": "MI",
      "zip": "48075",
      "county": "OAKLAND",
      "latitude": 42.4579938579656,
      "longitude": -83.2049597612754,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION MICHIGAN",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-michigan",
      "siblingGroupId": "siblings-mi-ascension-michigan",
      "campusFamilyId": "campus-mi-230019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION MICHIGAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230019"
    },
    {
      "id": "230020",
      "ccn": "230020",
      "name": "BEAUMONT HOSPITAL - DEARBORN",
      "address": "18101 OAKWOOD BLVD",
      "city": "DEARBORN",
      "state": "MI",
      "zip": "48124",
      "county": "WAYNE",
      "latitude": 42.2903264101478,
      "longitude": -83.2145918903155,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 632,
      "rating": 2,
      "website": "https://www.oakwood.org/beaumont-hospital-dearborn",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dearborn-beaumont-hospital-dearborn/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA GUIDO-ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA GUIDO-ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230021",
      "ccn": "230021",
      "name": "LAKELAND HOSPITAL - ST JOSEPH",
      "address": "1234 NAPIER AVE",
      "city": "ST JOSEPH",
      "state": "MI",
      "zip": "49085",
      "county": "BERRIEN",
      "latitude": 42.088254170186,
      "longitude": -86.478771470285,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 215,
      "rating": 4,
      "website": "http://www.lakelandhealth.org",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Lakelandhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Lakelandhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230021-loc-mi-st-joseph-lakeland-hospital-st-joseph",
      "ccn": "230021",
      "name": "LAKELAND HOSPITAL - ST JOSEPH",
      "address": "1234 NAPIER AVE",
      "city": "ST JOSEPH",
      "state": "MI",
      "zip": "49085",
      "county": "BERRIEN",
      "latitude": 42.0886172003241,
      "longitude": -86.478335299587,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 26,
      "rating": 4,
      "website": "http://www.lakelandhealth.org",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Lakelandhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Lakelandhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lakelandhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lakelandhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230021"
    },
    {
      "id": "230022",
      "ccn": "230022",
      "name": "INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER",
      "address": "274 E CHICAGO ST",
      "city": "COLDWATER",
      "state": "MI",
      "zip": "49036",
      "county": "BRANCH",
      "latitude": 41.937610059878,
      "longitude": -84.9896885601966,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 71,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FIRDAUS FOUNDATION",
      "parentSystemId": "entity-firdaus-foundation",
      "siblingGroupId": "siblings-mi-firdaus-foundation",
      "campusFamilyId": "campus-mi-230022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-firdaus-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "230022-loc-mi-coldwater-insight-hospital-and-medical-center-coldw",
      "ccn": "230022",
      "name": "INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER",
      "address": "274 E CHICAGO ST",
      "city": "COLDWATER",
      "state": "MI",
      "zip": "49036",
      "county": "BRANCH",
      "latitude": 41.938168765281,
      "longitude": -84.9899720415509,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FIRDAUS FOUNDATION",
      "parentSystemId": "entity-firdaus-foundation",
      "siblingGroupId": "siblings-mi-firdaus-foundation",
      "campusFamilyId": "campus-mi-230022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-firdaus-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRDAUS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to FIRDAUS FOUNDATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRDAUS FOUNDATION, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230022"
    },
    {
      "id": "230024",
      "ccn": "230024",
      "name": "SINAI - GRACE HOSPITAL",
      "address": "6071 W OUTER DRIVE",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48235",
      "county": "WAYNE",
      "latitude": 42.4193259170231,
      "longitude": -83.1818714388111,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 383,
      "rating": 1,
      "website": "http://www.sinaigrace.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "230024-loc-mi-detroit-sinai-grace-hospital",
      "ccn": "230024",
      "name": "SINAI GRACE HOSPITAL",
      "address": "6071 W OUTER DRIVE",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48235",
      "county": "WAYNE",
      "latitude": 42.4185564282634,
      "longitude": -83.1818780513099,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 21,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230024"
    },
    {
      "id": "230024-loc-mi-detroit-sinai-grace-hospital-2",
      "ccn": "230024",
      "name": "SINAI GRACE HOSPITAL",
      "address": "6071 W OUTER DR",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48235",
      "county": "WAYNE",
      "latitude": 42.4185614298876,
      "longitude": -83.1818113253489,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 21,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230024"
    },
    {
      "id": "230024-loc-mi-detroit-sinai-grace-hospital-3",
      "ccn": "230024",
      "name": "SINAI-GRACE HOSPITAL",
      "address": "6071 W OUTER DRIVE",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48235",
      "county": "WAYNE",
      "latitude": 42.4187970747723,
      "longitude": -83.1818458871312,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 383,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230024"
    },
    {
      "id": "230024-loc-mi-detroit-sinai-grace-hospital-4",
      "ccn": "230024",
      "name": "SINAI GRACE HOSPITAL",
      "address": "6071 W OUTER DR",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48235",
      "county": "WAYNE",
      "latitude": 42.4187970747723,
      "longitude": -83.1818458871312,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 383,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230024"
    },
    {
      "id": "230029",
      "ccn": "230029",
      "name": "TRINITY HEALTH OAKLAND HOSPITAL",
      "address": "44405 WOODWARD AVE",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.612895300152,
      "longitude": -83.2758541001173,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 464,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230029",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230029-loc-mi-pontiac-trinity-health-oakland-hospital",
      "ccn": "230029",
      "name": "TRINITY HEALTH OAKLAND HOSPITAL",
      "address": "44405 WOODWARD AVE",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.6145115301445,
      "longitude": -83.2764165766392,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 34,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230029",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230029"
    },
    {
      "id": "230029-loc-mi-pontiac-trinity-health-oakland-hospital-2",
      "ccn": "230029",
      "name": "TRINITY HEALTH OAKLAND HOSPITAL",
      "address": "44405 WOODWARD AVE",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.6142352699053,
      "longitude": -83.2769483729992,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 464,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230029",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MELISSA KAROLAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230029"
    },
    {
      "id": "230031",
      "ccn": "230031",
      "name": "LAKE HURON MEDICAL CENTER",
      "address": "2601 ELECTRIC AVENUE",
      "city": "PORT HURON",
      "state": "MI",
      "zip": "48060",
      "county": "ST. CLAIR",
      "latitude": 42.9559428097694,
      "longitude": -82.4333904198427,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 144,
      "rating": 4,
      "website": "http://www.mercyporthuron.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-huron-lake-huron-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-mi-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "230035",
      "ccn": "230035",
      "name": "SPECTRUM HEALTH UNITED HOSPITAL",
      "address": "615 S BOWER STREET",
      "city": "GREENVILLE",
      "state": "MI",
      "zip": "48838",
      "county": "MONTCALM",
      "latitude": 43.1746918500941,
      "longitude": -85.2693494702327,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 4,
      "website": "http://www.spectrum-health.org/",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-spectrum-health-united-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREA LESLIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREA LESLIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230036",
      "ccn": "230036",
      "name": "MYMICHIGAN MEDICAL CENTER ALPENA",
      "address": "1501 W CHISHOLM ST",
      "city": "ALPENA",
      "state": "MI",
      "zip": "49707",
      "county": "ALPENA",
      "latitude": 45.0779898530939,
      "longitude": -83.4494181710838,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 124,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230036",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230036-loc-mi-alpena-mymichigan-medical-center-alpena",
      "ccn": "230036",
      "name": "MYMICHIGAN MEDICAL CENTER ALPENA",
      "address": "1501 W CHISHOLM ST",
      "city": "ALPENA",
      "state": "MI",
      "zip": "49707",
      "county": "ALPENA",
      "latitude": 45.077871299972,
      "longitude": -83.4492600999332,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 15,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230036",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230036"
    },
    {
      "id": "230036-loc-mi-alpena-mymichigan-medical-center-alpena-2",
      "ccn": "230036",
      "name": "MYMICHIGAN MEDICAL CENTER ALPENA",
      "address": "1501 W CHISHOLM ST",
      "city": "ALPENA",
      "state": "MI",
      "zip": "49707",
      "county": "ALPENA",
      "latitude": 45.077989853094,
      "longitude": -83.4494181710838,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 124,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230036",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HUNTER NOSTRANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230036"
    },
    {
      "id": "230037",
      "ccn": "230037",
      "name": "HILLSDALE HOSPITAL",
      "address": "168 S HOWELL STREET",
      "city": "HILLSDALE",
      "state": "MI",
      "zip": "49242",
      "county": "HILLSDALE",
      "latitude": 41.9117386900323,
      "longitude": -84.6330035303151,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 65,
      "rating": 3,
      "website": "https://www.hillsdalehospital.com/locations/hillsdale-hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-mi-unity-health-arkansas",
      "campusFamilyId": "campus-mi-230037",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-hillsdale-community-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists JEREMIAH HODSHIRE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HILLSDALE COMMUNITY HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEREMIAH HODSHIRE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HILLSDALE COMMUNITY HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230037-loc-mi-hillsdale-hillsdale-hospital",
      "ccn": "230037",
      "name": "HILLSDALE HOSPITAL",
      "address": "168 S HOWELL STREET",
      "city": "HILLSDALE",
      "state": "MI",
      "zip": "49242",
      "county": "HILLSDALE",
      "latitude": 41.9120324999924,
      "longitude": -84.6330332995853,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-mi-unity-health-arkansas",
      "campusFamilyId": "campus-mi-230037",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-hillsdale-community-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists JEREMIAH HODSHIRE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HILLSDALE COMMUNITY HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEREMIAH HODSHIRE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HILLSDALE COMMUNITY HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230037"
    },
    {
      "id": "230038",
      "ccn": "230038",
      "name": "SPECTRUM HEALTH - BLODGETT CAMPUS",
      "address": "1840 WEALTHY ST SE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49506",
      "county": "KENT",
      "latitude": 42.9536506303203,
      "longitude": -85.6233173299418,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 318,
      "rating": 4,
      "website": "http://www.spectrumhealth.org/body_locations.cfm?id=638&action=detail&ref=1808",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230038-loc-mi-grand-rapids-spectrum-health-butterworth-campus",
      "ccn": "230038",
      "name": "SPECTRUM HEALTH - BUTTERWORTH CAMPUS",
      "address": "100 MICHIGAN ST NE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49503",
      "county": "KENT",
      "latitude": 42.9696691899988,
      "longitude": -85.6657466697308,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 852,
      "rating": 4,
      "website": "http://www.spectrumhealth.org/butterworth",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230038"
    },
    {
      "id": "230038-loc-mi-grand-rapids-select-specialty-hospital-spectrum-hea",
      "ccn": "230038",
      "name": "SELECT SPECIALTY HOSPITAL - SPECTRUM HEALTH",
      "address": "1840 WEALTHY STREET SE, 5TH FLOOR",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49506",
      "county": "KENT",
      "latitude": 42.9534869401971,
      "longitude": -85.6225674702415,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 4,
      "website": "https://grandrapids.selectspecialtyhospitals.com/",
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Select Medical",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Select Medical",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230038"
    },
    {
      "id": "230038-loc-mi-grand-rapids-spectrum-health-hospital-fuller-campus",
      "ccn": "230038",
      "name": "SPECTRUM HEALTH HOSPITAL - FULLER CAMPUS",
      "address": "750 FULLER AVENUE NE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49503",
      "county": "KENT",
      "latitude": 42.9763241999748,
      "longitude": -85.6379572298227,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "COREWELL HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-corewell-health",
      "siblingGroupId": "siblings-mi-corewell-health",
      "campusFamilyId": "campus-mi-230038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COREWELL HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COREWELL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230038"
    },
    {
      "id": "230041",
      "ccn": "230041",
      "name": "MCLAREN BAY REGION",
      "address": "1900 COLUMBUS AVE",
      "city": "BAY CITY",
      "state": "MI",
      "zip": "48708",
      "county": "BAY",
      "latitude": 43.5882164301895,
      "longitude": -83.8683961503005,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 356,
      "rating": 1,
      "website": "http://www.bayregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230041",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230041-loc-mi-bay-city-mclaren-bay-region",
      "ccn": "230041",
      "name": "MCLAREN BAY REGION",
      "address": "3250 E MIDLAND RD",
      "city": "BAY CITY",
      "state": "MI",
      "zip": "48706",
      "county": "BAY",
      "latitude": 43.5998367498691,
      "longitude": -83.9243995999711,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 1,
      "website": "http://www.mclaren.org/bayspecialcare/bayspecialcare.aspx",
      "status": "corporate_chain",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "affiliatedSystem": "Mclaren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mclaren",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230041",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230041"
    },
    {
      "id": "230041-loc-mi-bay-city-mclaren-bay-region-2",
      "ccn": "230041",
      "name": "MCLAREN BAY REGION",
      "address": "1900 COLUMBUS AVE",
      "city": "BAY CITY",
      "state": "MI",
      "zip": "48708",
      "county": "BAY",
      "latitude": 43.5887117999387,
      "longitude": -83.86818149966,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 39,
      "rating": 1,
      "website": "http://www.bayregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230041",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230041"
    },
    {
      "id": "230041-loc-mi-bay-city-mclaren-bay-region-3",
      "ccn": "230041",
      "name": "MCLAREN BAY REGION",
      "address": "1900 COLUMBUS AVE",
      "city": "BAY CITY",
      "state": "MI",
      "zip": "48708",
      "county": "BAY",
      "latitude": 43.5885076950957,
      "longitude": -83.8682147256474,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 39,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230041",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230041"
    },
    {
      "id": "230041-loc-mi-bay-city-mclaren-bay-region-4",
      "ccn": "230041",
      "name": "MCLAREN BAY REGION",
      "address": "1900 COLUMBUS AVE",
      "city": "BAY CITY",
      "state": "MI",
      "zip": "48708",
      "county": "BAY",
      "latitude": 43.5883842818938,
      "longitude": -83.8682099798478,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 356,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230041",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230041"
    },
    {
      "id": "230046",
      "ccn": "230046",
      "name": "UNIVERSITY OF MICHIGAN HEALTH SYSTEM",
      "address": "1500 E MEDICAL CENTER DRIVE, SPC 5474",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48109",
      "county": "WASHTENAW",
      "latitude": 42.2831917497535,
      "longitude": -83.7287078002264,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1000,
      "rating": 4,
      "website": "http://www.med.umich.edu",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "campusFamilyId": "campus-mi-230046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "230046-loc-mi-ann-arbor-university-of-michigan-health-system",
      "ccn": "230046",
      "name": "UNIVERSITY OF MICHIGAN HEALTH SYSTEM",
      "address": "1500 E MEDICAL CENTER DRIVE, UNIVERSITY OF MICHIGAN HEALTH SYSTEM",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48109",
      "county": "WASHTENAW",
      "latitude": 42.2844150903007,
      "longitude": -83.7294433003569,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 43,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "campusFamilyId": "campus-mi-230046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230046"
    },
    {
      "id": "230046-loc-mi-ann-arbor-university-of-michigan-health",
      "ccn": "230046",
      "name": "UNIVERSITY OF MICHIGAN HEALTH",
      "address": "1500 E MEDICAL CENTER DR",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48109",
      "county": "WASHTENAW",
      "latitude": 42.2831917497535,
      "longitude": -83.7287078002265,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1000,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "campusFamilyId": "campus-mi-230046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230046"
    },
    {
      "id": "230046-loc-mi-ann-arbor-university-of-michigan-health-2",
      "ccn": "230046",
      "name": "UNIVERSITY OF MICHIGAN HEALTH",
      "address": "1500 E MEDICAL CENTER DR",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48109",
      "county": "WASHTENAW",
      "latitude": 42.2844150903007,
      "longitude": -83.7294433003569,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 43,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "campusFamilyId": "campus-mi-230046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARK EDWARD PRINCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230046"
    },
    {
      "id": "230047",
      "ccn": "230047",
      "name": "HENRY FORD MACOMB HOSPITAL",
      "address": "15855 NINETEEN MILE RD",
      "city": "CLINTON TOWNSHIP",
      "state": "MI",
      "zip": "48038",
      "county": "MACOMB",
      "latitude": 42.614875300265,
      "longitude": -82.9606777698091,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 361,
      "rating": 3,
      "website": "http://www.henryfordmacomb.com",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-township-henry-ford-macomb-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230055",
      "ccn": "230055",
      "name": "DICKINSON COUNTY MEMORIAL HOSPITAL",
      "address": "1721 S STEPHENSON AVE",
      "city": "IRON MOUNTAIN",
      "state": "MI",
      "zip": "49801",
      "county": "DICKINSON",
      "latitude": 45.8098780602711,
      "longitude": -88.0444512399101,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 2,
      "website": "http://www.dchs.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-iron-mountain-dickinson-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DICKINSON COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-dickinson-county-memorial-hospital",
      "siblingGroupId": "siblings-mi-dickinson-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DICKINSON COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DICKINSON COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "230058",
      "ccn": "230058",
      "name": "MUNSON HEALTHCARE GRAYLING HOSPITAL",
      "address": "1100 E MICHIGAN AVE",
      "city": "GRAYLING",
      "state": "MI",
      "zip": "49738",
      "county": "CRAWFORD",
      "latitude": 44.6680970498364,
      "longitude": -84.7070147303421,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 71,
      "rating": 3,
      "website": "http://www.munsonhealthcare.org/graylinghospital",
      "status": "corporate_chain",
      "parentSystem": "MUNSON HEALTHCARE",
      "affiliatedSystem": "Munsonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Munsonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230070",
      "ccn": "230070",
      "name": "COVENANT MEDICAL CENTER",
      "address": "1447 N HARRISON",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48602",
      "county": "SAGINAW",
      "latitude": 43.4284518498771,
      "longitude": -83.956490419598,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 277,
      "rating": 2,
      "website": "http://www.covenanthealthcare.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "COVENANT MEDICAL CENTER, INC.",
      "peFirm": "Graham Healthcare Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Covenanthealthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "low",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Mary Free Bed Rehabilitation Hospital",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saginaw-covenant-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-covenant-medical-center-inc",
      "siblingGroupId": "siblings-mi-covenant-medical-center-inc",
      "campusFamilyId": "campus-mi-230070",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-covenant-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Covenanthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to COVENANT MEDICAL CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Covenanthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to COVENANT MEDICAL CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230070-loc-mi-saginaw-covenant-medical-center-cooper",
      "ccn": "230070",
      "name": "COVENANT MEDICAL CENTER - COOPER",
      "address": "700 COOPER",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48602",
      "county": "SAGINAW",
      "latitude": 43.4297858502046,
      "longitude": -83.9530019801771,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 290,
      "rating": 2,
      "website": "http://www.covenanthealthcare.com/main/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "COVENANT MEDICAL CENTER, INC.",
      "affiliatedSystem": "Covenanthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Covenanthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saginaw-covenant-medical-center-cooper/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-covenant-medical-center-inc",
      "siblingGroupId": "siblings-mi-covenant-medical-center-inc",
      "campusFamilyId": "campus-mi-230070",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-covenant-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Covenanthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to COVENANT MEDICAL CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Covenanthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to COVENANT MEDICAL CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230070"
    },
    {
      "id": "230070-loc-mi-saginaw-covenant-medical-center-michigan",
      "ccn": "230070",
      "name": "COVENANT MEDICAL CENTER, MICHIGAN",
      "address": "515 N MICHIGAN AVE",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48602",
      "county": "SAGINAW",
      "latitude": 43.4208002002967,
      "longitude": -83.9602918401487,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 56,
      "rating": 2,
      "website": "http://www.covenanthealthcare.com/main/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "COVENANT MEDICAL CENTER, INC.",
      "affiliatedSystem": "Covenanthealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Covenanthealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saginaw-covenant-medical-center-michigan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-covenant-medical-center-inc",
      "siblingGroupId": "siblings-mi-covenant-medical-center-inc",
      "campusFamilyId": "campus-mi-230070",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-covenant-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Covenanthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to COVENANT MEDICAL CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Covenanthealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to COVENANT MEDICAL CENTER, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230070"
    },
    {
      "id": "230071",
      "ccn": "230071",
      "name": "STRAITH HOSPITAL FOR SPECIAL SURGERY",
      "address": "23901 LAHSER",
      "city": "SOUTHFIELD",
      "state": "MI",
      "zip": "48033",
      "county": "OAKLAND",
      "latitude": 42.4646327600076,
      "longitude": -83.2613551602776,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 34,
      "rating": null,
      "website": "http://straith.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-southfield-straith-hospital-for-special-surgery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "STRAITH HOSPITAL FOR SPECIAL SURGERY",
      "parentSystemId": "entity-straith-hospital-for-special-surgery",
      "siblingGroupId": "siblings-mi-straith-hospital-for-special-surgery",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-straith-hospital-for-special-surgery"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to STRAITH HOSPITAL FOR SPECIAL SURGERY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STRAITH HOSPITAL FOR SPECIAL SURGERY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to STRAITH HOSPITAL FOR SPECIAL SURGERY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STRAITH HOSPITAL FOR SPECIAL SURGERY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230072",
      "ccn": "230072",
      "name": "HOLLAND COMMUNITY HOSPITAL",
      "address": "602 MICHIGAN AVE",
      "city": "HOLLAND",
      "state": "MI",
      "zip": "49423",
      "county": "OTTAWA",
      "latitude": 42.7749111942395,
      "longitude": -86.1140833522322,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 173,
      "rating": 5,
      "website": "http://www.hollandhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLLAND COMMUNITY HOSPITAL",
      "parentSystemId": "entity-holland-community-hospital",
      "siblingGroupId": "siblings-mi-holland-community-hospital",
      "campusFamilyId": "campus-mi-230072",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-holland-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230072-loc-mi-holland-holland-community-hospital",
      "ccn": "230072",
      "name": "HOLLAND COMMUNITY HOSPITAL",
      "address": "602 MICHIGAN AVE",
      "city": "HOLLAND",
      "state": "MI",
      "zip": "49423",
      "county": "OTTAWA",
      "latitude": 42.7745936968084,
      "longitude": -86.1134036806,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLLAND COMMUNITY HOSPITAL",
      "parentSystemId": "entity-holland-community-hospital",
      "siblingGroupId": "siblings-mi-holland-community-hospital",
      "campusFamilyId": "campus-mi-230072",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-holland-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230072"
    },
    {
      "id": "230072-loc-mi-holland-holland-community-hospital-2",
      "ccn": "230072",
      "name": "HOLLAND COMMUNITY HOSPITAL",
      "address": "602 MICHIGAN AVE",
      "city": "HOLLAND",
      "state": "MI",
      "zip": "49423",
      "county": "OTTAWA",
      "latitude": 42.7749708127724,
      "longitude": -86.114265668014,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLLAND COMMUNITY HOSPITAL",
      "parentSystemId": "entity-holland-community-hospital",
      "siblingGroupId": "siblings-mi-holland-community-hospital",
      "campusFamilyId": "campus-mi-230072",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-holland-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230072"
    },
    {
      "id": "230072-loc-mi-holland-holland-community-hospital-3",
      "ccn": "230072",
      "name": "HOLLAND COMMUNITY HOSPITAL",
      "address": "602 MICHIGAN AVE",
      "city": "HOLLAND",
      "state": "MI",
      "zip": "49423",
      "county": "OTTAWA",
      "latitude": 42.7750206518832,
      "longitude": -86.1144128129559,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 173,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLLAND COMMUNITY HOSPITAL",
      "parentSystemId": "entity-holland-community-hospital",
      "siblingGroupId": "siblings-mi-holland-community-hospital",
      "campusFamilyId": "campus-mi-230072",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-holland-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230072"
    },
    {
      "id": "230072-loc-mi-holland-holland-community-hospital-4",
      "ccn": "230072",
      "name": "HOLLAND COMMUNITY HOSPITAL",
      "address": "602 MICHIGAN AVE",
      "city": "HOLLAND",
      "state": "MI",
      "zip": "49423",
      "county": "OTTAWA",
      "latitude": 42.7745936968085,
      "longitude": -86.1134036805999,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLLAND COMMUNITY HOSPITAL",
      "parentSystemId": "entity-holland-community-hospital",
      "siblingGroupId": "siblings-mi-holland-community-hospital",
      "campusFamilyId": "campus-mi-230072",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-holland-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HOLLAND COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLLAND COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230072"
    },
    {
      "id": "230075",
      "ccn": "230075",
      "name": "BRONSON BATTLE CREEK HOSPITAL",
      "address": "300 NORTH AVENUE",
      "city": "BATTLE CREEK",
      "state": "MI",
      "zip": "49017",
      "county": "CALHOUN",
      "latitude": 42.3310857502935,
      "longitude": -85.1779474899731,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 189,
      "rating": 3,
      "website": "http://www.bchealth.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-battle-creek-bronson-battle-creek-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRONSON HEALTH CARE GROUP INC",
      "parentSystemId": "entity-bronson-health-care-group-inc",
      "siblingGroupId": "siblings-mi-bronson-health-care-group-inc",
      "campusFamilyId": "campus-mi-230075",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bronson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bronsonhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230075-loc-mi-battle-creek-bronson-battle-creek-hospital-fieldsto",
      "ccn": "230075",
      "name": "BRONSON BATTLE CREEK HOSPITAL - FIELDSTONE CENTER",
      "address": "165 N WASHINGTON AVE",
      "city": "BATTLE CREEK",
      "state": "MI",
      "zip": "49016",
      "county": "CALHOUN",
      "latitude": 42.3297519701508,
      "longitude": -85.1917640003527,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 39,
      "rating": 3,
      "website": "https://www.bronsonhealth.com/locations/locations-profile/?id=91&utm_source=local&utm_medium=organic&utm_campaign=gmb",
      "status": "corporate_chain",
      "parentSystem": "BRONSON HEALTH CARE GROUP INC",
      "affiliatedSystem": "Bronsonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bronsonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bronson-health-care-group-inc",
      "siblingGroupId": "siblings-mi-bronson-health-care-group-inc",
      "campusFamilyId": "campus-mi-230075",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bronson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bronsonhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230075"
    },
    {
      "id": "230080",
      "ccn": "230080",
      "name": "MCLAREN CENTRAL MICHIGAN",
      "address": "1221 SOUTH DRIVE",
      "city": "MOUNT PLEASANT",
      "state": "MI",
      "zip": "48858",
      "county": "ISABELLA",
      "latitude": 43.5991224800634,
      "longitude": -84.7614128600572,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 118,
      "rating": 3,
      "website": "http://www.cmch.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-pleasant-mclaren-central-michigan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT DAVID as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT DAVID as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230081",
      "ccn": "230081",
      "name": "MUNSON HEALTHCARE CADILLAC HOSPITAL",
      "address": "400 HOBART ST",
      "city": "CADILLAC",
      "state": "MI",
      "zip": "49601",
      "county": "WEXFORD",
      "latitude": 44.2454483601411,
      "longitude": -85.3892952201176,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 49,
      "rating": 4,
      "website": "http://www.munsonhealthcare.org/cadillachospital",
      "status": "corporate_chain",
      "parentSystem": "MUNSON HEALTHCARE",
      "affiliatedSystem": "Munsonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Munsonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230085",
      "ccn": "230085",
      "name": "BRONSON SOUTH HAVEN HOSPITAL",
      "address": "955 S BAILEY AVE",
      "city": "SOUTH HAVEN",
      "state": "MI",
      "zip": "49090",
      "county": "VAN BUREN",
      "latitude": 42.3913152597704,
      "longitude": -86.2628669702848,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 8,
      "rating": null,
      "website": "https://www.bronsonhealth.com/locations/bronson-south-haven-hospital/",
      "status": "corporate_chain",
      "parentSystem": "BRONSON HEALTH CARE GROUP INC",
      "affiliatedSystem": "Bronsonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bronsonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-haven-bronson-south-haven-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bronson-health-care-group-inc",
      "siblingGroupId": "siblings-mi-bronson-health-care-group-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bronson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bronsonhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Bronsonhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Bronsonhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230089",
      "ccn": "230089",
      "name": "BEAUMONT HOSPITAL - GROSSE POINTE",
      "address": "468 CADIEUX RD",
      "city": "GROSSE POINTE",
      "state": "MI",
      "zip": "48230",
      "county": "WAYNE",
      "latitude": 42.3843961297148,
      "longitude": -82.9144041400674,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 280,
      "rating": 4,
      "website": "http://www.beaumont.edu/grosse-pointe-hospital-campus",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grosse-pointe-beaumont-hospital-grosse-pointe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NANCY SUSICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NANCY SUSICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230092",
      "ccn": "230092",
      "name": "HENRY FORD ALLEGIANCE HEALTH",
      "address": "205 N EAST AVE",
      "city": "JACKSON",
      "state": "MI",
      "zip": "49201",
      "county": "JACKSON",
      "latitude": 42.2507347699246,
      "longitude": -84.3926931299587,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 325,
      "rating": 3,
      "website": "http://www.allegiancehealth.org",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD ALLEGIANCE HEALTH GROUP",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-henry-ford-allegiance-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-allegiance-health-group",
      "siblingGroupId": "siblings-mi-henry-ford-allegiance-health-group",
      "campusFamilyId": "campus-mi-230092",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD ALLEGIANCE HEALTH GROUP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD ALLEGIANCE HEALTH GROUP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD ALLEGIANCE HEALTH GROUP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD ALLEGIANCE HEALTH GROUP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230097",
      "ccn": "230097",
      "name": "MUNSON MEDICAL CENTER",
      "address": "1105 SIXTH STREET",
      "city": "TRAVERSE CITY",
      "state": "MI",
      "zip": "49684",
      "county": "GRAND TRAVERSE",
      "latitude": 44.7609781600209,
      "longitude": -85.6416359198444,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 425,
      "rating": 4,
      "website": "http://www.munsonhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "MUNSON HEALTHCARE",
      "affiliatedSystem": "Munsonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Munsonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "campusFamilyId": "campus-mi-230097",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELLEN O SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELLEN O SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230097-loc-mi-traverse-city-munson-medical-center",
      "ccn": "230097",
      "name": "MUNSON MEDICAL CENTER",
      "address": "1105 SIXTH ST",
      "city": "TRAVERSE CITY",
      "state": "MI",
      "zip": "49684",
      "county": "GRAND TRAVERSE",
      "latitude": 44.7608975001075,
      "longitude": -85.6425235999738,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 17,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MUNSON HEALTHCARE",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "campusFamilyId": "campus-mi-230097",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELLEN O SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELLEN O SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230097"
    },
    {
      "id": "230097-loc-mi-traverse-city-munson-medical-center-2",
      "ccn": "230097",
      "name": "MUNSON MEDICAL CENTER",
      "address": "1105 SIXTH ST",
      "city": "TRAVERSE CITY",
      "state": "MI",
      "zip": "49684",
      "county": "GRAND TRAVERSE",
      "latitude": 44.7609781600209,
      "longitude": -85.6416359198443,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 425,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MUNSON HEALTHCARE",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "campusFamilyId": "campus-mi-230097",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELLEN O SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELLEN O SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230097"
    },
    {
      "id": "230099",
      "ccn": "230099",
      "name": "PROMEDICA MONROE REGIONAL HOSPITAL",
      "address": "718 N MACOMB ST",
      "city": "MONROE",
      "state": "MI",
      "zip": "48162",
      "county": "MONROE",
      "latitude": 41.9245650101386,
      "longitude": -83.3880849000515,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 217,
      "rating": 1,
      "website": "https://www.promedica.org/monroe-regional-hospital/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "PROMEDICA HEALTH SYSTEM INC",
      "affiliatedSystem": "Promedica",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Promedica",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-promedica-health-system-inc",
      "siblingGroupId": "siblings-mi-promedica-health-system-inc",
      "campusFamilyId": "campus-mi-230099",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-promedica"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.promedica.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230099-loc-mi-monroe-promedica-monroe-regional-hospital",
      "ccn": "230099",
      "name": "PROMEDICA MONROE REGIONAL HOSPITAL",
      "address": "718 N MACOMB ST, PROMEDICA MONROE REGIONAL HOSPITAL",
      "city": "MONROE",
      "state": "MI",
      "zip": "48162",
      "county": "MONROE",
      "latitude": 41.924731199915,
      "longitude": -83.3880332002103,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 21,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROMEDICA HEALTH SYSTEM INC",
      "parentSystemId": "entity-promedica-health-system-inc",
      "siblingGroupId": "siblings-mi-promedica-health-system-inc",
      "campusFamilyId": "campus-mi-230099",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-promedica"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.promedica.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230099"
    },
    {
      "id": "230104",
      "ccn": "230104",
      "name": "HARPER UNIVERSITY HOSPITAL",
      "address": "3990 JOHN R STREET",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.351780080073,
      "longitude": -83.0563912798519,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 470,
      "rating": 1,
      "website": "http://www.harperhospital.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-harper-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "230105",
      "ccn": "230105",
      "name": "MCLAREN NORTHERN MICHIGAN",
      "address": "416 CONNABLE AVE",
      "city": "PETOSKEY",
      "state": "MI",
      "zip": "49770",
      "county": "EMMET",
      "latitude": 45.3727535398375,
      "longitude": -84.9701199304403,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 202,
      "rating": 3,
      "website": "http://www.northernhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-petoskey-mclaren-northern-michigan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists GARFIELD H ATCHISON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists GARFIELD H ATCHISON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230108",
      "ccn": "230108",
      "name": "UP HEALTH SYSTEM PORTAGE",
      "address": "500 CAMPUS DRIVE",
      "city": "HANCOCK",
      "state": "MI",
      "zip": "49930",
      "county": "HOUGHTON",
      "latitude": 47.139819000111,
      "longitude": -88.5870429295557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 36,
      "rating": 5,
      "website": "http://www.portagehealth.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hancock-up-health-system---portage/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-mi-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HSC MANAGER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "230121",
      "ccn": "230121",
      "name": "MEMORIAL HEALTHCARE",
      "address": "826 WEST KING STREET",
      "city": "OWOSSO",
      "state": "MI",
      "zip": "48867",
      "county": "SHIAWASSEE",
      "latitude": 43.0060520602516,
      "longitude": -84.1816771898694,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 107,
      "rating": 3,
      "website": "http://www.memorialhealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTHCARE",
      "parentSystemId": "entity-memorial-healthcare",
      "siblingGroupId": "siblings-mi-memorial-healthcare",
      "campusFamilyId": "campus-mi-230121",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230121-loc-mi-owosso-memorial-healthcare",
      "ccn": "230121",
      "name": "MEMORIAL HEALTHCARE",
      "address": "826 W KING ST",
      "city": "OWOSSO",
      "state": "MI",
      "zip": "48867",
      "county": "SHIAWASSEE",
      "latitude": 43.0058599701948,
      "longitude": -84.1815479402664,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 19,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTHCARE",
      "parentSystemId": "entity-memorial-healthcare",
      "siblingGroupId": "siblings-mi-memorial-healthcare",
      "campusFamilyId": "campus-mi-230121",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230121"
    },
    {
      "id": "230130",
      "ccn": "230130",
      "name": "BEAUMONT HOSPITAL - ROYAL OAK",
      "address": "3601 W THIRTEEN MILE RD",
      "city": "ROYAL OAK",
      "state": "MI",
      "zip": "48073",
      "county": "OAKLAND",
      "latitude": 42.5153450819757,
      "longitude": -83.193178965382,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1101,
      "rating": 3,
      "website": "http://www.beaumont.edu/royal-oak-hospital-campus",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "campusFamilyId": "campus-mi-230130",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230130-loc-mi-royal-oak-beaumont-hospital-royal-oak",
      "ccn": "230130",
      "name": "BEAUMONT HOSPITAL, ROYAL OAK",
      "address": "3601 W THIRTEEN MILE RD",
      "city": "ROYAL OAK",
      "state": "MI",
      "zip": "48073",
      "county": "OAKLAND",
      "latitude": 42.5152362702791,
      "longitude": -83.1920183105939,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "campusFamilyId": "campus-mi-230130",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230130"
    },
    {
      "id": "230132",
      "ccn": "230132",
      "name": "HURLEY MEDICAL CENTER",
      "address": "1 HURLEY PLAZA",
      "city": "FLINT",
      "state": "MI",
      "zip": "48503",
      "county": "GENESEE",
      "latitude": 43.0212502702255,
      "longitude": -83.704858859838,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 383,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HURLEY MEDICAL CENTER",
      "parentSystemId": "entity-hurley-medical-center",
      "siblingGroupId": "siblings-mi-hurley-medical-center",
      "campusFamilyId": "campus-mi-230132",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-hurley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230132-loc-mi-flint-hurley-medical-center",
      "ccn": "230132",
      "name": "HURLEY MEDICAL CENTER",
      "address": "1 HURLEY PLAZA",
      "city": "FLINT",
      "state": "MI",
      "zip": "48503",
      "county": "GENESEE",
      "latitude": 43.0218902449816,
      "longitude": -83.7043026445736,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 60,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HURLEY MEDICAL CENTER",
      "parentSystemId": "entity-hurley-medical-center",
      "siblingGroupId": "siblings-mi-hurley-medical-center",
      "campusFamilyId": "campus-mi-230132",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-hurley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230132"
    },
    {
      "id": "230132-loc-mi-flint-hurley-medical-center-2",
      "ccn": "230132",
      "name": "HURLEY MEDICAL CENTER",
      "address": "ONE HURLEY PLAZA",
      "city": "FLINT",
      "state": "MI",
      "zip": "48503",
      "county": "GENESEE",
      "latitude": 43.02154708777,
      "longitude": -83.7047328306952,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 74,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HURLEY MEDICAL CENTER",
      "parentSystemId": "entity-hurley-medical-center",
      "siblingGroupId": "siblings-mi-hurley-medical-center",
      "campusFamilyId": "campus-mi-230132",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-hurley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230132"
    },
    {
      "id": "230132-loc-mi-flint-hurley-medical-center-3",
      "ccn": "230132",
      "name": "HURLEY MEDICAL CENTER",
      "address": "ONE HURLEY PLAZA",
      "city": "FLINT",
      "state": "MI",
      "zip": "48503",
      "county": "GENESEE",
      "latitude": 43.0216727808433,
      "longitude": -83.7045141708736,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 383,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HURLEY MEDICAL CENTER",
      "parentSystemId": "entity-hurley-medical-center",
      "siblingGroupId": "siblings-mi-hurley-medical-center",
      "campusFamilyId": "campus-mi-230132",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-hurley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230132"
    },
    {
      "id": "230132-loc-mi-flint-hurley-medical-center-4",
      "ccn": "230132",
      "name": "HURLEY MEDICAL CENTER",
      "address": "ONE HURLEY PLAZA",
      "city": "FLINT",
      "state": "MI",
      "zip": "48503",
      "county": "GENESEE",
      "latitude": 43.02154708777,
      "longitude": -83.7047328306952,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 383,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HURLEY MEDICAL CENTER",
      "parentSystemId": "entity-hurley-medical-center",
      "siblingGroupId": "siblings-mi-hurley-medical-center",
      "campusFamilyId": "campus-mi-230132",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-hurley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HURLEY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HURLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230132"
    },
    {
      "id": "230133",
      "ccn": "230133",
      "name": "MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL",
      "address": "825 N CENTER AVE",
      "city": "GAYLORD",
      "state": "MI",
      "zip": "49735",
      "county": "OTSEGO",
      "latitude": 45.0353270798436,
      "longitude": -84.6749176000503,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": 4,
      "website": "https://www.munsonhealthcare.org/otsego-memorial-hospital/",
      "status": "corporate_chain",
      "parentSystem": "MUNSON HEALTHCARE",
      "affiliatedSystem": "Munsonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Munsonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230141",
      "ccn": "230141",
      "name": "MCLAREN FLINT",
      "address": "401 S BALLENGER HIGHWAY",
      "city": "FLINT",
      "state": "MI",
      "zip": "48532",
      "county": "GENESEE",
      "latitude": 43.013757899891,
      "longitude": -83.7328031899623,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 342,
      "rating": 2,
      "website": "http://www.mclarenregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230141",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRED KORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRED KORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230141-loc-mi-flint-mclaren-flint",
      "ccn": "230141",
      "name": "MCLAREN FLINT",
      "address": "401 S BALLENGER HWY",
      "city": "FLINT",
      "state": "MI",
      "zip": "48532",
      "county": "GENESEE",
      "latitude": 43.0144034996878,
      "longitude": -83.73236010044,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230141",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRED KORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRED KORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230141"
    },
    {
      "id": "230141-loc-mi-flint-mclaren-flint-2",
      "ccn": "230141",
      "name": "MCLAREN FLINT",
      "address": "401 S BALLENGER HWY",
      "city": "FLINT",
      "state": "MI",
      "zip": "48532",
      "county": "GENESEE",
      "latitude": 43.0144034996878,
      "longitude": -83.73236010044,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230141",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRED KORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FRED KORTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230141"
    },
    {
      "id": "230144",
      "ccn": "230144",
      "name": "FOREST HEALTH MEDICAL CENTER",
      "address": "135 S PROSPECT ST",
      "city": "YPSILANTI",
      "state": "MI",
      "zip": "48198",
      "county": "WASHTENAW",
      "latitude": 42.2375710602671,
      "longitude": -83.6006475998212,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 68,
      "rating": null,
      "website": "http://www.fhmc-mi.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ypsilanti-forest-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CHATHAM CAPITAL CORP",
      "parentSystemId": "entity-chatham-capital-corp",
      "siblingGroupId": "siblings-mi-chatham-capital-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHATHAM CAPITAL CORP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 53%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHATHAM CAPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHATHAM CAPITAL CORP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 53%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHATHAM CAPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "230151",
      "ccn": "230151",
      "name": "BEAUMONT HOSPITAL - FARMINGTON HILLS",
      "address": "28050 GRAND RIVER AVENUE",
      "city": "FARMINGTON HILLS",
      "state": "MI",
      "zip": "48336",
      "county": "OAKLAND",
      "latitude": 42.4463400301808,
      "longitude": -83.3236501398053,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 305,
      "rating": 3,
      "website": "http://www.botsford.org",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "campusFamilyId": "campus-mi-230151",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAD M TUTTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAD M TUTTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230151-loc-mi-farmington-hills-beaumont-hospital-farmington-hills",
      "ccn": "230151",
      "name": "BEAUMONT HOSPITAL - FARMINGTON HILLS",
      "address": "28050 GRAND RIVER AVE",
      "city": "FARMINGTON HILLS",
      "state": "MI",
      "zip": "48336",
      "county": "OAKLAND",
      "latitude": 42.4463581697688,
      "longitude": -83.3235612901354,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "campusFamilyId": "campus-mi-230151",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAD M TUTTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHAD M TUTTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230151"
    },
    {
      "id": "230156",
      "ccn": "230156",
      "name": "TRINITY HEALTH ANN ARBOR HOSPITAL",
      "address": "5301 E HURON RIVER DR",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48106",
      "county": "WASHTENAW",
      "latitude": 42.2649445250232,
      "longitude": -83.6545441902317,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 36,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230156",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230156-loc-mi-ann-arbor-trinity-health-ann-arbor-hospital",
      "ccn": "230156",
      "name": "TRINITY HEALTH ANN ARBOR HOSPITAL",
      "address": "5301 E HURON RIVER DR",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48106",
      "county": "WASHTENAW",
      "latitude": 42.2649741627595,
      "longitude": -83.6547160918445,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 524,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230156",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230156"
    },
    {
      "id": "230156-loc-mi-ann-arbor-trinity-health-ann-arbor-hospital-2",
      "ccn": "230156",
      "name": "TRINITY HEALTH ANN ARBOR HOSPITAL",
      "address": "5301 E HURON RIVER DR",
      "city": "ANN ARBOR",
      "state": "MI",
      "zip": "48106",
      "county": "WASHTENAW",
      "latitude": 42.2649445250232,
      "longitude": -83.6545441902317,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 524,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "campusFamilyId": "campus-mi-230156",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230156"
    },
    {
      "id": "230165",
      "ccn": "230165",
      "name": "HENRY FORD HEALTH - ST JOHN HOSPITAL",
      "address": "22101 MOROSS RD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.420208766261,
      "longitude": -82.9152556306674,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 654,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230165-loc-mi-detroit-henry-ford-health-st-john-hospital",
      "ccn": "230165",
      "name": "HENRY FORD HEALTH - ST JOHN HOSPITAL",
      "address": "22101 MOROSS RD",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48236",
      "county": "WAYNE",
      "latitude": 42.4196052452738,
      "longitude": -82.9144611094261,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 27,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230165",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230165"
    },
    {
      "id": "230167",
      "ccn": "230167",
      "name": "MCLAREN GREATER LANSING",
      "address": "401 W GREENLAWN AVE",
      "city": "LANSING",
      "state": "MI",
      "zip": "48910",
      "county": "INGHAM",
      "latitude": 42.7037629597873,
      "longitude": -84.554988810358,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 310,
      "rating": 3,
      "website": "http://www.irmc.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230167",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DALE THOMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DALE THOMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230167-loc-mi-lansing-mclaren-greater-lansing",
      "ccn": "230167",
      "name": "MCLAREN GREATER LANSING",
      "address": "2900 COLLINS RD",
      "city": "LANSING",
      "state": "MI",
      "zip": "48910",
      "county": "INGHAM",
      "latitude": 42.701663438732,
      "longitude": -84.5016656433394,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230167",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DALE THOMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DALE THOMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230167"
    },
    {
      "id": "230167-loc-mi-lansing-mclaren-greater-lansing-2",
      "ccn": "230167",
      "name": "MCLAREN GREATER LANSING",
      "address": "2900 COLLINS RD",
      "city": "LANSING",
      "state": "MI",
      "zip": "48910",
      "county": "INGHAM",
      "latitude": 42.7016609492409,
      "longitude": -84.5011743079981,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230167",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DALE THOMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DALE THOMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230167"
    },
    {
      "id": "230193",
      "ccn": "230193",
      "name": "MCLAREN LAPEER REGION",
      "address": "1375 N MAIN ST",
      "city": "LAPEER",
      "state": "MI",
      "zip": "48446",
      "county": "LAPEER",
      "latitude": 43.0630690281181,
      "longitude": -83.3204292276591,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 183,
      "rating": 2,
      "website": "http://www.lapeerregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230193",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230193-loc-mi-lapeer-mclaren-lapeer-region",
      "ccn": "230193",
      "name": "MCLAREN LAPEER REGION",
      "address": "1375 N MAIN ST",
      "city": "LAPEER",
      "state": "MI",
      "zip": "48446",
      "county": "LAPEER",
      "latitude": 43.0621743549143,
      "longitude": -83.3204387920219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230193",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230193"
    },
    {
      "id": "230193-loc-mi-lapeer-mclaren-lapeer-region-2",
      "ccn": "230193",
      "name": "MCLAREN LAPEER REGION",
      "address": "1375 N MAIN ST",
      "city": "LAPEER",
      "state": "MI",
      "zip": "48446",
      "county": "LAPEER",
      "latitude": 43.0629251001655,
      "longitude": -83.3204854999251,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 183,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230193",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230193"
    },
    {
      "id": "230193-loc-mi-lapeer-mclaren-lapeer-region-3",
      "ccn": "230193",
      "name": "MCLAREN LAPEER REGION",
      "address": "1375 N MAIN ST",
      "city": "LAPEER",
      "state": "MI",
      "zip": "48446",
      "county": "LAPEER",
      "latitude": 43.0629251001655,
      "longitude": -83.3204854999251,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230193",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TIFFANY DAVIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230193"
    },
    {
      "id": "230195",
      "ccn": "230195",
      "name": "HENRY FORD HEALTH WARREN HOSPITAL",
      "address": "11800 E TWELVE MILE RD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48093",
      "county": "MACOMB",
      "latitude": 42.5058132502518,
      "longitude": -83.0049427099816,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 348,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230195",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230195-loc-mi-warren-henry-ford-health-warren-hospital",
      "ccn": "230195",
      "name": "HENRY FORD HEALTH WARREN HOSPITAL",
      "address": "11800 E TWELVE MILE RD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48093",
      "county": "MACOMB",
      "latitude": 42.5059105201948,
      "longitude": -83.0040679602023,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Henry Ford Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Henry Ford Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230195",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Henry Ford Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Henry Ford Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230195"
    },
    {
      "id": "230197",
      "ccn": "230197",
      "name": "ASCENSION GENESYS HOSPITAL",
      "address": "1 GENESYS PARKWAY",
      "city": "GRAND BLANC",
      "state": "MI",
      "zip": "48439",
      "county": "GENESEE",
      "latitude": 42.8924547996946,
      "longitude": -83.6422609198875,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 400,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-blanc-ascension-genesys-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230207",
      "ccn": "230207",
      "name": "MCLAREN OAKLAND",
      "address": "50 N PERRY ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48342",
      "county": "OAKLAND",
      "latitude": 42.6383227101832,
      "longitude": -83.2914924001813,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 280,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230207",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230207-loc-mi-pontiac-mclaren-oakland",
      "ccn": "230207",
      "name": "MCLAREN OAKLAND",
      "address": "50 N PERRY ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48342",
      "county": "OAKLAND",
      "latitude": 42.6385261997972,
      "longitude": -83.2908175003999,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230207",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230207"
    },
    {
      "id": "230207-loc-mi-pontiac-mclaren-oakland-2",
      "ccn": "230207",
      "name": "MCLAREN OAKLAND",
      "address": "50 N PERRY ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48342",
      "county": "OAKLAND",
      "latitude": 42.6385371003232,
      "longitude": -83.2907259000887,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230207",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230207"
    },
    {
      "id": "230207-loc-mi-pontiac-mclaren-oakland-3",
      "ccn": "230207",
      "name": "MCLAREN OAKLAND",
      "address": "50 N PERRY ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48342",
      "county": "OAKLAND",
      "latitude": 42.6386154201671,
      "longitude": -83.2907561598391,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 280,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230207",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LORENZO A SUTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230207"
    },
    {
      "id": "230216",
      "ccn": "230216",
      "name": "MCLAREN PORT HURON",
      "address": "1221 PINE GROVE AVE",
      "city": "PORT HURON",
      "state": "MI",
      "zip": "48060",
      "county": "ST. CLAIR",
      "latitude": 42.9868521350038,
      "longitude": -82.4300088592793,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230216",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230216-loc-mi-port-huron-mclaren-port-huron",
      "ccn": "230216",
      "name": "MCLAREN PORT HURON",
      "address": "1221 PINE GROVE AVE",
      "city": "PORT HURON",
      "state": "MI",
      "zip": "48060",
      "county": "ST. CLAIR",
      "latitude": 42.9869445999003,
      "longitude": -82.4297392003024,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 163,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230216",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230216"
    },
    {
      "id": "230216-loc-mi-port-huron-mclaren-port-huron-2",
      "ccn": "230216",
      "name": "MCLAREN PORT HURON",
      "address": "1221 PINE GROVE AVE",
      "city": "PORT HURON",
      "state": "MI",
      "zip": "48060",
      "county": "ST. CLAIR",
      "latitude": 42.9869445999003,
      "longitude": -82.4297392003024,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230216",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230216"
    },
    {
      "id": "230216-loc-mi-port-huron-mclaren-port-huron-3",
      "ccn": "230216",
      "name": "MCLAREN PORT HURON",
      "address": "1221 PINE GROVE AVE",
      "city": "PORT HURON",
      "state": "MI",
      "zip": "48060",
      "county": "ST. CLAIR",
      "latitude": 42.9869445999003,
      "longitude": -82.4297392003024,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230216",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230216"
    },
    {
      "id": "230216-loc-mi-port-huron-mclaren-port-huron-4",
      "ccn": "230216",
      "name": "MCLAREN PORT HURON",
      "address": "1221 PINE GROVE AVE",
      "city": "PORT HURON",
      "state": "MI",
      "zip": "48060",
      "county": "ST. CLAIR",
      "latitude": 42.9868521350039,
      "longitude": -82.4300088592793,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 163,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "campusFamilyId": "campus-mi-230216",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC CECAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230216"
    },
    {
      "id": "230217",
      "ccn": "230217",
      "name": "OAKLAWN HOSPITAL",
      "address": "200 N MADISON",
      "city": "MARSHALL",
      "state": "MI",
      "zip": "49068",
      "county": "CALHOUN",
      "latitude": 42.2737325197883,
      "longitude": -84.9567727799152,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 77,
      "rating": 4,
      "website": "http://www.oaklawnhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ELLA E M BROWN CHARITABLE CIRCLE",
      "parentSystemId": "entity-ella-e-m-brown-charitable-circle",
      "siblingGroupId": "siblings-mi-ella-e-m-brown-charitable-circle",
      "campusFamilyId": "campus-mi-230217",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-ella-e-m-brown-charitable-circle"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ELLA E M BROWN CHARITABLE CIRCLE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLA E M BROWN CHARITABLE CIRCLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ELLA E M BROWN CHARITABLE CIRCLE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLA E M BROWN CHARITABLE CIRCLE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230217-loc-mi-marshall-oaklawn-hospital",
      "ccn": "230217",
      "name": "OAKLAWN HOSPITAL",
      "address": "200 N MADISON ST",
      "city": "MARSHALL",
      "state": "MI",
      "zip": "49068",
      "county": "CALHOUN",
      "latitude": 42.2735551000707,
      "longitude": -84.9570575000461,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 17,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ELLA E M BROWN CHARITABLE CIRCLE",
      "parentSystemId": "entity-ella-e-m-brown-charitable-circle",
      "siblingGroupId": "siblings-mi-ella-e-m-brown-charitable-circle",
      "campusFamilyId": "campus-mi-230217",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-ella-e-m-brown-charitable-circle"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ELLA E M BROWN CHARITABLE CIRCLE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLA E M BROWN CHARITABLE CIRCLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ELLA E M BROWN CHARITABLE CIRCLE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLA E M BROWN CHARITABLE CIRCLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230217"
    },
    {
      "id": "230217-loc-mi-marshall-oaklawn-hospital-2",
      "ccn": "230217",
      "name": "OAKLAWN HOSPITAL",
      "address": "200 N MADISON ST",
      "city": "MARSHALL",
      "state": "MI",
      "zip": "49068",
      "county": "CALHOUN",
      "latitude": 42.2737325197884,
      "longitude": -84.9567727799151,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 77,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ELLA E M BROWN CHARITABLE CIRCLE",
      "parentSystemId": "entity-ella-e-m-brown-charitable-circle",
      "siblingGroupId": "siblings-mi-ella-e-m-brown-charitable-circle",
      "campusFamilyId": "campus-mi-230217",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-ella-e-m-brown-charitable-circle"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ELLA E M BROWN CHARITABLE CIRCLE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLA E M BROWN CHARITABLE CIRCLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ELLA E M BROWN CHARITABLE CIRCLE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLA E M BROWN CHARITABLE CIRCLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230217"
    },
    {
      "id": "230222",
      "ccn": "230222",
      "name": "MYMICHIGAN MEDICAL CENTER MIDLAND",
      "address": "4000 WELLNESS DRIVE",
      "city": "MIDLAND",
      "state": "MI",
      "zip": "48670",
      "county": "MIDLAND",
      "latitude": 43.6351200342336,
      "longitude": -84.2604004470237,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 16,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230222",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230222-loc-mi-midland-mymichigan-medical-center-midland",
      "ccn": "230222",
      "name": "MYMICHIGAN MEDICAL CENTER MIDLAND",
      "address": "4000 WELLNESS DRIVE",
      "city": "MIDLAND",
      "state": "MI",
      "zip": "48670",
      "county": "MIDLAND",
      "latitude": 43.6353986437753,
      "longitude": -84.2579431585646,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 308,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230222",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230222"
    },
    {
      "id": "230222-loc-mi-midland-mymichigan-medical-center-midland-2",
      "ccn": "230222",
      "name": "MYMICHIGAN MEDICAL CENTER MIDLAND",
      "address": "4000 WELLNESS DRIVE",
      "city": "MIDLAND",
      "state": "MI",
      "zip": "48670",
      "county": "MIDLAND",
      "latitude": 43.6351200342336,
      "longitude": -84.2604004470237,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 308,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MYMICHIGAN HEALTH",
      "parentSystemId": "entity-mymichigan-health",
      "siblingGroupId": "siblings-mi-mymichigan-health",
      "campusFamilyId": "campus-mi-230222",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mymichigan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mymichigan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MYMICHIGAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MyMichigan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MYMICHIGAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230222"
    },
    {
      "id": "230227",
      "ccn": "230227",
      "name": "MCLAREN MACOMB",
      "address": "1000 HARRINGTON ST",
      "city": "MOUNT CLEMENS",
      "state": "MI",
      "zip": "48043",
      "county": "MACOMB",
      "latitude": 42.5873359301857,
      "longitude": -82.8969028302239,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 288,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-clemens-mclaren-macomb/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230230",
      "ccn": "230230",
      "name": "EDWARD W SPARROW HOSPITAL",
      "address": "1215 E MICHIGAN AVENUE",
      "city": "LANSING",
      "state": "MI",
      "zip": "48912",
      "county": "INGHAM",
      "latitude": 42.734098710031,
      "longitude": -84.5353418798482,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 573,
      "rating": 3,
      "website": "http://www.sparrow.org",
      "status": "corporate_chain",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "affiliatedSystem": "Sparrow",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Sparrow",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lansing-edward-w-sparrow-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sparrow; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sparrow. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sparrow; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sparrow. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "230241",
      "ccn": "230241",
      "name": "ASCENSION RIVER DISTRICT HOSPITAL",
      "address": "4100 RIVER RD",
      "city": "EAST CHINA",
      "state": "MI",
      "zip": "48054",
      "county": "ST. CLAIR",
      "latitude": 42.7853636498328,
      "longitude": -82.4792019103881,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 68,
      "rating": 3,
      "website": "http://www.stjohn.org",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-china-ascension-river-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230244",
      "ccn": "230244",
      "name": "GARDEN CITY HOSPITAL",
      "address": "6245 INKSTER RD",
      "city": "GARDEN CITY",
      "state": "MI",
      "zip": "48135",
      "county": "WAYNE",
      "latitude": 42.3317214170091,
      "longitude": -83.3148487592652,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 281,
      "rating": 2,
      "website": "http://www.gchosp.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-mi-prime-healthcare",
      "campusFamilyId": "campus-mi-230244",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "230244-loc-mi-garden-city-garden-city-hospital",
      "ccn": "230244",
      "name": "GARDEN CITY HOSPITAL",
      "address": "6245 INKSTER RD",
      "city": "GARDEN CITY",
      "state": "MI",
      "zip": "48135",
      "county": "WAYNE",
      "latitude": 42.3324718422395,
      "longitude": -83.3138173810296,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-mi-prime-healthcare",
      "campusFamilyId": "campus-mi-230244",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230244"
    },
    {
      "id": "230244-loc-mi-garden-city-garden-city-hospital-2",
      "ccn": "230244",
      "name": "GARDEN CITY HOSPITAL",
      "address": "6245 INKSTER RD",
      "city": "GARDEN CITY",
      "state": "MI",
      "zip": "48135",
      "county": "WAYNE",
      "latitude": 42.332483061192,
      "longitude": -83.3137345851065,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-mi-prime-healthcare",
      "campusFamilyId": "campus-mi-230244",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230244"
    },
    {
      "id": "230244-loc-mi-garden-city-garden-city-hospital-3",
      "ccn": "230244",
      "name": "GARDEN CITY HOSPITAL",
      "address": "6245 INKSTER RD",
      "city": "GARDEN CITY",
      "state": "MI",
      "zip": "48135",
      "county": "WAYNE",
      "latitude": 42.332540851981,
      "longitude": -83.3141024937244,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 281,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-mi-prime-healthcare",
      "campusFamilyId": "campus-mi-230244",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230244"
    },
    {
      "id": "230254",
      "ccn": "230254",
      "name": "ASCENSION PROVIDENCE ROCHESTER HOSPITAL",
      "address": "1101 W UNIVERSITY DRIVE",
      "city": "ROCHESTER",
      "state": "MI",
      "zip": "48307",
      "county": "OAKLAND",
      "latitude": 42.6798150499444,
      "longitude": -83.1495133703872,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 270,
      "rating": 3,
      "website": "http://www.crittenton.com",
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230254",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230254-loc-mi-rochester-ascension-providence-rochester-hospital",
      "ccn": "230254",
      "name": "ASCENSION PROVIDENCE ROCHESTER HOSPITAL",
      "address": "1101 W UNIVERSITY DR",
      "city": "ROCHESTER",
      "state": "MI",
      "zip": "48307",
      "county": "OAKLAND",
      "latitude": 42.6796677000924,
      "longitude": -83.1494442998234,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "HENRY FORD HEALTH SYSTEM",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-henry-ford-health-system",
      "siblingGroupId": "siblings-mi-henry-ford-health-system",
      "campusFamilyId": "campus-mi-230254",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-henry-ford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.henryford.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HENRY FORD HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBIN S. DAMSCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Henry Ford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY FORD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230254"
    },
    {
      "id": "230269",
      "ccn": "230269",
      "name": "BEAUMONT HOSPITAL - TROY",
      "address": "44201 DEQUINDRE ROAD",
      "city": "TROY",
      "state": "MI",
      "zip": "48085",
      "county": "OAKLAND",
      "latitude": 42.6189979802725,
      "longitude": -83.0935899597101,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 530,
      "rating": 4,
      "website": "http://www.beaumont.edu/troy-hospital-campus",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-troy-beaumont-hospital-troy/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NANCY SUSICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NANCY SUSICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230270",
      "ccn": "230270",
      "name": "BEAUMONT HOSPITAL - TAYLOR",
      "address": "10000 TELEGRAPH ROAD",
      "city": "TAYLOR",
      "state": "MI",
      "zip": "48180",
      "county": "WAYNE",
      "latitude": 42.2352138567275,
      "longitude": -83.2763508379267,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 148,
      "rating": 2,
      "website": "https://www.oakwood.org/beaumont-hospital-taylor",
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "campusFamilyId": "campus-mi-230270",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230270-loc-mi-taylor-beaumont-hospital-taylor",
      "ccn": "230270",
      "name": "BEAUMONT HOSPITAL - TAYLOR",
      "address": "10000 TELEGRAPH RD",
      "city": "TAYLOR",
      "state": "MI",
      "zip": "48180",
      "county": "WAYNE",
      "latitude": 42.2354964399668,
      "longitude": -83.2775875872059,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "BEAUMONT HEALTH",
      "affiliatedSystem": "Corewell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Corewell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beaumont-health",
      "siblingGroupId": "siblings-mi-beaumont-health",
      "campusFamilyId": "campus-mi-230270",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-corewell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://corewellhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAUMONT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW E COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Corewell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Corewell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Corewell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAUMONT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230270"
    },
    {
      "id": "230273",
      "ccn": "230273",
      "name": "DETROIT RECEIVING HOSPITAL AND UNIV HEALTH CENTER",
      "address": "4201 ST ANTOINE ST, 2C",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3534358601106,
      "longitude": -83.0544909396824,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 248,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-detroit-receiving-hospital-&-univ-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230273",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "230273-loc-mi-detroit-detroit-receiving-hospital",
      "ccn": "230273",
      "name": "DETROIT RECEIVING HOSPITAL",
      "address": "4201 ST ANTOINE",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3535425997208,
      "longitude": -83.0550940002922,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230273",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230273"
    },
    {
      "id": "230273-loc-mi-detroit-detroit-receiving-hospital-2",
      "ccn": "230273",
      "name": "DETROIT RECEIVING HOSPITAL",
      "address": "4201 ST ANTOINE ST",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3535815488425,
      "longitude": -83.0541228370284,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "campusFamilyId": "campus-mi-230273",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230273"
    },
    {
      "id": "230275",
      "ccn": "230275",
      "name": "HEALTHSOURCE SAGINAW",
      "address": "3340 HOSPITAL ROAD",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48603",
      "county": "SAGINAW",
      "latitude": 43.4547420997944,
      "longitude": -84.0503374900935,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.healthsourcesaginaw.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHSOURCE SAGINAW INC",
      "parentSystemId": "entity-healthsource-saginaw-inc",
      "siblingGroupId": "siblings-mi-healthsource-saginaw-inc",
      "campusFamilyId": "campus-mi-230275",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-healthsource-saginaw-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HEALTHSOURCE SAGINAW INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSOURCE SAGINAW INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HEALTHSOURCE SAGINAW INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSOURCE SAGINAW INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230275-loc-mi-saginaw-healthsource-saginaw",
      "ccn": "230275",
      "name": "HEALTHSOURCE SAGINAW",
      "address": "3340 HOSPITAL RD",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48603",
      "county": "SAGINAW",
      "latitude": 43.4551416003234,
      "longitude": -84.0513037997598,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 109,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHSOURCE SAGINAW INC",
      "parentSystemId": "entity-healthsource-saginaw-inc",
      "siblingGroupId": "siblings-mi-healthsource-saginaw-inc",
      "campusFamilyId": "campus-mi-230275",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-healthsource-saginaw-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HEALTHSOURCE SAGINAW INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSOURCE SAGINAW INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HEALTHSOURCE SAGINAW INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSOURCE SAGINAW INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230275"
    },
    {
      "id": "230275-loc-mi-saginaw-healthsource-saginaw-2",
      "ccn": "230275",
      "name": "HEALTHSOURCE SAGINAW",
      "address": "3340 HOSPITAL RD",
      "city": "SAGINAW",
      "state": "MI",
      "zip": "48603",
      "county": "SAGINAW",
      "latitude": 43.4547420997945,
      "longitude": -84.0503374900935,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTHSOURCE SAGINAW INC",
      "parentSystemId": "entity-healthsource-saginaw-inc",
      "siblingGroupId": "siblings-mi-healthsource-saginaw-inc",
      "campusFamilyId": "campus-mi-230275",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-healthsource-saginaw-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HEALTHSOURCE SAGINAW INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSOURCE SAGINAW INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HEALTHSOURCE SAGINAW INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHSOURCE SAGINAW INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "230275"
    },
    {
      "id": "230277",
      "ccn": "230277",
      "name": "HURON VALLEY - SINAI HOSPITAL",
      "address": "1 WILLIAM CARLS DRIVE",
      "city": "COMMERCE TOWNSHIP",
      "state": "MI",
      "zip": "48382",
      "county": "OAKLAND",
      "latitude": 42.5926148297998,
      "longitude": -83.4990910797595,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 158,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-commerce-township-huron-valley-sinai-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "230297",
      "ccn": "230297",
      "name": "KARMANOS CANCER CENTER",
      "address": "4100 JOHN R",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3507202898687,
      "longitude": -83.0566274199906,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 123,
      "rating": 3,
      "website": "http://www.karmanos.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-karmanos-cancer-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIAN R GAMBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIAN R GAMBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230301",
      "ccn": "230301",
      "name": "SURGEONS CHOICE MEDICAL CENTER",
      "address": "22401 FOSTER WINTER DRIVE",
      "city": "SOUTHFIELD",
      "state": "MI",
      "zip": "48075",
      "county": "OAKLAND",
      "latitude": 42.4574933302129,
      "longitude": -83.2031968301068,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 45,
      "rating": null,
      "website": "https://surgeonschoice.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-southfield-surgeons-choice-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOUTHFIELD REHABILITATION COMPANY",
      "parentSystemId": "entity-southfield-rehabilitation-company",
      "siblingGroupId": "siblings-mi-southfield-rehabilitation-company",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHFIELD REHABILITATION COMPANY, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHFIELD REHABILITATION COMPANY, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "230303",
      "ccn": "230303",
      "name": "MUNSON HEALTHCARE MANISTEE HOSPITAL",
      "address": "1465 E PARKDALE AVE",
      "city": "MANISTEE",
      "state": "MI",
      "zip": "49660",
      "county": "MANISTEE",
      "latitude": 44.2710786601895,
      "longitude": -86.2742183597943,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 45,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manistee-munson-healthcare-manistee-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MUNSON HEALTHCARE",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "230779",
      "ccn": "230779",
      "name": "STURGIS HOSPITAL",
      "address": "916 MYRTLE AVE",
      "city": "STURGIS",
      "state": "MI",
      "zip": "49091",
      "county": "ST. JOSEPH",
      "latitude": 41.7946286303136,
      "longitude": -85.4075647997349,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 84,
      "rating": null,
      "website": "http://www.sturgishospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sturgis-sturgis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STURGIS HOSPITAL INC",
      "parentSystemId": "entity-sturgis-hospital-inc",
      "siblingGroupId": "siblings-mi-sturgis-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-sturgis-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: STURGIS HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to STURGIS HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STURGIS HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STURGIS HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to STURGIS HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STURGIS HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "231300",
      "ccn": "231300",
      "name": "PAUL OLIVER MEMORIAL HOSPITAL",
      "address": "224 PARK AVENUE",
      "city": "FRANKFORT",
      "state": "MI",
      "zip": "49635",
      "county": "BENZIE",
      "latitude": 44.6367816698846,
      "longitude": -86.2430010700346,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 8,
      "rating": null,
      "website": "http://www.munsonhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "MUNSON HEALTHCARE",
      "affiliatedSystem": "Munsonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Munsonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-frankfort-paul-oliver-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-munson-healthcare",
      "siblingGroupId": "siblings-mi-munson-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-munson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.munsonhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUNSON HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PAUL KONOPACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Munson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNSON HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231301",
      "ccn": "231301",
      "name": "KALKASKA MEMORIAL HEALTH CENTER",
      "address": "419 S CORAL",
      "city": "KALKASKA",
      "state": "MI",
      "zip": "49646",
      "county": "KALKASKA",
      "latitude": 44.7312908603166,
      "longitude": -85.1842968497749,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 8,
      "rating": null,
      "website": "http://www.munsonhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "KALKASKA MEMORIAL HEALTH CENTER",
      "affiliatedSystem": "Munsonhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Munsonhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kalkaska-kalkaska-memorial-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-kalkaska-memorial-health-center",
      "siblingGroupId": "siblings-mi-kalkaska-memorial-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-kalkaska-memorial-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: KALKASKA MEMORIAL HEALTH CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to KALKASKA MEMORIAL HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KALKASKA MEMORIAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KALKASKA MEMORIAL HEALTH CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Munsonhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to KALKASKA MEMORIAL HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KALKASKA MEMORIAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "231303",
      "ccn": "231303",
      "name": "SCHOOLCRAFT MEMORIAL HOSPITAL",
      "address": "7870W US HIGHWAY 2",
      "city": "MANISTIQUE",
      "state": "MI",
      "zip": "49854",
      "county": "SCHOOLCRAFT",
      "latitude": 45.9466840001081,
      "longitude": -86.2761538501426,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manistique-schoolcraft-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SCHOOLCRAFT MEMORIAL HOSPITAL",
      "parentSystemId": "entity-schoolcraft-memorial-hospital",
      "siblingGroupId": "siblings-mi-schoolcraft-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-schoolcraft-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists ANDREW JOSEPH BERTAPELLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SCHOOLCRAFT MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCHOOLCRAFT MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ANDREW JOSEPH BERTAPELLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SCHOOLCRAFT MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCHOOLCRAFT MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "231304",
      "ccn": "231304",
      "name": "HELEN NEWBERRY JOY HOSPITAL",
      "address": "502 W HARRIE ST",
      "city": "NEWBERRY",
      "state": "MI",
      "zip": "49868",
      "county": "LUCE",
      "latitude": 46.3531800900003,
      "longitude": -85.5156537400836,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.hnjh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newberry-helen-newberry-joy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HELEN NEWBERRY JOY HOSPITAL",
      "parentSystemId": "entity-helen-newberry-joy-hospital",
      "siblingGroupId": "siblings-mi-helen-newberry-joy-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-helen-newberry-joy-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HELEN NEWBERRY JOY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HELEN NEWBERRY JOY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HELEN NEWBERRY JOY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HELEN NEWBERRY JOY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "231306",
      "ccn": "231306",
      "name": "MACKINAC STRAITS HOSPITAL AND HEALTH CENTER",
      "address": "1140 N STATE STREET",
      "city": "SAINT IGNACE",
      "state": "MI",
      "zip": "49781",
      "county": "MACKINAC",
      "latitude": 45.8906314598377,
      "longitude": -84.7294509199276,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.mshosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-ignace-mackinac-straits-hospital-and-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MACKINAC STRAITS HEALTH SYSTEM INC",
      "parentSystemId": "entity-mackinac-straits-health-system-inc",
      "siblingGroupId": "siblings-mi-mackinac-straits-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-mackinac-straits-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists DEBORAH S LULL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MACKINAC STRAITS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACKINAC STRAITS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DEBORAH S LULL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MACKINAC STRAITS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACKINAC STRAITS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231307",
      "ccn": "231307",
      "name": "BARAGA COUNTY MEMORIAL HOSPITAL",
      "address": "18341 US HIGHWAY 41",
      "city": "L' ANSE",
      "state": "MI",
      "zip": "49946",
      "county": "BARAGA",
      "latitude": 46.7317895202316,
      "longitude": -88.4250041295983,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "website": "http://www.bcmh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-l--anse-baraga-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BARAGA COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-baraga-county-memorial-hospital",
      "siblingGroupId": "siblings-mi-baraga-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-baraga-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists GAIL JESTILA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to BARAGA COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARAGA COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists GAIL JESTILA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to BARAGA COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARAGA COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "231308",
      "ccn": "231308",
      "name": "MUNISING MEMORIAL HOSPITAL",
      "address": "1500 SAND POINT RD",
      "city": "MUNISING",
      "state": "MI",
      "zip": "49862",
      "county": "ALGER",
      "latitude": 46.4252710697205,
      "longitude": -86.6251853002788,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "website": "http://www.munisingmemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-munising-munising-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MUNISING MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-munising-memorial-hospital-association",
      "siblingGroupId": "siblings-mi-munising-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-munising-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MUNISING MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNISING MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MUNISING MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUNISING MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231310",
      "ccn": "231310",
      "name": "SCHEURER HOSPITAL",
      "address": "170 N CASEVILLE RD",
      "city": "PIGEON",
      "state": "MI",
      "zip": "48755",
      "county": "HURON",
      "latitude": 43.8341880802877,
      "longitude": -83.2781900100118,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.scheurer.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pigeon-scheurer-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SCHEURER HOSPITAL",
      "parentSystemId": "entity-scheurer-hospital",
      "siblingGroupId": "siblings-mi-scheurer-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-scheurer-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists ROSS M RAMSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SCHEURER HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCHEURER HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROSS M RAMSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SCHEURER HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCHEURER HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231311",
      "ccn": "231311",
      "name": "DECKERVILLE COMMUNITY HOSPITAL",
      "address": "3559 PINE ST",
      "city": "DECKERVILLE",
      "state": "MI",
      "zip": "48427",
      "county": "SANILAC",
      "latitude": 43.5281192102016,
      "longitude": -82.7342491496243,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.deckervillehosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-deckerville-deckerville-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DECKERVILLE COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-deckerville-community-hospital-inc",
      "siblingGroupId": "siblings-mi-deckerville-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-deckerville-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to DECKERVILLE COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DECKERVILLE COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to DECKERVILLE COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DECKERVILLE COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231312",
      "ccn": "231312",
      "name": "SHERIDAN COMMUNITY HOSPITAL",
      "address": "301 N MAIN ST",
      "city": "SHERIDAN",
      "state": "MI",
      "zip": "48884",
      "county": "MONTCALM",
      "latitude": 43.2159485297061,
      "longitude": -85.0741618400598,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "website": "http://www.sheridanhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sheridan-sheridan-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHERIDAN COMMUNITY HOSPITAL",
      "parentSystemId": "entity-sheridan-community-hospital",
      "siblingGroupId": "siblings-mi-sheridan-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-sheridan-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists LJILJANA PETRICEVIC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SHERIDAN COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHERIDAN COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LJILJANA PETRICEVIC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to SHERIDAN COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHERIDAN COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231313",
      "ccn": "231313",
      "name": "HARBOR BEACH COMMUNITY HOSPITAL",
      "address": "210 S FIRST ST",
      "city": "HARBOR BEACH",
      "state": "MI",
      "zip": "48441",
      "county": "HURON",
      "latitude": 43.8426626302942,
      "longitude": -82.6521156801407,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.hbch.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harbor-beach-harbor-beach-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HARBOR BEACH COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-harbor-beach-community-hospital-inc",
      "siblingGroupId": "siblings-mi-harbor-beach-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-harbor-beach-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HARBOR BEACH COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARBOR BEACH COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to HARBOR BEACH COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARBOR BEACH COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231314",
      "ccn": "231314",
      "name": "MCKENZIE HEALTH SYSTEM",
      "address": "120 N DELAWARE STREET",
      "city": "SANDUSKY",
      "state": "MI",
      "zip": "48471",
      "county": "SANILAC",
      "latitude": 43.4234823300977,
      "longitude": -82.8321334502292,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.mckenziehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCKENZIE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-mckenzie-memorial-hospital",
      "siblingGroupId": "siblings-mi-mckenzie-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-mckenzie-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MCKENZIE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCKENZIE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to MCKENZIE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCKENZIE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231315",
      "ccn": "231315",
      "name": "ASCENSION BORGESS LEE HOSPITAL",
      "address": "420 W HIGH ST",
      "city": "DOWAGIAC",
      "state": "MI",
      "zip": "49047",
      "county": "CASS",
      "latitude": 41.9831384801944,
      "longitude": -86.1155807396062,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION MICHIGAN",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-michigan",
      "siblingGroupId": "siblings-mi-ascension-michigan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-ascension-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION MICHIGAN (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY P COSTELLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION MICHIGAN (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY P COSTELLO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Ascension Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION MICHIGAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231319",
      "ccn": "231319",
      "name": "ASPIRUS KEWEENAW HOSPITAL",
      "address": "205 OSCEOLA",
      "city": "LAURIUM",
      "state": "MI",
      "zip": "49913",
      "county": "HOUGHTON",
      "latitude": 47.2387831700422,
      "longitude": -88.4435008500318,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.aspiruskeweenaw.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laurium-aspirus-keweenaw-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-mi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-aspirus-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ASPIRUS, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ASPIRUS, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231320",
      "ccn": "231320",
      "name": "MERCY HEALTH LAKESHORE CAMPUS",
      "address": "72 SOUTH STATE STREET",
      "city": "SHELBY",
      "state": "MI",
      "zip": "49455",
      "county": "OCEANA",
      "latitude": 43.6066040401052,
      "longitude": -86.3646861900749,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "http://www.mercyhealthmuskegon.com",
      "status": "corporate_chain",
      "parentSystem": "Trinity Health",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-mi-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-trinity-health-michigan"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealthmichigan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL G GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DANIEL G GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Trinity Health Michigan; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231321",
      "ccn": "231321",
      "name": "BELL HOSPITAL",
      "address": "901 LAKESHORE DRIVE",
      "city": "ISHPEMING",
      "state": "MI",
      "zip": "49849",
      "county": "MARQUETTE",
      "latitude": 46.5049286000276,
      "longitude": -87.6848114803792,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.bellhospital.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-mi-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "231324",
      "ccn": "231324",
      "name": "EATON RAPIDS MEDICAL CENTER",
      "address": "1500 S MAIN STREET",
      "city": "EATON RAPIDS",
      "state": "MI",
      "zip": "48827",
      "county": "EATON",
      "latitude": 42.495252290186,
      "longitude": -84.6586512796863,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "http://www.eatonrapidsmedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eaton-rapids-eaton-rapids-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EATON RAPIDS MEDICAL CENTER",
      "parentSystemId": "entity-eaton-rapids-medical-center",
      "siblingGroupId": "siblings-mi-eaton-rapids-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-eaton-rapids-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to EATON RAPIDS MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EATON RAPIDS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to EATON RAPIDS MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EATON RAPIDS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231329",
      "ccn": "231329",
      "name": "MCLAREN CARO REGION",
      "address": "401 N HOOPER ST",
      "city": "CARO",
      "state": "MI",
      "zip": "48723",
      "county": "TUSCOLA",
      "latitude": 43.4931868600452,
      "longitude": -83.4082061095903,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-caro-mclaren-caro-region/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KENNETH E BARANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KENNETH E BARANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231330",
      "ccn": "231330",
      "name": "MARLETTE REGIONAL HOSPITAL",
      "address": "2770 MAIN STREET",
      "city": "MARLETTE",
      "state": "MI",
      "zip": "48453",
      "county": "SANILAC",
      "latitude": 43.3327194101314,
      "longitude": -83.0810215398402,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.marletteregionalhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marlette-marlette-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLUEWATER HEALTHCARE NETWORK",
      "parentSystemId": "entity-bluewater-healthcare-network",
      "siblingGroupId": "siblings-mi-bluewater-healthcare-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bluewater-healthcare-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: BLUEWATER HEALTHCARE NETWORK (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to BLUEWATER HEALTHCARE NETWORK; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUEWATER HEALTHCARE NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BLUEWATER HEALTHCARE NETWORK (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to BLUEWATER HEALTHCARE NETWORK; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUEWATER HEALTHCARE NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231331",
      "ccn": "231331",
      "name": "SPARROW IONIA HOSPITAL",
      "address": "3565 S STATE ROAD",
      "city": "IONIA",
      "state": "MI",
      "zip": "48846",
      "county": "IONIA",
      "latitude": 42.9359308702571,
      "longitude": -85.0679674198815,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": 2,
      "website": "http://www.sparrow.org/sparrowionia",
      "status": "corporate_chain",
      "parentSystem": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
      "affiliatedSystem": "Sparrow",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Sparrow",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ionia-sparrow-ionia-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-regents-of-the-university-of-michigan",
      "siblingGroupId": "siblings-mi-regents-of-the-university-of-michigan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sparrow; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sparrow. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGENTS OF THE UNIVERSITY OF MICHIGAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sparrow; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sparrow. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGENTS OF THE UNIVERSITY OF MICHIGAN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "231332",
      "ccn": "231332",
      "name": "BRONSON LAKEVIEW HOSPITAL",
      "address": "408 HAZEN STREET",
      "city": "PAW PAW",
      "state": "MI",
      "zip": "49079",
      "county": "VAN BUREN",
      "latitude": 42.2212943598623,
      "longitude": -85.8970700598801,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": 5,
      "website": "http://www.bronsonhealth.com/lakeview",
      "status": "corporate_chain",
      "parentSystem": "BRONSON HEALTH CARE GROUP INC",
      "affiliatedSystem": "Bronsonhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bronsonhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paw-paw-bronson-lakeview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bronson-health-care-group-inc",
      "siblingGroupId": "siblings-mi-bronson-health-care-group-inc",
      "campusFamilyId": "campus-mi-231332",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bronson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bronsonhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231332-loc-mi-paw-paw-bronson-lake-view-hospital",
      "ccn": "231332",
      "name": "BRONSON LAKE VIEW HOSPITAL",
      "address": "408 HAZEN ST, PO BOX 209",
      "city": "PAW PAW",
      "state": "MI",
      "zip": "49079",
      "county": "VAN BUREN",
      "latitude": 42.2214364002715,
      "longitude": -85.8967468002268,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRONSON HEALTH CARE GROUP INC",
      "parentSystemId": "entity-bronson-health-care-group-inc",
      "siblingGroupId": "siblings-mi-bronson-health-care-group-inc",
      "campusFamilyId": "campus-mi-231332",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bronson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bronsonhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRONSON HEALTH CARE GROUP INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONSON HEALTH CARE GROUP INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "231332"
    },
    {
      "id": "231333",
      "ccn": "231333",
      "name": "ASPIRUS IRONWOOD HOSPITAL",
      "address": "N10561 GRAND VIEW LANE",
      "city": "IRONWOOD",
      "state": "MI",
      "zip": "49938",
      "county": "GOGEBIC",
      "latitude": 46.4807458597657,
      "longitude": -90.1067332999882,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.gvh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ironwood-aspirus-ironwood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-mi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-aspirus-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ASPIRUS, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to ASPIRUS, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231337",
      "ccn": "231337",
      "name": "ST FRANCIS HOSPITAL",
      "address": "3401 LUDINGTON ST",
      "city": "ESCANABA",
      "state": "MI",
      "zip": "49829",
      "county": "DELTA",
      "latitude": 45.7425663900833,
      "longitude": -87.0960040098014,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 4,
      "website": "http://www.osfstfrancis.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSF HEALTHCARE MINISTRIES",
      "parentSystemId": "entity-osf-healthcare-ministries",
      "siblingGroupId": "siblings-mi-osf-healthcare-ministries",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-osf-healthcare-ministries"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to OSF HEALTHCARE MINISTRIES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSF HEALTHCARE MINISTRIES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIRSTEN M LARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to OSF HEALTHCARE MINISTRIES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSF HEALTHCARE MINISTRIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "231340",
      "ccn": "231340",
      "name": "MCLAREN THUMB REGION",
      "address": "1100 S VAN DYKE RD",
      "city": "BAD AXE",
      "state": "MI",
      "zip": "48413",
      "county": "HURON",
      "latitude": 43.8032103098878,
      "longitude": -83.0321291800098,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCLAREN HEALTH CARE CORPORATION",
      "parentSystemId": "entity-mclaren-health-care-corporation",
      "siblingGroupId": "siblings-mi-mclaren-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-mclaren-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mclaren.org/main/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists KENNETH E BARANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLAREN HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists KENNETH E BARANSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to McLaren Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLAREN HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "233300",
      "ccn": "233300",
      "name": "CHILDREN'S HOSPITAL OF MICHIGAN",
      "address": "3901 BEAUBIEN STREET",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48201",
      "county": "WAYNE",
      "latitude": 42.3514354900227,
      "longitude": -83.0547499895558,
      "hospitalType": "Childrens",
      "sourceOwner": "Proprietary",
      "beds": 228,
      "rating": null,
      "website": "http://www.chmkids.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-children-s-hospital-of-michigan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Tenet Healthcare",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-mi-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "234006",
      "ccn": "234006",
      "name": "PINE REST CHRISTIAN MENTAL HEALTH SERVICES",
      "address": "300 68TH ST, PO BOX 165",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49501",
      "county": "KENT",
      "latitude": 42.8399693996753,
      "longitude": -85.6575237898606,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Federal",
      "beds": 198,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-rapids-pine-rest-christian-mental-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PINE REST CHRISTIAN MENTAL HEALTH SERVICES",
      "parentSystemId": "entity-pine-rest-christian-mental-health-services",
      "siblingGroupId": "siblings-mi-pine-rest-christian-mental-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mi-parent-pine-rest-christian-mental-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS lists MARK C EASTBURG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to PINE REST CHRISTIAN MENTAL HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PINE REST CHRISTIAN MENTAL HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARK C EASTBURG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to PINE REST CHRISTIAN MENTAL HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PINE REST CHRISTIAN MENTAL HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "234021",
      "ccn": "234021",
      "name": "HARBOR OAKS HOSPITAL",
      "address": "35031 23 MILE RD",
      "city": "NEW BALTIMORE",
      "state": "MI",
      "zip": "48047",
      "county": "MACOMB",
      "latitude": 42.6773476001552,
      "longitude": -82.7564159003201,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 130,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-baltimore-harbor-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-mi-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "234023",
      "ccn": "234023",
      "name": "HAVENWYCK HOSPITAL",
      "address": "1525 UNIVERSITY DR",
      "city": "AUBURN HILLS",
      "state": "MI",
      "zip": "48326",
      "county": "OAKLAND",
      "latitude": 42.6613587197023,
      "longitude": -83.2490669402161,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 213,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-auburn-hills-havenwyck-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-mi-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "234030",
      "ccn": "234030",
      "name": "FOREST VIEW PSYCHIATRIC HOSPITAL",
      "address": "1055 MEDICAL PARK DR SE",
      "city": "GRAND RAPIDS",
      "state": "MI",
      "zip": "49546",
      "county": "KENT",
      "latitude": 42.9440387001156,
      "longitude": -85.5582269001495,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 108,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-rapids-forest-view-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-mi-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "234038",
      "ccn": "234038",
      "name": "BCA STONECREST CENTER",
      "address": "15000 GRATIOT",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48205",
      "county": "WAYNE",
      "latitude": 42.4437737999392,
      "longitude": -82.9712416997339,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 182,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-bca-stonecrest-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-mi-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "234040",
      "ccn": "234040",
      "name": "SAMARITAN BEHAVIORAL CENTER",
      "address": "5555 CONNOR AVE, SUITE 3N",
      "city": "DETROIT",
      "state": "MI",
      "zip": "48213",
      "county": "WAYNE",
      "latitude": 42.3903167999999,
      "longitude": -82.9819921998617,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 55,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-detroit-samaritan-behavioral-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "T & G Corporation",
      "parentSystemId": "entity-t-and-g-corporation",
      "siblingGroupId": "siblings-mi-t-and-g-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-t-g-corporation-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: T & G CORPORATION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RYAN GUNABALAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to T & G CORPORATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent T & G Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: T & G CORPORATION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RYAN GUNABALAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to T & G CORPORATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent T & G Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "234042",
      "ccn": "234042",
      "name": "THE BEHAVIORAL CENTER OF MICHIGAN",
      "address": "4050 EAST TWELVE MILE RD",
      "city": "WARREN",
      "state": "MI",
      "zip": "48092",
      "county": "SAGINAW",
      "latitude": 43.4739722802613,
      "longitude": -83.9649316897952,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warren-the-behavioral-center-of-michigan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "T & G Corporation",
      "parentSystemId": "entity-t-and-g-corporation",
      "siblingGroupId": "siblings-mi-t-and-g-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-t-g-corporation-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: T & G CORPORATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RYAN GUNABALAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to T & G CORPORATION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent T & G Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: T & G CORPORATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RYAN GUNABALAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to T & G CORPORATION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent T & G Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "234043",
      "ccn": "234043",
      "name": "CEDAR CREEK HOSPITAL",
      "address": "101 WEST TOWNSEND ROAD",
      "city": "SAINT JOHNS",
      "state": "MI",
      "zip": "48879",
      "county": "CLINTON",
      "latitude": 42.9846739997686,
      "longitude": -84.5586619999952,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saint-johns-cedar-creek-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-mi-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "234044",
      "ccn": "234044",
      "name": "BRIGHTWELL BEHAVIORAL HEALTH",
      "address": "3512 COOLIDGE RD",
      "city": "EAST LANSING",
      "state": "MI",
      "zip": "48823",
      "county": "CLINTON",
      "latitude": 42.7718841998757,
      "longitude": -84.5025211997143,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": null,
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "LANSING SENIOR PARTNERS LLC",
      "peFirm": "Elevate Ventures",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Assurance Health System",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lansing-senior-partners-llc",
      "siblingGroupId": "siblings-mi-lansing-senior-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: LANSING SENIOR PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAFAR NAZEER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANSING SENIOR PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LANSING SENIOR PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAFAR NAZEER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANSING SENIOR PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "234046",
      "ccn": "234046",
      "name": "BRONSON BEHAVIORAL HEALTH HOSPITAL",
      "address": "5550 GLENN CROSS RD",
      "city": "BATTLE CREEK",
      "state": "MI",
      "zip": "49015",
      "county": "CALHOUN",
      "latitude": 42.2498183003139,
      "longitude": -85.1868853003503,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 93,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ACADIA BATTLE CREEK HOLDINGS LLC",
      "parentSystemId": "entity-acadia-battle-creek-holdings-llc",
      "siblingGroupId": "siblings-mi-acadia-battle-creek-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-bronson-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bronsonhealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA BATTLE CREEK HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 87.1%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA BATTLE CREEK HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA BATTLE CREEK HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 87.1%). CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Bronson Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACADIA BATTLE CREEK HOLDINGS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "234047",
      "ccn": "234047",
      "name": "KALAMAZOO BEHAVIORAL HEALTH HOSPITAL",
      "address": "5802 S 9TH ST",
      "city": "KALAMAZOO",
      "state": "MI",
      "zip": "49009",
      "county": "KALAMAZOO",
      "latitude": 42.2333721950521,
      "longitude": -85.6782933629473,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PHYSICIAN�S MANAGEMENT EMPLOYEE LEASING COMPANY, LLC",
      "parentSystemId": "entity-physician-s-management-employee-leasing-company-llc",
      "siblingGroupId": "siblings-mi-physician-s-management-employee-leasing-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PHYSICIAN�S MANAGEMENT EMPLOYEE LEASING COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SRBOLJUB NIKOLIC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIAN�S MANAGEMENT EMPLOYEE LEASING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PHYSICIAN�S MANAGEMENT EMPLOYEE LEASING COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SRBOLJUB NIKOLIC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHYSICIAN�S MANAGEMENT EMPLOYEE LEASING COMPANY, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "240001",
      "ccn": "240001",
      "name": "NORTH MEMORIAL HEALTH",
      "address": "3300 OAKDALE AVENUE NORTH",
      "city": "ROBBINSDALE",
      "state": "MN",
      "zip": "55422",
      "county": "HENNEPIN",
      "latitude": 45.0136928599785,
      "longitude": -93.3227769096814,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 518,
      "rating": 1,
      "website": "http://www.northmemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH MEMORIAL HEALTH CARE",
      "parentSystemId": "entity-north-memorial-health-care",
      "siblingGroupId": "siblings-mn-north-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-north-memorial-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://northmemorial.com/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to North Memorial Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MEMORIAL HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to North Memorial Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MEMORIAL HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240002",
      "ccn": "240002",
      "name": "ESSENTIA HEALTH ST. MARY'S MED",
      "address": "407 EAST 3RD STREET",
      "city": "DULUTH",
      "state": "MN",
      "zip": "55805",
      "county": "ST. LOUIS",
      "latitude": 46.7936853399611,
      "longitude": -92.0958870602333,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 380,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-mn-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240006",
      "ccn": "240006",
      "name": "OLMSTED MEDICAL CENTER",
      "address": "1650 4TH STREET SE",
      "city": "ROCHESTER",
      "state": "MN",
      "zip": "55904",
      "county": "OLMSTED",
      "latitude": 44.0201049399006,
      "longitude": -92.4393125397029,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 61,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-olmsted-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OLMSTED MEDICAL CENTER",
      "parentSystemId": "entity-olmsted-medical-center",
      "siblingGroupId": "siblings-mn-olmsted-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLMSTED MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLMSTED MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240010",
      "ccn": "240010",
      "name": "MAYO CLINIC HOSPITAL ROCHESTER",
      "address": "1216 2ND STREET SW",
      "city": "ROCHESTER",
      "state": "MN",
      "zip": "55902",
      "county": "OLMSTED",
      "latitude": 44.0205591502647,
      "longitude": -92.4827202903634,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 2059,
      "rating": 5,
      "website": "http://www.mayoclinic.org",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240019",
      "ccn": "240019",
      "name": "ESSENTIA HEALTH DULUTH",
      "address": "502 EAST 2ND STREET",
      "city": "DULUTH",
      "state": "MN",
      "zip": "55805",
      "county": "ST. LOUIS",
      "latitude": 46.7931165302281,
      "longitude": -92.0932748698798,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 165,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-duluth-essentia-health-duluth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ESSENTIA HEALTH DULUTH",
      "parentSystemId": "entity-essentia-health-duluth",
      "siblingGroupId": "siblings-mn-essentia-health-duluth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESSENTIA HEALTH DULUTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESSENTIA HEALTH DULUTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240020",
      "ccn": "240020",
      "name": "CAMBRIDGE MEDICAL CENTER",
      "address": "701 SOUTH DELLWOOD STREET",
      "city": "CAMBRIDGE",
      "state": "MN",
      "zip": "55008",
      "county": "ISANTI",
      "latitude": 45.566183620036,
      "longitude": -93.2309284200131,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 86,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cambridge-cambridge-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240022",
      "ccn": "240022",
      "name": "SANFORD WORTHINGTON MEDICAL",
      "address": "1018 6TH AVENUE",
      "city": "WORTHINGTON",
      "state": "MN",
      "zip": "56187",
      "county": "NOBLES",
      "latitude": 43.6224444102415,
      "longitude": -95.59847219983,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "24002F",
      "ccn": "24002F",
      "name": "ST CLOUD VA MEDICAL CENTER",
      "address": "4801 VETERANS DRIVE",
      "city": "ST. CLOUD",
      "state": "MN",
      "zip": "56303",
      "county": "STEARNS",
      "latitude": 45.5743656201787,
      "longitude": -94.213643591637,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mn-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "240030",
      "ccn": "240030",
      "name": "ALOMERE HEALTH",
      "address": "111 17TH AVENUE EAST",
      "city": "ALEXANDRIA",
      "state": "MN",
      "zip": "56308",
      "county": "DOUGLAS",
      "latitude": 45.873891139807,
      "longitude": -95.3768792395657,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 127,
      "rating": 4,
      "website": "http://www.dchospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-alomere-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ALOMERE HEALTH",
      "parentSystemId": "entity-alomere-health",
      "siblingGroupId": "siblings-mn-alomere-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-alomere-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to ALOMERE HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALOMERE HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to ALOMERE HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALOMERE HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "24003F",
      "ccn": "24003F",
      "name": "MINNEAPOLIS VA MEDICAL CENTER",
      "address": "1 VETERANS DRIVE",
      "city": "MINNEAPOLIS",
      "state": "MN",
      "zip": "55417",
      "county": "HENNEPIN",
      "latitude": 44.9014901500748,
      "longitude": -93.2059201300887,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "website": "https://www.va.gov/minneapolis-health-care/locations/minneapolis-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mn-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "240044",
      "ccn": "240044",
      "name": "WINONA HEALTH SERVICES",
      "address": "855 MANKATO AVENUE",
      "city": "WINONA",
      "state": "MN",
      "zip": "55987",
      "county": "WINONA",
      "latitude": 44.033457689889,
      "longitude": -91.6229606299663,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 2,
      "website": "http://www.winonahealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winona-winona-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WINONA HEALTH SERVICES",
      "parentSystemId": "entity-winona-health-services",
      "siblingGroupId": "siblings-mn-winona-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-winona-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS lists JESSICA REMINGTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to WINONA HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINONA HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JESSICA REMINGTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to WINONA HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINONA HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240047",
      "ccn": "240047",
      "name": "ST. LUKE'S HOSPITAL",
      "address": "915 EAST 1ST STREET",
      "city": "DULUTH",
      "state": "MN",
      "zip": "55805",
      "county": "ST. LOUIS",
      "latitude": 46.7971012502846,
      "longitude": -92.0873907700215,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 267,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-duluth-saint-luke-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-mn-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-aspirus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.aspirus.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Aspirus Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Aspirus Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240052",
      "ccn": "240052",
      "name": "LAKE REGION HEALTHCARE CORP",
      "address": "712 CASCADE STREET SOUTH",
      "city": "FERGUS FALLS",
      "state": "MN",
      "zip": "56537",
      "county": "OTTER TAIL",
      "latitude": 46.2771237899542,
      "longitude": -96.0733662900139,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 108,
      "rating": 4,
      "website": "http://www.lrhc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fergus-falls-lake-region-healthcare-corp/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAKE REGION HEALTHCARE CORPORATION",
      "parentSystemId": "entity-lake-region-healthcare-corporation",
      "siblingGroupId": "siblings-mn-lake-region-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE REGION HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE REGION HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240056",
      "ccn": "240056",
      "name": "RIDGEVIEW MEDICAL CENTER",
      "address": "500 SOUTH MAPLE STREET",
      "city": "WACONIA",
      "state": "MN",
      "zip": "55387",
      "county": "CARVER",
      "latitude": 44.843165520021,
      "longitude": -93.7923794799723,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 109,
      "rating": 4,
      "website": "http://www.ridgeviewmedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waconia-ridgeview-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIDGEVIEW MEDICAL CENTER",
      "parentSystemId": "entity-ridgeview-medical-center",
      "siblingGroupId": "siblings-mn-ridgeview-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-ridgeview-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS lists ELAINE M ARION as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RIDGEVIEW MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIDGEVIEW MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ELAINE M ARION as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RIDGEVIEW MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIDGEVIEW MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240057",
      "ccn": "240057",
      "name": "ABBOTT NORTHWESTERN HOSPITAL",
      "address": "800 EAST 28TH STREET",
      "city": "MINNEAPOLIS",
      "state": "MN",
      "zip": "55407",
      "county": "HENNEPIN",
      "latitude": 44.9541143100118,
      "longitude": -93.2613570096147,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 972,
      "rating": 4,
      "website": "https://www.allinahealth.org/abbott-northwestern-hospital/",
      "status": "corporate_chain",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "affiliatedSystem": "Allinahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Allinahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minneapolis-abbott-northwestern-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Allinahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Allinahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Allinahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Allinahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240064",
      "ccn": "240064",
      "name": "GRAND ITASCA CLINIC AND HOSP",
      "address": "1601 GOLF COURSE ROAD",
      "city": "GRAND RAPIDS",
      "state": "MN",
      "zip": "55744",
      "county": "ITASCA",
      "latitude": 47.2235507098748,
      "longitude": -93.5555403504352,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 64,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-rapids-grand-itasca-clinic-&-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRAND ITASCA CLINIC AND HOSPITAL",
      "parentSystemId": "entity-grand-itasca-clinic-and-hospital",
      "siblingGroupId": "siblings-mn-grand-itasca-clinic-and-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND ITASCA CLINIC AND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAND ITASCA CLINIC AND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240066",
      "ccn": "240066",
      "name": "LAKEVIEW MEMORIAL HOSPITAL",
      "address": "927 WEST CHURCHILL STREET",
      "city": "STILLWATER",
      "state": "MN",
      "zip": "55082",
      "county": "WASHINGTON",
      "latitude": 45.0470573597585,
      "longitude": -92.8180355297164,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 97,
      "rating": 4,
      "website": "http://www.lakeviewhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stillwater-lakeview-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "STILLWATER HEALTH SYSTEM",
      "parentSystemId": "entity-stillwater-health-system",
      "siblingGroupId": "siblings-mn-stillwater-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-healthpartners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthpartners.com/care/find/location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: STILLWATER HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STILLWATER HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240069",
      "ccn": "240069",
      "name": "OWATONNA HOSPITAL",
      "address": "2250 26TH STREET NW",
      "city": "OWATONNA",
      "state": "MN",
      "zip": "55060",
      "county": "STEELE",
      "latitude": 44.112013699971,
      "longitude": -93.2510920102704,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 43,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-owatonna-owatonna-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240075",
      "ccn": "240075",
      "name": "ESSENTIA HEALTH ST JOSEPHS MED",
      "address": "523 NORTH 3RD STREET",
      "city": "BRAINERD",
      "state": "MN",
      "zip": "56401",
      "county": "CROW WING",
      "latitude": 46.36191726004,
      "longitude": -94.2058888696755,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 162,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brainerd-essentia-health-st-josephs-med/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-mn-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240076",
      "ccn": "240076",
      "name": "BUFFALO HOSPITAL",
      "address": "303 CATLIN STREET",
      "city": "BUFFALO",
      "state": "MN",
      "zip": "55313",
      "county": "WRIGHT",
      "latitude": 45.1948426701638,
      "longitude": -93.8711937697025,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 65,
      "rating": 5,
      "website": "https://www.allinahealth.org/buffalo-hospital/",
      "status": "corporate_chain",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "affiliatedSystem": "Allinahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Allinahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-buffalo-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Allinahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Allinahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Allinahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Allinahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240078",
      "ccn": "240078",
      "name": "FAIRVIEW SOUTHDALE HOSPITAL",
      "address": "6401 FRANCE AVENUE SOUTH",
      "city": "EDINA",
      "state": "MN",
      "zip": "55435",
      "county": "HENNEPIN",
      "latitude": 44.8860404200166,
      "longitude": -93.3269014201039,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 390,
      "rating": 5,
      "website": "http://www.fairview.org",
      "status": "corporate_chain",
      "parentSystem": "FAIRVIEW HEALTH SERVICES",
      "affiliatedSystem": "Fairview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Fairview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edina-fairview-southdale-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-fairview-health-services",
      "siblingGroupId": "siblings-mn-fairview-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-m-health-fairview"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Fairview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Fairview. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Fairview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Fairview. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240084",
      "ccn": "240084",
      "name": "ESSENTIA HEALTH VIRGINIA",
      "address": "901 9TH STREET NORTH",
      "city": "VIRGINIA",
      "state": "MN",
      "zip": "55792",
      "county": "ST. LOUIS",
      "latitude": 47.5318633900467,
      "longitude": -92.5485476000985,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 83,
      "rating": 4,
      "website": "http://www.essentiahealth.org/essentiahealth-virginia/find-a-clinic/essentia-healthvirginia-211.aspx",
      "status": "corporate_chain",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "affiliatedSystem": "Essentiahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Essentiahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-virginia-essentia-health-virginia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-mn-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240100",
      "ccn": "240100",
      "name": "SANFORD BEMIDJI MEDICAL CENTER",
      "address": "1300 ANNE STREET NW",
      "city": "BEMIDJI",
      "state": "MN",
      "zip": "56601",
      "county": "BELTRAMI",
      "latitude": 47.5033918999722,
      "longitude": -94.8999171198,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 118,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bemidji-sanford-bemidji-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240101",
      "ccn": "240101",
      "name": "ESSENTIA HEALTH ST MARYS",
      "address": "1027 WASHINGTON AVENUE",
      "city": "DETROIT LAKES",
      "state": "MN",
      "zip": "56501",
      "county": "BECKER",
      "latitude": 46.8148422798112,
      "longitude": -95.8436791703748,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 87,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "INNOVIS HEALTH LLC",
      "parentSystemId": "entity-innovis-health-llc",
      "siblingGroupId": "siblings-mn-innovis-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240115",
      "ccn": "240115",
      "name": "MERCY HOSPITAL",
      "address": "4050 COON RAPIDS BOULEVARD",
      "city": "COON RAPIDS",
      "state": "MN",
      "zip": "55433",
      "county": "ANOKA",
      "latitude": 45.1832150897655,
      "longitude": -93.3696456202982,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 546,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coon-rapids-mercy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240166",
      "ccn": "240166",
      "name": "MAYO CLINIC HEALTH SYSTEM",
      "address": "800 MEDICAL CENTER DRIVE",
      "city": "FAIRMONT",
      "state": "MN",
      "zip": "56031",
      "county": "MARTIN",
      "latitude": 43.6388014600907,
      "longitude": -94.4504369996212,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 57,
      "rating": 5,
      "website": "http://mayoclinichealthsystem.org/locations/fairmont",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240187",
      "ccn": "240187",
      "name": "HUTCHINSON HEALTH",
      "address": "1095 HIGHWAY 15 SOUTH",
      "city": "HUTCHINSON",
      "state": "MN",
      "zip": "55350",
      "county": "MCLEOD",
      "latitude": 44.8758002597077,
      "longitude": -94.3735167897013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 66,
      "rating": 3,
      "website": "http://www.hutchhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PARK NICOLLET HEALTH SERVICES",
      "parentSystemId": "entity-park-nicollet-health-services",
      "siblingGroupId": "siblings-mn-park-nicollet-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-healthpartners"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthpartners.com/care/find/location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARK NICOLLET HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK NICOLLET HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARK NICOLLET HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HealthPartners; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARK NICOLLET HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240206",
      "ccn": "240206",
      "name": "RED LAKE HOSPITAL",
      "address": "24760 HOSPITAL DRIVE",
      "city": "RED LAKE",
      "state": "MN",
      "zip": "56671",
      "county": "BELTRAMI",
      "latitude": 47.8778435001975,
      "longitude": -95.0292420798533,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 23,
      "rating": null,
      "website": "http://rlnnredlakehospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-red-lake-red-lake-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RED LAKE HOSPITAL",
      "parentSystemId": "entity-red-lake-hospital",
      "siblingGroupId": "siblings-mn-red-lake-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RED LAKE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RED LAKE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "240207",
      "ccn": "240207",
      "name": "FAIRVIEW RIDGES HOSPITAL",
      "address": "201 EAST NICOLLET BOULEVARD",
      "city": "BURNSVILLE",
      "state": "MN",
      "zip": "55337",
      "county": "DAKOTA",
      "latitude": 44.7490193201337,
      "longitude": -93.2725919397342,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 150,
      "rating": 4,
      "website": "http://www.fairview.org",
      "status": "corporate_chain",
      "parentSystem": "FAIRVIEW HEALTH SERVICES",
      "affiliatedSystem": "Fairview",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Fairview",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burnsville-fairview-ridges-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-fairview-health-services",
      "siblingGroupId": "siblings-mn-fairview-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-m-health-fairview"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mhealthfairview.org/locations"
      ],
      "ownershipProofNotes": "CMS lists ROBERT ANDREW MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Fairview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Fairview. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROBERT ANDREW MCCOY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Fairview; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Fairview. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to M Health Fairview; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240214",
      "ccn": "240214",
      "name": "MAPLE GROVE HOSPITAL",
      "address": "9875 HOSPITAL DRIVE",
      "city": "MAPLE GROVE",
      "state": "MN",
      "zip": "55369",
      "county": "HENNEPIN",
      "latitude": 45.1328891999905,
      "longitude": -93.4812126703403,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": 5,
      "website": "http://maplegrovehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-maple-grove-maple-grove-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH MEMORIAL HEALTH CARE",
      "parentSystemId": "entity-north-memorial-health-care",
      "siblingGroupId": "siblings-mn-north-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-north-memorial-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://northmemorial.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MEMORIAL HEALTH CARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to North Memorial Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MEMORIAL HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MEMORIAL HEALTH CARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to North Memorial Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MEMORIAL HEALTH CARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "240779",
      "ccn": "240779",
      "name": "MAHNOMEN HEALTH CENTER",
      "address": "414 WEST JEFFERSON AVENUE",
      "city": "MAHNOMEN",
      "state": "MN",
      "zip": "56557",
      "county": "MAHNOMEN",
      "latitude": 47.3117497901202,
      "longitude": -95.972852420248,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": null,
      "website": "http://www.mahnomenhealthcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mahnomen-mahnomen-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MAHNOMEN COUNTY",
      "parentSystemId": "entity-mahnomen-county",
      "siblingGroupId": "siblings-mn-mahnomen-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAHNOMEN COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 78%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHNOMEN COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAHNOMEN COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 78%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHNOMEN COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241301",
      "ccn": "241301",
      "name": "LAKEWOOD HEALTH CENTER",
      "address": "600 MAIN AVENUE SOUTH",
      "city": "BAUDETTE",
      "state": "MN",
      "zip": "56623",
      "county": "LAKE OF THE WOODS",
      "latitude": 48.7065832599128,
      "longitude": -94.6004167002202,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 15,
      "rating": null,
      "website": "http://www.lakewoodhealthcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baudette-lakewood-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-mn-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241303",
      "ccn": "241303",
      "name": "SANFORD TRACY MEDICAL CENTER",
      "address": "251 5TH STREET EAST",
      "city": "TRACY",
      "state": "MN",
      "zip": "56175",
      "county": "LYON",
      "latitude": 44.2322982099371,
      "longitude": -95.6073326796344,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tracy-sanford-tracy-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241305",
      "ccn": "241305",
      "name": "RIVERWOOD HEALTHCARE CENTER",
      "address": "200 BUNKER HILL DRIVE",
      "city": "AITKIN",
      "state": "MN",
      "zip": "56431",
      "county": "AITKIN",
      "latitude": 46.529711670177,
      "longitude": -93.698445519931,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.riverwoodhealthcare.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aitkin-riverwood-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AITKIN COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-aitkin-community-hospital-inc",
      "siblingGroupId": "siblings-mn-aitkin-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-aitkin-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS lists HEIDI S PRICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to AITKIN COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AITKIN COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists HEIDI S PRICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to AITKIN COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AITKIN COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241308",
      "ccn": "241308",
      "name": "LAKE VIEW MEMORIAL HOSPITAL",
      "address": "325 11TH AVENUE",
      "city": "TWO HARBORS",
      "state": "MN",
      "zip": "55616",
      "county": "LAKE",
      "latitude": 47.0300976700834,
      "longitude": -91.6663413296586,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-two-harbors-lake-view-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-mn-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-aspirus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.aspirus.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Aspirus Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Aspirus Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241309",
      "ccn": "241309",
      "name": "ESSENTIA HEALTH SANDSTONE",
      "address": "705 LUNDORFF DRIVE",
      "city": "SANDSTONE",
      "state": "MN",
      "zip": "55072",
      "county": "PINE",
      "latitude": 46.1190366399058,
      "longitude": -92.885305269693,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sandstone-essentia-health-sandstone/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-mn-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241312",
      "ccn": "241312",
      "name": "COOK HOSPITAL",
      "address": "10 5TH STREET SE",
      "city": "COOK",
      "state": "MN",
      "zip": "55723",
      "county": "ST. LOUIS",
      "latitude": 47.8533877401964,
      "longitude": -92.6795303399232,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cook-cook-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COOK HOSPITAL",
      "parentSystemId": "entity-cook-hospital",
      "siblingGroupId": "siblings-mn-cook-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-cook-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COOK HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to COOK HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COOK HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to COOK HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241313",
      "ccn": "241313",
      "name": "ESSENTIA HEALTH ADA",
      "address": "201 9TH STREET WEST",
      "city": "ADA",
      "state": "MN",
      "zip": "56510",
      "county": "NORMAN",
      "latitude": 47.2975873001611,
      "longitude": -96.531292450444,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "website": "http://www.essentiahealth.org",
      "status": "corporate_chain",
      "parentSystem": "INNOVIS HEALTH LLC",
      "affiliatedSystem": "Essentiahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Essentiahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ada-essentia-health-ada/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-innovis-health-llc",
      "siblingGroupId": "siblings-mn-innovis-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241315",
      "ccn": "241315",
      "name": "SANFORD JACKSON MEDICAL CENTER",
      "address": "1430 NORTH HIGHWAY",
      "city": "JACKSON",
      "state": "MN",
      "zip": "56143",
      "county": "JACKSON",
      "latitude": 43.6244116899628,
      "longitude": -95.0045010297428,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "https://www.sanfordhealth.org/locations/sanford-jackson-medical-center",
      "status": "corporate_chain",
      "parentSystem": "SANFORD",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-sanford-jackson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241316",
      "ccn": "241316",
      "name": "BIGFORK VALLEY HOSPITAL",
      "address": "258 PINE TREE DRIVE",
      "city": "BIGFORK",
      "state": "MN",
      "zip": "56628",
      "county": "ITASCA",
      "latitude": 47.7474273400577,
      "longitude": -93.6457596599957,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "website": "http://www.bigforkvalley.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bigfork-bigfork-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTHERN ITASCA HOSPITAL DISTRICT",
      "parentSystemId": "entity-northern-itasca-hospital-district",
      "siblingGroupId": "siblings-mn-northern-itasca-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-verified-parent-northern-itasca-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHERN ITASCA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN ITASCA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHERN ITASCA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN ITASCA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241317",
      "ccn": "241317",
      "name": "NORTH SHORE HEALTH",
      "address": "515 5TH AVENUE WEST",
      "city": "GRAND MARAIS",
      "state": "MN",
      "zip": "55604",
      "county": "COOK",
      "latitude": 47.7564806502293,
      "longitude": -90.3414267899946,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-marais-north-shore-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COOK COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-cook-county-hospital-district",
      "siblingGroupId": "siblings-mn-cook-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-verified-parent-cook-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COOK COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIMBER L WRAALSTAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COOK COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KIMBER L WRAALSTAD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241320",
      "ccn": "241320",
      "name": "RIVERVIEW HOSPITAL AND NSG HOME",
      "address": "323 SOUTH MINNESOTA STREET",
      "city": "CROOKSTON",
      "state": "MN",
      "zip": "56716",
      "county": "POLK",
      "latitude": 47.772971000259,
      "longitude": -96.6179559397508,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crookston-riverview-hospital-&-nsg-home/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIVERVIEW HEALTHCARE ASSOCIATION",
      "parentSystemId": "entity-riverview-healthcare-association",
      "siblingGroupId": "siblings-mn-riverview-healthcare-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-riverview-healthcare-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RIVERVIEW HEALTHCARE ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERVIEW HEALTHCARE ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to RIVERVIEW HEALTHCARE ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERVIEW HEALTHCARE ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241321",
      "ccn": "241321",
      "name": "ESSENTIA HEALTH HOLY TRINITY",
      "address": "115 WEST 2ND STREET",
      "city": "GRACEVILLE",
      "state": "MN",
      "zip": "56240",
      "county": "BIG STONE",
      "latitude": 45.5627124297948,
      "longitude": -96.4338887799571,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.essentiahealth.org/holytrinityhospital/find-a-clinic/essentia-healthholy-trinity-hospital-graceville-96.aspx",
      "status": "corporate_chain",
      "parentSystem": "INNOVIS HEALTH LLC",
      "affiliatedSystem": "Essentiahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Essentiahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-innovis-health-llc",
      "siblingGroupId": "siblings-mn-innovis-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241322",
      "ccn": "241322",
      "name": "RAINY LAKE MEDICAL CENTER",
      "address": "1400 HIGHWAY 71",
      "city": "INTERNATIONAL FALLS",
      "state": "MN",
      "zip": "56649",
      "county": "KOOCHICHING",
      "latitude": 48.5948020198694,
      "longitude": -93.4317703403335,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.rainylakemedical.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-international-falls-rainy-lake-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-international-falls-memorial-hospital-association",
      "siblingGroupId": "siblings-mn-international-falls-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-international-falls-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241327",
      "ccn": "241327",
      "name": "SLEEPY EYE MEDICAL CENTER",
      "address": "400 4TH AVENUE NW",
      "city": "SLEEPY EYE",
      "state": "MN",
      "zip": "56085",
      "county": "BROWN",
      "latitude": 44.2995109099234,
      "longitude": -94.7286044299547,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sleepy-eye-sleepy-eye-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF SLEEPY EYE",
      "parentSystemId": "entity-city-of-sleepy-eye",
      "siblingGroupId": "siblings-mn-city-of-sleepy-eye",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF SLEEPY EYE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF SLEEPY EYE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF SLEEPY EYE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF SLEEPY EYE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241328",
      "ccn": "241328",
      "name": "SANFORD BAGLEY MEDICAL CENTER",
      "address": "203 4TH STREET NW",
      "city": "BAGLEY",
      "state": "MN",
      "zip": "56621",
      "county": "CLEARWATER",
      "latitude": 47.5263335302737,
      "longitude": -95.4022180295646,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bagley-sanford-bagley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241329",
      "ccn": "241329",
      "name": "LAKEWOOD HEALTH SYSTEM",
      "address": "49725 COUNTY ROAD 83",
      "city": "STAPLES",
      "state": "MN",
      "zip": "56479",
      "county": "TODD",
      "latitude": 46.3511403399037,
      "longitude": -94.7517610100076,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 37,
      "rating": null,
      "website": "http://www.lakewoodhealthsystem.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-staples-lakewood-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAKEWOOD HEALTH SYSTEM",
      "parentSystemId": "entity-lakewood-health-system",
      "siblingGroupId": "siblings-mn-lakewood-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-lakewood-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS lists MELISSA BETH LINDOW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to LAKEWOOD HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKEWOOD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MELISSA BETH LINDOW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to LAKEWOOD HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKEWOOD HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241332",
      "ccn": "241332",
      "name": "WINDOM AREA HEALTH",
      "address": "2150 HOSPITAL DRIVE",
      "city": "WINDOM",
      "state": "MN",
      "zip": "56101",
      "county": "COTTONWOOD",
      "latitude": 43.8791024098241,
      "longitude": -95.113311230128,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": null,
      "website": "http://www.windomareahospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-windom-windom-area-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD HEALTH NETWORK",
      "parentSystemId": "entity-sanford-health-network",
      "siblingGroupId": "siblings-mn-sanford-health-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD HEALTH NETWORK (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD HEALTH NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD HEALTH NETWORK (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD HEALTH NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241337",
      "ccn": "241337",
      "name": "NORTH VALLEY HEALTH CENTER",
      "address": "300 WEST GOOD SAMARITAN DRIVE",
      "city": "WARREN",
      "state": "MN",
      "zip": "56762",
      "county": "MARSHALL",
      "latitude": 48.1912760402086,
      "longitude": -96.7729239096639,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "website": "http://www.northvalleyhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warren-north-valley-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WARREN COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-warren-community-hospital-inc",
      "siblingGroupId": "siblings-mn-warren-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-warren-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: WARREN COMMUNITY HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MITCHELL KOTRBA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to WARREN COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARREN COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WARREN COMMUNITY HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MITCHELL KOTRBA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to WARREN COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARREN COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241338",
      "ccn": "241338",
      "name": "MAYO CLINIC HEALTH SYSTEM",
      "address": "500 WEST GRANT STREET",
      "city": "LAKE CITY",
      "state": "MN",
      "zip": "55041",
      "county": "GOODHUE",
      "latitude": 44.4594309799879,
      "longitude": -92.2877649501498,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "website": "http://mayoclinichealthsystem.org/locations/lake-city",
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-mn-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/minnesota"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241339",
      "ccn": "241339",
      "name": "HENDRICKS COMMUNITY HOSPITAL",
      "address": "503 EAST LINCOLN STREET",
      "city": "HENDRICKS",
      "state": "MN",
      "zip": "56136",
      "county": "LINCOLN",
      "latitude": 44.5058363698407,
      "longitude": -96.4184230399709,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "http://www.hendrickshosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME",
      "parentSystemId": "entity-hendricks-community-hospital-assn-and-retirement-home",
      "siblingGroupId": "siblings-mn-hendricks-community-hospital-assn-and-retirement-home",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-hendricks-community-hospital-assn-retirement-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS lists TRAVIS OLSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TRAVIS OLSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241340",
      "ccn": "241340",
      "name": "ESSENTIA HEALTH NORTHERN PINES",
      "address": "5211 HIGHWAY 110",
      "city": "AURORA",
      "state": "MN",
      "zip": "55705",
      "county": "ST. LOUIS",
      "latitude": 47.5179769498043,
      "longitude": -92.2293426599143,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.essentiahealth.org/northernpines/findaclinic/essentia- healthnorthern-pines-36.aspx",
      "status": "corporate_chain",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "affiliatedSystem": "Essentiahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Essentiahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-essentia-health-northern-pines/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-mn-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241341",
      "ccn": "241341",
      "name": "APPLETON AREA HEALTH",
      "address": "30 SOUTH BEHL STREET",
      "city": "APPLETON",
      "state": "MN",
      "zip": "56208",
      "county": "SWIFT",
      "latitude": 45.1999249297792,
      "longitude": -96.0088996799992,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "website": "http://www.appletonareahealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-appleton-appleton-area-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF APPLETON",
      "parentSystemId": "entity-city-of-appleton",
      "siblingGroupId": "siblings-mn-city-of-appleton",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF APPLETON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KIMBERLY OCHSENDORF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF APPLETON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF APPLETON (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KIMBERLY OCHSENDORF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF APPLETON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241342",
      "ccn": "241342",
      "name": "ORTONVILLE AREA HEALTH SERVICE",
      "address": "450 EASTVOLD AVENUE",
      "city": "ORTONVILLE",
      "state": "MN",
      "zip": "56278",
      "county": "BIG STONE",
      "latitude": 45.315367919695,
      "longitude": -96.4458158799693,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ortonville-ortonville-area-health-service/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF ORTONVILLE",
      "parentSystemId": "entity-city-of-ortonville",
      "siblingGroupId": "siblings-mn-city-of-ortonville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF ORTONVILLE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ORTONVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF ORTONVILLE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ORTONVILLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241343",
      "ccn": "241343",
      "name": "AVERA GRANITE FALLS",
      "address": "345 10TH AVENUE",
      "city": "GRANITE FALLS",
      "state": "MN",
      "zip": "56241",
      "county": "YELLOW MEDICINE",
      "latitude": 44.8085624002026,
      "longitude": -95.5432568996504,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 30,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA MARSHALL",
      "parentSystemId": "entity-avera-marshall",
      "siblingGroupId": "siblings-mn-avera-marshall",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA MARSHALL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J KOOIMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MARSHALL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA MARSHALL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J KOOIMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MARSHALL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241344",
      "ccn": "241344",
      "name": "LIFECARE MEDICAL CENTER",
      "address": "715 DELMORE DRIVE",
      "city": "ROSEAU",
      "state": "MN",
      "zip": "56751",
      "county": "ROSEAU",
      "latitude": 48.8392361400172,
      "longitude": -95.760405620218,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://lifecaremedicalcenter.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roseau-lifecare-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LIFECARE MEDICAL CENTER",
      "parentSystemId": "entity-lifecare-medical-center",
      "siblingGroupId": "siblings-mn-lifecare-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-lifecare-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to LIFECARE MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFECARE MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to LIFECARE MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFECARE MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "241347",
      "ccn": "241347",
      "name": "SANFORD CANBY MEDICAL CENTER",
      "address": "112 ST OLAF AVENUE SOUTH",
      "city": "CANBY",
      "state": "MN",
      "zip": "56220",
      "county": "YELLOW MEDICINE",
      "latitude": 44.7078215302563,
      "longitude": -96.278447989879,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.sanfordcanby.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canby-sanford-canby-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241348",
      "ccn": "241348",
      "name": "AVERA TYLER HOSPITAL",
      "address": "240 WILLOW STREET",
      "city": "TYLER",
      "state": "MN",
      "zip": "56178",
      "county": "LINCOLN",
      "latitude": 44.2718378396826,
      "longitude": -96.1304373002631,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "http://www.avera.org/locations/profile/?id=274",
      "status": "corporate_chain",
      "parentSystem": "AVERA MARSHALL",
      "affiliatedSystem": "Avera",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Avera",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tyler-avera-tyler-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-avera-marshall",
      "siblingGroupId": "siblings-mn-avera-marshall",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA MARSHALL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBRA ANN STREIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MARSHALL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA MARSHALL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBRA ANN STREIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MARSHALL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241350",
      "ccn": "241350",
      "name": "ESSENTIA HEALTH MOOSE LAKE",
      "address": "4572 COUNTY ROAD 61",
      "city": "MOOSE LAKE",
      "state": "MN",
      "zip": "55767",
      "county": "CARLTON",
      "latitude": 46.4414661498168,
      "longitude": -92.7734503203821,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moose-lake-essentia-health-moose-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-mn-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241353",
      "ccn": "241353",
      "name": "CUYUNA REGIONAL MEDICAL CENTER",
      "address": "320 EAST MAIN STREET",
      "city": "CROSBY",
      "state": "MN",
      "zip": "56441",
      "county": "CROW WING",
      "latitude": 46.4817427298926,
      "longitude": -93.9458784402913,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 42,
      "rating": 3,
      "website": "http://www.cuyunamed.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crosby-cuyuna-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CUYUNA REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-cuyuna-regional-medical-center",
      "siblingGroupId": "siblings-mn-cuyuna-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-cuyuna-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CUYUNA REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUYUNA REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CUYUNA REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUYUNA REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241354",
      "ccn": "241354",
      "name": "ASTERA HEALTH",
      "address": "421 11TH STREET NW",
      "city": "WADENA",
      "state": "MN",
      "zip": "56482",
      "county": "OTTER TAIL",
      "latitude": 46.4515222997688,
      "longitude": -95.1587518997174,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASTERA HEALTH",
      "parentSystemId": "entity-astera-health",
      "siblingGroupId": "siblings-mn-astera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-astera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to ASTERA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASTERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to ASTERA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASTERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241355",
      "ccn": "241355",
      "name": "GLENCOE REGIONAL HEALTH SRVCS",
      "address": "1805 HENNEPIN AVENUE NORTH",
      "city": "GLENCOE",
      "state": "MN",
      "zip": "55336",
      "county": "MCLEOD",
      "latitude": 44.7783779703035,
      "longitude": -94.1536239000953,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glencoe-glencoe-regional-health-srvcs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GLENCOE REGIONAL HEALTH SERVICES",
      "parentSystemId": "entity-glencoe-regional-health-services",
      "siblingGroupId": "siblings-mn-glencoe-regional-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-glencoe-regional-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to GLENCOE REGIONAL HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GLENCOE REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to GLENCOE REGIONAL HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GLENCOE REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241356",
      "ccn": "241356",
      "name": "MILLE LACS HEALTH SYSTEM",
      "address": "200 NORTH ELM ST",
      "city": "ONAMIA",
      "state": "MN",
      "zip": "56359",
      "county": "MILLE LACS",
      "latitude": 46.0731256901177,
      "longitude": -93.6624029799282,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 28,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-onamia-mille-lacs-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MILLE LACS HEALTH SYSTEM",
      "parentSystemId": "entity-mille-lacs-health-system",
      "siblingGroupId": "siblings-mn-mille-lacs-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-mille-lacs-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MILLE LACS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLE LACS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MILLE LACS HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLE LACS HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241357",
      "ccn": "241357",
      "name": "ESSENTIA HEALTH FOSSTON",
      "address": "900 HILLIGOSS BOULEVARD SE",
      "city": "FOSSTON",
      "state": "MN",
      "zip": "56542",
      "county": "POLK",
      "latitude": 47.5712850599364,
      "longitude": -95.7394682400396,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 43,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fosston-essentia-health-fosston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INNOVIS HEALTH LLC",
      "parentSystemId": "entity-innovis-health-llc",
      "siblingGroupId": "siblings-mn-innovis-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INNOVIS HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INNOVIS HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241362",
      "ccn": "241362",
      "name": "CENTRACARE HEALTH MONTICELLO",
      "address": "1013 HART BOULEVARD",
      "city": "MONTICELLO",
      "state": "MN",
      "zip": "55362",
      "county": "WRIGHT",
      "latitude": 45.3003570897307,
      "longitude": -93.778631440082,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 39,
      "rating": null,
      "website": "http://www.centracare.com/locations/monticello/",
      "status": "corporate_chain",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "affiliatedSystem": "Centracare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Centracare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-centracare-health-monticello/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Centracare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centracare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Centracare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centracare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241364",
      "ccn": "241364",
      "name": "COMMUNITY MEMORIAL HOSPITAL",
      "address": "512 SKYLINE BOULEVARD",
      "city": "CLOQUET",
      "state": "MN",
      "zip": "55720",
      "county": "CARLTON",
      "latitude": 46.7312908298339,
      "longitude": -92.4620196396186,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-community-memorial-hospital-association",
      "siblingGroupId": "siblings-mn-community-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-community-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241366",
      "ccn": "241366",
      "name": "MEEKER MEMORIAL HOSPITAL",
      "address": "612 SOUTH SIBLEY AVENUE",
      "city": "LITCHFIELD",
      "state": "MN",
      "zip": "55355",
      "county": "MEEKER",
      "latitude": 45.1196527099011,
      "longitude": -94.5292282799037,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": null,
      "website": "http://www.meekermemorial.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-litchfield-meeker-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF MEEKER",
      "parentSystemId": "entity-county-of-meeker",
      "siblingGroupId": "siblings-mn-county-of-meeker",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF MEEKER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MEEKER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF MEEKER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MEEKER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241367",
      "ccn": "241367",
      "name": "WELIA HEALTH",
      "address": "301 HIGHWAY 65 SOUTH",
      "city": "MORA",
      "state": "MN",
      "zip": "55051",
      "county": "KANABEC",
      "latitude": 45.8747774398858,
      "longitude": -93.2912090101612,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 3,
      "website": "https://www.weliahealth.org/mora-campus/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "WELIA HEALTH",
      "parentSystemId": "entity-welia-health",
      "siblingGroupId": "siblings-mn-welia-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-welia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to WELIA HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELIA HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to WELIA HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELIA HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241368",
      "ccn": "241368",
      "name": "CENTRACARE HEALTH SYSTEM",
      "address": "425 NORTH ELM STREET",
      "city": "SAUK CENTRE",
      "state": "MN",
      "zip": "56378",
      "county": "STEARNS",
      "latitude": 45.7457946898426,
      "longitude": -94.9554373297467,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": null,
      "website": "http://www.centracare.com/locations/sauk-centre/",
      "status": "corporate_chain",
      "parentSystem": "CENTRACARE HEALTH SYSTEM",
      "affiliatedSystem": "Centracare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Centracare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-centracare-health-system",
      "siblingGroupId": "siblings-mn-centracare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-centracare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.centracare.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Centracare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centracare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRACARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Centracare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centracare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CentraCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRACARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241369",
      "ccn": "241369",
      "name": "UNITED HOSPITAL DISTRICT",
      "address": "515 SOUTH MOORE STREET",
      "city": "BLUE EARTH",
      "state": "MN",
      "zip": "56013",
      "county": "FARIBAULT",
      "latitude": 43.6339592600431,
      "longitude": -94.1003117095911,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 43,
      "rating": 5,
      "website": "http://www.uhd.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blue-earth-united-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNITED HOSPITAL DISTRICT INC",
      "parentSystemId": "entity-united-hospital-district-inc",
      "siblingGroupId": "siblings-mn-united-hospital-district-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-verified-parent-united-hospital-district-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNITED HOSPITAL DISTRICT INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED HOSPITAL DISTRICT INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNITED HOSPITAL DISTRICT INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED HOSPITAL DISTRICT INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241370",
      "ccn": "241370",
      "name": "ST. GABRIEL'S HOSPITAL",
      "address": "815 SE 2ND STREET",
      "city": "LITTLE FALLS",
      "state": "MN",
      "zip": "56345",
      "county": "MORRISON",
      "latitude": 45.9668817600175,
      "longitude": -94.3625669004113,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 4,
      "website": "https://www.chistgabriels.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-falls-st-gabriels-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-mn-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241371",
      "ccn": "241371",
      "name": "SANFORD LUVERNE MEDICAL CENTER",
      "address": "1600 NORTH KNISS AVENUE",
      "city": "LUVERNE",
      "state": "MN",
      "zip": "56156",
      "county": "ROCK",
      "latitude": 43.6720022397426,
      "longitude": -96.2105807301012,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": null,
      "website": "https://www.sanfordhealth.org/locations/sanford-luverne-medical-center",
      "status": "corporate_chain",
      "parentSystem": "SANFORD",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-luverne-sanford-luverne-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-mn-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241372",
      "ccn": "241372",
      "name": "MADISON HOSPITAL",
      "address": "820 3RD AVENUE",
      "city": "MADISON",
      "state": "MN",
      "zip": "56256",
      "county": "LAC QUI PARLE",
      "latitude": 45.0181251399722,
      "longitude": -96.1879264897518,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-madison-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADISON HEALTHCARE SERVICES",
      "parentSystemId": "entity-madison-healthcare-services",
      "siblingGroupId": "siblings-mn-madison-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-madison-healthcare-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "CMS lists JEANENE MUNSTERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MADISON HEALTHCARE SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEANENE MUNSTERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to MADISON HEALTHCARE SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241373",
      "ccn": "241373",
      "name": "PERHAM HEALTH",
      "address": "1000 CONEY STREET WEST",
      "city": "PERHAM",
      "state": "MN",
      "zip": "56573",
      "county": "OTTER TAIL",
      "latitude": 46.5938092303009,
      "longitude": -95.5931604103511,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "website": "https://www.sanfordhealth.org/locations/perham-health-clinic",
      "status": "corporate_chain",
      "parentSystem": "PERHAM HOSPITAL DISTRICT",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-perham-hospital-district",
      "siblingGroupId": "siblings-mn-perham-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-verified-parent-perham-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERHAM HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERHAM HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241376",
      "ccn": "241376",
      "name": "GLACIAL RIDGE HOSPITAL",
      "address": "10 4TH AVENUE SE",
      "city": "GLENWOOD",
      "state": "MN",
      "zip": "56334",
      "county": "POPE",
      "latitude": 45.6463286401859,
      "longitude": -95.3892023097686,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 34,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glenwood-glacial-ridge-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GLACIAL RIDGE HOSPITAL DISTRICT",
      "parentSystemId": "entity-glacial-ridge-hospital-district",
      "siblingGroupId": "siblings-mn-glacial-ridge-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-verified-parent-glacial-ridge-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.health.state.mn.us/data/economics/hccis/facilities.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GLACIAL RIDGE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GLACIAL RIDGE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "241377",
      "ccn": "241377",
      "name": "ST. FRANCIS MEDICAL CENTER",
      "address": "2400 ST FRANCIS DRIVE",
      "city": "BRECKENRIDGE",
      "state": "MN",
      "zip": "56520",
      "county": "WILKIN",
      "latitude": 46.291535240238,
      "longitude": -96.5884288301981,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "website": "http://www.sfcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-mn-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mn-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "241378",
      "ccn": "241378",
      "name": "NEW ULM MEDICAL CENTER",
      "address": "1324 5TH STREET NORTH",
      "city": "NEW ULM",
      "state": "MN",
      "zip": "56073",
      "county": "BROWN",
      "latitude": 44.3133362998889,
      "longitude": -94.4767627299953,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 62,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-ulm-new-ulm-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-mn-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mn-parent-allina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://account.allinahealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Minnesota resolution: normalized CMS owner/operator to Allina Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250002",
      "ccn": "250002",
      "name": "TISHOMINGO HEALTH SERVICES, INC",
      "address": "1777 CURTIS DRIVE",
      "city": "IUKA",
      "state": "MS",
      "zip": "38852",
      "county": "NEWTON",
      "latitude": 32.3562068097711,
      "longitude": -89.1278660798502,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-iuka-tishomingo-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-ms-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250004",
      "ccn": "250004",
      "name": "NORTH MISSISSIPPI MEDICAL CENTER",
      "address": "830 SOUTH GLOSTER STREET",
      "city": "TUPELO",
      "state": "MS",
      "zip": "38801",
      "county": "LEE",
      "latitude": 34.2419593400737,
      "longitude": -88.7164481100622,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 640,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-ms-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL S SPEES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250006",
      "ccn": "250006",
      "name": "BAPTIST MEMORIAL HOSPITAL - UNION COUNTY",
      "address": "200 HIGHWAY 30 WEST",
      "city": "NEW ALBANY",
      "state": "MS",
      "zip": "38652",
      "county": "UNION",
      "latitude": 34.4978322098441,
      "longitude": -89.0280674298489,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 153,
      "rating": 4,
      "website": "http://www.baptistonline.org/union-county/",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-albany-baptist-memorial-hospital---union-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250009",
      "ccn": "250009",
      "name": "MAGNOLIA REGIONAL HEALTH CENTER",
      "address": "611 ALCORN DRIVE",
      "city": "CORINTH",
      "state": "MS",
      "zip": "38834",
      "county": "ALCORN",
      "latitude": 34.9353130998977,
      "longitude": -88.5598234096099,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 200,
      "rating": 2,
      "website": "http://www.mrhc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corinth-magnolia-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MAGNOLIA REGIONAL HEALTH CENTER",
      "parentSystemId": "entity-magnolia-regional-health-center",
      "siblingGroupId": "siblings-ms-magnolia-regional-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAGNOLIA REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAGNOLIA REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAGNOLIA REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAGNOLIA REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250018",
      "ccn": "250018",
      "name": "JASPER GENERAL HOSPITAL",
      "address": "15 SOUTH 6TH STREET",
      "city": "BAY SPRINGS",
      "state": "MS",
      "zip": "39422",
      "county": "JASPER",
      "latitude": 31.9770290099441,
      "longitude": -89.2913184902981,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bay-springs-jasper-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JASPER GENERAL HOSPITAL",
      "parentSystemId": "entity-jasper-general-hospital",
      "siblingGroupId": "siblings-ms-jasper-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-jasper-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to JASPER GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JASPER GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to JASPER GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JASPER GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250025",
      "ccn": "250025",
      "name": "NORTH MISSISSIPPI MEDICAL CENTER - GILMORE - AMORY",
      "address": "1105 EARL FRYE BOULEVARD",
      "city": "AMORY",
      "state": "MS",
      "zip": "38821",
      "county": "MONROE",
      "latitude": 33.9777292499801,
      "longitude": -88.4766044698359,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 95,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amory-north-mississippi-medical-center-gilmore---amory/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH MISSISSIPPI HEALTH SERVICES INC",
      "parentSystemId": "entity-north-mississippi-health-services-inc",
      "siblingGroupId": "siblings-ms-north-mississippi-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-north-mississippi-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nmhs.net/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH MISSISSIPPI HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to North Mississippi Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250027",
      "ccn": "250027",
      "name": "WINSTON MEDICAL CENTER",
      "address": "17550 EAST MAIN STREET",
      "city": "LOUISVILLE",
      "state": "MS",
      "zip": "39339",
      "county": "WINSTON",
      "latitude": 33.0980050900748,
      "longitude": -89.0601108804125,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WINSTON COUNTY MEDICAL FOUNDATION",
      "parentSystemId": "entity-winston-county-medical-foundation",
      "siblingGroupId": "siblings-ms-winston-county-medical-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WINSTON COUNTY MEDICAL FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL S. BLACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINSTON COUNTY MEDICAL FOUNDATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WINSTON COUNTY MEDICAL FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL S. BLACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINSTON COUNTY MEDICAL FOUNDATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250031",
      "ccn": "250031",
      "name": "MERIT HEALTH RIVER REGION",
      "address": "2100 HIGHWAY 61 NORTH",
      "city": "VICKSBURG",
      "state": "MS",
      "zip": "39183",
      "county": "WARREN",
      "latitude": 32.3743727598062,
      "longitude": -90.824527329862,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 361,
      "rating": 2,
      "website": "http://www.merithealthriverregion.com/merit-health-river-region/home.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vicksburg-merit-health-river-region/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ms-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "250034",
      "ccn": "250034",
      "name": "BAPTIST MEMORIAL HOSPITAL - NORTH MS",
      "address": "1100 BELK BOULEVARD",
      "city": "OXFORD",
      "state": "MS",
      "zip": "38655",
      "county": "LAFAYETTE",
      "latitude": 34.3479899999384,
      "longitude": -89.5297289996427,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 217,
      "rating": 4,
      "website": "https://www.baptistonline.org/locations/north-mississippi",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oxford-baptist-memorial-hospital-north-ms/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250038",
      "ccn": "250038",
      "name": "MERIT HEALTH MADISON",
      "address": "161 RIVER OAKS DRIVE",
      "city": "CANTON",
      "state": "MS",
      "zip": "39046",
      "county": "MADISON",
      "latitude": 32.5813719097512,
      "longitude": -90.0831956303374,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 67,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canton-merit-health-madison/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
      "parentSystemId": "entity-state-of-mississippi-university-of-mississippi-medical-center",
      "siblingGroupId": "siblings-ms-state-of-mississippi-university-of-mississippi-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250040",
      "ccn": "250040",
      "name": "SINGING RIVER HEALTH SYSTEM",
      "address": "2809 DENNY AVENUE",
      "city": "PASCAGOULA",
      "state": "MS",
      "zip": "39581",
      "county": "JACKSON",
      "latitude": 30.3763940697256,
      "longitude": -88.5334439096762,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 435,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SINGING RIVER HEALTH SYSTEM",
      "parentSystemId": "entity-singing-river-health-system",
      "siblingGroupId": "siblings-ms-singing-river-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SINGING RIVER HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON ` MCNEIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINGING RIVER HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SINGING RIVER HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON ` MCNEIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINGING RIVER HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250043",
      "ccn": "250043",
      "name": "NESHOBA COUNTY GENERAL HOSPITAL",
      "address": "1001 HOLLAND AVENUE",
      "city": "PHILADELPHIA",
      "state": "MS",
      "zip": "39350",
      "county": "NESHOBA",
      "latitude": 32.7569607099534,
      "longitude": -89.1062609603616,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 48,
      "rating": 3,
      "website": "http://www.neshobageneral.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-neshoba-county-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NESHOBA COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-neshoba-county-general-hospital",
      "siblingGroupId": "siblings-ms-neshoba-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NESHOBA COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NESHOBA COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250044",
      "ccn": "250044",
      "name": "BAPTIST MEMORIAL HOSPITAL - BOONEVILLE",
      "address": "100 HOSPITAL STREET",
      "city": "BOONEVILLE",
      "state": "MS",
      "zip": "38829",
      "county": "PRENTISS",
      "latitude": 34.6577848503243,
      "longitude": -88.5661319400837,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 114,
      "rating": 3,
      "website": "http://www.bmhcc.org/booneville",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-booneville-baptist-memorial-hospital-booneville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250048",
      "ccn": "250048",
      "name": "ST. DOMINIC - JACKSON MEMORIAL HOSPITAL",
      "address": "969 LAKELAND DRIVE",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39216",
      "county": "HINDS",
      "latitude": 32.33256578973,
      "longitude": -90.1648566704231,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 571,
      "rating": 2,
      "website": "http://www.stdom.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC",
      "parentSystemId": "entity-franciscan-missionaries-of-our-lady-health-system-inc",
      "siblingGroupId": "siblings-ms-franciscan-missionaries-of-our-lady-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-franciscan-missionaries-of-our-lady-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://fmolhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists SAMUEL SCOTT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists SAMUEL SCOTT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Franciscan Missionaries of Our Lady Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250049",
      "ccn": "250049",
      "name": "BEACHAM MEMORIAL HOSPITAL",
      "address": "205 NORTH CHERRY STREET",
      "city": "MAGNOLIA",
      "state": "MS",
      "zip": "39652",
      "county": "PIKE",
      "latitude": 31.1458664003595,
      "longitude": -90.4595904602222,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 31,
      "rating": null,
      "website": "http://www.beachammemhos.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-magnolia-beacham-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "FREEDOM HOSPITAL OF MAGNOLIA LLC",
      "parentSystemId": "entity-freedom-hospital-of-magnolia-llc",
      "siblingGroupId": "siblings-ms-freedom-hospital-of-magnolia-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEDOM HOSPITAL OF MAGNOLIA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEDOM HOSPITAL OF MAGNOLIA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "250057",
      "ccn": "250057",
      "name": "KING'S DAUGHTERS MEDICAL CENTER",
      "address": "427 HIGHWAY 51 NORTH",
      "city": "BROOKHAVEN",
      "state": "MS",
      "zip": "39601",
      "county": "LINCOLN",
      "latitude": 31.5891630900086,
      "longitude": -90.4578179601991,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 99,
      "rating": 3,
      "website": "http://www.kdmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brookhaven-king-s-daughters-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KINGS DAUGHTERS MEDICAL CENTER",
      "parentSystemId": "entity-kings-daughters-medical-center",
      "siblingGroupId": "siblings-ms-kings-daughters-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-kings-daughters-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists SCOTT CHRISTENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to KINGS DAUGHTERS MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KINGS DAUGHTERS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SCOTT CHRISTENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to KINGS DAUGHTERS MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KINGS DAUGHTERS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250061",
      "ccn": "250061",
      "name": "YALOBUSHA GENERAL HOSPITAL",
      "address": "630 S MAIN STREET",
      "city": "WATER VALLEY",
      "state": "MS",
      "zip": "38965",
      "county": "YALOBUSHA",
      "latitude": 34.1312556096363,
      "longitude": -89.6420886997353,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 26,
      "rating": null,
      "website": "http://yalobushageneral.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-water-valley-yalobusha-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "YALOBUSHA GENERAL HOSPITAL",
      "parentSystemId": "entity-yalobusha-general-hospital",
      "siblingGroupId": "siblings-ms-yalobusha-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALOBUSHA GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALOBUSHA GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250072",
      "ccn": "250072",
      "name": "MERIT HEALTH CENTRAL",
      "address": "1850 CHADWICK DRIVE",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39204",
      "county": "HINDS",
      "latitude": 32.2877685297308,
      "longitude": -90.2545191799161,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 319,
      "rating": 3,
      "website": "http://www.merithealthcentral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-merit-health-central/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ms-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "250077",
      "ccn": "250077",
      "name": "WAYNE GENERAL HOSPITAL",
      "address": "950 MATTHEW DRIVE",
      "city": "WAYNESBORO",
      "state": "MS",
      "zip": "39367",
      "county": "WAYNE",
      "latitude": 31.6731176296829,
      "longitude": -88.6339130298662,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 3,
      "website": "http://www.waynegeneralhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waynesboro-wayne-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WAYNE GENERAL HOSPITAL",
      "parentSystemId": "entity-wayne-general-hospital",
      "siblingGroupId": "siblings-ms-wayne-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WAYNE GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WAYNE GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250078",
      "ccn": "250078",
      "name": "FORREST GENERAL HOSPITAL",
      "address": "6051 U S HIGHWAY 49 SOUTH",
      "city": "HATTIESBURG",
      "state": "MS",
      "zip": "39401",
      "county": "FORREST",
      "latitude": 31.3185797902757,
      "longitude": -89.3295924697211,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 545,
      "rating": 2,
      "website": "http://www.forrestgeneral.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hattiesburg-forrest-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FORREST COUNTY BOARD OF SUPERVIORS",
      "parentSystemId": "entity-forrest-county-board-of-superviors",
      "siblingGroupId": "siblings-ms-forrest-county-board-of-superviors",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FORREST COUNTY BOARD OF SUPERVIORS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY BOARD OF SUPERVIORS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FORREST COUNTY BOARD OF SUPERVIORS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY BOARD OF SUPERVIORS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250081",
      "ccn": "250081",
      "name": "ANDERSON REGIONAL MEDICAL CENTER SOUTH",
      "address": "1102 CONSTITUTION AVENUE",
      "city": "MERIDIAN",
      "state": "MS",
      "zip": "39301",
      "county": "LAUDERDALE",
      "latitude": 32.3684376400813,
      "longitude": -88.6990354199197,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 69,
      "rating": null,
      "website": "www.andersonregional.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meridian-anderson-regional-medical-center-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JASON M LITTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JASON M LITTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250084",
      "ccn": "250084",
      "name": "MERIT HEALTH NATCHEZ",
      "address": "54 SEARGENT PRENTISS DRIVE",
      "city": "NATCHEZ",
      "state": "MS",
      "zip": "39120",
      "county": "ADAMS",
      "latitude": 31.5274898497836,
      "longitude": -91.3917922998148,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 179,
      "rating": 2,
      "website": "http://www.merithealthnatchez.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-natchez-merit-health-natchez/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ms-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "250085",
      "ccn": "250085",
      "name": "MARION GENERAL HOSPITAL",
      "address": "1560 SUMRALL ROAD",
      "city": "COLUMBIA",
      "state": "MS",
      "zip": "39429",
      "county": "MARION",
      "latitude": 31.2559959501029,
      "longitude": -89.8055790999367,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 1,
      "website": "http://www.forresthealth.org/our-locations/marion-general-hospital/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-marion-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FORREST COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-forrest-county-general-hospital",
      "siblingGroupId": "siblings-ms-forrest-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FORREST COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FORREST COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250093",
      "ccn": "250093",
      "name": "BOLIVAR MEDICAL CENTER",
      "address": "901 E SUNFLOWER ROAD",
      "city": "CLEVELAND",
      "state": "MS",
      "zip": "38732",
      "county": "BOLIVAR",
      "latitude": 33.7489106200626,
      "longitude": -90.708414470309,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 164,
      "rating": 1,
      "website": "http://www.bolivarmedical.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-bolivar-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-ms-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.scionhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "250094",
      "ccn": "250094",
      "name": "MERIT HEALTH WESLEY",
      "address": "5001 HARDY STREET",
      "city": "HATTIESBURG",
      "state": "MS",
      "zip": "39402",
      "county": "LAMAR",
      "latitude": 31.326073960012,
      "longitude": -89.3664623697786,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 211,
      "rating": 2,
      "website": "http://www.merithealthwesley.com/merit-health-wesley/home.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hattiesburg-merit-health-wesley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ms-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "250095",
      "ccn": "250095",
      "name": "SOUTH SUNFLOWER COUNTY HOSPITAL",
      "address": "121 EAST BAKER STREET",
      "city": "INDIANOLA",
      "state": "MS",
      "zip": "38751",
      "county": "SUNFLOWER",
      "latitude": 33.457519950144,
      "longitude": -90.6501935302578,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indianola-south-sunflower-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH SUNFLOWER COUNTY HOSPITAL",
      "parentSystemId": "entity-south-sunflower-county-hospital",
      "siblingGroupId": "siblings-ms-south-sunflower-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH SUNFLOWER COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH SUNFLOWER COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH SUNFLOWER COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH SUNFLOWER COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250097",
      "ccn": "250097",
      "name": "SOUTHWEST MS REGIONAL MEDICAL CENTER",
      "address": "215 MARION AVENUE",
      "city": "MCCOMB",
      "state": "MS",
      "zip": "39649",
      "county": "PIKE",
      "latitude": 31.2510102297044,
      "longitude": -90.4739555897121,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 160,
      "rating": 2,
      "website": "http://www.smrmc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "AMITE COUNTY BOARD OF SUPERVISORS",
      "parentSystemId": "entity-amite-county-board-of-supervisors",
      "siblingGroupId": "siblings-ms-amite-county-board-of-supervisors",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMITE COUNTY BOARD OF SUPERVISORS (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMITE COUNTY BOARD OF SUPERVISORS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMITE COUNTY BOARD OF SUPERVISORS (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMITE COUNTY BOARD OF SUPERVISORS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250099",
      "ccn": "250099",
      "name": "GREENWOOD LEFLORE HOSPITAL",
      "address": "1401 RIVER ROAD",
      "city": "GREENWOOD",
      "state": "MS",
      "zip": "38930",
      "county": "LEFLORE",
      "latitude": 33.5178092003108,
      "longitude": -90.1991596201832,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 208,
      "rating": 1,
      "website": "http://www.glh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenwood-greenwood-leflore-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF GREENWOOD",
      "parentSystemId": "entity-city-of-greenwood",
      "siblingGroupId": "siblings-ms-city-of-greenwood",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF GREENWOOD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists JENNIFER DAWNE HOLMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF GREENWOOD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF GREENWOOD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 50%). CMS lists JENNIFER DAWNE HOLMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF GREENWOOD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250102",
      "ccn": "250102",
      "name": "MISSISSIPPI BAPTIST MEDICAL CENTER",
      "address": "1225 NORTH STATE STREET",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39202",
      "county": "HINDS",
      "latitude": 32.3147563998014,
      "longitude": -90.1794455900133,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 638,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-mississippi-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC",
      "parentSystemId": "entity-mississippi-baptist-health-systems-inc",
      "siblingGroupId": "siblings-ms-mississippi-baptist-health-systems-inc",
      "campusFamilyId": "campus-ms-250102",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250104",
      "ccn": "250104",
      "name": "ANDERSON REGIONAL MEDICAL CENTER",
      "address": "2124 14TH STREET",
      "city": "MERIDIAN",
      "state": "MS",
      "zip": "39301",
      "county": "LAUDERDALE",
      "latitude": 32.3711547399322,
      "longitude": -88.7000700401752,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 260,
      "rating": 2,
      "website": "http://www.jarmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meridian-anderson-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ANDERSON REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-anderson-regional-medical-center",
      "siblingGroupId": "siblings-ms-anderson-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-anderson-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ANDERSON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMES GRANTHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to ANDERSON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDERSON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ANDERSON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMES GRANTHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to ANDERSON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDERSON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250117",
      "ccn": "250117",
      "name": "HIGHLAND COMMUNITY HOSPITAL",
      "address": "130 HIGHLANDS PARKWAY",
      "city": "PICAYUNE",
      "state": "MS",
      "zip": "39466",
      "county": "PEARL RIVER",
      "latitude": 30.5500628096962,
      "longitude": -89.6651316896172,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 50,
      "rating": 1,
      "website": "http://www.forresthealth.org/our-locations/highland-community-hospital/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-picayune-highland-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FORREST COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-forrest-county-general-hospital",
      "siblingGroupId": "siblings-ms-forrest-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FORREST COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FORREST COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BEN R HESTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250123",
      "ccn": "250123",
      "name": "SINGING RIVER GULFPORT",
      "address": "15200 COMMUNITY ROAD (PO BOX 1240; 39502)",
      "city": "GULFPORT",
      "state": "MS",
      "zip": "39503",
      "county": "HARRISON",
      "latitude": 30.4439708002714,
      "longitude": -89.0932940999338,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 130,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gulfport-singing-river-gulfport/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SINGING RIVER HEALTH SYSTEM",
      "parentSystemId": "entity-singing-river-health-system",
      "siblingGroupId": "siblings-ms-singing-river-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SINGING RIVER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JASON ` MCNEIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINGING RIVER HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SINGING RIVER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JASON ` MCNEIL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SINGING RIVER HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250124",
      "ccn": "250124",
      "name": "MAGEE GENERAL HOSPITAL",
      "address": "300 S E THIRD AVENUE SE",
      "city": "MAGEE",
      "state": "MS",
      "zip": "39111",
      "county": "SIMPSON",
      "latitude": 31.8711801700337,
      "longitude": -89.7290218596972,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 44,
      "rating": 2,
      "website": "http://www.mghosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-magee-magee-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "TRILOGY HEALTHCARE SOLUTIONS LLC",
      "parentSystemId": "entity-trilogy-healthcare-solutions-llc",
      "siblingGroupId": "siblings-ms-trilogy-healthcare-solutions-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRILOGY HEALTHCARE SOLUTIONS LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRILOGY HEALTHCARE SOLUTIONS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRILOGY HEALTHCARE SOLUTIONS LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRILOGY HEALTHCARE SOLUTIONS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "250134",
      "ccn": "250134",
      "name": "WHITFIELD MEDICAL SURGICAL HOSPITAL",
      "address": "3550 HWY 468 WEST",
      "city": "WHITFIELD",
      "state": "MS",
      "zip": "39193",
      "county": "RANKIN",
      "latitude": 32.2428057397297,
      "longitude": -90.0702453599963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 32,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MISSISSIPPI STATE HOSPITAL AT WHITFIELD",
      "parentSystemId": "entity-mississippi-state-hospital-at-whitfield",
      "siblingGroupId": "siblings-ms-mississippi-state-hospital-at-whitfield",
      "campusFamilyId": "campus-ms-250134",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI STATE HOSPITAL AT WHITFIELD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI STATE HOSPITAL AT WHITFIELD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250134-loc-ms-whitfield-whitfield-medical-surgical-hospital",
      "ccn": "250134",
      "name": "WHITFIELD MEDICAL/SURGICAL HOSPITAL",
      "address": "OAK CIRCLE, BUILDING 60",
      "city": "WHITFIELD",
      "state": "MS",
      "zip": "39193",
      "county": "RANKIN",
      "latitude": 32.2456548103176,
      "longitude": -90.0661874704319,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 32,
      "rating": null,
      "website": "http://www.msh.state.ms.us/tour/wmsh.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MISSISSIPPI STATE HOSPITAL AT WHITFIELD",
      "parentSystemId": "entity-mississippi-state-hospital-at-whitfield",
      "siblingGroupId": "siblings-ms-mississippi-state-hospital-at-whitfield",
      "campusFamilyId": "campus-ms-250134",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI STATE HOSPITAL AT WHITFIELD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSISSIPPI STATE HOSPITAL AT WHITFIELD, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "250134"
    },
    {
      "id": "250138",
      "ccn": "250138",
      "name": "MERIT HEALTH RIVER OAKS",
      "address": "1030 RIVER OAKS DRIVE",
      "city": "FLOWOOD",
      "state": "MS",
      "zip": "39232",
      "county": "RANKIN",
      "latitude": 32.3253374597925,
      "longitude": -90.10541089994,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 160,
      "rating": 1,
      "website": "http://www.merithealthriveroaks.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flowood-merit-health-river-oaks/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ms-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "250141",
      "ccn": "250141",
      "name": "BAPTIST MEMORIAL HOSPITAL - DESOTO",
      "address": "7601 SOUTHCREST PARKWAY",
      "city": "SOUTHAVEN",
      "state": "MS",
      "zip": "38671",
      "county": "DESOTO",
      "latitude": 34.96986475007,
      "longitude": -89.998165679764,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 339,
      "rating": 3,
      "website": "http://www.baptistonline.org/desoto/",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-southaven-baptist-memorial-hospital---desoto/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250151",
      "ccn": "250151",
      "name": "ALLIANCE HEALTH CENTER",
      "address": "5000 HIGHWAY 39 NORTH",
      "city": "MERIDIAN",
      "state": "MS",
      "zip": "39301",
      "county": "LAUDERDALE",
      "latitude": 32.4093016801223,
      "longitude": -88.675996570373,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 154,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ms-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "250167",
      "ccn": "250167",
      "name": "METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL",
      "address": "4250 BETHEL ROAD",
      "city": "OLIVE BRANCH",
      "state": "MS",
      "zip": "38654",
      "county": "DESOTO",
      "latitude": 34.9226445602614,
      "longitude": -89.792027020339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 67,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "METHODIST LE BONHEUR HEALTHCARE",
      "parentSystemId": "entity-methodist-le-bonheur-healthcare",
      "siblingGroupId": "siblings-ms-methodist-le-bonheur-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-methodist-le-bonheur-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.methodisthealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST LE BONHEUR HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Methodist Le Bonheur Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST LE BONHEUR HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: METHODIST LE BONHEUR HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Methodist Le Bonheur Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST LE BONHEUR HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "250168",
      "ccn": "250168",
      "name": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER - GRENADA",
      "address": "960 AVENT DRIVE",
      "city": "GRENADA",
      "state": "MS",
      "zip": "38901",
      "county": "GRENADA",
      "latitude": 33.7622343597607,
      "longitude": -89.8174798703279,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 142,
      "rating": 1,
      "website": "http://www.glmc.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grenada-university-of-mississippi-medical-center---grenada/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
      "parentSystemId": "entity-state-of-mississippi-university-of-mississippi-medical-center",
      "siblingGroupId": "siblings-ms-state-of-mississippi-university-of-mississippi-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250174",
      "ccn": "250174",
      "name": "ALLIANCE HEALTHCARE SYSTEM, INC",
      "address": "1430 HIGHWAY 4 EAST",
      "city": "HOLLY SPRINGS",
      "state": "MS",
      "zip": "38635",
      "county": "MARSHALL",
      "latitude": 34.7870988701924,
      "longitude": -89.4166594795586,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 40,
      "rating": null,
      "website": "http://www.alliancehealth.us",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-holly-springs-alliance-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ALLIANCE HEALTHCARE SYSTEM, INC",
      "parentSystemId": "entity-alliance-healthcare-system-inc",
      "siblingGroupId": "siblings-ms-alliance-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-alliance-healthcare-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists KENNETH WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to ALLIANCE HEALTHCARE SYSTEM, INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLIANCE HEALTHCARE SYSTEM, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KENNETH WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to ALLIANCE HEALTHCARE SYSTEM, INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLIANCE HEALTHCARE SYSTEM, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "250780",
      "ccn": "250780",
      "name": "JEFFERSON COUNTY HOSPITAL",
      "address": "870 MAIN STREET",
      "city": "FAYETTE",
      "state": "MS",
      "zip": "39069",
      "county": "JEFFERSON",
      "latitude": 31.7049905798195,
      "longitude": -91.0680514998597,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayette-jefferson-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JEFFERSON COUNTY HOSPITAL",
      "parentSystemId": "entity-jefferson-county-hospital",
      "siblingGroupId": "siblings-ms-jefferson-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARGARET HAMLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARGARET HAMLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250781",
      "ccn": "250781",
      "name": "PANOLA MEDICAL CENTER",
      "address": "303 MEDICAL CENTER DRIVE",
      "city": "BATESVILLE",
      "state": "MS",
      "zip": "38606",
      "county": "PANOLA",
      "latitude": 34.3062981397944,
      "longitude": -89.9146018803457,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Proprietary",
      "beds": 96,
      "rating": null,
      "website": "https://www.panolamedicalcenter.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-batesville-panola-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC",
      "parentSystemId": "entity-progressive-medical-management-of-batesville-llc",
      "siblingGroupId": "siblings-ms-progressive-medical-management-of-batesville-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists KENNETH WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KENNETH WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "250782",
      "ccn": "250782",
      "name": "GREENE COUNTY HOSPITAL",
      "address": "1017 JACKSON AVENUE",
      "city": "LEAKESVILLE",
      "state": "MS",
      "zip": "39451",
      "county": "GREENE",
      "latitude": 31.1539917299701,
      "longitude": -88.5627824296131,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 7,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leakesville-greene-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GEORGE COUNTY HOSPITAL",
      "parentSystemId": "entity-george-county-hospital",
      "siblingGroupId": "siblings-ms-george-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists GREG HAVARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists GREG HAVARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "250784",
      "ccn": "250784",
      "name": "SHARKEY - ISSAQUENA COMMUNITY HOSPITAL",
      "address": "47 SOUTH FOURTH STREET",
      "city": "ROLLING FORK",
      "state": "MS",
      "zip": "39159",
      "county": "SHARKEY",
      "latitude": 32.9047385299108,
      "longitude": -90.8845552697347,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 29,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rolling-fork-sharkey-issaquena-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SHARKEY ISSAQUENA COMMUNITY HOSPITAL",
      "parentSystemId": "entity-sharkey-issaquena-community-hospital",
      "siblingGroupId": "siblings-ms-sharkey-issaquena-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-sharkey-issaquena-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SHARKEY ISSAQUENA COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHARKEY ISSAQUENA COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SHARKEY ISSAQUENA COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHARKEY ISSAQUENA COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251300",
      "ccn": "251300",
      "name": "S.E. LACKEY MEMORIAL HOSPITAL",
      "address": "330 NORTH BROAD STREET",
      "city": "FOREST",
      "state": "MS",
      "zip": "39074",
      "county": "SCOTT",
      "latitude": 32.3660313100693,
      "longitude": -89.47023244021,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "INDEPENDENT HEALTHCARE MANAGEMENT INC",
      "parentSystemId": "entity-independent-healthcare-management-inc",
      "siblingGroupId": "siblings-ms-independent-healthcare-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: INDEPENDENT HEALTHCARE MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDEPENDENT HEALTHCARE MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INDEPENDENT HEALTHCARE MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INDEPENDENT HEALTHCARE MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "251302",
      "ccn": "251302",
      "name": "MONROE REGIONAL HOSPITAL",
      "address": "400 SOUTH CHESTNUT STREET",
      "city": "ABERDEEN",
      "state": "MS",
      "zip": "39730",
      "county": "MONROE",
      "latitude": 33.8201824101067,
      "longitude": -88.5402444797705,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aberdeen-monroe-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BOA VIDA HOSPITAL OF ABERDEEN MS LLC",
      "parentSystemId": "entity-boa-vida-hospital-of-aberdeen-ms-llc",
      "siblingGroupId": "siblings-ms-boa-vida-hospital-of-aberdeen-ms-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOA VIDA HOSPITAL OF ABERDEEN MS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOA VIDA HOSPITAL OF ABERDEEN MS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOA VIDA HOSPITAL OF ABERDEEN MS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOA VIDA HOSPITAL OF ABERDEEN MS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "251304",
      "ccn": "251304",
      "name": "TALLAHATCHIE GENERAL HOSPITAL",
      "address": "201 SOUTH MARKET STREET",
      "city": "CHARLESTON",
      "state": "MS",
      "zip": "38921",
      "county": "TALLAHATCHIE",
      "latitude": 34.0040563400244,
      "longitude": -90.0588323298886,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": null,
      "website": "www.mytgh.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-tallahatchie-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TALLAHATCHIE GENERAL HOSPITAL",
      "parentSystemId": "entity-tallahatchie-general-hospital",
      "siblingGroupId": "siblings-ms-tallahatchie-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TALLAHATCHIE GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TALLAHATCHIE GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TALLAHATCHIE GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TALLAHATCHIE GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251305",
      "ccn": "251305",
      "name": "LAWRENCE COUNTY HOSPITAL",
      "address": "1065 EAST BROAD STREET",
      "city": "MONTICELLO",
      "state": "MS",
      "zip": "39654",
      "county": "LAWRENCE",
      "latitude": 31.5540703598015,
      "longitude": -90.0998426998379,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.smrmc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-lawrence-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF MCCOMB, MISSISSIPPI",
      "parentSystemId": "entity-city-of-mccomb-mississippi",
      "siblingGroupId": "siblings-ms-city-of-mccomb-mississippi",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF MCCOMB, MISSISSIPPI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 45%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF MCCOMB, MISSISSIPPI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF MCCOMB, MISSISSIPPI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 45%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF MCCOMB, MISSISSIPPI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251307",
      "ccn": "251307",
      "name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
      "address": "78 HOSPITAL ROAD",
      "city": "MACON",
      "state": "MS",
      "zip": "39341",
      "county": "NOXUBEE",
      "latitude": 33.1222327998212,
      "longitude": -88.5586053803229,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 25,
      "rating": null,
      "website": "http://www.ngcah.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macon-noxubee-general-critical-access-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
      "parentSystemId": "entity-noxubee-general-critical-access-hospital",
      "siblingGroupId": "siblings-ms-noxubee-general-critical-access-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-noxubee-general-critical-access-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists MARGARET EBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARGARET EBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251309",
      "ccn": "251309",
      "name": "FIELD HEALTH SYSTEMS",
      "address": "178 HIGHWAY 24 EAST",
      "city": "CENTREVILLE",
      "state": "MS",
      "zip": "39631",
      "county": "AMITE",
      "latitude": 31.0820992898213,
      "longitude": -91.0588784000483,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FIELD MEMORIAL COMMUNITY HOSPITAL",
      "parentSystemId": "entity-field-memorial-community-hospital",
      "siblingGroupId": "siblings-ms-field-memorial-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-field-memorial-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to FIELD MEMORIAL COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIELD MEMORIAL COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to FIELD MEMORIAL COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIELD MEMORIAL COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251312",
      "ccn": "251312",
      "name": "TYLER HOLMES MEMORIAL HOSPITAL",
      "address": "409 TYLER HOLMES DRIVE",
      "city": "WINONA",
      "state": "MS",
      "zip": "38967",
      "county": "MONTGOMERY",
      "latitude": 33.4909256003163,
      "longitude": -89.7385516598466,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.thmh.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winona-tyler-holmes-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TYLER HOLMES MEMORIAL HOSPITAL",
      "parentSystemId": "entity-tyler-holmes-memorial-hospital",
      "siblingGroupId": "siblings-ms-tyler-holmes-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-tyler-holmes-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TYLER HOLMES MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to TYLER HOLMES MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TYLER HOLMES MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TYLER HOLMES MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to TYLER HOLMES MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TYLER HOLMES MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251313",
      "ccn": "251313",
      "name": "BAPTIST MEDICAL CENTER YAZOO",
      "address": "823 GRAND AVENUE",
      "city": "YAZOO CITY",
      "state": "MS",
      "zip": "39194",
      "county": "YAZOO",
      "latitude": 32.8588946997261,
      "longitude": -90.4042594103215,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://mbhs.org/locations/baptist-medical-center-yazoo/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yazoo-city-baptist-medical-center-yazoo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "251315",
      "ccn": "251315",
      "name": "BAPTIST MEDICAL CENTER LEAKE",
      "address": "1100 HIGHWAY 16 EAST",
      "city": "CARTHAGE",
      "state": "MS",
      "zip": "39051",
      "county": "LEAKE",
      "latitude": 32.7394389996968,
      "longitude": -89.5175160000115,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carthage-baptist-medical-center-leake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "251317",
      "ccn": "251317",
      "name": "SIMPSON GENERAL HOSPITAL",
      "address": "1842 SIMPSON, HIGHWAY 149",
      "city": "MENDENHALL",
      "state": "MS",
      "zip": "39114",
      "county": "SIMPSON",
      "latitude": 31.9690726502308,
      "longitude": -89.8864944700647,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 2,
      "website": "http://www.simpsongeneralhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mendenhall-simpson-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ms-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-simpson-community-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SIMPSON COMMUNITY HEALTHCARE, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to SIMPSON COMMUNITY HEALTHCARE, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "251318",
      "ccn": "251318",
      "name": "NORTH SUNFLOWER MEDICAL CENTER",
      "address": "840 NORTH OAK AVENUE",
      "city": "RULEVILLE",
      "state": "MS",
      "zip": "38771",
      "county": "SUNFLOWER",
      "latitude": 33.7344354002789,
      "longitude": -90.5454545504357,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": 1,
      "website": "http://www.northsunflower.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ruleville-north-sunflower-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTH SUNFLOWER MEDICAL CENTER",
      "parentSystemId": "entity-north-sunflower-medical-center",
      "siblingGroupId": "siblings-ms-north-sunflower-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH SUNFLOWER MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SAMUEL MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH SUNFLOWER MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH SUNFLOWER MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SAMUEL MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH SUNFLOWER MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251319",
      "ccn": "251319",
      "name": "HOLMES COUNTY HOSPITAL AND CLINICS",
      "address": "239 BOWLING GREEN ROAD",
      "city": "LEXINGTON",
      "state": "MS",
      "zip": "39095",
      "county": "HOLMES",
      "latitude": 33.111689549717,
      "longitude": -90.0307313102225,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-holmes-county-hospital-&-clinics/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
      "parentSystemId": "entity-state-of-mississippi-university-of-mississippi-medical-center",
      "siblingGroupId": "siblings-ms-state-of-mississippi-university-of-mississippi-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251320",
      "ccn": "251320",
      "name": "CLAIBORNE COUNTY HOSPITAL",
      "address": "123 MCCOMB AVENUE",
      "city": "PORT GIBSON",
      "state": "MS",
      "zip": "39150",
      "county": "CLAIBORNE",
      "latitude": 31.9463108403657,
      "longitude": -90.9847109398743,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 32,
      "rating": null,
      "website": "http://www.claibornecountymedicalcenter.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-gibson-claiborne-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CLAIBORNE COUNTY BOARD OF SUPERVISORS",
      "parentSystemId": "entity-claiborne-county-board-of-supervisors",
      "siblingGroupId": "siblings-ms-claiborne-county-board-of-supervisors",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLAIBORNE COUNTY BOARD OF SUPERVISORS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARIE CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAIBORNE COUNTY BOARD OF SUPERVISORS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLAIBORNE COUNTY BOARD OF SUPERVISORS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARIE CLARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAIBORNE COUNTY BOARD OF SUPERVISORS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251322",
      "ccn": "251322",
      "name": "LAIRD HOSPITAL",
      "address": "25117 HIGHWAY 15",
      "city": "UNION",
      "state": "MS",
      "zip": "39365",
      "county": "NEWTON",
      "latitude": 32.5758748598582,
      "longitude": -89.1037603299866,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.lairdhospital.com/lh/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-union-laird-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ochsner Health",
      "parentSystemId": "entity-ochsner-health",
      "siblingGroupId": "siblings-ms-ochsner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-ochsner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ochsner.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCHSNER CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHNATHAN Y LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Ochsner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ochsner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "251325",
      "ccn": "251325",
      "name": "COVINGTON COUNTY HOSPITAL",
      "address": "701 SOUTH HOLLY STREET",
      "city": "COLLINS",
      "state": "MS",
      "zip": "39428",
      "county": "COVINGTON",
      "latitude": 31.6372220497468,
      "longitude": -89.5547434699763,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": null,
      "website": "http://www.covingtoncountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-collins-covington-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COVINGTON COUNTY HOSPITAL",
      "parentSystemId": "entity-covington-county-hospital",
      "siblingGroupId": "siblings-ms-covington-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists GREGG GIBBES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists GREGG GIBBES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVINGTON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251327",
      "ccn": "251327",
      "name": "COPIAH COUNTY MEDICAL CENTER",
      "address": "27190 HWY 28",
      "city": "HAZLEHURST",
      "state": "MS",
      "zip": "39083",
      "county": "COPIAH",
      "latitude": 31.8713550996848,
      "longitude": -90.4146357603368,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://hwmhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COPIAH COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-copiah-county-medical-center",
      "siblingGroupId": "siblings-ms-copiah-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COPIAH COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COPIAH COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COPIAH COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COPIAH COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251330",
      "ccn": "251330",
      "name": "FRANKLIN COUNTY MEMORIAL HOSPITAL",
      "address": "40 UNION CHURCH ROAD",
      "city": "MEADVILLE",
      "state": "MS",
      "zip": "39653",
      "county": "FRANKLIN",
      "latitude": 31.4731809503421,
      "longitude": -90.8844055196786,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.fcmh.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meadville-franklin-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FRANKLIN COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-franklin-county-memorial-hospital",
      "siblingGroupId": "siblings-ms-franklin-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANKLIN COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MIKE BOLEWARE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANKLIN COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MIKE BOLEWARE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251333",
      "ccn": "251333",
      "name": "PEARL RIVER COUNTY HOSPITAL",
      "address": "305 WEST MOODY STREET",
      "city": "POPLARVILLE",
      "state": "MS",
      "zip": "39470",
      "county": "PEARL RIVER",
      "latitude": 30.8565401002794,
      "longitude": -89.5420106296632,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 24,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "FORREST COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-forrest-county-general-hospital",
      "siblingGroupId": "siblings-ms-forrest-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FORREST COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIK STEELE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FORREST COUNTY GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIK STEELE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORREST COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251334",
      "ccn": "251334",
      "name": "CHOCTAW REGIONAL MEDICAL CENTER",
      "address": "8613 MS HIGHWAY 12",
      "city": "ACKERMAN",
      "state": "MS",
      "zip": "39735",
      "county": "CHOCTAW",
      "latitude": 33.3199442703653,
      "longitude": -89.1826833401207,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.choctawregional.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ackerman-choctaw-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHOCTAW REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-choctaw-regional-medical-center",
      "siblingGroupId": "siblings-ms-choctaw-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-choctaw-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS lists STEVE MARINELLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to CHOCTAW REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHOCTAW REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEVE MARINELLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to CHOCTAW REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHOCTAW REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "251336",
      "ccn": "251336",
      "name": "BAPTIST MEDICAL CENTER - ATTALA",
      "address": "220 HIGHWAY 12 WEST",
      "city": "KOSCIUSKO",
      "state": "MS",
      "zip": "39090",
      "county": "ATTALA",
      "latitude": 33.0658661499092,
      "longitude": -89.5983633901304,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://mbhs.org/locations/baptist-medical-center-attala/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kosciusko-baptist-medical-center---attala/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-ms-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Baptist Memorial Health Care; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "251337",
      "ccn": "251337",
      "name": "TIPPAH COUNTY HOSPITAL",
      "address": "1005 CITY AVENUE NORTH",
      "city": "RIPLEY",
      "state": "MS",
      "zip": "38663",
      "county": "TIPPAH",
      "latitude": 34.739389809862,
      "longitude": -88.9502473397796,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "http://www.tippahcounty.ripley.ms/hospital.html",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ripley-tippah-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TIPPAH COUNTY, MISSISSIPPI",
      "parentSystemId": "entity-tippah-county-mississippi",
      "siblingGroupId": "siblings-ms-tippah-county-mississippi",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-local-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TIPPAH COUNTY, MISSISSIPPI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIPPAH COUNTY, MISSISSIPPI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TIPPAH COUNTY, MISSISSIPPI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIPPAH COUNTY, MISSISSIPPI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "252013",
      "ccn": "252013",
      "name": "ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE",
      "address": "300 SOUTH WASHINGTON AVENUE, 4TH FLOOR",
      "city": "GREENVILLE",
      "state": "MS",
      "zip": "38701",
      "county": "WASHINGTON",
      "latitude": 33.4034656303087,
      "longitude": -91.0508981497465,
      "hospitalType": "Long-term",
      "sourceOwner": "Proprietary",
      "beds": 39,
      "rating": null,
      "website": "http://www.ahmgt.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-allegiance-specialty-hospital-of-greenville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Allegiance Health Management",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-ms-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES BALLENGEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES BALLENGEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "254005",
      "ccn": "254005",
      "name": "PARKWOOD BEHAVIORAL HEALTH SYSTEM",
      "address": "8135 GOODMAN ROAD",
      "city": "OLIVE BRANCH",
      "state": "MS",
      "zip": "38654",
      "county": "DESOTO",
      "latitude": 34.9609824403084,
      "longitude": -89.8456803002583,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 108,
      "rating": null,
      "website": "http://www.parkwoodbhs.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olive-branch-parkwood-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ms-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "254007",
      "ccn": "254007",
      "name": "BRENTWOOD BEHAVIORAL HEALTHCARE OF MS",
      "address": "3531 LAKELAND DRIVE",
      "city": "FLOWOOD",
      "state": "MS",
      "zip": "39232",
      "county": "RANKIN",
      "latitude": 32.3315968602975,
      "longitude": -90.1002300399137,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 105,
      "rating": null,
      "website": "http://www.brentwoodjackson.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flowood-brentwood-behavioral-healthcare-of-ms/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ms-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "254008",
      "ccn": "254008",
      "name": "SOUTH MISSISSIPPI STATE HOSPITAL",
      "address": "823 HIGHWAY 589",
      "city": "PURVIS",
      "state": "MS",
      "zip": "39475",
      "county": "LAMAR",
      "latitude": 31.166602239997,
      "longitude": -89.4252131298961,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SOUTH MISSISSIPPI STATE HOSPITAL",
      "parentSystemId": "entity-south-mississippi-state-hospital",
      "siblingGroupId": "siblings-ms-south-mississippi-state-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH MISSISSIPPI STATE HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH MISSISSIPPI STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH MISSISSIPPI STATE HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH MISSISSIPPI STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "254009",
      "ccn": "254009",
      "name": "NORTH MISSISSIPPI STATE HOSPITAL",
      "address": "1937 BRIAR RIDGE ROAD",
      "city": "TUPELO",
      "state": "MS",
      "zip": "38804",
      "county": "LEE",
      "latitude": 34.2376065703092,
      "longitude": -88.6718275098007,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 50,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NORTH MISSISSIPPI STATE HOSPITAL",
      "parentSystemId": "entity-north-mississippi-state-hospital",
      "siblingGroupId": "siblings-ms-north-mississippi-state-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ms-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH MISSISSIPPI STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "254013",
      "ccn": "254013",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF TUPELO",
      "address": "4579 SOUTH EASON BLVD, SUITE B",
      "city": "TUPELO",
      "state": "MS",
      "zip": "38801",
      "county": "LEE",
      "latitude": 34.2318692999988,
      "longitude": -88.7142621002425,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OCEANS ACQUISITION INC",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-ms-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "254014",
      "ccn": "254014",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF JACKSON",
      "address": "2969 NORTH CURRAN DRIVE, BLDG A",
      "city": "JACKSON",
      "state": "MS",
      "zip": "39216",
      "county": "HINDS",
      "latitude": 32.3364431411084,
      "longitude": -90.165266251887,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 77,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OCEANS ACQUISITION INC",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-ms-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "260001",
      "ccn": "260001",
      "name": "MERCY HOSPITAL JOPLIN",
      "address": "100 MERCY WAY",
      "city": "JOPLIN",
      "state": "MO",
      "zip": "64804",
      "county": "NEWTON",
      "latitude": 37.0365133998926,
      "longitude": -94.5097092802702,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 242,
      "rating": 1,
      "website": "https://www.mercy.net/practice/mercy-hospital-joplin",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260009",
      "ccn": "260009",
      "name": "BOTHWELL REGIONAL HEALTH CENTER",
      "address": "601 EAST 14TH STREET, PO BOX 1706",
      "city": "SEDALIA",
      "state": "MO",
      "zip": "65301",
      "county": "PETTIS",
      "latitude": 38.6995744503171,
      "longitude": -93.2215861099416,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 99,
      "rating": 4,
      "website": "http://www.brhc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sedalia-bothwell-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BOTHWELL REGIONAL HEALTH CENTER",
      "parentSystemId": "entity-bothwell-regional-health-center",
      "siblingGroupId": "siblings-mo-bothwell-regional-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOTHWELL REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOTHWELL REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOTHWELL REGIONAL HEALTH CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOTHWELL REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260011",
      "ccn": "260011",
      "name": "SSM HEALTH ST. MARY'S HOSPITAL - JEFFERS",
      "address": "2505 MISSION DRIVE",
      "city": "JEFFERSON CITY",
      "state": "MO",
      "zip": "65109",
      "county": "COLE",
      "latitude": 38.5586981896527,
      "longitude": -92.2215691200442,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 154,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-mo-ssm-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KAREN D REWERTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KAREN D REWERTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260022",
      "ccn": "260022",
      "name": "NORTHEAST REGIONAL MEDICAL CENTER",
      "address": "315 SOUTH OSTEOPATHY, PO BOX C8502",
      "city": "KIRKSVILLE",
      "state": "MO",
      "zip": "63501",
      "county": "ADAIR",
      "latitude": 40.1935119402181,
      "longitude": -92.5890640996607,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 93,
      "rating": 2,
      "website": "http://www.nermc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kirksville-northeast-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-mo-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "260023",
      "ccn": "260023",
      "name": "MERCY HOSPITAL JEFFERSON",
      "address": "1400 HIGHWAY 61 SOUTH, PO BOX 350",
      "city": "CRYSTAL CITY",
      "state": "MO",
      "zip": "63019",
      "county": "JEFFERSON",
      "latitude": 38.1966694599162,
      "longitude": -90.3936026404104,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 321,
      "rating": 4,
      "website": "http://www.mercy.net/newsroom-mercy-hospital-jefferson",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crystal-city-mercy-hospital-jefferson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260024",
      "ccn": "260024",
      "name": "TEXAS COUNTY MEMORIAL HOSPITAL",
      "address": "1333 S SAM HOUSTON BOULEVARD",
      "city": "HOUSTON",
      "state": "MO",
      "zip": "65483",
      "county": "TEXAS",
      "latitude": 37.3161216901928,
      "longitude": -91.9611685397556,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 66,
      "rating": 2,
      "website": "http://www.tcmh.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-texas-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TEXAS COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-texas-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-texas-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260025",
      "ccn": "260025",
      "name": "HANNIBAL REGIONAL HOSPITAL",
      "address": "6000 HOSPITAL DRIVE, PO BOX 551",
      "city": "HANNIBAL",
      "state": "MO",
      "zip": "63401",
      "county": "MARION",
      "latitude": 39.7106121397239,
      "longitude": -91.4505384300153,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 99,
      "rating": 2,
      "website": "https://hospital.hannibalregional.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hannibal-hannibal-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HANNIBAL REGIONAL HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-hannibal-regional-healthcare-system-inc",
      "siblingGroupId": "siblings-mo-hannibal-regional-healthcare-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-independent-missouri-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT N GASAWAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANNIBAL REGIONAL HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT N GASAWAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANNIBAL REGIONAL HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260027",
      "ccn": "260027",
      "name": "RESEARCH MEDICAL CENTER",
      "address": "2316 EAST MEYER BOULEVARD",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64132",
      "county": "JACKSON",
      "latitude": 39.0088998401035,
      "longitude": -94.5581250901306,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 590,
      "rating": 2,
      "website": "http://researchmedicalcenter.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-research-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-mo-hca-healthcare",
      "campusFamilyId": "campus-mo-260027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SAMUEL MAXFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SAMUEL MAXFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "260027-loc-mo-kansas-city-research-medical-center-brookside-c",
      "ccn": "260027",
      "name": "RESEARCH MEDICAL CENTER - BROOKSIDE C",
      "address": "6601 ROCKHILL ROAD",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64131",
      "county": "JACKSON",
      "latitude": 39.0072316399763,
      "longitude": -94.5777309604453,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 3,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-mo-hca-healthcare",
      "campusFamilyId": "campus-mo-260027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SAMUEL MAXFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SAMUEL MAXFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "260027"
    },
    {
      "id": "260027-loc-mo-kansas-city-research-psychiatric-center-a-campus-of",
      "ccn": "260027",
      "name": "RESEARCH PSYCHIATRIC CENTER - A CAMPUS OF RESEARCH MEDICAL CENTER",
      "address": "2323 EAST 63RD STREET",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64130",
      "county": "JACKSON",
      "latitude": 39.0114032999085,
      "longitude": -94.5600165396737,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": 2,
      "website": "http://www.researchpsychiatriccenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-mo-hca-healthcare",
      "campusFamilyId": "campus-mo-260027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SAMUEL MAXFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SAMUEL MAXFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "260027"
    },
    {
      "id": "260034",
      "ccn": "260034",
      "name": "BATES COUNTY MEMORIAL HOSPITAL",
      "address": "615 WEST NURSERY STREET, PO BOX 370",
      "city": "BUTLER",
      "state": "MO",
      "zip": "64730",
      "county": "BATES",
      "latitude": 38.2490284397848,
      "longitude": -94.3428858797348,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 60,
      "rating": 3,
      "website": "http://www.bcmhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-butler-bates-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BATES COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-bates-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-bates-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BATES COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GREGORY A WEAVER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATES COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BATES COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists GREGORY A WEAVER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BATES COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260040",
      "ccn": "260040",
      "name": "COX MEDICAL CENTERS MEYER ORTHOPEDIC",
      "address": "3535 S NATIONAL AVE",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65807",
      "county": "GREENE",
      "latitude": 37.1507277000943,
      "longitude": -93.2795838204412,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 86,
      "rating": 3,
      "website": "https://www.coxhealth.com/our-hospitals-and-clinics/our-locations/meyer-orthopedic-rehabilitation-hospital/",
      "status": "corporate_chain",
      "parentSystem": "COXHEALTH",
      "affiliatedSystem": "Coxhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Coxhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-cox-medical-centers-meyer-orthopedic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-coxhealth",
      "siblingGroupId": "siblings-mo-coxhealth",
      "campusFamilyId": "campus-mo-260040",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-coxhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.coxhealth.com/our-hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260040-loc-mo-springfield-cox-medical-centers-north-hospital",
      "ccn": "260040",
      "name": "COX MEDICAL CENTERS NORTH HOSPITAL",
      "address": "1423 NORTH JEFFERSON AVENUE",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65802",
      "county": "GREENE",
      "latitude": 37.2247824902094,
      "longitude": -93.2899637798874,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 75,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-cox-medical-centers-north-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COXHEALTH",
      "parentSystemId": "entity-coxhealth",
      "siblingGroupId": "siblings-mo-coxhealth",
      "campusFamilyId": "campus-mo-260040",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-coxhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.coxhealth.com/our-hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "260040"
    },
    {
      "id": "260040-loc-mo-springfield-cox-medical-centers-south-hospital",
      "ccn": "260040",
      "name": "COX MEDICAL CENTERS SOUTH HOSPITAL",
      "address": "3801 SOUTH NATIONAL AVENUE",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65807",
      "county": "GREENE",
      "latitude": 37.1449462500276,
      "longitude": -93.279677319791,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 706,
      "rating": 3,
      "website": "http://www.coxhealth.com/body.cfm?id=1344",
      "status": "corporate_chain",
      "parentSystem": "COXHEALTH",
      "affiliatedSystem": "Coxhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Coxhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-cox-medical-centers-south-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-coxhealth",
      "siblingGroupId": "siblings-mo-coxhealth",
      "campusFamilyId": "campus-mo-260040",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-coxhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.coxhealth.com/our-hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "260040"
    },
    {
      "id": "26004F",
      "ccn": "26004F",
      "name": "KANSAS CITY VA MEDICAL CENTER",
      "address": "4801 LINWOOD BOULEVARD",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64128",
      "county": "JACKSON",
      "latitude": 39.0640641000204,
      "longitude": -94.5264143998027,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 157,
      "rating": 4,
      "website": "https://www.kansascity.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mo-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260052",
      "ccn": "260052",
      "name": "MERCY HOSPITAL WASHINGTON",
      "address": "901 EAST 5TH STREET",
      "city": "WASHINGTON",
      "state": "MO",
      "zip": "63090",
      "county": "FRANKLIN",
      "latitude": 38.552590089971,
      "longitude": -91.0021347296005,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 140,
      "rating": 4,
      "website": "http://www.mercy.net",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-mercy-hospital-washington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260057",
      "ccn": "260057",
      "name": "CAMERON REGIONAL MEDICAL CENTER, INC",
      "address": "1600 EAST EVERGREEN, PO BOX 557",
      "city": "CAMERON",
      "state": "MO",
      "zip": "64429",
      "county": "CLINTON",
      "latitude": 39.7304349502273,
      "longitude": -94.2180560300744,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cameron-cameron-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAMERON REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-cameron-regional-medical-center-inc",
      "siblingGroupId": "siblings-mo-cameron-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-cameron-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAMERON REGIONAL MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOSEPH F ABRUTZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CAMERON REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMERON REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAMERON REGIONAL MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOSEPH F ABRUTZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CAMERON REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMERON REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260059",
      "ccn": "260059",
      "name": "MERCY HOSPITAL LEBANON",
      "address": "100 HOSPITAL DRIVE",
      "city": "LEBANON",
      "state": "MO",
      "zip": "65536",
      "county": "LACLEDE",
      "latitude": 37.6812775301464,
      "longitude": -92.6339462399256,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 58,
      "rating": 4,
      "website": "https://www.mercy.net/practice/mercy-hospital-lebanon/",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lebanon-mercy-hospital-lebanon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260061",
      "ccn": "260061",
      "name": "NEVADA REGIONAL MEDICAL CENTER",
      "address": "800 SOUTH ASH STREET",
      "city": "NEVADA",
      "state": "MO",
      "zip": "64772",
      "county": "VERNON",
      "latitude": 37.8311845196882,
      "longitude": -94.3604855299492,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 71,
      "rating": null,
      "website": "http://www.nrmchealth.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nevada-nevada-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEVADA CITY HOSPITAL",
      "parentSystemId": "entity-nevada-city-hospital",
      "siblingGroupId": "siblings-mo-nevada-city-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-nevada-city-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to NEVADA CITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEVADA CITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to NEVADA CITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEVADA CITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260062",
      "ccn": "260062",
      "name": "SAINT LUKE'S NORTH HOSPITAL",
      "address": "5830 NW BARRY ROAD",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64154",
      "county": "PLATTE",
      "latitude": 39.2489889897188,
      "longitude": -94.6483290699408,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 97,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-mo-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260065",
      "ccn": "260065",
      "name": "MERCY HOSPITAL SPRINGFIELD",
      "address": "1235 EAST CHEROKEE STREET",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65804",
      "county": "GREENE",
      "latitude": 37.1789823699525,
      "longitude": -93.2752759899204,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 866,
      "rating": 3,
      "website": "https://www.mercy.net/practice/mercy-hospital-springfield/",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-mercy-hospital-springfield/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260068",
      "ccn": "260068",
      "name": "BOONE HOSPITAL CENTER",
      "address": "1600 EAST BROADWAY",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65201",
      "county": "BOONE",
      "latitude": 38.9492967899873,
      "longitude": -92.3158130797069,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 392,
      "rating": 4,
      "website": "http://www.boone.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-boone-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BOONE HEALTH INC.",
      "parentSystemId": "entity-boone-health-inc",
      "siblingGroupId": "siblings-mo-boone-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-boone-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://boone.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOONE HEALTH INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KATHLEEN DALY PITZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Boone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE HEALTH INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOONE HEALTH INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KATHLEEN DALY PITZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Boone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE HEALTH INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260070",
      "ccn": "260070",
      "name": "PEMISCOT COUNTY MEMORIAL HOSPITAL",
      "address": "946 EAST REED",
      "city": "HAYTI",
      "state": "MO",
      "zip": "63851",
      "county": "PEMISCOT",
      "latitude": 36.2373074698387,
      "longitude": -89.7407098299774,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 167,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hayti-pemiscot-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PEMISCOT COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-pemiscot-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-pemiscot-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEMISCOT COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEMISCOT COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260074",
      "ccn": "260074",
      "name": "MOBERLY REGIONAL MEDICAL CENTER",
      "address": "1515 UNION AVENUE",
      "city": "MOBERLY",
      "state": "MO",
      "zip": "65270",
      "county": "RANDOLPH",
      "latitude": 39.4252711802499,
      "longitude": -92.4136561602168,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 99,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moberly-moberly-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-mo-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "260078",
      "ccn": "260078",
      "name": "OZARKS HEALTHCARE",
      "address": "1100 KENTUCKY AVENUE, PO BOX 1100",
      "city": "WEST PLAINS",
      "state": "MO",
      "zip": "65775",
      "county": "HOWELL",
      "latitude": 36.7381879497397,
      "longitude": -91.8745880799339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 114,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OZARKS MEDICAL CENTER",
      "parentSystemId": "entity-ozarks-medical-center",
      "siblingGroupId": "siblings-mo-ozarks-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-independent-missouri-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: OZARKS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OZARKS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OZARKS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists THOMAS KELLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OZARKS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260085",
      "ccn": "260085",
      "name": "ST. JOSEPH MEDICAL CENTER",
      "address": "1000 CARONDELET DRIVE",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64114",
      "county": "JACKSON",
      "latitude": 38.9361354701381,
      "longitude": -94.6038177200892,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 271,
      "rating": 3,
      "website": "http://www.carondelethealth.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-st.-joseph-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-mo-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "260094",
      "ccn": "260094",
      "name": "COX MEDICAL CENTER BRANSON",
      "address": "525 BRANSON LANDING BLVD, PO BOX 650",
      "city": "BRANSON",
      "state": "MO",
      "zip": "65615",
      "county": "TANEY",
      "latitude": 36.6506100797166,
      "longitude": -93.2218694403788,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 157,
      "rating": 4,
      "website": "www.coxhealth.com/",
      "status": "corporate_chain",
      "parentSystem": "COXHEALTH",
      "affiliatedSystem": "Coxhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Coxhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-branson-cox-medical-center-branson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-coxhealth",
      "siblingGroupId": "siblings-mo-coxhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-coxhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.coxhealth.com/our-hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Coxhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Coxhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260095",
      "ccn": "260095",
      "name": "CENTERPOINT MEDICAL CENTER",
      "address": "19600 EAST 39TH STREET",
      "city": "INDEPENDENCE",
      "state": "MO",
      "zip": "64057",
      "county": "JACKSON",
      "latitude": 39.0495448003042,
      "longitude": -94.3489038195873,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 285,
      "rating": 3,
      "website": "http://www.centerpointmedical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-independence-centerpoint-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLUMBIA HEALTH CARE SYSTEM OF LOUISIANA INC",
      "parentSystemId": "entity-columbia-health-care-system-of-louisiana-inc",
      "siblingGroupId": "siblings-mo-columbia-health-care-system-of-louisiana-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA HEALTH CARE SYSTEM OF LOUISIANA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA HEALTH CARE SYSTEM OF LOUISIANA INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA HEALTH CARE SYSTEM OF LOUISIANA INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA HEALTH CARE SYSTEM OF LOUISIANA INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "260097",
      "ccn": "260097",
      "name": "WESTERN MISSOURI MEDICAL CENTER",
      "address": "403 BURKARTH ROAD",
      "city": "WARRENSBURG",
      "state": "MO",
      "zip": "64093",
      "county": "JOHNSON",
      "latitude": 38.7659332801718,
      "longitude": -93.7222951699885,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 62,
      "rating": 4,
      "website": "http://www.wmmc.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warrensburg-western-missouri-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WESTERN MISSOURI MEDICAL CENTER",
      "parentSystemId": "entity-western-missouri-medical-center",
      "siblingGroupId": "siblings-mo-western-missouri-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-western-missouri-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WESTERN MISSOURI MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to WESTERN MISSOURI MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTERN MISSOURI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WESTERN MISSOURI MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to WESTERN MISSOURI MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTERN MISSOURI MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260102",
      "ccn": "260102",
      "name": "UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER",
      "address": "7900 LEE'S SUMMIT ROAD",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64139",
      "county": "JACKSON",
      "latitude": 38.9753918698036,
      "longitude": -94.3943534498717,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 305,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "TRUMAN MEDICAL CENTER INCORPORATED",
      "parentSystemId": "entity-truman-medical-center-incorporated",
      "siblingGroupId": "siblings-mo-truman-medical-center-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRUMAN MEDICAL CENTER INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRUMAN MEDICAL CENTER INCORPORATED, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRUMAN MEDICAL CENTER INCORPORATED (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRUMAN MEDICAL CENTER INCORPORATED, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260104",
      "ccn": "260104",
      "name": "SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS",
      "address": "12303 DEPAUL DRIVE",
      "city": "BRIDGETON",
      "state": "MO",
      "zip": "63044",
      "county": "ST. LOUIS",
      "latitude": 38.7505565399136,
      "longitude": -90.4337424997303,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 523,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE ST LOUIS",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-st-louis",
      "siblingGroupId": "siblings-mo-ssm-health-care-st-louis",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE ST LOUIS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists EILEEN LAMM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE ST LOUIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260113",
      "ccn": "260113",
      "name": "MISSOURI DELTA MEDICAL CENTER",
      "address": "1008 NORTH MAIN STREET",
      "city": "SIKESTON",
      "state": "MO",
      "zip": "63801",
      "county": "SCOTT",
      "latitude": 36.8898424803071,
      "longitude": -89.5834626895596,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 125,
      "rating": 2,
      "website": "http://www.missouridelta.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sikeston-missouri-delta-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MISSOURI DELTA MEDICAL CENTER",
      "parentSystemId": "entity-missouri-delta-medical-center",
      "siblingGroupId": "siblings-mo-missouri-delta-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-missouri-delta-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MISSOURI DELTA MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MISSOURI DELTA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSOURI DELTA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MISSOURI DELTA MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MISSOURI DELTA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSOURI DELTA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260119",
      "ccn": "260119",
      "name": "POPLAR BLUFF REGIONAL MEDICAL CENTER",
      "address": "2620 NORTH WESTWOOD BOULEVARD",
      "city": "POPLAR BLUFF",
      "state": "MO",
      "zip": "63901",
      "county": "BUTLER",
      "latitude": 36.7855810601585,
      "longitude": -90.4261255002816,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 170,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-mo-community-health-systems",
      "campusFamilyId": "campus-mo-260119",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL STATES HMA HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL STATES HMA HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "260119-loc-mo-poplar-bluff-poplar-bluff-regional-medical-center",
      "ccn": "260119",
      "name": "POPLAR BLUFF REGIONAL MEDICAL CENTER",
      "address": "3100 OAK GROVE ROAD",
      "city": "POPLAR BLUFF",
      "state": "MO",
      "zip": "63901",
      "county": "BUTLER",
      "latitude": 36.7869106103521,
      "longitude": -90.4432518901565,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 240,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-mo-community-health-systems",
      "campusFamilyId": "campus-mo-260119",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL STATES HMA HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL STATES HMA HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "260119"
    },
    {
      "id": "260141",
      "ccn": "260141",
      "name": "UNIVERSITY OF MISSOURI HEALTH CARE",
      "address": "1 HOSPITAL DRIVE, ROOM CE121, DC03100",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65212",
      "county": "BOONE",
      "latitude": 38.9383836600393,
      "longitude": -92.3281781102168,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 247,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - State",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-university-of-missouri-health-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CURATORS OF THE UNIVERSITY OF MISSOURI",
      "parentSystemId": "entity-curators-of-the-university-of-missouri",
      "siblingGroupId": "siblings-mo-curators-of-the-university-of-missouri",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CURATORS OF THE UNIVERSITY OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURATORS OF THE UNIVERSITY OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CURATORS OF THE UNIVERSITY OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURATORS OF THE UNIVERSITY OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260142",
      "ccn": "260142",
      "name": "FITZGIBBON HOSPITAL",
      "address": "2305 SOUTH 65 HIGHWAY, PO BOX 250",
      "city": "MARSHALL",
      "state": "MO",
      "zip": "65340",
      "county": "SALINE",
      "latitude": 39.0914981702822,
      "longitude": -93.2131591301439,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 2,
      "website": "http://www.fitzgibbon.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marshall-fitzgibbon-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JOHN FITZGIBBON MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-john-fitzgibbon-memorial-hospital-inc",
      "siblingGroupId": "siblings-mo-john-fitzgibbon-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-john-fitzgibbon-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: JOHN FITZGIBBON MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to JOHN FITZGIBBON MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN FITZGIBBON MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JOHN FITZGIBBON MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to JOHN FITZGIBBON MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHN FITZGIBBON MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260162",
      "ccn": "260162",
      "name": "BARNES - JEWISH WEST COUNTY HOSPITAL",
      "address": "12634 OLIVE BOULEVARD",
      "city": "CREVE COEUR",
      "state": "MO",
      "zip": "63141",
      "county": "ST. LOUIS",
      "latitude": 38.6762228899185,
      "longitude": -90.4679979699344,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 68,
      "rating": 5,
      "website": "http://www.barnesjewishwestcounty.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-creve-coeur-barnes-jewish-west-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BARNES JEWISH WEST COUNTY HOSPITAL",
      "parentSystemId": "entity-barnes-jewish-west-county-hospital",
      "siblingGroupId": "siblings-mo-barnes-jewish-west-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BARNES JEWISH WEST COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAUL J SCHEEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARNES JEWISH WEST COUNTY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BARNES JEWISH WEST COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAUL J SCHEEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARNES JEWISH WEST COUNTY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260163",
      "ccn": "260163",
      "name": "PARKLAND HEALTH CENTER - FARMINGTON",
      "address": "1101 WEST LIBERTY STREET",
      "city": "FARMINGTON",
      "state": "MO",
      "zip": "63640",
      "county": "ST. FRANCOIS",
      "latitude": 37.7813659200446,
      "longitude": -90.4382447400516,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": 4,
      "website": "http://www.parklandhealthcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-farmington-parkland-health-center-farmington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MISSOURI BAPTIST MEDICAL CENTER",
      "parentSystemId": "entity-missouri-baptist-medical-center",
      "siblingGroupId": "siblings-mo-missouri-baptist-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MISSOURI BAPTIST MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VANESSA TROKEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSOURI BAPTIST MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MISSOURI BAPTIST MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VANESSA TROKEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSOURI BAPTIST MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260175",
      "ccn": "260175",
      "name": "GOLDEN VALLEY MEMORIAL HOSPITAL",
      "address": "1600 NORTH SECOND STREET",
      "city": "CLINTON",
      "state": "MO",
      "zip": "64735",
      "county": "HENRY",
      "latitude": 38.3896789297509,
      "longitude": -93.7688009998581,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 56,
      "rating": 3,
      "website": "http://www.gvmh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-golden-valley-memorial-hospital-district",
      "siblingGroupId": "siblings-mo-golden-valley-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-verified-parent-golden-valley-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260176",
      "ccn": "260176",
      "name": "ST. LUKE'S DES PERES HOSPITAL",
      "address": "2345 DOUGHERTY FERRY ROAD",
      "city": "ST. LOUIS",
      "state": "MO",
      "zip": "63122",
      "county": "ST. LOUIS",
      "latitude": 38.5843307199576,
      "longitude": -90.451792319988,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 143,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st.-louis-st.-lukes-des-peres-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES DES PERES HOSPITAL",
      "parentSystemId": "entity-st-lukes-des-peres-hospital",
      "siblingGroupId": "siblings-mo-st-lukes-des-peres-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES DES PERES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES DES PERES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260177",
      "ccn": "260177",
      "name": "LIBERTY HOSPITAL",
      "address": "2525 GLENN HENDREN DRIVE",
      "city": "LIBERTY",
      "state": "MO",
      "zip": "64068",
      "county": "CLAY",
      "latitude": 39.2752421398616,
      "longitude": -94.4237072097273,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 204,
      "rating": 2,
      "website": "http://www.libertyhospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-liberty-liberty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY OF KANSAS HOSPITAL AUTHORITY",
      "parentSystemId": "entity-university-of-kansas-hospital-authority",
      "siblingGroupId": "siblings-mo-university-of-kansas-hospital-authority",
      "campusFamilyId": "campus-mo-260177",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-university-of-kansas-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to UNIVERSITY OF KANSAS HOSPITAL AUTHORITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to UNIVERSITY OF KANSAS HOSPITAL AUTHORITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260179",
      "ccn": "260179",
      "name": "ST. LUKE'S HOSPITAL",
      "address": "232 SOUTH WOODS MILL ROAD",
      "city": "CHESTERFIELD",
      "state": "MO",
      "zip": "63017",
      "county": "ST. LOUIS",
      "latitude": 38.6512908100228,
      "longitude": -90.5032235397969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 493,
      "rating": 4,
      "website": "http://www.stlukes-stl.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chesterfield-st.-luke-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL",
      "parentSystemId": "entity-st-lukes-episcopal-presbyterian-hospital",
      "siblingGroupId": "siblings-mo-st-lukes-episcopal-presbyterian-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260183",
      "ccn": "260183",
      "name": "SAINT FRANCIS MEDICAL CENTER",
      "address": "211 SAINT FRANCIS DRIVE",
      "city": "CAPE GIRARDEAU",
      "state": "MO",
      "zip": "63703",
      "county": "CAPE GIRARDEAU",
      "latitude": 37.3035819396956,
      "longitude": -89.571144979604,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 306,
      "rating": 3,
      "website": "http://www.sfmc.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cape-girardeau-saint-francis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS MEDICAL CENTER",
      "parentSystemId": "entity-saint-francis-medical-center",
      "siblingGroupId": "siblings-mo-saint-francis-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-independent-missouri-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260186",
      "ccn": "260186",
      "name": "LAKE REGIONAL HEALTH SYSTEM",
      "address": "54 HOSPITAL DRIVE",
      "city": "OSAGE BEACH",
      "state": "MO",
      "zip": "65065",
      "county": "CAMDEN",
      "latitude": 38.1206305903054,
      "longitude": -92.683043490201,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 116,
      "rating": 3,
      "website": "http://www.lakeregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-osage-beach-lake-regional-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LAKE REGIONAL HEALTH SYSTEM",
      "parentSystemId": "entity-lake-regional-health-system",
      "siblingGroupId": "siblings-mo-lake-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-independent-missouri-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS lists KEVIN G MCROBERTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KEVIN G MCROBERTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260190",
      "ccn": "260190",
      "name": "LEE'S SUMMIT MEDICAL CENTER",
      "address": "2100 SE BLUE PARKWAY",
      "city": "LEE'S SUMMIT",
      "state": "MO",
      "zip": "64063",
      "county": "JACKSON",
      "latitude": 38.9036348499363,
      "longitude": -94.3329816599783,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": 3,
      "website": "http://www.leessummitmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lee-s-summit-lee-s-summit-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-mo-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN SAHR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN SAHR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "260193",
      "ccn": "260193",
      "name": "ST. MARY'S MEDICAL CENTER",
      "address": "201 NW RD MIZE ROAD",
      "city": "BLUE SPRINGS",
      "state": "MO",
      "zip": "64014",
      "county": "JACKSON",
      "latitude": 39.0260671502359,
      "longitude": -94.2638575196758,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 146,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blue-springs-st.-mary-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-mo-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "260195",
      "ccn": "260195",
      "name": "CITIZENS MEMORIAL HOSPITAL",
      "address": "1500 NORTH OAKLAND AVE",
      "city": "BOLIVAR",
      "state": "MO",
      "zip": "65613",
      "county": "POLK",
      "latitude": 37.6264835001776,
      "longitude": -93.420113950327,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 86,
      "rating": 3,
      "website": "http://www.citizensmemorial.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bolivar-citizens-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITIZENS MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-citizens-memorial-hospital-district",
      "siblingGroupId": "siblings-mo-citizens-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-citizens-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITIZENS MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITIZENS MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260214",
      "ccn": "260214",
      "name": "BELTON REGIONAL MEDICAL CENTER",
      "address": "17065 S 71 HIGHWAY",
      "city": "BELTON",
      "state": "MO",
      "zip": "64012",
      "county": "CASS",
      "latitude": 38.8158130197987,
      "longitude": -94.5030019103866,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 71,
      "rating": 2,
      "website": "http://www.beltonregionalmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belton-belton-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-mo-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF LOUISIANA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "260216",
      "ccn": "260216",
      "name": "SAINT LUKE'S EAST HOSPITAL",
      "address": "100 N E SAINT LUKE'S BOULEVARD",
      "city": "LEE'S SUMMIT",
      "state": "MO",
      "zip": "64086",
      "county": "JACKSON",
      "latitude": 38.941897290145,
      "longitude": -94.3815285600898,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 236,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-mo-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists AMY M NACHTIGAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists AMY M NACHTIGAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "260219",
      "ccn": "260219",
      "name": "PROGRESS WEST HOSPITAL",
      "address": "2 PROGRESS POINT PKWY",
      "city": "O'FALLON",
      "state": "MO",
      "zip": "63368",
      "county": "ST. CHARLES",
      "latitude": 38.7159526602607,
      "longitude": -90.6981424901566,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-mo-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SANDEEP HINDUPUR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SANDEEP HINDUPUR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "26023F",
      "ccn": "26023F",
      "name": "COLUMBIA MO VA MEDICAL CENTER",
      "address": "800 HOSPITAL DR",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65201",
      "county": "BOONE",
      "latitude": 38.9366975997601,
      "longitude": -92.3289488997649,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-mo-veterans-health-administration",
      "campusFamilyId": "campus-mo-26023f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "260779",
      "ccn": "260779",
      "name": "PARKLAND HEALTH CENTER - BONNE TERRE",
      "address": "7245 RAIDER ROAD",
      "city": "BONNE TERRE",
      "state": "MO",
      "zip": "63628",
      "county": "ST. FRANCOIS",
      "latitude": 37.9122258296796,
      "longitude": -90.5329300599798,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 3,
      "rating": null,
      "website": "http://www.parklandhealthcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bonne-terre-parkland-health-center-bonne-terre/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MISSOURI BAPTIST MEDICAL CENTER",
      "parentSystemId": "entity-missouri-baptist-medical-center",
      "siblingGroupId": "siblings-mo-missouri-baptist-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MISSOURI BAPTIST MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VANESSA TROKEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSOURI BAPTIST MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MISSOURI BAPTIST MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VANESSA TROKEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MISSOURI BAPTIST MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261301",
      "ccn": "261301",
      "name": "ELLETT MEMORIAL HOSPITAL",
      "address": "610 NORTH OHIO AVENUE",
      "city": "APPLETON CITY",
      "state": "MO",
      "zip": "64724",
      "county": "ST. CLAIR",
      "latitude": 38.1924749402391,
      "longitude": -94.0212549600741,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 12,
      "rating": null,
      "website": "http://www.ellettmemorial.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-appleton-city-ellett-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITIZENS MEMORIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-citizens-memorial-hospital-district",
      "siblingGroupId": "siblings-mo-citizens-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-citizens-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITIZENS MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHAEL CALHOUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITIZENS MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHAEL CALHOUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261302",
      "ccn": "261302",
      "name": "MADISON MEDICAL CENTER",
      "address": "611 WEST MAIN STREET",
      "city": "FREDERICKTOWN",
      "state": "MO",
      "zip": "63645",
      "county": "MADISON",
      "latitude": 37.5588741400095,
      "longitude": -90.3029313803456,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.madisonmedicalcenter.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fredericktown-madison-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME",
      "parentSystemId": "entity-madison-medical-center-stockhoff-memorial-nursing-home",
      "siblingGroupId": "siblings-mo-madison-medical-center-stockhoff-memorial-nursing-home",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-madison-medical-center-stockhoff-memorial-nursing-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261303",
      "ccn": "261303",
      "name": "COMMUNITY HOSPITAL ASSOCIATION",
      "address": "26136 US HIGHWAY 59, PO BOX 107",
      "city": "FAIRFAX",
      "state": "MO",
      "zip": "64446",
      "county": "ATCHISON",
      "latitude": 40.3494741000347,
      "longitude": -95.394773200325,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEBRASKA MEDICAL CENTER",
      "parentSystemId": "entity-nebraska-medical-center",
      "siblingGroupId": "siblings-mo-nebraska-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-nebraska-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEBRASKA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TABITHA F WINTZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to NEBRASKA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEBRASKA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TABITHA F WINTZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to NEBRASKA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261305",
      "ccn": "261305",
      "name": "PUTNAM COUNTY MEMORIAL HOSPITAL",
      "address": "1926 OAK STREET, PO BOX 389",
      "city": "UNIONVILLE",
      "state": "MO",
      "zip": "63565",
      "county": "PUTNAM",
      "latitude": 40.4827450900483,
      "longitude": -93.0056460195881,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "website": "http://www.pcmhosp.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-unionville-putnam-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PUTNAM COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-putnam-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-putnam-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUTNAM COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NATHAN L BAUGHMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUTNAM COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUTNAM COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NATHAN L BAUGHMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUTNAM COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261306",
      "ccn": "261306",
      "name": "SULLIVAN COUNTY MEMORIAL HOSPITAL",
      "address": "630 WEST 3RD STREET",
      "city": "MILAN",
      "state": "MO",
      "zip": "63556",
      "county": "SULLIVAN",
      "latitude": 40.2016272901975,
      "longitude": -93.1338140196241,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.scmhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milan-sullivan-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SULLIVAN COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-sullivan-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-sullivan-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS lists MARTHA GRAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SULLIVAN COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARTHA GRAGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SULLIVAN COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261308",
      "ccn": "261308",
      "name": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
      "address": "300 HEALTH WAY",
      "city": "POTOSI",
      "state": "MO",
      "zip": "63664",
      "county": "WASHINGTON",
      "latitude": 37.9259731101423,
      "longitude": -90.772665819727,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.wcmhosp.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-potosi-washington-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-washington-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-washington-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WASHINGTON COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261309",
      "ccn": "261309",
      "name": "WRIGHT MEMORIAL HOSPITAL",
      "address": "191 IOWA BOULEVARD",
      "city": "TRENTON",
      "state": "MO",
      "zip": "64683",
      "county": "GRUNDY",
      "latitude": 40.0678669899125,
      "longitude": -93.5816396703233,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": 4,
      "website": "https://www.saintlukeskc.org/locations/wright-memorial-hospital?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link",
      "status": "corporate_chain",
      "parentSystem": "BJC HEALTH SYSTEM",
      "affiliatedSystem": "Saintlukeskc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintlukeskc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-trenton-wright-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-mo-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintlukeskc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeskc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintlukeskc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeskc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261310",
      "ccn": "261310",
      "name": "SCOTLAND COUNTY HOSPITAL",
      "address": "450 E SIGLER AVENUE",
      "city": "MEMPHIS",
      "state": "MO",
      "zip": "63555",
      "county": "SCOTLAND",
      "latitude": 40.4647753896718,
      "longitude": -92.1649514904172,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "website": "http://www.scotlandcountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-scotland-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SCOTLAND COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-scotland-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-scotland-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SCOTLAND COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEAGAN WEBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCOTLAND COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SCOTLAND COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MEAGAN WEBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCOTLAND COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261312",
      "ccn": "261312",
      "name": "HARRISON COUNTY COMMUNITY HOSPITAL",
      "address": "2600 MILLER STREET",
      "city": "BETHANY",
      "state": "MO",
      "zip": "64424",
      "county": "HARRISON",
      "latitude": 40.2645388101313,
      "longitude": -94.0256585896318,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 19,
      "rating": 3,
      "website": "http://www.hcchospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethany-harrison-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT",
      "parentSystemId": "entity-harrison-county-community-hospital-district",
      "siblingGroupId": "siblings-mo-harrison-county-community-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-harrison-county-community-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTINA GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTINA GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261313",
      "ccn": "261313",
      "name": "MACON COUNTY SAMARITAN MEMORIAL HOS",
      "address": "1205 NORTH MISSOURI ST",
      "city": "MACON",
      "state": "MO",
      "zip": "63552",
      "county": "MACON",
      "latitude": 39.7480301297114,
      "longitude": -92.46854229971,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-macon-macon-county-samaritan-memorial-hos/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MACON COUNTY SAMARITAN HOSPITAL",
      "parentSystemId": "entity-macon-county-samaritan-hospital",
      "siblingGroupId": "siblings-mo-macon-county-samaritan-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MACON COUNTY SAMARITAN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JILL E WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACON COUNTY SAMARITAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MACON COUNTY SAMARITAN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JILL E WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACON COUNTY SAMARITAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261314",
      "ccn": "261314",
      "name": "HERMANN AREA DISTRICT HOSPITAL",
      "address": "509 WEST 18TH STREET, PO BOX 470",
      "city": "HERMANN",
      "state": "MO",
      "zip": "65041",
      "county": "GASCONADE",
      "latitude": 38.6930781297114,
      "longitude": -91.4495855501625,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "website": "http://www.hadh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hermann-hermann-area-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HERMANN AREA HOSPITAL DISTRICT",
      "parentSystemId": "entity-hermann-area-hospital-district",
      "siblingGroupId": "siblings-mo-hermann-area-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-hermann-area-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HERMANN AREA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HERMANN AREA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HERMANN AREA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HERMANN AREA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261316",
      "ccn": "261316",
      "name": "MERCY HOSPITAL AURORA",
      "address": "500 PORTER AVENUE",
      "city": "AURORA",
      "state": "MO",
      "zip": "65605",
      "county": "LAWRENCE",
      "latitude": 36.9698149801976,
      "longitude": -93.7101064796672,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 53,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aurora-mercy-hospital-aurora/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261317",
      "ccn": "261317",
      "name": "MERCY HOSPITAL CASSVILLE",
      "address": "94 MAIN STREET",
      "city": "CASSVILLE",
      "state": "MO",
      "zip": "65625",
      "county": "BARRY",
      "latitude": 36.6747825696851,
      "longitude": -93.8720928395715,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 18,
      "rating": null,
      "website": "http://www.mercy.net/northwestarar/practice/mercy-hospital-cassville",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cassville-mercy-hospital-cassville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261318",
      "ccn": "261318",
      "name": "SALEM MEMORIAL DISTRICT HOSPITAL",
      "address": "35629 HWY 72, PO BOX 774",
      "city": "SALEM",
      "state": "MO",
      "zip": "65560",
      "county": "DENT",
      "latitude": 37.660455949935,
      "longitude": -91.5693523798973,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 4,
      "website": "http://www.smdh.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SALEM MEMORIAL HOSPITAL",
      "parentSystemId": "entity-salem-memorial-hospital",
      "siblingGroupId": "siblings-mo-salem-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-salem-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SALEM MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to SALEM MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261319",
      "ccn": "261319",
      "name": "MERCY HOSPITAL LINCOLN",
      "address": "1000 EAST CHERRY ST",
      "city": "TROY",
      "state": "MO",
      "zip": "63379",
      "county": "LINCOLN",
      "latitude": 38.9834860401401,
      "longitude": -90.9636524102018,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "https://www.mercy.net/practice/mercy-hospital-lincoln",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-troy-mercy-hospital-lincoln/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261320",
      "ccn": "261320",
      "name": "LAFAYETTE REGIONAL HEALTH CENTER",
      "address": "1500 STATE STREET",
      "city": "LEXINGTON",
      "state": "MO",
      "zip": "64067",
      "county": "LAFAYETTE",
      "latitude": 39.1897287699988,
      "longitude": -93.8772779100015,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": 2,
      "website": "http://www.lafayetteregionalhealthcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-lafayette-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-mo-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "261321",
      "ccn": "261321",
      "name": "HEDRICK MEDICAL CENTER",
      "address": "2799 NORTH WASHINGTON STREET",
      "city": "CHILLICOTHE",
      "state": "MO",
      "zip": "64601",
      "county": "LIVINGSTON",
      "latitude": 39.8171416002227,
      "longitude": -93.5510162100855,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "https://www.saintlukeskc.org/locations/hedrick-medical-center?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link",
      "status": "corporate_chain",
      "parentSystem": "SAINT LUKES HEALTH SYSTEM INC",
      "affiliatedSystem": "Saintlukeskc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintlukeskc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chillicothe-hedrick-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saint-lukes-health-system-inc",
      "siblingGroupId": "siblings-mo-saint-lukes-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-saint-luke-s-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintlukeskc.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT LUKES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintlukeskc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeskc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT LUKES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT LUKES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREN BASS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintlukeskc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintlukeskc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Saint Luke's Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT LUKES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261322",
      "ccn": "261322",
      "name": "EXCELSIOR SPRINGS HOSPITAL",
      "address": "1700 RAINBOW BOULEVARD",
      "city": "EXCELSIOR SPRINGS",
      "state": "MO",
      "zip": "64024",
      "county": "CLAY",
      "latitude": 39.3629482698921,
      "longitude": -94.2379263796802,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 20,
      "rating": null,
      "website": "https://www.eshospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-excelsior-springs-excelsior-springs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "EXCELSIOR SPRINGS CITY HOSPITAL",
      "parentSystemId": "entity-excelsior-springs-city-hospital",
      "siblingGroupId": "siblings-mo-excelsior-springs-city-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-excelsior-springs-city-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS lists CAMERON G MEYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to EXCELSIOR SPRINGS CITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXCELSIOR SPRINGS CITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CAMERON G MEYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to EXCELSIOR SPRINGS CITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXCELSIOR SPRINGS CITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261323",
      "ccn": "261323",
      "name": "CEDAR COUNTY MEMORIAL HOSPITAL",
      "address": "1401 SOUTH PARK STREET",
      "city": "EL DORADO SPRINGS",
      "state": "MO",
      "zip": "64744",
      "county": "CEDAR",
      "latitude": 37.8602253197929,
      "longitude": -94.017012410125,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.cedarcountyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-dorado-springs-cedar-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CEDAR COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-cedar-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-cedar-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CEDAR COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDAR COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CEDAR COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CEDAR COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261324",
      "ccn": "261324",
      "name": "CASS REGIONAL MEDICAL CENTER",
      "address": "2800 E ROCK HAVEN ROAD",
      "city": "HARRISONVILLE",
      "state": "MO",
      "zip": "64701",
      "county": "CASS",
      "latitude": 38.6650720298882,
      "longitude": -94.3774967504147,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "http://www.cassregional.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harrisonville-cass-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CASS REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-cass-regional-medical-center",
      "siblingGroupId": "siblings-mo-cass-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-cass-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS lists J CHRISTOPHER LANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CASS REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASS REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists J CHRISTOPHER LANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CASS REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASS REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261325",
      "ccn": "261325",
      "name": "COX BARTON COUNTY HOSPITAL",
      "address": "29 NW 1ST LANE",
      "city": "LAMAR",
      "state": "MO",
      "zip": "64759",
      "county": "BARTON",
      "latitude": 37.5056964401007,
      "longitude": -94.3008452697154,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.bcmh.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lamar-cox-barton-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COXHEALTH",
      "parentSystemId": "entity-coxhealth",
      "siblingGroupId": "siblings-mo-coxhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-coxhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.coxhealth.com/our-hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREA MCKAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREA MCKAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261327",
      "ccn": "261327",
      "name": "RAY COUNTY MEMORIAL HOSPITAL",
      "address": "904 WOLLARD BOULEVARD",
      "city": "RICHMOND",
      "state": "MO",
      "zip": "64085",
      "county": "RAY",
      "latitude": 39.2643778497193,
      "longitude": -93.9574211404136,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 34,
      "rating": null,
      "website": "http://www.raycountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-ray-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RAY COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-ray-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-ray-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: RAY COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RAY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RAY COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RAY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261328",
      "ccn": "261328",
      "name": "MOSAIC MEDICAL CENTER - ALBANY",
      "address": "705 N COLLEGE STREET",
      "city": "ALBANY",
      "state": "MO",
      "zip": "64402",
      "county": "GENTRY",
      "latitude": 40.2527551499063,
      "longitude": -94.3243890703681,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.mymosaiclifecare.org/main/location/albany-mo/mosaic-life-care-services-at-northwest-medical-center/",
      "status": "corporate_chain",
      "parentSystem": "Mosaic Health System",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Community Health Systems",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albany-mosaic-medical-center---albany/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mosaic-health-system",
      "siblingGroupId": "siblings-mo-mosaic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mosaic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOSAIC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Community Health Systems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MOSAIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mosaic Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOSAIC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Community Health Systems; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Community Health Systems. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MOSAIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mosaic Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261329",
      "ccn": "261329",
      "name": "COX MONETT HOSPITAL",
      "address": "1000 E US HIGHWAY 60",
      "city": "MONETT",
      "state": "MO",
      "zip": "65708",
      "county": "BARRY",
      "latitude": 36.9270036199695,
      "longitude": -93.930746979592,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monett-cox-monett-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COXHEALTH",
      "parentSystemId": "entity-coxhealth",
      "siblingGroupId": "siblings-mo-coxhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-coxhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.coxhealth.com/our-hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL ROTH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COXHEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL ROTH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to CoxHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COXHEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261331",
      "ccn": "261331",
      "name": "FREEMAN NEOSHO HOSPITAL",
      "address": "113 WEST HICKORY STREET",
      "city": "NEOSHO",
      "state": "MO",
      "zip": "64850",
      "county": "NEWTON",
      "latitude": 36.866953960324,
      "longitude": -94.3694679201207,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 4,
      "website": "http://www.freemanhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-neosho-freeman-neosho-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FREEMAN-OAK HILL HEALTH SYSTEM",
      "parentSystemId": "entity-freeman-oak-hill-health-system",
      "siblingGroupId": "siblings-mo-freeman-oak-hill-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-independent-missouri-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: FREEMAN-OAK HILL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RENEE DENTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN-OAK HILL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FREEMAN-OAK HILL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RENEE DENTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Independent Missouri nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN-OAK HILL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261332",
      "ccn": "261332",
      "name": "CARROLL COUNTY MEMORIAL HOSPITAL",
      "address": "1502 NORTH JEFFERSON",
      "city": "CARROLLTON",
      "state": "MO",
      "zip": "64633",
      "county": "CARROLL",
      "latitude": 39.3769120801249,
      "longitude": -93.4933903796556,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.carrollcountyhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carrollton-carroll-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CARROLL COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-carroll-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-carroll-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS lists CHARLES RILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARROLL COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHARLES RILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARROLL COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261333",
      "ccn": "261333",
      "name": "PIKE COUNTY MEMORIAL HOSPITAL",
      "address": "2305 GEORGIA STREET",
      "city": "LOUISIANA",
      "state": "MO",
      "zip": "63353",
      "county": "PIKE",
      "latitude": 39.4406643799641,
      "longitude": -91.0647806602484,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.pcmh-mo.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-louisiana-pike-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PIKE COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-pike-county-memorial-hospital",
      "siblingGroupId": "siblings-mo-pike-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIKE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIKE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261335",
      "ccn": "261335",
      "name": "MERCY ST. FRANCIS HOSPITAL",
      "address": "100 WEST HIGHWAY 60, PO BOX 82",
      "city": "MOUNTAIN VIEW",
      "state": "MO",
      "zip": "65548",
      "county": "HOWELL",
      "latitude": 37.0024386100927,
      "longitude": -91.7032332096944,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.mercy.net/practice/mercy-st-francis-hospital",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mountain-view-mercy-st.-francis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHERYL L MATEJKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHERYL L MATEJKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261336",
      "ccn": "261336",
      "name": "IRON COUNTY MEDICAL CENTER",
      "address": "301 NORTH HIGHWAY 21",
      "city": "PILOT KNOB",
      "state": "MO",
      "zip": "63663",
      "county": "IRON",
      "latitude": 37.6231238896548,
      "longitude": -90.6447179500548,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "IRON COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-iron-county-hospital-district",
      "siblingGroupId": "siblings-mo-iron-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-verified-parent-iron-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IRON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IRON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "261337",
      "ccn": "261337",
      "name": "MISSOURI BAPTIST SULLIVAN HOSPITAL",
      "address": "751 SAPPINGTON BRIDGE ROAD, PO BOX 190",
      "city": "SULLIVAN",
      "state": "MO",
      "zip": "63080",
      "county": "CRAWFORD",
      "latitude": 38.1958296097998,
      "longitude": -91.1706424003266,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BJC HEALTH SYSTEM",
      "parentSystemId": "entity-bjc-health-system",
      "siblingGroupId": "siblings-mo-bjc-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-bjc-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bjc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBBIE DIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BJC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBBIE DIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to BJC Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BJC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261338",
      "ccn": "261338",
      "name": "MERCY HOSPITAL CARTHAGE",
      "address": "3125 DR RUSSELL SMITH WAY",
      "city": "CARTHAGE",
      "state": "MO",
      "zip": "64836",
      "county": "JASPER",
      "latitude": 37.13621149002,
      "longitude": -94.3211039897646,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "https://www.mercy.net/practice/mercy-hospital-carthage",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carthage-mercy-hospital-carthage/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-mo-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "261340",
      "ccn": "261340",
      "name": "MOSAIC MEDICAL CENTER - MARYVILLE",
      "address": "2016 SOUTH MAIN STREET",
      "city": "MARYVILLE",
      "state": "MO",
      "zip": "64468",
      "county": "NODAWAY",
      "latitude": 40.3262843296779,
      "longitude": -94.8763889300703,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 81,
      "rating": null,
      "website": "https://www.ssmhealth.com/locations/st-francis-hospital-maryville?utm_id=gmb18-13",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mosaic Health System",
      "parentSystemId": "entity-mosaic-health-system",
      "siblingGroupId": "siblings-mo-mosaic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mosaic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOSAIC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MOSAIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mosaic Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOSAIC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to MOSAIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mosaic Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "263302",
      "ccn": "263302",
      "name": "CHILDREN'S MERCY HOSPITAL",
      "address": "2401 GILLHAM ROAD",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64108",
      "county": "JACKSON",
      "latitude": 39.0840846296548,
      "longitude": -94.577271100275,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 334,
      "rating": null,
      "website": "http://www.childrensmercy.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-children-s-mercy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CHILDRENS MERCY HOSPITAL",
      "parentSystemId": "entity-the-childrens-mercy-hospital",
      "siblingGroupId": "siblings-mo-the-childrens-mercy-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CHILDRENS MERCY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT D FINUF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDRENS MERCY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CHILDRENS MERCY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT D FINUF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDRENS MERCY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "263303",
      "ccn": "263303",
      "name": "RANKEN JORDAN PEDIATRIC BRIDGE HOSPITA",
      "address": "11365 DORSETT ROAD",
      "city": "MARYLAND HEIGHTS",
      "state": "MO",
      "zip": "63043",
      "county": "ST. LOUIS",
      "latitude": 38.7099579097031,
      "longitude": -90.4154485101918,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 60,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN",
      "parentSystemId": "entity-ranken-jordan-home-for-convalescent-crippled-children",
      "siblingGroupId": "siblings-mo-ranken-jordan-home-for-convalescent-crippled-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-ranken-jordan-home-for-convalescent-crippled-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "264008",
      "ccn": "264008",
      "name": "CENTER FOR BEHAVIORAL MEDICINE",
      "address": "1000 EAST 24TH STREET",
      "city": "KANSAS CITY",
      "state": "MO",
      "zip": "64108",
      "county": "JACKSON",
      "latitude": 39.0850532002171,
      "longitude": -94.5724247602841,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 65,
      "rating": null,
      "website": "http://www.dmhonline.dmh.state.mo.us",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kansas-city-center-for-behavioral-medicine/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF MISSOURI",
      "parentSystemId": "entity-state-of-missouri",
      "siblingGroupId": "siblings-mo-state-of-missouri",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF MISSOURI (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF MISSOURI, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "264020",
      "ccn": "264020",
      "name": "ROYAL OAKS HOSPITAL, INC",
      "address": "307 NORTH MAIN",
      "city": "WINDSOR",
      "state": "MO",
      "zip": "65360",
      "county": "HENRY",
      "latitude": 38.5341333103075,
      "longitude": -93.5185293196566,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 54,
      "rating": null,
      "website": "http://compasshealthnetwork.org/about-us/royal-oaks-hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-windsor-royal-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PATHWAYS PSYCHIATRIC HOSPITAL INC",
      "parentSystemId": "entity-pathways-psychiatric-hospital-inc",
      "siblingGroupId": "siblings-mo-pathways-psychiatric-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mo-parent-pathways-psychiatric-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to PATHWAYS PSYCHIATRIC HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PATHWAYS PSYCHIATRIC HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to PATHWAYS PSYCHIATRIC HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PATHWAYS PSYCHIATRIC HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "264024",
      "ccn": "264024",
      "name": "LAKELAND BEHAVIORAL HEALTH SYSTEM",
      "address": "440 SOUTH MARKET",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65806",
      "county": "GREENE",
      "latitude": 37.2058012602155,
      "longitude": -93.2952186197706,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": null,
      "website": "https://www.lakelandbehavioralhealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-lakeland-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-mo-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "264032",
      "ccn": "264032",
      "name": "CENTERPOINTE HOSPITAL OF COLUMBIA",
      "address": "1201 INTERNATIONAL DRIVE",
      "city": "COLUMBIA",
      "state": "MO",
      "zip": "65202",
      "county": "BOONE",
      "latitude": 39.0070184703174,
      "longitude": -92.3215470198773,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "website": "https://centerpointehospitalcolumbia.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-centerpointe-hospital-of-columbia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-mo-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "264033",
      "ccn": "264033",
      "name": "PERIMETER BEHAVIORAL HOSPITAL OF SPRING",
      "address": "2828 NORTH NATIONAL DRIVE",
      "city": "SPRINGFIELD",
      "state": "MO",
      "zip": "65803",
      "county": "GREENE",
      "latitude": 37.2485637801193,
      "longitude": -93.2724018795762,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Perimeter Behavioral Health",
      "peFirm": "Ridgemont Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Perimeter Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-mo-perimeter-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROCHELLE GERBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ROCHELLE GERBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "264034",
      "ccn": "264034",
      "name": "SOUTHEAST BEHAVIORAL HOSPITAL",
      "address": "639 SILVER SPRINGS ROAD",
      "city": "CAPE GIRARDEAU",
      "state": "MO",
      "zip": "63703",
      "county": "CAPE GIRARDEAU",
      "latitude": 37.2869714302932,
      "longitude": -89.5655708200783,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 102,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-mo-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "264035",
      "ccn": "264035",
      "name": "MARYLAND HEIGHTS CENTER FOR BEHAVIORAL HEALTH",
      "address": "11100 AYRSHIRE DRIVE",
      "city": "MARYLAND HEIGHTS",
      "state": "MO",
      "zip": "63044",
      "county": "MILLER",
      "latitude": 38.3676389507231,
      "longitude": -92.4774124867093,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "National HealthCare Corporation",
      "parentSystemId": "entity-national-healthcare-corporation",
      "siblingGroupId": "siblings-mo-national-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-verified-parent-national-healthcare-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nhccare.com/investor-relations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NHC-OP LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M USSERY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent National HealthCare Corporation, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NHC-OP LP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT M USSERY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent National HealthCare Corporation, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "270003",
      "ccn": "270003",
      "name": "ST. PETER'S HEALTH",
      "address": "2475 E BROADWAY ST",
      "city": "HELENA",
      "state": "MT",
      "zip": "59601",
      "county": "LEWIS AND CLARK",
      "latitude": 46.5826700397731,
      "longitude": -111.997438379887,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 123,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST PETERS HEALTH",
      "parentSystemId": "entity-st-peters-health",
      "siblingGroupId": "siblings-mt-st-peters-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-st-peters-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ST PETERS HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ST PETERS HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "270004",
      "ccn": "270004",
      "name": "BILLINGS CLINIC",
      "address": "2800 10TH AVE N",
      "city": "BILLINGS",
      "state": "MT",
      "zip": "59101",
      "county": "YELLOWSTONE",
      "latitude": 45.789496950248,
      "longitude": -108.513452369564,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 308,
      "rating": 4,
      "website": "http://www.billingsclinic.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-billings-billings-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MTWY HEALTH",
      "parentSystemId": "entity-mtwy-health",
      "siblingGroupId": "siblings-mt-mtwy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MTWY HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MTWY HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "270012",
      "ccn": "270012",
      "name": "BENEFIS HOSPITALS INC",
      "address": "1101 26TH ST S",
      "city": "GREAT FALLS",
      "state": "MT",
      "zip": "59405",
      "county": "CASCADE",
      "latitude": 47.4916011600011,
      "longitude": -111.260967559586,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 332,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BENEFIS HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-benefis-health-system-inc",
      "siblingGroupId": "siblings-mt-benefis-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-benefis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.benefis.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BENEFIS HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Benefis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENEFIS HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BENEFIS HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Benefis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENEFIS HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "270014",
      "ccn": "270014",
      "name": "ST PATRICK HOSPITAL",
      "address": "500 W BROADWAY",
      "city": "MISSOULA",
      "state": "MT",
      "zip": "59806",
      "county": "MISSOULA",
      "latitude": 46.8759100002593,
      "longitude": -113.999910000188,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 253,
      "rating": 5,
      "website": "http://www.saintpatrick.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-missoula-st-patrick-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Providence",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-mt-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "270023",
      "ccn": "270023",
      "name": "COMMUNITY MEDICAL CENTER",
      "address": "2827 FORT MISSOULA RD",
      "city": "MISSOULA",
      "state": "MT",
      "zip": "59804",
      "county": "MISSOULA",
      "latitude": 46.8473783599579,
      "longitude": -114.047879539592,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 151,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BILLINGS RCHP HEALTHCARE HOLDINGS LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-missoula-community-medical-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-billings-rchp-healthcare-holdings-llc",
      "siblingGroupId": "siblings-mt-billings-rchp-healthcare-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BILLINGS RCHP HEALTHCARE HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 87.97%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILLINGS RCHP HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BILLINGS RCHP HEALTHCARE HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 87.97%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILLINGS RCHP HEALTHCARE HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "270051",
      "ccn": "270051",
      "name": "KALISPELL REGIONAL MEDICAL CENTER - LOGAN HEALTH MEDICAL CENTER",
      "address": "310 SUNNYVIEW LN",
      "city": "KALISPELL",
      "state": "MT",
      "zip": "59901",
      "county": "FLATHEAD",
      "latitude": 48.2146773501761,
      "longitude": -114.323425950031,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 220,
      "rating": 3,
      "website": "http://www.krmc.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "MTWY HEALTH",
      "parentSystemId": "entity-mtwy-health",
      "siblingGroupId": "siblings-mt-mtwy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "270057",
      "ccn": "270057",
      "name": "BOZEMAN HEALTH DEACONESS HOSPITAL",
      "address": "915 HIGHLAND BLVD",
      "city": "BOZEMAN",
      "state": "MT",
      "zip": "59715",
      "county": "GALLATIN",
      "latitude": 45.6701067399816,
      "longitude": -111.019714660308,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 125,
      "rating": 4,
      "website": "http://www.bozemandeaconess.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "BOZEMAN DEACONESS HEALTH SERVICES",
      "parentSystemId": "entity-bozeman-deaconess-health-services",
      "siblingGroupId": "siblings-mt-bozeman-deaconess-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-bozeman-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bozemanhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOZEMAN DEACONESS HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Bozeman Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOZEMAN DEACONESS HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOZEMAN DEACONESS HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Bozeman Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOZEMAN DEACONESS HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "270086",
      "ccn": "270086",
      "name": "GREAT FALLS CLINIC HOSPITAL",
      "address": "3010 15TH AVENUE SOUTH",
      "city": "GREAT FALLS",
      "state": "MT",
      "zip": "59405",
      "county": "CASCADE",
      "latitude": 47.4893545202322,
      "longitude": -111.291352609642,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 19,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ARC FINANCIAL SERVICES LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-great-falls-great-falls-clinic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-arc-financial-services-llc",
      "siblingGroupId": "siblings-mt-arc-financial-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ARC FINANCIAL SERVICES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK ROBINSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARC FINANCIAL SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ARC FINANCIAL SERVICES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK ROBINSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARC FINANCIAL SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "271300",
      "ccn": "271300",
      "name": "POPLAR COMMUNITY HOSPITAL",
      "address": "211 H STREET EAST",
      "city": "POPLAR",
      "state": "MT",
      "zip": "59255",
      "county": "ROOSEVELT",
      "latitude": 48.1153275899903,
      "longitude": -105.192897469736,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "http://www.nemhs.net/index.php/facilities/critical-access-hospital/96-poplar-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-poplar-poplar-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEAST MONTANA HEALTH SERVICES INC",
      "parentSystemId": "entity-northeast-montana-health-services-inc",
      "siblingGroupId": "siblings-mt-northeast-montana-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-northeast-montana-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to NORTHEAST MONTANA HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST MONTANA HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to NORTHEAST MONTANA HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST MONTANA HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271301",
      "ccn": "271301",
      "name": "FALLON MEDICAL COMPLEX HOSPITAL",
      "address": "202 S 4TH ST W",
      "city": "BAKER",
      "state": "MT",
      "zip": "59313",
      "county": "FALLON",
      "latitude": 46.365959240264,
      "longitude": -104.281203370375,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.fallonmedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baker-fallon-medical-complex-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FALLON MEDICAL COMPLEX INC",
      "parentSystemId": "entity-fallon-medical-complex-inc",
      "siblingGroupId": "siblings-mt-fallon-medical-complex-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-fallon-medical-complex-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to FALLON MEDICAL COMPLEX INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALLON MEDICAL COMPLEX INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to FALLON MEDICAL COMPLEX INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALLON MEDICAL COMPLEX INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271302",
      "ccn": "271302",
      "name": "DAHL MEMORIAL HEALTHCARE ASSOCIATION",
      "address": "106 PARK E STREET",
      "city": "EKALAKA",
      "state": "MT",
      "zip": "59324",
      "county": "CARTER",
      "latitude": 45.8879955097018,
      "longitude": -104.548493760297,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ekalaka-dahl-memorial-healthcare-association/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DAHL MEMORIAL HEALTHCARE ASSOCIATION INC",
      "parentSystemId": "entity-dahl-memorial-healthcare-association-inc",
      "siblingGroupId": "siblings-mt-dahl-memorial-healthcare-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-dahl-memorial-healthcare-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: DAHL MEMORIAL HEALTHCARE ASSOCIATION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to DAHL MEMORIAL HEALTHCARE ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAHL MEMORIAL HEALTHCARE ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DAHL MEMORIAL HEALTHCARE ASSOCIATION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to DAHL MEMORIAL HEALTHCARE ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAHL MEMORIAL HEALTHCARE ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271303",
      "ccn": "271303",
      "name": "GRANITE COUNTY MEDICAL CENTER",
      "address": "310 SANSOME",
      "city": "PHILIPSBURG",
      "state": "MT",
      "zip": "59858",
      "county": "GRANITE",
      "latitude": 46.3300722097393,
      "longitude": -113.294163929665,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://gcmedcenter.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philipsburg-granite-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GRANITE COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-granite-county-hospital-district",
      "siblingGroupId": "siblings-mt-granite-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-verified-parent-granite-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists DORIS GILBERTSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANITE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DORIS GILBERTSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANITE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "271304",
      "ccn": "271304",
      "name": "MISSOURI RIVER MEDICAL CENTER",
      "address": "1501 ST CHARLES ST",
      "city": "FORT BENTON",
      "state": "MT",
      "zip": "59442",
      "county": "CHOUTEAU",
      "latitude": 47.8204044700952,
      "longitude": -110.672275720151,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.mrmcfb.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-benton-missouri-river-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BENEFIS HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-benefis-health-system-inc",
      "siblingGroupId": "siblings-mt-benefis-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-benefis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.benefis.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BENEFIS HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Benefis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENEFIS HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BENEFIS HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Benefis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENEFIS HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271305",
      "ccn": "271305",
      "name": "MCCONE COUNTY HEALTH CENTER",
      "address": "605 SULLIVAN AVE",
      "city": "CIRCLE",
      "state": "MT",
      "zip": "59215",
      "county": "MCCONE",
      "latitude": 47.418848710158,
      "longitude": -105.580727239638,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.mcconehealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-circle-mccone-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MCCONE COUNTY HEALTH CENTER INC",
      "parentSystemId": "entity-mccone-county-health-center-inc",
      "siblingGroupId": "siblings-mt-mccone-county-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCCONE COUNTY HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCCONE COUNTY HEALTH CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "271307",
      "ccn": "271307",
      "name": "BENEFIS TETON MEDICAL CENTER",
      "address": "915 4TH ST NW",
      "city": "CHOTEAU",
      "state": "MT",
      "zip": "59422",
      "county": "TETON",
      "latitude": 47.8140976300988,
      "longitude": -112.192711470386,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.tetonmedicalcenter.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-choteau-benefis-teton-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BENEFIS COMMUNITY HOSPITALS INC",
      "parentSystemId": "entity-benefis-community-hospitals-inc",
      "siblingGroupId": "siblings-mt-benefis-community-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-benefis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.benefis.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BENEFIS COMMUNITY HOSPITALS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LOUIE W KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Benefis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENEFIS COMMUNITY HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BENEFIS COMMUNITY HOSPITALS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LOUIE W KING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Benefis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENEFIS COMMUNITY HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271308",
      "ccn": "271308",
      "name": "ROOSEVELT MEDICAL CENTER",
      "address": "818 2ND AVE E",
      "city": "CULBERTSON",
      "state": "MT",
      "zip": "59218",
      "county": "ROOSEVELT",
      "latitude": 48.1514500997436,
      "longitude": -104.514610410013,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.roosmem.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-culbertson-roosevelt-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION",
      "parentSystemId": "entity-culbertson-froid-bainville-health-care-corporation",
      "siblingGroupId": "siblings-mt-culbertson-froid-bainville-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-culbertson-froid-bainville-health-care-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CULBERTSON FROID BAINVILLE HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271310",
      "ccn": "271310",
      "name": "GARFIELD COUNTY HEALTH CENTER",
      "address": "332 LEAVITT AVENUE",
      "city": "JORDAN",
      "state": "MT",
      "zip": "59337",
      "county": "GARFIELD",
      "latitude": 47.3188730099722,
      "longitude": -106.911255279647,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jordan-garfield-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF GARFIELD",
      "parentSystemId": "entity-county-of-garfield",
      "siblingGroupId": "siblings-mt-county-of-garfield",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF GARFIELD (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS not matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GARFIELD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF GARFIELD (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS not matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF GARFIELD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "271311",
      "ccn": "271311",
      "name": "BIG SANDY MEDICAL CENTER",
      "address": "166 MONTANA AVENUE EAST",
      "city": "BIG SANDY",
      "state": "MT",
      "zip": "59520",
      "county": "CHOUTEAU",
      "latitude": 48.1787907297784,
      "longitude": -110.108756500354,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.bsmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-sandy-big-sandy-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BIG SANDY MEDICAL CENTER INC",
      "parentSystemId": "entity-big-sandy-medical-center-inc",
      "siblingGroupId": "siblings-mt-big-sandy-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-big-sandy-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: BIG SANDY MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD WIENS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to BIG SANDY MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BIG SANDY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BIG SANDY MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD WIENS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to BIG SANDY MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BIG SANDY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271312",
      "ccn": "271312",
      "name": "PHILLIPS COUNTY HOSPITAL",
      "address": "311 S 8TH AVE E",
      "city": "MALTA",
      "state": "MT",
      "zip": "59538",
      "county": "PHILLIPS",
      "latitude": 48.3578659899509,
      "longitude": -107.859436290428,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 6,
      "rating": null,
      "website": "http://www.phillipscountyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-malta-phillips-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PHILLIPS COUNTY HOSPITAL ASSN",
      "parentSystemId": "entity-phillips-county-hospital-assn",
      "siblingGroupId": "siblings-mt-phillips-county-hospital-assn",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHILLIPS COUNTY HOSPITAL ASSN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHILLIPS COUNTY HOSPITAL ASSN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "271313",
      "ccn": "271313",
      "name": "PIONEER MEDICAL CENTER - CAH",
      "address": "301 WEST 7TH AVENUE",
      "city": "BIG TIMBER",
      "state": "MT",
      "zip": "59011",
      "county": "SWEET GRASS",
      "latitude": 45.8282454599641,
      "longitude": -109.952071549896,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://pmcmt.org/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-timber-pioneer-medical-center---cah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIONEER MEDICAL CENTER",
      "parentSystemId": "entity-pioneer-medical-center",
      "siblingGroupId": "siblings-mt-pioneer-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-pioneer-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIONEER MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to PIONEER MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIONEER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIONEER MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to PIONEER MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIONEER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271314",
      "ccn": "271314",
      "name": "DEER LODGE MEDICAL CENTER",
      "address": "1100 HOLLENBACK LANE",
      "city": "DEER LODGE",
      "state": "MT",
      "zip": "59722",
      "county": "POWELL",
      "latitude": 46.4132780598645,
      "longitude": -112.726831000365,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.pcmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-deer-lodge-deer-lodge-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.",
      "parentSystemId": "entity-powell-county-memorial-hospital-association-inc",
      "siblingGroupId": "siblings-mt-powell-county-memorial-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "271316",
      "ccn": "271316",
      "name": "FRANCES MAHON DEACONESS HOSPITAL",
      "address": "621 3RD ST S",
      "city": "GLASGOW",
      "state": "MT",
      "zip": "59230",
      "county": "VALLEY",
      "latitude": 48.1894220402973,
      "longitude": -106.635225699553,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.fmdh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glasgow-frances-mahon-deaconess-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCES MAHON DEACONESS HOSPITAL",
      "parentSystemId": "entity-frances-mahon-deaconess-hospital",
      "siblingGroupId": "siblings-mt-frances-mahon-deaconess-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-frances-mahon-deaconess-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to FRANCES MAHON DEACONESS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCES MAHON DEACONESS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to FRANCES MAHON DEACONESS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCES MAHON DEACONESS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271317",
      "ccn": "271317",
      "name": "LIVINGSTON HEALTHCARE",
      "address": "320 ALPENGLOW LANE",
      "city": "LIVINGSTON",
      "state": "MT",
      "zip": "59047",
      "county": "PARK",
      "latitude": 45.6751528802087,
      "longitude": -110.526790270257,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Physician",
      "beds": 25,
      "rating": 3,
      "website": "http://www.livingstonhealthcare.org/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-livingston-livingston-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LIVINGSTON HEALTHCARE",
      "parentSystemId": "entity-livingston-healthcare",
      "siblingGroupId": "siblings-mt-livingston-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-livingston-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to LIVINGSTON HEALTHCARE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIVINGSTON HEALTHCARE, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to LIVINGSTON HEALTHCARE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIVINGSTON HEALTHCARE, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "271319",
      "ccn": "271319",
      "name": "RUBY VALLEY MEDICAL CENTER",
      "address": "321 MADISON STREET",
      "city": "SHERIDAN",
      "state": "MT",
      "zip": "59749",
      "county": "MADISON",
      "latitude": 45.4530315002306,
      "longitude": -112.192038790341,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 5,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sheridan-ruby-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RUBY VALLEY HOSPITAL",
      "parentSystemId": "entity-ruby-valley-hospital",
      "siblingGroupId": "siblings-mt-ruby-valley-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-ruby-valley-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists LOUIS J BARTOLETTI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to RUBY VALLEY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUBY VALLEY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LOUIS J BARTOLETTI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to RUBY VALLEY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUBY VALLEY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "271320",
      "ccn": "271320",
      "name": "CABINET PEAKS MEDICAL CENTER",
      "address": "209 HEALTH PARK DRIVE",
      "city": "LIBBY",
      "state": "MT",
      "zip": "59923",
      "county": "LINCOLN",
      "latitude": 48.3915455698981,
      "longitude": -115.547972040106,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "http://www.cabinetpeaks.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-libby-cabinet-peaks-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOHNS LUTHERAN HOSPITAL INC",
      "parentSystemId": "entity-st-johns-lutheran-hospital-inc",
      "siblingGroupId": "siblings-mt-st-johns-lutheran-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-st-johns-lutheran-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ST JOHNS LUTHERAN HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHNS LUTHERAN HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ST JOHNS LUTHERAN HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHNS LUTHERAN HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271321",
      "ccn": "271321",
      "name": "WHEATLAND MEMORIAL HOSPITAL",
      "address": "530 3RD ST NW",
      "city": "HARLOWTON",
      "state": "MT",
      "zip": "59036",
      "county": "WHEATLAND",
      "latitude": 46.4373285998939,
      "longitude": -109.841079310245,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "WHEATLAND MEMORIAL HEALTHCARE",
      "parentSystemId": "entity-wheatland-memorial-healthcare",
      "siblingGroupId": "siblings-mt-wheatland-memorial-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-wheatland-memorial-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to WHEATLAND MEMORIAL HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATLAND MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to WHEATLAND MEMORIAL HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATLAND MEMORIAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271323",
      "ccn": "271323",
      "name": "CLARK FORK VALLEY HOSPITAL",
      "address": "10 KRUGER RD",
      "city": "PLAINS",
      "state": "MT",
      "zip": "59859",
      "county": "SANDERS",
      "latitude": 47.4684726701485,
      "longitude": -114.888188369909,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.cfvh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plains-clark-fork-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PLAINS HOSPITAL CORPORATION",
      "parentSystemId": "entity-plains-hospital-corporation",
      "siblingGroupId": "siblings-mt-plains-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-plains-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to PLAINS HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLAINS HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to PLAINS HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLAINS HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271325",
      "ccn": "271325",
      "name": "ST LUKE COMMUNITY HOSPITAL - CAH",
      "address": "107 6TH AVE SW",
      "city": "RONAN",
      "state": "MT",
      "zip": "59864",
      "county": "LAKE",
      "latitude": 47.5286764801832,
      "longitude": -114.107044689855,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.stlukehealthnet.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES COMMUNITY HOSPITAL",
      "parentSystemId": "entity-st-lukes-community-hospital",
      "siblingGroupId": "siblings-mt-st-lukes-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-st-lukes-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ST LUKES COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ST LUKES COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271326",
      "ccn": "271326",
      "name": "BEARTOOTH BILLINGS CLINIC",
      "address": "2525 N BROADWAY",
      "city": "RED LODGE",
      "state": "MT",
      "zip": "59068",
      "county": "CARBON",
      "latitude": 45.2122706999767,
      "longitude": -109.243881040415,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": null,
      "website": "http://www.beartoothbillingsclinic.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-red-lodge-beartooth-billings-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-memorial-hospital-association",
      "siblingGroupId": "siblings-mt-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271327",
      "ccn": "271327",
      "name": "ROSEBUD HEALTH CARE CENTER HOSPITAL",
      "address": "383 N 17TH AVE",
      "city": "FORSYTH",
      "state": "MT",
      "zip": "59327",
      "county": "ROSEBUD",
      "latitude": 46.2716893100906,
      "longitude": -106.670366199856,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "http://rosebudhealthcare.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-forsyth-rosebud-health-care-center-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ROSEBUD COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-rosebud-community-hospital-inc",
      "siblingGroupId": "siblings-mt-rosebud-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-rosebud-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists MINDY PRICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ROSEBUD COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROSEBUD COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MINDY PRICE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ROSEBUD COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROSEBUD COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271328",
      "ccn": "271328",
      "name": "LOGAN HEALTH - SHELBY",
      "address": "640 PARK AVE",
      "city": "SHELBY",
      "state": "MT",
      "zip": "59474",
      "county": "TOOLE",
      "latitude": 48.5095214597754,
      "longitude": -111.849615139924,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "MTWY HEALTH",
      "parentSystemId": "entity-mtwy-health",
      "siblingGroupId": "siblings-mt-mtwy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271329",
      "ccn": "271329",
      "name": "MADISON VALLEY MEDICAL CENTER",
      "address": "305 N MAIN ST",
      "city": "ENNIS",
      "state": "MT",
      "zip": "59729",
      "county": "MADISON",
      "latitude": 45.3517472200241,
      "longitude": -111.73201900014,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": null,
      "website": "http://www.mvhospital-clinic.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ennis-madison-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADISON VALLEY HOSPITAL INC",
      "parentSystemId": "entity-madison-valley-hospital-inc",
      "siblingGroupId": "siblings-mt-madison-valley-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-madison-valley-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists ALLEN ROHRBACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MADISON VALLEY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON VALLEY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ALLEN ROHRBACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MADISON VALLEY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON VALLEY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271331",
      "ccn": "271331",
      "name": "MINERAL COMMUNITY HOSPITAL",
      "address": "1208 6TH AVE E",
      "city": "SUPERIOR",
      "state": "MT",
      "zip": "59872",
      "county": "MINERAL",
      "latitude": 47.1852672202568,
      "longitude": -114.876648229986,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.mineralcommunityhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-superior-mineral-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-mt-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-missoula-community-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists STACY CONROW-VERVERIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MISSOULA COMMUNITY HEALTH SERVICES, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STACY CONROW-VERVERIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MISSOULA COMMUNITY HEALTH SERVICES, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271332",
      "ccn": "271332",
      "name": "GLENDIVE MEDICAL CENTER",
      "address": "202 PROSPECT DR",
      "city": "GLENDIVE",
      "state": "MT",
      "zip": "59330",
      "county": "DAWSON",
      "latitude": 47.1174251602974,
      "longitude": -104.703833620161,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://www.gmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glendive-glendive-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BILLINGS CLINIC",
      "parentSystemId": "entity-billings-clinic",
      "siblingGroupId": "siblings-mt-billings-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BILLINGS CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILLINGS CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BILLINGS CLINIC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BILLINGS CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271335",
      "ccn": "271335",
      "name": "COMMUNITY HOSPITAL OF ANACONDA",
      "address": "401 W PENNSYLVANIA AVE",
      "city": "ANACONDA",
      "state": "MT",
      "zip": "59711",
      "county": "DEER LODGE",
      "latitude": 46.1326921799714,
      "longitude": -112.956928710276,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://www.communityhospitalofanaconda.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anaconda-community-hospital-of-anaconda/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY HOSPITAL OF ANACONDA",
      "parentSystemId": "entity-community-hospital-of-anaconda",
      "siblingGroupId": "siblings-mt-community-hospital-of-anaconda",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-community-hospital-of-anaconda"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to COMMUNITY HOSPITAL OF ANACONDA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL OF ANACONDA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to COMMUNITY HOSPITAL OF ANACONDA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL OF ANACONDA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271336",
      "ccn": "271336",
      "name": "LOGAN HEALTH - WHITEFISH",
      "address": "1600 HOSPITAL WAY",
      "city": "WHITEFISH",
      "state": "MT",
      "zip": "59937",
      "county": "FLATHEAD",
      "latitude": 48.3802769599196,
      "longitude": -114.331343820421,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-whitefish-logan-health---whitefish/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MTWY HEALTH",
      "parentSystemId": "entity-mtwy-health",
      "siblingGroupId": "siblings-mt-mtwy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271337",
      "ccn": "271337",
      "name": "NORTHERN ROCKIES MEDICAL CENTER INC DBA LOGAN HEALTH - CUT BANK",
      "address": "802 2ND STREET SE",
      "city": "CUT BANK",
      "state": "MT",
      "zip": "59427",
      "county": "GLACIER",
      "latitude": 48.6285098700462,
      "longitude": -112.32702346996,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "MTWY HEALTH",
      "parentSystemId": "entity-mtwy-health",
      "siblingGroupId": "siblings-mt-mtwy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-mtwy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.billingsclinic.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MTWY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANNA ROBBINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MTWY Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MTWY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271338",
      "ccn": "271338",
      "name": "BIG HORN HOSPITAL",
      "address": "17 N MILES",
      "city": "HARDIN",
      "state": "MT",
      "zip": "59034",
      "county": "BIG HORN",
      "latitude": 45.7289167197797,
      "longitude": -107.616532729629,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BIG HORN HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-big-horn-hospital-association",
      "siblingGroupId": "siblings-mt-big-horn-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-big-horn-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists ROXANNA SKYE CAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to BIG HORN HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BIG HORN HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROXANNA SKYE CAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to BIG HORN HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BIG HORN HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271340",
      "ccn": "271340",
      "name": "BITTERROOT HEALTH - DALY HOSPITAL CAH",
      "address": "1200 WESTWOOD DR",
      "city": "HAMILTON",
      "state": "MT",
      "zip": "59840",
      "county": "RAVALLI",
      "latitude": 46.2481385799204,
      "longitude": -114.17208713973,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARCUS DALY MEMORIAL HOSPITAL CORPORATION",
      "parentSystemId": "entity-marcus-daly-memorial-hospital-corporation",
      "siblingGroupId": "siblings-mt-marcus-daly-memorial-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-marcus-daly-memorial-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARCUS DALY MEMORIAL HOSPITAL CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MARCUS DALY MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARCUS DALY MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARCUS DALY MEMORIAL HOSPITAL CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MARCUS DALY MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARCUS DALY MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271341",
      "ccn": "271341",
      "name": "TRINITY HOSPITAL",
      "address": "315 KNAPP STREET",
      "city": "WOLF POINT",
      "state": "MT",
      "zip": "59201",
      "county": "ROOSEVELT",
      "latitude": 48.1013488699893,
      "longitude": -105.641908360316,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEAST MONTANA HEALTH SERVICES INC",
      "parentSystemId": "entity-northeast-montana-health-services-inc",
      "siblingGroupId": "siblings-mt-northeast-montana-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-northeast-montana-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEAST MONTANA HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to NORTHEAST MONTANA HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST MONTANA HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEAST MONTANA HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to NORTHEAST MONTANA HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEAST MONTANA HEALTH SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271342",
      "ccn": "271342",
      "name": "DANIELS MEMORIAL HOSPITAL",
      "address": "105 5TH AVENUE EAST",
      "city": "SCOBEY",
      "state": "MT",
      "zip": "59263",
      "county": "DANIELS",
      "latitude": 48.7882463899629,
      "longitude": -105.41824399999,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.danielsmemorialhealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scobey-daniels-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DANIELS MEMORIAL HOSPITAL",
      "parentSystemId": "entity-daniels-memorial-hospital",
      "siblingGroupId": "siblings-mt-daniels-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-daniels-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists KODY BRINTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to DANIELS MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DANIELS MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KODY BRINTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to DANIELS MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DANIELS MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271343",
      "ccn": "271343",
      "name": "PROVIDENCE ST. JOSEPH MEDICAL CENTER",
      "address": "6 13TH AVENUE E",
      "city": "POLSON",
      "state": "MT",
      "zip": "59860",
      "county": "LAKE",
      "latitude": 47.6821715098937,
      "longitude": -114.162704920205,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "website": "http://montana.providence.org/hospitals/st-joseph/",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-polson-providence-st-joseph-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-mt-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES MT (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES MT (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271344",
      "ccn": "271344",
      "name": "SIDNEY HEALTH CENTER",
      "address": "216 14TH AVE SW",
      "city": "SIDNEY",
      "state": "MT",
      "zip": "59270",
      "county": "RICHLAND",
      "latitude": 47.7150889599882,
      "longitude": -104.173150839644,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.sidneyhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sidney-sidney-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SIDNEY HEALTH CENTER",
      "parentSystemId": "entity-sidney-health-center",
      "siblingGroupId": "siblings-mt-sidney-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-sidney-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIDNEY HEALTH CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to SIDNEY HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIDNEY HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SIDNEY HEALTH CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to SIDNEY HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SIDNEY HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271345",
      "ccn": "271345",
      "name": "CENTRAL MONTANA MEDICAL CENTER",
      "address": "408 WENDELL AVE",
      "city": "LEWISTOWN",
      "state": "MT",
      "zip": "59457",
      "county": "FERGUS",
      "latitude": 47.0585942101048,
      "longitude": -109.443954019921,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.cmmccares.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewistown-central-montana-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL MONTANA MEDICAL FACILITIES INC",
      "parentSystemId": "entity-central-montana-medical-facilities-inc",
      "siblingGroupId": "siblings-mt-central-montana-medical-facilities-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-central-montana-medical-facilities-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL MONTANA MEDICAL FACILITIES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to CENTRAL MONTANA MEDICAL FACILITIES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MONTANA MEDICAL FACILITIES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL MONTANA MEDICAL FACILITIES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to CENTRAL MONTANA MEDICAL FACILITIES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL MONTANA MEDICAL FACILITIES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271346",
      "ccn": "271346",
      "name": "ROUNDUP MEMORIAL HEALTHCARE",
      "address": "1202 3RD ST W",
      "city": "ROUNDUP",
      "state": "MT",
      "zip": "59072",
      "county": "MUSSELSHELL",
      "latitude": 46.4537166598323,
      "longitude": -108.545705229997,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.rmhmt.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roundup-roundup-memorial-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ROUNDUP MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-roundup-memorial-hospital-association",
      "siblingGroupId": "siblings-mt-roundup-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-roundup-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ROUNDUP MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUNDUP MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to ROUNDUP MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUNDUP MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271348",
      "ccn": "271348",
      "name": "NORTHERN MONTANA HOSPITAL",
      "address": "30 13TH ST",
      "city": "HAVRE",
      "state": "MT",
      "zip": "59501",
      "county": "HILL",
      "latitude": 48.5383668000934,
      "longitude": -109.685663099869,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-havre-northern-montana-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHERN MONTANA HOSPITAL",
      "parentSystemId": "entity-northern-montana-hospital",
      "siblingGroupId": "siblings-mt-northern-montana-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-northern-montana-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists CHRISTEN OBRESLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to NORTHERN MONTANA HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN MONTANA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTEN OBRESLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to NORTHERN MONTANA HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN MONTANA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "271389",
      "ccn": "271389",
      "name": "BOZEMAN HEALTH BIG SKY MEDICAL CENTER",
      "address": "334 TOWN CENTER AVE",
      "city": "BIG SKY",
      "state": "MT",
      "zip": "59716",
      "county": "GALLATIN",
      "latitude": 45.2603821301405,
      "longitude": -111.300931219752,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-sky-bozeman-health-big-sky-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BOZEMAN DEACONESS HEALTH SERVICES",
      "parentSystemId": "entity-bozeman-deaconess-health-services",
      "siblingGroupId": "siblings-mt-bozeman-deaconess-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mt-parent-bozeman-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bozemanhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOZEMAN DEACONESS HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Bozeman Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOZEMAN DEACONESS HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOZEMAN DEACONESS HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to Bozeman Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOZEMAN DEACONESS HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "274004",
      "ccn": "274004",
      "name": "SHODAIR CHILDRENS HOSPITAL",
      "address": "2755 COLONIAL DR",
      "city": "HELENA",
      "state": "MT",
      "zip": "59604",
      "county": "LEWIS AND CLARK",
      "latitude": 46.5824289699966,
      "longitude": -111.988892829658,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": null,
      "website": "http://www.shodairhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-helena-shodair-childrens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTANA CHILDRENS HOME & HOSPITAL",
      "parentSystemId": "entity-montana-childrens-home-and-hospital",
      "siblingGroupId": "siblings-mt-montana-childrens-home-and-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "mt-parent-montana-childrens-home-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dphhs.mt.gov/qad/Licensure/HealthCareFacilityLicensure/LBFacilityApplications/LBHospital"
      ],
      "ownershipProofNotes": "CMS lists CRAIG AASVED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MONTANA CHILDRENS HOME & HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTANA CHILDRENS HOME & HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CRAIG AASVED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Montana resolution: normalized CMS owner/operator to MONTANA CHILDRENS HOME & HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTANA CHILDRENS HOME & HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280003",
      "ccn": "280003",
      "name": "BRYAN MEDICAL CENTER",
      "address": "1600 SOUTH 48TH ST",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68506",
      "county": "LANCASTER",
      "latitude": 40.795898209743,
      "longitude": -96.6522639901451,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 374,
      "rating": 3,
      "website": "http://www.bryanhealth.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRYAN HEALTH",
      "parentSystemId": "entity-bryan-health",
      "siblingGroupId": "siblings-ne-bryan-health",
      "campusFamilyId": "campus-ne-280003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-bryan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bryanhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ERIC N MOOSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ERIC N MOOSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280003-loc-ne-lincoln-bryan-medical-center",
      "ccn": "280003",
      "name": "BRYAN MEDICAL CENTER",
      "address": "2300 SOUTH 16TH ST",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68502",
      "county": "LANCASTER",
      "latitude": 40.789480230318,
      "longitude": -96.6981556598212,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 266,
      "rating": 3,
      "website": "http://www.bryanhealth.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRYAN HEALTH",
      "parentSystemId": "entity-bryan-health",
      "siblingGroupId": "siblings-ne-bryan-health",
      "campusFamilyId": "campus-ne-280003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-bryan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bryanhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ERIC N MOOSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ERIC N MOOSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "280003"
    },
    {
      "id": "280013",
      "ccn": "280013",
      "name": "OUTLOOK, LLC - NEBRASKA MEDICAL CENTER",
      "address": "2808 SOUTH 143RD PLAZA",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68144",
      "county": "DOUGLAS",
      "latitude": 41.2328697700593,
      "longitude": -96.1356371201318,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": 4,
      "status": "confirmed_pe",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "peFirm": "InTandem Capital Partners",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEBRASKA MEDICAL CENTER",
      "parentSystemId": "entity-nebraska-medical-center",
      "siblingGroupId": "siblings-ne-nebraska-medical-center",
      "campusFamilyId": "campus-ne-280013",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-nebraska-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraskamed.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEBRASKA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEBRASKA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280013-loc-ne-omaha-the-nebraska-medical-center",
      "ccn": "280013",
      "name": "THE NEBRASKA MEDICAL CENTER",
      "address": "987400 NEBRASKA MEDICAL CENTER",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68198",
      "county": "DOUGLAS",
      "latitude": 41.2552290001584,
      "longitude": -95.9786349799364,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 718,
      "rating": 4,
      "website": "http://www.nebraskamed.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "InTandem Capital Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-omaha-nebraska-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEBRASKA MEDICAL CENTER",
      "parentSystemId": "entity-nebraska-medical-center",
      "siblingGroupId": "siblings-ne-nebraska-medical-center",
      "campusFamilyId": "campus-ne-280013",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-nebraska-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraskamed.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEBRASKA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEBRASKA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "280013"
    },
    {
      "id": "280023",
      "ccn": "280023",
      "name": "CHI HEALTH ST. FRANCIS",
      "address": "2116 WEST FAIDLEY AVENUE",
      "city": "GRAND ISLAND",
      "state": "NE",
      "zip": "68803",
      "county": "HALL",
      "latitude": 40.9246510299387,
      "longitude": -98.3638754001706,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 36,
      "rating": 4,
      "website": "https://www.chihealth.com/en/services/cancer-care/cancer-treatment/radiation-therapy.html?utm_source=localsearch&utm_medium=facility&utm_campaign=chihealth&utm_term=chihealthradiationoncology(stfrancis)",
      "status": "corporate_chain",
      "parentSystem": "CHI NEBRASKA",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-island-chi-health-st.-francis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-chi-nebraska",
      "siblingGroupId": "siblings-ne-chi-nebraska",
      "campusFamilyId": "campus-ne-280023",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHI NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICK O'TOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHI NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280040",
      "ccn": "280040",
      "name": "THE NEBRASKA METHODIST HOSPITAL",
      "address": "8303 DODGE ST",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68114",
      "county": "DOUGLAS",
      "latitude": 41.2592316503002,
      "longitude": -96.0419733796161,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 423,
      "rating": 4,
      "website": "http://www.bestcare.org/methodist-hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Methodist Health System",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-ne-methodist-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-nebraska-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://bestcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEBRASKA METHODIST HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY E FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Methodist Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEBRASKA METHODIST HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFFREY E FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Methodist Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280060",
      "ccn": "280060",
      "name": "CHI HEALTH BERGAN MERCY HOSPITAL",
      "address": "415 SOUTH 25TH AVENUE",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68131",
      "county": "DOUGLAS",
      "latitude": 41.2558649101822,
      "longitude": -95.9485192304292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 64,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-alegent-health-bergan-mercy-health-system",
      "siblingGroupId": "siblings-ne-alegent-health-bergan-mercy-health-system",
      "campusFamilyId": "campus-ne-280060",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE GOEBEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JULIE GOEBEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280061",
      "ccn": "280061",
      "name": "REGIONAL WEST MEDICAL CENTER",
      "address": "4021 AVE B",
      "city": "SCOTTSBLUFF",
      "state": "NE",
      "zip": "69361",
      "county": "SCOTTS BLUFF",
      "latitude": 41.886679850017,
      "longitude": -103.664741270064,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 172,
      "rating": 2,
      "website": "http://www.rwhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scottsbluff-regional-west-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REGIONAL WEST HEALTH SERVICES",
      "parentSystemId": "entity-regional-west-health-services",
      "siblingGroupId": "siblings-ne-regional-west-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-regional-west-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGIONAL WEST HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MELVIN G MCNEA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Regional West Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL WEST HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REGIONAL WEST HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MELVIN G MCNEA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Regional West Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL WEST HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "28006F",
      "ccn": "28006F",
      "name": "OMAHA VA MEDICAL CENTER",
      "address": "4101 WOOLWORTH AVENUE",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68105",
      "county": "DOUGLAS",
      "latitude": 41.2425312902054,
      "longitude": -95.9743765001624,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 4,
      "website": "https://www.nebraska.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ne-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NE resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NE resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "280077",
      "ccn": "280077",
      "name": "METHODIST FREMONT HEALTH",
      "address": "450 EAST 23RD ST",
      "city": "FREMONT",
      "state": "NE",
      "zip": "68025",
      "county": "DODGE",
      "latitude": 41.4524164800469,
      "longitude": -96.49176521969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 75,
      "rating": 2,
      "website": "http://www.famc.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fremont-methodist-fremont-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Methodist Health System",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-ne-methodist-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-nebraska-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://bestcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEBRASKA METHODIST HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELINDA KENTFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Methodist Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEBRASKA METHODIST HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELINDA KENTFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Methodist Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280111",
      "ccn": "280111",
      "name": "COLUMBUS COMMUNITY HOSPITAL, INC",
      "address": "4600 38TH ST",
      "city": "COLUMBUS",
      "state": "NE",
      "zip": "68601",
      "county": "PLATTE",
      "latitude": 41.4551780502186,
      "longitude": -97.3849010801894,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 50,
      "rating": 3,
      "website": "http://www.columbushosp.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-columbus-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COLUMBUS COMMUNITY HOSPITAL INC",
      "parentSystemId": "entity-columbus-community-hospital-inc",
      "siblingGroupId": "siblings-ne-columbus-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-columbus-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists TANYA SANDIFER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COLUMBUS COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TANYA SANDIFER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COLUMBUS COMMUNITY HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS COMMUNITY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280125",
      "ccn": "280125",
      "name": "FAITH REGIONAL HEALTH SERVICES",
      "address": "2700 WEST NORFOLK AVE",
      "city": "NORFOLK",
      "state": "NE",
      "zip": "68701",
      "county": "MADISON",
      "latitude": 42.0338928302948,
      "longitude": -97.4526841804015,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 131,
      "rating": 3,
      "website": "http://www.frhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-faith-regional-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA",
      "parentSystemId": "entity-lutheran-community-hospital-association-of-norfolk-nebraska",
      "siblingGroupId": "siblings-ne-lutheran-community-hospital-association-of-norfolk-nebraska",
      "campusFamilyId": "campus-ne-280125",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-faith-regional-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.frhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J. LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Faith Regional Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J. LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Faith Regional Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280125-loc-ne-norfolk-faith-regional-health-services-east-campus",
      "ccn": "280125",
      "name": "FAITH REGIONAL HEALTH SERVICES EAST CAMPUS",
      "address": "1500 KOENIGSTEIN AVE",
      "city": "NORFOLK",
      "state": "NE",
      "zip": "68701",
      "county": "MADISON",
      "latitude": 42.0343523402149,
      "longitude": -97.431032670115,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 20,
      "rating": 3,
      "website": "http://www.frhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-faith-regional-health-services-east-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA",
      "parentSystemId": "entity-lutheran-community-hospital-association-of-norfolk-nebraska",
      "siblingGroupId": "siblings-ne-lutheran-community-hospital-association-of-norfolk-nebraska",
      "campusFamilyId": "campus-ne-280125",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-faith-regional-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.frhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J. LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Faith Regional Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS J. LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Faith Regional Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "280125"
    },
    {
      "id": "280131",
      "ccn": "280131",
      "name": "MIDWEST SURGICAL HOSPITAL, LLC",
      "address": "7915 FARNAM DRIVE",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68114",
      "county": "DOUGLAS",
      "latitude": 41.2576699999809,
      "longitude": -96.0375520900783,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 19,
      "rating": null,
      "website": "http://www.mwsurgicalhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SP Management Services",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-omaha-midwest-surgical-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sp-management-services",
      "siblingGroupId": "siblings-ne-sp-management-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-sp-management-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to SP MANAGEMENT SERVICES INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to SP MANAGEMENT SERVICES INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "280132",
      "ccn": "280132",
      "name": "BELLEVUE MEDICAL CENTER, LLC",
      "address": "2500 BELLEVUE MEDICAL CENTER DR",
      "city": "BELLEVUE",
      "state": "NE",
      "zip": "68123",
      "county": "SARPY",
      "latitude": 41.1370445000061,
      "longitude": -95.9485291397451,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 91,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEBRASKA MEDICAL CENTER",
      "parentSystemId": "entity-nebraska-medical-center",
      "siblingGroupId": "siblings-ne-nebraska-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-nebraska-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraskamed.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEBRASKA MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEBRASKA MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Nebraska Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEBRASKA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280133",
      "ccn": "280133",
      "name": "NEBRASKA SPINE HOSPITAL, LLC",
      "address": "6901 NORTH 72ND ST, SUITE 20300, PO BOX 34400",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68122",
      "county": "DOUGLAS",
      "latitude": 41.3220543401434,
      "longitude": -96.0203563197207,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 34,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-omaha-nebraska-spine-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALEGENT CREIGHTON HEALTH",
      "parentSystemId": "entity-alegent-creighton-health",
      "siblingGroupId": "siblings-ne-alegent-creighton-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALEGENT CREIGHTON HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists JOHN W MCCLELLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT CREIGHTON HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALEGENT CREIGHTON HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists JOHN W MCCLELLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT CREIGHTON HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280134",
      "ccn": "280134",
      "name": "KEARNEY REGIONAL MEDICAL CENTER, LLC",
      "address": "804 22ND AVENUE",
      "city": "KEARNEY",
      "state": "NE",
      "zip": "68845",
      "county": "BUFFALO",
      "latitude": 40.6820509502017,
      "longitude": -99.1125897295847,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 93,
      "rating": 4,
      "website": "https://www.kearneyregional.com/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kearney-kearney-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRYAN HEALTH",
      "parentSystemId": "entity-bryan-health",
      "siblingGroupId": "siblings-ne-bryan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-bryan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bryanhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS MCLEOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS MCLEOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "280139",
      "ccn": "280139",
      "name": "GRAND ISLAND REGIONAL MEDICAL CENTER",
      "address": "3533 PRAIRIEVIEW STREET",
      "city": "GRAND ISLAND",
      "state": "NE",
      "zip": "68803",
      "county": "HALL",
      "latitude": 40.8861415001598,
      "longitude": -98.3807208796696,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 67,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-island-grand-island-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRYAN HEALTH",
      "parentSystemId": "entity-bryan-health",
      "siblingGroupId": "siblings-ne-bryan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-bryan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bryanhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREW P WATERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANDREW P WATERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281300",
      "ccn": "281300",
      "name": "HARLAN COUNTY HEALTH SYSTEM BOARD OF TRUSTEES",
      "address": "717 BROWN ST, PO BOX 836",
      "city": "ALMA",
      "state": "NE",
      "zip": "68920",
      "county": "HARLAN",
      "latitude": 40.1049921903034,
      "longitude": -99.3649283101856,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HARLAN COUNTY HEALTH SYSTEM",
      "parentSystemId": "entity-harlan-county-health-system",
      "siblingGroupId": "siblings-ne-harlan-county-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-harlan-county-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists STACY NEUBAUER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to HARLAN COUNTY HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARLAN COUNTY HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STACY NEUBAUER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to HARLAN COUNTY HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARLAN COUNTY HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281301",
      "ccn": "281301",
      "name": "FILLMORE COUNTY",
      "address": "1900 F STREET, PO BOX 193",
      "city": "GENEVA",
      "state": "NE",
      "zip": "68361",
      "county": "FILLMORE",
      "latitude": 40.5266005199898,
      "longitude": -97.5949553099866,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 30,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FILLMORE COUNTY HOSPITAL",
      "parentSystemId": "entity-fillmore-county-hospital",
      "siblingGroupId": "siblings-ne-fillmore-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-fillmore-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists CHRISTOPHER M NICHOLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FILLMORE COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FILLMORE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTOPHER M NICHOLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FILLMORE COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FILLMORE COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281302",
      "ccn": "281302",
      "name": "PAWNEE COUNTY",
      "address": "600 I ST, PO BOX 433",
      "city": "PAWNEE CITY",
      "state": "NE",
      "zip": "68420",
      "county": "PAWNEE",
      "latitude": 40.1085194301374,
      "longitude": -96.150040860111,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PAWNEE COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-pawnee-county-memorial-hospital",
      "siblingGroupId": "siblings-ne-pawnee-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-pawnee-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PAWNEE COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAWNEE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PAWNEE COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAWNEE COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281303",
      "ccn": "281303",
      "name": "NIOBRARA VALLEY HOSPITAL CORPORATION",
      "address": "401 SOUTH 5TH STREET, PO BOX 118",
      "city": "LYNCH",
      "state": "NE",
      "zip": "68746",
      "county": "BOYD",
      "latitude": 42.8245735300569,
      "longitude": -98.4684940803048,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.ci.lynch.ne.us/health.htm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lynch-niobrara-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FAITH REGIONAL HEALTH SERVICES",
      "parentSystemId": "entity-faith-regional-health-services",
      "siblingGroupId": "siblings-ne-faith-regional-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-faith-regional-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.frhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FAITH REGIONAL HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KELLY E KALKOWSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Faith Regional Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAITH REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FAITH REGIONAL HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KELLY E KALKOWSKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Faith Regional Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAITH REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281304",
      "ccn": "281304",
      "name": "THAYER COUNTY",
      "address": "120 PARK AVE",
      "city": "HEBRON",
      "state": "NE",
      "zip": "68370",
      "county": "THAYER",
      "latitude": 40.1606392703376,
      "longitude": -97.5937304301473,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALEGENT CREIGHTON HEALTH",
      "parentSystemId": "entity-alegent-creighton-health",
      "siblingGroupId": "siblings-ne-alegent-creighton-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALEGENT CREIGHTON HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIAN ROKUSEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT CREIGHTON HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALEGENT CREIGHTON HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIAN ROKUSEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALEGENT CREIGHTON HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281306",
      "ccn": "281306",
      "name": "KEARNEY COUNTY",
      "address": "727 EAST 1ST ST",
      "city": "MINDEN",
      "state": "NE",
      "zip": "68959",
      "county": "KEARNEY",
      "latitude": 40.4954309798344,
      "longitude": -98.9428532201437,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "KEARNEY CO HEALTH SERVICES",
      "parentSystemId": "entity-kearney-co-health-services",
      "siblingGroupId": "siblings-ne-kearney-co-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-kearney-co-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists GAVIN D BLUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to KEARNEY CO HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEARNEY CO HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists GAVIN D BLUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to KEARNEY CO HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KEARNEY CO HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281307",
      "ccn": "281307",
      "name": "SAUNDERS MEDICAL CENTER",
      "address": "1760 COUNTY RD J",
      "city": "WAHOO",
      "state": "NE",
      "zip": "68066",
      "county": "SAUNDERS",
      "latitude": 41.1932757797145,
      "longitude": -96.635583269754,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "website": "http://www.saundersmedicalcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wahoo-saunders-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRYAN HEALTH",
      "parentSystemId": "entity-bryan-health",
      "siblingGroupId": "siblings-ne-bryan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-bryan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bryanhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JULIE REZAC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JULIE REZAC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281311",
      "ccn": "281311",
      "name": "FRANKLIN COUNTY",
      "address": "1406 Q ST",
      "city": "FRANKLIN",
      "state": "NE",
      "zip": "68939",
      "county": "FRANKLIN",
      "latitude": 40.1018289796886,
      "longitude": -98.9541325701573,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FRANKLIN COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-franklin-county-memorial-hospital",
      "siblingGroupId": "siblings-ne-franklin-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-franklin-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists THERESA RIZZO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FRANKLIN COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists THERESA RIZZO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to FRANKLIN COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANKLIN COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281316",
      "ccn": "281316",
      "name": "WEBSTER COUNTY",
      "address": "621 N FRANKLIN ST, PO BOX 465",
      "city": "RED CLOUD",
      "state": "NE",
      "zip": "68970",
      "county": "WEBSTER",
      "latitude": 40.0915342596601,
      "longitude": -98.5280547300414,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 13,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WEBSTER COUNTY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-webster-county-community-hospital",
      "siblingGroupId": "siblings-ne-webster-county-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-webster-county-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to WEBSTER COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEBSTER COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to WEBSTER COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEBSTER COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281318",
      "ccn": "281318",
      "name": "MORRILL COUNTY COMMUNITY HOSPITAL",
      "address": "1313 S STREET",
      "city": "BRIDGEPORT",
      "state": "NE",
      "zip": "69336",
      "county": "MORRILL",
      "latitude": 41.6617642797184,
      "longitude": -103.092285430158,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 20,
      "rating": null,
      "website": "http://www.morrillcountyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bridgeport-morrill-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MORRILL COUNTY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-morrill-county-community-hospital",
      "siblingGroupId": "siblings-ne-morrill-county-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-morrill-county-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists SUMER KRIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MORRILL COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRILL COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SUMER KRIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MORRILL COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORRILL COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281324",
      "ccn": "281324",
      "name": "NEMAHA COUNTY HOSPITAL",
      "address": "2022 13TH STREET",
      "city": "AUBURN",
      "state": "NE",
      "zip": "68305",
      "county": "NEMAHA",
      "latitude": 40.3912288903297,
      "longitude": -95.8533256203571,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-auburn-nemaha-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEMAHA COUNTY HOSPITAL",
      "parentSystemId": "entity-nemaha-county-hospital",
      "siblingGroupId": "siblings-ne-nemaha-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-nemaha-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists STACY D TAYLOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to NEMAHA COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEMAHA COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STACY D TAYLOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to NEMAHA COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEMAHA COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281325",
      "ccn": "281325",
      "name": "BROWN COUNTY",
      "address": "945 EAST ZERO ST",
      "city": "AINSWORTH",
      "state": "NE",
      "zip": "69210",
      "county": "BROWN",
      "latitude": 42.5445134600987,
      "longitude": -99.8495610498394,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BROWN COUNTY HOSPITAL",
      "parentSystemId": "entity-brown-county-hospital",
      "siblingGroupId": "siblings-ne-brown-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-brown-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: BROWN COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MIRYA C HALLOCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to BROWN COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROWN COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BROWN COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MIRYA C HALLOCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to BROWN COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROWN COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281326",
      "ccn": "281326",
      "name": "ANTELOPE MEMORIAL HOSPITAL",
      "address": "102 WEST 9TH ST, PO BOX 229",
      "city": "NELIGH",
      "state": "NE",
      "zip": "68756",
      "county": "ANTELOPE",
      "latitude": 42.1347459598965,
      "longitude": -98.0306439702058,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": null,
      "website": "http://www.amhne.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-neligh-antelope-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ANTELOPE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-antelope-memorial-hospital",
      "siblingGroupId": "siblings-ne-antelope-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-antelope-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists KELLI OSBORN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to ANTELOPE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANTELOPE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KELLI OSBORN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to ANTELOPE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANTELOPE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281328",
      "ccn": "281328",
      "name": "MERRICK MEDICAL CENTER",
      "address": "1715 26TH ST",
      "city": "CENTRAL CITY",
      "state": "NE",
      "zip": "68826",
      "county": "MERRICK",
      "latitude": 41.1072970498786,
      "longitude": -98.0029343303393,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRYAN HEALTH",
      "parentSystemId": "entity-bryan-health",
      "siblingGroupId": "siblings-ne-bryan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-bryan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bryanhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BLAKE A COVER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BLAKE A COVER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281329",
      "ccn": "281329",
      "name": "AVERA ST. ANTHONY'S HOSPITAL",
      "address": "300 NORTH 2ND ST",
      "city": "O' NEILL",
      "state": "NE",
      "zip": "68763",
      "county": "HOLT",
      "latitude": 42.4606455001357,
      "longitude": -98.650382849789,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 4,
      "website": "http://www.avera.org/st-anthonys",
      "status": "corporate_chain",
      "parentSystem": "AVERA HEALTH",
      "affiliatedSystem": "Avera",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Avera",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-ne-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN KOZYRA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN KOZYRA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281332",
      "ccn": "281332",
      "name": "BUTLER COUNTY",
      "address": "372 SOUTH 9TH STREET",
      "city": "DAVID CITY",
      "state": "NE",
      "zip": "68632",
      "county": "BUTLER",
      "latitude": 41.2466945102031,
      "longitude": -97.1225303103281,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "THE COUNTY OF BUTLER, NEBRASKA",
      "parentSystemId": "entity-the-county-of-butler-nebraska",
      "siblingGroupId": "siblings-ne-the-county-of-butler-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-the-county-of-butler-nebraska"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE COUNTY OF BUTLER, NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONALD T NAIBERK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to THE COUNTY OF BUTLER, NEBRASKA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COUNTY OF BUTLER, NEBRASKA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE COUNTY OF BUTLER, NEBRASKA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONALD T NAIBERK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to THE COUNTY OF BUTLER, NEBRASKA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE COUNTY OF BUTLER, NEBRASKA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281333",
      "ccn": "281333",
      "name": "ROCK COUNTY",
      "address": "102 EAST SOUTH STREET",
      "city": "BASSETT",
      "state": "NE",
      "zip": "68714",
      "county": "ROCK",
      "latitude": 42.5753837697258,
      "longitude": -99.5370913497704,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ROCK COUNTY HOSPITAL",
      "parentSystemId": "entity-rock-county-hospital",
      "siblingGroupId": "siblings-ne-rock-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-rock-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists STACEY KNOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to ROCK COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCK COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STACEY KNOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to ROCK COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCK COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281334",
      "ccn": "281334",
      "name": "BOONE COUNTY",
      "address": "723 WEST FAIRVIEW ST, PO BOX 151",
      "city": "ALBION",
      "state": "NE",
      "zip": "68620",
      "county": "BOONE",
      "latitude": 41.683040810297,
      "longitude": -98.0057401597388,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BOONE COUNTY HEALTH CENTER",
      "parentSystemId": "entity-boone-county-health-center",
      "siblingGroupId": "siblings-ne-boone-county-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-boone-county-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists CALEB POORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to BOONE COUNTY HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CALEB POORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to BOONE COUNTY HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281336",
      "ccn": "281336",
      "name": "YORK GENERAL HEALTH CARE SERVICES",
      "address": "2222 N LINCOLN AVE",
      "city": "YORK",
      "state": "NE",
      "zip": "68467",
      "county": "YORK",
      "latitude": 40.8825718002243,
      "longitude": -97.5921533999367,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "YORK GENERAL HOSPITAL",
      "parentSystemId": "entity-york-general-hospital",
      "siblingGroupId": "siblings-ne-york-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-york-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: YORK GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to YORK GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YORK GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: YORK GENERAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to YORK GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YORK GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281338",
      "ccn": "281338",
      "name": "HOWARD COUNTY",
      "address": "1113 SHERMAN ST, PO BOX 406",
      "city": "ST PAUL",
      "state": "NE",
      "zip": "68873",
      "county": "HOWARD",
      "latitude": 41.2170544899579,
      "longitude": -98.4632354899553,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "HOWARD COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-howard-county-medical-center",
      "siblingGroupId": "siblings-ne-howard-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-howard-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists KAITLIN D HAHN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to HOWARD COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOWARD COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KAITLIN D HAHN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to HOWARD COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOWARD COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281339",
      "ccn": "281339",
      "name": "MEMORIAL HEALTH CARE SYSTEMS",
      "address": "300 NORTH COLUMBIA AVE",
      "city": "SEWARD",
      "state": "NE",
      "zip": "68434",
      "county": "SEWARD",
      "latitude": 40.9100217299019,
      "longitude": -97.0914344000312,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HEALTH CARE SYSTEMS",
      "parentSystemId": "entity-memorial-health-care-systems",
      "siblingGroupId": "siblings-ne-memorial-health-care-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-memorial-health-care-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists ROGER REAMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MEMORIAL HEALTH CARE SYSTEMS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH CARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROGER REAMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MEMORIAL HEALTH CARE SYSTEMS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HEALTH CARE SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281340",
      "ccn": "281340",
      "name": "DUNDY COUNTY",
      "address": "1313 NORTH CHEYENNE ST, PO BOX 626",
      "city": "BENKELMAN",
      "state": "NE",
      "zip": "69021",
      "county": "DUNDY",
      "latitude": 40.0565291796944,
      "longitude": -101.537663489591,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "DUNDY COUNTY HOSPITAL",
      "parentSystemId": "entity-dundy-county-hospital",
      "siblingGroupId": "siblings-ne-dundy-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-dundy-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists LORI L STONEHOCKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to DUNDY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUNDY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LORI L STONEHOCKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to DUNDY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUNDY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281343",
      "ccn": "281343",
      "name": "WEST HOLT MEMORIAL HOSPITAL, INC",
      "address": "406 W NEELY ST",
      "city": "ATKINSON",
      "state": "NE",
      "zip": "68713",
      "county": "HOLT",
      "latitude": 42.5288883198656,
      "longitude": -98.9826620098571,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 17,
      "rating": null,
      "website": "http://www.westholtmed.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atkinson-west-holt-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WEST HOLT MEMORIAL HOSPITAL",
      "parentSystemId": "entity-west-holt-memorial-hospital",
      "siblingGroupId": "siblings-ne-west-holt-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-west-holt-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to WEST HOLT MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST HOLT MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to WEST HOLT MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST HOLT MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281344",
      "ccn": "281344",
      "name": "CHERRY COUNTY",
      "address": "510 NORTH GREEN ST, PO BOX 410",
      "city": "VALENTINE",
      "state": "NE",
      "zip": "69201",
      "county": "CHERRY",
      "latitude": 42.8793901201912,
      "longitude": -100.538166410444,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 21,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHERRY COUNTY HOSPITAL",
      "parentSystemId": "entity-cherry-county-hospital",
      "siblingGroupId": "siblings-ne-cherry-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-cherry-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHERRY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMES BARGEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHERRY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHERRY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHERRY COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMES BARGEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHERRY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHERRY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281345",
      "ccn": "281345",
      "name": "PROVIDENCE MEDICAL CENTER, INC",
      "address": "1200 PROVIDENCE RD",
      "city": "WAYNE",
      "state": "NE",
      "zip": "68787",
      "county": "WAYNE",
      "latitude": 42.2419191999051,
      "longitude": -97.0092309302274,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": null,
      "website": "http://www.providencemedical.com",
      "status": "corporate_chain",
      "parentSystem": "PROVIDENCE MEDICAL CENTER",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wayne-providence-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence-medical-center",
      "siblingGroupId": "siblings-ne-providence-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-providence-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PROVIDENCE MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROVIDENCE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PROVIDENCE MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROVIDENCE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281347",
      "ccn": "281347",
      "name": "OSMOND GENERAL HOSPITAL, INC",
      "address": "402 NORTH MAPLE ST, PO BOX 429",
      "city": "OSMOND",
      "state": "NE",
      "zip": "68765",
      "county": "PIERCE",
      "latitude": 42.3603027497892,
      "longitude": -97.5958236404049,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "http://www.osmondhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-osmond-osmond-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSMOND GENERAL HOSPITAL INC",
      "parentSystemId": "entity-osmond-general-hospital-inc",
      "siblingGroupId": "siblings-ne-osmond-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-osmond-general-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists RILEY D ECKMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to OSMOND GENERAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSMOND GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RILEY D ECKMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to OSMOND GENERAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSMOND GENERAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281349",
      "ccn": "281349",
      "name": "PENDER COMMUNITY HOSPITAL DISTRICT",
      "address": "100 HOSPITAL DRIVE",
      "city": "PENDER",
      "state": "NE",
      "zip": "68047",
      "county": "THURSTON",
      "latitude": 42.1055816503292,
      "longitude": -96.7109742802607,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 21,
      "rating": null,
      "website": "http://www.pendercommunityhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "PENDER COMMUNITY HOSPITAL DISTRICT",
      "parentSystemId": "entity-pender-community-hospital-district",
      "siblingGroupId": "siblings-ne-pender-community-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-verified-parent-pender-community-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists SHANE SCHUSTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PENDER COMMUNITY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENDER COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SHANE SCHUSTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PENDER COMMUNITY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENDER COMMUNITY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281350",
      "ccn": "281350",
      "name": "JOHNSON COUNTY HOSPITAL",
      "address": "202 HIGH ST",
      "city": "TECUMSEH",
      "state": "NE",
      "zip": "68450",
      "county": "JOHNSON",
      "latitude": 40.379675619999,
      "longitude": -96.1970228896076,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": null,
      "website": "http://www.jchosp.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tecumseh-johnson-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JOHNSON COUNTY HOSPITAL",
      "parentSystemId": "entity-johnson-county-hospital",
      "siblingGroupId": "siblings-ne-johnson-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-johnson-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists MARY KENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to JOHNSON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARY KENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to JOHNSON COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281351",
      "ccn": "281351",
      "name": "CHASE COUNTY",
      "address": "600 W 12TH ST, PO BOX 819",
      "city": "IMPERIAL",
      "state": "NE",
      "zip": "69033",
      "county": "CHASE",
      "latitude": 40.5241292799829,
      "longitude": -101.650665249753,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHASE COUNTY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-chase-county-community-hospital",
      "siblingGroupId": "siblings-ne-chase-county-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-chase-county-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists ABIGAIL J CYBORON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHASE COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHASE COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ABIGAIL J CYBORON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to CHASE COUNTY COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHASE COUNTY COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281352",
      "ccn": "281352",
      "name": "COMMUNITY MEDICAL CENTER, INC",
      "address": "3307 BARADA ST, PO BOX 399",
      "city": "FALLS CITY",
      "state": "NE",
      "zip": "68355",
      "county": "RICHARDSON",
      "latitude": 40.0777201699913,
      "longitude": -95.607887949871,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-falls-city-community-medical-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEDICAL CENTER, INC",
      "parentSystemId": "entity-community-medical-center-inc",
      "siblingGroupId": "siblings-ne-community-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-community-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists JANET PRICHARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COMMUNITY MEDICAL CENTER, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JANET PRICHARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COMMUNITY MEDICAL CENTER, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEDICAL CENTER, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281353",
      "ccn": "281353",
      "name": "VALLEY COUNTY HEALTH",
      "address": "2707 L STREET",
      "city": "ORD",
      "state": "NE",
      "zip": "68862",
      "county": "VALLEY",
      "latitude": 41.6021114798493,
      "longitude": -98.9428052797519,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "VALLEY COUNTY HOSPITAL",
      "parentSystemId": "entity-valley-county-hospital",
      "siblingGroupId": "siblings-ne-valley-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-valley-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists CHRISTINA POLLARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to VALLEY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRISTINA POLLARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to VALLEY COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281354",
      "ccn": "281354",
      "name": "CRETE AREA MEDICAL CENTER",
      "address": "2910 BETTEN DR, PO BOX 220",
      "city": "CRETE",
      "state": "NE",
      "zip": "68333",
      "county": "SALINE",
      "latitude": 40.6406377298724,
      "longitude": -96.935546130364,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "http://www.creteareamedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crete-crete-area-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRYAN HEALTH",
      "parentSystemId": "entity-bryan-health",
      "siblingGroupId": "siblings-ne-bryan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-bryan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bryanhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON K HESSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRYAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON K HESSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to Bryan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281358",
      "ccn": "281358",
      "name": "GORDON MEMORIAL HOSPITAL DISTRICT",
      "address": "300 EAST 8TH ST",
      "city": "GORDON",
      "state": "NE",
      "zip": "69343",
      "county": "SHERIDAN",
      "latitude": 42.8121775199468,
      "longitude": -102.199851830327,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.gordonmemorial.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gordon-gordon-memorial-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GORDON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-gordon-memorial-hospital",
      "siblingGroupId": "siblings-ne-gordon-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-gordon-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to GORDON MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GORDON MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to GORDON MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GORDON MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281359",
      "ccn": "281359",
      "name": "MEMORIAL COMMUNITY HOSPITAL CORPORATION",
      "address": "810 NORTH 22ND ST",
      "city": "BLAIR",
      "state": "NE",
      "zip": "68008",
      "county": "WASHINGTON",
      "latitude": 41.5514267600327,
      "longitude": -96.1445666004314,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": null,
      "website": "http://www.mchhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blair-memorial-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL COMMUNITY HOSPITAL CORPORATION",
      "parentSystemId": "entity-memorial-community-hospital-corporation",
      "siblingGroupId": "siblings-ne-memorial-community-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-memorial-community-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL COMMUNITY HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 60%). CMS lists MANUELA WOLF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MEMORIAL COMMUNITY HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL COMMUNITY HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL COMMUNITY HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 60%). CMS lists MANUELA WOLF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to MEMORIAL COMMUNITY HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL COMMUNITY HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281361",
      "ccn": "281361",
      "name": "LEXINGTON REGIONAL HEALTH CENTER",
      "address": "1201 NORTH ERIE ST, PO BOX 980",
      "city": "LEXINGTON",
      "state": "NE",
      "zip": "68850",
      "county": "DAWSON",
      "latitude": 40.785896820154,
      "longitude": -99.7588320101355,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.lexingtonregional.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-lexington-regional-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LEXINGTON REGIONAL HEALTH CENTER",
      "parentSystemId": "entity-lexington-regional-health-center",
      "siblingGroupId": "siblings-ne-lexington-regional-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-lexington-regional-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists FRANCISCA ACOSTA CARLSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to LEXINGTON REGIONAL HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEXINGTON REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists FRANCISCA ACOSTA CARLSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to LEXINGTON REGIONAL HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEXINGTON REGIONAL HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "281362",
      "ccn": "281362",
      "name": "PHELPS MEMORIAL HEALTH CENTER",
      "address": "1215 TIBBALS ST",
      "city": "HOLDREGE",
      "state": "NE",
      "zip": "68949",
      "county": "PHELPS",
      "latitude": 40.447889050024,
      "longitude": -99.3830700999622,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.phelpsmemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-holdrege-phelps-memorial-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PHELPS MEMORIAL HEALTH CENTER",
      "parentSystemId": "entity-phelps-memorial-health-center",
      "siblingGroupId": "siblings-ne-phelps-memorial-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-phelps-memorial-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists LOREN D SCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PHELPS MEMORIAL HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHELPS MEMORIAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LOREN D SCHRODER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to PHELPS MEMORIAL HEALTH CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PHELPS MEMORIAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281363",
      "ccn": "281363",
      "name": "COMMUNITY HOSPITAL ASSOCIATION",
      "address": "1301 EAST H ST, PO BOX 1328",
      "city": "MCCOOK",
      "state": "NE",
      "zip": "69001",
      "county": "RED WILLOW",
      "latitude": 40.2054227901805,
      "longitude": -100.608350719987,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "website": "http://www.chmccook.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-community-hospital-association",
      "siblingGroupId": "siblings-ne-community-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-community-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists LORINDA L REECE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LORINDA L REECE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to COMMUNITY HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "281365",
      "ccn": "281365",
      "name": "JENNIE M MELHAM MEMORIAL MEDICAL CENTER, INC",
      "address": "145 MEMORIAL DRIVE",
      "city": "BROKEN BOW",
      "state": "NE",
      "zip": "68822",
      "county": "CUSTER",
      "latitude": 41.4094485096939,
      "longitude": -99.6318763503558,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 4,
      "website": "http://www.brokenbow-ne.com/community/healthcare/melham.htm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-broken-bow-jennie-m-melham-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC",
      "parentSystemId": "entity-jennie-m-melham-memorial-medical-center-inc",
      "siblingGroupId": "siblings-ne-jennie-m-melham-memorial-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-jennie-m-melham-memorial-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists DAVID A MINNICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAVID A MINNICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "284003",
      "ccn": "284003",
      "name": "LINCOLN REGIONAL CENTER",
      "address": "FOLSOM & WEST PROSPECTOR",
      "city": "LINCOLN",
      "state": "NE",
      "zip": "68509",
      "county": "LANCASTER",
      "latitude": 40.7807806297058,
      "longitude": -96.7339250095696,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 200,
      "rating": null,
      "website": "http://www.hhs.state.ne.us/beh/rc",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lincoln-lincoln-regional-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF NEBRASKA DEPT OF ADMIN SERVICES",
      "parentSystemId": "entity-state-of-nebraska-dept-of-admin-services",
      "siblingGroupId": "siblings-ne-state-of-nebraska-dept-of-admin-services",
      "campusFamilyId": "campus-ne-284003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ne-parent-state-of-nebraska-dept-of-admin-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF NEBRASKA DEPT OF ADMIN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COURTNEY PHILLIPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to STATE OF NEBRASKA DEPT OF ADMIN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEBRASKA DEPT OF ADMIN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF NEBRASKA DEPT OF ADMIN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COURTNEY PHILLIPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to STATE OF NEBRASKA DEPT OF ADMIN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEBRASKA DEPT OF ADMIN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "284009",
      "ccn": "284009",
      "name": "DOUGLAS COUNTY",
      "address": "4102 WOOLWORTH AVE",
      "city": "OMAHA",
      "state": "NE",
      "zip": "68105",
      "county": "DOUGLAS",
      "latitude": 41.2460658001506,
      "longitude": -95.9744051600132,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "DOUGLAS COUNTY NEBRASKA",
      "parentSystemId": "entity-douglas-county-nebraska",
      "siblingGroupId": "siblings-ne-douglas-county-nebraska",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ne-parent-douglas-county-nebraska"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nebraska.gov/LISSearch/search.cgi?new=1&stype=F"
      ],
      "ownershipProofNotes": "CMS lists CHRIS ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to DOUGLAS COUNTY NEBRASKA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOUGLAS COUNTY NEBRASKA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRIS ROGERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NE resolution: normalized CMS owner/operator to DOUGLAS COUNTY NEBRASKA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOUGLAS COUNTY NEBRASKA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "290001",
      "ccn": "290001",
      "name": "RENOWN REGIONAL MEDICAL CENTER",
      "address": "1155 MILL ST",
      "city": "RENO",
      "state": "NV",
      "zip": "89502",
      "county": "WASHOE",
      "latitude": 39.5259415901428,
      "longitude": -119.79648602027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 808,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reno-renown-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RENOWN HEALTH",
      "parentSystemId": "entity-renown-health",
      "siblingGroupId": "siblings-nv-renown-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-renown-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.renown.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RENOWN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Renown Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RENOWN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RENOWN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Renown Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RENOWN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "290003",
      "ccn": "290003",
      "name": "SUNRISE HOSPITAL AND MEDICAL CENTER",
      "address": "3186 S MARYLAND PKWY",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89109",
      "county": "CLARK",
      "latitude": 36.1326100702224,
      "longitude": -115.135471450382,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 762,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "AC MED LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-sunrise-hospital-and-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ac-med-llc",
      "siblingGroupId": "siblings-nv-ac-med-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-ac-med-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to AC MED LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to AC MED LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "290005",
      "ccn": "290005",
      "name": "NORTH VISTA HOSPITAL",
      "address": "1409 E LAKE MEAD BLVD",
      "city": "NORTH LAS VEGAS",
      "state": "NV",
      "zip": "89030",
      "county": "CLARK",
      "latitude": 36.1947284099243,
      "longitude": -115.122563559861,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 177,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-las-vegas-north-vista-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-nv-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "290007",
      "ccn": "290007",
      "name": "UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA",
      "address": "1800 W CHARLESTON BLVD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89102",
      "county": "CLARK",
      "latitude": 36.1596237300161,
      "longitude": -115.167456699997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 541,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-university-medical-center-of-southern-nevada/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CLARK COUNTY COMPTROLLERS OFFICE",
      "parentSystemId": "entity-clark-county-comptrollers-office",
      "siblingGroupId": "siblings-nv-clark-county-comptrollers-office",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-clark-county-comptrollers-office"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLARK COUNTY COMPTROLLERS OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CLARK COUNTY COMPTROLLERS OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLARK COUNTY COMPTROLLERS OFFICE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLARK COUNTY COMPTROLLERS OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CLARK COUNTY COMPTROLLERS OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLARK COUNTY COMPTROLLERS OFFICE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "290008",
      "ccn": "290008",
      "name": "NORTHEASTERN NEVADA REGIONAL HOSPITAL",
      "address": "2001 ERRECART BLVD",
      "city": "ELKO",
      "state": "NV",
      "zip": "89801",
      "county": "ELKO",
      "latitude": 40.8234437700172,
      "longitude": -115.730631040386,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 75,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elko-northeastern-nevada-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nv-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "290009",
      "ccn": "290009",
      "name": "SAINT MARY'S REGIONAL MEDICAL CENTER",
      "address": "235 W 6TH ST",
      "city": "RENO",
      "state": "NV",
      "zip": "89503",
      "county": "WASHOE",
      "latitude": 39.5325313061414,
      "longitude": -119.818494608187,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 352,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reno-saint-mary-s-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-nv-prime-healthcare",
      "campusFamilyId": "campus-nv-290009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/find-a-location/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "290012",
      "ccn": "290012",
      "name": "SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA CAMPUS",
      "address": "102 E LAKE MEAD PKWY",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89015",
      "county": "CLARK",
      "latitude": 36.0386620102368,
      "longitude": -114.984907320232,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-st.-rose-dominican-hospitals---rose-de-lima-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nv-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "290019",
      "ccn": "290019",
      "name": "CARSON TAHOE REGIONAL MEDICAL CENTER",
      "address": "1600 MEDICAL PKWY",
      "city": "CARSON CITY",
      "state": "NV",
      "zip": "89703",
      "county": "CARSON CITY",
      "latitude": 39.2021195900084,
      "longitude": -119.784383090313,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 211,
      "rating": 2,
      "website": "https://www.carsontahoe.com/",
      "status": "corporate_chain",
      "parentSystem": "CARSON TAHOE REGIONAL HEALTHCARE",
      "affiliatedSystem": "Carsontahoe",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carsontahoe",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carson-city-carson-tahoe-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carson-tahoe-regional-healthcare",
      "siblingGroupId": "siblings-nv-carson-tahoe-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-carson-tahoe-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carsontahoe.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARSON TAHOE REGIONAL HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Carsontahoe; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carsontahoe. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Carson Tahoe Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARSON TAHOE REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARSON TAHOE REGIONAL HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Carsontahoe; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carsontahoe. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Carson Tahoe Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARSON TAHOE REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "290021",
      "ccn": "290021",
      "name": "VALLEY HOSPITAL MEDICAL CENTER",
      "address": "620 SHADOW LN",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89106",
      "county": "CLARK",
      "latitude": 36.163216160173,
      "longitude": -115.166393320177,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 328,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-valley-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "290032",
      "ccn": "290032",
      "name": "NORTHERN NEVADA MEDICAL CENTER",
      "address": "2375 E PRATER WAY",
      "city": "SPARKS",
      "state": "NV",
      "zip": "89434",
      "county": "WASHOE",
      "latitude": 39.5408638100115,
      "longitude": -119.697454439893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 124,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sparks-northern-nevada-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "campusFamilyId": "campus-nv-290032",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "290039",
      "ccn": "290039",
      "name": "MOUNTAINVIEW HOSPITAL",
      "address": "3100 N TENAYA WY",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89128",
      "county": "CLARK",
      "latitude": 36.2158522897911,
      "longitude": -115.249106999825,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 425,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-mountainview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GALEN HOLDCO LLC",
      "parentSystemId": "entity-galen-holdco-llc",
      "siblingGroupId": "siblings-nv-galen-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-galen-holdco-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: GALEN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to GALEN HOLDCO LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALEN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GALEN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to GALEN HOLDCO LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALEN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "290041",
      "ccn": "290041",
      "name": "SUMMERLIN HOSPITAL MEDICAL CENTER",
      "address": "657 N TOWN CENTER DR",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89144",
      "county": "CLARK",
      "latitude": 36.1810348301325,
      "longitude": -115.317036989857,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 485,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-summerlin-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "290042",
      "ccn": "290042",
      "name": "HARMON HOSPITAL",
      "address": "2170 E HARMON AVE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89119",
      "county": "CLARK",
      "latitude": 36.1079222502692,
      "longitude": -115.12275763998,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 108,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HUNT VALLEY HOLDINGS LLC",
      "parentSystemId": "entity-hunt-valley-holdings-llc",
      "siblingGroupId": "siblings-nv-hunt-valley-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUNT VALLEY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MURRAY FORMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT VALLEY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HUNT VALLEY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MURRAY FORMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT VALLEY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "290045",
      "ccn": "290045",
      "name": "SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS",
      "address": "3001 SAINT ROSE PKWY",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89052",
      "county": "CLARK",
      "latitude": 36.004371960185,
      "longitude": -115.115077349728,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 326,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-st.-rose-dominican-hospitals---siena-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nv-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "290046",
      "ccn": "290046",
      "name": "SPRING VALLEY HOSPITAL MEDICAL CENTER",
      "address": "5400 S RAINBOW BLVD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89118",
      "county": "CLARK",
      "latitude": 36.0899800402352,
      "longitude": -115.240443310357,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 364,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-spring-valley-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "290047",
      "ccn": "290047",
      "name": "SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER",
      "address": "9300 WEST SUNSET RD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89148",
      "county": "CLARK",
      "latitude": 36.072656239718,
      "longitude": -115.295239230249,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 265,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-southern-hills-hospital-and-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nv-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "290049",
      "ccn": "290049",
      "name": "RENOWN SOUTH MEADOWS MEDICAL CENTER",
      "address": "10101 DOUBLE R BLVD",
      "city": "RENO",
      "state": "NV",
      "zip": "89521",
      "county": "WASHOE",
      "latitude": 39.4361337001899,
      "longitude": -119.75981500003,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 115,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reno-renown-south-meadows-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RENOWN HEALTH",
      "parentSystemId": "entity-renown-health",
      "siblingGroupId": "siblings-nv-renown-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-renown-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.renown.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RENOWN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Renown Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RENOWN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RENOWN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Renown Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RENOWN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "290053",
      "ccn": "290053",
      "name": "SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS",
      "address": "8280 W WARM SPRINGS RD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89113",
      "county": "CLARK",
      "latitude": 36.057339440004,
      "longitude": -115.27201999001,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 147,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-st.-rose-dominican-hospitals---san-martin-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nv-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: DIGNITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DIGNITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN W SCHARMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "290054",
      "ccn": "290054",
      "name": "CENTENNIAL HILLS HOSPITAL MEDICAL CENTER",
      "address": "6900 N DURANGO DR",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89149",
      "county": "CLARK",
      "latitude": 36.2870572201839,
      "longitude": -115.285470530336,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 262,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-centennial-hills-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "290057",
      "ccn": "290057",
      "name": "HENDERSON HOSPITAL",
      "address": "1050 GALLERIA DRIVE WEST",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89011",
      "county": "CLARK",
      "latitude": 36.0727110000904,
      "longitude": -115.030567999811,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 170,
      "rating": 2,
      "website": "https://www.hendersonhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henderson-henderson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "290062",
      "ccn": "290062",
      "name": "WEST HENDERSON HOSPITAL",
      "address": "1155 RAIDERS WAY",
      "city": "HENDERSON",
      "state": "NV",
      "zip": "89052",
      "county": "CLARK",
      "latitude": 35.9796135898153,
      "longitude": -115.148794228715,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 150,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "291300",
      "ccn": "291300",
      "name": "MOUNT GRANT GENERAL HOSPITAL",
      "address": "200 SOUTH A STREET",
      "city": "HAWTHORNE",
      "state": "NV",
      "zip": "89415",
      "county": "MINERAL",
      "latitude": 38.5170034598398,
      "longitude": -118.627389779598,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hawthorne-mount-grant-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MT GRANT GENERAL HOSPITAL",
      "parentSystemId": "entity-mt-grant-general-hospital",
      "siblingGroupId": "siblings-nv-mt-grant-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-mt-grant-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to MT GRANT GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MT GRANT GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to MT GRANT GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MT GRANT GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "291301",
      "ccn": "291301",
      "name": "INCLINE VILLAGE COMMUNITY HOSPITAL",
      "address": "880 ALDER ST",
      "city": "INCLINE VILLAGE",
      "state": "NV",
      "zip": "89451",
      "county": "WASHOE",
      "latitude": 39.2514975001418,
      "longitude": -119.954394019801,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 4,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-incline-village-incline-village-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TAHOE FOREST HOSPITAL DISTRICT",
      "parentSystemId": "entity-tahoe-forest-hospital-district",
      "siblingGroupId": "siblings-nv-tahoe-forest-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-verified-parent-tahoe-forest-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: TAHOE FOREST HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to TAHOE FOREST HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAHOE FOREST HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TAHOE FOREST HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to TAHOE FOREST HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAHOE FOREST HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "291302",
      "ccn": "291302",
      "name": "WILLIAM BEE RIRIE HOSPITAL",
      "address": "1500 AVENUE H",
      "city": "ELY",
      "state": "NV",
      "zip": "89301",
      "county": "WHITE PINE",
      "latitude": 39.256727039687,
      "longitude": -114.858604789563,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ely-william-bee-ririe-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WILLIAM BEE RIRIE HOSPITAL",
      "parentSystemId": "entity-william-bee-ririe-hospital",
      "siblingGroupId": "siblings-nv-william-bee-ririe-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-william-bee-ririe-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: WILLIAM BEE RIRIE HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MATTHEW WALKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to WILLIAM BEE RIRIE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAM BEE RIRIE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WILLIAM BEE RIRIE HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MATTHEW WALKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to WILLIAM BEE RIRIE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAM BEE RIRIE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "291304",
      "ccn": "291304",
      "name": "PERSHING GENERAL HOSPITAL",
      "address": "855 6TH ST",
      "city": "LOVELOCK",
      "state": "NV",
      "zip": "89419",
      "county": "PERSHING",
      "latitude": 40.1759861703426,
      "longitude": -118.482110979949,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 38,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lovelock-pershing-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PERSHING GENERAL HOSPITAL",
      "parentSystemId": "entity-pershing-general-hospital",
      "siblingGroupId": "siblings-nv-pershing-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-pershing-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: PERSHING GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN BROYLES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to PERSHING GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERSHING GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PERSHING GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LYNN BROYLES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to PERSHING GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PERSHING GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "291306",
      "ccn": "291306",
      "name": "CARSON VALLEY MEDICAL CENTER",
      "address": "1107 US HWY 395 N",
      "city": "GARDNERVILLE",
      "state": "NV",
      "zip": "89410",
      "county": "DOUGLAS",
      "latitude": 38.9194838701918,
      "longitude": -119.719017529905,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gardnerville-carson-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BARTON HEALTHCARE SYSTEM",
      "parentSystemId": "entity-barton-healthcare-system",
      "siblingGroupId": "siblings-nv-barton-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-barton-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bartonhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BARTON HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Barton Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARTON HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BARTON HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Barton Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BARTON HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "291307",
      "ccn": "291307",
      "name": "MESA VIEW REGIONAL HOSPITAL",
      "address": "1299 BERTHA HOWE AVE",
      "city": "MESQUITE",
      "state": "NV",
      "zip": "89027",
      "county": "CLARK",
      "latitude": 36.8100399098882,
      "longitude": -114.115947919586,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "QUINCY HEALTH LLC",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesquite-mesa-view-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quincy-health-llc",
      "siblingGroupId": "siblings-nv-quincy-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "291308",
      "ccn": "291308",
      "name": "HUMBOLDT GENERAL HOSPITAL",
      "address": "118 E HASKELL ST",
      "city": "WINNEMUCCA",
      "state": "NV",
      "zip": "89445",
      "county": "HUMBOLDT",
      "latitude": 40.9713250400551,
      "longitude": -117.727187259932,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 67,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winnemucca-humboldt-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HUMBOLDT GENERAL HOSPITAL",
      "parentSystemId": "entity-humboldt-general-hospital",
      "siblingGroupId": "siblings-nv-humboldt-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-humboldt-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to HUMBOLDT GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMBOLDT GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to HUMBOLDT GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMBOLDT GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "291309",
      "ccn": "291309",
      "name": "BOULDER CITY HOSPITAL",
      "address": "901 ADAMS BLVD",
      "city": "BOULDER CITY",
      "state": "NV",
      "zip": "89005",
      "county": "CLARK",
      "latitude": 35.9670526201238,
      "longitude": -114.842630719907,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 82,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boulder-city-boulder-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BOULDER CITY HOSPITAL INC",
      "parentSystemId": "entity-boulder-city-hospital-inc",
      "siblingGroupId": "siblings-nv-boulder-city-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-boulder-city-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS lists THOMAS MAHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to BOULDER CITY HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOULDER CITY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists THOMAS MAHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to BOULDER CITY HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOULDER CITY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "291311",
      "ccn": "291311",
      "name": "DESERT VIEW HOSPITAL",
      "address": "360 S LOLA LANE",
      "city": "PAHRUMP",
      "state": "NV",
      "zip": "89048",
      "county": "NYE",
      "latitude": 36.2145104700865,
      "longitude": -116.025089689688,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "291312",
      "ccn": "291312",
      "name": "GROVER C DILS MEDICAL CENTER",
      "address": "700 N SPRING ST",
      "city": "CALIENTE",
      "state": "NV",
      "zip": "89008",
      "county": "LINCOLN",
      "latitude": 37.6227026300492,
      "longitude": -114.513943109685,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-caliente-grover-c-dils-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LINCOLN COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-lincoln-county-hospital-district",
      "siblingGroupId": "siblings-nv-lincoln-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-verified-parent-lincoln-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to LINCOLN COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINCOLN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to LINCOLN COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINCOLN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "291313",
      "ccn": "291313",
      "name": "BANNER CHURCHILL COMMUNITY HOSPITAL",
      "address": "801 E WILLIAMS AVE",
      "city": "FALLON",
      "state": "NV",
      "zip": "89406",
      "county": "CHURCHILL",
      "latitude": 39.4765581300722,
      "longitude": -118.766205230422,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "Banner Health",
      "affiliatedSystem": "Banner Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Banner Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fallon-banner-churchill-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-nv-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BANNER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Banner Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Banner Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BANNER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Banner Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Banner Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "291314",
      "ccn": "291314",
      "name": "SOUTH LYON MEDICAL CENTER",
      "address": "213 WHITACRE ST",
      "city": "YERINGTON",
      "state": "NV",
      "zip": "89447",
      "county": "LYON",
      "latitude": 38.9840965201579,
      "longitude": -119.167459239776,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 63,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yerington-south-lyon-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTH LYON HEALTH CENTER INC",
      "parentSystemId": "entity-south-lyon-health-center-inc",
      "siblingGroupId": "siblings-nv-south-lyon-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nv-parent-south-lyon-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to SOUTH LYON HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH LYON HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to SOUTH LYON HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH LYON HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "294002",
      "ccn": "294002",
      "name": "SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES",
      "address": "6161 W CHARLESTON BLVD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89146",
      "county": "CLARK",
      "latitude": 36.1574556700466,
      "longitude": -115.226609099573,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 274,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-southern-nevada-adult-mental-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF NEVADA",
      "parentSystemId": "entity-state-of-nevada",
      "siblingGroupId": "siblings-nv-state-of-nevada",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-state-of-nevada"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF NEVADA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to STATE OF NEVADA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEVADA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF NEVADA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to STATE OF NEVADA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEVADA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "294010",
      "ccn": "294010",
      "name": "SPRING MOUNTAIN SAHARA",
      "address": "5460 W SAHARA AVE",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89146",
      "county": "CLARK",
      "latitude": 36.1460195502743,
      "longitude": -115.215828610087,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-spring-mountain-sahara/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS not matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "294011",
      "ccn": "294011",
      "name": "SPRING MOUNTAIN TREATMENT CENTER",
      "address": "7000 W SPRING MOUNTAIN RD",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89117",
      "county": "CLARK",
      "latitude": 36.1263206298357,
      "longitude": -115.246112480198,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 110,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-spring-mountain-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "294013",
      "ccn": "294013",
      "name": "DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL LLC",
      "address": "3247 S MARYLAND PKWY",
      "city": "LAS VEGAS",
      "state": "NV",
      "zip": "89109",
      "county": "CLARK",
      "latitude": 36.1305926598886,
      "longitude": -115.138230129907,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 152,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-desert-parkway-behavioral-healthcare-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "QCF BEHAVIORAL HOSPITALS I, LLC",
      "parentSystemId": "entity-qcf-behavioral-hospitals-i-llc",
      "siblingGroupId": "siblings-nv-qcf-behavioral-hospitals-i-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: QCF BEHAVIORAL HOSPITALS I, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RANDY CALDWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QCF BEHAVIORAL HOSPITALS I, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QCF BEHAVIORAL HOSPITALS I, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RANDY CALDWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QCF BEHAVIORAL HOSPITALS I, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "294015",
      "ccn": "294015",
      "name": "RENO BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
      "address": "6940 SIERRA CENTER PARKWAY",
      "city": "RENO",
      "state": "NV",
      "zip": "89511",
      "county": "WASHOE",
      "latitude": 39.4638900000908,
      "longitude": -119.776027000167,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 103,
      "rating": null,
      "website": "http://renobehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reno-reno-behavioral-healthcare-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Signature Healthcare Services",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-nv-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dpbh.nv.gov/Reg/HealthFacilities/dta/Licensing/Health_Facilities_-_Licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALLISON ZEDNICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALLISON ZEDNICK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "300001",
      "ccn": "300001",
      "name": "CONCORD HOSPITAL",
      "address": "250 PLEASANT STREET",
      "city": "CONCORD",
      "state": "NH",
      "zip": "03301",
      "county": "MERRIMACK",
      "latitude": 43.1977441400356,
      "longitude": -71.5620204003067,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 295,
      "rating": 3,
      "website": "http://www.concordhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-concord-concord-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CONCORD HOSPITAL INC",
      "parentSystemId": "entity-concord-hospital-inc",
      "siblingGroupId": "siblings-nh-concord-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORD HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORD HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "300003",
      "ccn": "300003",
      "name": "MARY HITCHCOCK MEMORIAL HOSPITAL",
      "address": "1 MEDICAL CENTER DRIVE",
      "city": "LEBANON",
      "state": "NH",
      "zip": "03756",
      "county": "GRAFTON",
      "latitude": 43.6761915501976,
      "longitude": -72.2733346403893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 396,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARY HITCHCOCK MEMORIAL HOSPITAL",
      "parentSystemId": "entity-mary-hitchcock-memorial-hospital",
      "siblingGroupId": "siblings-nh-mary-hitchcock-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-dartmouth-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dartmouth-hitchcock.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Dartmouth Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY HITCHCOCK MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Dartmouth Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY HITCHCOCK MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "300005",
      "ccn": "300005",
      "name": "CONCORD HOSPITAL - LACONIA",
      "address": "80 HIGHLAND STREET",
      "city": "LACONIA",
      "state": "NH",
      "zip": "03246",
      "county": "BELKNAP",
      "latitude": 43.5285555500908,
      "longitude": -71.4631810099934,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 137,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laconia-concord-hospital---laconia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CONCORD HOSPITAL-LACONIA",
      "parentSystemId": "entity-concord-hospital-laconia",
      "siblingGroupId": "siblings-nh-concord-hospital-laconia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORD HOSPITAL-LACONIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORD HOSPITAL-LACONIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "300011",
      "ccn": "300011",
      "name": "ST JOSEPH HOSPITAL",
      "address": "172 KINSLEY ST",
      "city": "NASHUA",
      "state": "NH",
      "zip": "03060",
      "county": "HILLSBOROUGH",
      "latitude": 42.7492391097667,
      "longitude": -71.4802120499891,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 208,
      "rating": 4,
      "website": "http://www.stjosephhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashua-st-joseph-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-nh-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-covenant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.covenanthealth.net/about/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN J GRUBBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Covenant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN J GRUBBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Covenant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "300012",
      "ccn": "300012",
      "name": "ELLIOT HOSPITAL CITY OF MANCHESTER",
      "address": "1 ELLIOT WAY",
      "city": "MANCHESTER",
      "state": "NH",
      "zip": "03103",
      "county": "HILLSBOROUGH",
      "latitude": 42.9839540002586,
      "longitude": -71.4380000000909,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 296,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manchester-elliot-hospital-city-of-manchester/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ELLIOT HEALTH SYSTEM",
      "parentSystemId": "entity-elliot-health-system",
      "siblingGroupId": "siblings-nh-elliot-health-system",
      "campusFamilyId": "campus-nh-300012",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-elliot-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elliothospital.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ELLIOT HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARTHA E MAUNSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Elliot Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLIOT HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ELLIOT HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARTHA E MAUNSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Elliot Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLIOT HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "300012-loc-nh-manchester-northeast-rehabilitation-hospital-at-ell",
      "ccn": "300012",
      "name": "NORTHEAST REHABILITATION HOSPITAL AT ELLIOT HOSPITAL",
      "address": "1 ELLIOT WY",
      "city": "MANCHESTER",
      "state": "NH",
      "zip": "03103",
      "county": "HILLSBOROUGH",
      "latitude": 42.984325199955,
      "longitude": -71.4376383203912,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "ELLIOT HEALTH SYSTEM",
      "parentSystemId": "entity-elliot-health-system",
      "siblingGroupId": "siblings-nh-elliot-health-system",
      "campusFamilyId": "campus-nh-300012",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-elliot-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.elliothospital.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ELLIOT HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARTHA E MAUNSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Elliot Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLIOT HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ELLIOT HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARTHA E MAUNSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Elliot Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLIOT HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "300012"
    },
    {
      "id": "300014",
      "ccn": "300014",
      "name": "FRISBIE MEMORIAL HOSPITAL",
      "address": "11 WHITEHALL RD",
      "city": "ROCHESTER",
      "state": "NH",
      "zip": "03867",
      "county": "STRAFFORD",
      "latitude": 43.2975565997417,
      "longitude": -70.9601608596049,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 112,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-frisbie-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nh-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "300017",
      "ccn": "300017",
      "name": "PARKLAND MEDICAL CENTER",
      "address": "1 PARKLAND DRIVE",
      "city": "DERRY",
      "state": "NH",
      "zip": "03038",
      "county": "ROCKINGHAM",
      "latitude": 42.8767711699287,
      "longitude": -71.3166615399188,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-derry-parkland-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nh-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "300018",
      "ccn": "300018",
      "name": "WENTWORTH - DOUGLASS HOSPITAL",
      "address": "789 CENTRAL AVENUE",
      "city": "DOVER",
      "state": "NH",
      "zip": "03820",
      "county": "STRAFFORD",
      "latitude": 43.2132269700144,
      "longitude": -70.8741076398881,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 178,
      "rating": 4,
      "website": "http://www.wdhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dover-wentworth-douglass-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WENTWORTH DOUGLASS HOSPITAL",
      "parentSystemId": "entity-wentworth-douglass-hospital",
      "siblingGroupId": "siblings-nh-wentworth-douglass-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS lists DARIN ROARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WENTWORTH DOUGLASS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DARIN ROARK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WENTWORTH DOUGLASS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "300019",
      "ccn": "300019",
      "name": "THE CHESHIRE MEDICAL CENTER",
      "address": "580 COURT STREET",
      "city": "KEENE",
      "state": "NH",
      "zip": "03431",
      "county": "CHESHIRE",
      "latitude": 42.9488432001323,
      "longitude": -72.2919009003073,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 169,
      "rating": 4,
      "website": "http://www.cheshire-med.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-keene-cheshire-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHESHIRE MEDICAL CENTER",
      "parentSystemId": "entity-cheshire-medical-center",
      "siblingGroupId": "siblings-nh-cheshire-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS lists KATHRYN F WILLBARGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESHIRE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KATHRYN F WILLBARGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESHIRE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "300023",
      "ccn": "300023",
      "name": "EXETER HOSPITAL INC",
      "address": "5 ALUMNI DRIVE",
      "city": "EXETER",
      "state": "NH",
      "zip": "03833",
      "county": "ROCKINGHAM",
      "latitude": 42.9826630903197,
      "longitude": -70.9355583395926,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 4,
      "website": "http://www.ehr.org",
      "status": "corporate_chain",
      "evidenceSource": "BILH official locations and leadership pages",
      "evidenceSourceUrl": "https://bilh.org/locations",
      "evidenceAsOf": "2026-06-25",
      "reviewedAt": "2026-06-25",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Official BILH sources connect this facility to Beth Israel Lahey Health, a large nonprofit integrated health system. No reviewed source in this pass proves PE ownership or a PE-backed staffing contract; the red family is a major-system/accountability warning, not a PE claim.",
      "classificationSources": [
        "BILH official locations",
        "BILH official leadership",
        "BILH medical education",
        "ProPublica IRS Form 990 extract",
        "CMS Hospital General Information",
        "CMS Hospital All Owners",
        "Existing PE Healthcare Watch evidence dossier",
        "BILH official locations and leadership pages",
        "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family."
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Beth Israel Lahey Health",
      "publicControlBadge": "Major-system controlled",
      "parentSystem": "BETH ISRAEL LAHEY HEALTH, INC.",
      "affiliatedSystem": "Beth Israel Lahey Health",
      "affiliatedSystemEvidence": "BILH official locations, leadership, and medical-education pages identify this facility in the Beth Israel Lahey Health system family.",
      "affiliationConfidence": "high",
      "caseId": "beth-israel-lahey-health",
      "classificationNote": "New Hampshire hospital in the BILH quick-link system family",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-exeter-exeter-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-lahey-health-inc",
      "siblingGroupId": "siblings-nh-beth-israel-lahey-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-beth-israel-lahey-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bidmc.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Beth Israel Lahey Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BETH ISRAEL LAHEY HEALTH, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Beth Israel Lahey Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Beth Israel Lahey Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL LAHEY HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "300029",
      "ccn": "300029",
      "name": "PORTSMOUTH REGIONAL HOSPITAL",
      "address": "333 BORTHWICK AVE",
      "city": "PORTSMOUTH",
      "state": "NH",
      "zip": "03801",
      "county": "ROCKINGHAM",
      "latitude": 43.06485275031,
      "longitude": -70.7903369297137,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 220,
      "rating": 3,
      "website": "http://www.portsmouthhospital.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Portsmouthhospital",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Portsmouthhospital",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portsmouth-portsmouth-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nh-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Portsmouthhospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Portsmouthhospital. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Portsmouthhospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Portsmouthhospital. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "300034",
      "ccn": "300034",
      "name": "CATHOLIC MEDICAL CENTER",
      "address": "100 MCGREGOR STREET",
      "city": "MANCHESTER",
      "state": "NH",
      "zip": "03102",
      "county": "HILLSBOROUGH",
      "latitude": 42.9915651796964,
      "longitude": -71.4743109001067,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 330,
      "rating": 4,
      "website": "http://www.catholicmedicalcenter.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manchester-catholic-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nh-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "301301",
      "ccn": "301301",
      "name": "COTTAGE HOSPITAL",
      "address": "90 SWIFTWATER ROAD",
      "city": "WOODSVILLE",
      "state": "NH",
      "zip": "03785",
      "county": "GRAFTON",
      "latitude": 44.1353381598173,
      "longitude": -72.0234263898058,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 4,
      "website": "http://www.cottagehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodsville-cottage-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COTTAGE HOSPITAL",
      "parentSystemId": "entity-cottage-hospital",
      "siblingGroupId": "siblings-nh-cottage-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS lists HOLLY A MCCORMACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists HOLLY A MCCORMACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTTAGE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301302",
      "ccn": "301302",
      "name": "LITTLETON REGIONAL HEALTHCARE",
      "address": "600 ST JOHNSBURY ROAD",
      "city": "LITTLETON",
      "state": "NH",
      "zip": "03561",
      "county": "GRAFTON",
      "latitude": 44.3179338803184,
      "longitude": -71.8255590402245,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://www.littletonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-littleton-littleton-regional-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LITTLETON HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-littleton-hospital-association",
      "siblingGroupId": "siblings-nh-littleton-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS lists LESLIE WALKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LITTLETON HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LESLIE WALKER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LITTLETON HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301303",
      "ccn": "301303",
      "name": "WEEKS MEDICAL CENTER",
      "address": "173 MIDDLE STREET",
      "city": "LANCASTER",
      "state": "NH",
      "zip": "03584",
      "county": "COOS",
      "latitude": 44.4862303700953,
      "longitude": -71.5543399303916,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.weeksmedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-weeks-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH COUNTRY HEALTHCARE, INC.",
      "parentSystemId": "entity-north-country-healthcare-inc",
      "siblingGroupId": "siblings-nh-north-country-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH COUNTRY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH COUNTRY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301304",
      "ccn": "301304",
      "name": "NEW LONDON HOSPITAL",
      "address": "273 COUNTY ROAD",
      "city": "NEW LONDON",
      "state": "NH",
      "zip": "03257",
      "county": "MERRIMACK",
      "latitude": 43.4206376798332,
      "longitude": -72.0000476599764,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.newlondonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-london-new-london-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE NEW LONDON HOSPITAL ASSOCIATION INC",
      "parentSystemId": "entity-the-new-london-hospital-association-inc",
      "siblingGroupId": "siblings-nh-the-new-london-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS lists MELANIE COOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW LONDON HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MELANIE COOK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW LONDON HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301305",
      "ccn": "301305",
      "name": "ALICE PECK DAY MEMORIAL HOSPITAL",
      "address": "10 ALICE PECK DAY DRIVE",
      "city": "LEBANON",
      "state": "NH",
      "zip": "03766",
      "county": "GRAFTON",
      "latitude": 43.6384477301932,
      "longitude": -72.2860025702366,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.alicepeckday.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lebanon-alice-peck-day-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Dartmouth Health",
      "parentSystemId": "entity-dartmouth-health",
      "siblingGroupId": "siblings-nh-dartmouth-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-verified-parent-dartmouth-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dartmouth-health.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: DARTMOUTH-HITCHCOCK HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PATRICIA DREW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Dartmouth Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Dartmouth Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DARTMOUTH-HITCHCOCK HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists PATRICIA DREW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Dartmouth Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Dartmouth Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301306",
      "ccn": "301306",
      "name": "CONCORD HOSPITAL - FRANKLIN",
      "address": "15 AIKEN AVENUE",
      "city": "FRANKLIN",
      "state": "NH",
      "zip": "03235",
      "county": "MERRIMACK",
      "latitude": 43.4484042598245,
      "longitude": -71.6445527298613,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-concord-hospital---franklin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CONCORD HOSPITAL-FRANKLIN",
      "parentSystemId": "entity-concord-hospital-franklin",
      "siblingGroupId": "siblings-nh-concord-hospital-franklin",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORD HOSPITAL-FRANKLIN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCORD HOSPITAL-FRANKLIN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301307",
      "ccn": "301307",
      "name": "MEMORIAL HOSPITAL",
      "address": "3073 WHITE MOUNTAIN HIGHWAY",
      "city": "NORTH CONWAY",
      "state": "NH",
      "zip": "03860",
      "county": "CARROLL",
      "latitude": 44.0618126898643,
      "longitude": -71.1368538004353,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.conversehospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-conway-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAINEHEALTH SERVICES",
      "parentSystemId": "entity-mainehealth-services",
      "siblingGroupId": "siblings-nh-mainehealth-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-mainehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainehealth.org/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAINEHEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to MaineHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAINEHEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301308",
      "ccn": "301308",
      "name": "VALLEY REGIONAL HOSPITAL, INC",
      "address": "243 ELM STREET",
      "city": "CLAREMONT",
      "state": "NH",
      "zip": "03743",
      "county": "SULLIVAN",
      "latitude": 43.3845897502926,
      "longitude": -72.3406967101092,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.vrh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-claremont-valley-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VALLEY REGIONAL HEALTHCARE, INC.",
      "parentSystemId": "entity-valley-regional-healthcare-inc",
      "siblingGroupId": "siblings-nh-valley-regional-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: VALLEY REGIONAL HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY REGIONAL HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VALLEY REGIONAL HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY REGIONAL HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301309",
      "ccn": "301309",
      "name": "MONADNOCK COMMUNITY HOSPITAL",
      "address": "452 OLD STREET ROAD",
      "city": "PETERBOROUGH",
      "state": "NH",
      "zip": "03458",
      "county": "HILLSBOROUGH",
      "latitude": 42.893089420219,
      "longitude": -71.9406827504452,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "http://www.monadnockhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-peterborough-monadnock-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONADNOCK COMMUNITY HOSPITAL",
      "parentSystemId": "entity-monadnock-community-hospital",
      "siblingGroupId": "siblings-nh-monadnock-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS lists RICHARD D SCHEINBLUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONADNOCK COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD D SCHEINBLUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONADNOCK COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301310",
      "ccn": "301310",
      "name": "ANDROSCOGGIN VALLEY HOSPITAL",
      "address": "59 PAGE HILL RD",
      "city": "BERLIN",
      "state": "NH",
      "zip": "03570",
      "county": "COOS",
      "latitude": 44.4869509002151,
      "longitude": -71.1552538998734,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "http://www.avhnh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berlin-androscoggin-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH COUNTRY HEALTHCARE, INC.",
      "parentSystemId": "entity-north-country-healthcare-inc",
      "siblingGroupId": "siblings-nh-north-country-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH COUNTRY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW JOHN STREETER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH COUNTRY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW JOHN STREETER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301311",
      "ccn": "301311",
      "name": "SPEARE MEMORIAL HOSPITAL",
      "address": "16 HOSPITAL ROAD",
      "city": "PLYMOUTH",
      "state": "NH",
      "zip": "03264",
      "county": "GRAFTON",
      "latitude": 43.7577376302545,
      "longitude": -71.695187930039,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.spearehospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plymouth-speare-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SPEARE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-speare-memorial-hospital",
      "siblingGroupId": "siblings-nh-speare-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-independent-new-hampshire-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS lists JOSEPH T CARISTI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPEARE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOSEPH T CARISTI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to Independent New Hampshire nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPEARE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "301312",
      "ccn": "301312",
      "name": "HUGGINS HOSPITAL",
      "address": "240 SOUTH MAIN STREET",
      "city": "WOLFEBORO",
      "state": "NH",
      "zip": "03894",
      "county": "CARROLL",
      "latitude": 43.5817394197296,
      "longitude": -71.2003640999311,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.hugginshospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wolfeboro-huggins-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRANITEONE HEALTH",
      "parentSystemId": "entity-graniteone-health",
      "siblingGroupId": "siblings-nh-graniteone-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nh-parent-graniteone-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GRANITEONE HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists DONALD ST. GERMAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to GRANITEONE HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANITEONE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GRANITEONE HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists DONALD ST. GERMAIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NH resolution: normalized CMS owner/operator to GRANITEONE HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANITEONE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "304001",
      "ccn": "304001",
      "name": "HAMPSTEAD HOSPITAL",
      "address": "218 EAST ROAD",
      "city": "HAMPSTEAD",
      "state": "NH",
      "zip": "03841",
      "county": "ROCKINGHAM",
      "latitude": 42.8716633401031,
      "longitude": -71.1542070795981,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 111,
      "rating": null,
      "website": "http://www.hampsteadhospital.com",
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "HAMPSTEAD HOSPITAL & RESIDENTIAL TREATMENT FACILIT",
      "peFirm": "H.I.G. Capital",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Wellpath. PESP PE firm/sponsor: H.I.G. Capital.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Wellpath",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hampstead-hampstead-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-hampstead-hospital-and-residential-treatment-facilit",
      "siblingGroupId": "siblings-nh-hampstead-hospital-and-residential-treatment-facilit",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/licensedfacilities.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wellpath; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellpath. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMPSTEAD HOSPITAL & RESIDENTIAL TREATMENT FACILIT, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wellpath; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellpath. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMPSTEAD HOSPITAL & RESIDENTIAL TREATMENT FACILIT, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310001",
      "ccn": "310001",
      "name": "HACKENSACK UNIVERSITY MEDICAL CENTER",
      "address": "30 PROSPECT AVE",
      "city": "HACKENSACK",
      "state": "NJ",
      "zip": "07601",
      "county": "BERGEN",
      "latitude": 40.8838634596681,
      "longitude": -74.0561938601513,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 781,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hackensack-hackensack-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310002",
      "ccn": "310002",
      "name": "NEWARK BETH ISRAEL MEDICAL CENTER",
      "address": "201 LYONS AVE",
      "city": "NEWARK",
      "state": "NJ",
      "zip": "07112",
      "county": "ESSEX",
      "latitude": 40.7092220800764,
      "longitude": -74.2115423600121,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 667,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-newark-beth-israel-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "campusFamilyId": "campus-nj-310002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310003",
      "ccn": "310003",
      "name": "PALISADES MEDICAL CENTER",
      "address": "7600 RIVER RD",
      "city": "NORTH BERGEN",
      "state": "NJ",
      "zip": "07047",
      "county": "HUDSON",
      "latitude": 40.7939959402515,
      "longitude": -73.9964379597911,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 197,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-bergen-palisades-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310005",
      "ccn": "310005",
      "name": "HUNTERDON MEDICAL CENTER",
      "address": "2100 WESCOTT DRIVE",
      "city": "FLEMINGTON",
      "state": "NJ",
      "zip": "08822",
      "county": "HUNTERDON",
      "latitude": 40.5314145603044,
      "longitude": -74.8608579999321,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 184,
      "rating": 4,
      "website": "http://www.hunterdonhealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flemington-hunterdon-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HUNTERDON MEDICAL CENTER",
      "parentSystemId": "entity-hunterdon-medical-center",
      "siblingGroupId": "siblings-nj-hunterdon-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hunterdon-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hunterdonhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUNTERDON MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hunterdon Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNTERDON MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HUNTERDON MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hunterdon Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNTERDON MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310006",
      "ccn": "310006",
      "name": "ST MARY'S GENERAL HOSPITAL",
      "address": "350 BOULEVARD",
      "city": "PASSAIC",
      "state": "NJ",
      "zip": "07055",
      "county": "PASSAIC",
      "latitude": 40.8593121402837,
      "longitude": -74.1377477698513,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 293,
      "rating": 3,
      "website": "http://www.smh-nj.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-passaic-st.-mary-s-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KASP TRUST",
      "parentSystemId": "entity-kasp-trust",
      "siblingGroupId": "siblings-nj-kasp-trust",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: KASP TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KASP TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KASP TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KASP TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310008",
      "ccn": "310008",
      "name": "HOLY NAME MEDICAL CENTER",
      "address": "718 TEANECK RD",
      "city": "TEANECK",
      "state": "NJ",
      "zip": "07666",
      "county": "BERGEN",
      "latitude": 40.8829915302156,
      "longitude": -74.0104003296234,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 372,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLY NAME MEDICAL CENTER INC",
      "parentSystemId": "entity-holy-name-medical-center-inc",
      "siblingGroupId": "siblings-nj-holy-name-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-independent-new-jersey-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLY NAME MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLY NAME MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310009",
      "ccn": "310009",
      "name": "CLARA MAASS MEDICAL CENTER",
      "address": "1 CLARA MAASS DRIVE",
      "city": "BELLEVILLE",
      "state": "NJ",
      "zip": "07109",
      "county": "ESSEX",
      "latitude": 40.7856713499375,
      "longitude": -74.1763211101478,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 472,
      "rating": 3,
      "website": "http://www.barnabashealth.org/hospitals/clara_maass/index.html",
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "Barnabashealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Barnabashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belleville-clara-maass-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Barnabashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Barnabashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Barnabashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Barnabashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310011",
      "ccn": "310011",
      "name": "CAPE REGIONAL MEDICAL CENTER, INC",
      "address": "2 STONE HARBOR BLVD",
      "city": "CAPE MAY COURT HOUSE",
      "state": "NJ",
      "zip": "08210",
      "county": "CAPE MAY",
      "latitude": 39.0876137598614,
      "longitude": -74.8171715200053,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 242,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cape-may-court-house-cape-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAPE REGIONAL HEALTH SYSTEM INC",
      "parentSystemId": "entity-cape-regional-health-system-inc",
      "siblingGroupId": "siblings-nj-cape-regional-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-independent-new-jersey-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAPE REGIONAL HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPE REGIONAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAPE REGIONAL HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPE REGIONAL HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310012",
      "ccn": "310012",
      "name": "VALLEY HOSPITAL",
      "address": "4 VALLEY HEALTH PLAZA",
      "city": "PARAMUS",
      "state": "NJ",
      "zip": "07652",
      "county": "BERGEN",
      "latitude": 40.964565700247,
      "longitude": -74.0711804001374,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 385,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE VALLEY HOSPITAL INC",
      "parentSystemId": "entity-the-valley-hospital-inc",
      "siblingGroupId": "siblings-nj-the-valley-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-the-valley-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.valleyhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE VALLEY HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to The Valley Hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE VALLEY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE VALLEY HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to The Valley Hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE VALLEY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310015",
      "ccn": "310015",
      "name": "MORRISTOWN MEDICAL CENTER",
      "address": "100 MADISON AVE",
      "city": "MORRISTOWN",
      "state": "NJ",
      "zip": "07960",
      "county": "MORRIS",
      "latitude": 40.7895489300106,
      "longitude": -74.4658177595696,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 735,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHS HOSPITAL CORP",
      "parentSystemId": "entity-ahs-hospital-corp",
      "siblingGroupId": "siblings-nj-ahs-hospital-corp",
      "campusFamilyId": "campus-nj-310015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS HOSPITAL CORP (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS HOSPITAL CORP (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310017",
      "ccn": "310017",
      "name": "CHILTON MEDICAL CENTER",
      "address": "97 WEST PARKWAY",
      "city": "POMPTON PLAINS",
      "state": "NJ",
      "zip": "07444",
      "county": "MORRIS",
      "latitude": 40.9587516297033,
      "longitude": -74.310228779809,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 260,
      "rating": 5,
      "website": "https://www.atlantichealth.org/locations/hospitals/chilton-medical-center.html",
      "status": "corporate_chain",
      "parentSystem": "AHS HOSPITAL CORP",
      "affiliatedSystem": "Atlantichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Atlantichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-hospital-corp",
      "siblingGroupId": "siblings-nj-ahs-hospital-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Atlantichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atlantichealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Atlantichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atlantichealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310019",
      "ccn": "310019",
      "name": "ST JOSEPH'S UNIVERSITY MEDICAL CENTER",
      "address": "703 MAIN ST",
      "city": "PATERSON",
      "state": "NJ",
      "zip": "07503",
      "county": "PASSAIC",
      "latitude": 40.9028344498104,
      "longitude": -74.1657044203698,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 639,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. JOSEPH'S UNIVERSITY MEDICAL CENTER INC.",
      "parentSystemId": "entity-st-joseph-s-university-medical-center-inc",
      "siblingGroupId": "siblings-nj-st-joseph-s-university-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-st-joseph-s-university-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ST. JOSEPH'S UNIVERSITY MEDICAL CENTER INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JOSEPH'S UNIVERSITY MEDICAL CENTER INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ST. JOSEPH'S UNIVERSITY MEDICAL CENTER INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JOSEPH'S UNIVERSITY MEDICAL CENTER INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310022",
      "ccn": "310022",
      "name": "VIRTUA - WEST JERSEY HOSPITAL VOORHEES",
      "address": "100 BOWMAN DRIVE",
      "city": "VOORHEES",
      "state": "NJ",
      "zip": "08043",
      "county": "CAMDEN",
      "latitude": 39.8407076801601,
      "longitude": -74.9265669898661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 402,
      "rating": 3,
      "website": "http://www.virtua.org/locations/hospitals-and-locations/virtua-voorhees.aspx",
      "status": "corporate_chain",
      "parentSystem": "VIRTUA HEALTH , INC",
      "affiliatedSystem": "Virtua",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Virtua",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-voorhees-virtua-west-jersey-hospital---voorhees/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-virtua-health-inc",
      "siblingGroupId": "siblings-nj-virtua-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-virtua-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.virtua.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIRTUA HEALTH , INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Virtua; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Virtua. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIRTUA HEALTH , INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Virtua; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Virtua. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310024",
      "ccn": "310024",
      "name": "ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY",
      "address": "865 STONE ST",
      "city": "RAHWAY",
      "state": "NJ",
      "zip": "07065",
      "county": "UNION",
      "latitude": 40.6128524500832,
      "longitude": -74.291050859709,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 251,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "RWJBarnabas Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "RWJBarnabas Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rahway-robert-wood-johnson-university-hospital-at-rahway/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "campusFamilyId": "campus-nj-310024",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RICHARD HENWOOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RICHARD HENWOOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310025",
      "ccn": "310025",
      "name": "CAREPOINT HEALTH - BAYONNE MEDICAL CENTER",
      "address": "29 EAST 29TH ST",
      "city": "BAYONNE",
      "state": "NJ",
      "zip": "07002",
      "county": "HUDSON",
      "latitude": 40.6683036901124,
      "longitude": -74.112713939925,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 1,
      "website": "https://www.carepointhealth.org/bayonne-medical-center",
      "status": "corporate_chain",
      "parentSystem": "CAREPOINT HEALTH SYSTEM, INC",
      "affiliatedSystem": "Carepointhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carepointhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bayonne-carepoint-health---bayonne-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carepoint-health-system-inc",
      "siblingGroupId": "siblings-nj-carepoint-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-carepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carepointhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAREPOINT HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 77%). CMS lists CHRISTOPHER P DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Carepointhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carepointhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to CarePoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAREPOINT HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAREPOINT HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 77%). CMS lists CHRISTOPHER P DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Carepointhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carepointhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to CarePoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAREPOINT HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310027",
      "ccn": "310027",
      "name": "CARE ONE AT TRINITAS REGIONAL MEDICAL CENTER",
      "address": "225 WILLIAMSON ST, 7 NORTH",
      "city": "ELIZABETH",
      "state": "NJ",
      "zip": "07207",
      "county": "UNION",
      "latitude": 40.658620189804,
      "longitude": -74.214918089611,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "campusFamilyId": "campus-nj-310027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310027-loc-nj-elizabeth-trinitas-regional-medical-center",
      "ccn": "310027",
      "name": "TRINITAS REGIONAL MEDICAL CENTER",
      "address": "225 WILLIAMSON STREET",
      "city": "ELIZABETH",
      "state": "NJ",
      "zip": "07207",
      "county": "UNION",
      "latitude": 40.6585593498057,
      "longitude": -74.2147936603677,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 417,
      "rating": 3,
      "website": "http://www.trinitashospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elizabeth-trinitas-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "campusFamilyId": "campus-nj-310027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "310027"
    },
    {
      "id": "310028",
      "ccn": "310028",
      "name": "NEWTON MEDICAL CENTER",
      "address": "175 HIGH ST",
      "city": "NEWTON",
      "state": "NJ",
      "zip": "07860",
      "county": "SUSSEX",
      "latitude": 41.0576481502796,
      "longitude": -74.7684428296264,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 148,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AHS HOSPITAL CORP",
      "parentSystemId": "entity-ahs-hospital-corp",
      "siblingGroupId": "siblings-nj-ahs-hospital-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310029",
      "ccn": "310029",
      "name": "VIRTUA OUR LADY OF LOURDES HOSPITAL",
      "address": "1600 HADDON AVENUE",
      "city": "CAMDEN",
      "state": "NJ",
      "zip": "08103",
      "county": "CAMDEN",
      "latitude": 39.9277316502164,
      "longitude": -75.0950046800351,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 340,
      "rating": 2,
      "website": "https://www.virtua.org/locations/lab-virtua-our-lady-of-lourdes-hospital",
      "status": "corporate_chain",
      "parentSystem": "VIRTUA HEALTH , INC",
      "affiliatedSystem": "Virtua",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Virtua",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-virtua-health-inc",
      "siblingGroupId": "siblings-nj-virtua-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-virtua-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.virtua.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIRTUA HEALTH , INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Virtua; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Virtua. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIRTUA HEALTH , INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Virtua; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Virtua. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310031",
      "ccn": "310031",
      "name": "DEBORAH HEART AND LUNG CENTER",
      "address": "200 TRENTON ROAD",
      "city": "BROWNS MILLS",
      "state": "NJ",
      "zip": "08015",
      "county": "BURLINGTON",
      "latitude": 39.9772568202706,
      "longitude": -74.5851444103236,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 89,
      "rating": 3,
      "website": "http://www.deborah.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-browns-mills-deborah-heart-and-lung-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DEBORAH HEART AND LUNG CENTER",
      "parentSystemId": "entity-deborah-heart-and-lung-center",
      "siblingGroupId": "siblings-nj-deborah-heart-and-lung-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-independent-new-jersey-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEBORAH HEART AND LUNG CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEBORAH HEART AND LUNG CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310034",
      "ccn": "310034",
      "name": "RIVERVIEW MEDICAL CENTER",
      "address": "RIVERVIEW PLAZA",
      "city": "RED BANK",
      "state": "NJ",
      "zip": "07701",
      "county": "MONMOUTH",
      "latitude": 40.3539818096605,
      "longitude": -74.063842679724,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 460,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-red-bank-riverview-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310038",
      "ccn": "310038",
      "name": "ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL",
      "address": "1 ROBERT WOOD JOHNSON PLACE",
      "city": "NEW BRUNSWICK",
      "state": "NJ",
      "zip": "08901",
      "county": "MIDDLESEX",
      "latitude": 40.4952448701475,
      "longitude": -74.4502068796813,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 614,
      "rating": 2,
      "website": "http://www.rwjuh.edu",
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "RWJBarnabas Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "RWJBarnabas Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-brunswick-robert-wood-johnson-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RICHARD HENWOOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RICHARD HENWOOD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310039",
      "ccn": "310039",
      "name": "CARE ONE AT RARITAN BAY MEDICAL CENTER",
      "address": "530 NEW BRUNSWICK AVENUE",
      "city": "PERTH AMBOY",
      "state": "NJ",
      "zip": "08861",
      "county": "MIDDLESEX",
      "latitude": 40.5189625298133,
      "longitude": -74.2811026503514,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 26,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "campusFamilyId": "campus-nj-310039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310039-loc-nj-perth-amboy-raritan-bay-medical-center",
      "ccn": "310039",
      "name": "RARITAN BAY MEDICAL CENTER",
      "address": "530 NEW BRUNSWICK AVE",
      "city": "PERTH AMBOY",
      "state": "NJ",
      "zip": "08861",
      "county": "MIDDLESEX",
      "latitude": 40.5190422750664,
      "longitude": -74.2813003497825,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 402,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "campusFamilyId": "campus-nj-310039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "310039"
    },
    {
      "id": "310040",
      "ccn": "310040",
      "name": "CAREPOINT HEALTH - HOBOKEN UNIVERSITY MEDICAL CENTER",
      "address": "308 WILLOW AVE",
      "city": "HOBOKEN",
      "state": "NJ",
      "zip": "07030",
      "county": "HUDSON",
      "latitude": 40.7411293300817,
      "longitude": -74.0340379602058,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 333,
      "rating": 1,
      "website": "https://www.carepointhealth.org/hoboken-university-medical-center",
      "status": "corporate_chain",
      "parentSystem": "CAREPOINT HEALTH SYSTEM, INC",
      "affiliatedSystem": "Carepointhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carepointhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hoboken-carepoint-health-hoboken-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carepoint-health-system-inc",
      "siblingGroupId": "siblings-nj-carepoint-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-carepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://carepointhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAREPOINT HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER P DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Carepointhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carepointhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to CarePoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAREPOINT HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAREPOINT HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER P DALTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Carepointhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carepointhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to CarePoint Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAREPOINT HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310041",
      "ccn": "310041",
      "name": "COMMUNITY MEDICAL CENTER",
      "address": "99 RT 37 WEST",
      "city": "TOMS RIVER",
      "state": "NJ",
      "zip": "08755",
      "county": "OCEAN",
      "latitude": 39.9640022800458,
      "longitude": -74.2159664801414,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 592,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-toms-river-community-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310044",
      "ccn": "310044",
      "name": "CAPITAL HEALTH MEDICAL CENTER - HOPEWELL",
      "address": "1 CAPITAL WAY",
      "city": "PENNINGTON",
      "state": "NJ",
      "zip": "08534",
      "county": "MERCER",
      "latitude": 40.2919868400247,
      "longitude": -74.8029232801984,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 221,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pennington-capital-health-medical-center---hopewell/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAPITAL HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-capital-health-system-inc",
      "siblingGroupId": "siblings-nj-capital-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-capital-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://capitalhealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Capital Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPITAL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Capital Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPITAL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310045",
      "ccn": "310045",
      "name": "ENGLEWOOD HOSPITAL AND MEDICAL CENTER",
      "address": "350 ENGLE ST",
      "city": "ENGLEWOOD",
      "state": "NJ",
      "zip": "07631",
      "county": "BERGEN",
      "latitude": 40.9044533597093,
      "longitude": -73.9687205297345,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 531,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-englewood-englewood-hospital-and-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ENGLEWOOD HOSPITAL AND MEDICAL CENTER",
      "parentSystemId": "entity-englewood-hospital-and-medical-center",
      "siblingGroupId": "siblings-nj-englewood-hospital-and-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-independent-new-jersey-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENGLEWOOD HOSPITAL AND MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENGLEWOOD HOSPITAL AND MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310047",
      "ccn": "310047",
      "name": "SHORE MEDICAL CENTER",
      "address": "100 MEDICAL CENTER WAY",
      "city": "SOMERS POINT",
      "state": "NJ",
      "zip": "08244",
      "county": "ATLANTIC",
      "latitude": 39.3139674899007,
      "longitude": -74.5925130202064,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 203,
      "rating": 3,
      "website": "http://www.shoremedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-somers-point-shore-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHORE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-shore-memorial-hospital",
      "siblingGroupId": "siblings-nj-shore-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-independent-new-jersey-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHORE MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHORE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHORE MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Independent New Jersey nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHORE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310048",
      "ccn": "310048",
      "name": "ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET",
      "address": "110 REHILL AVE",
      "city": "SOMERVILLE",
      "state": "NJ",
      "zip": "08876",
      "county": "SOMERSET",
      "latitude": 40.5682960302759,
      "longitude": -74.5953694903333,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 353,
      "rating": 3,
      "website": "http://www.rwjuh.edu/rwjuh/home.aspx",
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "RWJBarnabas Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "RWJBarnabas Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-somerville-robert-wood-johnson-university-hospital-somerset/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: RWJBarnabas Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: RWJBarnabas Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310050",
      "ccn": "310050",
      "name": "SAINT CLARE'S HOSPITAL - DENVILLE CAMPUS",
      "address": "25 POCONO ROAD",
      "city": "DENVILLE",
      "state": "NJ",
      "zip": "07834",
      "county": "MORRIS",
      "latitude": 40.8950587900774,
      "longitude": -74.4654681604139,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 314,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KASP TRUSTS",
      "parentSystemId": "entity-kasp-trusts",
      "siblingGroupId": "siblings-nj-kasp-trusts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: KASP TRUSTS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists LUIS LEON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KASP TRUSTS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KASP TRUSTS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists LUIS LEON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KASP TRUSTS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310051",
      "ccn": "310051",
      "name": "OVERLOOK MEDICAL CENTER",
      "address": "99 BEAUVOIR AVENUE",
      "city": "SUMMIT",
      "state": "NJ",
      "zip": "07902",
      "county": "UNION",
      "latitude": 40.7117874597314,
      "longitude": -74.353783839803,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 504,
      "rating": 5,
      "website": "http://www.atlantichealth.org/overlook",
      "status": "corporate_chain",
      "parentSystem": "AHS HOSPITAL CORP",
      "affiliatedSystem": "Atlantichealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Atlantichealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-hospital-corp",
      "siblingGroupId": "siblings-nj-ahs-hospital-corp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Atlantichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atlantichealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Atlantichealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atlantichealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS HOSPITAL CORP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310052",
      "ccn": "310052",
      "name": "OCEAN MEDICAL CENTER",
      "address": "425 JACK MARTIN BLVD",
      "city": "BRICK",
      "state": "NJ",
      "zip": "08724",
      "county": "OCEAN",
      "latitude": 40.0771830102651,
      "longitude": -74.1314468400231,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 317,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brick-ocean-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310058",
      "ccn": "310058",
      "name": "BERGEN NEW BRIDGE MEDICAL CENTER",
      "address": "230 EAST RIDGEWOOD AVE",
      "city": "PARAMUS",
      "state": "NJ",
      "zip": "07652",
      "county": "BERGEN",
      "latitude": 40.9566677796685,
      "longitude": -74.0629917200284,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 496,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BERGEN COUNTY IMPROVEMENT AUTHORITY",
      "parentSystemId": "entity-bergen-county-improvement-authority",
      "siblingGroupId": "siblings-nj-bergen-county-improvement-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-bergen-county-improvement-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: BERGEN COUNTY IMPROVEMENT AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBORAH VISCONI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to BERGEN COUNTY IMPROVEMENT AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BERGEN COUNTY IMPROVEMENT AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BERGEN COUNTY IMPROVEMENT AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBORAH VISCONI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to BERGEN COUNTY IMPROVEMENT AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BERGEN COUNTY IMPROVEMENT AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "310060",
      "ccn": "310060",
      "name": "ST LUKE'S WARREN HOSPITAL",
      "address": "185 ROSEBERRY ST",
      "city": "PHILLIPSBURG",
      "state": "NJ",
      "zip": "08865",
      "county": "WARREN",
      "latitude": 40.7022050596896,
      "longitude": -75.1781204096712,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 198,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-nj-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-st-luke-s-health-network-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ST LUKE'S HEALTH NETWORK INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ST LUKE'S HEALTH NETWORK INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310061",
      "ccn": "310061",
      "name": "VIRTUA WILLINGBORO HOSPITAL",
      "address": "218A SUNSET ROAD",
      "city": "WILLINGBORO",
      "state": "NJ",
      "zip": "08046",
      "county": "BURLINGTON",
      "latitude": 40.0465323499107,
      "longitude": -74.8807260004434,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 169,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-willingboro-virtua-willingboro-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VIRTUA HEALTH , INC",
      "parentSystemId": "entity-virtua-health-inc",
      "siblingGroupId": "siblings-nj-virtua-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-virtua-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.virtua.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIRTUA HEALTH , INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIRTUA HEALTH , INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Virtua Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRTUA HEALTH , INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310064",
      "ccn": "310064",
      "name": "ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS",
      "address": "1925 PACIFIC AVENUE",
      "city": "ATLANTIC CITY",
      "state": "NJ",
      "zip": "08401",
      "county": "ATLANTIC",
      "latitude": 39.3584220702317,
      "longitude": -74.4341819096847,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 4,
      "website": "http://www.atlanticare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ATLANTICARE HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-atlanticare-health-system-inc",
      "siblingGroupId": "siblings-nj-atlanticare-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-atlanticare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.atlanticare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATLANTICARE HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to AtlantiCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATLANTICARE HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ATLANTICARE HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to AtlantiCare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATLANTICARE HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310070",
      "ccn": "310070",
      "name": "CARE ONE AT SAINT PETER'S UNIVERSITY HOSPITAL",
      "address": "254 EASTON AVENUE",
      "city": "NEW BRUNSWICK",
      "state": "NJ",
      "zip": "08901",
      "county": "MIDDLESEX",
      "latitude": 40.5011940098965,
      "longitude": -74.4596102401579,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "https://www.saintpetershcs.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT PETER'S HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-saint-peter-s-healthcare-system-inc",
      "siblingGroupId": "siblings-nj-saint-peter-s-healthcare-system-inc",
      "campusFamilyId": "campus-nj-310070",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-saint-peter-s-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintpetershcs.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT PETER'S HEALTHCARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Saint Peter's Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT PETER'S HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT PETER'S HEALTHCARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Saint Peter's Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT PETER'S HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310070-loc-nj-new-brunswick-saint-peter-s-university-hospital",
      "ccn": "310070",
      "name": "SAINT PETER'S UNIVERSITY HOSPITAL",
      "address": "254 EASTON AVE",
      "city": "NEW BRUNSWICK",
      "state": "NJ",
      "zip": "08901",
      "county": "MIDDLESEX",
      "latitude": 40.5015231999974,
      "longitude": -74.459452099837,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 478,
      "rating": 3,
      "website": "https://www.saintpetershcs.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-brunswick-saint-peters-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT PETER'S HEALTHCARE SYSTEM INC",
      "parentSystemId": "entity-saint-peter-s-healthcare-system-inc",
      "siblingGroupId": "siblings-nj-saint-peter-s-healthcare-system-inc",
      "campusFamilyId": "campus-nj-310070",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-saint-peter-s-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintpetershcs.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT PETER'S HEALTHCARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Saint Peter's Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT PETER'S HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT PETER'S HEALTHCARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Saint Peter's Healthcare System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT PETER'S HEALTHCARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "310070"
    },
    {
      "id": "310073",
      "ccn": "310073",
      "name": "JERSEY SHORE UNIVERSITY MEDICAL CENTER",
      "address": "1945 RTE 33",
      "city": "NEPTUNE",
      "state": "NJ",
      "zip": "07754",
      "county": "MONMOUTH",
      "latitude": 40.2092682097484,
      "longitude": -74.0411988301875,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 618,
      "rating": 4,
      "status": "signal",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "affiliatedSystem": "Hackensack Meridian Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Hackensack Meridian Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Hackensack Meridian Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hackensack Meridian Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Hackensack Meridian Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hackensack Meridian Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310074",
      "ccn": "310074",
      "name": "JERSEY CITY MEDICAL CENTER",
      "address": "355 GRAND STREET",
      "city": "JERSEY CITY",
      "state": "NJ",
      "zip": "07302",
      "county": "HUDSON",
      "latitude": 40.7163480899051,
      "longitude": -74.0506008800221,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 348,
      "rating": 3,
      "website": "http://www.libertyhcs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jersey-city-jersey-city-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310075",
      "ccn": "310075",
      "name": "MONMOUTH MEDICAL CENTER",
      "address": "300 SECOND AVENUE",
      "city": "LONG BRANCH",
      "state": "NJ",
      "zip": "07740",
      "county": "MONMOUTH",
      "latitude": 40.2954913300133,
      "longitude": -73.9859931698292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 514,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-long-branch-monmouth-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310084",
      "ccn": "310084",
      "name": "MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS",
      "address": "600 RIVER AVE",
      "city": "LAKEWOOD",
      "state": "NJ",
      "zip": "08701",
      "county": "OCEAN",
      "latitude": 40.0731585997179,
      "longitude": -74.2181482400315,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 241,
      "rating": 3,
      "website": "http://www.barnabashealth.org/monmouth-medical-center-southern-campus.aspx",
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "Barnabashealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Barnabashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakewood-monmouth-medical-center-southern-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Barnabashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Barnabashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Barnabashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Barnabashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310086",
      "ccn": "310086",
      "name": "JEFFERSON STRATFORD HOSPITAL",
      "address": "18 EAST LAUREL ROAD",
      "city": "STRATFORD",
      "state": "NJ",
      "zip": "08084",
      "county": "CAMDEN",
      "latitude": 39.8282493001116,
      "longitude": -75.0084352703897,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 181,
      "rating": 2,
      "website": "http://www.kennedyhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stratford-jefferson-stratford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-nj-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310092",
      "ccn": "310092",
      "name": "CAPITAL HEALTH REGIONAL MEDICAL CENTER",
      "address": "750 BRUNSWICK AVE",
      "city": "TRENTON",
      "state": "NJ",
      "zip": "08638",
      "county": "MERCER",
      "latitude": 40.2359876900125,
      "longitude": -74.752196820171,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 237,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAPITAL HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-capital-health-system-inc",
      "siblingGroupId": "siblings-nj-capital-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-capital-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://capitalhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Capital Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPITAL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Capital Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAPITAL HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310096",
      "ccn": "310096",
      "name": "SAINT MICHAEL'S MEDICAL CENTER",
      "address": "111 CENTRAL AVENUE",
      "city": "NEWARK",
      "state": "NJ",
      "zip": "07102",
      "county": "ESSEX",
      "latitude": 40.7435805302055,
      "longitude": -74.1741214297661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 358,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-saint-michaels-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-nj-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES - ST MICHAELS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES - ST MICHAELS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310108",
      "ccn": "310108",
      "name": "JFK UNIVERSITY MEDICAL CENTER",
      "address": "65 JAMES STREET",
      "city": "EDISON",
      "state": "NJ",
      "zip": "08818",
      "county": "MIDDLESEX",
      "latitude": 40.5566076699816,
      "longitude": -74.3508501298329,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 405,
      "rating": 3,
      "website": "https://www.jfkmc.org",
      "status": "signal",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "affiliatedSystem": "Jfkmc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Jfkmc",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "campusFamilyId": "campus-nj-310108",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK S STAUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jfkmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jfkmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK S STAUDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jfkmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jfkmc. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310111",
      "ccn": "310111",
      "name": "CENTRASTATE MEDICAL CENTER",
      "address": "901 WEST MAIN STREET",
      "city": "FREEHOLD",
      "state": "NJ",
      "zip": "07728",
      "county": "MONMOUTH",
      "latitude": 40.2382594202862,
      "longitude": -74.3115594003405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 284,
      "rating": 4,
      "website": "http://www.centrastate.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-freehold-centrastate-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ATLANTIC HEALTH SYSTEM",
      "parentSystemId": "entity-atlantic-health-system",
      "siblingGroupId": "siblings-nj-atlantic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-atlantic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATLANTIC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ATLANTIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATLANTIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ATLANTIC HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ATLANTIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATLANTIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310112",
      "ccn": "310112",
      "name": "BAYSHORE MEDICAL CENTER",
      "address": "727 N BEERS ST",
      "city": "HOLMDEL",
      "state": "NJ",
      "zip": "07733",
      "county": "MONMOUTH",
      "latitude": 40.4051614101711,
      "longitude": -74.1916843200207,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 211,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-holmdel-bayshore-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310113",
      "ccn": "310113",
      "name": "SOUTHERN OCEAN MEDICAL CENTER",
      "address": "1140 RT 72 W",
      "city": "MANAHAWKIN",
      "state": "NJ",
      "zip": "08050",
      "county": "OCEAN",
      "latitude": 39.7209550998319,
      "longitude": -74.2848831796819,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 156,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "310118",
      "ccn": "310118",
      "name": "HUDSON REGIONAL HOSPITAL",
      "address": "55 MEADOWLANDS PKWY",
      "city": "SECAUCUS",
      "state": "NJ",
      "zip": "07094",
      "county": "HUDSON",
      "latitude": 40.791830309784,
      "longitude": -74.0732365099738,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 204,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NJMHMC, LLC",
      "parentSystemId": "entity-njmhmc-llc",
      "siblingGroupId": "siblings-nj-njmhmc-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists YAN MOSHE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NJMHMC, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists YAN MOSHE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NJMHMC, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "310119",
      "ccn": "310119",
      "name": "UNIVERSITY HOSPITAL",
      "address": "150 BERGEN ST",
      "city": "NEWARK",
      "state": "NJ",
      "zip": "07103",
      "county": "ESSEX",
      "latitude": 40.7406031302059,
      "longitude": -74.1910617300366,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 519,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-the-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY HOSPITAL",
      "parentSystemId": "entity-university-hospital-nj-newark-310119",
      "siblingGroupId": "siblings-nj-university-hospital-nj-newark-310119",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-university-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists JOHN GARY HUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to UNIVERSITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOHN GARY HUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to UNIVERSITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "313300",
      "ccn": "313300",
      "name": "CHILDREN'S SPECIALIZED HOSPITAL",
      "address": "200 SOMERSET STREET",
      "city": "NEW BRUNSWICK",
      "state": "NJ",
      "zip": "08901",
      "county": "MIDDLESEX",
      "latitude": 40.4948251001748,
      "longitude": -74.4516903898809,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 68,
      "rating": null,
      "website": "http://www.childrens-specialized.org",
      "status": "corporate_chain",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "affiliatedSystem": "Childrens Specialized",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Childrens Specialized",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-brunswick-children-s-specialized-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Childrens Specialized; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Childrens Specialized. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Childrens Specialized; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Childrens Specialized. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "313302",
      "ccn": "313302",
      "name": "WEISMAN CHILDRENS REHABILITATION HOSPITAL",
      "address": "92 BRICK ROAD, 3RD FLOOR",
      "city": "MARLTON",
      "state": "NJ",
      "zip": "08053",
      "county": "BURLINGTON",
      "latitude": 39.8830950197343,
      "longitude": -74.9180545901664,
      "hospitalType": "Childrens",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": null,
      "website": "http://www.weismanchildrens.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marlton-weisman-childrens-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "B. WEISMAN GRANTOR TRUST FBO ANDREW WEISMAN AND MARCIA LANGLEY",
      "parentSystemId": "entity-b-weisman-grantor-trust-fbo-andrew-weisman-and-marcia-langley",
      "siblingGroupId": "siblings-nj-b-weisman-grantor-trust-fbo-andrew-weisman-and-marcia-langley",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-b-weisman-grantor-trust-fbo-andrew-weisman-and-marcia-langley"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: B. WEISMAN GRANTOR TRUST FBO ANDREW WEISMAN AND MARCIA LANGLEY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 65%). CMS lists ANDREW WEISMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to B. WEISMAN GRANTOR TRUST FBO ANDREW WEISMAN AND MARCIA LANGLEY; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B. WEISMAN GRANTOR TRUST FBO ANDREW WEISMAN AND MARCIA LANGLEY, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: B. WEISMAN GRANTOR TRUST FBO ANDREW WEISMAN AND MARCIA LANGLEY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 65%). CMS lists ANDREW WEISMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to B. WEISMAN GRANTOR TRUST FBO ANDREW WEISMAN AND MARCIA LANGLEY; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent B. WEISMAN GRANTOR TRUST FBO ANDREW WEISMAN AND MARCIA LANGLEY, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "314001",
      "ccn": "314001",
      "name": "SUMMIT OAKS HOSPITAL",
      "address": "19 PROSPECT ST",
      "city": "SUMMIT",
      "state": "NJ",
      "zip": "07901",
      "county": "UNION",
      "latitude": 40.7138969997177,
      "longitude": -74.3629232896221,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 126,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-summit-summit-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nj-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "314011",
      "ccn": "314011",
      "name": "RUTGERS HEALTH - UNIVERSITY BEHAVIORAL HEALTH CARE",
      "address": "671 HOES LANE WEST",
      "city": "PISCATAWAY",
      "state": "NJ",
      "zip": "08854",
      "county": "MIDDLESEX",
      "latitude": 40.5256925099852,
      "longitude": -74.4701964096742,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 64,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "RUTGERS HEALTH GROUP INC",
      "parentSystemId": "entity-rutgers-health-group-inc",
      "siblingGroupId": "siblings-nj-rutgers-health-group-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rutgers-health-group-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: RUTGERS HEALTH GROUP INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RUTGERS HEALTH GROUP INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUTGERS HEALTH GROUP INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RUTGERS HEALTH GROUP INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RUTGERS HEALTH GROUP INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUTGERS HEALTH GROUP INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "314012",
      "ccn": "314012",
      "name": "HACKENSACK MERIDIAN HEALTH CARRIER CLINIC",
      "address": "252 ROUTE 601",
      "city": "BELLE MEAD",
      "state": "NJ",
      "zip": "08502",
      "county": "SOMERSET",
      "latitude": 40.4665162101694,
      "longitude": -74.6833330197226,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 297,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HACKENSACK MERIDIAN HEALTH INC",
      "affiliatedSystem": "Hackensack Meridian Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Hackensack Meridian Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hackensack-meridian-health-inc",
      "siblingGroupId": "siblings-nj-hackensack-meridian-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Hackensack Meridian Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hackensack Meridian Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HACKENSACK MERIDIAN HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Hackensack Meridian Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hackensack Meridian Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HACKENSACK MERIDIAN HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "314013",
      "ccn": "314013",
      "name": "TRENTON PSYCHIATRIC HOSPITAL",
      "address": "100 SULLIVAN WAY",
      "city": "TRENTON",
      "state": "NJ",
      "zip": "08618",
      "county": "MERCER",
      "latitude": 40.2435578402722,
      "longitude": -74.8054362498321,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 400,
      "rating": null,
      "website": "http://www.state.nj.us/humanservices/dmhs/oshm/tph/",
      "status": "corporate_chain",
      "parentSystem": "STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL",
      "affiliatedSystem": "State Nj",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "State Nj",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-trenton-trenton-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-new-jersey-omb-centralized-payroll",
      "siblingGroupId": "siblings-nj-state-of-new-jersey-omb-centralized-payroll",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-state-of-new-jersey-omb-centralized-payroll"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: State Nj; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: State Nj. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: State Nj; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: State Nj. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "314016",
      "ccn": "314016",
      "name": "GREYSTONE PARK PSYCHIATRIC HOSPITAL",
      "address": "59 KOCH AVE",
      "city": "MORRIS PLAINS",
      "state": "NJ",
      "zip": "07950",
      "county": "MORRIS",
      "latitude": 40.8389665897895,
      "longitude": -74.5102549696642,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 450,
      "rating": null,
      "website": "http://www.state.nj.us/humanservices/dmhs/oshm/gpph/",
      "status": "corporate_chain",
      "parentSystem": "STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL",
      "affiliatedSystem": "State Nj",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "State Nj",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morris-plains-greystone-park-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-new-jersey-omb-centralized-payroll",
      "siblingGroupId": "siblings-nj-state-of-new-jersey-omb-centralized-payroll",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-state-of-new-jersey-omb-centralized-payroll"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: State Nj; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: State Nj. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: State Nj; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: State Nj. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "314018",
      "ccn": "314018",
      "name": "NORTHBROOK BEHAVIORAL HEALTH HOSPITAL",
      "address": "425 WOODBURY TURNERSVILLE ROAD",
      "city": "BLACKWOOD",
      "state": "NJ",
      "zip": "08012",
      "county": "CAMDEN",
      "latitude": 39.7889103402304,
      "longitude": -75.0733533098857,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 158,
      "rating": null,
      "website": "http://www.northbrookbhh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blackwood-northbrook-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MDF FAMILY 2015 TRUST",
      "parentSystemId": "entity-mdf-family-2015-trust",
      "siblingGroupId": "siblings-nj-mdf-family-2015-trust",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS owner candidate: MDF FAMILY 2015 TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST, 15%). CMS lists DEBORAH F FEIGENBAUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MDF FAMILY 2015 TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MDF FAMILY 2015 TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST, 15%). CMS lists DEBORAH F FEIGENBAUM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MDF FAMILY 2015 TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "314020",
      "ccn": "314020",
      "name": "ESSEX COUNTY HOSPITAL CENTER",
      "address": "204 GROVE AVENUE",
      "city": "CEDAR GROVE",
      "state": "NJ",
      "zip": "07009",
      "county": "ESSEX",
      "latitude": 40.8517584997682,
      "longitude": -74.2343729100074,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 180,
      "rating": null,
      "website": "http://essexcountynj.org/department-of-health-and-rehabilitation/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cedar-grove-essex-county-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF ESSEX",
      "parentSystemId": "entity-county-of-essex",
      "siblingGroupId": "siblings-nj-county-of-essex",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-county-of-essex"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists FRANK J DELGAUDIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to COUNTY OF ESSEX; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF ESSEX, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists FRANK J DELGAUDIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to COUNTY OF ESSEX; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF ESSEX, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "314021",
      "ccn": "314021",
      "name": "HAMPTON BEHAVIORAL HEALTH CENTER",
      "address": "650 RANCOCAS ROAD",
      "city": "WESTAMPTON",
      "state": "NJ",
      "zip": "08060",
      "county": "BURLINGTON",
      "latitude": 40.0081912201633,
      "longitude": -74.8468581999968,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": null,
      "website": "http://www.hamptonhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HAMPTON BEHAVIORAL HEALTH CENTER",
      "parentSystemId": "entity-hampton-behavioral-health-center",
      "siblingGroupId": "siblings-nj-hampton-behavioral-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-proprietary"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMPTON BEHAVIORAL HEALTH CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMPTON BEHAVIORAL HEALTH CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "314022",
      "ccn": "314022",
      "name": "SAINT BARNABAS BEHAVIORAL HEALTH CENTER",
      "address": "1691 HIGHWAY 9, CN2025",
      "city": "TOMS RIVER",
      "state": "NJ",
      "zip": "08755",
      "county": "OCEAN",
      "latitude": 40.0121504698776,
      "longitude": -74.2149092097644,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "RWJ BARNABAS HEALTH INC",
      "parentSystemId": "entity-rwj-barnabas-health-inc",
      "siblingGroupId": "siblings-nj-rwj-barnabas-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-rwjbarnabas-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rwjbh.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RWJ BARNABAS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to RWJBarnabas Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RWJ BARNABAS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "314023",
      "ccn": "314023",
      "name": "ASPEN HILLS HEALTHCARE CENTER",
      "address": "600 PEMBERTON-BROWNS MILLS ROAD",
      "city": "PEMBERTON",
      "state": "NJ",
      "zip": "08068",
      "county": "BURLINGTON",
      "latitude": 39.9675004901304,
      "longitude": -74.6371055202675,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "website": "http://www.aspenhillshealthcare.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pemberton-aspen-hills-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ASPEN HILLS HEALTHCARE CENTER, LLC",
      "parentSystemId": "entity-aspen-hills-healthcare-center-llc",
      "siblingGroupId": "siblings-nj-aspen-hills-healthcare-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-aspen-hills-healthcare-center-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "CMS lists SHEMON SINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ASPEN HILLS HEALTHCARE CENTER, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPEN HILLS HEALTHCARE CENTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SHEMON SINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to ASPEN HILLS HEALTHCARE CENTER, LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPEN HILLS HEALTHCARE CENTER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "314024",
      "ccn": "314024",
      "name": "HUDSON COUNTY MEADOWVIEW PSYCHIATRIC HOSPITAL",
      "address": "595 COUNTY AVENUE",
      "city": "SECAUCUS",
      "state": "NJ",
      "zip": "07094",
      "county": "HUDSON",
      "latitude": 40.785405580272,
      "longitude": -74.0578168903926,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 174,
      "rating": null,
      "website": "http://www.hudsoncountynj.org/hudson-county-meadowview-psychiatric-hospital/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-secaucus-hudson-county-meadowview-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN",
      "parentSystemId": "entity-hudson-co-board-of-chosen-freehold-admin",
      "siblingGroupId": "siblings-nj-hudson-co-board-of-chosen-freehold-admin",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nj-parent-hudson-co-board-of-chosen-freehold-admin"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nj.gov/health/healthfacilities/findhospital.shtml"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUDSON CO BOARD OF CHOSEN FREEHOLD ADMIN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "320001",
      "ccn": "320001",
      "name": "UNM HOSPITAL",
      "address": "2211 LOMAS BOULEVARD NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87106",
      "county": "BERNALILLO",
      "latitude": 35.0881527300999,
      "longitude": -106.617187870007,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 527,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - State",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "UNM HOSPITAL",
      "parentSystemId": "entity-unm-hospital",
      "siblingGroupId": "siblings-nm-unm-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-university-of-new-mexico"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://hospitals.unm.edu/locations/"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to University of New Mexico; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNM HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to University of New Mexico; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNM HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "320002",
      "ccn": "320002",
      "name": "CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER",
      "address": "455 ST MICHAEL'S DRIVE",
      "city": "SANTA FE",
      "state": "NM",
      "zip": "87505",
      "county": "SANTA FE",
      "latitude": 35.6594409902785,
      "longitude": -105.945780489616,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 200,
      "rating": 4,
      "website": "https://www.christushealth.org/",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "Christushealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christushealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-fe-christus-st-vincent-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-nm-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to CHRISTUS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320005",
      "ccn": "320005",
      "name": "SAN JUAN REGIONAL MEDICAL CENTER INC",
      "address": "801 WEST MAPLE STREET",
      "city": "FARMINGTON",
      "state": "NM",
      "zip": "87401",
      "county": "SAN JUAN",
      "latitude": 36.7238351902493,
      "longitude": -108.216817849727,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 198,
      "rating": 2,
      "website": "http://www.sanjuanregional.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-farmington-san-juan-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAN JUAN REGIONAL MEDICAL CENTER, INC.",
      "parentSystemId": "entity-san-juan-regional-medical-center-inc",
      "siblingGroupId": "siblings-nm-san-juan-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-san-juan-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.sanjuanregional.com/locations/"
      ],
      "ownershipProofNotes": "CMS lists JOHN WILLIAM MAYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to San Juan Regional Medical Center; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN JUAN REGIONAL MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOHN WILLIAM MAYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to San Juan Regional Medical Center; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN JUAN REGIONAL MEDICAL CENTER, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320006",
      "ccn": "320006",
      "name": "EASTERN NEW MEXICO MEDICAL CENTER",
      "address": "405 W COUNTRY CLUB ROAD",
      "city": "ROSWELL",
      "state": "NM",
      "zip": "88201",
      "county": "CHAVES",
      "latitude": 33.424303260181,
      "longitude": -104.528576450361,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 162,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roswell-eastern-new-mexico-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-nm-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "320009",
      "ccn": "320009",
      "name": "LOVELACE MEDICAL CENTER",
      "address": "601 DR MARTIN LUTHER KING JR AVE NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "BERNALILLO",
      "latitude": 35.0861202999059,
      "longitude": -106.639690410058,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 263,
      "rating": 2,
      "status": "confirmed_pe",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Ardent Health Services. PESP PE firm/sponsor: Equity Group Investments.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-lovelace-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nm-ahs-management",
      "campusFamilyId": "campus-nm-320009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-ardent-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "320009-loc-nm-albuquerque-new-mexico-heart-institute-a-department",
      "ccn": "320009",
      "name": "NEW MEXICO HEART INSTITUTE, A DEPARTMENT OF LOVELACE MEDICAL CENTER",
      "address": "502 ELM STREET NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "BERNALILLO",
      "latitude": 35.0868910997878,
      "longitude": -106.637294599602,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nm-ahs-management",
      "campusFamilyId": "campus-nm-320009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-ardent-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "320009"
    },
    {
      "id": "320011",
      "ccn": "320011",
      "name": "PRESBYTERIAN ESPANOLA HOSPITAL",
      "address": "1010 SPRUCE STREET",
      "city": "ESPANOLA",
      "state": "NM",
      "zip": "87532",
      "county": "RIO ARRIBA",
      "latitude": 35.9972510902935,
      "longitude": -106.088827839963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": null,
      "website": "https://espanola-hospital.phs.org/pages/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-espanola-presbyterian-espanola-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESBYTERIAN ESPANOLA HOSPITAL",
      "parentSystemId": "entity-presbyterian-espanola-hospital",
      "siblingGroupId": "siblings-nm-presbyterian-espanola-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-presbyterian-healthcare-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.phs.org/hospitals/Pages/default.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN ESPANOLA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN ESPANOLA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320017",
      "ccn": "320017",
      "name": "LOVELACE WOMEN'S HOSPITAL",
      "address": "4701 MONTGOMERY BOULEVARD NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87109",
      "county": "BERNALILLO",
      "latitude": 35.1317680198252,
      "longitude": -106.591002559787,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": 4,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-lovelace-womens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nm-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-ardent-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "320018",
      "ccn": "320018",
      "name": "MEMORIAL MEDICAL CENTER",
      "address": "2450 SOUTH TELSHOR BLVD",
      "city": "LAS CRUCES",
      "state": "NM",
      "zip": "88011",
      "county": "DOÑA ANA",
      "latitude": 32.2922852800395,
      "longitude": -106.736047640257,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 199,
      "rating": 2,
      "status": "confirmed_pe",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: LifePoint Health. PESP PE firm/sponsor: Apollo Global Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-cruces-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nm-lifepoint-health",
      "campusFamilyId": "campus-nm-320018",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "320018-loc-nm-las-cruces-mmc-cancer-center-a-department-of-memori",
      "ccn": "320018",
      "name": "MMC CANCER CENTER A DEPARTMENT OF MEMORIAL MEDICAL CENTER",
      "address": "2530 SOUTH TELSHOR BLVD SUITE 201",
      "city": "LAS CRUCES",
      "state": "NM",
      "zip": "88011",
      "county": "DOÑA ANA",
      "latitude": 32.2903534996824,
      "longitude": -106.736559500306,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nm-lifepoint-health",
      "campusFamilyId": "campus-nm-320018",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "320018"
    },
    {
      "id": "320021",
      "ccn": "320021",
      "name": "PRESBYTERIAN HOSPITAL",
      "address": "1100 CENTRAL AVENUE SE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87106",
      "county": "BERNALILLO",
      "latitude": 35.0816332397335,
      "longitude": -106.635498720025,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 453,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-presbyterian-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESBYTERIAN HEALTHCARE SERVICES",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "campusFamilyId": "campus-nm-320021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-presbyterian-healthcare-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.phs.org/hospitals/Pages/default.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320021-loc-nm-albuquerque-presbyterian-hospital-eeg",
      "ccn": "320021",
      "name": "PRESBYTERIAN HOSPITAL EEG",
      "address": "201 CEDAR STREET SE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87106",
      "county": "BERNALILLO",
      "latitude": 35.0816144000263,
      "longitude": -106.635491399654,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESBYTERIAN HEALTHCARE SERVICES",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "campusFamilyId": "campus-nm-320021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-presbyterian-healthcare-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.phs.org/hospitals/Pages/default.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "320021"
    },
    {
      "id": "320022",
      "ccn": "320022",
      "name": "PLAINS REGIONAL MEDICAL CENTER",
      "address": "2100 N MARTIN LUTHER KING JR BLVD",
      "city": "CLOVIS",
      "state": "NM",
      "zip": "88101",
      "county": "CURRY",
      "latitude": 34.4206209603437,
      "longitude": -103.233789589832,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PLAINS REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-plains-regional-medical-center",
      "siblingGroupId": "siblings-nm-plains-regional-medical-center",
      "campusFamilyId": "campus-nm-320022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLAINS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLAINS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320030",
      "ccn": "320030",
      "name": "ARTESIA GENERAL HOSPITAL",
      "address": "702 N 13TH STREET",
      "city": "ARTESIA",
      "state": "NM",
      "zip": "88210",
      "county": "EDDY",
      "latitude": 32.8489747802765,
      "longitude": -104.410861389804,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-artesia-artesia-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARTESIA GENERAL HOSPITAL",
      "parentSystemId": "entity-artesia-general-hospital",
      "siblingGroupId": "siblings-nm-artesia-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARTESIA GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARTESIA GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320033",
      "ccn": "320033",
      "name": "LOS ALAMOS MEDICAL CENTER",
      "address": "3917 WEST ROAD",
      "city": "LOS ALAMOS",
      "state": "NM",
      "zip": "87544",
      "county": "LOS ALAMOS",
      "latitude": 35.8816996400033,
      "longitude": -106.319300159924,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 47,
      "rating": null,
      "website": "http://www.losalamosmedicalcenter.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LOS ALAMOS MEDICAL CENTER",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-los-alamos-los-alamos-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-los-alamos-medical-center",
      "siblingGroupId": "siblings-nm-los-alamos-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOS ALAMOS MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOS ALAMOS MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "320059",
      "ccn": "320059",
      "name": "NORTHERN NAVAJO MEDICAL CENTER",
      "address": "HWY 491 NORTH",
      "city": "SHIPROCK",
      "state": "NM",
      "zip": "87420",
      "county": "SAN JUAN",
      "latitude": 36.8052591598877,
      "longitude": -108.691410140111,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 55,
      "rating": 3,
      "website": "http://www.ihs.gov/navajo/index.cfm?module=nao_hcc_shiprock",
      "status": "corporate_chain",
      "parentSystem": "DHHS PHS NAIHS SHIPROCK HOSPITAL",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shiprock-northern-navajo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dhhs-phs-naihs-shiprock-hospital",
      "siblingGroupId": "siblings-nm-dhhs-phs-naihs-shiprock-hospital",
      "campusFamilyId": "campus-nm-320059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-dhhs-phs-naihs-shiprock-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: DHHS PHS NAIHS SHIPROCK HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS SHIPROCK HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS SHIPROCK HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DHHS PHS NAIHS SHIPROCK HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS SHIPROCK HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS SHIPROCK HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "320060",
      "ccn": "320060",
      "name": "ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER",
      "address": "ROUTE 301, NORTH B STREET",
      "city": "ZUNI",
      "state": "NM",
      "zip": "87327",
      "county": "MCKINLEY",
      "latitude": 35.0872076700574,
      "longitude": -108.791126759554,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 28,
      "rating": null,
      "website": "http://www.ihs.gov/albuquerque/healthcarefacilities/zuniramah",
      "status": "corporate_chain",
      "parentSystem": "Unity Health Arkansas",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-zuni-zuni-comprehensive-community-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-nm-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-government-federal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320061",
      "ccn": "320061",
      "name": "GALLUP INDIAN MEDICAL CENTER",
      "address": "516 E NIZHONI BLVD",
      "city": "GALLUP",
      "state": "NM",
      "zip": "87301",
      "county": "MCKINLEY",
      "latitude": 35.5076458597952,
      "longitude": -108.729880490357,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 99,
      "rating": 2,
      "website": "http://www.ihs.gov/navajo/index.cfm?module=nao_hcc_gallup",
      "status": "corporate_chain",
      "parentSystem": "GALLUP INDIAN MEDICAL CENTER",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gallup-gallup-indian-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-gallup-indian-medical-center",
      "siblingGroupId": "siblings-nm-gallup-indian-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-government-federal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALLUP INDIAN MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALLUP INDIAN MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "320062",
      "ccn": "320062",
      "name": "CROWNPOINT HEALTHCARE FACILITY",
      "address": "NM STATE ROAD 371 AND ROUTE 9",
      "city": "CROWNPOINT",
      "state": "NM",
      "zip": "87313",
      "county": "MCKINLEY",
      "latitude": 35.6986663598914,
      "longitude": -108.139610450207,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": 32,
      "rating": null,
      "website": "http://www.ihs.gov/navajo/crownpoint/",
      "status": "corporate_chain",
      "parentSystem": "DHHS PHS NAIHS CROWNPOINT HOSPITAL",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-dhhs-phs-naihs-crownpoint-hospital",
      "siblingGroupId": "siblings-nm-dhhs-phs-naihs-crownpoint-hospital",
      "campusFamilyId": "campus-nm-320062",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-dhhs-phs-naihs-crownpoint-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: DHHS PHS NAIHS CROWNPOINT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS CROWNPOINT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS CROWNPOINT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DHHS PHS NAIHS CROWNPOINT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ihs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ihs. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to DHHS PHS NAIHS CROWNPOINT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHHS PHS NAIHS CROWNPOINT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "320063",
      "ccn": "320063",
      "name": "CARLSBAD MEDICAL CENTER",
      "address": "2430 WEST PIERCE STREET",
      "city": "CARLSBAD",
      "state": "NM",
      "zip": "88220",
      "county": "EDDY",
      "latitude": 32.4425387000012,
      "longitude": -104.257930150371,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 99,
      "rating": 1,
      "website": "http://www.carlsbadmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carlsbad-carlsbad-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-nm-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "320065",
      "ccn": "320065",
      "name": "COVENANT HEALTH HOBBS HOSPITAL",
      "address": "5419 N LOVINGTON HIGHWAY",
      "city": "HOBBS",
      "state": "NM",
      "zip": "88240",
      "county": "LEA",
      "latitude": 32.7623197102174,
      "longitude": -103.184921029966,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 118,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hobbs-covenant-health-hobbs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Providence",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-nm-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320074",
      "ccn": "320074",
      "name": "LOVELACE WESTSIDE HOSPITAL",
      "address": "10501 GOLF COURSE ROAD NW",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87114",
      "county": "BERNALILLO",
      "latitude": 35.207450350273,
      "longitude": -106.677054769797,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": 4,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHP HEALTH PARTNERS, INC",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-lovelace-westside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahp-health-partners-inc",
      "siblingGroupId": "siblings-nm-ahp-health-partners-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-ardent-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHP HEALTH PARTNERS, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD HAUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHP HEALTH PARTNERS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHP HEALTH PARTNERS, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD HAUN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHP HEALTH PARTNERS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "320084",
      "ccn": "320084",
      "name": "ROOSEVELT GENERAL HOSPITAL",
      "address": "42121 US HIGHWAY 70",
      "city": "PORTALES",
      "state": "NM",
      "zip": "88130",
      "county": "ROOSEVELT",
      "latitude": 34.1689033898249,
      "longitude": -103.362263890227,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portales-roosevelt-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT",
      "parentSystemId": "entity-roosevelt-county-special-hospital-district",
      "siblingGroupId": "siblings-nm-roosevelt-county-special-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-verified-parent-roosevelt-county-special-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EMILIE GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EMILIE GREEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "320085",
      "ccn": "320085",
      "name": "MOUNTAIN VIEW REGIONAL MEDICAL CENTER",
      "address": "4311 EAST LOHMAN AVENUE",
      "city": "LAS CRUCES",
      "state": "NM",
      "zip": "88011",
      "county": "DOÑA ANA",
      "latitude": 32.3236685099991,
      "longitude": -106.728915849639,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 168,
      "rating": 2,
      "website": "http://www.mountainviewregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-cruces-mountain-view-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-nm-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "320086",
      "ccn": "320086",
      "name": "LOVELACE REGIONAL HOSPITAL - ROSWELL",
      "address": "117 EAST 19TH STREET",
      "city": "ROSWELL",
      "state": "NM",
      "zip": "88201",
      "county": "CHAVES",
      "latitude": 33.4171011698793,
      "longitude": -104.521172659757,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 27,
      "rating": 2,
      "website": "http://www.lovelace.com/locations/hospitals/lovelace-regional-hospital",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roswell-lovelace-regional-hospital---roswell/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nm-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-ardent-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "320090",
      "ccn": "320090",
      "name": "PRESBYTERIAN SANTA FE MEDICAL CENTER",
      "address": "4801 BECKNER ROAD",
      "city": "SANTA FE",
      "state": "NM",
      "zip": "87507",
      "county": "SANTA FE",
      "latitude": 35.6160195591737,
      "longitude": -106.025075221716,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-fe-presbyterian-santa-fe-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESBYTERIAN HEALTHCARE SERVICES",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-presbyterian-healthcare-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.phs.org/hospitals/Pages/default.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "320091",
      "ccn": "320091",
      "name": "THREE CROSSES REGIONAL HOSPITAL LLC",
      "address": "2560 SAMARITAN DRIVE",
      "city": "LAS CRUCES",
      "state": "NM",
      "zip": "88001",
      "county": "DOÑA ANA",
      "latitude": 32.3346167003647,
      "longitude": -106.77604930994,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 46,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LC MEDICAL ASSETS LLLP",
      "peFirm": "ASI Capital, The Convergence Group",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "PartnersHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-cruces-three-crosses-regional-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lc-medical-assets-lllp",
      "siblingGroupId": "siblings-nm-lc-medical-assets-lllp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: LC MEDICAL ASSETS LLLP (OPERATIONAL/MANAGERIAL CONTROL, 99.9%). Official parent-system candidate from existing system-family mapping: PartnersHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: PartnersHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LC MEDICAL ASSETS LLLP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LC MEDICAL ASSETS LLLP (OPERATIONAL/MANAGERIAL CONTROL, 99.9%). Official parent-system candidate from existing system-family mapping: PartnersHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: PartnersHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LC MEDICAL ASSETS LLLP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "320779",
      "ccn": "320779",
      "name": "GUADALUPE COUNTY HOSPITAL",
      "address": "117 CAMINO DE VIDA, SUITE 100",
      "city": "SANTA ROSA",
      "state": "NM",
      "zip": "88435",
      "county": "GUADALUPE",
      "latitude": 34.9302152797404,
      "longitude": -104.693564740095,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 10,
      "rating": null,
      "website": "http://www.srnm.org/residents/health-care.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-rosa-guadalupe-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEW MEXICARE INC",
      "parentSystemId": "entity-new-mexicare-inc",
      "siblingGroupId": "siblings-nm-new-mexicare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-new-mexicare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW MEXICARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to NEW MEXICARE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW MEXICARE INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW MEXICARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to NEW MEXICARE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW MEXICARE INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "321301",
      "ccn": "321301",
      "name": "SOCORRO GENERAL HOSPITAL",
      "address": "1202 HIGHWAY 60 WEST",
      "city": "SOCORRO",
      "state": "NM",
      "zip": "87801",
      "county": "SOCORRO",
      "latitude": 34.0374495501348,
      "longitude": -106.911473169613,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-socorro-socorro-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESBYTERIAN HEALTHCARE SERVICES",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-presbyterian-healthcare-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phs.org/hospitals/Pages/default.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRESBYTERIAN HEALTHCARE SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRESBYTERIAN HEALTHCARE SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "321302",
      "ccn": "321302",
      "name": "DR DAN C TRIGG MEMORIAL HOSPITAL",
      "address": "301 EAST MIEL DE LUNA AVENUE",
      "city": "TUCUMCARI",
      "state": "NM",
      "zip": "88401",
      "county": "QUAY",
      "latitude": 35.1566130997276,
      "longitude": -103.722424200109,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "DR DAN C TRIGG MEMORIAL HOSPITAL",
      "parentSystemId": "entity-dr-dan-c-trigg-memorial-hospital",
      "siblingGroupId": "siblings-nm-dr-dan-c-trigg-memorial-hospital",
      "campusFamilyId": "campus-nm-321302",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DR DAN C TRIGG MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DR DAN C TRIGG MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "321302-loc-nm-tucumcari-presbyterian-medical-group-at-dr-dan-c-tr",
      "ccn": "321302",
      "name": "PRESBYTERIAN MEDICAL GROUP AT DR DAN C TRIGG MEMORIAL HOSPITAL",
      "address": "402 EAST MIEL DE LUNA AVE",
      "city": "TUCUMCARI",
      "state": "NM",
      "zip": "88401",
      "county": "QUAY",
      "latitude": 35.1566324398828,
      "longitude": -103.722574509815,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "DR DAN C TRIGG MEMORIAL HOSPITAL",
      "parentSystemId": "entity-dr-dan-c-trigg-memorial-hospital",
      "siblingGroupId": "siblings-nm-dr-dan-c-trigg-memorial-hospital",
      "campusFamilyId": "campus-nm-321302",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DR DAN C TRIGG MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DR DAN C TRIGG MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "321302"
    },
    {
      "id": "321304",
      "ccn": "321304",
      "name": "UNION COUNTY GENERAL HOSPITAL",
      "address": "300 WILSON STREET",
      "city": "CLAYTON",
      "state": "NM",
      "zip": "88415",
      "county": "UNION",
      "latitude": 36.4542286701392,
      "longitude": -103.193297219916,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clayton-union-county-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CLAYTON HEALTH SYSTEMS INC",
      "parentSystemId": "entity-clayton-health-systems-inc",
      "siblingGroupId": "siblings-nm-clayton-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLAYTON HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK E VAN WORMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAYTON HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLAYTON HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK E VAN WORMER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAYTON HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "321305",
      "ccn": "321305",
      "name": "NOR - LEA HOSPITAL DISTRICT",
      "address": "1600 NORTH MAIN AVE",
      "city": "LOVINGTON",
      "state": "NM",
      "zip": "88260",
      "county": "LEA",
      "latitude": 32.9652818400185,
      "longitude": -103.347374370088,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.nlgh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NOR-LEA HOSPITAL DISTRICT",
      "parentSystemId": "entity-nor-lea-hospital-district",
      "siblingGroupId": "siblings-nm-nor-lea-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-verified-parent-nor-lea-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOR-LEA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOR-LEA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOR-LEA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOR-LEA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "321306",
      "ccn": "321306",
      "name": "LINCOLN COUNTY MEDICAL CENTER",
      "address": "211 SUDDERTH DRIVE",
      "city": "RUIDOSO",
      "state": "NM",
      "zip": "88345",
      "county": "LINCOLN",
      "latitude": 33.3222399897901,
      "longitude": -105.631300309636,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "https://lincoln-county-medical-center.phs.org/pages/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ruidoso-lincoln-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESBYTERIAN HEALTHCARE SERVICES",
      "parentSystemId": "entity-presbyterian-healthcare-services",
      "siblingGroupId": "siblings-nm-presbyterian-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-presbyterian-healthcare-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.phs.org/hospitals/Pages/default.aspx"
      ],
      "ownershipProofNotes": "CMS lists KIMBERLY POLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KIMBERLY POLAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Presbyterian Healthcare Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN HEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "321307",
      "ccn": "321307",
      "name": "MINERS' COLFAX MEDICAL CENTER",
      "address": "203 HOSPITAL DRIVE",
      "city": "RATON",
      "state": "NM",
      "zip": "87740",
      "county": "COLFAX",
      "latitude": 36.862658989736,
      "longitude": -104.442110249956,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - State",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raton-miners-colfax-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MINERS' COLFAX MEDICAL CENTER",
      "parentSystemId": "entity-miners-colfax-medical-center",
      "siblingGroupId": "siblings-nm-miners-colfax-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-miners-colfax-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MINERS' COLFAX MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to MINERS' COLFAX MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINERS' COLFAX MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MINERS' COLFAX MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to MINERS' COLFAX MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINERS' COLFAX MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "321308",
      "ccn": "321308",
      "name": "CIBOLA GENERAL HOSPITAL",
      "address": "1016 E ROOSEVELT AVENUE",
      "city": "GRANTS",
      "state": "NM",
      "zip": "87020",
      "county": "CIBOLA",
      "latitude": 35.1621529698051,
      "longitude": -107.827119370234,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grants-cibola-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CIBOLA GENERAL HOSPITAL CORPORATION",
      "parentSystemId": "entity-cibola-general-hospital-corporation",
      "siblingGroupId": "siblings-nm-cibola-general-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-verified-parent-cibola-general-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFF EGBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIBOLA GENERAL HOSPITAL CORPORATION, ownership class nonprofit. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JEFF EGBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIBOLA GENERAL HOSPITAL CORPORATION, ownership class nonprofit. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "321310",
      "ccn": "321310",
      "name": "HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS INC",
      "address": "1397 WEIMER ROAD",
      "city": "TAOS",
      "state": "NM",
      "zip": "87571",
      "county": "TAOS",
      "latitude": 36.3685436600782,
      "longitude": -105.576888120388,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "status": "corporate_chain",
      "parentSystem": "TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL",
      "affiliatedSystem": "Trinity Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trinity Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-taos-health-systems-inc-holy-cross-hospital",
      "siblingGroupId": "siblings-nm-taos-health-systems-inc-holy-cross-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Trinity Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trinity Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "321311",
      "ccn": "321311",
      "name": "GILA REGIONAL MEDICAL CENTER",
      "address": "1313 E 32ND ST",
      "city": "SILVER CITY",
      "state": "NM",
      "zip": "88061",
      "county": "GRANT",
      "latitude": 32.7971299802338,
      "longitude": -108.260917719974,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 35,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-silver-city-gila-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GILA REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-gila-regional-medical-center",
      "siblingGroupId": "siblings-nm-gila-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILA REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GILA REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "321312",
      "ccn": "321312",
      "name": "SAN MIGUEL CORP. - ALTA VISTA REGIONAL HOSPITAL",
      "address": "104 LEGION DRIVE",
      "city": "LAS VEGAS",
      "state": "NM",
      "zip": "87701",
      "county": "SAN MIGUEL",
      "latitude": 35.6234442596514,
      "longitude": -105.210872589688,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": null,
      "website": "http://www.altavistaregionalhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-vegas-san-miguel-corp-alta-vista-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DAVA HEALTH, INC.",
      "parentSystemId": "entity-dava-health-inc",
      "siblingGroupId": "siblings-nm-dava-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: DAVA HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAVA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DAVA HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAVA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "321313",
      "ccn": "321313",
      "name": "REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES",
      "address": "1901 RED ROCK DRIVE",
      "city": "GALLUP",
      "state": "NM",
      "zip": "87301",
      "county": "MCKINLEY",
      "latitude": 35.5065146402045,
      "longitude": -108.72650483981,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.",
      "parentSystemId": "entity-rehoboth-mckinley-christian-health-care-services-inc",
      "siblingGroupId": "siblings-nm-rehoboth-mckinley-christian-health-care-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-independent-new-mexico-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS lists WARNER J ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists WARNER J ANDERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Independent New Mexico nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "324010",
      "ccn": "324010",
      "name": "BHC MESILLA VALLEY HOSPITAL, LLC",
      "address": "3751 DEL REY BOULEVARD",
      "city": "LAS CRUCES",
      "state": "NM",
      "zip": "88012",
      "county": "DOÑA ANA",
      "latitude": 32.3566198600565,
      "longitude": -106.773997479678,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": null,
      "website": "http://www.mesillavalleyhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-las-cruces-bhc-mesilla-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nm-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "324012",
      "ccn": "324012",
      "name": "PEAK BEHAVIORAL HEALTH SERVICES, LLC",
      "address": "5065 MCNUTT ROAD, BUILDINGS A, B, C, AND D",
      "city": "SANTA TERESA",
      "state": "NM",
      "zip": "88008",
      "county": "DOÑA ANA",
      "latitude": 31.8422699599125,
      "longitude": -106.619764210394,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": null,
      "website": "http://www.peakbehavioral.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "PEAK BEHAVIORAL HEALTH SERVICES, LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "January 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-santa-teresa-peak-behavioral-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-peak-behavioral-health-services-llc",
      "siblingGroupId": "siblings-nm-peak-behavioral-health-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEAK BEHAVIORAL HEALTH SERVICES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEAK BEHAVIORAL HEALTH SERVICES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "324013",
      "ccn": "324013",
      "name": "HAVEN BEHAVIORAL HOSPITAL OF ALBUQUERQUE",
      "address": "5400 GIBSON BOULEVARD SE, 4TH FLOOR, BOX NUMBER 8",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87108",
      "county": "BERNALILLO",
      "latitude": 35.0578329899876,
      "longitude": -106.581838750352,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": null,
      "website": "https://albuquerque.havenbehavioral.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "peFirm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "acquiredDate": "May 2006",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Haven Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-haven-behavioral-hospital-of-albuquerque/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-haven-behavioral-healthcare-inc",
      "siblingGroupId": "siblings-nm-haven-behavioral-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "324014",
      "ccn": "324014",
      "name": "CENTRAL DESERT BEHAVIORAL HEALTH HOSPITAL",
      "address": "1525 N RENAISSANCE BLVD NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "BERNALILLO",
      "latitude": 35.1380449597369,
      "longitude": -106.607595070109,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "peFirm": "AS Realty Investors ",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albuquerque-central-desert-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BEHAVIORAL HEALTH SERVICES LLC",
      "parentSystemId": "entity-behavioral-health-services-llc",
      "siblingGroupId": "siblings-nm-behavioral-health-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.srca.nm.gov/parts/title08/08.370.0012.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEHAVIORAL HEALTH SERVICES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEHAVIORAL HEALTH SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEHAVIORAL HEALTH SERVICES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NM resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEHAVIORAL HEALTH SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "330006",
      "ccn": "330006",
      "name": "ST. JOSEPH'S MEDICAL CENTER",
      "address": "127 SOUTH BROADWAY",
      "city": "YONKERS",
      "state": "NY",
      "zip": "10701",
      "county": "WESTCHESTER",
      "latitude": 40.9292560199863,
      "longitude": -73.8976946802299,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 191,
      "rating": 1,
      "website": "http://www.saintjosephs.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yonkers-st-joseph-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JOSEPH'S HOSPITAL YONKERS",
      "parentSystemId": "entity-st-joseph-s-hospital-yonkers",
      "siblingGroupId": "siblings-ny-st-joseph-s-hospital-yonkers",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-st-joseph-s-hospital-yonkers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST JOSEPH'S HOSPITAL YONKERS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH'S HOSPITAL YONKERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST JOSEPH'S HOSPITAL YONKERS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOSEPH'S HOSPITAL YONKERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330009",
      "ccn": "330009",
      "name": "BRONXCARE HOSPITAL CENTER",
      "address": "1276 FULTON AVENUE",
      "city": "BRONX",
      "state": "NY",
      "zip": "10456",
      "county": "BRONX",
      "latitude": 40.8317147900293,
      "longitude": -73.9040569802634,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 170,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRONXCARE HEALTH SYSTEM",
      "parentSystemId": "entity-bronxcare-health-system",
      "siblingGroupId": "siblings-ny-bronxcare-health-system",
      "campusFamilyId": "campus-ny-330009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-bronxcare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRONXCARE HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONXCARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRONXCARE HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONXCARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330009-loc-ny-bronx-bronxcare-hospital-center",
      "ccn": "330009",
      "name": "BRONXCARE HOSPITAL CENTER",
      "address": "1650 GRAND CONCOURSE",
      "city": "BRONX",
      "state": "NY",
      "zip": "10457",
      "county": "BRONX",
      "latitude": 40.8434925498714,
      "longitude": -73.911146949813,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 415,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRONXCARE HEALTH SYSTEM",
      "parentSystemId": "entity-bronxcare-health-system",
      "siblingGroupId": "siblings-ny-bronxcare-health-system",
      "campusFamilyId": "campus-ny-330009",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-bronxcare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRONXCARE HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONXCARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRONXCARE HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRONXCARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330009"
    },
    {
      "id": "330011",
      "ccn": "330011",
      "name": "OUR LADY OF LOURDES MEMORIAL HOSPITAL",
      "address": "169 RIVERSIDE DRIVE",
      "city": "BINGHAMTON",
      "state": "NY",
      "zip": "13905",
      "county": "BROOME",
      "latitude": 42.0913864298097,
      "longitude": -75.9369349802199,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 242,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-binghamton-our-lady-of-lourdes-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OUR LADY OF LOURDES MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-our-lady-of-lourdes-memorial-hospital-inc",
      "siblingGroupId": "siblings-ny-our-lady-of-lourdes-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-our-lady-of-lourdes-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OUR LADY OF LOURDES MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF LOURDES MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OUR LADY OF LOURDES MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OUR LADY OF LOURDES MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330013",
      "ccn": "330013",
      "name": "ALBANY MEDICAL CENTER HOSPITAL",
      "address": "43 NEW SCOTLAND AVENUE",
      "city": "ALBANY",
      "state": "NY",
      "zip": "12208",
      "county": "ALBANY",
      "latitude": 42.6534080601897,
      "longitude": -73.7766574602069,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 748,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALBANY MED HEALTH SYSTEM",
      "parentSystemId": "entity-albany-med-health-system",
      "siblingGroupId": "siblings-ny-albany-med-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-albany-med-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.albanymed.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALBANY MED HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBANY MED HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALBANY MED HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBANY MED HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330014",
      "ccn": "330014",
      "name": "JAMAICA HOSPITAL MEDICAL CENTER",
      "address": "89TH AVENUE AND VAN WYCK EXPRESSWAY",
      "city": "JAMAICA",
      "state": "NY",
      "zip": "11418",
      "county": "QUEENS",
      "latitude": 40.7001036500777,
      "longitude": -73.8161148900667,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 402,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jamaica-jamaica-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JAMAICA HOSPITAL",
      "parentSystemId": "entity-jamaica-hospital",
      "siblingGroupId": "siblings-ny-jamaica-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-jamaica-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to JAMAICA HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAMAICA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to JAMAICA HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JAMAICA HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330019",
      "ccn": "330019",
      "name": "NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC",
      "address": "2525 KINGS HIGHWAY",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11229",
      "county": "KINGS",
      "latitude": 40.613770990276,
      "longitude": -73.9487107795629,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 134,
      "rating": 1,
      "website": "http://www.nych.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIMONIDES HEALTH RESOURCES INC",
      "parentSystemId": "entity-maimonides-health-resources-inc",
      "siblingGroupId": "siblings-ny-maimonides-health-resources-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-maimonides-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://maimo.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIMONIDES HEALTH RESOURCES INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Maimonides Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIMONIDES HEALTH RESOURCES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIMONIDES HEALTH RESOURCES INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Maimonides Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIMONIDES HEALTH RESOURCES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330023",
      "ccn": "330023",
      "name": "VASSAR BROTHERS MEDICAL CENTER",
      "address": "45 READE PLACE",
      "city": "POUGHKEEPSIE",
      "state": "NY",
      "zip": "12601",
      "county": "DUTCHESS",
      "latitude": 41.6937994002802,
      "longitude": -73.9361727002916,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 349,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-poughkeepsie-vassar-brothers-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTH QUEST SYSTEMS INC",
      "parentSystemId": "entity-health-quest-systems-inc",
      "siblingGroupId": "siblings-ny-health-quest-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-health-quest-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH QUEST SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH QUEST SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH QUEST SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH QUEST SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330024",
      "ccn": "330024",
      "name": "MOUNT SINAI HOSPITAL",
      "address": "1 GUSTAVE L LEVY PLACE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10029",
      "county": "NEW YORK",
      "latitude": 40.7897675300417,
      "longitude": -73.9532142703391,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1139,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "MOUNT SINAI HOSPITAL",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-mount-sinai-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mount-sinai-hospital",
      "siblingGroupId": "siblings-ny-mount-sinai-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-mount-sinai-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT SINAI HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT SINAI HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330027",
      "ccn": "330027",
      "name": "NASSAU UNIVERSITY MEDICAL CENTER",
      "address": "2201 HEMPSTEAD TURNPIKE",
      "city": "EAST MEADOW",
      "state": "NY",
      "zip": "11554",
      "county": "NASSAU",
      "latitude": 40.7262555101826,
      "longitude": -73.5537380197463,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 530,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-meadow-nassau-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NASSAU UNIVERSITY MEDICAL CENTER",
      "parentSystemId": "entity-nassau-university-medical-center",
      "siblingGroupId": "siblings-ny-nassau-university-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-government-state"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Government - State; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NASSAU UNIVERSITY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Government - State; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NASSAU UNIVERSITY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330028",
      "ccn": "330028",
      "name": "RICHMOND UNIVERSITY MEDICAL CENTER",
      "address": "355 BARD AVENUE",
      "city": "STATEN ISLAND",
      "state": "NY",
      "zip": "10310",
      "county": "RICHMOND",
      "latitude": 40.635902409871,
      "longitude": -74.1059378004132,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 448,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "RICHMOND MEDICAL CENTER",
      "parentSystemId": "entity-richmond-medical-center",
      "siblingGroupId": "siblings-ny-richmond-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-richmond-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to RICHMOND MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICHMOND MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to RICHMOND MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICHMOND MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330030",
      "ccn": "330030",
      "name": "NEWARK - WAYNE COMMUNITY HOSPITAL",
      "address": "1200 DRIVING PARK AVENUE, PO BOX 111",
      "city": "NEWARK",
      "state": "NY",
      "zip": "14513",
      "county": "WAYNE",
      "latitude": 43.0604993798233,
      "longitude": -77.1016699100695,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 120,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-newark-wayne-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEWARK WAYNE COMMUNITY HOSPITAL",
      "parentSystemId": "entity-newark-wayne-community-hospital",
      "siblingGroupId": "siblings-ny-newark-wayne-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-newark-wayne-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEWARK WAYNE COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWARK WAYNE COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEWARK WAYNE COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWARK WAYNE COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330033",
      "ccn": "330033",
      "name": "CHENANGO MEMORIAL HOSPITAL INC",
      "address": "179 NORTH BROAD ST",
      "city": "NORWICH",
      "state": "NY",
      "zip": "13815",
      "county": "CHENANGO",
      "latitude": 42.5411593198503,
      "longitude": -75.5257986196971,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norwich-chenango-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHENANGO MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-chenango-memorial-hospital-inc",
      "siblingGroupId": "siblings-ny-chenango-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-chenango-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CHENANGO MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHENANGO MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CHENANGO MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHENANGO MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330044",
      "ccn": "330044",
      "name": "WYNN HOSPITAL",
      "address": "111 HOSPITAL DRIVE",
      "city": "UTICA",
      "state": "NY",
      "zip": "13502",
      "county": "ONEIDA",
      "latitude": 43.1032848348299,
      "longitude": -75.2353201368225,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 373,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOHAWK VALLEY HEALTH SYSTEM",
      "parentSystemId": "entity-mohawk-valley-health-system",
      "siblingGroupId": "siblings-ny-mohawk-valley-health-system",
      "campusFamilyId": "campus-ny-330044",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOHAWK VALLEY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOHAWK VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOHAWK VALLEY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOHAWK VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330045",
      "ccn": "330045",
      "name": "HUNTINGTON HOSPITAL",
      "address": "270 PARK AVENUE",
      "city": "HUNTINGTON",
      "state": "NY",
      "zip": "11743",
      "county": "SUFFOLK",
      "latitude": 40.8793292400813,
      "longitude": -73.4161995303865,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 348,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-huntington-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTHCARE INC",
      "parentSystemId": "entity-northwell-healthcare-inc",
      "siblingGroupId": "siblings-ny-northwell-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330046",
      "ccn": "330046",
      "name": "MOUNT SINAI WEST",
      "address": "1000 10TH AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10019",
      "county": "NEW YORK",
      "latitude": 40.7698206100802,
      "longitude": -73.9874018997729,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 514,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ST LUKES ROOSEVELT HOSPITAL CENTER",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-mount-sinai-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-lukes-roosevelt-hospital-center",
      "siblingGroupId": "siblings-ny-st-lukes-roosevelt-hospital-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-mount-sinai-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "CMS lists DENIS DONEGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES ROOSEVELT HOSPITAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DENIS DONEGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES ROOSEVELT HOSPITAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330047",
      "ccn": "330047",
      "name": "ST. MARY'S HEALTHCARE - AMSTERDAM MEMORIAL CAMPUS",
      "address": "4988 STHWY 30",
      "city": "AMSTERDAM",
      "state": "NY",
      "zip": "12010",
      "county": "MONTGOMERY",
      "latitude": 42.9590651698918,
      "longitude": -74.1871229301294,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": 3,
      "website": "https://www.smha.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amsterdam-st.-mary-s-healthcare---amsterdam-memorial-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. MARY'S HEALTHCARE",
      "parentSystemId": "entity-st-mary-s-healthcare",
      "siblingGroupId": "siblings-ny-st-mary-s-healthcare",
      "campusFamilyId": "campus-ny-330047",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-st-mary-s-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY METHVEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST. MARY'S HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. MARY'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY METHVEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST. MARY'S HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. MARY'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330047-loc-ny-amsterdam-st-mary-s-healthcare",
      "ccn": "330047",
      "name": "ST. MARY'S HEALTHCARE",
      "address": "427 GUY PARK AVENUE",
      "city": "AMSTERDAM",
      "state": "NY",
      "zip": "12010",
      "county": "MONTGOMERY",
      "latitude": 42.9544174502727,
      "longitude": -74.2160640003503,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 120,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amsterdam-st.-mary-s-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. MARY'S HEALTHCARE",
      "parentSystemId": "entity-st-mary-s-healthcare",
      "siblingGroupId": "siblings-ny-st-mary-s-healthcare",
      "campusFamilyId": "campus-ny-330047",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-st-mary-s-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY METHVEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST. MARY'S HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. MARY'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY METHVEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST. MARY'S HEALTHCARE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. MARY'S HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330047"
    },
    {
      "id": "330049",
      "ccn": "330049",
      "name": "NORTHERN DUTCHESS HOSPITAL",
      "address": "6511 SPRINGBROOK AVENUE",
      "city": "RHINEBECK",
      "state": "NY",
      "zip": "12572",
      "county": "DUTCHESS",
      "latitude": 41.9355377002615,
      "longitude": -73.9131564002552,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 84,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rhinebeck-northern-dutchess-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTH QUEST SYSTEMS INC",
      "parentSystemId": "entity-health-quest-systems-inc",
      "siblingGroupId": "siblings-ny-health-quest-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-health-quest-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH QUEST SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH QUEST SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH QUEST SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH QUEST SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330055",
      "ccn": "330055",
      "name": "NEW YORK - PRESBYTERIAN - QUEENS",
      "address": "56-45 MAIN STREET",
      "city": "FLUSHING",
      "state": "NY",
      "zip": "11355",
      "county": "QUEENS",
      "latitude": 40.7467722801268,
      "longitude": -73.8254163797934,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 535,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "NEWYORK-PRESBYTERIAN-QUEENS",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flushing-new-york-presbyterian-queens/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-newyork-presbyterian-queens",
      "siblingGroupId": "siblings-ny-newyork-presbyterian-queens",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-newyork-presbyterian"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWYORK-PRESBYTERIAN-QUEENS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWYORK-PRESBYTERIAN-QUEENS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330056",
      "ccn": "330056",
      "name": "BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS",
      "address": "121 DEKALB AVENUE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11201",
      "county": "KINGS",
      "latitude": 40.6905725098985,
      "longitude": -73.9778837597558,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 464,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE BROOKLYN HOSPITAL CENTER",
      "parentSystemId": "entity-the-brooklyn-hospital-center",
      "siblingGroupId": "siblings-ny-the-brooklyn-hospital-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-the-brooklyn-hospital-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE BROOKLYN HOSPITAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BROOKLYN HOSPITAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE BROOKLYN HOSPITAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE BROOKLYN HOSPITAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330057",
      "ccn": "330057",
      "name": "ST. PETER'S HOSPITAL",
      "address": "315 SOUTH MANNING BOULEVARD",
      "city": "ALBANY",
      "state": "NY",
      "zip": "12208",
      "county": "ALBANY",
      "latitude": 42.6562916000647,
      "longitude": -73.8034597001268,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 442,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albany-st.-peter-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST PETERS HEALTH PARTNERS",
      "parentSystemId": "entity-st-peters-health-partners",
      "siblingGroupId": "siblings-ny-st-peters-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-albany-med-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.albanymed.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST PETERS HEALTH PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST PETERS HEALTH PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330058",
      "ccn": "330058",
      "name": "GENEVA GENERAL HOSPITAL",
      "address": "196-198 NORTH STREET",
      "city": "GENEVA",
      "state": "NY",
      "zip": "14456",
      "county": "ONTARIO",
      "latitude": 42.8764604800642,
      "longitude": -76.9877683703693,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 117,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-geneva-geneva-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GENEVA GENERAL HOSPITAL, INC",
      "parentSystemId": "entity-geneva-general-hospital-inc",
      "siblingGroupId": "siblings-ny-geneva-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-geneva-general-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists KATHI S FINIZIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GENEVA GENERAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENEVA GENERAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KATHI S FINIZIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GENEVA GENERAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENEVA GENERAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330059",
      "ccn": "330059",
      "name": "MONTEFIORE MEDICAL CENTER - WAKEFIELD HOSPITAL",
      "address": "600 EAST 233RD STREET",
      "city": "BRONX",
      "state": "NY",
      "zip": "10466",
      "county": "BRONX",
      "latitude": 40.8936971697573,
      "longitude": -73.8611911904004,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 321,
      "rating": 3,
      "website": "http://www.montefiore.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-montefiore-medical-center-wakefield-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTEFIORE MEDICAL CENTER",
      "parentSystemId": "entity-montefiore-medical-center",
      "siblingGroupId": "siblings-ny-montefiore-medical-center",
      "campusFamilyId": "campus-ny-330059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-montefiore-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "CMS lists COLLEEN M. BLYE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists COLLEEN M. BLYE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330059-loc-ny-bronx-montefiore-medical-center-henry-and-lucy-mose",
      "ccn": "330059",
      "name": "MONTEFIORE MEDICAL CENTER - HENRY AND LUCY MOSES DIV",
      "address": "111 EAST 210TH STREET",
      "city": "BRONX",
      "state": "NY",
      "zip": "10467",
      "county": "BRONX",
      "latitude": 40.8800792602099,
      "longitude": -73.879826699647,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 816,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTEFIORE MEDICAL CENTER",
      "parentSystemId": "entity-montefiore-medical-center",
      "siblingGroupId": "siblings-ny-montefiore-medical-center",
      "campusFamilyId": "campus-ny-330059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-montefiore-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "CMS lists COLLEEN M. BLYE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists COLLEEN M. BLYE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330059"
    },
    {
      "id": "330065",
      "ccn": "330065",
      "name": "NIAGARA FALLS MEMORIAL MEDICAL CENTER",
      "address": "621 TENTH STREET",
      "city": "NIAGARA FALLS",
      "state": "NY",
      "zip": "14302",
      "county": "NIAGARA",
      "latitude": 43.0939208197676,
      "longitude": -79.0497101297532,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 171,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-niagara-falls-niagara-falls-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NIAGARA FALLS MEMORIAL MEDICAL CENTER",
      "parentSystemId": "entity-niagara-falls-memorial-medical-center",
      "siblingGroupId": "siblings-ny-niagara-falls-memorial-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-niagara-falls-memorial-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NIAGARA FALLS MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NIAGARA FALLS MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NIAGARA FALLS MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NIAGARA FALLS MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330073",
      "ccn": "330073",
      "name": "UNITED MEMORIAL MEDICAL CENTER NORTH STREET CAMPUS",
      "address": "127 NORTH ST",
      "city": "BATAVIA",
      "state": "NY",
      "zip": "14020",
      "county": "GENESEE",
      "latitude": 43.0050608700581,
      "longitude": -78.1766318601041,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 2,
      "website": "https://www.rochesterregional.org/locations/hospitals/united-memorial-medical-center/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-batavia-united-memorial-medical-center-north-street-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNITED MEMORIAL MEDICAL CENTER",
      "parentSystemId": "entity-united-memorial-medical-center-ny-batavia-330073",
      "siblingGroupId": "siblings-ny-united-memorial-medical-center-ny-batavia-330073",
      "campusFamilyId": "campus-ny-330073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-united-memorial-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNITED MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNITED MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330073-loc-ny-batavia-united-memorial-medical-center-bank-street-",
      "ccn": "330073",
      "name": "UNITED MEMORIAL MEDICAL CENTER BANK STREET CAMPUS",
      "address": "16 BANK STREET",
      "city": "BATAVIA",
      "state": "NY",
      "zip": "14020",
      "county": "GENESEE",
      "latitude": 42.9986500799091,
      "longitude": -78.1811128804218,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-batavia-united-memorial-medical-center-bank-street-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNITED MEMORIAL MEDICAL CENTER",
      "parentSystemId": "entity-united-memorial-medical-center-ny-batavia-330073",
      "siblingGroupId": "siblings-ny-united-memorial-medical-center-ny-batavia-330073",
      "campusFamilyId": "campus-ny-330073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-united-memorial-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNITED MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNITED MEMORIAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED MEMORIAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330073"
    },
    {
      "id": "330074",
      "ccn": "330074",
      "name": "F.F. THOMPSON HOSPITAL",
      "address": "350 PARRISH STREET",
      "city": "CANANDAIGUA",
      "state": "NY",
      "zip": "14424",
      "county": "ONTARIO",
      "latitude": 42.8760149602276,
      "longitude": -77.290244300326,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 113,
      "rating": 2,
      "website": "http://www.thompsonhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE FREDERICK FERRIS THOMPSON HOSPITAL",
      "parentSystemId": "entity-the-frederick-ferris-thompson-hospital",
      "siblingGroupId": "siblings-ny-the-frederick-ferris-thompson-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-the-frederick-ferris-thompson-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE FREDERICK FERRIS THOMPSON HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE FREDERICK FERRIS THOMPSON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE FREDERICK FERRIS THOMPSON HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE FREDERICK FERRIS THOMPSON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330078",
      "ccn": "330078",
      "name": "SISTERS OF CHARITY HOSPITAL",
      "address": "2157 MAIN STREET",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14214",
      "county": "ERIE",
      "latitude": 42.9284368900422,
      "longitude": -78.848458639647,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 310,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-sisters-of-charity-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK",
      "parentSystemId": "entity-sisters-of-charity-hospital-of-buffalo-new-york",
      "siblingGroupId": "siblings-ny-sisters-of-charity-hospital-of-buffalo-new-york",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-sisters-of-charity-hospital-of-buffalo-new-york"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID P MACHOLZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID P MACHOLZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330079",
      "ccn": "330079",
      "name": "ADIRONDACK MEDICAL CENTER - SARANAC LAKE SITE",
      "address": "2233 STATE ROUTE 86, PO BOX 471",
      "city": "SARANAC LAKE",
      "state": "NY",
      "zip": "12983",
      "county": "FRANKLIN",
      "latitude": 44.3450410400473,
      "longitude": -74.1431367596475,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 95,
      "rating": 4,
      "website": "http://www.adirondackhealth.org/locations/adirondack-medical-center-at-saranac-lake/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADIRONDACK MEDICAL CENTER",
      "parentSystemId": "entity-adirondack-medical-center",
      "siblingGroupId": "siblings-ny-adirondack-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-adirondack-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ADIRONDACK MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADIRONDACK MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ADIRONDACK MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADIRONDACK MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330086",
      "ccn": "330086",
      "name": "MONTEFIORE MOUNT VERNON HOSPITAL",
      "address": "12 NORTH 7TH AVENUE",
      "city": "MOUNT VERNON",
      "state": "NY",
      "zip": "10550",
      "county": "WESTCHESTER",
      "latitude": 40.912898360143,
      "longitude": -73.8405619997382,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 121,
      "rating": 3,
      "website": "http://montefiorehs.org/landing.cfm?id=17",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-vernon-montefiore-mount-vernon-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTEFIORE MOUNT VERNON HOSPITAL",
      "parentSystemId": "entity-montefiore-mount-vernon-hospital",
      "siblingGroupId": "siblings-ny-montefiore-mount-vernon-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-montefiore-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE MOUNT VERNON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE MOUNT VERNON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330090",
      "ccn": "330090",
      "name": "ARNOT OGDEN MEDICAL CENTER",
      "address": "600 ROE AVENUE",
      "city": "ELMIRA",
      "state": "NY",
      "zip": "14905",
      "county": "CHEMUNG",
      "latitude": 42.1001494200828,
      "longitude": -76.8277598698536,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 266,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elmira-arnot-ogden-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARNOT HEALTH INC",
      "parentSystemId": "entity-arnot-health-inc",
      "siblingGroupId": "siblings-ny-arnot-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-arnot-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ARNOT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ARNOT HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARNOT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ARNOT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ARNOT HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARNOT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330094",
      "ccn": "330094",
      "name": "COLUMBIA MEMORIAL HOSPITAL",
      "address": "71 PROSPECT AVE",
      "city": "HUDSON",
      "state": "NY",
      "zip": "12534",
      "county": "COLUMBIA",
      "latitude": 42.2463447697237,
      "longitude": -73.7774525303188,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 192,
      "rating": 1,
      "website": "http://www.columbiamemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hudson-columbia-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COLUMBIA MEMORIAL HOSPITAL",
      "parentSystemId": "entity-columbia-memorial-hospital",
      "siblingGroupId": "siblings-ny-columbia-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-columbia-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists BRYAN T MAHONEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to COLUMBIA MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRYAN T MAHONEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to COLUMBIA MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330101",
      "ccn": "330101",
      "name": "NEW YORK - PRESBYTERIAN HOSPITAL - NEW YORK WEILL CORNELL CENTER",
      "address": "525 EAST 68TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10021",
      "county": "NEW YORK",
      "latitude": 40.7645499402235,
      "longitude": -73.9543322596428,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 744,
      "rating": 5,
      "website": "http://www.nyp.org/",
      "status": "signal",
      "parentSystem": "THE NEW YORK AND PRESBYTERIAN HOSPITAL",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-new-york-presbyterian-hospital---new-york-weill-cornell-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-new-york-and-presbyterian-hospital",
      "siblingGroupId": "siblings-ny-the-new-york-and-presbyterian-hospital",
      "campusFamilyId": "campus-ny-330101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-newyork-presbyterian"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW YORK AND PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW YORK AND PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330101-loc-ny-new-york-new-york-presbyterian-hospital-columbia-pr",
      "ccn": "330101",
      "name": "NEW YORK - PRESBYTERIAN HOSPITAL - COLUMBIA PRESBYTERIAN CENTER",
      "address": "622 WEST 168TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10032",
      "county": "NEW YORK",
      "latitude": 40.841052880212,
      "longitude": -73.940686519897,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1022,
      "rating": 5,
      "website": "http://www.nyp.org/locations/newyork-presbyterian-columbia-university-medical-center",
      "status": "signal",
      "parentSystem": "THE NEW YORK AND PRESBYTERIAN HOSPITAL",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-new-york-presbyterian-hospital---columbia-presbyterian-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-new-york-and-presbyterian-hospital",
      "siblingGroupId": "siblings-ny-the-new-york-and-presbyterian-hospital",
      "campusFamilyId": "campus-ny-330101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-newyork-presbyterian"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW YORK AND PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW YORK AND PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330101"
    },
    {
      "id": "330101-loc-ny-new-york-new-york-presbyterian-hospital-allen-hospi",
      "ccn": "330101",
      "name": "NEW YORK - PRESBYTERIAN HOSPITAL - ALLEN HOSPITAL",
      "address": "5141 BROADWAY",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10034",
      "county": "NEW YORK",
      "latitude": 40.8732752399414,
      "longitude": -73.9130503298814,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 196,
      "rating": 5,
      "website": "http://www.nyp.org/allenhospital",
      "status": "signal",
      "parentSystem": "THE NEW YORK AND PRESBYTERIAN HOSPITAL",
      "affiliatedSystem": "NewYork-Presbyterian",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "NewYork-Presbyterian",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-new-york-presbyterian-hospital---allen-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-new-york-and-presbyterian-hospital",
      "siblingGroupId": "siblings-ny-the-new-york-and-presbyterian-hospital",
      "campusFamilyId": "campus-ny-330101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-newyork-presbyterian"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.nyp.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW YORK AND PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: NewYork-Presbyterian; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NewYork-Presbyterian. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NewYork-Presbyterian; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE NEW YORK AND PRESBYTERIAN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330101"
    },
    {
      "id": "330102",
      "ccn": "330102",
      "name": "KENMORE MERCY HOSPITAL",
      "address": "2950 ELMWOOD AVENUE",
      "city": "KENMORE",
      "state": "NY",
      "zip": "14217",
      "county": "ERIE",
      "latitude": 42.9775954500009,
      "longitude": -78.8801177702708,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 184,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM",
      "parentSystemId": "entity-catholic-health-system",
      "siblingGroupId": "siblings-ny-catholic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330103",
      "ccn": "330103",
      "name": "OLEAN GENERAL HOSPITAL",
      "address": "515 MAIN STREET",
      "city": "OLEAN",
      "state": "NY",
      "zip": "14760",
      "county": "CATTARAUGUS",
      "latitude": 42.0897777003268,
      "longitude": -78.4276941996894,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 186,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olean-olean-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OLEAN GENERAL HOSPITAL",
      "parentSystemId": "entity-olean-general-hospital",
      "siblingGroupId": "siblings-ny-olean-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-olean-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists KATIE JEAN KAUS O'CONNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OLEAN GENERAL HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLEAN GENERAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KATIE JEAN KAUS O'CONNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OLEAN GENERAL HOSPITAL; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLEAN GENERAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "330106",
      "ccn": "330106",
      "name": "NORTH SHORE UNIVERSITY HOSPITAL",
      "address": "300 COMMUNITY DRIVE",
      "city": "MANHASSET",
      "state": "NY",
      "zip": "11030",
      "county": "NASSAU",
      "latitude": 40.7773810000098,
      "longitude": -73.7019213996957,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 794,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manhasset-north-shore-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH INC",
      "parentSystemId": "entity-northwell-health-inc",
      "siblingGroupId": "siblings-ny-northwell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330107",
      "ccn": "330107",
      "name": "PECONIC BAY MEDICAL CENTER",
      "address": "1 HEROES WAY",
      "city": "RIVERHEAD",
      "state": "NY",
      "zip": "11901",
      "county": "SUFFOLK",
      "latitude": 40.9342639901665,
      "longitude": -72.6736249496825,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 144,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverhead-peconic-bay-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTHCARE INC",
      "parentSystemId": "entity-northwell-healthcare-inc",
      "siblingGroupId": "siblings-ny-northwell-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330111",
      "ccn": "330111",
      "name": "BERTRAND CHAFFEE HOSPITAL",
      "address": "224 EAST MAIN ST",
      "city": "SPRINGVILLE",
      "state": "NY",
      "zip": "14141",
      "county": "ERIE",
      "latitude": 42.5089639899238,
      "longitude": -78.6585668996708,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springville-bertrand-chaffee-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BERTRAND CHAFFEE HOSPITAL",
      "parentSystemId": "entity-bertrand-chaffee-hospital",
      "siblingGroupId": "siblings-ny-bertrand-chaffee-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-bertrand-chaffee-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BERTRAND CHAFFEE HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BERTRAND CHAFFEE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BERTRAND CHAFFEE HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BERTRAND CHAFFEE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330115",
      "ccn": "330115",
      "name": "ONEIDA HEALTH HOSPITAL",
      "address": "321 GENESEE STREET",
      "city": "ONEIDA",
      "state": "NY",
      "zip": "13421",
      "county": "MADISON",
      "latitude": 43.0777060101609,
      "longitude": -75.6544900698457,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 101,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ONEIDA HEALTH SYSTEMS INC",
      "parentSystemId": "entity-oneida-health-systems-inc",
      "siblingGroupId": "siblings-ny-oneida-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-oneida-health-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists FELISSA KOERNIG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ONEIDA HEALTH SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ONEIDA HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists FELISSA KOERNIG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ONEIDA HEALTH SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ONEIDA HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330119",
      "ccn": "330119",
      "name": "LENOX HILL HOSPITAL",
      "address": "100 EAST 77TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10021",
      "county": "NEW YORK",
      "latitude": 40.7737838353346,
      "longitude": -73.9609139138956,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 632,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "NORTHWELL HEALTH INC",
      "affiliatedSystem": "Northwell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Northwell Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-lenox-hill-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwell-health-inc",
      "siblingGroupId": "siblings-ny-northwell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Northwell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwell Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330125",
      "ccn": "330125",
      "name": "ROCHESTER GENERAL HOSPITAL",
      "address": "1425 PORTLAND AVENUE",
      "city": "ROCHESTER",
      "state": "NY",
      "zip": "14621",
      "county": "MONROE",
      "latitude": 43.1922411301867,
      "longitude": -77.5868144900092,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 528,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-rochester-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ROCHESTER GENERAL HOSPITAL",
      "parentSystemId": "entity-rochester-general-hospital",
      "siblingGroupId": "siblings-ny-rochester-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCHESTER GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROCHESTER GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330126",
      "ccn": "330126",
      "name": "GARNET HEALTH MEDICAL CENTER",
      "address": "707 EAST MAIN STREET",
      "city": "MIDDLETOWN",
      "state": "NY",
      "zip": "10940",
      "county": "ORANGE",
      "latitude": 41.4419140798299,
      "longitude": -74.3683122704352,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 383,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-middletown-garnet-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GARNET HEALTH MEDICAL CENTER",
      "parentSystemId": "entity-garnet-health-medical-center",
      "siblingGroupId": "siblings-ny-garnet-health-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-garnet-health-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GARNET HEALTH MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARNET HEALTH MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GARNET HEALTH MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARNET HEALTH MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330127",
      "ccn": "330127",
      "name": "JACOBI MEDICAL CENTER",
      "address": "1400 PELHAM PARKWAY",
      "city": "BRONX",
      "state": "NY",
      "zip": "10461",
      "county": "BRONX",
      "latitude": 40.8562983600964,
      "longitude": -73.8475121501071,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 457,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-jacobi-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN E ULBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOHN E ULBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330128",
      "ccn": "330128",
      "name": "ELMHURST HOSPITAL CENTER",
      "address": "79-01 BROADWAY",
      "city": "ELMHURST",
      "state": "NY",
      "zip": "11373",
      "county": "QUEENS",
      "latitude": 40.7448273602573,
      "longitude": -73.8860796702188,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 545,
      "rating": 2,
      "website": "http://www.nyc.gov/html/hhc/ehc/html/home/home.shtml",
      "status": "corporate_chain",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "affiliatedSystem": "Nyc",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nyc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elmhurst-elmhurst-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nyc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nyc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nyc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nyc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330135",
      "ccn": "330135",
      "name": "BON SECOURS COMMUNITY HOSPITAL",
      "address": "160 EAST MAIN STREET",
      "city": "PORT JERVIS",
      "state": "NY",
      "zip": "12771",
      "county": "ORANGE",
      "latitude": 41.3676357000078,
      "longitude": -74.6815971898278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 122,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS CHARITY HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-jervis-bon-secours-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-charity-health-system-inc",
      "siblingGroupId": "siblings-ny-bon-secours-charity-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS CHARITY HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS CHARITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS CHARITY HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS CHARITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330140",
      "ccn": "330140",
      "name": "ST. JOSEPH'S HOSPITAL HEALTH CENTER",
      "address": "301 PROSPECT AVENUE",
      "city": "SYRACUSE",
      "state": "NY",
      "zip": "13203",
      "county": "ONONDAGA",
      "latitude": 43.0558373997425,
      "longitude": -76.1494769998734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 451,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-syracuse-st-joseph-s-hospital-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. JOSEPH'S HEALTH, INC.",
      "parentSystemId": "entity-st-joseph-s-health-inc",
      "siblingGroupId": "siblings-ny-st-joseph-s-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-st-joseph-s-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST. JOSEPH'S HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST. JOSEPH'S HEALTH, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JOSEPH'S HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST. JOSEPH'S HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK MURPHY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST. JOSEPH'S HEALTH, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. JOSEPH'S HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330141",
      "ccn": "330141",
      "name": "LONG ISLAND COMMUNITY HOSPITAL",
      "address": "101 HOSPITAL ROAD",
      "city": "PATCHOGUE",
      "state": "NY",
      "zip": "11772",
      "county": "SUFFOLK",
      "latitude": 40.7800571897264,
      "longitude": -72.9771406499362,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 306,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-patchogue-long-island-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NYU LANGONE HEALTH SYSTEM",
      "parentSystemId": "entity-nyu-langone-health-system",
      "siblingGroupId": "siblings-ny-nyu-langone-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nyu-langone-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nyulangone.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYU LANGONE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYU Langone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYU LANGONE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYU LANGONE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYU Langone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYU LANGONE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330151",
      "ccn": "330151",
      "name": "ST. JAMES HOSPITAL",
      "address": "7329 SENECA ROAD NORTH",
      "city": "HORNELL",
      "state": "NY",
      "zip": "14843",
      "county": "STEUBEN",
      "latitude": 42.3138732700347,
      "longitude": -77.6606131001309,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hornell-st.-james-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JAMES HOSPITAL",
      "parentSystemId": "entity-st-james-hospital",
      "siblingGroupId": "siblings-ny-st-james-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-st-james-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST JAMES HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JAMES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST JAMES HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JAMES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330153",
      "ccn": "330153",
      "name": "ELLIS HOSPITAL",
      "address": "1101 NOTT STREET",
      "city": "SCHENECTADY",
      "state": "NY",
      "zip": "12308",
      "county": "SCHENECTADY",
      "latitude": 42.8198576202036,
      "longitude": -73.9173180901507,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 368,
      "rating": 3,
      "website": "http://www.ellismedicine.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-schenectady-ellis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ELLIS HOSPITAL",
      "parentSystemId": "entity-ellis-hospital",
      "siblingGroupId": "siblings-ny-ellis-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-ellis-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ELLIS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLIS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ELLIS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELLIS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330157",
      "ccn": "330157",
      "name": "SAMARITAN MEDICAL CENTER",
      "address": "830 WASHINGTON STREET",
      "city": "WATERTOWN",
      "state": "NY",
      "zip": "13601",
      "county": "JEFFERSON",
      "latitude": 43.965043480131,
      "longitude": -75.91455789978,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 290,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-watertown-samaritan-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAMARITAN MEDICAL CENTER",
      "parentSystemId": "entity-samaritan-medical-center",
      "siblingGroupId": "siblings-ny-samaritan-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-samaritan-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists CHRIS HOCHGRAF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SAMARITAN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CHRIS HOCHGRAF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SAMARITAN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330158",
      "ccn": "330158",
      "name": "GOOD SAMARITAN HOSPITAL OF SUFFERN",
      "address": "255 LAFAYETTE AVENUE",
      "city": "SUFFERN",
      "state": "NY",
      "zip": "10901",
      "county": "ROCKLAND",
      "latitude": 41.111595780067,
      "longitude": -74.1348114197326,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 286,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS CHARITY HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-bon-secours-charity-health-system-inc",
      "siblingGroupId": "siblings-ny-bon-secours-charity-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS CHARITY HEALTH SYSTEM, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS CHARITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS CHARITY HEALTH SYSTEM, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS CHARITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330160",
      "ccn": "330160",
      "name": "STATEN ISLAND UNIVERSITY HOSPITAL PRINCE'S BAY",
      "address": "375 SEGUINE AVENUE",
      "city": "STATEN ISLAND",
      "state": "NY",
      "zip": "10309",
      "county": "RICHMOND",
      "latitude": 40.5167577998755,
      "longitude": -74.1963790998501,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 194,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTHCARE INC",
      "parentSystemId": "entity-northwell-healthcare-inc",
      "siblingGroupId": "siblings-ny-northwell-healthcare-inc",
      "campusFamilyId": "campus-ny-330160",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330162",
      "ccn": "330162",
      "name": "NORTHERN WESTCHESTER HOSPITAL",
      "address": "400 EAST MAIN STREET",
      "city": "MOUNT KISCO",
      "state": "NY",
      "zip": "10549",
      "county": "WESTCHESTER",
      "latitude": 41.197054080306,
      "longitude": -73.725700750294,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 245,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-kisco-northern-westchester-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH INC",
      "parentSystemId": "entity-northwell-health-inc",
      "siblingGroupId": "siblings-ny-northwell-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330164",
      "ccn": "330164",
      "name": "HIGHLAND HOSPITAL",
      "address": "1000 SOUTH AVENUE",
      "city": "ROCHESTER",
      "state": "NY",
      "zip": "14620",
      "county": "MONROE",
      "latitude": 43.135291199731,
      "longitude": -77.6059964498329,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 261,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-highland-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "STRONG PARTNERS HEALTHSYSTEM, INC",
      "parentSystemId": "entity-strong-partners-healthsystem-inc",
      "siblingGroupId": "siblings-ny-strong-partners-healthsystem-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-strong-partners-healthsystem-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: STRONG PARTNERS HEALTHSYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to STRONG PARTNERS HEALTHSYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STRONG PARTNERS HEALTHSYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STRONG PARTNERS HEALTHSYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to STRONG PARTNERS HEALTHSYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STRONG PARTNERS HEALTHSYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330166",
      "ccn": "330166",
      "name": "WESTFIELD MEMORIAL HOSPITAL INC",
      "address": "189 E MAIN STREET",
      "city": "WESTFIELD",
      "state": "NY",
      "zip": "14787",
      "county": "CHAUTAUQUA",
      "latitude": 42.3286981296889,
      "longitude": -79.5698087700489,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 4,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westfield-westfield-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WESTFIELD MEMORIAL HOSPITAL, INC",
      "parentSystemId": "entity-westfield-memorial-hospital-inc",
      "siblingGroupId": "siblings-ny-westfield-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTFIELD MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTFIELD MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330169",
      "ccn": "330169",
      "name": "MOUNT SINAI BETH ISRAEL",
      "address": "1ST AVE AT 16TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10003",
      "county": "NEW YORK",
      "latitude": 40.73310481026,
      "longitude": -73.9817707798717,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 696,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "BETH ISRAEL MEDICAL CENTER",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-mount-sinai-beth-israel/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-beth-israel-medical-center",
      "siblingGroupId": "siblings-ny-beth-israel-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-mount-sinai-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "CMS lists DENIS DONEGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DENIS DONEGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BETH ISRAEL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330180",
      "ccn": "330180",
      "name": "SAMARITAN HOSPITAL",
      "address": "2215 BURDETT AVENUE",
      "city": "TROY",
      "state": "NY",
      "zip": "12180",
      "county": "RENSSELAER",
      "latitude": 42.7334004999161,
      "longitude": -73.6732566000523,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 272,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-troy-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST PETERS HEALTH PARTNERS",
      "parentSystemId": "entity-st-peters-health-partners",
      "siblingGroupId": "siblings-ny-st-peters-health-partners",
      "campusFamilyId": "campus-ny-330180",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-albany-med-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.albanymed.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST PETERS HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 3; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST PETERS HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 3; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330184",
      "ccn": "330184",
      "name": "MONTEFIORE NEW ROCHELLE HOSPITAL",
      "address": "16 GUION PLACE",
      "city": "NEW ROCHELLE",
      "state": "NY",
      "zip": "10802",
      "county": "WESTCHESTER",
      "latitude": 40.9128060599236,
      "longitude": -73.7877625999375,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 223,
      "rating": 1,
      "website": "http://www.montefiorehs.org/landing.cfm?id=16",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-rochelle-montefiore-new-rochelle-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTEFIORE NEW ROCHELLE HOSPITAL",
      "parentSystemId": "entity-montefiore-new-rochelle-hospital",
      "siblingGroupId": "siblings-ny-montefiore-new-rochelle-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-montefiore-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE NEW ROCHELLE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE NEW ROCHELLE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330185",
      "ccn": "330185",
      "name": "JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON NEW YORK INC",
      "address": "75 NORTH COUNTRY ROAD",
      "city": "PORT JEFFERSON",
      "state": "NY",
      "zip": "11777",
      "county": "SUFFOLK",
      "latitude": 40.939067399737,
      "longitude": -73.0543985096219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 248,
      "rating": 5,
      "website": "http://www.matherhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTHCARE INC",
      "parentSystemId": "entity-northwell-healthcare-inc",
      "siblingGroupId": "siblings-ny-northwell-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HAROLD F TRANCHON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HAROLD F TRANCHON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330191",
      "ccn": "330191",
      "name": "GLENS FALLS HOSPITAL",
      "address": "100 PARK STREET",
      "city": "GLENS FALLS",
      "state": "NY",
      "zip": "12801",
      "county": "WARREN",
      "latitude": 43.3066293898688,
      "longitude": -73.6463127398295,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 391,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glens-falls-glens-falls-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALBANY MED HEALTH SYSTEM",
      "parentSystemId": "entity-albany-med-health-system",
      "siblingGroupId": "siblings-ny-albany-med-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-albany-med-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.albanymed.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALBANY MED HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBANY MED HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALBANY MED HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBANY MED HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330193",
      "ccn": "330193",
      "name": "FLUSHING HOSPITAL MEDICAL CENTER",
      "address": "45TH AVENUE AND PARSONS BLVD",
      "city": "FLUSHING",
      "state": "NY",
      "zip": "11355",
      "county": "QUEENS",
      "latitude": 40.7554099199504,
      "longitude": -73.8164655195901,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 299,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flushing-flushing-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FLUSHING HOSPITAL & MEDICAL CENTER",
      "parentSystemId": "entity-flushing-hospital-and-medical-center",
      "siblingGroupId": "siblings-ny-flushing-hospital-and-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-flushing-hospital-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists MOUNIR DOSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to FLUSHING HOSPITAL & MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLUSHING HOSPITAL & MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MOUNIR DOSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to FLUSHING HOSPITAL & MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLUSHING HOSPITAL & MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330194",
      "ccn": "330194",
      "name": "MAIMONIDES MEDICAL CENTER",
      "address": "4802 TENTH AVENUE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11219",
      "county": "KINGS",
      "latitude": 40.6394788796861,
      "longitude": -73.9984526402248,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 711,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-maimonides-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIMONIDES HEALTH RESOURCES INC",
      "parentSystemId": "entity-maimonides-health-resources-inc",
      "siblingGroupId": "siblings-ny-maimonides-health-resources-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-maimonides-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://maimo.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIMONIDES HEALTH RESOURCES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Maimonides Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIMONIDES HEALTH RESOURCES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIMONIDES HEALTH RESOURCES INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Maimonides Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIMONIDES HEALTH RESOURCES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330195",
      "ccn": "330195",
      "name": "LONG ISLAND JEWISH MEDICAL CENTER",
      "address": "270-05 76TH AVENUE",
      "city": "NEW HYDE PARK",
      "state": "NY",
      "zip": "11040",
      "county": "QUEENS",
      "latitude": 40.7538340999754,
      "longitude": -73.7074060995955,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1004,
      "rating": 4,
      "status": "signal",
      "parentSystem": "NORTHWELL HEALTHCARE INC",
      "affiliatedSystem": "Northwell Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Northwell Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-hyde-park-long-island-jewish-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-northwell-healthcare-inc",
      "siblingGroupId": "siblings-ny-northwell-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL J DOWLING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Northwell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwell Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL J DOWLING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Northwell Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northwell Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330197",
      "ccn": "330197",
      "name": "CANTON - POTSDAM HOSPITAL",
      "address": "50 LEROY STREET",
      "city": "POTSDAM",
      "state": "NY",
      "zip": "13676",
      "county": "ST. LAWRENCE",
      "latitude": 44.6765106199877,
      "longitude": -74.9821163196011,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 94,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-potsdam-canton-potsdam-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CANTON-POTSDAM HOSPITAL",
      "parentSystemId": "entity-canton-potsdam-hospital",
      "siblingGroupId": "siblings-ny-canton-potsdam-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-canton-potsdam-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CANTON-POTSDAM HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANTON-POTSDAM HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CANTON-POTSDAM HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CANTON-POTSDAM HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330198",
      "ccn": "330198",
      "name": "MOUNT SINAI SOUTH NASSAU",
      "address": "1 HEALTHY WAY",
      "city": "OCEANSIDE",
      "state": "NY",
      "zip": "11572",
      "county": "NASSAU",
      "latitude": 40.6509980001373,
      "longitude": -73.6308394396219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 455,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "SOUTH NASSAU COMMUNITIES HOSPITAL",
      "affiliatedSystem": "Mount Sinai Health System",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mount Sinai Health System",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-south-nassau-communities-hospital",
      "siblingGroupId": "siblings-ny-south-nassau-communities-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-mount-sinai-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mountsinai.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH NASSAU COMMUNITIES HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STACEY CONKLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH NASSAU COMMUNITIES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH NASSAU COMMUNITIES HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STACEY CONKLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mount Sinai Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mount Sinai Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Mount Sinai Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH NASSAU COMMUNITIES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330199",
      "ccn": "330199",
      "name": "METROPOLITAN HOSPITAL CENTER",
      "address": "1901 FIRST AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10029",
      "county": "NEW YORK",
      "latitude": 40.7849269397131,
      "longitude": -73.9445302304364,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 338,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-metropolitan-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "33019F",
      "ccn": "33019F",
      "name": "NORTHPORT VA MEDICAL CENTER",
      "address": "79 MIDDLEVILLE ROAD, BUILDING 200",
      "city": "NORTHPORT",
      "state": "NY",
      "zip": "11768",
      "county": "SUFFOLK",
      "latitude": 40.8936757399966,
      "longitude": -73.3086930495832,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 63,
      "rating": 5,
      "website": "https://www.va.gov/northport-health-care/locations/northport-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330202",
      "ccn": "330202",
      "name": "KINGS COUNTY HOSPITAL CENTER",
      "address": "451 CLARKSON AVENUE",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11203",
      "county": "KINGS",
      "latitude": 40.6566163802378,
      "longitude": -73.9446907899204,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 624,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-kings-county-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330203",
      "ccn": "330203",
      "name": "CROUSE HOSPITAL",
      "address": "736 IRVING AVENUE",
      "city": "SYRACUSE",
      "state": "NY",
      "zip": "13210",
      "county": "ONONDAGA",
      "latitude": 43.041299170082,
      "longitude": -76.1383940099027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 465,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-syracuse-crouse-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CROUSE HEALTH HOSPITAL INC",
      "parentSystemId": "entity-crouse-health-hospital-inc",
      "siblingGroupId": "siblings-ny-crouse-health-hospital-inc",
      "campusFamilyId": "campus-ny-330203",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-crouse-health-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists SETH A KRONENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CROUSE HEALTH HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROUSE HEALTH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SETH A KRONENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CROUSE HEALTH HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROUSE HEALTH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330203-loc-ny-syracuse-crouse-hospital-commonwealth-division",
      "ccn": "330203",
      "name": "CROUSE HOSPITAL - COMMONWEALTH DIVISION",
      "address": "6010 EAST MALLOY ROAD",
      "city": "SYRACUSE",
      "state": "NY",
      "zip": "13211",
      "county": "ONONDAGA",
      "latitude": 43.098439040086,
      "longitude": -76.1073897897486,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 2,
      "website": "https://crouse.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-syracuse-crouse-hospital---commonwealth-division/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CROUSE HEALTH HOSPITAL INC",
      "parentSystemId": "entity-crouse-health-hospital-inc",
      "siblingGroupId": "siblings-ny-crouse-health-hospital-inc",
      "campusFamilyId": "campus-ny-330203",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-crouse-health-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists SETH A KRONENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CROUSE HEALTH HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROUSE HEALTH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SETH A KRONENBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CROUSE HEALTH HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROUSE HEALTH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330203"
    },
    {
      "id": "330204",
      "ccn": "330204",
      "name": "BELLEVUE HOSPITAL CENTER",
      "address": "462 FIRST AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10016",
      "county": "NEW YORK",
      "latitude": 40.739320100012,
      "longitude": -73.9753817495686,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 912,
      "rating": 2,
      "website": "http://www.nychealthandhospitals.org/bellevue/html/home/home.shtml",
      "status": "corporate_chain",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "affiliatedSystem": "Nychealthandhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nychealthandhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-bellevue-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nychealthandhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nychealthandhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nychealthandhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nychealthandhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330205",
      "ccn": "330205",
      "name": "ST ANTHONY COMMUNITY HOSPITAL",
      "address": "15 MAPLE AVENUE",
      "city": "WARWICK",
      "state": "NY",
      "zip": "10990",
      "county": "ORANGE",
      "latitude": 41.261362920254,
      "longitude": -74.3574621498373,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 60,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warwick-st-anthony-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS CHARITY HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-bon-secours-charity-health-system-inc",
      "siblingGroupId": "siblings-ny-bon-secours-charity-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS CHARITY HEALTH SYSTEM, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS CHARITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS CHARITY HEALTH SYSTEM, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS CHARITY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330214",
      "ccn": "330214",
      "name": "NYU LANGONE HOSPITALS",
      "address": "550 FIRST AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10016",
      "county": "NEW YORK",
      "latitude": 40.7420469001802,
      "longitude": -73.973929330061,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 844,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "NYU LANGONE HEALTH SYSTEM",
      "affiliatedSystem": "NYU Langone Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "NYU Langone Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nyu-langone-health-system",
      "siblingGroupId": "siblings-ny-nyu-langone-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nyu-langone-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://nyulangone.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYU LANGONE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NYU Langone Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NYU Langone Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYU Langone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYU LANGONE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYU LANGONE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NYU Langone Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NYU Langone Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYU Langone Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYU LANGONE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330215",
      "ccn": "330215",
      "name": "ROME MEMORIAL HOSPITAL, INC",
      "address": "1500 N JAMES ST",
      "city": "ROME",
      "state": "NY",
      "zip": "13440",
      "county": "ONEIDA",
      "latitude": 43.2291343302997,
      "longitude": -75.4423549897109,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": 2,
      "website": "http://www.romehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rome-rome-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ROME MEMORIAL HOSPITAL, INC.",
      "parentSystemId": "entity-rome-memorial-hospital-inc",
      "siblingGroupId": "siblings-ny-rome-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-rome-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists NATHAN SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ROME MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROME MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists NATHAN SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ROME MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROME MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330218",
      "ccn": "330218",
      "name": "OSWEGO HOSPITAL",
      "address": "110 W SIXTH STREET",
      "city": "OSWEGO",
      "state": "NY",
      "zip": "13126",
      "county": "OSWEGO",
      "latitude": 43.4540165700727,
      "longitude": -76.5163776496064,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 132,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oswego-oswego-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSWEGO HOSPITAL",
      "parentSystemId": "entity-oswego-hospital",
      "siblingGroupId": "siblings-ny-oswego-hospital",
      "campusFamilyId": "campus-ny-330218",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-oswego-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSWEGO HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OSWEGO HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSWEGO HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSWEGO HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OSWEGO HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSWEGO HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330218-loc-ny-oswego-oswego-hospital-alvin-l-krakau-comm-mtl-heal",
      "ccn": "330218",
      "name": "OSWEGO HOSPITAL - ALVIN L KRAKAU COMM MTL HEALTH CENTER DIV",
      "address": "74 BUNNER STREET",
      "city": "OSWEGO",
      "state": "NY",
      "zip": "13126",
      "county": "OSWEGO",
      "latitude": 43.4485619996782,
      "longitude": -76.4899168602243,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": 3,
      "website": "http://www.oswegohealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oswego-oswego-hospital---alvin-l-krakau-comm-mtl-health-center-div/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OSWEGO HOSPITAL",
      "parentSystemId": "entity-oswego-hospital",
      "siblingGroupId": "siblings-ny-oswego-hospital",
      "campusFamilyId": "campus-ny-330218",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-oswego-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OSWEGO HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OSWEGO HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSWEGO HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OSWEGO HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to OSWEGO HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OSWEGO HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330218"
    },
    {
      "id": "330219",
      "ccn": "330219",
      "name": "ERIE COUNTY MEDICAL CENTER",
      "address": "462 GRIDER STREET",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14215",
      "county": "ERIE",
      "latitude": 42.9250771002093,
      "longitude": -78.8311457702989,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 573,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-erie-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ERIE COUNTY MEDICAL CENTER CORPORATION",
      "parentSystemId": "entity-erie-county-medical-center-corporation",
      "siblingGroupId": "siblings-ny-erie-county-medical-center-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-erie-county-medical-center-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists THOMAS J QUATROCHE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ERIE COUNTY MEDICAL CENTER CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ERIE COUNTY MEDICAL CENTER CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists THOMAS J QUATROCHE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ERIE COUNTY MEDICAL CENTER CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ERIE COUNTY MEDICAL CENTER CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330221",
      "ccn": "330221",
      "name": "WYCKOFF HEIGHTS MEDICAL CENTER",
      "address": "374 STOCKHOLM STREET",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11237",
      "county": "KINGS",
      "latitude": 40.7039640397762,
      "longitude": -73.9177637003457,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 324,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-wyckoff-heights-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WYCKOFF HEIGHTS MEDICAL CENTER",
      "parentSystemId": "entity-wyckoff-heights-medical-center",
      "siblingGroupId": "siblings-ny-wyckoff-heights-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-wyckoff-heights-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WYCKOFF HEIGHTS MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYCKOFF HEIGHTS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WYCKOFF HEIGHTS MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYCKOFF HEIGHTS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330222",
      "ccn": "330222",
      "name": "SARATOGA HOSPITAL",
      "address": "211 CHURCH STREET",
      "city": "SARATOGA SPRINGS",
      "state": "NY",
      "zip": "12866",
      "county": "SARATOGA",
      "latitude": 43.0858802201908,
      "longitude": -73.7967827301307,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 171,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-saratoga-springs-saratoga-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALBANY MED HEALTH SYSTEM",
      "parentSystemId": "entity-albany-med-health-system",
      "siblingGroupId": "siblings-ny-albany-med-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-albany-med-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.albanymed.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALBANY MED HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBANY MED HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALBANY MED HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALBANY MED HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330224",
      "ccn": "330224",
      "name": "HEALTHALLIANCE HOSPITAL MARY'S AVENUE CAMPUS",
      "address": "105 MARYS AVENUE",
      "city": "KINGSTON",
      "state": "NY",
      "zip": "12401",
      "county": "ULSTER",
      "latitude": 41.9215394002898,
      "longitude": -73.9987505000135,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 191,
      "rating": 1,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTH ALLIANCE",
      "parentSystemId": "entity-health-alliance",
      "siblingGroupId": "siblings-ny-health-alliance",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-health-alliance"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH ALLIANCE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH ALLIANCE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH ALLIANCE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH ALLIANCE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH ALLIANCE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH ALLIANCE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330226",
      "ccn": "330226",
      "name": "MONROE COMMUNITY HOSPITAL",
      "address": "435 EAST HENRIETTA ROAD",
      "city": "ROCHESTER",
      "state": "NY",
      "zip": "14620",
      "county": "MONROE",
      "latitude": 43.1129976803076,
      "longitude": -77.6179916699915,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 39,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-monroe-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNITY HOSPITAL OF ROCHESTER",
      "parentSystemId": "entity-the-unity-hospital-of-rochester",
      "siblingGroupId": "siblings-ny-the-unity-hospital-of-rochester",
      "campusFamilyId": "campus-ny-330226",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-the-unity-hospital-of-rochester"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE UNITY HOSPITAL OF ROCHESTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNITY HOSPITAL OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE UNITY HOSPITAL OF ROCHESTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNITY HOSPITAL OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330226-loc-ny-rochester-the-unity-hospital-of-rochester",
      "ccn": "330226",
      "name": "THE UNITY HOSPITAL OF ROCHESTER",
      "address": "1555 LONG POND ROAD",
      "city": "ROCHESTER",
      "state": "NY",
      "zip": "14626",
      "county": "MONROE",
      "latitude": 43.1929183798153,
      "longitude": -77.7051509098592,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 311,
      "rating": 2,
      "website": "https://www.rochesterregional.org/locations/hospitals/unity-hospital/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-the-unity-hospital-of-rochester/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNITY HOSPITAL OF ROCHESTER",
      "parentSystemId": "entity-the-unity-hospital-of-rochester",
      "siblingGroupId": "siblings-ny-the-unity-hospital-of-rochester",
      "campusFamilyId": "campus-ny-330226",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-the-unity-hospital-of-rochester"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE UNITY HOSPITAL OF ROCHESTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNITY HOSPITAL OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE UNITY HOSPITAL OF ROCHESTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNITY HOSPITAL OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330226"
    },
    {
      "id": "330229",
      "ccn": "330229",
      "name": "BROOKS - TLC HOSPITAL SYSTEM, INC",
      "address": "529 CENTRAL AVENUE",
      "city": "DUNKIRK",
      "state": "NY",
      "zip": "14048",
      "county": "CHAUTAUQUA",
      "latitude": 42.4799451397615,
      "longitude": -79.3345946003342,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 65,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BROOKS-TLC HOSPITAL SYSTEM, INC.",
      "parentSystemId": "entity-brooks-tlc-hospital-system-inc",
      "siblingGroupId": "siblings-ny-brooks-tlc-hospital-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-brooks-tlc-hospital-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists KENNETH MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BROOKS-TLC HOSPITAL SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROOKS-TLC HOSPITAL SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KENNETH MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BROOKS-TLC HOSPITAL SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BROOKS-TLC HOSPITAL SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330231",
      "ccn": "330231",
      "name": "QUEENS HOSPITAL CENTER",
      "address": "82-68 164TH STREET",
      "city": "JAMAICA",
      "state": "NY",
      "zip": "11432",
      "county": "QUEENS",
      "latitude": 40.7170722096907,
      "longitude": -73.8045561900508,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 269,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jamaica-queens-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330233",
      "ccn": "330233",
      "name": "BROOKDALE HOSPITAL MEDICAL CENTER",
      "address": "1 BROOKDALE PLAZA",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11212",
      "county": "KINGS",
      "latitude": 40.6552691001907,
      "longitude": -73.912556529563,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 530,
      "rating": 1,
      "website": "http://www.brookdalehospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-brookdale-hospital-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ONE BROOKLYN HEALTH SYSTEM, INC",
      "parentSystemId": "entity-one-brooklyn-health-system-inc",
      "siblingGroupId": "siblings-ny-one-brooklyn-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-one-brooklyn-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ONE BROOKLYN HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LARAY BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ONE BROOKLYN HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ONE BROOKLYN HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ONE BROOKLYN HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LARAY BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ONE BROOKLYN HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ONE BROOKLYN HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330234",
      "ccn": "330234",
      "name": "WESTCHESTER MEDICAL CENTER",
      "address": "100 WOODS ROAD",
      "city": "VALHALLA",
      "state": "NY",
      "zip": "10595",
      "county": "WESTCHESTER",
      "latitude": 41.0860907500493,
      "longitude": -73.8049547698474,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 652,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valhalla-westchester-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WESTCHESTER COUNTY HEALTH CARE CORPORATION",
      "parentSystemId": "entity-westchester-county-health-care-corporation",
      "siblingGroupId": "siblings-ny-westchester-county-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-westchester-county-health-care-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WESTCHESTER COUNTY HEALTH CARE CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTCHESTER COUNTY HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WESTCHESTER COUNTY HEALTH CARE CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTCHESTER COUNTY HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330235",
      "ccn": "330235",
      "name": "AUBURN COMMUNITY HOSPITAL",
      "address": "17 LANSING STREET",
      "city": "AUBURN",
      "state": "NY",
      "zip": "13021",
      "county": "CAYUGA",
      "latitude": 42.9413530897181,
      "longitude": -76.5643682500118,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 99,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-auburn-auburn-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AUBURN COMMUNITY HOSPITAL",
      "parentSystemId": "entity-auburn-community-hospital",
      "siblingGroupId": "siblings-ny-auburn-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-auburn-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to AUBURN COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AUBURN COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to AUBURN COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AUBURN COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330238",
      "ccn": "330238",
      "name": "NICHOLAS H. NOYES MEMORIAL HOSPITAL",
      "address": "111 CLARA BARTON STREET",
      "city": "DANSVILLE",
      "state": "NY",
      "zip": "14437",
      "county": "LIVINGSTON",
      "latitude": 42.5530252496871,
      "longitude": -77.6977707799812,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 67,
      "rating": 3,
      "website": "http://www.noyes-health.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dansville-nicholas-h-noyes-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NICHOLAS H NOYES MEMORIAL HOSPITAL",
      "parentSystemId": "entity-nicholas-h-noyes-memorial-hospital",
      "siblingGroupId": "siblings-ny-nicholas-h-noyes-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-nicholas-h-noyes-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NICHOLAS H NOYES MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NICHOLAS H NOYES MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NICHOLAS H NOYES MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NICHOLAS H NOYES MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330239",
      "ccn": "330239",
      "name": "UPMC CHAUTAUQUA AT WCA",
      "address": "51 GLASGOW AVENUE",
      "city": "JAMESTOWN",
      "state": "NY",
      "zip": "14701",
      "county": "CHAUTAUQUA",
      "latitude": 42.0911672398461,
      "longitude": -79.2453658396813,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": 2,
      "website": "http://www.wcahospital.org/",
      "status": "corporate_chain",
      "parentSystem": "UPMC CHAUTAUQUA SERVICES, INC.",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc-chautauqua-services-inc",
      "siblingGroupId": "siblings-ny-upmc-chautauqua-services-inc",
      "campusFamilyId": "campus-ny-330239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-upmc-chautauqua-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC CHAUTAUQUA SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UPMC CHAUTAUQUA SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC CHAUTAUQUA SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC CHAUTAUQUA SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UPMC CHAUTAUQUA SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC CHAUTAUQUA SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330239-loc-ny-jamestown-upmc-chautauqua-at-wca",
      "ccn": "330239",
      "name": "UPMC CHAUTAUQUA AT WCA",
      "address": "207 FOOTE AVENUE",
      "city": "JAMESTOWN",
      "state": "NY",
      "zip": "14701",
      "county": "CHAUTAUQUA",
      "latitude": 42.0912231000011,
      "longitude": -79.2318984002481,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 287,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "UPMC CHAUTAUQUA SERVICES, INC.",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc-chautauqua-services-inc",
      "siblingGroupId": "siblings-ny-upmc-chautauqua-services-inc",
      "campusFamilyId": "campus-ny-330239",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-upmc-chautauqua-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC CHAUTAUQUA SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UPMC CHAUTAUQUA SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC CHAUTAUQUA SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC CHAUTAUQUA SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UPMC CHAUTAUQUA SERVICES, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC CHAUTAUQUA SERVICES, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330239"
    },
    {
      "id": "330240",
      "ccn": "330240",
      "name": "HARLEM HOSPITAL CENTER",
      "address": "506 LENOX AVENUE",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10037",
      "county": "NEW YORK",
      "latitude": 40.8142649303329,
      "longitude": -73.9398612601034,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 268,
      "rating": 2,
      "website": "http://www.nychealthandhospitals.org/harlem/html/home/home.shtml",
      "status": "corporate_chain",
      "parentSystem": "NEW YORK CITY HEALTH AND HOSPITALS CORPORATION",
      "affiliatedSystem": "Nychealthandhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Nychealthandhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-harlem-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-new-york-city-health-and-hospitals-corporation",
      "siblingGroupId": "siblings-ny-new-york-city-health-and-hospitals-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-new-york-city-health-and-hospitals-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nychealthandhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nychealthandhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARJORY J KARLIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nychealthandhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nychealthandhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK CITY HEALTH AND HOSPITALS CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330241",
      "ccn": "330241",
      "name": "UNIVERSITY HOSPITAL SUNY HEALTH SCIENCE CENTER",
      "address": "750 EAST ADAMS STREET",
      "city": "SYRACUSE",
      "state": "NY",
      "zip": "13210",
      "county": "ONONDAGA",
      "latitude": 43.041897319853,
      "longitude": -76.1398304600595,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 438,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-syracuse-university-hospital-suny-health-science-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JENNIFER CALDWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JENNIFER CALDWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330246",
      "ccn": "330246",
      "name": "ST. CHARLES HOSPITAL",
      "address": "200 BELLE TERRE ROAD",
      "city": "PORT JEFFERSON",
      "state": "NY",
      "zip": "11777",
      "county": "SUFFOLK",
      "latitude": 40.9466312302978,
      "longitude": -73.0609632198519,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 243,
      "rating": 5,
      "website": "https://stcharleshospital.chsli.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC",
      "parentSystemId": "entity-catholic-health-system-of-long-island-inc",
      "siblingGroupId": "siblings-ny-catholic-health-system-of-long-island-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "33024F",
      "ccn": "33024F",
      "name": "SYRACUSE VA MEDICAL CENTER",
      "address": "800 IRVING AVENUE",
      "city": "SYRACUSE",
      "state": "NY",
      "zip": "13210",
      "county": "ONONDAGA",
      "latitude": 43.0388312001131,
      "longitude": -76.138954179551,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 106,
      "rating": 3,
      "website": "https://www.va.gov/syracuse-health-care/locations/syracuse-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ny-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330250",
      "ccn": "330250",
      "name": "THE UNIVERSITY OF VERMONT HEALTH NETWORK - CHAMPLAIN VALLEY PHYSICIANS HOSPITAL",
      "address": "75 BEEKMAN ST",
      "city": "PLATTSBURGH",
      "state": "NY",
      "zip": "12901",
      "county": "CLINTON",
      "latitude": 44.7004430402944,
      "longitude": -73.4694198699495,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 300,
      "rating": 2,
      "website": "https://www.cvph.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plattsburgh-the-university-of-vermont-health-network---champlain-valley-physicians-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNIVERSITY OF VERMONT HEALTH NETWORK INC.",
      "parentSystemId": "entity-the-university-of-vermont-health-network-inc",
      "siblingGroupId": "siblings-ny-the-university-of-vermont-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330261",
      "ccn": "330261",
      "name": "PHELPS HOSPITAL",
      "address": "701 NORTH BROADWAY",
      "city": "SLEEPY HOLLOW",
      "state": "NY",
      "zip": "10591",
      "county": "WESTCHESTER",
      "latitude": 41.1090070599689,
      "longitude": -73.8630877603407,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 218,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTHCARE INC",
      "parentSystemId": "entity-northwell-healthcare-inc",
      "siblingGroupId": "siblings-ny-northwell-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330265",
      "ccn": "330265",
      "name": "CLIFTON SPRINGS HOSPITAL AND CLINIC",
      "address": "2 COULTER ROAD",
      "city": "CLIFTON SPRINGS",
      "state": "NY",
      "zip": "14432",
      "county": "ONTARIO",
      "latitude": 42.9597008401475,
      "longitude": -77.1365157503833,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 154,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CLIFTON SPRINGS SANITARIUM CO",
      "parentSystemId": "entity-clifton-springs-sanitarium-co",
      "siblingGroupId": "siblings-ny-clifton-springs-sanitarium-co",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-clifton-springs-sanitarium-co"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CLIFTON SPRINGS SANITARIUM CO; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLIFTON SPRINGS SANITARIUM CO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CLIFTON SPRINGS SANITARIUM CO; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLIFTON SPRINGS SANITARIUM CO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330270",
      "ccn": "330270",
      "name": "HOSPITAL FOR SPECIAL SURGERY",
      "address": "535 E 70TH STREET",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10021",
      "county": "NEW YORK",
      "latitude": 40.7649233797807,
      "longitude": -73.9523148501272,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 215,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-hospital-for-special-surgery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "New York Society for the Relief of the Ruptured and Crippled",
      "parentSystemId": "entity-new-york-society-for-the-relief-of-the-ruptured-and-crippled",
      "siblingGroupId": "siblings-ny-new-york-society-for-the-relief-of-the-ruptured-and-crippled",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-new-york-society-for-the-relief-of-ruptured-crippled-maintaining"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330273",
      "ccn": "330273",
      "name": "PUTNAM HOSPITAL",
      "address": "670 STONELEIGH AVENUE",
      "city": "CARMEL",
      "state": "NY",
      "zip": "10512",
      "county": "PUTNAM",
      "latitude": 41.3825578003047,
      "longitude": -73.6632585000604,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 164,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HEALTH QUEST SYSTEMS INC",
      "parentSystemId": "entity-health-quest-systems-inc",
      "siblingGroupId": "siblings-ny-health-quest-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-health-quest-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH QUEST SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH QUEST SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH QUEST SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to HEALTH QUEST SYSTEMS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH QUEST SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330276",
      "ccn": "330276",
      "name": "NATHAN LITTAUER HOSPITAL",
      "address": "99 EAST STATE STREET",
      "city": "GLOVERSVILLE",
      "state": "NY",
      "zip": "12078",
      "county": "FULTON",
      "latitude": 43.071586109798,
      "longitude": -74.3319217302779,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 74,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gloversville-nathan-littauer-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NATHAN LITTAUER HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-nathan-littauer-hospital-association",
      "siblingGroupId": "siblings-ny-nathan-littauer-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-nathan-littauer-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NATHAN LITTAUER HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATHAN LITTAUER HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NATHAN LITTAUER HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATHAN LITTAUER HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330277",
      "ccn": "330277",
      "name": "CORNING HOSPITAL",
      "address": "1 GUTHRIE DRIVE",
      "city": "CORNING",
      "state": "NY",
      "zip": "14830",
      "county": "STEUBEN",
      "latitude": 42.1353507902779,
      "longitude": -76.9695177703573,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 65,
      "rating": 3,
      "website": "https://www.guthrie.org/location/guthrie-corning-hospital",
      "status": "corporate_chain",
      "parentSystem": "THE GUTHRIE CLINIC",
      "affiliatedSystem": "Guthrie",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Guthrie",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corning-corning-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-guthrie-clinic",
      "siblingGroupId": "siblings-ny-the-guthrie-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-guthrie"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.guthrie.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE GUTHRIE CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Guthrie; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Guthrie. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Guthrie; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GUTHRIE CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE GUTHRIE CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Guthrie; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Guthrie. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Guthrie; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE GUTHRIE CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330279",
      "ccn": "330279",
      "name": "MERCY HOSPITAL OF BUFFALO",
      "address": "565 ABBOTT ROAD",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14220",
      "county": "ERIE",
      "latitude": 42.8475014298894,
      "longitude": -78.8119710302351,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 387,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HOSPITAL OF BUFFALO",
      "parentSystemId": "entity-mercy-hospital-of-buffalo",
      "siblingGroupId": "siblings-ny-mercy-hospital-of-buffalo",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-mercy-hospital-of-buffalo"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MERCY HOSPITAL OF BUFFALO; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HOSPITAL OF BUFFALO, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MERCY HOSPITAL OF BUFFALO; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HOSPITAL OF BUFFALO, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330285",
      "ccn": "330285",
      "name": "STRONG MEMORIAL HOSPITAL",
      "address": "601 ELMWOOD AVENUE",
      "city": "ROCHESTER",
      "state": "NY",
      "zip": "14642",
      "county": "MONROE",
      "latitude": 43.1228088702702,
      "longitude": -77.6242594304261,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 886,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-strong-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY OF ROCHESTER",
      "parentSystemId": "entity-university-of-rochester",
      "siblingGroupId": "siblings-ny-university-of-rochester",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-university-of-rochester-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.urmc.rochester.edu/locations"
      ],
      "ownershipProofNotes": "CMS lists ELIZABETH YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to University of Rochester Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ELIZABETH YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to University of Rochester Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330286",
      "ccn": "330286",
      "name": "GOOD SAMARITAN HOSPITAL MEDICAL CENTER",
      "address": "1000 MONTAUK HIGHWAY",
      "city": "WEST ISLIP",
      "state": "NY",
      "zip": "11795",
      "county": "SUFFOLK",
      "latitude": 40.6938801303346,
      "longitude": -73.2943946200031,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 437,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC",
      "parentSystemId": "entity-catholic-health-system-of-long-island-inc",
      "siblingGroupId": "siblings-ny-catholic-health-system-of-long-island-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330304",
      "ccn": "330304",
      "name": "WHITE PLAINS HOSPITAL CENTER",
      "address": "41 EAST POST ROAD",
      "city": "WHITE PLAINS",
      "state": "NY",
      "zip": "10601",
      "county": "WESTCHESTER",
      "latitude": 41.0255943098698,
      "longitude": -73.7693050999493,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 292,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-white-plains-white-plains-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTEFIORE HEALTH SYSTEM, INC",
      "parentSystemId": "entity-montefiore-health-system-inc",
      "siblingGroupId": "siblings-ny-montefiore-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-montefiore-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.montefiore.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONTEFIORE HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONTEFIORE HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN FOX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Montefiore Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTEFIORE HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330307",
      "ccn": "330307",
      "name": "CAYUGA MEDICAL CENTER AT ITHACA",
      "address": "101 DATES DRIVE",
      "city": "ITHACA",
      "state": "NY",
      "zip": "14850",
      "county": "TOMPKINS",
      "latitude": 42.4689850702482,
      "longitude": -76.5374841600948,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 212,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAYUGA MEDICAL CENTER AT ITHACA",
      "parentSystemId": "entity-cayuga-medical-center-at-ithaca",
      "siblingGroupId": "siblings-ny-cayuga-medical-center-at-ithaca",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-cayuga-medical-center-at-ithaca"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists MARTIN STALLONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CAYUGA MEDICAL CENTER AT ITHACA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAYUGA MEDICAL CENTER AT ITHACA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARTIN STALLONE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CAYUGA MEDICAL CENTER AT ITHACA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAYUGA MEDICAL CENTER AT ITHACA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330331",
      "ccn": "330331",
      "name": "PLAINVIEW HOSPITAL",
      "address": "888 OLD COUNTRY ROAD",
      "city": "PLAINVIEW",
      "state": "NY",
      "zip": "11803",
      "county": "NASSAU",
      "latitude": 40.7749542298186,
      "longitude": -73.4785347104215,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 204,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH INC",
      "parentSystemId": "entity-northwell-health-inc",
      "siblingGroupId": "siblings-ny-northwell-health-inc",
      "campusFamilyId": "campus-ny-330331",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330331-loc-ny-plainview-plainview-hospital",
      "ccn": "330331",
      "name": "PLAINVIEW HOSPITAL",
      "address": "888 OLD COUNTRY ROAD",
      "city": "PLAINVIEW",
      "state": "NY",
      "zip": "11803",
      "county": "NASSAU",
      "latitude": 40.7750339997027,
      "longitude": -73.4786247000534,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 204,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWELL HEALTH INC",
      "parentSystemId": "entity-northwell-health-inc",
      "siblingGroupId": "siblings-ny-northwell-health-inc",
      "campusFamilyId": "campus-ny-330331",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-northwell-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.northwell.edu/find-care"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHWELL HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Northwell Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWELL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "330331"
    },
    {
      "id": "330332",
      "ccn": "330332",
      "name": "ST. JOSEPH HOSPITAL",
      "address": "4295 HEMPSTEAD TURNPIKE",
      "city": "BETHPAGE",
      "state": "NY",
      "zip": "11714",
      "county": "NASSAU",
      "latitude": 40.7267712899913,
      "longitude": -73.47871819042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 203,
      "rating": 3,
      "website": "http://stjosephhospital.chsli.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethpage-st.-joseph-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC",
      "parentSystemId": "entity-catholic-health-system-of-long-island-inc",
      "siblingGroupId": "siblings-ny-catholic-health-system-of-long-island-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN MCBRIDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KEVIN MCBRIDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330350",
      "ccn": "330350",
      "name": "UNIVERSITY HOSPITAL OF BROOKLYN",
      "address": "445 LENOX ROAD",
      "city": "BROOKLYN",
      "state": "NY",
      "zip": "11203",
      "county": "KINGS",
      "latitude": 40.6548418802947,
      "longitude": -73.9442278503252,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 342,
      "rating": 1,
      "website": "http://www.downstate.edu/uhb/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brooklyn-university-hospital-of-brooklyn/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF NEW YORK COMPTROLLERS OFFICE",
      "parentSystemId": "entity-state-of-new-york-comptrollers-office",
      "siblingGroupId": "siblings-ny-state-of-new-york-comptrollers-office",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-state-of-new-york-comptrollers-office"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF NEW YORK COMPTROLLERS OFFICE (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to STATE OF NEW YORK COMPTROLLERS OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW YORK COMPTROLLERS OFFICE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF NEW YORK COMPTROLLERS OFFICE (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to STATE OF NEW YORK COMPTROLLERS OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW YORK COMPTROLLERS OFFICE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330386",
      "ccn": "330386",
      "name": "GARNET HEALTH MEDICAL CENTER - CATSKILLS",
      "address": "68 HARRIS-BUSHVILLE ROAD, PO BOX 800",
      "city": "HARRIS",
      "state": "NY",
      "zip": "12742",
      "county": "SULLIVAN",
      "latitude": 41.7090607899476,
      "longitude": -74.7375244003785,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 154,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harris-garnet-health-medical-center-catskills/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GARNET HEALTH MEDICAL CENTER CATSKILLS",
      "parentSystemId": "entity-garnet-health-medical-center-catskills",
      "siblingGroupId": "siblings-ny-garnet-health-medical-center-catskills",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-garnet-health-medical-center-catskills"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GARNET HEALTH MEDICAL CENTER CATSKILLS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARNET HEALTH MEDICAL CENTER CATSKILLS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GARNET HEALTH MEDICAL CENTER CATSKILLS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARNET HEALTH MEDICAL CENTER CATSKILLS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330393",
      "ccn": "330393",
      "name": "STONY BROOK UNIVERSITY HOSPITAL",
      "address": "HEALTH SCIENCES CENTER SUNY",
      "city": "STONY BROOK",
      "state": "NY",
      "zip": "11794",
      "county": "SUFFOLK",
      "latitude": 40.9091944597216,
      "longitude": -73.115678220402,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 624,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - State",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "UNIVERSITY HOSPITAL AT STONY BROOK",
      "parentSystemId": "entity-university-hospital-at-stony-brook",
      "siblingGroupId": "siblings-ny-university-hospital-at-stony-brook",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-university-hospital-at-stony-brook"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITAL AT STONY BROOK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GARY E BIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNIVERSITY HOSPITAL AT STONY BROOK; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITAL AT STONY BROOK, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITAL AT STONY BROOK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists GARY E BIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNIVERSITY HOSPITAL AT STONY BROOK; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITAL AT STONY BROOK, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330394",
      "ccn": "330394",
      "name": "UNITED HEALTH SERVICES HOSPITALS INC - BINGHAMTON GENERAL HOSPITAL",
      "address": "10-42 MITCHELL AVENUE",
      "city": "BINGHAMTON",
      "state": "NY",
      "zip": "13903",
      "county": "BROOME",
      "latitude": 42.0863155501204,
      "longitude": -75.9144438002643,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 220,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNITED HEALTH SERVICES HOSPITALS, INC.",
      "parentSystemId": "entity-united-health-services-hospitals-inc",
      "siblingGroupId": "siblings-ny-united-health-services-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-united-health-services-hospitals-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNITED HEALTH SERVICES HOSPITALS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED HEALTH SERVICES HOSPITALS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to UNITED HEALTH SERVICES HOSPITALS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED HEALTH SERVICES HOSPITALS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330401",
      "ccn": "330401",
      "name": "ST CATHERINE OF SIENA HOSPITAL",
      "address": "50 ROUTE 25A",
      "city": "SMITHTOWN",
      "state": "NY",
      "zip": "11787",
      "county": "SUFFOLK",
      "latitude": 40.8685001898649,
      "longitude": -73.2229967296305,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 296,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC",
      "parentSystemId": "entity-catholic-health-system-of-long-island-inc",
      "siblingGroupId": "siblings-ny-catholic-health-system-of-long-island-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-catholic-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.catholichealthli.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Catholic Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CATHOLIC HEALTH SYSTEM OF LONG ISLAND INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330405",
      "ccn": "330405",
      "name": "HELEN HAYES HOSPITAL",
      "address": "51 N ROUTE 9W",
      "city": "WEST HAVERSTRAW",
      "state": "NY",
      "zip": "10993",
      "county": "ROCKLAND",
      "latitude": 41.2143072297001,
      "longitude": -73.9883447202911,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 130,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF NEW YORK COMPTROLLERS OFFICE",
      "parentSystemId": "entity-state-of-new-york-comptrollers-office",
      "siblingGroupId": "siblings-ny-state-of-new-york-comptrollers-office",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-state-of-new-york-comptrollers-office"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF NEW YORK COMPTROLLERS OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to STATE OF NEW YORK COMPTROLLERS OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW YORK COMPTROLLERS OFFICE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF NEW YORK COMPTROLLERS OFFICE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to STATE OF NEW YORK COMPTROLLERS OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF NEW YORK COMPTROLLERS OFFICE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "330406",
      "ccn": "330406",
      "name": "SUNNYVIEW HOSPITAL AND REHABILITATION CENTER",
      "address": "1270 BELMONT AVENUE",
      "city": "SCHENECTADY",
      "state": "NY",
      "zip": "12308",
      "county": "SCHENECTADY",
      "latitude": 42.8207479002445,
      "longitude": -73.9152685002866,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 115,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST PETERS HEALTH PARTNERS",
      "parentSystemId": "entity-st-peters-health-partners",
      "siblingGroupId": "siblings-ny-st-peters-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-albany-med-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.albanymed.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST PETERS HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST PETERS HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Albany Med Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST PETERS HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330411",
      "ccn": "330411",
      "name": "UNITY SPECIALTY HOSPITAL",
      "address": "89 GENESEE STREET",
      "city": "ROCHESTER",
      "state": "NY",
      "zip": "14611",
      "county": "MONROE",
      "latitude": 43.1486952798804,
      "longitude": -77.6370997496713,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 73,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNITY HOSPITAL OF ROCHESTER",
      "parentSystemId": "entity-the-unity-hospital-of-rochester",
      "siblingGroupId": "siblings-ny-the-unity-hospital-of-rochester",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-the-unity-hospital-of-rochester"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE UNITY HOSPITAL OF ROCHESTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE UNITY HOSPITAL OF ROCHESTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNITY HOSPITAL OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE UNITY HOSPITAL OF ROCHESTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to THE UNITY HOSPITAL OF ROCHESTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNITY HOSPITAL OF ROCHESTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330799",
      "ccn": "330799",
      "name": "CLIFTON - FINE HOSPITAL",
      "address": "1014 OSWEGATCHIE TRAIL, PO BOX 10",
      "city": "STAR LAKE",
      "state": "NY",
      "zip": "13690",
      "county": "ST. LAWRENCE",
      "latitude": 44.1624070398369,
      "longitude": -75.0563040197167,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 20,
      "rating": null,
      "website": "http://www.cliftonfinehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-star-lake-clifton-fine-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CLIFTON-FINE HEALTHCARE CORPORATION",
      "parentSystemId": "entity-clifton-fine-healthcare-corporation",
      "siblingGroupId": "siblings-ny-clifton-fine-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-clifton-fine-healthcare-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists DIERDRA D SORRELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CLIFTON-FINE HEALTHCARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLIFTON-FINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DIERDRA D SORRELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CLIFTON-FINE HEALTHCARE CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLIFTON-FINE HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "330800",
      "ccn": "330800",
      "name": "IRA DAVENPORT MEMORIAL HOSPITAL",
      "address": "7571 STATE ROUTE 54",
      "city": "BATH",
      "state": "NY",
      "zip": "14810",
      "county": "STEUBEN",
      "latitude": 42.3743291996756,
      "longitude": -77.2789066298874,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bath-ira-davenport-memorial-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ARNOT OGDEN MEDICAL CENTER",
      "parentSystemId": "entity-arnot-ogden-medical-center",
      "siblingGroupId": "siblings-ny-arnot-ogden-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-arnot-ogden-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ARNOT OGDEN MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ARNOT OGDEN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARNOT OGDEN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ARNOT OGDEN MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ARNOT OGDEN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ARNOT OGDEN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331301",
      "ccn": "331301",
      "name": "CUBA MEMORIAL HOSPITAL INC",
      "address": "140 WEST MAIN STREET",
      "city": "CUBA",
      "state": "NY",
      "zip": "14727",
      "county": "ALLEGANY",
      "latitude": 42.2129224700971,
      "longitude": -78.2878633804045,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 6,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cuba-cuba-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CUBA MEMORIAL HOSPITAL, INC.",
      "parentSystemId": "entity-cuba-memorial-hospital-inc",
      "siblingGroupId": "siblings-ny-cuba-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-cuba-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists RUTH ELIZABETH IRELAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CUBA MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUBA MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RUTH ELIZABETH IRELAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CUBA MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUBA MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331302",
      "ccn": "331302",
      "name": "THE UNIVERSITY OF VERMONT HEALTH NETWORK - ELIZABETHTOWN COMMUNITY HOSPITAL",
      "address": "75 PARK STREET",
      "city": "ELIZABETHTOWN",
      "state": "NY",
      "zip": "12932",
      "county": "ESSEX",
      "latitude": 44.215377000185,
      "longitude": -73.5955246499837,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elizabethtown-the-university-of-vermont-health-network-elizabethtown-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNIVERSITY OF VERMONT HEALTH NETWORK INC.",
      "parentSystemId": "entity-the-university-of-vermont-health-network-inc",
      "siblingGroupId": "siblings-ny-the-university-of-vermont-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT P ORTMYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROBERT P ORTMYER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331303",
      "ccn": "331303",
      "name": "GARNET HEALTH MEDICAL CENTER - CATSKILLS - G. HERMANN SITE",
      "address": "8881 STATE ROUTE 97",
      "city": "CALLICOON",
      "state": "NY",
      "zip": "12723",
      "county": "SULLIVAN",
      "latitude": 41.7402919297428,
      "longitude": -75.0474155097806,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GARNET HEALTH MEDICAL CENTER CATSKILLS",
      "parentSystemId": "entity-garnet-health-medical-center-catskills",
      "siblingGroupId": "siblings-ny-garnet-health-medical-center-catskills",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-garnet-health-medical-center-catskills"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GARNET HEALTH MEDICAL CENTER CATSKILLS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARNET HEALTH MEDICAL CENTER CATSKILLS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to GARNET HEALTH MEDICAL CENTER CATSKILLS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARNET HEALTH MEDICAL CENTER CATSKILLS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331305",
      "ccn": "331305",
      "name": "O'CONNOR HOSPITAL",
      "address": "460 ANDES ROAD",
      "city": "DELHI",
      "state": "NY",
      "zip": "13753",
      "county": "DELAWARE",
      "latitude": 42.2683514298974,
      "longitude": -74.9163910000918,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-delhi-o-connor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARY IMOGENE BASSETT HOSPITAL",
      "parentSystemId": "entity-mary-imogene-bassett-hospital",
      "siblingGroupId": "siblings-ny-mary-imogene-bassett-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-mary-imogene-bassett-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARY IMOGENE BASSETT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MARY IMOGENE BASSETT HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY IMOGENE BASSETT HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARY IMOGENE BASSETT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MARY IMOGENE BASSETT HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY IMOGENE BASSETT HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331309",
      "ccn": "331309",
      "name": "RIVER HOSPITAL, INC",
      "address": "4 FULLER STREET",
      "city": "ALEXANDRIA BAY",
      "state": "NY",
      "zip": "13607",
      "county": "JEFFERSON",
      "latitude": 44.3377087701281,
      "longitude": -75.9205080500662,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-bay-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIVER HOSPITAL INC",
      "parentSystemId": "entity-river-hospital-inc",
      "siblingGroupId": "siblings-ny-river-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-river-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to RIVER HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVER HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to RIVER HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVER HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331310",
      "ccn": "331310",
      "name": "ELLENVILLE REGIONAL HOSPITAL",
      "address": "10 HEALTHY WAY",
      "city": "ELLENVILLE",
      "state": "NY",
      "zip": "12428",
      "county": "ULSTER",
      "latitude": 41.7326297900164,
      "longitude": -74.3790349802813,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.ellenvilleregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ellenville-ellenville-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WESTCHESTER-ELLENVILLE HOSPITAL INC",
      "parentSystemId": "entity-westchester-ellenville-hospital-inc",
      "siblingGroupId": "siblings-ny-westchester-ellenville-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-westchester-ellenville-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WESTCHESTER-ELLENVILLE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTCHESTER-ELLENVILLE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WESTCHESTER-ELLENVILLE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTCHESTER-ELLENVILLE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331311",
      "ccn": "331311",
      "name": "LITTLE FALLS HOSPITAL",
      "address": "140 BURWELL STREET",
      "city": "LITTLE FALLS",
      "state": "NY",
      "zip": "13365",
      "county": "HERKIMER",
      "latitude": 43.0442400398422,
      "longitude": -74.8474931597824,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-little-falls-little-falls-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARY IMOGENE BASSETT HOSPITAL",
      "parentSystemId": "entity-mary-imogene-bassett-hospital",
      "siblingGroupId": "siblings-ny-mary-imogene-bassett-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-mary-imogene-bassett-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARY IMOGENE BASSETT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MARY IMOGENE BASSETT HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY IMOGENE BASSETT HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARY IMOGENE BASSETT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to MARY IMOGENE BASSETT HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY IMOGENE BASSETT HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331312",
      "ccn": "331312",
      "name": "DELAWARE VALLEY HOSPITAL INC",
      "address": "1 TITUS PLACE",
      "city": "WALTON",
      "state": "NY",
      "zip": "13856",
      "county": "DELAWARE",
      "latitude": 42.1642747899476,
      "longitude": -75.1287176297913,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-walton-delaware-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DELAWARE VALLEY HOSPITAL INC.",
      "parentSystemId": "entity-delaware-valley-hospital-inc",
      "siblingGroupId": "siblings-ny-delaware-valley-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-delaware-valley-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists AMANDA HALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to DELAWARE VALLEY HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELAWARE VALLEY HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AMANDA HALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to DELAWARE VALLEY HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELAWARE VALLEY HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331313",
      "ccn": "331313",
      "name": "SCHUYLER HOSPITAL",
      "address": "220 STEUBEN STREET",
      "city": "MONTOUR FALLS",
      "state": "NY",
      "zip": "14865",
      "county": "SCHUYLER",
      "latitude": 42.352458750122,
      "longitude": -76.8599705903164,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montour-falls-schuyler-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAYUGA HEALTH SYSTEM INC",
      "parentSystemId": "entity-cayuga-health-system-inc",
      "siblingGroupId": "siblings-ny-cayuga-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAYUGA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAYUGA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAYUGA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAYUGA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331314",
      "ccn": "331314",
      "name": "SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY",
      "address": "418 NORTH MAIN STREET",
      "city": "PENN YAN",
      "state": "NY",
      "zip": "14527",
      "county": "YATES",
      "latitude": 42.6714006698696,
      "longitude": -77.0611995803196,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOLDIERS & SAILORS MEMORIAL HOSPITAL",
      "parentSystemId": "entity-soldiers-and-sailors-memorial-hospital",
      "siblingGroupId": "siblings-ny-soldiers-and-sailors-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-soldiers-sailors-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists KATHI S FINIZIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SOLDIERS & SAILORS MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLDIERS & SAILORS MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KATHI S FINIZIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SOLDIERS & SAILORS MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLDIERS & SAILORS MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331315",
      "ccn": "331315",
      "name": "GOUVERNEUR HOSPITAL",
      "address": "77 WEST BARNEY STREET",
      "city": "GOUVERNEUR",
      "state": "NY",
      "zip": "13642",
      "county": "ST. LAWRENCE",
      "latitude": 44.3375253501793,
      "longitude": -75.4748487297938,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST.LAWRENCE HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-st-lawrence-health-system-inc",
      "siblingGroupId": "siblings-ny-st-lawrence-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-st-lawrence-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST.LAWRENCE HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST.LAWRENCE HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST.LAWRENCE HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST.LAWRENCE HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ST.LAWRENCE HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST.LAWRENCE HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331316",
      "ccn": "331316",
      "name": "COMMUNITY MEMORIAL HOSPITAL INC",
      "address": "150 BROAD ST",
      "city": "HAMILTON",
      "state": "NY",
      "zip": "13346",
      "county": "MADISON",
      "latitude": 42.8134350900264,
      "longitude": -75.5434049596653,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.communitymemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hamilton-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEMORIAL HOSPITAL, INC",
      "parentSystemId": "entity-community-memorial-hospital-inc",
      "siblingGroupId": "siblings-ny-community-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-community-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists JEFFERY COAKLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFERY COAKLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331317",
      "ccn": "331317",
      "name": "LEWIS COUNTY GENERAL HOSPITAL",
      "address": "7785 NORTH STATE STREET",
      "city": "LOWVILLE",
      "state": "NY",
      "zip": "13367",
      "county": "LEWIS",
      "latitude": 43.7957902101322,
      "longitude": -75.4991180601757,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 31,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lowville-lewis-county-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LEWIS COUNTY GENERAL HOSPITAL",
      "parentSystemId": "entity-lewis-county-general-hospital",
      "siblingGroupId": "siblings-ny-lewis-county-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-lewis-county-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY H HELLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to LEWIS COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEWIS COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY H HELLINGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to LEWIS COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEWIS COUNTY GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "331318",
      "ccn": "331318",
      "name": "CARTHAGE AREA HOSPITAL INC",
      "address": "1001 WEST STREET",
      "city": "CARTHAGE",
      "state": "NY",
      "zip": "13619",
      "county": "JEFFERSON",
      "latitude": 43.9872559700789,
      "longitude": -75.5940913099153,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carthage-carthage-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CARTHAGE AREA HOSPITAL, INC",
      "parentSystemId": "entity-carthage-area-hospital-inc",
      "siblingGroupId": "siblings-ny-carthage-area-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-carthage-area-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CARTHAGE AREA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARTHAGE AREA HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CARTHAGE AREA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARTHAGE AREA HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331319",
      "ccn": "331319",
      "name": "MEDINA MEMORIAL HOSPITAL",
      "address": "200 OHIO STREET",
      "city": "MEDINA",
      "state": "NY",
      "zip": "14103",
      "county": "ORLEANS",
      "latitude": 43.2232474400602,
      "longitude": -78.3975927495649,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 39,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-medina-medina-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Unity Health Arkansas",
      "parentSystemId": "entity-unity-health-arkansas",
      "siblingGroupId": "siblings-ny-unity-health-arkansas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-orleans-community-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ORLEANS COMMUNITY HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to ORLEANS COMMUNITY HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Unity Health Arkansas, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331320",
      "ccn": "331320",
      "name": "COBLESKILL REGIONAL HOSPITAL",
      "address": "178 GRANDVIEW DRIVE",
      "city": "COBLESKILL",
      "state": "NY",
      "zip": "12043",
      "county": "SCHOHARIE",
      "latitude": 42.6869294998422,
      "longitude": -74.481798660015,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cobleskill-cobleskill-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BASSETT HEALTHCARE NETWORK",
      "parentSystemId": "entity-bassett-healthcare-network",
      "siblingGroupId": "siblings-ny-bassett-healthcare-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-bassett-healthcare-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bassett.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BASSETT HEALTHCARE NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Bassett Healthcare Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BASSETT HEALTHCARE NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BASSETT HEALTHCARE NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Bassett Healthcare Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BASSETT HEALTHCARE NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331321",
      "ccn": "331321",
      "name": "THE UNIVERSITY OF VERMONT HEALTH NETWORK - ALICE HYDE MEDICAL CENTER",
      "address": "133 PARK STREET",
      "city": "MALONE",
      "state": "NY",
      "zip": "12953",
      "county": "FRANKLIN",
      "latitude": 44.8567351501762,
      "longitude": -74.291292479571,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-malone-the-university-of-vermont-health-network-alice-hyde-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE UNIVERSITY OF VERMONT HEALTH NETWORK INC.",
      "parentSystemId": "entity-the-university-of-vermont-health-network-inc",
      "siblingGroupId": "siblings-ny-the-university-of-vermont-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE UNIVERSITY OF VERMONT HEALTH NETWORK INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "331323",
      "ccn": "331323",
      "name": "WYOMING COUNTY COMMUNITY HOSPITAL",
      "address": "400 NORTH MAIN STREET",
      "city": "WARSAW",
      "state": "NY",
      "zip": "14569",
      "county": "WYOMING",
      "latitude": 42.7543000398159,
      "longitude": -78.1310724997095,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 62,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warsaw-wyoming-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WYOMING COUNTY",
      "parentSystemId": "entity-wyoming-county",
      "siblingGroupId": "siblings-ny-wyoming-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-wyoming-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: WYOMING COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WYOMING COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYOMING COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WYOMING COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to WYOMING COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYOMING COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "333301",
      "ccn": "333301",
      "name": "BLYTHEDALE CHILDREN'S HOSPITAL",
      "address": "95 BRADHURST AVENUE",
      "city": "VALHALLA",
      "state": "NY",
      "zip": "10595",
      "county": "WESTCHESTER",
      "latitude": 41.0748475399538,
      "longitude": -73.7999722398695,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 94,
      "rating": null,
      "website": "https://www.blythedale.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-valhalla-blythedale-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLYTHEDALE CHILDREN'S HOSPITAL",
      "parentSystemId": "entity-blythedale-children-s-hospital",
      "siblingGroupId": "siblings-ny-blythedale-children-s-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-blythedale-children-s-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BLYTHEDALE CHILDREN'S HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLYTHEDALE CHILDREN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BLYTHEDALE CHILDREN'S HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLYTHEDALE CHILDREN'S HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "334002",
      "ccn": "334002",
      "name": "FOUR WINDS HOSPITAL WESTCHESTER",
      "address": "800 CROSS RIVER ROAD",
      "city": "KATONAH",
      "state": "NY",
      "zip": "10536",
      "county": "WESTCHESTER",
      "latitude": 41.2663913197789,
      "longitude": -73.6207175095631,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 178,
      "rating": null,
      "website": "http://www.fourwindshospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-katonah-four-winds-hospital-westchester/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SAMUEL C KLAGSBRUN ESTATE",
      "parentSystemId": "entity-samuel-c-klagsbrun-estate",
      "siblingGroupId": "siblings-ny-samuel-c-klagsbrun-estate",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-samuel-c-klagsbrun-estate"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAMUEL C KLAGSBRUN ESTATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 48%). CMS lists SARAH D KLAGSBURN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SAMUEL C KLAGSBRUN ESTATE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMUEL C KLAGSBRUN ESTATE, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAMUEL C KLAGSBRUN ESTATE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 48%). CMS lists SARAH D KLAGSBURN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to SAMUEL C KLAGSBRUN ESTATE; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMUEL C KLAGSBRUN ESTATE, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "334004",
      "ccn": "334004",
      "name": "CREEDMOOR PSYCHIATRIC CENTER",
      "address": "79-25 WINCHESTER BLVD",
      "city": "QUEENS VILLAGE",
      "state": "NY",
      "zip": "11427",
      "county": "QUEENS",
      "latitude": 40.7411395101588,
      "longitude": -73.7315252999338,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 349,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/crpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-queens-village-creedmoor-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "334012",
      "ccn": "334012",
      "name": "GREATER BINGHAMTON HEALTH CENTER",
      "address": "425 ROBINSON STREET",
      "city": "BINGHAMTON",
      "state": "NY",
      "zip": "13904",
      "county": "BROOME",
      "latitude": 42.1058249998937,
      "longitude": -75.8682684902321,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 111,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/bipc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-binghamton-greater-binghamton-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "334020",
      "ccn": "334020",
      "name": "ROCHESTER PSYCHIATRIC CENTER",
      "address": "1111 ELMWOOD AVE",
      "city": "ROCHESTER",
      "state": "NY",
      "zip": "14620",
      "county": "MONROE",
      "latitude": 43.1233126403067,
      "longitude": -77.610579649921,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 174,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/ropc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rochester-rochester-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "334021",
      "ccn": "334021",
      "name": "MOHAWK VALLEY PSYCHIATRIC CENTER",
      "address": "1400 NOYES STREET",
      "city": "UTICA",
      "state": "NY",
      "zip": "13502",
      "county": "ONEIDA",
      "latitude": 43.1001611303221,
      "longitude": -75.260087319823,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 67,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/mvpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-utica-mohawk-valley-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "334022",
      "ccn": "334022",
      "name": "BRYLIN HOSPITAL",
      "address": "1263 DELAWARE AVE",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14209",
      "county": "ERIE",
      "latitude": 42.9184178299174,
      "longitude": -78.8680023896633,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": null,
      "website": "https://www.brylin.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-brylin-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BRYLIN HOSPITALS, INC",
      "parentSystemId": "entity-brylin-hospitals-inc",
      "siblingGroupId": "siblings-ny-brylin-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-brylin-hospitals-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists ERIC DAVID PLESKOW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRYLIN HOSPITALS, INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYLIN HOSPITALS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ERIC DAVID PLESKOW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRYLIN HOSPITALS, INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRYLIN HOSPITALS, INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "334026",
      "ccn": "334026",
      "name": "BRUNSWICK HOSPITAL CENTER, INC",
      "address": "81 LOUDEN AVENUE",
      "city": "AMITYVILLE",
      "state": "NY",
      "zip": "11701",
      "county": "SUFFOLK",
      "latitude": 40.6852366103041,
      "longitude": -73.421145349812,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 124,
      "rating": null,
      "website": "http://www.brunswickhospitalcenter.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amityville-brunswick-hospital-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "BRUNSWICK HOSPITAL CENTER INC",
      "parentSystemId": "entity-brunswick-hospital-center-inc",
      "siblingGroupId": "siblings-ny-brunswick-hospital-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-brunswick-hospital-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS lists AMARJIT SINGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRUNSWICK HOSPITAL CENTER INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRUNSWICK HOSPITAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists AMARJIT SINGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to BRUNSWICK HOSPITAL CENTER INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRUNSWICK HOSPITAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "334043",
      "ccn": "334043",
      "name": "SOUTH BEACH PSYCHIATRIC CENTER",
      "address": "777 SEAVIEW AVENUE",
      "city": "STATEN ISLAND",
      "state": "NY",
      "zip": "10305",
      "county": "RICHMOND",
      "latitude": 40.5820150497161,
      "longitude": -74.0806172695707,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 257,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/sbpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-staten-island-south-beach-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "334048",
      "ccn": "334048",
      "name": "GRACIE SQUARE HOSPITAL",
      "address": "420 E 76TH ST, 2ND, 3RD, 4TH & 5TH FLOORS",
      "city": "NEW YORK",
      "state": "NY",
      "zip": "10021",
      "county": "NEW YORK",
      "latitude": 40.7697164998843,
      "longitude": -73.9530213499453,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 157,
      "rating": null,
      "website": "http://www.nygsh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-york-gracie-square-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NEW YORK GRACIE SQUARE HOSPITAL INC",
      "parentSystemId": "entity-new-york-gracie-square-hospital-inc",
      "siblingGroupId": "siblings-ny-new-york-gracie-square-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-new-york-gracie-square-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK GRACIE SQUARE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK GRACIE SQUARE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NEW YORK GRACIE SQUARE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEW YORK GRACIE SQUARE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "334052",
      "ccn": "334052",
      "name": "BUFFALO PSYCHIATRIC CENTER",
      "address": "400 FOREST AVENUE",
      "city": "BUFFALO",
      "state": "NY",
      "zip": "14213",
      "county": "ERIE",
      "latitude": 42.9290948900062,
      "longitude": -78.8802576199943,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 159,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/bupc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-buffalo-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "334053",
      "ccn": "334053",
      "name": "BRONX PSYCHIATRIC CENTER",
      "address": "1500 WATERS PLACE",
      "city": "BRONX",
      "state": "NY",
      "zip": "10461",
      "county": "BRONX",
      "latitude": 40.8471885198066,
      "longitude": -73.8398582802058,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 156,
      "rating": null,
      "website": "https://www.omh.ny.gov/omhweb/facilities/brpc/",
      "status": "corporate_chain",
      "parentSystem": "NYS OFFICE OF MENTAL HEALTH",
      "affiliatedSystem": "Omh Ny",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Omh Ny",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bronx-bronx-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nys-office-of-mental-health",
      "siblingGroupId": "siblings-ny-nys-office-of-mental-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ny-parent-nys-office-of-mental-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NYS OFFICE OF MENTAL HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Omh Ny; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Omh Ny. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to NYS OFFICE OF MENTAL HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NYS OFFICE OF MENTAL HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "334068",
      "ccn": "334068",
      "name": "CLAXTON - HEPBURN MEDICAL CENTER",
      "address": "214 KING STREET",
      "city": "OGDENSBURG",
      "state": "NY",
      "zip": "13669",
      "county": "ST. LAWRENCE",
      "latitude": 44.6915906502685,
      "longitude": -75.4998877798302,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 115,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ogdensburg-claxton-hepburn-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CLAXTON-HEPBURN MEDICAL CENTER",
      "parentSystemId": "entity-claxton-hepburn-medical-center",
      "siblingGroupId": "siblings-ny-claxton-hepburn-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ny-parent-claxton-hepburn-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://profiles.health.ny.gov/directory/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CLAXTON-HEPBURN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAXTON-HEPBURN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NY resolution: normalized CMS owner/operator to CLAXTON-HEPBURN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAXTON-HEPBURN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340002",
      "ccn": "340002",
      "name": "MISSION HOSPITAL",
      "address": "509 BILTMORE AVE",
      "city": "ASHEVILLE",
      "state": "NC",
      "zip": "28801",
      "county": "BUNCOMBE",
      "latitude": 35.5765725702074,
      "longitude": -82.5491432202568,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "For-profit / HCA-owned corporate chain",
      "beds": 815,
      "rating": 3,
      "website": "http://www.missionhospitals.org",
      "status": "pe_contract",
      "relationshipType": "contract",
      "parentSystem": "HCA Healthcare",
      "peFirm": "Blackstone",
      "acquiredDate": "April 15, 2020",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "evidenceAsOf": "2026-05-01",
      "signalSummary": "Mission Hospital is HCA-owned and for-profit. Its PE warning is a Blackstone-backed TeamHealth emergency-medicine service-contract signal, not direct PE ownership of the hospital.",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "populationServedEstimate": 1200000,
      "populationServedLabel": "Approx. 1.2M people across western North Carolina",
      "populationServedMethod": "Editorial estimate for the 18-county western North Carolina regional referral area; not an audited official count.",
      "careLevel": "ACS-Verified Level I Trauma Center",
      "taxOwnershipType": "For-profit",
      "corporateOwner": "HCA Healthcare / Mission Health",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "TeamHealth Mission pages + HCA acquisition/CMS ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
        "Valley Health contract dossier",
        "https://sourceonhealthcare.org/north-carolina-attorney-general-files-suit-against-hca-subsequent-to-2018-hospital-purchase/",
        "https://avlwatchdog.org/hca-arrived-with-plans-to-cut-800-staff-as-soon-as-it-bought-mission-new-court-filings-in-antitrust-case-show/",
        "https://carolinapublicpress.org/72325/attorney-general-jackson-nc-hca-mission-health-noncompliance/",
        "https://www.northcarolinahealthnews.org/2025/02/08/hcas-purchase-of-mission-health-did-not-lead-to-lasting-improvements-wake-forest-academic-report-concludes/"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "operatorType": "PE-backed contractor",
      "operatorName": "TeamHealth",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-asheville-mission-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "expandedClosureResearch": {
        "sourceRow": 37,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "open_degradation_case",
        "closureType": "Service degradation (open); no closure",
        "closureDate": "Ongoing since 2019 acquisition",
        "careLevel": "Tertiary regional referral center (teaching)",
        "hospitalType": "Large regional health system flagship",
        "traumaLevel": "",
        "licensedBeds": "~815 (needs verification)",
        "patientsServedNote": "",
        "ruralUrban": "Urban hub serving rural western NC",
        "ownershipCategory": "Publicly traded chain (HCA Healthcare, NYSE: HCA)",
        "historicalSponsorOrOwner": "HCA Healthcare (publicly traded)",
        "parentCompany": "HCA",
        "acquiredYear": "2019",
        "acquisitionDealNote": "HCA bought nonprofit Mission Health for ~$1.5B (sale decided behind closed doors); Asset Purchase Agreement required keeping key services",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Court filings show HCA arrived with plans to cut 800 staff at acquisition; antitrust plaintiffs allege monopoly pricing; local-government antitrust suit settled Aug 2025",
        "degradationRecord": "NC AG sued Dec 2023 over degraded emergency/trauma and discontinued oncology services; CMS immediate-jeopardy finding 2024; independent monitor found possible APA noncompliance 2024 and 2025; understaffing and pay-cut disputes",
        "communityImpact": "Region-wide: long ER waits, loss of in-hospital chemo services, nurse understaffing across western North Carolina",
        "buildingFate": "Open and operating",
        "peLinkConfidence": "Corporate chain (publicly traded) - degradation, not closure",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://sourceonhealthcare.org/north-carolina-attorney-general-files-suit-against-hca-subsequent-to-2018-hospital-purchase/",
          "https://avlwatchdog.org/hca-arrived-with-plans-to-cut-800-staff-as-soon-as-it-bought-mission-new-court-filings-in-antitrust-case-show/",
          "https://carolinapublicpress.org/72325/attorney-general-jackson-nc-hca-mission-health-noncompliance/",
          "https://www.northcarolinahealthnews.org/2025/02/08/hcas-purchase-of-mission-health-did-not-lead-to-lasting-improvements-wake-forest-academic-report-concludes/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "340003",
      "ccn": "340003",
      "name": "NORTHERN REGIONAL HOSPITAL",
      "address": "830 ROCKFORD ST, PO BOX 1101",
      "city": "MOUNT AIRY",
      "state": "NC",
      "zip": "27030",
      "county": "SURRY",
      "latitude": 36.4886040900167,
      "longitude": -80.6121680996966,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 100,
      "rating": 4,
      "status": "verified_independent",
      "parentSystem": "NORTHERN HOSPITAL OF SURRY COUNTY",
      "affiliatedSystem": "Northern Regional Hospital",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Northern Regional Hospital",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-northern-hospital-of-surry-county",
      "siblingGroupId": "siblings-nc-northern-hospital-of-surry-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-northern-hospital-of-surry-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS lists MICHAEL J GENTRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Northern Regional Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northern Regional Hospital. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to NORTHERN HOSPITAL OF SURRY COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN HOSPITAL OF SURRY COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MICHAEL J GENTRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Northern Regional Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Northern Regional Hospital. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to NORTHERN HOSPITAL OF SURRY COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHERN HOSPITAL OF SURRY COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340004",
      "ccn": "340004",
      "name": "HIGH POINT REGIONAL HEALTH",
      "address": "601 N ELM ST, PO BOX HP5",
      "city": "HIGH POINT",
      "state": "NC",
      "zip": "27261",
      "county": "GUILFORD",
      "latitude": 35.9628238003371,
      "longitude": -80.0133943196065,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 351,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "ATRIUM HEALTH INC",
      "affiliatedSystem": "Atrium Health Wake Forest Baptist",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health Wake Forest Baptist",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health-inc",
      "siblingGroupId": "siblings-nc-atrium-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Atrium Health Wake Forest Baptist. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Atrium Health Wake Forest Baptist. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340008",
      "ccn": "340008",
      "name": "SCOTLAND MEMORIAL HOSPITAL",
      "address": "500 LAUCHWOOD DRIVE",
      "city": "LAURINBURG",
      "state": "NC",
      "zip": "28352",
      "county": "SCOTLAND",
      "latitude": 34.7531691797562,
      "longitude": -79.4698014099661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": 3,
      "website": "http://www.scotlandhealth.org/getpage.php?name=index",
      "status": "verified_independent",
      "parentSystem": "CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
      "affiliatedSystem": "Scotland Health Care System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Scotland Health Care System",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-charlotte-mecklenburg-hospital-authority",
      "siblingGroupId": "siblings-nc-charlotte-mecklenburg-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-charlotte-mecklenburg-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Scotland Health Care System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Scotland Health Care System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Scotland Health Care System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Scotland Health Care System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340013",
      "ccn": "340013",
      "name": "RUTHERFORD REGIONAL MEDICAL CENTER",
      "address": "288 SOUTH RIDGECREST AVE",
      "city": "RUTHERFORDTON",
      "state": "NC",
      "zip": "28139",
      "county": "RUTHERFORD",
      "latitude": 35.3623512099587,
      "longitude": -81.9655959498095,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 143,
      "rating": 2,
      "website": "http://www.rutherfordhosp.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340014",
      "ccn": "340014",
      "name": "NOVANT HEALTH FORSYTH MEDICAL CENTER",
      "address": "3333 SILAS CREEK PKWY",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "zip": "27103",
      "county": "FORSYTH",
      "latitude": 36.0755504102776,
      "longitude": -80.2972871597084,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 945,
      "rating": 4,
      "website": "https://www.novanthealth.org/forsyth-medical-center.aspx",
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH TRIAD REGION, LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winston-salem-novant-health-forsyth-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-triad-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-triad-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH TRIAD REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH TRIAD REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH TRIAD REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH TRIAD REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340015",
      "ccn": "340015",
      "name": "NOVANT HEALTH ROWAN MEDICAL CENTER",
      "address": "612 MOCKSVILLE AVE",
      "city": "SALISBURY",
      "state": "NC",
      "zip": "28144",
      "county": "ROWAN",
      "latitude": 35.6812698401564,
      "longitude": -80.4707079404039,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 268,
      "rating": 4,
      "website": "https://www.novanthealth.org/rowan-medical-center.aspx",
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH, INC.",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salisbury-novant-health-rowan-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-inc",
      "siblingGroupId": "siblings-nc-novant-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340016",
      "ccn": "340016",
      "name": "HARRIS REGIONAL HOSPITAL",
      "address": "68 HOSPITAL RD",
      "city": "SYLVA",
      "state": "NC",
      "zip": "28779",
      "county": "JACKSON",
      "latitude": 35.386010889697,
      "longitude": -83.2030013701757,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": 3,
      "website": "http://www.myharrisregional.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sylva-harris-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340020",
      "ccn": "340020",
      "name": "CENTRAL CAROLINA HOSPITAL",
      "address": "1135 CARTHAGE ST",
      "city": "SANFORD",
      "state": "NC",
      "zip": "27330",
      "county": "LEE",
      "latitude": 35.469074489946,
      "longitude": -79.1872048801417,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 137,
      "rating": 2,
      "website": "http://www.centralcarolinahosp.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sanford-central-carolina-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID SANTOEMMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID SANTOEMMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340021",
      "ccn": "340021",
      "name": "ATRIUM HEALTH CLEVELAND",
      "address": "201 EAST GROVER ST",
      "city": "SHELBY",
      "state": "NC",
      "zip": "28150",
      "county": "CLEVELAND",
      "latitude": 35.3029042398872,
      "longitude": -81.5363942102082,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 308,
      "rating": 3,
      "website": "http://www.carolinashealthcare.org/cleveland",
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shelby-atrium-health-cleveland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340023",
      "ccn": "340023",
      "name": "ADVENTHEALTH HENDERSONVILLE",
      "address": "100 HOSPITAL DRIVE",
      "city": "HENDERSONVILLE",
      "state": "NC",
      "zip": "28792",
      "county": "HENDERSON",
      "latitude": 35.3900433000685,
      "longitude": -82.4881930097263,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 103,
      "rating": 5,
      "website": "http://www.parkridgehealth.org",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "AdventHealth",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hendersonville-adventhealth-hendersonville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-nc-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-adventhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventhealth.com/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN BURROUGHS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN BURROUGHS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to AdventHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340024",
      "ccn": "340024",
      "name": "SAMPSON REGIONAL MEDICAL CENTER",
      "address": "607 BEAMAN ST, PO BOX 260",
      "city": "CLINTON",
      "state": "NC",
      "zip": "28328",
      "county": "SAMPSON",
      "latitude": 35.0071833000428,
      "longitude": -78.3244876702836,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 116,
      "rating": 2,
      "status": "verified_independent",
      "parentSystem": "SAMPSON REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "Sampson Regional Medical Center",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Sampson Regional Medical Center",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clinton-sampson-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-sampson-regional-medical-center",
      "siblingGroupId": "siblings-nc-sampson-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-sampson-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAMPSON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Sampson Regional Medical Center; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sampson Regional Medical Center. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SAMPSON REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMPSON REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAMPSON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Sampson Regional Medical Center; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sampson Regional Medical Center. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SAMPSON REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMPSON REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340027",
      "ccn": "340027",
      "name": "UNC LENOIR HEALTH CARE",
      "address": "100 AIRPORT RD, PO DRAWER 1678",
      "city": "KINSTON",
      "state": "NC",
      "zip": "28501",
      "county": "LENOIR",
      "latitude": 35.2903406297657,
      "longitude": -77.583282810182,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 199,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "LENOIR MEMORIAL HOSPITAL, INCORPORATED",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kinston-unc-lenoir-health-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lenoir-memorial-hospital-incorporated",
      "siblingGroupId": "siblings-nc-lenoir-memorial-hospital-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: LENOIR MEMORIAL HOSPITAL, INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LENOIR MEMORIAL HOSPITAL, INCORPORATED, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LENOIR MEMORIAL HOSPITAL, INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LENOIR MEMORIAL HOSPITAL, INCORPORATED, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340028",
      "ccn": "340028",
      "name": "CAPE FEAR VALLEY MEDICAL CENTER",
      "address": "1638 OWEN DR, PO BOX 2000",
      "city": "FAYETTEVILLE",
      "state": "NC",
      "zip": "28304",
      "county": "CUMBERLAND",
      "latitude": 35.0318387299742,
      "longitude": -78.9330536798587,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 634,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
      "affiliatedSystem": "Cape Fear Valley Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Cape Fear Valley Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-cape-fear-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-cumberland-county-hospital-system-inc",
      "siblingGroupId": "siblings-nc-cumberland-county-hospital-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-cumberland-county-hospital-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340030",
      "ccn": "340030",
      "name": "DUKE UNIVERSITY HOSPITAL",
      "address": "2301 ERWIN RD, PO BOX 3814 DUMC",
      "city": "DURHAM",
      "state": "NC",
      "zip": "27710",
      "county": "DURHAM",
      "latitude": 36.0070497998836,
      "longitude": -78.9377581102893,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 960,
      "rating": 5,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DUKE UNIVERSITY HEALTH SYSTEM, INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durham-duke-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-duke-university-health-system-inc",
      "siblingGroupId": "siblings-nc-duke-university-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-duke-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dukehealth.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Duke Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUKE UNIVERSITY HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Duke Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUKE UNIVERSITY HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340032",
      "ccn": "340032",
      "name": "CAROMONT REGIONAL MEDICAL CENTER",
      "address": "2525 COURT DR, PO BOX 1747",
      "city": "GASTONIA",
      "state": "NC",
      "zip": "28054",
      "county": "GASTON",
      "latitude": 35.2726615000188,
      "longitude": -81.1392638300298,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 435,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "CAROMONT HEALTH INC",
      "affiliatedSystem": "CaroMont Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "CaroMont Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gastonia-caromont-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-caromont-health-inc",
      "siblingGroupId": "siblings-nc-caromont-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-caromont-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://caromonthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAROMONT HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: CaroMont Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CaroMont Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CaroMont Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAROMONT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAROMONT HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: CaroMont Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CaroMont Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CaroMont Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAROMONT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340039",
      "ccn": "340039",
      "name": "IREDELL MEMORIAL HOSPITAL, INCORPORATED",
      "address": "557 BROOKDALE DR, PO BOX 1828",
      "city": "STATESVILLE",
      "state": "NC",
      "zip": "28677",
      "county": "IREDELL",
      "latitude": 35.7992615303289,
      "longitude": -80.8780683404278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 199,
      "rating": 3,
      "status": "verified_independent",
      "parentSystem": "IREDELL MEMORIAL HOSPITAL INCORPORATED",
      "affiliatedSystem": "Iredell Health System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Iredell Health System",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-statesville-iredell-memorial-hospital-incorporated/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-iredell-memorial-hospital-incorporated",
      "siblingGroupId": "siblings-nc-iredell-memorial-hospital-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-iredell-memorial-hospital-incorporated"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Iredell Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iredell Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to IREDELL MEMORIAL HOSPITAL INCORPORATED; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IREDELL MEMORIAL HOSPITAL INCORPORATED, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Iredell Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Iredell Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to IREDELL MEMORIAL HOSPITAL INCORPORATED; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IREDELL MEMORIAL HOSPITAL INCORPORATED, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340041",
      "ccn": "340041",
      "name": "CALDWELL MEMORIAL HOSPITAL, INC",
      "address": "321 MULBERRY ST SW, PO BOX 1890",
      "city": "LENOIR",
      "state": "NC",
      "zip": "28645",
      "county": "CALDWELL",
      "latitude": 35.9106065299879,
      "longitude": -81.5351613901601,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 137,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340042",
      "ccn": "340042",
      "name": "ONSLOW MEMORIAL HOSPITAL, INC",
      "address": "317 WESTERN BLVD, PO BOX 1358",
      "city": "JACKSONVILLE",
      "state": "NC",
      "zip": "28546",
      "county": "ONSLOW",
      "latitude": 34.7627593297725,
      "longitude": -77.3849868195815,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 162,
      "rating": 1,
      "status": "verified_independent",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "Onslow Memorial Hospital",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Onslow Memorial Hospital",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-onslow-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PENNEY BURLINGAME DEAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Onslow Memorial Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Onslow Memorial Hospital. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PENNEY BURLINGAME DEAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Onslow Memorial Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Onslow Memorial Hospital. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340047",
      "ccn": "340047",
      "name": "NORTH CAROLINA BAPTIST HOSPITAL",
      "address": "1 MEDICAL CENTER BLVD",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "zip": "27103",
      "county": "FORSYTH",
      "latitude": 36.0896496099122,
      "longitude": -80.2681748301702,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 885,
      "rating": 4,
      "website": "http://www.wakehealth.edu/",
      "status": "signal",
      "parentSystem": "ATRIUM HEALTH INC",
      "affiliatedSystem": "Atrium Health Wake Forest Baptist",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until the full dossier resolves the buyer, seller, and current control chain.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Atrium Health Wake Forest Baptist",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-atrium-health-inc",
      "siblingGroupId": "siblings-nc-atrium-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Atrium Health Wake Forest Baptist. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ATRIUM HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Atrium Health Wake Forest Baptist. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340049",
      "ccn": "340049",
      "name": "NORTH CAROLINA SPECIALTY HOSPITAL",
      "address": "3916 BEN FRANKLIN BLVD, PO BOX 15819",
      "city": "DURHAM",
      "state": "NC",
      "zip": "27704",
      "county": "DURHAM",
      "latitude": 36.0430360703518,
      "longitude": -78.8969946701436,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NATIONAL SURGICAL HOSPITALS, LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durham-north-carolina-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-national-surgical-hospitals-llc",
      "siblingGroupId": "siblings-nc-national-surgical-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340050",
      "ccn": "340050",
      "name": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
      "address": "300 W 27TH ST, PO BOX 1408",
      "city": "LUMBERTON",
      "state": "NC",
      "zip": "28358",
      "county": "ROBESON",
      "latitude": 34.6369107901826,
      "longitude": -79.0121295302536,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 337,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-southeastern-regional-medical-center",
      "siblingGroupId": "siblings-nc-southeastern-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-southeastern-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTHEASTERN REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SOUTHEASTERN REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEASTERN REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTHEASTERN REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SOUTHEASTERN REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHEASTERN REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340051",
      "ccn": "340051",
      "name": "WATAUGA MEDICAL CENTER, INC",
      "address": "336 DEERFIELD RD, PO BOX 2600",
      "city": "BOONE",
      "state": "NC",
      "zip": "28607",
      "county": "WATAUGA",
      "latitude": 36.1984688600062,
      "longitude": -81.6515293595758,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 117,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "Appalachian Regional Healthcare System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Appalachian Regional Healthcare System",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boone-watauga-medical-center-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Appalachian Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Appalachian Regional Healthcare System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Appalachian Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Appalachian Regional Healthcare System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340053",
      "ccn": "340053",
      "name": "NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER",
      "address": "200 HAWTHORNE LN, PO BOX 33549",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28204",
      "county": "MECKLENBURG",
      "latitude": 35.2118381896463,
      "longitude": -80.8241644404257,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 608,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-southern-piedmont-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-southern-piedmont-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CARL S ARMATO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CARL S ARMATO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340060",
      "ccn": "340060",
      "name": "UNC ROCKINGHAM HOSPITAL",
      "address": "117 EAST KINGS HWY",
      "city": "EDEN",
      "state": "NC",
      "zip": "27288",
      "county": "ROCKINGHAM",
      "latitude": 36.4947163102409,
      "longitude": -79.7394442801059,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 108,
      "rating": 4,
      "website": "http://www.morehead.org",
      "status": "signal",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until the full dossier resolves the buyer, seller, and current control chain.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "UNC Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340068",
      "ccn": "340068",
      "name": "COLUMBUS REGIONAL HEALTHCARE SYSTEM",
      "address": "500 JEFFERSON ST",
      "city": "WHITEVILLE",
      "state": "NC",
      "zip": "28472",
      "county": "COLUMBUS",
      "latitude": 34.3377342899523,
      "longitude": -78.694124089807,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 154,
      "rating": 1,
      "website": "http://www.crhealthcare.org",
      "status": "verified_independent",
      "parentSystem": "COLUMBUS REGIONAL HEALTHCARE SYSTEM",
      "affiliatedSystem": "Columbus Regional Healthcare System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Columbus Regional Healthcare System",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-whiteville-columbus-regional-healthcare-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-columbus-regional-healthcare-system",
      "siblingGroupId": "siblings-nc-columbus-regional-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-columbus-regional-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Columbus Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Columbus Regional Healthcare System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to COLUMBUS REGIONAL HEALTHCARE SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS REGIONAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Columbus Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Columbus Regional Healthcare System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to COLUMBUS REGIONAL HEALTHCARE SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS REGIONAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340069",
      "ccn": "340069",
      "name": "WAKEMED",
      "address": "3000 NEW BERN AVE, PO BOX 14465",
      "city": "RALEIGH",
      "state": "NC",
      "zip": "27610",
      "county": "WAKE",
      "latitude": 35.784511349947,
      "longitude": -78.5879019698913,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 726,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "WAKEMED",
      "affiliatedSystem": "WakeMed",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "WakeMed",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raleigh-wakemed/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wakemed",
      "siblingGroupId": "siblings-nc-wakemed",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-wakemed"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: WakeMed; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: WakeMed. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to WAKEMED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAKEMED, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: WakeMed; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: WakeMed. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to WAKEMED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAKEMED, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340070",
      "ccn": "340070",
      "name": "ALAMANCE REGIONAL MEDICAL CENTER",
      "address": "1240 HUFFMAN MILL RD, PO BOX 202",
      "city": "BURLINGTON",
      "state": "NC",
      "zip": "27215",
      "county": "ALAMANCE",
      "latitude": 36.0612038899857,
      "longitude": -79.5022435696837,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 238,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ALAMANCE REGIONAL MEDICAL CENTER INC",
      "affiliatedSystem": "Cone Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Cone Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burlington-alamance-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-alamance-regional-medical-center-inc",
      "siblingGroupId": "siblings-nc-alamance-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-alamance-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALAMANCE REGIONAL MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREW EDWARD BARROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Cone Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ALAMANCE REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMANCE REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALAMANCE REGIONAL MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ANDREW EDWARD BARROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Cone Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ALAMANCE REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALAMANCE REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340084",
      "ccn": "340084",
      "name": "ATRIUM HEALTH ANSON",
      "address": "2301 US HIGHWAY 74 WEST",
      "city": "WADESBORO",
      "state": "NC",
      "zip": "28170",
      "county": "ANSON",
      "latitude": 34.9777218798042,
      "longitude": -80.1100856197849,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 15,
      "rating": null,
      "website": "http://www.carolinashealthcare.org/anson",
      "status": "signal",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until the full dossier resolves the buyer, seller, and current control chain.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wadesboro-atrium-health--anson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340085",
      "ccn": "340085",
      "name": "NOVANT HEALTH THOMASVILLE MEDICAL CENTER",
      "address": "207 OLD LEXINGTON RD, PO BOX 789",
      "city": "THOMASVILLE",
      "state": "NC",
      "zip": "27360",
      "county": "DAVIDSON",
      "latitude": 35.8798851203574,
      "longitude": -80.1114795598658,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH TRIAD REGION, LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-thomasville-novant-health-thomasville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-triad-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-triad-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH TRIAD REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH TRIAD REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH TRIAD REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH TRIAD REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340090",
      "ccn": "340090",
      "name": "JOHNSTON HEALTH",
      "address": "509 N BRIGHTLEAF BLVD, PO BOX 1376",
      "city": "SMITHFIELD",
      "state": "NC",
      "zip": "27577",
      "county": "JOHNSTON",
      "latitude": 35.5144145802157,
      "longitude": -78.3349807797263,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 199,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340097",
      "ccn": "340097",
      "name": "HUGH CHATHAM MEMORIAL HOSPITAL, INC",
      "address": "180 PARKWOOD DR, PO BOX 560",
      "city": "ELKIN",
      "state": "NC",
      "zip": "28621",
      "county": "SURRY",
      "latitude": 36.2618646100336,
      "longitude": -80.8383026698479,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 93,
      "rating": 3,
      "status": "verified_independent",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Hugh Chatham Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Hugh Chatham Health",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elkin-hugh-chatham-memorial-hospital-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAUL H HAMMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Hugh Chatham Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hugh Chatham Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PAUL H HAMMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Hugh Chatham Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Hugh Chatham Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340098",
      "ccn": "340098",
      "name": "ATRIUM HEALTH PINEVILLE",
      "address": "10628 PARK ROAD",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28210",
      "county": "MECKLENBURG",
      "latitude": 35.0908272099756,
      "longitude": -80.8712255800579,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 262,
      "rating": 3,
      "website": "https://www.carolinashealthcare.org/locations/carolinas-healthcare-system-pineville",
      "status": "signal",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until the full dossier resolves the buyer, seller, and current control chain.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlotte-atrium-health-pineville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340099",
      "ccn": "340099",
      "name": "VIDANT ROANOKE - CHOWAN HOSPITAL",
      "address": "500 S ACADEMY ST, PO BOX 1385",
      "city": "AHOSKIE",
      "state": "NC",
      "zip": "27910",
      "county": "HERTFORD",
      "latitude": 36.2854313002674,
      "longitude": -76.9952349801613,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 114,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "EAST CAROLINA HEALTH",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ahoskie-vidant-roanoke-chowan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-east-carolina-health",
      "siblingGroupId": "siblings-nc-east-carolina-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340107",
      "ccn": "340107",
      "name": "VIDANT EDGECOMBE HOSPITAL",
      "address": "111 HOSPITAL DR",
      "city": "TARBORO",
      "state": "NC",
      "zip": "27886",
      "county": "EDGECOMBE",
      "latitude": 35.9210314101726,
      "longitude": -77.55591561978,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 117,
      "rating": 3,
      "website": "https://www.vidanthealth.com/edgecombe/",
      "status": "corporate_chain",
      "parentSystem": "EAST CAROLINA HEALTH - HERITAGE INC",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-east-carolina-health-heritage-inc",
      "siblingGroupId": "siblings-nc-east-carolina-health-heritage-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH - HERITAGE INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH - HERITAGE INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340109",
      "ccn": "340109",
      "name": "SENTARA ALBEMARLE MEDICAL CENTER",
      "address": "1144 N ROAD ST, PO BOX 1587",
      "city": "ELIZABETH CITY",
      "state": "NC",
      "zip": "27909",
      "county": "PASQUOTANK",
      "latitude": 36.3235963099791,
      "longitude": -76.2179333298987,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 182,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "SENTARA HOSPITALS",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elizabeth-city-sentara-albemarle-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-hospitals",
      "siblingGroupId": "siblings-nc-sentara-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340114",
      "ccn": "340114",
      "name": "REX HOSPITAL",
      "address": "4420 LAKE BOONE TRAIL",
      "city": "RALEIGH",
      "state": "NC",
      "zip": "27607",
      "county": "WAKE",
      "latitude": 35.8174886401806,
      "longitude": -78.7031719096706,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 439,
      "rating": 5,
      "website": "http://www.rexhealth.com",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340115",
      "ccn": "340115",
      "name": "FIRSTHEALTH MOORE REGIONAL HOSPITAL - HOKE CAMPUS",
      "address": "155 MEMORIAL DRIVE",
      "city": "PINEHURST",
      "state": "NC",
      "zip": "28374",
      "county": "MOORE",
      "latitude": 35.2052993496483,
      "longitude": -79.4564385299403,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": 4,
      "website": "http://www.firsthealth.org",
      "status": "corporate_chain",
      "parentSystem": "FIRSTHEALTH OF THE CAROLINAS INC",
      "affiliatedSystem": "FirstHealth of the Carolinas",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "FirstHealth of the Carolinas",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-firsthealth-of-the-carolinas-inc",
      "siblingGroupId": "siblings-nc-firsthealth-of-the-carolinas-inc",
      "campusFamilyId": "campus-nc-340115",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-firsthealth-of-the-carolinas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.firsthealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRSTHEALTH OF THE CAROLINAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN R PURSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: FirstHealth of the Carolinas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: FirstHealth of the Carolinas. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to FirstHealth of the Carolinas; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRSTHEALTH OF THE CAROLINAS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRSTHEALTH OF THE CAROLINAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN R PURSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: FirstHealth of the Carolinas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: FirstHealth of the Carolinas. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to FirstHealth of the Carolinas; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRSTHEALTH OF THE CAROLINAS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340116",
      "ccn": "340116",
      "name": "FRYE REGIONAL MEDICAL CENTER",
      "address": "420 NORTH CENTER ST",
      "city": "HICKORY",
      "state": "NC",
      "zip": "28601",
      "county": "CATAWBA",
      "latitude": 35.7373464697125,
      "longitude": -81.33727083979,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 338,
      "rating": 2,
      "website": "http://www.fryemedctr.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hickory-frye-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340120",
      "ccn": "340120",
      "name": "VIDANT DUPLIN HOSPITAL",
      "address": "401 NORTH MAIN ST",
      "city": "KENANSVILLE",
      "state": "NC",
      "zip": "28349",
      "county": "DUPLIN",
      "latitude": 34.9652796798205,
      "longitude": -77.9619133096538,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 81,
      "rating": 3,
      "website": "https://www.vidanthealth.com/duplin/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "DUPLIN GENERAL HOSPITAL INCORPORATED",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-duplin-general-hospital-incorporated",
      "siblingGroupId": "siblings-nc-duplin-general-hospital-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-duplin-general-hospital-incorporated"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DUPLIN GENERAL HOSPITAL INCORPORATED; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUPLIN GENERAL HOSPITAL INCORPORATED, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DUPLIN GENERAL HOSPITAL INCORPORATED; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUPLIN GENERAL HOSPITAL INCORPORATED, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340123",
      "ccn": "340123",
      "name": "RANDOLPH HOSPITAL, INC",
      "address": "364 WHITE OAK ST, PO BOX 1048",
      "city": "ASHEBORO",
      "state": "NC",
      "zip": "27203",
      "county": "RANDOLPH",
      "latitude": 35.7114446096852,
      "longitude": -79.8142280402604,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 145,
      "rating": 4,
      "status": "signal",
      "parentSystem": "American Healthcare Systems",
      "affiliatedSystem": "Cone Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until the full dossier resolves the buyer, seller, and current control chain.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Cone Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-asheboro-randolph-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-healthcare-systems",
      "siblingGroupId": "siblings-nc-american-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTHCARE SYSTEMS CORP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MIKE M SARIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Cone Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent American Healthcare Systems, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTHCARE SYSTEMS CORP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MIKE M SARIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Beth Israel Lahey Health; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Cone Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent American Healthcare Systems, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340126",
      "ccn": "340126",
      "name": "WILSON MEDICAL CENTER",
      "address": "1705 TARBORO ST SW",
      "city": "WILSON",
      "state": "NC",
      "zip": "27893",
      "county": "WILSON",
      "latitude": 35.7185586701453,
      "longitude": -77.9438130903154,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 294,
      "rating": 1,
      "website": "http://www.wilmed.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DLP WILSON HOLDING COMPANY LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilson-wilson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dlp-wilson-holding-company-llc",
      "siblingGroupId": "siblings-nc-dlp-wilson-holding-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP WILSON HOLDING COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DLP WILSON HOLDING COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP WILSON HOLDING COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DLP WILSON HOLDING COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340127",
      "ccn": "340127",
      "name": "GRANVILLE HEALTH SYSTEM",
      "address": "1010 COLLEGE ST, PO BOX 947",
      "city": "OXFORD",
      "state": "NC",
      "zip": "27565",
      "county": "GRANVILLE",
      "latitude": 36.3264156903305,
      "longitude": -78.593351920261,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 62,
      "rating": 2,
      "status": "verified_independent",
      "parentSystem": "GRANVILLE HEALTH SYSTEM",
      "affiliatedSystem": "Granville Health System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Granville Health System",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oxford-granville-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-granville-health-system",
      "siblingGroupId": "siblings-nc-granville-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-granville-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Granville Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Granville Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to GRANVILLE HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANVILLE HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Granville Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Granville Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to GRANVILLE HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANVILLE HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "34012F",
      "ccn": "34012F",
      "name": "DURHAM VA MEDICAL CENTER",
      "address": "508 FULTON STREET",
      "city": "DURHAM",
      "state": "NC",
      "zip": "27705",
      "county": "DURHAM",
      "latitude": 36.0095120703273,
      "longitude": -78.938832330079,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 151,
      "rating": 4,
      "website": "https://www.va.gov/durham-health-care/locations/durham-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "government_or_public",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data identifies a government, tribal, military, or public hospital operator with no documented PE link in this baseline pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Government / public",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nc-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. NC resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340130",
      "ccn": "340130",
      "name": "ATRIUM HEALTH UNION",
      "address": "600 HOSPITAL DR, PO BOX 5003",
      "city": "MONROE",
      "state": "NC",
      "zip": "28112",
      "county": "UNION",
      "latitude": 34.9757067897942,
      "longitude": -80.5228424099262,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 182,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroe-atrium-health-union/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340131",
      "ccn": "340131",
      "name": "CAROLINAEAST MEDICAL CENTER",
      "address": "2000 NEUSE BLVD, PO BOX 12157",
      "city": "NEW BERN",
      "state": "NC",
      "zip": "28560",
      "county": "CRAVEN",
      "latitude": 35.1134019298814,
      "longitude": -77.0659428898356,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 350,
      "rating": 4,
      "website": "http://www.carolinaeasthealth.com/",
      "status": "corporate_chain",
      "parentSystem": "CAROLINAEAST MEDICAL CENTER",
      "affiliatedSystem": "CarolinaEast Health System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "CarolinaEast Health System",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-carolinaeast-medical-center",
      "siblingGroupId": "siblings-nc-carolinaeast-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-carolinaeast-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: CarolinaEast Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CarolinaEast Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CAROLINAEAST MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAROLINAEAST MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: CarolinaEast Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CarolinaEast Health System. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CAROLINAEAST MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAROLINAEAST MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340141",
      "ccn": "340141",
      "name": "NEW HANOVER REGIONAL MEDICAL CENTER",
      "address": "2131 S 17TH STREET",
      "city": "WILMINGTON",
      "state": "NC",
      "zip": "28401",
      "county": "NEW HANOVER",
      "latitude": 34.2054638399398,
      "longitude": -77.92128481982,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 800,
      "rating": 3,
      "website": "http://www.nhhn.org",
      "status": "signal",
      "parentSystem": "NOVANT HEALTH COASTAL REGION LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until the full dossier resolves the buyer, seller, and current control chain.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Novant Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-coastal-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-coastal-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH COASTAL REGION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH COASTAL REGION LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH COASTAL REGION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH COASTAL REGION LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340142",
      "ccn": "340142",
      "name": "CARTERET GENERAL HOSPITAL",
      "address": "3500 ARENDELL ST, PO DRAWER 1619",
      "city": "MOREHEAD CITY",
      "state": "NC",
      "zip": "28557",
      "county": "CARTERET",
      "latitude": 34.7262094999205,
      "longitude": -76.755041170349,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 135,
      "rating": 2,
      "status": "verified_independent",
      "parentSystem": "CARTERET COUNTY GENERAL HOSPITAL CORPORATION",
      "affiliatedSystem": "Carteret Health Care",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Carteret Health Care",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morehead-city-carteret-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-carteret-county-general-hospital-corporation",
      "siblingGroupId": "siblings-nc-carteret-county-general-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-carteret-county-general-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARTERET COUNTY GENERAL HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Carteret Health Care; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carteret Health Care. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CARTERET COUNTY GENERAL HOSPITAL CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARTERET COUNTY GENERAL HOSPITAL CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARTERET COUNTY GENERAL HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Carteret Health Care; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carteret Health Care. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CARTERET COUNTY GENERAL HOSPITAL CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARTERET COUNTY GENERAL HOSPITAL CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340143",
      "ccn": "340143",
      "name": "CATAWBA VALLEY MEDICAL CENTER",
      "address": "810 FAIRGROVE CHURCH ROAD SE",
      "city": "HICKORY",
      "state": "NC",
      "zip": "28602",
      "county": "CATAWBA",
      "latitude": 35.713855570288,
      "longitude": -81.2673419096042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 258,
      "rating": 2,
      "website": "http://www.catawbavalleymc.org",
      "status": "corporate_chain",
      "parentSystem": "COUNTY OF CATAWBA OFFICE OF ACCOUNTANT",
      "affiliatedSystem": "Catawba Valley Health System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Catawba Valley Health System",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hickory-catawba-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-catawba-office-of-accountant",
      "siblingGroupId": "siblings-nc-county-of-catawba-office-of-accountant",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-county-of-catawba-office-of-accountant"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF CATAWBA OFFICE OF ACCOUNTANT (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Catawba Valley Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Catawba Valley Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to COUNTY OF CATAWBA OFFICE OF ACCOUNTANT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF CATAWBA OFFICE OF ACCOUNTANT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF CATAWBA OFFICE OF ACCOUNTANT (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Catawba Valley Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Catawba Valley Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to COUNTY OF CATAWBA OFFICE OF ACCOUNTANT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF CATAWBA OFFICE OF ACCOUNTANT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340145",
      "ccn": "340145",
      "name": "ATRIUM HEALTH LINCOLN",
      "address": "433 MCALISTER RD, PO BOX 677",
      "city": "LINCOLNTON",
      "state": "NC",
      "zip": "28093",
      "county": "LINCOLN",
      "latitude": 35.4899181402456,
      "longitude": -81.2035985799372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 101,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lincolnton-atrium-health-lincoln/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340148",
      "ccn": "340148",
      "name": "NOVANT HEALTH MEDICAL PARK HOSPITAL",
      "address": "1950 SOUTH HAWTHORNE RD",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "zip": "27103",
      "county": "FORSYTH",
      "latitude": 36.0758375697683,
      "longitude": -80.2967607703081,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 22,
      "rating": 5,
      "website": "http://www.novanthealth.org",
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH, INC.",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winston-salem-novant-health-medical-park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-inc",
      "siblingGroupId": "siblings-nc-novant-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340155",
      "ccn": "340155",
      "name": "DUKE REGIONAL HOSPITAL",
      "address": "3643 NORTH ROXBORO RD",
      "city": "DURHAM",
      "state": "NC",
      "zip": "27704",
      "county": "DURHAM",
      "latitude": 36.0367935896587,
      "longitude": -78.900254540427,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 388,
      "rating": 5,
      "website": "http://www.dukeregional.org/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DUKE UNIVERSITY HEALTH SYSTEM, INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durham-duke-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-duke-university-health-system-inc",
      "siblingGroupId": "siblings-nc-duke-university-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-duke-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dukehealth.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Duke Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUKE UNIVERSITY HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Duke Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUKE UNIVERSITY HEALTH SYSTEM, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340159",
      "ccn": "340159",
      "name": "PERSON MEMORIAL HOSPITAL",
      "address": "615 RIDGE RD",
      "city": "ROXBORO",
      "state": "NC",
      "zip": "27573",
      "county": "PERSON",
      "latitude": 36.4084534699868,
      "longitude": -78.9848952402079,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 38,
      "rating": 3,
      "website": "http://www.personhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roxboro-person-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BERTRAND BRAMLET BEARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DLP HEALTHCARE LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BERTRAND BRAMLET BEARD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DLP HEALTHCARE LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340166",
      "ccn": "340166",
      "name": "ATRIUM HEALTH UNIVERSITY CITY",
      "address": "8800 N TRYON ST, PO BOX 560727",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28262",
      "county": "MECKLENBURG",
      "latitude": 35.3067574300345,
      "longitude": -80.747047939633,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 104,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Atrium Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Atrium Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlotte-atrium-health-university-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-nc-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Atrium Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Atrium Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340168",
      "ccn": "340168",
      "name": "THE WILMINGTON TREATMENT CENTER, LLC",
      "address": "2520 TROY DR",
      "city": "WILMINGTON",
      "state": "NC",
      "zip": "28401",
      "county": "NEW HANOVER",
      "latitude": 34.1943217000351,
      "longitude": -77.9294215997634,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Acadia Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilmington-wilmington-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-nc-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Acadia Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Acadia Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "340171",
      "ccn": "340171",
      "name": "NOVANT HEALTH MATTHEWS MEDICAL CENTER",
      "address": "1500 MATTHEWS TOWNSHIP PARKWAY",
      "city": "MATTHEWS",
      "state": "NC",
      "zip": "28105",
      "county": "MECKLENBURG",
      "latitude": 35.1199848102356,
      "longitude": -80.7140784095548,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 157,
      "rating": 5,
      "website": "https://www.novanthealth.org/matthews-medical-center.aspx",
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-matthews-novant-health-matthews-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-southern-piedmont-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-southern-piedmont-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340173",
      "ccn": "340173",
      "name": "WAKEMED CARY HOSPITAL",
      "address": "1900 KILDAIRE FARM RD",
      "city": "CARY",
      "state": "NC",
      "zip": "27518",
      "county": "WAKE",
      "latitude": 35.7402240499593,
      "longitude": -78.7814563101641,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 208,
      "rating": 5,
      "website": "http://www.wakemed.org/subhome.cfm?id=54",
      "status": "corporate_chain",
      "parentSystem": "WAKEMED",
      "affiliatedSystem": "WakeMed",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "WakeMed",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cary-wakemed-cary-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wakemed",
      "siblingGroupId": "siblings-nc-wakemed",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-wakemed"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: WakeMed; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: WakeMed. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to WAKEMED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAKEMED, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: WakeMed; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: WakeMed. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to WAKEMED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAKEMED, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340183",
      "ccn": "340183",
      "name": "NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER",
      "address": "10030 GILEAD RD",
      "city": "HUNTERSVILLE",
      "state": "NC",
      "zip": "28078",
      "county": "MECKLENBURG",
      "latitude": 35.4064441803662,
      "longitude": -80.8602609000068,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 139,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntersville-novant-health-huntersville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-southern-piedmont-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-southern-piedmont-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340184",
      "ccn": "340184",
      "name": "HAYWOOD REGIONAL MEDICAL CENTER",
      "address": "262 LEROY GEORGE DRIVE",
      "city": "CLYDE",
      "state": "NC",
      "zip": "28721",
      "county": "HAYWOOD",
      "latitude": 35.5253812801774,
      "longitude": -82.9425088796571,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 154,
      "rating": 3,
      "website": "http://www.myhaywoodregional.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clyde-haywood-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "340188",
      "ccn": "340188",
      "name": "CAPE FEAR VALLEY HOKE HOSPITAL",
      "address": "210 MEDICAL PAVILION DRIVE",
      "city": "RAEFORD",
      "state": "NC",
      "zip": "28376",
      "county": "HOKE",
      "latitude": 35.029733910195,
      "longitude": -79.1075920402262,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 41,
      "rating": 4,
      "website": "http://www.capefearvalley.com/hospitals/hoke.html",
      "status": "corporate_chain",
      "parentSystem": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
      "affiliatedSystem": "Cape Fear Valley Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Cape Fear Valley Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raeford-cape-fear-valley-hoke-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-cumberland-county-hospital-system-inc",
      "siblingGroupId": "siblings-nc-cumberland-county-hospital-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-cumberland-county-hospital-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHUKWUEMEKA O CHIMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHUKWUEMEKA O CHIMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "340190",
      "ccn": "340190",
      "name": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
      "address": "8201 HEALTHCARE LOOP",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28215",
      "county": "MECKLENBURG",
      "latitude": 35.223160130081,
      "longitude": -80.6478185897565,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 5,
      "website": "https://www.novanthealth.org/mint-hill-medical-center.aspx?utm_source=maps.google.com&utm_medium=organic&utm_campaign=gmb&utm_content=mc-10",
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlotte-novant-health-mint-hill-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-southern-piedmont-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-southern-piedmont-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "340195",
      "ccn": "340195",
      "name": "NOVANT HEALTH BALLANTYNE MEDICAL CENTER",
      "address": "10905 PROVIDENCE RD  WEST",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28277",
      "county": "MECKLENBURG",
      "latitude": 35.0393422609789,
      "longitude": -80.8426483149506,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-southern-piedmont-region-llc",
      "siblingGroupId": "siblings-nc-novant-health-southern-piedmont-region-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH SOUTHERN PIEDMONT REGION, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "341303",
      "ccn": "341303",
      "name": "FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL",
      "address": "520 ALLEN ST",
      "city": "TROY",
      "state": "NC",
      "zip": "27371",
      "county": "MONTGOMERY",
      "latitude": 35.3648112400079,
      "longitude": -79.890368299613,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 37,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "FIRSTHEALTH OF THE CAROLINAS INC",
      "affiliatedSystem": "FirstHealth of the Carolinas",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "FirstHealth of the Carolinas",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-troy-firsthealth-montgomery-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-firsthealth-of-the-carolinas-inc",
      "siblingGroupId": "siblings-nc-firsthealth-of-the-carolinas-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-firsthealth-of-the-carolinas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.firsthealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRSTHEALTH OF THE CAROLINAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN R PURSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: FirstHealth of the Carolinas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: FirstHealth of the Carolinas. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to FirstHealth of the Carolinas; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRSTHEALTH OF THE CAROLINAS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRSTHEALTH OF THE CAROLINAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN R PURSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: FirstHealth of the Carolinas; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: FirstHealth of the Carolinas. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to FirstHealth of the Carolinas; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRSTHEALTH OF THE CAROLINAS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "341307",
      "ccn": "341307",
      "name": "PENDER MEMORIAL HOSPITAL, INC",
      "address": "507 E FREMONT STREET",
      "city": "BURGAW",
      "state": "NC",
      "zip": "28425",
      "county": "PENDER",
      "latitude": 34.5506675500379,
      "longitude": -77.9198750702884,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 43,
      "rating": null,
      "website": "http://www.pendermemorial.org",
      "status": "corporate_chain",
      "parentSystem": "NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC",
      "affiliatedSystem": "Novant Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Novant Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-novant-health-new-hanover-regional-medical-center-llc",
      "siblingGroupId": "siblings-nc-novant-health-new-hanover-regional-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-novant-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.novanthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Novant Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Novant Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Novant Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "341311",
      "ccn": "341311",
      "name": "CHATHAM HOSPITAL, INC",
      "address": "475 PROGRESS BLVD, PO BOX 649",
      "city": "SILER CITY",
      "state": "NC",
      "zip": "27344",
      "county": "CHATHAM",
      "latitude": 35.7229544998294,
      "longitude": -79.4208553596278,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "UNC Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "UNC Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-siler-city-chatham-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UNC Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UNC Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341315",
      "ccn": "341315",
      "name": "CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL",
      "address": "501 S POPLAR ST, PO BOX 398",
      "city": "ELIZABETHTOWN",
      "state": "NC",
      "zip": "28337",
      "county": "BLADEN",
      "latitude": 34.6224339297532,
      "longitude": -78.6080044899806,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
      "affiliatedSystem": "Cape Fear Valley Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Cape Fear Valley Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elizabethtown-cape-fear-valley---bladen-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-cumberland-county-hospital-system-inc",
      "siblingGroupId": "siblings-nc-cumberland-county-hospital-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-cumberland-county-hospital-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to CUMBERLAND COUNTY HOSPITAL SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND COUNTY HOSPITAL SYSTEM INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341316",
      "ccn": "341316",
      "name": "HIGHLANDS - CASHIERS HOSPITAL",
      "address": "190 HOSPITAL DR, PO DRAWER 190",
      "city": "HIGHLANDS",
      "state": "NC",
      "zip": "28741",
      "county": "MACON",
      "latitude": 35.0865865100504,
      "longitude": -83.185891130213,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "pe_contract",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "reviewedAt": "2026-06-22",
      "evidenceAsOf": "2026-05-01",
      "relationshipType": "contract",
      "parentSystem": "HCA Healthcare",
      "peFirm": "Blackstone",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "signalSummary": "HIGHLANDS - CASHIERS HOSPITAL is an HCA/Mission Health facility. TeamHealth evidence supports a Blackstone-backed staffing-contract warning; this is not a hospital ownership claim.",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "TeamHealth Mission Health system pages + CMS/HCA ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
        "Valley Health contract dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "PE-backed contractor",
      "operatorName": "TeamHealth",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-highlands-highlands-cashiers-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "341317",
      "ccn": "341317",
      "name": "LIFEBRITE COMMUNITY HOSPITAL OF STOKES",
      "address": "1570 NC 8 AND 89 HWY N",
      "city": "DANBURY",
      "state": "NC",
      "zip": "27016",
      "county": "STOKES",
      "latitude": 36.4180680002052,
      "longitude": -80.2310762100582,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 59,
      "rating": null,
      "status": "signal",
      "parentSystem": "LIFEBRITE HOSPITAL GROUP LLC",
      "affiliatedSystem": "LifeBrite",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until the full dossier resolves the buyer, seller, and current control chain.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "LifeBrite",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danbury-lifebrite-community-hospital-of-stokes/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifebrite-hospital-group-llc",
      "siblingGroupId": "siblings-nc-lifebrite-hospital-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEBRITE HOSPITAL GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTIAN FLETCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifeBrite; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifeBrite. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRITE HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEBRITE HOSPITAL GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTIAN FLETCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifeBrite; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifeBrite. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFEBRITE HOSPITAL GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "341318",
      "ccn": "341318",
      "name": "VIDANT CHOWAN HOSPITAL",
      "address": "211 VIRGINIA RD, PO BOX 629",
      "city": "EDENTON",
      "state": "NC",
      "zip": "27932",
      "county": "CHOWAN",
      "latitude": 36.0699792802122,
      "longitude": -76.6112035298253,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "EAST CAROLINA HEALTH - CHOWAN INC",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-east-carolina-health-chowan-inc",
      "siblingGroupId": "siblings-nc-east-carolina-health-chowan-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS lists BRIAN J HARVILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH - CHOWAN INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRIAN J HARVILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH - CHOWAN INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341319",
      "ccn": "341319",
      "name": "TRANSYLVANIA REGIONAL HOSPITAL",
      "address": "260 HOSPITAL DRIVE",
      "city": "BREVARD",
      "state": "NC",
      "zip": "28712",
      "county": "TRANSYLVANIA",
      "latitude": 35.2559271003609,
      "longitude": -82.7120586995746,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 82,
      "rating": 2,
      "status": "pe_contract",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "reviewedAt": "2026-06-22",
      "evidenceAsOf": "2026-05-01",
      "relationshipType": "contract",
      "parentSystem": "HCA Healthcare",
      "peFirm": "Blackstone",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "signalSummary": "TRANSYLVANIA REGIONAL HOSPITAL is an HCA/Mission Health facility. TeamHealth evidence supports a Blackstone-backed staffing-contract warning; this is not a hospital ownership claim.",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "TeamHealth Mission Health system pages + CMS/HCA ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
        "Valley Health contract dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "PE-backed contractor",
      "operatorName": "TeamHealth",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brevard-transylvania-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "341320",
      "ccn": "341320",
      "name": "ALLEGHANY MEMORIAL HOSPITAL",
      "address": "233 DOCTORS ST, PO BOX 9",
      "city": "SPARTA",
      "state": "NC",
      "zip": "28675",
      "county": "ALLEGHANY",
      "latitude": 36.5095210498224,
      "longitude": -81.1146110097515,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 41,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "ALLEGHANY COUNTY MEMORIAL HOSPITAL INC",
      "affiliatedSystem": "Alleghany Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Alleghany Health",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sparta-alleghany-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-alleghany-county-memorial-hospital-inc",
      "siblingGroupId": "siblings-nc-alleghany-county-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-alleghany-county-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGHANY COUNTY MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Alleghany Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Alleghany Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ALLEGHANY COUNTY MEMORIAL HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEGHANY COUNTY MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGHANY COUNTY MEMORIAL HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Alleghany Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Alleghany Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ALLEGHANY COUNTY MEMORIAL HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLEGHANY COUNTY MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341323",
      "ccn": "341323",
      "name": "CHARLES A. CANNON JR. MEMORIAL HOSPITAL, INCORPORATED",
      "address": "434 HOSPITAL DR, PO BOX 767",
      "city": "LINVILLE",
      "state": "NC",
      "zip": "28657",
      "county": "AVERY",
      "latitude": 36.0603179198026,
      "longitude": -81.8893571102359,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "Appalachian Regional Healthcare System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Appalachian Regional Healthcare System",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-linville-charles-a.-cannon-jr.-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Appalachian Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Appalachian Regional Healthcare System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Appalachian Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Appalachian Regional Healthcare System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341324",
      "ccn": "341324",
      "name": "THE OUTER BANKS HOSPITAL, INC",
      "address": "4800 SOUTH CROATAN HIGHWAY",
      "city": "NAGS HEAD",
      "state": "NC",
      "zip": "27959",
      "county": "DARE",
      "latitude": 35.9398364998058,
      "longitude": -75.6176491395578,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": 4,
      "website": "http://www.theouterbankshospital.com",
      "status": "corporate_chain",
      "parentSystem": "EAST CAROLINA HEALTH",
      "affiliatedSystem": "ECU Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "ECU Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nags-head-the-outer-banks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-east-carolina-health",
      "siblingGroupId": "siblings-nc-east-carolina-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EAST CAROLINA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EAST CAROLINA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: ECU Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ECU Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST CAROLINA HEALTH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341325",
      "ccn": "341325",
      "name": "ASHE MEMORIAL HOSPITAL, INC",
      "address": "200 HOSPITAL AVE",
      "city": "JEFFERSON",
      "state": "NC",
      "zip": "28640",
      "county": "ASHE",
      "latitude": 36.4233085303312,
      "longitude": -81.4575231801897,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 3,
      "website": "http://www.ashememorial.org",
      "status": "verified_independent",
      "parentSystem": "ASHE MEMORIAL HOSPITAL INC",
      "affiliatedSystem": "Ashe Memorial Hospital",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Ashe Memorial Hospital",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jefferson-ashe-memorial-hospital-inc./",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-ashe-memorial-hospital-inc",
      "siblingGroupId": "siblings-nc-ashe-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-ashe-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ashe Memorial Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ashe Memorial Hospital. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ASHE MEMORIAL HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHE MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ashe Memorial Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ashe Memorial Hospital. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ASHE MEMORIAL HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHE MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341326",
      "ccn": "341326",
      "name": "ANGEL MEDICAL CENTER",
      "address": "120 RIVERVIEW ST, PO BOX 1209",
      "city": "FRANKLIN",
      "state": "NC",
      "zip": "28734",
      "county": "MACON",
      "latitude": 35.1846614203326,
      "longitude": -83.3786889201333,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 59,
      "rating": 2,
      "status": "pe_contract",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "reviewedAt": "2026-06-22",
      "evidenceAsOf": "2026-05-01",
      "relationshipType": "contract",
      "parentSystem": "HCA Healthcare",
      "peFirm": "Blackstone",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "signalSummary": "ANGEL MEDICAL CENTER is an HCA/Mission Health facility. TeamHealth evidence supports a Blackstone-backed staffing-contract warning; this is not a hospital ownership claim.",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "TeamHealth Mission Health system pages + CMS/HCA ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
        "Valley Health contract dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "PE-backed contractor",
      "operatorName": "TeamHealth",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-angel-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "341327",
      "ccn": "341327",
      "name": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
      "address": "924 HOWE ST",
      "city": "SOUTHPORT",
      "state": "NC",
      "zip": "28461",
      "county": "BRUNSWICK",
      "latitude": 33.9296619498058,
      "longitude": -78.0215903100844,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "website": "http://www.dosher.org",
      "status": "verified_independent",
      "parentSystem": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
      "affiliatedSystem": "Dosher Memorial Hospital",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline official facility data links this hospital to a local or regional operator without a documented PE or major corporate-chain signal in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Dosher Memorial Hospital",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-southport-j.-arthur-dosher-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-j-arthur-dosher-memorial-hospital",
      "siblingGroupId": "siblings-nc-j-arthur-dosher-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-j-arthur-dosher-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: J. ARTHUR DOSHER MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Dosher Memorial Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dosher Memorial Hospital. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to J. ARTHUR DOSHER MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent J. ARTHUR DOSHER MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: J. ARTHUR DOSHER MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Dosher Memorial Hospital; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dosher Memorial Hospital. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to J. ARTHUR DOSHER MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent J. ARTHUR DOSHER MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341328",
      "ccn": "341328",
      "name": "ERLANGER MURPHY MEDICAL CENTER",
      "address": "3990 EAST US HWY 64 ALT",
      "city": "MURPHY",
      "state": "NC",
      "zip": "28906",
      "county": "CHEROKEE",
      "latitude": 35.072712900115,
      "longitude": -83.9666624100727,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 57,
      "rating": 4,
      "website": "http://www.murphymedical.org",
      "status": "corporate_chain",
      "parentSystem": "Chattanooga-Hamilton County Hospital Authority / Erlanger",
      "affiliatedSystem": "Erlanger Health System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Erlanger Health System",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murphy-erlanger-murphy-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-chattanooga-hamilton-county-hospital-authority-erlanger",
      "siblingGroupId": "siblings-nc-chattanooga-hamilton-county-hospital-authority-erlanger",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-chattanooga-hamilton-county-hospital-authority-erlanger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.erlanger.org/-/media/erlanger-media/file/policies/ehs-compliance-program-approved-08-13-20.ashx"
      ],
      "ownershipProofNotes": "CMS owner candidate: ERLANGER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Erlanger Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Erlanger Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ERLANGER HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Chattanooga-Hamilton County Hospital Authority / Erlanger, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ERLANGER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Erlanger Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Erlanger Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to ERLANGER HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Chattanooga-Hamilton County Hospital Authority / Erlanger, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "341329",
      "ccn": "341329",
      "name": "BLUE RIDGE REGIONAL HOSPITAL",
      "address": "125 HOSPITAL DR, PO DRAWER 9",
      "city": "SPRUCE PINE",
      "state": "NC",
      "zip": "28777",
      "county": "MITCHELL",
      "latitude": 35.9109899997838,
      "longitude": -82.0627743497726,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": 3,
      "status": "pe_contract",
      "affiliatedSystem": "Mission Health",
      "affiliatedSystemEvidence": "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
      "affiliationConfidence": "high",
      "reviewedAt": "2026-06-22",
      "evidenceAsOf": "2026-05-01",
      "relationshipType": "contract",
      "parentSystem": "HCA Healthcare",
      "peFirm": "Blackstone",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "signalSummary": "BLUE RIDGE REGIONAL HOSPITAL is an HCA/Mission Health facility. TeamHealth evidence supports a Blackstone-backed staffing-contract warning; this is not a hospital ownership claim.",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "TeamHealth Mission Health system pages + CMS/HCA ownership sources",
        "Mission Health history/contact/location pages + HCA Mission Health acquisition release",
        "Valley Health contract dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "PE-backed contractor",
      "operatorName": "TeamHealth",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spruce-pine-blue-ridge-regional-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-nc-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: TeamHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: TeamHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "344007",
      "ccn": "344007",
      "name": "OLD VINEYARD YOUTH SERVICES",
      "address": "3637 OLD VINEYARD ROAD",
      "city": "WINSTON-SALEM",
      "state": "NC",
      "zip": "27104",
      "county": "FORSYTH",
      "latitude": 36.0783343799827,
      "longitude": -80.3185738201406,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 164,
      "rating": null,
      "website": "http://oldvineyardbhs.com/",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Universal Health Services",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winston-salem-old-vineyard-youth-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "344016",
      "ccn": "344016",
      "name": "BRYNN MARR HOSPITAL",
      "address": "192 VILLAGE DR",
      "city": "JACKSONVILLE",
      "state": "NC",
      "zip": "28546",
      "county": "ONSLOW",
      "latitude": 34.7463351002544,
      "longitude": -77.3743863201398,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Federal",
      "beds": 84,
      "rating": null,
      "website": "https://www.brynnmarr.org/",
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Universal Health Services",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-brynn-marr-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "344029",
      "ccn": "344029",
      "name": "GOOD HOPE HOSPITAL, INC",
      "address": "410 DENIM DR, PO BOX 639",
      "city": "ERWIN",
      "state": "NC",
      "zip": "28339",
      "county": "HARNETT",
      "latitude": 35.3273632497165,
      "longitude": -78.6698028898024,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "GOOD HOPE HOSPITAL INC",
      "affiliatedSystem": "Cape Fear Valley Health",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Major health system",
      "operatorName": "Cape Fear Valley Health",
      "publicControlBadge": "Major-system controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erwin-good-hope-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-good-hope-hospital-inc",
      "siblingGroupId": "siblings-nc-good-hope-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nc-parent-good-hope-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to GOOD HOPE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD HOPE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Cape Fear Valley Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cape Fear Valley Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to GOOD HOPE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD HOPE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "344032",
      "ccn": "344032",
      "name": "TRIANGLE SPRINGS",
      "address": "10901 WORLD TRADE BLVD",
      "city": "RALEIGH",
      "state": "NC",
      "zip": "27617",
      "county": "DURHAM",
      "latitude": 35.9027532997026,
      "longitude": -78.8157882997624,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-raleigh-triangle-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "344034",
      "ccn": "344034",
      "name": "APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE",
      "address": "432 HOSPITAL DR.",
      "city": "LINVILLE",
      "state": "NC",
      "zip": "28646",
      "county": "AVERY",
      "latitude": 36.0615108998387,
      "longitude": -81.8878870002055,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM",
      "affiliatedSystem": "Appalachian Regional Healthcare System",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Baseline facility and naming evidence ties this hospital to a major health system or multi-hospital chain. This is broad red corporate/system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "Existing PE Healthcare Watch evidence dossier"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "Government / public",
      "operatorType": "Major health system",
      "operatorName": "Appalachian Regional Healthcare System",
      "publicControlBadge": "Major-system controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-north-carolina-health-care-system",
      "siblingGroupId": "siblings-nc-university-of-north-carolina-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-university-of-north-carolina-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.unchealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Appalachian Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Appalachian Regional Healthcare System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Appalachian Regional Healthcare System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Appalachian Regional Healthcare System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to University of North Carolina Health; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "344035",
      "ccn": "344035",
      "name": "RALEIGH OAKS BEHAVIORAL HEALTH",
      "address": "3200 WATERFIELD DRIVE",
      "city": "GARNER",
      "state": "NC",
      "zip": "27529",
      "county": "WAKE",
      "latitude": 35.6779330000937,
      "longitude": -78.560999099795,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "parentSystem": "SBHC HOLDINGS LLC",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "NC baseline system-affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline name and facility data link this hospital to a for-profit or multi-site corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "NC DHSR hospital/license data",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "NC baseline system-affiliation rule",
        "NC DHSR facility listings",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Universal Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "December 2021",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-nc-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-sbhc-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "350002",
      "ccn": "350002",
      "name": "CHI ST ALEXIUS HEALTH",
      "address": "900 E BROADWAY",
      "city": "BISMARCK",
      "state": "ND",
      "zip": "58501",
      "county": "BURLEIGH",
      "latitude": 46.8073823199652,
      "longitude": -100.777800480003,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 287,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists REED E REYMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists REED E REYMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "350006",
      "ccn": "350006",
      "name": "TRINITY HOSPITALS",
      "address": "1 BURDICK EXPWY W 1255",
      "city": "MINOT",
      "state": "ND",
      "zip": "58701",
      "county": "WARD",
      "latitude": 48.2322259598247,
      "longitude": -101.294085300302,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 251,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-nd-trinity-health",
      "campusFamilyId": "campus-nd-350006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "350006-loc-nd-minot-trinity-hospitals",
      "ccn": "350006",
      "name": "TRINITY HOSPITALS",
      "address": "407 3RD ST SE",
      "city": "MINOT",
      "state": "ND",
      "zip": "58701",
      "county": "WARD",
      "latitude": 48.2321645899808,
      "longitude": -101.287204349854,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 165,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-nd-trinity-health",
      "campusFamilyId": "campus-nd-350006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "350006"
    },
    {
      "id": "350011",
      "ccn": "350011",
      "name": "SANFORD",
      "address": "801 BROADWAY NORTH",
      "city": "FARGO",
      "state": "ND",
      "zip": "58122",
      "county": "CASS",
      "latitude": 46.8849444899381,
      "longitude": -96.7860548500733,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 380,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-nd-sanford",
      "campusFamilyId": "campus-nd-350011",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "350011-loc-nd-fargo-sanford-medical-center-fargo",
      "ccn": "350011",
      "name": "SANFORD MEDICAL CENTER FARGO",
      "address": "5225 23RD AVE S",
      "city": "FARGO",
      "state": "ND",
      "zip": "58103",
      "county": "CASS",
      "latitude": 46.8452189000769,
      "longitude": -96.8757789498587,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 246,
      "rating": 4,
      "website": "http://www.sanfordhealth.org/",
      "status": "corporate_chain",
      "parentSystem": "SANFORD",
      "affiliatedSystem": "Sanfordhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sanfordhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fargo-sanford-medical-center-fargo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-nd-sanford",
      "campusFamilyId": "campus-nd-350011",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sanfordhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sanfordhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "350011"
    },
    {
      "id": "350015",
      "ccn": "350015",
      "name": "SANFORD MEDICAL CENTER BISMARCK",
      "address": "300 N 7TH ST",
      "city": "BISMARCK",
      "state": "ND",
      "zip": "58501",
      "county": "BURLEIGH",
      "latitude": 46.8079462298126,
      "longitude": -100.782338500222,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 234,
      "rating": 4,
      "website": "http://www.bismarck.sanfordhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-nd-sanford",
      "campusFamilyId": "campus-nd-350015",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "350019",
      "ccn": "350019",
      "name": "ALTRU HOSPITAL",
      "address": "1200 S COLUMBIA RD",
      "city": "GRAND FORKS",
      "state": "ND",
      "zip": "58201",
      "county": "GRAND FORKS",
      "latitude": 47.9105730001087,
      "longitude": -97.0686861896149,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 297,
      "rating": 3,
      "website": "http://www.altru.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-forks-altru-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALTRU HEALTH SYSTEM",
      "parentSystemId": "entity-altru-health-system",
      "siblingGroupId": "siblings-nd-altru-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-altru-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.altru.org/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Altru Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTRU HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Altru Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTRU HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "35002F",
      "ccn": "35002F",
      "name": "FARGO VA MEDICAL CENTER",
      "address": "2101 ELM STREET NORTH",
      "city": "FARGO",
      "state": "ND",
      "zip": "58102",
      "county": "CASS",
      "latitude": 46.9060101800664,
      "longitude": -96.7752187602618,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "website": "https://www.va.gov/fargo-health-care/locations/fargo-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fargo-fargo-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-nd-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. ND resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. ND resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "350063",
      "ccn": "350063",
      "name": "P H S INDIAN HOSP AT BELCOURT - QUENTIN N BURDICK",
      "address": "1300 HOSPITAL LOOP",
      "city": "BELCOURT",
      "state": "ND",
      "zip": "58316",
      "county": "ROLETTE",
      "latitude": 48.8433598699319,
      "longitude": -99.7487302400682,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": null,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belcourt-p-h-s-indian-hosp-at-belcourt-quentin-n-burdick/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK",
      "parentSystemId": "entity-p-h-s-indian-hosp-at-belcourt-quentin-n-burdick",
      "siblingGroupId": "siblings-nd-p-h-s-indian-hosp-at-belcourt-quentin-n-burdick",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-government-federal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "350070",
      "ccn": "350070",
      "name": "ESSENTIA HEALTH FARGO",
      "address": "3000 32ND AVE SOUTH",
      "city": "FARGO",
      "state": "ND",
      "zip": "58104",
      "county": "CASS",
      "latitude": 46.8314879902652,
      "longitude": -96.8275054502073,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 145,
      "rating": 3,
      "website": "essentiahealth.org/fargo",
      "status": "corporate_chain",
      "parentSystem": "ESSENTIA HEALTH",
      "affiliatedSystem": "Essentiahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Essentiahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fargo-essentia-health-fargo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-essentia-health",
      "siblingGroupId": "siblings-nd-essentia-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-essentia-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.essentiahealth.org/find-facility"
      ],
      "ownershipProofNotes": "CMS owner candidate: ESSENTIA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESSENTIA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ESSENTIA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Essentia Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ESSENTIA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351300",
      "ccn": "351300",
      "name": "TIOGA MEDICAL CENTER",
      "address": "810 N WELO ST",
      "city": "TIOGA",
      "state": "ND",
      "zip": "58852",
      "county": "WILLIAMS",
      "latitude": 48.4030019298895,
      "longitude": -102.934507089862,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.tiogahealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tioga-tioga-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TIOGA MEDICAL CENTER",
      "parentSystemId": "entity-tioga-medical-center",
      "siblingGroupId": "siblings-nd-tioga-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-tioga-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to TIOGA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIOGA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to TIOGA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TIOGA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351301",
      "ccn": "351301",
      "name": "MOUNTRAIL COUNTY MEDICAL CENTER INC",
      "address": "615 6TH ST SE",
      "city": "STANLEY",
      "state": "ND",
      "zip": "58784",
      "county": "MOUNTRAIL",
      "latitude": 48.3112938502489,
      "longitude": -102.380421890042,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "website": "http://www.stanleyhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stanley-mountrail-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MOUNTRAIL BETHEL HOME INC",
      "parentSystemId": "entity-mountrail-bethel-home-inc",
      "siblingGroupId": "siblings-nd-mountrail-bethel-home-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-mountrail-bethel-home-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOUNTRAIL BETHEL HOME INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to MOUNTRAIL BETHEL HOME INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTRAIL BETHEL HOME INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOUNTRAIL BETHEL HOME INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to MOUNTRAIL BETHEL HOME INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNTRAIL BETHEL HOME INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "351302",
      "ccn": "351302",
      "name": "MCKENZIE COUNTY HEALTHCARE SYSTEMS INC",
      "address": "709 4TH AVE NE",
      "city": "WATFORD CITY",
      "state": "ND",
      "zip": "58854",
      "county": "MCKENZIE",
      "latitude": 47.8069831398878,
      "longitude": -103.282516189831,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-watford-city-mckenzie-county-healthcare-systems/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MCKENZIE COUNTY HEALTHCARE SYSTEMS INC",
      "parentSystemId": "entity-mckenzie-county-healthcare-systems-inc",
      "siblingGroupId": "siblings-nd-mckenzie-county-healthcare-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-mckenzie-county-healthcare-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCKENZIE COUNTY HEALTHCARE SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to MCKENZIE COUNTY HEALTHCARE SYSTEMS INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCKENZIE COUNTY HEALTHCARE SYSTEMS INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCKENZIE COUNTY HEALTHCARE SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to MCKENZIE COUNTY HEALTHCARE SYSTEMS INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCKENZIE COUNTY HEALTHCARE SYSTEMS INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "351303",
      "ccn": "351303",
      "name": "GARRISON MEMORIAL HOSPITAL",
      "address": "407 3RD AVE SE",
      "city": "GARRISON",
      "state": "ND",
      "zip": "58540",
      "county": "MCLEAN",
      "latitude": 47.6484034798726,
      "longitude": -101.411039569561,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 22,
      "rating": null,
      "website": "http://www.garrisonmh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists REED E REYMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists REED E REYMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351304",
      "ccn": "351304",
      "name": "CHI ST ALEXIUS HEALTH TURTLE LAKE",
      "address": "220 5TH AVE W",
      "city": "TURTLE LAKE",
      "state": "ND",
      "zip": "58575",
      "county": "MCLEAN",
      "latitude": 47.5182155197137,
      "longitude": -100.894448089576,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "website": "http://www.wrtc.com/cullum/hospital",
      "status": "corporate_chain",
      "parentSystem": "ST ALEXIUS MEDICAL CENTER",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-turtle-lake-chi-st-alexius-health-turtle-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-alexius-medical-center",
      "siblingGroupId": "siblings-nd-st-alexius-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST ALEXIUS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists REED E REYMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ALEXIUS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST ALEXIUS MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists REED E REYMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ALEXIUS MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351305",
      "ccn": "351305",
      "name": "KENMARE COMMUNITY HOSPITAL",
      "address": "317 1ST AVE NW",
      "city": "KENMARE",
      "state": "ND",
      "zip": "58746",
      "county": "WARD",
      "latitude": 48.6742383502069,
      "longitude": -102.084488199857,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-nd-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinity-health.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351306",
      "ccn": "351306",
      "name": "COOPERSTOWN MEDICAL CENTER",
      "address": "1200 ROBERTS AVE NE",
      "city": "COOPERSTOWN",
      "state": "ND",
      "zip": "58425",
      "county": "GRIGGS",
      "latitude": 47.4459560500864,
      "longitude": -98.1185568696474,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "website": "http://www.coopermc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cooperstown-cooperstown-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COOPERSTOWN MEDICAL CENTER",
      "parentSystemId": "entity-cooperstown-medical-center",
      "siblingGroupId": "siblings-nd-cooperstown-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-cooperstown-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists NICOLE JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to COOPERSTOWN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOPERSTOWN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists NICOLE JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to COOPERSTOWN MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOPERSTOWN MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351308",
      "ccn": "351308",
      "name": "NELSON COUNTY HEALTH SYSTEM",
      "address": "200 N MAIN ST",
      "city": "MCVILLE",
      "state": "ND",
      "zip": "58254",
      "county": "NELSON",
      "latitude": 47.7656426598392,
      "longitude": -98.177749570342,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 19,
      "rating": null,
      "website": "http://www.nelsoncountyhealthsystem.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcville-nelson-county-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NELSON COUNTY HEALTH SYSTEM",
      "parentSystemId": "entity-nelson-county-health-system",
      "siblingGroupId": "siblings-nd-nelson-county-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-nelson-county-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NELSON COUNTY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN K FORDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to NELSON COUNTY HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NELSON COUNTY HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NELSON COUNTY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN K FORDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to NELSON COUNTY HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NELSON COUNTY HEALTH SYSTEM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "351310",
      "ccn": "351310",
      "name": "SAKAKAWEA MEDICAL CENTER - CAH",
      "address": "510 8TH AVENUE NE",
      "city": "HAZEN",
      "state": "ND",
      "zip": "58545",
      "county": "MERCER",
      "latitude": 47.2986366702445,
      "longitude": -101.610600029653,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 13,
      "rating": null,
      "website": "http://www.sakmedcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hazen-sakakawea-medical-center---cah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HAZEN MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-hazen-memorial-hospital-association",
      "siblingGroupId": "siblings-nd-hazen-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-hazen-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to HAZEN MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAZEN MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to HAZEN MEMORIAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAZEN MEMORIAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351312",
      "ccn": "351312",
      "name": "NORTHWOOD DEACONESS HEALTH CENTER",
      "address": "4 NORTH PARK STREET",
      "city": "NORTHWOOD",
      "state": "ND",
      "zip": "58267",
      "county": "GRAND FORKS",
      "latitude": 47.735105509938,
      "longitude": -97.5746952604308,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-northwood-northwood-deaconess-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHWOOD DEACONESS HEALTH CENTER",
      "parentSystemId": "entity-northwood-deaconess-health-center",
      "siblingGroupId": "siblings-nd-northwood-deaconess-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists BROCK SHERVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWOOD DEACONESS HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BROCK SHERVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHWOOD DEACONESS HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351313",
      "ccn": "351313",
      "name": "SOUTHWEST HEALTHCARE SERVICES",
      "address": "802 2ND ST NW",
      "city": "BOWMAN",
      "state": "ND",
      "zip": "58623",
      "county": "BOWMAN",
      "latitude": 46.1818714096939,
      "longitude": -103.404660439711,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bowman-southwest-healthcare-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHWESTHEALTHCARE SERVICES",
      "parentSystemId": "entity-southwesthealthcare-services",
      "siblingGroupId": "siblings-nd-southwesthealthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTHEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTHEALTHCARE SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351314",
      "ccn": "351314",
      "name": "JACOBSON MEMORIAL HOSPITAL CARE CENTER",
      "address": "601 EAST ST N",
      "city": "ELGIN",
      "state": "ND",
      "zip": "58533",
      "county": "GRANT",
      "latitude": 46.4073258097996,
      "longitude": -101.841463459919,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JACOBSON MEMORIAL HOSPITAL CARE CENTER",
      "parentSystemId": "entity-jacobson-memorial-hospital-care-center",
      "siblingGroupId": "siblings-nd-jacobson-memorial-hospital-care-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-jacobson-memorial-hospital-care-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists KRISTIN HEID as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to JACOBSON MEMORIAL HOSPITAL CARE CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACOBSON MEMORIAL HOSPITAL CARE CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KRISTIN HEID as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to JACOBSON MEMORIAL HOSPITAL CARE CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACOBSON MEMORIAL HOSPITAL CARE CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351315",
      "ccn": "351315",
      "name": "CHI OAKES HOSPITAL",
      "address": "1200 N 7TH ST",
      "city": "OAKES",
      "state": "ND",
      "zip": "58474",
      "county": "DICKEY",
      "latitude": 46.1503806602698,
      "longitude": -98.0888942797768,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351316",
      "ccn": "351316",
      "name": "PRESENTATION MEDICAL CENTER",
      "address": "213 SECOND AVE NE",
      "city": "ROLLA",
      "state": "ND",
      "zip": "58367",
      "county": "ROLETTE",
      "latitude": 48.8626424101565,
      "longitude": -99.6155578396704,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.pmc-rolla.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESENTATION MEDICAL CENTER",
      "parentSystemId": "entity-presentation-medical-center",
      "siblingGroupId": "siblings-nd-presentation-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRESENTATION MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESENTATION MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRESENTATION MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESENTATION MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351318",
      "ccn": "351318",
      "name": "CARRINGTON HEALTH CENTER",
      "address": "800 4TH ST S",
      "city": "CARRINGTON",
      "state": "ND",
      "zip": "58421",
      "county": "FOSTER",
      "latitude": 47.4542295902614,
      "longitude": -99.1238200199057,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD H DEAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD H DEAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351319",
      "ccn": "351319",
      "name": "PEMBINA COUNTY MEMORIAL HOSPITAL",
      "address": "301 MOUNTAIN ST E",
      "city": "CAVALIER",
      "state": "ND",
      "zip": "58220",
      "county": "PEMBINA",
      "latitude": 48.7925460997186,
      "longitude": -97.6187169601806,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "www.cavalierhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cavalier-pembina-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-pembina-county-memorial-hospital-association",
      "siblingGroupId": "siblings-nd-pembina-county-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-pembina-county-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists LISA LETEXIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LISA LETEXIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "351320",
      "ccn": "351320",
      "name": "UNITY MEDICAL CENTER",
      "address": "164 W 13TH STREET",
      "city": "GRAFTON",
      "state": "ND",
      "zip": "58237",
      "county": "WALSH",
      "latitude": 48.4110027401767,
      "longitude": -97.4143313495578,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "website": "http://www.unitymedcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grafton-unity-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRISTIAN UNITY HOSPITAL CORPORATION",
      "parentSystemId": "entity-christian-unity-hospital-corporation",
      "siblingGroupId": "siblings-nd-christian-unity-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTIAN UNITY HOSPITAL CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN UNITY HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTIAN UNITY HOSPITAL CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRISTIAN UNITY HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351321",
      "ccn": "351321",
      "name": "SOUTH CENTRAL HEALTH",
      "address": "1007 4TH AVE S",
      "city": "WISHEK",
      "state": "ND",
      "zip": "58495",
      "county": "MCINTOSH",
      "latitude": 46.2554155000268,
      "longitude": -99.5516812799653,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "WISHEK HOSPITAL-CLINIC ASSOCIATION",
      "parentSystemId": "entity-wishek-hospital-clinic-association",
      "siblingGroupId": "siblings-nd-wishek-hospital-clinic-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: WISHEK HOSPITAL-CLINIC ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LUKAS FISCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WISHEK HOSPITAL-CLINIC ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WISHEK HOSPITAL-CLINIC ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LUKAS FISCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WISHEK HOSPITAL-CLINIC ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351322",
      "ccn": "351322",
      "name": "ASHLEY MEDICAL CENTER",
      "address": "612 CENTER AVENUE N",
      "city": "ASHLEY",
      "state": "ND",
      "zip": "58413",
      "county": "MCINTOSH",
      "latitude": 46.0400758701064,
      "longitude": -99.3724412101643,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "www.amctoday.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ashley-ashley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASHLEY MEDICAL CENTER",
      "parentSystemId": "entity-ashley-medical-center",
      "siblingGroupId": "siblings-nd-ashley-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-ashley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to ASHLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to ASHLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351323",
      "ccn": "351323",
      "name": "CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION",
      "address": "909 2ND ST",
      "city": "LANGDON",
      "state": "ND",
      "zip": "58249",
      "county": "CAVALIER",
      "latitude": 48.7619573097888,
      "longitude": -98.3660200803007,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "http://www.cavaliercountyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-langdon-cavalier-county-memorial-hospital-association/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-cavalier-county-memorial-hospital-association",
      "siblingGroupId": "siblings-nd-cavalier-county-memorial-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-cavalier-county-memorial-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "351324",
      "ccn": "351324",
      "name": "CHI MERCY HEALTH",
      "address": "570 CHAUTAUQUA BLVD",
      "city": "VALLEY CITY",
      "state": "ND",
      "zip": "58072",
      "county": "BARNES",
      "latitude": 46.9283883200948,
      "longitude": -97.9940384299633,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351325",
      "ccn": "351325",
      "name": "ST LUKE'S HOSPITAL",
      "address": "702 1ST ST SW",
      "city": "CROSBY",
      "state": "ND",
      "zip": "58730",
      "county": "DIVIDE",
      "latitude": 48.906692960165,
      "longitude": -103.299034689753,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.dcstlukes.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crosby-st-luke-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKES HOSPITAL",
      "parentSystemId": "entity-st-lukes-hospital",
      "siblingGroupId": "siblings-nd-st-lukes-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-st-lukes-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists JODY NELSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to ST LUKES HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JODY NELSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to ST LUKES HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351326",
      "ccn": "351326",
      "name": "FIRST CARE HEALTH CENTER",
      "address": "115 VIVIAN ST",
      "city": "PARK RIVER",
      "state": "ND",
      "zip": "58270",
      "county": "WALSH",
      "latitude": 48.3995775797445,
      "longitude": -97.7441437996361,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "website": "http://www.firstcarehc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-park-river-first-care-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "P R HEALTH CORPORATION",
      "parentSystemId": "entity-p-r-health-corporation",
      "siblingGroupId": "siblings-nd-p-r-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent P R HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent P R HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351328",
      "ccn": "351328",
      "name": "LINTON HOSPITAL - CAH",
      "address": "518 NORTH BROADWAY",
      "city": "LINTON",
      "state": "ND",
      "zip": "58552",
      "county": "EMMONS",
      "latitude": 46.2715575701977,
      "longitude": -100.233390390016,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "website": "http://www.lintonhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-linton-linton-hospital---cah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LINTON HOSPITAL",
      "parentSystemId": "entity-linton-hospital",
      "siblingGroupId": "siblings-nd-linton-hospital",
      "campusFamilyId": "campus-nd-351328",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-linton-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to LINTON HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINTON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to LINTON HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINTON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351328-loc-nd-linton-linton-hospital",
      "ccn": "351328",
      "name": "LINTON HOSPITAL",
      "address": "111 ELM AVE W",
      "city": "LINTON",
      "state": "ND",
      "zip": "58552",
      "county": "EMMONS",
      "latitude": 46.2716209998432,
      "longitude": -100.233464899879,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LINTON HOSPITAL",
      "parentSystemId": "entity-linton-hospital",
      "siblingGroupId": "siblings-nd-linton-hospital",
      "campusFamilyId": "campus-nd-351328",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-linton-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to LINTON HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINTON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to LINTON HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINTON HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "351328"
    },
    {
      "id": "351330",
      "ccn": "351330",
      "name": "WEST RIVER REGIONAL MEDICAL CENTER - CAH",
      "address": "1000 HIGHWAY 12",
      "city": "HETTINGER",
      "state": "ND",
      "zip": "58639",
      "county": "ADAMS",
      "latitude": 46.0018005902422,
      "longitude": -102.628574449878,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.wrhs.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hettinger-west-river-regional-medical-center-cah/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WEST RIVER HEALTH SERVICES",
      "parentSystemId": "entity-west-river-health-services",
      "siblingGroupId": "siblings-nd-west-river-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-west-river-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to WEST RIVER HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST RIVER HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to WEST RIVER HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST RIVER HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351331",
      "ccn": "351331",
      "name": "TOWNER COUNTY MEDICAL CENTER",
      "address": "HWY 281 N",
      "city": "CANDO",
      "state": "ND",
      "zip": "58324",
      "county": "TOWNER",
      "latitude": 48.4930219997289,
      "longitude": -99.2111361298765,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "tcmedcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cando-towner-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "TOWNER COUNTY MEDICAL CENTER INC",
      "parentSystemId": "entity-towner-county-medical-center-inc",
      "siblingGroupId": "siblings-nd-towner-county-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-towner-county-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists TAMMY LARSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to TOWNER COUNTY MEDICAL CENTER INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWNER COUNTY MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TAMMY LARSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to TOWNER COUNTY MEDICAL CENTER INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWNER COUNTY MEDICAL CENTER INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "351332",
      "ccn": "351332",
      "name": "HEART OF AMERICA MEDICAL CENTER",
      "address": "800 S MAIN AVE",
      "city": "RUGBY",
      "state": "ND",
      "zip": "58368",
      "county": "PIERCE",
      "latitude": 48.3634155699114,
      "longitude": -99.9972410803789,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "http://www.hamc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rugby-heart-of-america-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GOOD SAMARITAN HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-good-samaritan-hospital-association",
      "siblingGroupId": "siblings-nd-good-samaritan-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-good-samaritan-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS lists JOSALYNNE L HOFF RUE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to GOOD SAMARITAN HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOSALYNNE L HOFF RUE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to GOOD SAMARITAN HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SAMARITAN HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351333",
      "ccn": "351333",
      "name": "CHI ST ALEXIUS HEALTH DEVILS LAKE",
      "address": "1031 7TH ST NE",
      "city": "DEVILS LAKE",
      "state": "ND",
      "zip": "58301",
      "county": "RAMSEY",
      "latitude": 48.1157044301721,
      "longitude": -98.8492974499386,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-devil-s-lake-chi-st.-alexius-health-devils-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351334",
      "ccn": "351334",
      "name": "CHI ST ALEXIUS HEALTH WILLISTON",
      "address": "1301 15TH AVE W",
      "city": "WILLISTON",
      "state": "ND",
      "zip": "58801",
      "county": "WILLIAMS",
      "latitude": 48.1559507598258,
      "longitude": -103.646013699671,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 3,
      "website": "http://www.mercy-williston.org",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williston-chi-st-alexius-health-williston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351335",
      "ccn": "351335",
      "name": "JAMESTOWN REGIONAL MEDICAL CENTER",
      "address": "2422 20TH ST SW",
      "city": "JAMESTOWN",
      "state": "ND",
      "zip": "58401",
      "county": "STUTSMAN",
      "latitude": 46.8901314199956,
      "longitude": -98.7466275695919,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.jamestownhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jamestown-jamestown-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LUTHERAN CHARITY ASSOCIATION",
      "parentSystemId": "entity-lutheran-charity-association",
      "siblingGroupId": "siblings-nd-lutheran-charity-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "nd-parent-independent-north-dakota-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN CHARITY ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to Independent North Dakota nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUTHERAN CHARITY ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "351336",
      "ccn": "351336",
      "name": "CHI ST ALEXIUS HEALTH DICKINSON",
      "address": "2500 FAIRWAY STREET",
      "city": "DICKINSON",
      "state": "ND",
      "zip": "58601",
      "county": "STARK",
      "latitude": 46.8890758901613,
      "longitude": -102.820550360365,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dickinson-chi-st.-alexius-health-dickinson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-nd-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD H DEAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD H DEAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "354003",
      "ccn": "354003",
      "name": "NORTH DAKOTA STATE HOSPITAL",
      "address": "2605 CIRCLE DRIVE",
      "city": "JAMESTOWN",
      "state": "ND",
      "zip": "58401",
      "county": "STUTSMAN",
      "latitude": 46.8843327702628,
      "longitude": -98.6847485298037,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 140,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jamestown-north-dakota-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTH DAKOTA STATE HOSPITAL",
      "parentSystemId": "entity-north-dakota-state-hospital",
      "siblingGroupId": "siblings-nd-north-dakota-state-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-north-dakota-state-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH DAKOTA STATE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDUARDO P YABUT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to NORTH DAKOTA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH DAKOTA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH DAKOTA STATE HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDUARDO P YABUT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to NORTH DAKOTA STATE HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH DAKOTA STATE HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "354004",
      "ccn": "354004",
      "name": "PRAIRIE ST JOHNS",
      "address": "510 4TH STREET SOUTH",
      "city": "FARGO",
      "state": "ND",
      "zip": "58103",
      "county": "CASS",
      "latitude": 46.8691952099808,
      "longitude": -96.7850052602919,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 110,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fargo-prairie-saint-john-s/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-nd-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nd-parent-for-profit-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.nd.gov/health/regulation-licensure-and-certification/health-facilities-unit/hospitals-and-critical-access-hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. ND resolution: normalized CMS owner/operator to For-profit hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "360001",
      "ccn": "360001",
      "name": "MERCY HEALTH - ANDERSON HOSPITAL LLC",
      "address": "7500 STATE ROAD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45255",
      "county": "HAMILTON",
      "latitude": 39.0856855102417,
      "longitude": -84.3489029296509,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 298,
      "rating": 4,
      "website": "http://www.e-mercy.com",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH CINCINNATI LLC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-cincinnati-llc",
      "siblingGroupId": "siblings-oh-mercy-health-cincinnati-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CINCINNATI LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CINCINNATI LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CINCINNATI LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CINCINNATI LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360003",
      "ccn": "360003",
      "name": "UNIVERSITY OF CINCINNATI MEDICALCENTER, LLC",
      "address": "234 GOODMAN STREET",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45219",
      "county": "HAMILTON",
      "latitude": 39.1383576603439,
      "longitude": -84.5037161198406,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 677,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "UC HEALTH LLC",
      "parentSystemId": "entity-uc-health-llc",
      "siblingGroupId": "siblings-oh-uc-health-llc",
      "campusFamilyId": "campus-oh-360003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-uc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360003-loc-oh-cincinnati-university-of-cincinnati-medical-center-",
      "ccn": "360003",
      "name": "UNIVERSITY OF CINCINNATI MEDICAL CENTER LLC",
      "address": "3200 BURNET AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45229",
      "county": "HAMILTON",
      "latitude": 39.1369998001365,
      "longitude": -84.4993585999082,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 92,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "UC HEALTH LLC",
      "parentSystemId": "entity-uc-health-llc",
      "siblingGroupId": "siblings-oh-uc-health-llc",
      "campusFamilyId": "campus-oh-360003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-uc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "360003"
    },
    {
      "id": "360003-loc-oh-cincinnati-university-of-cincinnati-medical-center--2",
      "ccn": "360003",
      "name": "UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC",
      "address": "3188 BELLEVUE AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45219",
      "county": "HAMILTON",
      "latitude": 39.1371848977978,
      "longitude": -84.5028537308797,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 302,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "UC HEALTH LLC",
      "parentSystemId": "entity-uc-health-llc",
      "siblingGroupId": "siblings-oh-uc-health-llc",
      "campusFamilyId": "campus-oh-360003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-uc-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uchealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UC HEALTH LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to UC Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UC HEALTH LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "360003"
    },
    {
      "id": "360006",
      "ccn": "360006",
      "name": "RIVERSIDE METHODIST HOSPITAL",
      "address": "3535 OLENTANGY RIVER ROAD",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43214",
      "county": "FRANKLIN",
      "latitude": 40.0305679900078,
      "longitude": -83.0340170901907,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1173,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-riverside-methodist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360008",
      "ccn": "360008",
      "name": "SOUTHERN OHIO MEDICAL CENTER",
      "address": "1805 27TH STREET",
      "city": "PORTSMOUTH",
      "state": "OH",
      "zip": "45662",
      "county": "SCIOTO",
      "latitude": 38.7533184603398,
      "longitude": -82.9777097395611,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 436,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portsmouth-southern-ohio-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHERN OHIO MEDICAL CENTER",
      "parentSystemId": "entity-southern-ohio-medical-center",
      "siblingGroupId": "siblings-oh-southern-ohio-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-southern-ohio-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SOUTHERN OHIO MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN OHIO MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SOUTHERN OHIO MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHERN OHIO MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360010",
      "ccn": "360010",
      "name": "UNION HOSPITAL ASSOC.",
      "address": "659 BOULEVARD ST",
      "city": "DOVER",
      "state": "OH",
      "zip": "44622",
      "county": "TUSCARAWAS",
      "latitude": 40.5143678497886,
      "longitude": -81.4558540502047,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 126,
      "rating": 3,
      "website": "http://www.unionhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360011",
      "ccn": "360011",
      "name": "MARION GENERAL HOSPITAL",
      "address": "1000 MCKINLEY PARK DRIVE",
      "city": "MARION",
      "state": "OH",
      "zip": "43302",
      "county": "MARION",
      "latitude": 40.5713431601503,
      "longitude": -83.1287277497964,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 276,
      "rating": 4,
      "website": "http://www.ohiohealth.com/mariongeneral",
      "status": "corporate_chain",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "affiliatedSystem": "Ohiohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ohiohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-marion-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360012",
      "ccn": "360012",
      "name": "MOUNT CARMEL ST. ANN'S",
      "address": "500 S CLEVELAND AVENUE",
      "city": "WESTERVILLE",
      "state": "OH",
      "zip": "43081",
      "county": "FRANKLIN",
      "latitude": 40.1148098298583,
      "longitude": -82.9467049103492,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 392,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-oh-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360013",
      "ccn": "360013",
      "name": "WILSON MEMORIAL HOSPITAL",
      "address": "915 W MICHIGAN STREET",
      "city": "SIDNEY",
      "state": "OH",
      "zip": "45365",
      "county": "SHELBY",
      "latitude": 40.2868543801716,
      "longitude": -84.1701744000985,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.",
      "parentSystemId": "entity-shelby-county-memorial-hospital-association-inc",
      "siblingGroupId": "siblings-oh-shelby-county-memorial-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-shelby-county-memorial-hospital-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "360016",
      "ccn": "360016",
      "name": "JEWISH HOSPITAL",
      "address": "4777 E GALBRAITH ROAD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45236",
      "county": "HAMILTON",
      "latitude": 39.2059509797479,
      "longitude": -84.3809416496862,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 209,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-jewish-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360017",
      "ccn": "360017",
      "name": "GRANT MEDICAL CENTER",
      "address": "111 SOUTH GRANT AVENUE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43215",
      "county": "FRANKLIN",
      "latitude": 39.9609732803143,
      "longitude": -82.9910019796662,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 663,
      "rating": 2,
      "website": "http://www.ohiohealth.com",
      "status": "corporate_chain",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "affiliatedSystem": "Ohiohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ohiohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-grant-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360020",
      "ccn": "360020",
      "name": "SUMMA HEALTH SYSTEM AKRON CITY HOSPITAL",
      "address": "525 E MARKET STREET",
      "city": "AKRON",
      "state": "OH",
      "zip": "44304",
      "county": "SUMMIT",
      "latitude": 41.081126190152,
      "longitude": -81.4998187096289,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 649,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SUMMA HEALTH",
      "parentSystemId": "entity-summa-health",
      "siblingGroupId": "siblings-oh-summa-health",
      "campusFamilyId": "campus-oh-360020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-summa-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.summahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUMMA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANN KISER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Summa Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SUMMA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANN KISER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Summa Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360020-loc-oh-akron-summa-health-system-st-thomas-hospital",
      "ccn": "360020",
      "name": "SUMMA HEALTH SYSTEM ST. THOMAS HOSPITAL",
      "address": "444 NORTH MAIN STREET",
      "city": "AKRON",
      "state": "OH",
      "zip": "44310",
      "county": "SUMMIT",
      "latitude": 41.0976343903082,
      "longitude": -81.5140733104063,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 83,
      "rating": 3,
      "website": "http://www.summahealth.org/locations/hospitals/stthomas",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SUMMA HEALTH",
      "parentSystemId": "entity-summa-health",
      "siblingGroupId": "siblings-oh-summa-health",
      "campusFamilyId": "campus-oh-360020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-summa-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.summahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUMMA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANN KISER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Summa Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SUMMA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANN KISER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Summa Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "360020"
    },
    {
      "id": "360025",
      "ccn": "360025",
      "name": "FIRELANDS REGIONAL MEDICAL CENTER",
      "address": "1111 HAYES AVENUE",
      "city": "SANDUSKY",
      "state": "OH",
      "zip": "44870",
      "county": "ERIE",
      "latitude": 41.4458922602671,
      "longitude": -82.7101969195887,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 283,
      "rating": 4,
      "website": "http://www.firelands.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sandusky-firelands-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FIRELANDS REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-firelands-regional-medical-center",
      "siblingGroupId": "siblings-oh-firelands-regional-medical-center",
      "campusFamilyId": "campus-oh-360025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-firelands-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists JEREMY L NORMINGTON-SLAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FIRELANDS REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRELANDS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEREMY L NORMINGTON-SLAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FIRELANDS REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRELANDS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360027",
      "ccn": "360027",
      "name": "AKRON GENERAL MEDICAL CENTER",
      "address": "1 AKRON GENERAL AVENUE",
      "city": "AKRON",
      "state": "OH",
      "zip": "44307",
      "county": "SUMMIT",
      "latitude": 41.0781231697713,
      "longitude": -81.5313967699933,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 541,
      "rating": 5,
      "website": "http://www.akrongeneral.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-akron-akron-general-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AKRON GENERAL HEALTH SYSTEM",
      "parentSystemId": "entity-akron-general-health-system",
      "siblingGroupId": "siblings-oh-akron-general-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: AKRON GENERAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AKRON GENERAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AKRON GENERAL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AKRON GENERAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360029",
      "ccn": "360029",
      "name": "WOOD COUNTY HOSPITAL",
      "address": "950 WEST WOOSTER STREET",
      "city": "BOWLING GREEN",
      "state": "OH",
      "zip": "43402",
      "county": "WOOD",
      "latitude": 41.3757190301858,
      "longitude": -83.6658571300505,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 196,
      "rating": 4,
      "website": "http://www.woodcountyhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bowling-green-wood-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WOOD COUNTY HOSPITAL ASSN.",
      "parentSystemId": "entity-wood-county-hospital-assn",
      "siblingGroupId": "siblings-oh-wood-county-hospital-assn",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-wood-county-hospital-assn"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WOOD COUNTY HOSPITAL ASSN.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOOD COUNTY HOSPITAL ASSN., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WOOD COUNTY HOSPITAL ASSN.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WOOD COUNTY HOSPITAL ASSN., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "360035",
      "ccn": "360035",
      "name": "MOUNT CARMEL EAST",
      "address": "6001 EAST BROAD STREET",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43213",
      "county": "FRANKLIN",
      "latitude": 39.9769193301346,
      "longitude": -82.8433078303053,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 483,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-oh-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN PIERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN PIERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360036",
      "ccn": "360036",
      "name": "WOOSTER COMMUNITY HOSPITAL",
      "address": "1761 BEALL AVENUE",
      "city": "WOOSTER",
      "state": "OH",
      "zip": "44691",
      "county": "WAYNE",
      "latitude": 40.8208874699352,
      "longitude": -81.9321614697065,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 151,
      "rating": 4,
      "website": "http://www.woosterhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wooster-wooster-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF WOOSTER",
      "parentSystemId": "entity-city-of-wooster",
      "siblingGroupId": "siblings-oh-city-of-wooster",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-city-of-wooster"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF WOOSTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CITY OF WOOSTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF WOOSTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF WOOSTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CITY OF WOOSTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF WOOSTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "36003F",
      "ccn": "36003F",
      "name": "CINCINNATI VA MEDICAL CENTER",
      "address": "3200 VINE STREET",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45220",
      "county": "HAMILTON",
      "latitude": 39.1394136402291,
      "longitude": -84.5081945503153,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 268,
      "rating": 4,
      "website": "https://www.cincinnati.va.gov/locations/cincinnati_va_medical_center.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-cincinnati-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-oh-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "360040",
      "ccn": "360040",
      "name": "KNOX COMMUNITY HOSPITAL",
      "address": "1330 COSHOCTON AVENUE",
      "city": "MOUNT VERNON",
      "state": "OH",
      "zip": "43050",
      "county": "KNOX",
      "latitude": 40.399716169758,
      "longitude": -82.448537520211,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 117,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-vernon-knox-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KNOX COMMUNITY HOSPITAL",
      "parentSystemId": "entity-knox-community-hospital",
      "siblingGroupId": "siblings-oh-knox-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-knox-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUORUM HEALTH RESOURCES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KNOX COMMUNITY HOSPITAL, ownership class for_profit_private. Excluded QUORUM HEALTH RESOURCES LLC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QUORUM HEALTH RESOURCES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KNOX COMMUNITY HOSPITAL, ownership class for_profit_private. Excluded QUORUM HEALTH RESOURCES LLC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "360041",
      "ccn": "360041",
      "name": "PARMA COMMUNITY GENERAL HOSP",
      "address": "7007 POWERS BLVD",
      "city": "PARMA",
      "state": "OH",
      "zip": "44129",
      "county": "CUYAHOGA",
      "latitude": 41.3821198400718,
      "longitude": -81.731394679985,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 287,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parma-parma-community-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-parma-community-general-hospital-association",
      "siblingGroupId": "siblings-oh-parma-community-general-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-parma-community-general-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360046",
      "ccn": "360046",
      "name": "MCCULLOUGH - HYDE MEMORIAL HOSP",
      "address": "110 N POPLAR STREET",
      "city": "OXFORD",
      "state": "OH",
      "zip": "45056",
      "county": "BUTLER",
      "latitude": 39.5125961600343,
      "longitude": -84.7415369597613,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oxford-mccullough-hyde-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TriHealth",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trihealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360048",
      "ccn": "360048",
      "name": "UNIVERSITY OF TOLEDO MEDICAL CENTER",
      "address": "3000 ARLINGTON AVENUE",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43614",
      "county": "LUCAS",
      "latitude": 41.6187672402346,
      "longitude": -83.6160326396538,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 319,
      "rating": 3,
      "website": "http://www.utoledo.edu",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-toledo-university-of-toledo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY OF OHIO AT TOLEDO",
      "parentSystemId": "entity-medical-university-of-ohio-at-toledo",
      "siblingGroupId": "siblings-oh-medical-university-of-ohio-at-toledo",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-medical-university-of-ohio-at-toledo"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists TROY HOLMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MEDICAL UNIVERSITY OF OHIO AT TOLEDO; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY OF OHIO AT TOLEDO, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TROY HOLMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MEDICAL UNIVERSITY OF OHIO AT TOLEDO; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY OF OHIO AT TOLEDO, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "360051",
      "ccn": "360051",
      "name": "MIAMI VALLEY HOSPITAL",
      "address": "1 WYOMING STREET",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45409",
      "county": "MONTGOMERY",
      "latitude": 39.7448931997603,
      "longitude": -84.1859086096922,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 948,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-miami-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PREMIER HEALTH PARTNERS",
      "parentSystemId": "entity-premier-health-partners",
      "siblingGroupId": "siblings-oh-premier-health-partners",
      "campusFamilyId": "campus-oh-360051",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-premier-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.premierhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360051-loc-oh-dayton-miami-valley-hospital-north",
      "ccn": "360051",
      "name": "MIAMI VALLEY HOSPITAL NORTH",
      "address": "9000 NORTH MAIN STREET",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45415",
      "county": "MONTGOMERY",
      "latitude": 39.854862180254,
      "longitude": -84.2722752300521,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PREMIER HEALTH PARTNERS",
      "parentSystemId": "entity-premier-health-partners",
      "siblingGroupId": "siblings-oh-premier-health-partners",
      "campusFamilyId": "campus-oh-360051",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-premier-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.premierhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "360051"
    },
    {
      "id": "360054",
      "ccn": "360054",
      "name": "HOLZER MEDICAL CENTER",
      "address": "100 JACKSON PIKE",
      "city": "GALLIPOLIS",
      "state": "OH",
      "zip": "45631",
      "county": "GALLIA",
      "latitude": 38.8464731400719,
      "longitude": -82.2375402902325,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 287,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gallipolis-holzer-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLZER HEALTH SYSTEM",
      "parentSystemId": "entity-holzer-health-system",
      "siblingGroupId": "siblings-oh-holzer-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-holzer-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.holzer.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLZER HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Holzer Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLZER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLZER HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Holzer Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLZER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360056",
      "ccn": "360056",
      "name": "MERCY HEALTH - FAIRFIELD HOSPITAL, LLC",
      "address": "3000 MACK ROAD",
      "city": "FAIRFIELD",
      "state": "OH",
      "zip": "45014",
      "county": "BUTLER",
      "latitude": 39.3126991602992,
      "longitude": -84.5177957395804,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 265,
      "rating": 3,
      "website": "http://www.e-mercy.com",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH CINCINNATI LLC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-cincinnati-llc",
      "siblingGroupId": "siblings-oh-mercy-health-cincinnati-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CINCINNATI LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CINCINNATI LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CINCINNATI LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CINCINNATI LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360064",
      "ccn": "360064",
      "name": "MERCY HEALTH ST. ELIZABETH YOUNGSTOWN HOSPITAL",
      "address": "1044 BELMONT AVENUE",
      "city": "YOUNGSTOWN",
      "state": "OH",
      "zip": "44501",
      "county": "MAHONING",
      "latitude": 41.114014999721,
      "longitude": -80.6573145503693,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 520,
      "rating": 3,
      "website": "http://www.hmpartners.org",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "campusFamilyId": "campus-oh-360064",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360066",
      "ccn": "360066",
      "name": "MERCY HEALTH - ST. RITA'S MEDICAL CENTER, LLC",
      "address": "730 W MARKET STREET",
      "city": "LIMA",
      "state": "OH",
      "zip": "45801",
      "county": "ALLEN",
      "latitude": 40.7409713899701,
      "longitude": -84.1174794402294,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 397,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360068",
      "ccn": "360068",
      "name": "TOLEDO HOSPITAL",
      "address": "2142 NORTH COVE BLVD",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43606",
      "county": "LUCAS",
      "latitude": 41.6723495602088,
      "longitude": -83.5952583899377,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 816,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROMEDICA HEALTH SYSTEM INC",
      "parentSystemId": "entity-promedica-health-system-inc",
      "siblingGroupId": "siblings-oh-promedica-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-promedica"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.promedica.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEVIN SHARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEVIN SHARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360070",
      "ccn": "360070",
      "name": "CLEVELAND CLINIC MERCY MEDICAL CENTER",
      "address": "1320 MERCY DRIVE NW",
      "city": "CANTON",
      "state": "OH",
      "zip": "44708",
      "county": "STARK",
      "latitude": 40.812157910031,
      "longitude": -81.3948754600978,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 446,
      "rating": 3,
      "website": "http://www.cantonmercy.org",
      "status": "corporate_chain",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360071",
      "ccn": "360071",
      "name": "VAN WERT COUNTY HOSPITAL",
      "address": "1250 SOUTH WASHINGTON STREET",
      "city": "VAN WERT",
      "state": "OH",
      "zip": "45891",
      "county": "VAN WERT",
      "latitude": 40.8506429001082,
      "longitude": -84.5787606797867,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360072",
      "ccn": "360072",
      "name": "FAIRFIELD MEDICAL CENTER",
      "address": "401 NORTH EWING STREET",
      "city": "LANCASTER",
      "state": "OH",
      "zip": "43130",
      "county": "FAIRFIELD",
      "latitude": 39.7175512498345,
      "longitude": -82.5774566097409,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 245,
      "rating": 2,
      "website": "http://www.fmchealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-fairfield-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FAIRFIELD MEDICAL CENTER",
      "parentSystemId": "entity-fairfield-medical-center",
      "siblingGroupId": "siblings-oh-fairfield-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-fairfield-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FAIRFIELD MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRFIELD MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FAIRFIELD MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRFIELD MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360076",
      "ccn": "360076",
      "name": "ATRIUM MEDICAL CENTER",
      "address": "1 MEDICAL CENTER DRIVE",
      "city": "FRANKLIN",
      "state": "OH",
      "zip": "45005",
      "county": "WARREN",
      "latitude": 39.498340500045,
      "longitude": -84.3142513904415,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 313,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-atrium-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PREMIER HEALTH PARTNERS",
      "parentSystemId": "entity-premier-health-partners",
      "siblingGroupId": "siblings-oh-premier-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-premier-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.premierhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360077",
      "ccn": "360077",
      "name": "FAIRVIEW HOSPITAL",
      "address": "18101 LORAIN AVENUE",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44111",
      "county": "CUYAHOGA",
      "latitude": 41.4505420800898,
      "longitude": -81.8234252797209,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 540,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-fairview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360078",
      "ccn": "360078",
      "name": "UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER",
      "address": "6847 N CHESTNUT STREET",
      "city": "RAVENNA",
      "state": "OH",
      "zip": "44266",
      "county": "PORTAGE",
      "latitude": 41.1760954001989,
      "longitude": -81.2493096999193,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 267,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "36007F",
      "ccn": "36007F",
      "name": "DAYTON VA MEDICAL CENTER",
      "address": "4100 WEST THIRD STREET",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45428",
      "county": "MONTGOMERY",
      "latitude": 39.7426566799118,
      "longitude": -84.2645845597669,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 460,
      "rating": 5,
      "website": "https://www.dayton.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-dayton-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-oh-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "360082",
      "ccn": "360082",
      "name": "EUCLID HOSPITAL",
      "address": "18901 LAKESHORE BLVD",
      "city": "EUCLID",
      "state": "OH",
      "zip": "44119",
      "county": "CUYAHOGA",
      "latitude": 41.5988940499531,
      "longitude": -81.5487775196375,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 168,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-euclid-euclid-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360084",
      "ccn": "360084",
      "name": "AULTMAN HOSPITAL",
      "address": "2600 SIXTH STREET SW",
      "city": "CANTON",
      "state": "OH",
      "zip": "44710",
      "county": "STARK",
      "latitude": 40.7973191499206,
      "longitude": -81.4030622196086,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 820,
      "rating": 4,
      "website": "http://www.aultman.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canton-aultman-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AULTMAN HEALTH FOUNDATION",
      "parentSystemId": "entity-aultman-health-foundation",
      "siblingGroupId": "siblings-oh-aultman-health-foundation",
      "campusFamilyId": "campus-oh-360084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-aultman-health-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://aultman.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360086",
      "ccn": "360086",
      "name": "MERCY HEALTH SPRINGFIELD REGIONAL MEDICAL CENTER",
      "address": "100 MEDICAL CENTER DRIVE",
      "city": "SPRINGFIELD",
      "state": "OH",
      "zip": "45504",
      "county": "CLARK",
      "latitude": 39.9287354802281,
      "longitude": -83.8164079103368,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 647,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "COMMUNITY MERCY HEALTH SYSTEM",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-community-mercy-health-system",
      "siblingGroupId": "siblings-oh-community-mercy-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360087",
      "ccn": "360087",
      "name": "LUTHERAN HOSPITAL",
      "address": "1730 WEST 25TH STREET",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44113",
      "county": "CUYAHOGA",
      "latitude": 41.4876333802744,
      "longitude": -81.707262889758,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 203,
      "rating": 3,
      "website": "http://www.lutheranhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-lutheran-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360089",
      "ccn": "360089",
      "name": "MERCY HEALTH TIFFIN HOSPITAL",
      "address": "45 ST LAWRENCE DRIVE",
      "city": "TIFFIN",
      "state": "OH",
      "zip": "44883",
      "county": "SENECA",
      "latitude": 41.1037670199629,
      "longitude": -83.2162628097446,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 120,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360096",
      "ccn": "360096",
      "name": "EAST LIVERPOOL CITY HOSPITAL",
      "address": "425 WEST FIFTH STREET",
      "city": "EAST LIVERPOOL",
      "state": "OH",
      "zip": "43920",
      "county": "COLUMBIANA",
      "latitude": 40.6218555199503,
      "longitude": -80.5859704699804,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 130,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-liverpool-east-liverpool-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-oh-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "360098",
      "ccn": "360098",
      "name": "LAKE HEALTH TRIPOINT MEDICAL CENTER",
      "address": "7590 AUBURN ROAD",
      "city": "CONCORD",
      "state": "OH",
      "zip": "44077",
      "county": "LAKE",
      "latitude": 41.6626096403218,
      "longitude": -81.2470807802734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 144,
      "rating": 3,
      "website": "http://www.lakehealth.org/locations/tripoint-medical-center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "campusFamilyId": "campus-oh-360098",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360098-loc-oh-concord-lake-health-continuing-care-campus",
      "ccn": "360098",
      "name": "LAKE HEALTH CONTINUING CARE CAMPUS",
      "address": "10977 CAPITAL PARKWAY",
      "city": "CONCORD",
      "state": "OH",
      "zip": "44077",
      "county": "LAKE",
      "latitude": 41.6587491002328,
      "longitude": -81.2474376396133,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "campusFamilyId": "campus-oh-360098",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "360098"
    },
    {
      "id": "360107",
      "ccn": "360107",
      "name": "BELLEVUE HOSPITAL",
      "address": "1400 W MAIN STREET",
      "city": "BELLEVUE",
      "state": "OH",
      "zip": "44811",
      "county": "SANDUSKY",
      "latitude": 41.2879620497155,
      "longitude": -82.8816048003114,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 59,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bellevue-bellevue-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FIRELANDS REGIONAL HEALTH SYSTEM",
      "parentSystemId": "entity-firelands-regional-health-system",
      "siblingGroupId": "siblings-oh-firelands-regional-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-firelands-regional-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: FIRELANDS REGIONAL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FIRELANDS REGIONAL HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRELANDS REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FIRELANDS REGIONAL HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FIRELANDS REGIONAL HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FIRELANDS REGIONAL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360109",
      "ccn": "360109",
      "name": "COSHOCTON REGIONAL MEDICAL CENTER",
      "address": "1460 ORANGE STREET",
      "city": "COSHOCTON",
      "state": "OH",
      "zip": "43812",
      "county": "COSHOCTON",
      "latitude": 40.2708463800976,
      "longitude": -81.8477636698868,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 56,
      "rating": 4,
      "website": "http://www.ccmh.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-oh-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "360121",
      "ccn": "360121",
      "name": "COMMUNITY HOSPITALS AND WELLNESS CENTERS - BRYAN",
      "address": "433 W HIGH STREET",
      "city": "BRYAN",
      "state": "OH",
      "zip": "43506",
      "county": "WILLIAMS",
      "latitude": 41.4740969100218,
      "longitude": -84.5566941604153,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 98,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bryan-community-hospitals-and-wellness-centers-bryan/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Parkview Health",
      "parentSystemId": "entity-parkview-health",
      "siblingGroupId": "siblings-oh-parkview-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-parkview-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.parkview.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Parkview Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKVIEW HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Parkview Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Parkview Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360123",
      "ccn": "360123",
      "name": "UH ST. JOHN MEDICAL CENTER",
      "address": "29000 CENTER RIDGE ROAD",
      "city": "WESTLAKE",
      "state": "OH",
      "zip": "44145",
      "county": "CUYAHOGA",
      "latitude": 41.435851920122,
      "longitude": -81.9437479896485,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 143,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360131",
      "ccn": "360131",
      "name": "ALLIANCE COMMUNITY HOSPITAL",
      "address": "200 E STATE STREET",
      "city": "ALLIANCE",
      "state": "OH",
      "zip": "44601",
      "county": "STARK",
      "latitude": 40.9025826298068,
      "longitude": -81.1027129199331,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 124,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alliance-alliance-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AULTMAN HEALTH FOUNDATION",
      "parentSystemId": "entity-aultman-health-foundation",
      "siblingGroupId": "siblings-oh-aultman-health-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-aultman-health-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://aultman.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360134",
      "ccn": "360134",
      "name": "GOOD SAMARITAN HOSPITAL",
      "address": "375 DIXMYTH AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45220",
      "county": "HAMILTON",
      "latitude": 39.1399333400023,
      "longitude": -84.5222844000696,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 632,
      "rating": 4,
      "website": "http://www.trihealth.com",
      "status": "signal",
      "parentSystem": "TriHealth",
      "affiliatedSystem": "Trihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Trihealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-good-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "campusFamilyId": "campus-oh-360134",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trihealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK C CLEMENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK C CLEMENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360134-loc-oh-cincinnati-trihealth-good-samaritan-hospital-at-eve",
      "ccn": "360134",
      "name": "TRIHEALTH GOOD SAMARITAN HOSPITAL AT EVENDALE",
      "address": "3155 GLENDALE-MILFORD ROAD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45241",
      "county": "HAMILTON",
      "latitude": 39.2514891400132,
      "longitude": -84.4204123602392,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 29,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "TriHealth",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "campusFamilyId": "campus-oh-360134",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trihealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK C CLEMENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK C CLEMENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "360134"
    },
    {
      "id": "360143",
      "ccn": "360143",
      "name": "MARYMOUNT HOSPITAL",
      "address": "12300 MCCRACKEN ROAD",
      "city": "GARFIELD HEIGHTS",
      "state": "OH",
      "zip": "44125",
      "county": "CUYAHOGA",
      "latitude": 41.4211639697611,
      "longitude": -81.5980290196303,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 269,
      "rating": 5,
      "website": "http://www.marymount.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-garfield-heights-marymount-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360147",
      "ccn": "360147",
      "name": "MARIETTA MEMORIAL HOSPITAL",
      "address": "401 MATTHEW STREET",
      "city": "MARIETTA",
      "state": "OH",
      "zip": "45750",
      "county": "WASHINGTON",
      "latitude": 39.4317010696954,
      "longitude": -81.4641639301135,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 221,
      "rating": 3,
      "website": "http://www.mmhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marietta-marietta-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARIETTA MEMORIAL HOSPITAL",
      "parentSystemId": "entity-marietta-memorial-hospital",
      "siblingGroupId": "siblings-oh-marietta-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-marietta-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MARIETTA MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIETTA MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MARIETTA MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIETTA MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360148",
      "ccn": "360148",
      "name": "POMERENE HOSPITAL",
      "address": "981 WOOSTER ROAD",
      "city": "MILLERSBURG",
      "state": "OH",
      "zip": "44654",
      "county": "HOLMES",
      "latitude": 40.5650945401355,
      "longitude": -81.9199067298557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 71,
      "rating": 3,
      "website": "http://www.pomerenehospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-millersburg-pomerene-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "POMERENE HOSPITAL",
      "parentSystemId": "entity-pomerene-hospital",
      "siblingGroupId": "siblings-oh-pomerene-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-pomerene-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists TIA CERNAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to POMERENE HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POMERENE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TIA CERNAVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to POMERENE HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POMERENE HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360150",
      "ccn": "360150",
      "name": "WESTERN RESERVE HOSPITAL, LLC",
      "address": "1900 23RD STREET",
      "city": "CUYAHOGA FALLS",
      "state": "OH",
      "zip": "44223",
      "county": "SUMMIT",
      "latitude": 41.1329909700322,
      "longitude": -81.511095849787,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 245,
      "rating": 3,
      "website": "http://www.westernreservehospital.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WESTERN RESERVE HOSPITAL PARTNERS LLC",
      "parentSystemId": "entity-western-reserve-hospital-partners-llc",
      "siblingGroupId": "siblings-oh-western-reserve-hospital-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: WESTERN RESERVE HOSPITAL PARTNERS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists ROBERT A KENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTERN RESERVE HOSPITAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WESTERN RESERVE HOSPITAL PARTNERS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS lists ROBERT A KENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTERN RESERVE HOSPITAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "360152",
      "ccn": "360152",
      "name": "DOCTORS HOSPITAL WEST",
      "address": "5100 WEST BROAD STREET",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43228",
      "county": "FRANKLIN",
      "latitude": 39.9525251796558,
      "longitude": -83.1378653499843,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 251,
      "rating": 4,
      "website": "https://www.ohiohealth.com/doctors/",
      "status": "corporate_chain",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "affiliatedSystem": "Ohiohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ohiohealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360156",
      "ccn": "360156",
      "name": "MEMORIAL HOSPITAL",
      "address": "715 S TAFT AVENUE",
      "city": "FREMONT",
      "state": "OH",
      "zip": "43420",
      "county": "SANDUSKY",
      "latitude": 41.3392371101241,
      "longitude": -83.1347795399654,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 43,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HOSPITAL",
      "parentSystemId": "entity-memorial-hospital-oh-fremont-360156",
      "siblingGroupId": "siblings-oh-memorial-hospital-oh-fremont-360156",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHRISTINA STANSFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360159",
      "ccn": "360159",
      "name": "ADENA REGIONAL MEDICAL CENTER",
      "address": "272 HOSPITAL ROAD",
      "city": "CHILLICOTHE",
      "state": "OH",
      "zip": "45601",
      "county": "ROSS",
      "latitude": 39.3964977697289,
      "longitude": -82.9676161100269,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 266,
      "rating": 3,
      "website": "http://www.adena.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chillicothe-adena-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adena Health System",
      "parentSystemId": "entity-adena-health-system",
      "siblingGroupId": "siblings-oh-adena-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-adena-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360163",
      "ccn": "360163",
      "name": "CHRIST HOSPITAL",
      "address": "2139 AUBURN AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45219",
      "county": "HAMILTON",
      "latitude": 39.1209305898996,
      "longitude": -84.5109069701966,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 621,
      "rating": 5,
      "website": "http://www.thechristhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-christ-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHRIST HOSPITAL",
      "parentSystemId": "entity-christ-hospital",
      "siblingGroupId": "siblings-oh-christ-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-christ-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CHRIST HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to CHRIST HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHRIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360170",
      "ccn": "360170",
      "name": "OHIOHEALTH BERGER HOSPITAL",
      "address": "600 NORTH PICKAWAY STREET",
      "city": "CIRCLEVILLE",
      "state": "OH",
      "zip": "43113",
      "county": "PICKAWAY",
      "latitude": 39.6103389001647,
      "longitude": -82.936211759584,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 82,
      "rating": 3,
      "website": "https://www.ohiohealth.com/locations/hospitals/berger-hospital/",
      "status": "signal",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "affiliatedSystem": "Ohiohealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ohiohealth",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ohiohealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ohiohealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360174",
      "ccn": "360174",
      "name": "UPPER VALLEY MEDICAL CENTER",
      "address": "3130 N DIXIE HIGHWAY",
      "city": "TROY",
      "state": "OH",
      "zip": "45373",
      "county": "MIAMI",
      "latitude": 40.0858744296939,
      "longitude": -84.2299279998734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 184,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-troy-upper-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PREMIER HEALTH PARTNERS",
      "parentSystemId": "entity-premier-health-partners",
      "siblingGroupId": "siblings-oh-premier-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-premier-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.premierhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PREMIER HEALTH PARTNERS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Premier Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PREMIER HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360175",
      "ccn": "360175",
      "name": "CLINTON MEMORIAL HOSPITAL",
      "address": "610 WEST MAIN STREET",
      "city": "WILMINGTON",
      "state": "OH",
      "zip": "45177",
      "county": "CLINTON",
      "latitude": 39.4438513198711,
      "longitude": -83.8400209603182,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 165,
      "rating": 2,
      "website": "http://www.cmhregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "TriHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "May 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilmington-clinton-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "campusFamilyId": "campus-oh-360175",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trihealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIHEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIHEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360179",
      "ccn": "360179",
      "name": "BETHESDA NORTH HOSPITAL",
      "address": "10500 MONTGOMERY ROAD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45242",
      "county": "HAMILTON",
      "latitude": 39.2519799498034,
      "longitude": -84.3417846901193,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 528,
      "rating": 3,
      "website": "http://www.trihealth.com/hospitals-and-practices/bethesda-north-hospital/",
      "status": "corporate_chain",
      "parentSystem": "TriHealth",
      "affiliatedSystem": "Trihealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Trihealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trihealth",
      "siblingGroupId": "siblings-oh-trihealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trihealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trihealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Trihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trihealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRIHEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Trihealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Trihealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to TriHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRIHEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360180",
      "ccn": "360180",
      "name": "CLEVELAND CLINIC FOUNDATION",
      "address": "9500 EUCLID AVENUE",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44195",
      "county": "CUYAHOGA",
      "latitude": 41.5027509596967,
      "longitude": -81.6207926702896,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1294,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "campusFamilyId": "campus-oh-360180",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360180-loc-oh-cleveland-cleveland-clinic-child-hosp-for-reh",
      "ccn": "360180",
      "name": "CLEVELAND CLINIC CHILD HOSP FOR REH",
      "address": "2801 MARTIN LUTHER KING JR DRIVE",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44104",
      "county": "CUYAHOGA",
      "latitude": 41.4830567502586,
      "longitude": -81.6077799302054,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "campusFamilyId": "campus-oh-360180",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "360180"
    },
    {
      "id": "360197",
      "ccn": "360197",
      "name": "MARY RUTAN HOSPITAL",
      "address": "205 PALMER AVENUE",
      "city": "BELLEFONTAINE",
      "state": "OH",
      "zip": "43311",
      "county": "LOGAN",
      "latitude": 40.3695417696977,
      "longitude": -83.75553126015,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 116,
      "rating": 4,
      "website": "http://www.maryrutan.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bellefontaine-mary-rutan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARY RUTAN HEALTH ASSOCIATION",
      "parentSystemId": "entity-mary-rutan-health-association",
      "siblingGroupId": "siblings-oh-mary-rutan-health-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-mary-rutan-health-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARY RUTAN HEALTH ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MARY RUTAN HEALTH ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY RUTAN HEALTH ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARY RUTAN HEALTH ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to MARY RUTAN HEALTH ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARY RUTAN HEALTH ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360210",
      "ccn": "360210",
      "name": "GRADY MEMORIAL HOSPITAL",
      "address": "561 W CENTRAL AVENUE",
      "city": "DELAWARE",
      "state": "OH",
      "zip": "43015",
      "county": "DELAWARE",
      "latitude": 40.3055140202912,
      "longitude": -83.0892528602807,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 152,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-delaware-grady-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360218",
      "ccn": "360218",
      "name": "LICKING MEMORIAL HOSPITAL",
      "address": "1320 WEST MAIN STREET",
      "city": "NEWARK",
      "state": "OH",
      "zip": "43055",
      "county": "LICKING",
      "latitude": 40.0483019297221,
      "longitude": -82.4506352301299,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 213,
      "rating": 2,
      "website": "http://www.lmhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newark-licking-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LICKING MEMORIAL HOSPITAL",
      "parentSystemId": "entity-licking-memorial-hospital",
      "siblingGroupId": "siblings-oh-licking-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-licking-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists ROBERT MONTAGNESE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to LICKING MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LICKING MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROBERT MONTAGNESE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to LICKING MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LICKING MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360234",
      "ccn": "360234",
      "name": "MERCY HEALTH - WEST HOSPITAL",
      "address": "3300 MERCY HEALTH BOULEVARD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45211",
      "county": "HAMILTON",
      "latitude": 39.1806200297981,
      "longitude": -84.5963994201906,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 565,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-mercy-health---west-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360236",
      "ccn": "360236",
      "name": "MERCY HEALTH - CLERMONT HOSPITAL LLC",
      "address": "3000 HOSPITAL DRIVE",
      "city": "BATAVIA",
      "state": "OH",
      "zip": "45103",
      "county": "CLERMONT",
      "latitude": 39.0804999000415,
      "longitude": -84.1445281904397,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 178,
      "rating": 4,
      "website": "https://www.mercy.com/locations/hospitals/cincinnati/mercy-health-clermont-hospital?utm_source=local-listings&utm_medium=organic&utm_content=website_link",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360245",
      "ccn": "360245",
      "name": "GLENBEIGH",
      "address": "2863 ST RT 45",
      "city": "ROCK CREEK",
      "state": "OH",
      "zip": "44084",
      "county": "ASHTABULA",
      "latitude": 41.6726481499435,
      "longitude": -80.8592903502923,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 114,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rock-creek-glenbeigh/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ASHTABULA COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-ashtabula-county-medical-center",
      "siblingGroupId": "siblings-oh-ashtabula-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ashtabula-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASHTABULA COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ASHTABULA COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHTABULA COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASHTABULA COUNTY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ASHTABULA COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASHTABULA COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "360259",
      "ccn": "360259",
      "name": "BAY PARK COMMUNITY HOSPITAL",
      "address": "2801 BAY PARK DRIVE",
      "city": "OREGON",
      "state": "OH",
      "zip": "43616",
      "county": "LUCAS",
      "latitude": 41.6212019898068,
      "longitude": -83.4804910602549,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 91,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROMEDICA HEALTH SYSTEM INC",
      "parentSystemId": "entity-promedica-health-system-inc",
      "siblingGroupId": "siblings-oh-promedica-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-promedica"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.promedica.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360263",
      "ccn": "360263",
      "name": "INSTITUTE FOR ORTHOPAEDIC SURGERY",
      "address": "801 MEDICAL DRIVE, SUITE B",
      "city": "LIMA",
      "state": "OH",
      "zip": "45804",
      "county": "ALLEN",
      "latitude": 40.697172359838,
      "longitude": -84.0878039999588,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 12,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "WEST CENTRAL OHIO PHYSICIANS GROUPLTD.",
      "parentSystemId": "entity-west-central-ohio-physicians-groupltd",
      "siblingGroupId": "siblings-oh-west-central-ohio-physicians-groupltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-west-central-ohio-physicians-groupltd"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST CENTRAL OHIO PHYSICIANS GROUPLTD. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WEST CENTRAL OHIO PHYSICIANS GROUPLTD.; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CENTRAL OHIO PHYSICIANS GROUPLTD., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST CENTRAL OHIO PHYSICIANS GROUPLTD. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WEST CENTRAL OHIO PHYSICIANS GROUPLTD.; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST CENTRAL OHIO PHYSICIANS GROUPLTD., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "360266",
      "ccn": "360266",
      "name": "MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL",
      "address": "7333 SMITH'S MILL ROAD",
      "city": "NEW ALBANY",
      "state": "OH",
      "zip": "43054",
      "county": "FRANKLIN",
      "latitude": 40.0864324697645,
      "longitude": -82.7901997397286,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-albany-mt-carmel-new-albany-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-oh-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360270",
      "ccn": "360270",
      "name": "MERCY HEALTH - DEFIANCE HOSPITAL, LLC",
      "address": "1404 EAST SECOND STREET",
      "city": "DEFIANCE",
      "state": "OH",
      "zip": "43512",
      "county": "DEFIANCE",
      "latitude": 41.2833010303293,
      "longitude": -84.3402376501646,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": 4,
      "website": "http://www.mercyweb.org/mercy_defiance.aspx",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360348",
      "ccn": "360348",
      "name": "DUBLIN METHODIST HOSPITAL",
      "address": "7500 HOSPITAL DR",
      "city": "DUBLIN",
      "state": "OH",
      "zip": "43016",
      "county": "FRANKLIN",
      "latitude": 40.1012195401837,
      "longitude": -83.1657419695941,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 175,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dublin-dublin-methodist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360351",
      "ccn": "360351",
      "name": "CRYSTAL CLINIC ORTHOPAEDIC CENTER LLC",
      "address": "3557 EMBASSY PARKWAY",
      "city": "AKRON",
      "state": "OH",
      "zip": "44333",
      "county": "SUMMIT",
      "latitude": 41.0969303698594,
      "longitude": -81.5134512603097,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 94,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-akron-crystal-clinic-orthopaedic-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GBS CCOC, LLC",
      "parentSystemId": "entity-gbs-ccoc-llc",
      "siblingGroupId": "siblings-oh-gbs-ccoc-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: GBS CCOC, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 49.65%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GBS CCOC, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GBS CCOC, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 49.65%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GBS CCOC, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "360352",
      "ccn": "360352",
      "name": "THE SURGICAL HOSPITAL AT SOUTHWOODS",
      "address": "7630 SOUTHERN BOULEVARD",
      "city": "YOUNGSTOWN",
      "state": "OH",
      "zip": "44512",
      "county": "MAHONING",
      "latitude": 41.0154756599121,
      "longitude": -80.6556176804083,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-youngstown-surgical-hospital-at-southwoods/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OHIO MANAGEMENT SERVICES INC",
      "parentSystemId": "entity-ohio-management-services-inc",
      "siblingGroupId": "siblings-oh-ohio-management-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIO MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANGELA MARIE DUSKEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIO MANAGEMENT SERVICES INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIO MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANGELA MARIE DUSKEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIO MANAGEMENT SERVICES INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "360358",
      "ccn": "360358",
      "name": "DILEY RIDGE MEDICAL CENTER",
      "address": "7911 DILEY ROAD",
      "city": "CANAL WINCHESTER",
      "state": "OH",
      "zip": "43110",
      "county": "FAIRFIELD",
      "latitude": 39.8506698997403,
      "longitude": -82.7840809603923,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canal-winchester-diley-ridge-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOUNT CARMEL HEALTH SYSTEM",
      "parentSystemId": "entity-mount-carmel-health-system",
      "siblingGroupId": "siblings-oh-mount-carmel-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-trinity-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.trinityhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOUNT CARMEL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS lists BRIAN ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT CARMEL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOUNT CARMEL HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS lists BRIAN ZIMMERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT CARMEL HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360359",
      "ccn": "360359",
      "name": "UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER, INC",
      "address": "3999 RICHMOND ROAD",
      "city": "BEACHWOOD",
      "state": "OH",
      "zip": "44122",
      "county": "CUYAHOGA",
      "latitude": 41.4521988702056,
      "longitude": -81.494693570303,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 144,
      "rating": 3,
      "website": "http://www.uhhospitals.org/ahuja/",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "affiliatedSystem": "Uhhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Uhhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beachwood-university-hospitals-ahuja-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Uhhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Uhhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Uhhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Uhhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360360",
      "ccn": "360360",
      "name": "SOIN MEDICAL CENTER",
      "address": "3535 PENTAGON BLVD",
      "city": "BEAVERCREEK",
      "state": "OH",
      "zip": "45434",
      "county": "GREENE",
      "latitude": 39.7710439401421,
      "longitude": -84.0630529902266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 176,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beavercreek-soin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "KETTERING ADVENTIST HEALTHCARE",
      "parentSystemId": "entity-kettering-adventist-healthcare",
      "siblingGroupId": "siblings-oh-kettering-adventist-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-kettering-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ketteringhealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KETTERING ADVENTIST HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Kettering Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KETTERING ADVENTIST HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360361",
      "ccn": "360361",
      "name": "KING'S DAUGHTERS MEDICAL CENTER - OHIO",
      "address": "1901 ARGONNE ROAD",
      "city": "PORTSMOUTH",
      "state": "OH",
      "zip": "45662",
      "county": "SCIOTO",
      "latitude": 38.7482579598322,
      "longitude": -82.992629179887,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portsmouth-kings-daughters-medical-center-ohio/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ROYAL BLUE HEALTH, LLC",
      "parentSystemId": "entity-royal-blue-health-llc",
      "siblingGroupId": "siblings-oh-royal-blue-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROYAL BLUE HEALTH, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROYAL BLUE HEALTH, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROYAL BLUE HEALTH, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROYAL BLUE HEALTH, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "360364",
      "ccn": "360364",
      "name": "CLEVELAND CLINIC AVON HOSPITAL",
      "address": "33300 CLEVELAND CLINIC BLVD",
      "city": "AVON",
      "state": "OH",
      "zip": "44011",
      "county": "LORAIN",
      "latitude": 41.4689065603227,
      "longitude": -81.9817664396956,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 126,
      "rating": 5,
      "website": "https://my.clevelandclinic.org/locations/avon-hospital",
      "status": "corporate_chain",
      "parentSystem": "THE CLEVELAND CLINIC FOUNDATION",
      "affiliatedSystem": "Cleveland Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Cleveland Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-avon-cleveland-clinic-avon-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-cleveland-clinic-foundation",
      "siblingGroupId": "siblings-oh-the-cleveland-clinic-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CLEVELAND CLINIC FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Cleveland Clinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Cleveland Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CLEVELAND CLINIC FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360365",
      "ccn": "360365",
      "name": "AVITA ONTARIO HOSPITAL",
      "address": "715 RICHLAND MALL",
      "city": "ONTARIO",
      "state": "OH",
      "zip": "44906",
      "county": "RICHLAND",
      "latitude": 40.7714833596985,
      "longitude": -82.5936024103298,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 26,
      "rating": 4,
      "website": "http://avitahealth.org/home",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ontario-avita-ontario-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Avita Health System",
      "parentSystemId": "entity-avita-health-system",
      "siblingGroupId": "siblings-oh-avita-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-avita-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://avitahealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GALION COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEROME B MORASKO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to GALION COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Avita Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GALION COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEROME B MORASKO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to GALION COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Avita Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "360367",
      "ccn": "360367",
      "name": "LAKE HEALTH BEACHWOOD MEDICAL CENTER",
      "address": "25501 CHAGRIN BLVD",
      "city": "BEACHWOOD",
      "state": "OH",
      "zip": "44122",
      "county": "CUYAHOGA",
      "latitude": 41.4649708096742,
      "longitude": -81.4990067502914,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beachwood-lake-health-beachwood-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "LAKE HOSPITAL SYSTEM, INC.",
      "parentSystemId": "entity-lake-hospital-system-inc",
      "siblingGroupId": "siblings-oh-lake-hospital-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAKE HOSPITAL SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE HOSPITAL SYSTEM, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAKE HOSPITAL SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE HOSPITAL SYSTEM, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "361300",
      "ccn": "361300",
      "name": "PAULDING COUNTY HOSPITAL",
      "address": "1035 WEST WAYNE ST",
      "city": "PAULDING",
      "state": "OH",
      "zip": "45879",
      "county": "PAULDING",
      "latitude": 41.1343998099327,
      "longitude": -84.6010865796115,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.pauldingcountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paulding-paulding-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PAULDING COUNTY HOSPITAL",
      "parentSystemId": "entity-paulding-county-hospital",
      "siblingGroupId": "siblings-oh-paulding-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-paulding-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists RONALD GOEDDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to PAULDING COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAULDING COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RONALD GOEDDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to PAULDING COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAULDING COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "361302",
      "ccn": "361302",
      "name": "TWIN CITY MEDICAL CENTER",
      "address": "819 NORTH FIRST STREET",
      "city": "DENNISON",
      "state": "OH",
      "zip": "44621",
      "county": "TUSCARAWAS",
      "latitude": 40.4016215896828,
      "longitude": -81.3366861299648,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-oh-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to COMMONSPIRIT HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to COMMONSPIRIT HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361303",
      "ccn": "361303",
      "name": "LODI COMMUNITY HOSPITAL",
      "address": "225 ELYRIA STREET",
      "city": "LODI",
      "state": "OH",
      "zip": "44254",
      "county": "MEDINA",
      "latitude": 41.0358623200862,
      "longitude": -82.0141692900347,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "website": "http://www.lodihospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lodi-lodi-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AKRON GENERAL MEDICAL CENTER",
      "parentSystemId": "entity-akron-general-medical-center",
      "siblingGroupId": "siblings-oh-akron-general-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-cleveland-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://my.clevelandclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: AKRON GENERAL MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AKRON GENERAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AKRON GENERAL MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Cleveland Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AKRON GENERAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361304",
      "ccn": "361304",
      "name": "GREENFIELD AREA MEDICAL CENTER",
      "address": "550 MIRABEAU STREET",
      "city": "GREENFIELD",
      "state": "OH",
      "zip": "45123",
      "county": "HIGHLAND",
      "latitude": 39.3486673296933,
      "longitude": -83.3877319402983,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adena Health System",
      "parentSystemId": "entity-adena-health-system",
      "siblingGroupId": "siblings-oh-adena-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-adena-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADENA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADENA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361309",
      "ccn": "361309",
      "name": "HENRY COUNTY HOSPITAL",
      "address": "1600 EAST RIVERVIEW AVENUE",
      "city": "NAPOLEON",
      "state": "OH",
      "zip": "43545",
      "county": "HENRY",
      "latitude": 41.4113354702271,
      "longitude": -84.0873460298437,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 31,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-napoleon-henry-county-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HENRY COUNTY HOSPITAL INC",
      "parentSystemId": "entity-henry-county-hospital-inc",
      "siblingGroupId": "siblings-oh-henry-county-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-henry-county-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to HENRY COUNTY HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY COUNTY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to HENRY COUNTY HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HENRY COUNTY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "361310",
      "ccn": "361310",
      "name": "MERCY HEALTH - WILLARD HOSPITAL, LLC",
      "address": "1100 NEAL ZICK ROAD",
      "city": "WILLARD",
      "state": "OH",
      "zip": "44890",
      "county": "HURON",
      "latitude": 41.0393597996984,
      "longitude": -82.7095595199789,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.mercy.com/locations/hospitals/toledo/mercy-health-willard-hospital?utm_source=local-listings&utm_medium=organic&utm_content=website_link",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-oh-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361311",
      "ccn": "361311",
      "name": "HARRISON COMMUNITY HOSPITAL",
      "address": "951 E MARKET STREET",
      "city": "CADIZ",
      "state": "OH",
      "zip": "43907",
      "county": "HARRISON",
      "latitude": 40.2574214699799,
      "longitude": -80.9773093701996,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cadiz-harrison-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-oh-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361312",
      "ccn": "361312",
      "name": "MERCY HEALTH - URBANA HOSPITAL",
      "address": "904 SCIOTO STREET",
      "city": "URBANA",
      "state": "OH",
      "zip": "43078",
      "county": "CHAMPAIGN",
      "latitude": 40.1085219598722,
      "longitude": -83.7299200802956,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 4,
      "website": "https://www.mercy.com/locations/hospitals/springfield/urbana-hospital?utm_source=local-listings&utm_medium=organic&utm_content=website_link",
      "status": "corporate_chain",
      "parentSystem": "COMMUNITY MERCY HEALTH SYSTEM",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-community-mercy-health-system",
      "siblingGroupId": "siblings-oh-community-mercy-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY MERCY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MERCY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361315",
      "ccn": "361315",
      "name": "HARDIN MEMORIAL HOSPITAL",
      "address": "921 E FRANKLIN STREET",
      "city": "KENTON",
      "state": "OH",
      "zip": "43326",
      "county": "HARDIN",
      "latitude": 40.6466403300847,
      "longitude": -83.5958506501029,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kenton-hardin-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "OHIOHEALTH CORPORATION",
      "parentSystemId": "entity-ohiohealth-corporation",
      "siblingGroupId": "siblings-oh-ohiohealth-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-ohiohealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohiohealth.com/locations/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHIOHEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to OhioHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHIOHEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361316",
      "ccn": "361316",
      "name": "BUCYRUS COMMUNITY HOSPITAL",
      "address": "629 NORTH SANDUSKY AVENUE",
      "city": "BUCYRUS",
      "state": "OH",
      "zip": "44820",
      "county": "CRAWFORD",
      "latitude": 40.8153398997468,
      "longitude": -82.9766321304277,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://avitahealth.org/home",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bucyrus-bucyrus-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Avita Health System",
      "parentSystemId": "entity-avita-health-system",
      "siblingGroupId": "siblings-oh-avita-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-avita-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://avitahealth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GALION COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Avita Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GALION COMMUNITY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Avita Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361318",
      "ccn": "361318",
      "name": "FOSTORIA COMMUNITY HOSPITAL",
      "address": "501 VAN BUREN STREET",
      "city": "FOSTORIA",
      "state": "OH",
      "zip": "44830",
      "county": "HANCOCK",
      "latitude": 41.1629954800607,
      "longitude": -83.4242289101555,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROMEDICA HEALTH SYSTEM INC",
      "parentSystemId": "entity-promedica-health-system-inc",
      "siblingGroupId": "siblings-oh-promedica-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-promedica"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.promedica.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEVIN SHARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROMEDICA HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KEVIN SHARP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ProMedica; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROMEDICA HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361319",
      "ccn": "361319",
      "name": "SELBY GENERAL HOSPITAL",
      "address": "1106 COLEGATE DRIVE",
      "city": "MARIETTA",
      "state": "OH",
      "zip": "45750",
      "county": "WASHINGTON",
      "latitude": 39.4400909597888,
      "longitude": -81.4440117295957,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "website": "http://www.selbygeneral.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marietta-selby-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SELBY GENERAL HOSPITAL",
      "parentSystemId": "entity-selby-general-hospital",
      "siblingGroupId": "siblings-oh-selby-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-selby-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SELBY GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELBY GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to SELBY GENERAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELBY GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361320",
      "ccn": "361320",
      "name": "HOLZER MEDICAL CENTER - JACKSON",
      "address": "500 BURLINGTON ROAD",
      "city": "JACKSON",
      "state": "OH",
      "zip": "45640",
      "county": "JACKSON",
      "latitude": 39.0323066600751,
      "longitude": -82.640760250009,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.holzer.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-holzer-medical-center-jackson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLZER HEALTH SYSTEM",
      "parentSystemId": "entity-holzer-health-system",
      "siblingGroupId": "siblings-oh-holzer-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-holzer-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.holzer.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLZER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Holzer Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLZER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLZER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Holzer Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLZER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361321",
      "ccn": "361321",
      "name": "BARNESVILLE HOSPITAL ASSOCIATION",
      "address": "639 WEST MAIN STREET",
      "city": "BARNESVILLE",
      "state": "OH",
      "zip": "43713",
      "county": "BELMONT",
      "latitude": 39.9929949497427,
      "longitude": -81.1889901696003,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-barnesville-barnesville-hospital-association-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-oh-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361323",
      "ccn": "361323",
      "name": "AULTMAN ORRVILLE HOSPITAL",
      "address": "832 SOUTH MAIN STREET",
      "city": "ORRVILLE",
      "state": "OH",
      "zip": "44667",
      "county": "WAYNE",
      "latitude": 40.8321823500402,
      "longitude": -81.7636826798167,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 37,
      "rating": null,
      "website": "http://www.aultmanorrville.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orrville-aultman-orrville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AULTMAN HEALTH FOUNDATION",
      "parentSystemId": "entity-aultman-health-foundation",
      "siblingGroupId": "siblings-oh-aultman-health-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-aultman-health-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://aultman.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AULTMAN HEALTH FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Aultman Health Foundation; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AULTMAN HEALTH FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361325",
      "ccn": "361325",
      "name": "GALION COMMUNITY HOSPITAL",
      "address": "269 PORTLAND WAY SOUTH",
      "city": "GALION",
      "state": "OH",
      "zip": "44833",
      "county": "CRAWFORD",
      "latitude": 40.7309037697785,
      "longitude": -82.8022572104414,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 50,
      "rating": 3,
      "website": "http://www.galionhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GALION COMMUNITY HOSPITAL",
      "parentSystemId": "entity-galion-community-hospital",
      "siblingGroupId": "siblings-oh-galion-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-verified-parent-avita-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://avitahealth.org/about-us/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to GALION COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALION COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to GALION COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALION COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361326",
      "ccn": "361326",
      "name": "ADAMS COUNTY REGIONAL MEDICAL CENTER",
      "address": "230 MEDICAL CENTER DRIVE",
      "city": "SEAMAN",
      "state": "OH",
      "zip": "45679",
      "county": "ADAMS",
      "latitude": 38.9341195201754,
      "longitude": -83.5845969703468,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "website": "http://www.acrmc.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seaman-adams-county-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ADAMS COUNTY REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-adams-county-regional-medical-center",
      "siblingGroupId": "siblings-oh-adams-county-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-adams-county-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADAMS COUNTY REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADAMS COUNTY REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADAMS COUNTY REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADAMS COUNTY REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "361329",
      "ccn": "361329",
      "name": "WYANDOT MEMORIAL HOSPITAL",
      "address": "885 N SANDUSKY AVENUE",
      "city": "UPPER SANDUSKY",
      "state": "OH",
      "zip": "43351",
      "county": "WYANDOT",
      "latitude": 40.8402993801998,
      "longitude": -83.279956900056,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-upper-sandusky-wyandot-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WYANDOT MEMORIAL HOSPITAL",
      "parentSystemId": "entity-wyandot-memorial-hospital",
      "siblingGroupId": "siblings-oh-wyandot-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-wyandot-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: WYANDOT MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROB MCCLURE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WYANDOT MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYANDOT MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WYANDOT MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROB MCCLURE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WYANDOT MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYANDOT MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "361330",
      "ccn": "361330",
      "name": "HOCKING VALLEY COMMUNITY HOSP",
      "address": "601 STATE ROUTE 664 N",
      "city": "LOGAN",
      "state": "OH",
      "zip": "43138",
      "county": "HOCKING",
      "latitude": 39.5479525899444,
      "longitude": -82.4296111400687,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-logan-hocking-valley-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOCKING VALLEY COMMUNITY HOSPITAL",
      "parentSystemId": "entity-hocking-valley-community-hospital",
      "siblingGroupId": "siblings-oh-hocking-valley-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-hocking-valley-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOCKING VALLEY COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to HOCKING VALLEY COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOCKING VALLEY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOCKING VALLEY COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to HOCKING VALLEY COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOCKING VALLEY COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361331",
      "ccn": "361331",
      "name": "ADENA FAYETTE MEDICAL CENTER",
      "address": "1430 COLUMBUS AVENUE",
      "city": "WASHINGTON CH",
      "state": "OH",
      "zip": "43160",
      "county": "FAYETTE",
      "latitude": 39.547856939958,
      "longitude": -83.4270949599166,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-ch-adena-fayette-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adena Health System",
      "parentSystemId": "entity-adena-health-system",
      "siblingGroupId": "siblings-oh-adena-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-adena-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADENA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADENA HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to ADENA HEALTH SYSTEM; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adena Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "361332",
      "ccn": "361332",
      "name": "HIGHLAND DISTRICT HOSPITAL",
      "address": "1275 NORTH HIGH STREET",
      "city": "HILLSBORO",
      "state": "OH",
      "zip": "45133",
      "county": "HIGHLAND",
      "latitude": 39.2217530100459,
      "longitude": -83.6107652296448,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 35,
      "rating": 3,
      "website": "http://www.hdh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hillsboro-highland-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HIGHLAND DISTRICT HOSPITAL",
      "parentSystemId": "entity-highland-district-hospital",
      "siblingGroupId": "siblings-oh-highland-district-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-highland-district-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HIGHLAND DISTRICT HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to HIGHLAND DISTRICT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HIGHLAND DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HIGHLAND DISTRICT HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to HIGHLAND DISTRICT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HIGHLAND DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "361333",
      "ccn": "361333",
      "name": "FULTON COUNTY HEALTH CENTER",
      "address": "725 SOUTH SHOOP AVENUE",
      "city": "WAUSEON",
      "state": "OH",
      "zip": "43567",
      "county": "FULTON",
      "latitude": 41.5390208500899,
      "longitude": -84.1329488399521,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": 3,
      "website": "http://www.fultoncountyhealthcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wauseon-fulton-county-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FULTON COUNTY HEALTH CENTER",
      "parentSystemId": "entity-fulton-county-health-center",
      "siblingGroupId": "siblings-oh-fulton-county-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-fulton-county-health-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists PATRICIA FINN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FULTON COUNTY HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FULTON COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists PATRICIA FINN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to FULTON COUNTY HEALTH CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FULTON COUNTY HEALTH CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "361335",
      "ccn": "361335",
      "name": "WAYNE HOSPITAL",
      "address": "835 SWEITZER ST",
      "city": "GREENVILLE",
      "state": "OH",
      "zip": "45331",
      "county": "DARKE",
      "latitude": 40.0892917696811,
      "longitude": -84.6347411002467,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "WAYNE HOSPITAL COMPANY",
      "parentSystemId": "entity-wayne-hospital-company",
      "siblingGroupId": "siblings-oh-wayne-hospital-company",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-wayne-hospital-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists NICOLE GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WAYNE HOSPITAL COMPANY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE HOSPITAL COMPANY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists NICOLE GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to WAYNE HOSPITAL COMPANY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE HOSPITAL COMPANY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "363302",
      "ccn": "363302",
      "name": "RAINBOW BABIES AND CHILDRENS HOSPITAL",
      "address": "11100 EUCLID AVENUE",
      "city": "CLEVELAND",
      "state": "OH",
      "zip": "44106",
      "county": "CUYAHOGA",
      "latitude": 41.5047132897808,
      "longitude": -81.6057186703275,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 237,
      "rating": null,
      "website": "http://www.uhhospitals.org/rainbow",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY HOSPITALS HEALTH SYSTEM INC",
      "affiliatedSystem": "Uhhospitals",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Uhhospitals",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-rainbow-babies-and-childrens-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-university-hospitals-health-system-inc",
      "siblingGroupId": "siblings-oh-university-hospitals-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-university-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhhospitals.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Uhhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Uhhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Uhhospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Uhhospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to University Hospitals; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY HOSPITALS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "363305",
      "ccn": "363305",
      "name": "NATIONWIDE CHILDREN'S HOSPITAL INC",
      "address": "700 CHILDREN'S DRIVE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43205",
      "county": "FRANKLIN",
      "latitude": 39.9525141202949,
      "longitude": -82.979524039991,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 551,
      "rating": null,
      "website": "http://www.nationwidechildrens.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-nationwide-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NATIONWIDE CHILDRENS HOSPITAL INC",
      "parentSystemId": "entity-nationwide-childrens-hospital-inc",
      "siblingGroupId": "siblings-oh-nationwide-childrens-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-nationwide-childrens-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: NATIONWIDE CHILDRENS HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to NATIONWIDE CHILDRENS HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONWIDE CHILDRENS HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NATIONWIDE CHILDRENS HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to NATIONWIDE CHILDRENS HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONWIDE CHILDRENS HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "363306",
      "ccn": "363306",
      "name": "DAYTON CHILDREN'S HOSPITAL",
      "address": "1 CHILDREN'S PLAZA",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45404",
      "county": "MONTGOMERY",
      "latitude": 39.7742424900933,
      "longitude": -84.1680273295514,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 194,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-dayton-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DAYTON CHILDRENS HOSPITAL",
      "parentSystemId": "entity-dayton-childrens-hospital",
      "siblingGroupId": "siblings-oh-dayton-childrens-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-dayton-childrens-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS lists CYNTHIA BURGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to DAYTON CHILDRENS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAYTON CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists CYNTHIA BURGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to DAYTON CHILDRENS HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAYTON CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "363309",
      "ccn": "363309",
      "name": "NATIONWIDE CHILDREN'S HOSPITAL TOLEDO",
      "address": "2213 CHERRY STREET",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43608",
      "county": "LUCAS",
      "latitude": 41.6684818582253,
      "longitude": -83.5428670857875,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "NATIONWIDE CHILDREN'S HOSPITAL",
      "parentSystemId": "entity-nationwide-children-s-hospital",
      "siblingGroupId": "siblings-oh-nationwide-children-s-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: NATIONWIDE CHILDREN'S HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONWIDE CHILDREN'S HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NATIONWIDE CHILDREN'S HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONWIDE CHILDREN'S HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364007",
      "ccn": "364007",
      "name": "TWIN VALLEY BEHAVIORAL HEALTHCARE",
      "address": "2200 WEST BROAD STREET",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43223",
      "county": "FRANKLIN",
      "latitude": 39.9567524900571,
      "longitude": -83.0591650501755,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 228,
      "rating": null,
      "website": "http://mha.ohio.gov/default.aspx?tabid=193",
      "status": "corporate_chain",
      "parentSystem": "STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING",
      "affiliatedSystem": "Mha Ohio",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mha Ohio",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-twin-valley-behavioral-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-ohio-office-of-budget-and-management-state-accounting",
      "siblingGroupId": "siblings-oh-state-of-ohio-office-of-budget-and-management-state-accounting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-state-of-ohio-office-of-budget-and-management-state-accounting"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "364011",
      "ccn": "364011",
      "name": "NORTHCOAST BEHAVIORAL HEALTHCARE NORTHFIELD CAMPUS",
      "address": "1756 SAGAMORE ROAD",
      "city": "NORTHFIELD",
      "state": "OH",
      "zip": "44067",
      "county": "SUMMIT",
      "latitude": 41.3489515996968,
      "longitude": -81.5725784702268,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 258,
      "rating": null,
      "website": "http://mha.ohio.gov/default.aspx?tabid=190",
      "status": "corporate_chain",
      "parentSystem": "STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING",
      "affiliatedSystem": "Mha Ohio",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mha Ohio",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-northfield-northcoast-behavioral-healthcare-northfield-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-ohio-office-of-budget-and-management-state-accounting",
      "siblingGroupId": "siblings-oh-state-of-ohio-office-of-budget-and-management-state-accounting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-state-of-ohio-office-of-budget-and-management-state-accounting"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "364015",
      "ccn": "364015",
      "name": "APPALACHIAN BEHAVIORAL HEALTH CARE",
      "address": "100 HOSPITAL DRIVE",
      "city": "ATHENS",
      "state": "OH",
      "zip": "45701",
      "county": "ATHENS",
      "latitude": 39.3288328600904,
      "longitude": -82.1187851602387,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": null,
      "website": "http://mha.ohio.gov/default.aspx?tabid=187",
      "status": "corporate_chain",
      "parentSystem": "STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING",
      "affiliatedSystem": "Mha Ohio",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mha Ohio",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athens-appalachian-behavioral-health-care/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-ohio-office-of-budget-and-management-state-accounting",
      "siblingGroupId": "siblings-oh-state-of-ohio-office-of-budget-and-management-state-accounting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-state-of-ohio-office-of-budget-and-management-state-accounting"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "364031",
      "ccn": "364031",
      "name": "HEARTLAND BEHAVIORAL HEALTHCARE",
      "address": "3000 ERIE SW",
      "city": "MASSILLON",
      "state": "OH",
      "zip": "44646",
      "county": "STARK",
      "latitude": 40.7682356898891,
      "longitude": -81.5078299598929,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 152,
      "rating": null,
      "website": "http://mha.ohio.gov/default.aspx?tabid=189",
      "status": "corporate_chain",
      "parentSystem": "STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING",
      "affiliatedSystem": "Mha Ohio",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mha Ohio",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-massillon-heartland-behavioral-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-ohio-office-of-budget-and-management-state-accounting",
      "siblingGroupId": "siblings-oh-state-of-ohio-office-of-budget-and-management-state-accounting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-state-of-ohio-office-of-budget-and-management-state-accounting"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "364035",
      "ccn": "364035",
      "name": "SUMMIT BEHAVIORAL HEALTHCARE",
      "address": "1101 SUMMIT ROAD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45237",
      "county": "HAMILTON",
      "latitude": 39.1953712899772,
      "longitude": -84.4702068801431,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 291,
      "rating": null,
      "website": "http://mha.ohio.gov/default.aspx?tabid=192",
      "status": "corporate_chain",
      "parentSystem": "STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING",
      "affiliatedSystem": "Mha Ohio",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Mha Ohio",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-summit-behavioral-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-state-of-ohio-office-of-budget-and-management-state-accounting",
      "siblingGroupId": "siblings-oh-state-of-ohio-office-of-budget-and-management-state-accounting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-state-of-ohio-office-of-budget-and-management-state-accounting"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSHUA SARGENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mha Ohio; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mha Ohio. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "364038",
      "ccn": "364038",
      "name": "BELMONT PINES HOSPITAL",
      "address": "615 CHURCHILL-HUBBARD ROAD",
      "city": "YOUNGSTOWN",
      "state": "OH",
      "zip": "44505",
      "county": "TRUMBULL",
      "latitude": 41.1613102099893,
      "longitude": -80.6556439103162,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 53,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-youngstown-belmont-pines-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-oh-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "364041",
      "ccn": "364041",
      "name": "OHIO HOSPITAL FOR PSYCHIATRY",
      "address": "880 GREENLAWN AVE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43223",
      "county": "FRANKLIN",
      "latitude": 39.9406786401015,
      "longitude": -83.0202917597107,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 130,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-ohio-hospital-for-psychiatry/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-oh-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "364044",
      "ccn": "364044",
      "name": "LINDNER CENTER OF HOPE",
      "address": "4075 OLD WESTERN ROW ROAD",
      "city": "MASON",
      "state": "OH",
      "zip": "45040",
      "county": "WARREN",
      "latitude": 39.3315333007186,
      "longitude": -84.2949857318877,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 34,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CRAIG AND FRANCES LINDNER CENTER OF HOPE",
      "parentSystemId": "entity-the-craig-and-frances-lindner-center-of-hope",
      "siblingGroupId": "siblings-oh-the-craig-and-frances-lindner-center-of-hope",
      "campusFamilyId": "campus-oh-364044",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-the-craig-and-frances-lindner-center-of-hope"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to THE CRAIG AND FRANCES LINDNER CENTER OF HOPE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CRAIG AND FRANCES LINDNER CENTER OF HOPE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to THE CRAIG AND FRANCES LINDNER CENTER OF HOPE; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CRAIG AND FRANCES LINDNER CENTER OF HOPE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "364047",
      "ccn": "364047",
      "name": "RIDGEVIEW HOSPITAL",
      "address": "17872 LINCOLN HIGHWAY",
      "city": "MIDDLEPOINT",
      "state": "OH",
      "zip": "45863",
      "county": "VAN WERT",
      "latitude": 40.8774005198445,
      "longitude": -84.4789669498582,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": null,
      "website": "http://ridgeviewhospital.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Oglethorpe, Inc.",
      "parentSystemId": "entity-oglethorpe-inc",
      "siblingGroupId": "siblings-oh-oglethorpe-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-oglethorpe-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oglethorpeinc.com/about/"
      ],
      "ownershipProofNotes": "CMS owner candidate: OGLETHORPE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES E OSHEA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OGLETHORPE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JAMES E OSHEA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oglethorpe, Inc., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364048",
      "ccn": "364048",
      "name": "HAVEN BEHAVIORAL HOSPITAL OF DAYTON",
      "address": "1 ELIZABETH PLACE, E3, SUITE A",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45417",
      "county": "MONTGOMERY",
      "latitude": 39.7477398699402,
      "longitude": -84.1993976203704,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 59,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "peFirm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "acquiredDate": "May 2006",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Haven Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-haven-behavioral-healthcare-inc",
      "siblingGroupId": "siblings-oh-haven-behavioral-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364049",
      "ccn": "364049",
      "name": "DUBLIN SPRINGS",
      "address": "7625 HOSPITAL DRIVE",
      "city": "DUBLIN",
      "state": "OH",
      "zip": "43016",
      "county": "FRANKLIN",
      "latitude": 40.1038159401711,
      "longitude": -83.1709716602427,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://www.dublinsprings.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-oh-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364050",
      "ccn": "364050",
      "name": "ACCESS HOSPITAL DAYTON, LLC",
      "address": "2611 WAYNE AVENUE",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45420",
      "county": "MONTGOMERY",
      "latitude": 39.7360121301076,
      "longitude": -84.1542281395888,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 110,
      "rating": null,
      "website": "http://www.accesshospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-access-hospital-dayton-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ACCESS HOSPITAL DAYTON, LLC",
      "parentSystemId": "entity-access-hospital-dayton-llc",
      "siblingGroupId": "siblings-oh-access-hospital-dayton-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACCESS HOSPITAL DAYTON, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ACCESS HOSPITAL DAYTON, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "364051",
      "ccn": "364051",
      "name": "BECKETT SPRINGS, LLC",
      "address": "8614 SHEPHERD FARM DRIVE",
      "city": "WEST CHESTER",
      "state": "OH",
      "zip": "45069",
      "county": "BUTLER",
      "latitude": 39.3434497098774,
      "longitude": -84.4552812100007,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 96,
      "rating": null,
      "website": "http://www.beckettsprings.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-chester-beckett-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-oh-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364054",
      "ccn": "364054",
      "name": "GENERATIONS BEHAVIORAL HEALTH - GENEVA, LLC",
      "address": "60 WEST STREET",
      "city": "GENEVA",
      "state": "OH",
      "zip": "44041",
      "county": "ASHTABULA",
      "latitude": 41.7983834703269,
      "longitude": -80.9639097203326,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 18,
      "rating": null,
      "website": "http://www.generationsbehavioralhealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "GENERATIONS BEHAVIORAL HEALTH LLC",
      "peFirm": "Capital Alignment Partners",
      "acquiredDate": "October 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Generations Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-geneva-generations-behavioral-health---geneva-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-generations-behavioral-health-llc",
      "siblingGroupId": "siblings-oh-generations-behavioral-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: GENERATIONS BEHAVIORAL HEALTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ZYAMA S GOLDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Generations Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Generations Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERATIONS BEHAVIORAL HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GENERATIONS BEHAVIORAL HEALTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ZYAMA S GOLDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Generations Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Generations Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERATIONS BEHAVIORAL HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364055",
      "ccn": "364055",
      "name": "SOJOURN AT SENECA",
      "address": "50 ST LAWRENCE DRIVE",
      "city": "TIFFIN",
      "state": "OH",
      "zip": "44883",
      "county": "SENECA",
      "latitude": 41.1038083703368,
      "longitude": -83.2164457300927,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tiffin-sojourn-at-seneca/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OHTREE SOJOURN OPCO HOLDCO LLC",
      "parentSystemId": "entity-ohtree-sojourn-opco-holdco-llc",
      "siblingGroupId": "siblings-oh-ohtree-sojourn-opco-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: OHTREE SOJOURN OPCO HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AVI PHILIPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHTREE SOJOURN OPCO HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OHTREE SOJOURN OPCO HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AVI PHILIPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OHTREE SOJOURN OPCO HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364056",
      "ccn": "364056",
      "name": "ASSURANCE HEALTH CINCINNATI, LLC",
      "address": "11690 GROOMS RD",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45242",
      "county": "HAMILTON",
      "latitude": 39.28193974991,
      "longitude": -84.3674257596181,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": null,
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "ASSURANCE HEALTH SYSTEM LLC",
      "peFirm": "Elevate Ventures",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Assurance Health System",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-assurance-health-system-llc",
      "siblingGroupId": "siblings-oh-assurance-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MORRIS D LONG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MORRIS D LONG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364057",
      "ccn": "364057",
      "name": "BLUERIDGE VISTA HEALTH AND WELLNESS",
      "address": "5500 VERULAM AVE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45213",
      "county": "HAMILTON",
      "latitude": 39.173175839812,
      "longitude": -84.4299952103977,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 44,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cincinnati-blueridge-vista-health-and-wellness/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "CINCI PSYCH HOLDINGS, LLC",
      "parentSystemId": "entity-cinci-psych-holdings-llc",
      "siblingGroupId": "siblings-oh-cinci-psych-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: CINCI PSYCH HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD ODENTHAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CINCI PSYCH HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CINCI PSYCH HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD ODENTHAL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CINCI PSYCH HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364059",
      "ccn": "364059",
      "name": "ASSURANCE HEALTH HUDSON",
      "address": "6260 HUDSON CROSSING PKWY",
      "city": "HUDSON",
      "state": "OH",
      "zip": "44236",
      "county": "SUMMIT",
      "latitude": 41.2363414499619,
      "longitude": -81.4879654699977,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": null,
      "website": "http://assurancehealthsystem.com/locations/hudson-oh/",
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "ASSURANCE HEALTH SYSTEM LLC",
      "peFirm": "Elevate Ventures",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "affiliatedSystem": "Assurancehealthsystem",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "low",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Assurance Health System",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hudson-assurance-health-hudson-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-assurance-health-system-llc",
      "siblingGroupId": "siblings-oh-assurance-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Assurance Health System; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Assurance Health System. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364060",
      "ccn": "364060",
      "name": "GENERATIONS BEHAVIORAL HEALTH - YOUNGSTOWN, LLC",
      "address": "196 COLONIAL DRIVE",
      "city": "YOUNGSTOWN",
      "state": "OH",
      "zip": "44505",
      "county": "TRUMBULL",
      "latitude": 41.1381674197304,
      "longitude": -80.6631655796487,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 76,
      "rating": null,
      "website": "https://generationsbehavioralhealth.com/treatment-programs-youngstown/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "GENERATIONS BEHAVIORAL HEALTH LLC",
      "peFirm": "Capital Alignment Partners",
      "acquiredDate": "October 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Generations Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-youngstown-generations-behavioral-health-youngstown-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-generations-behavioral-health-llc",
      "siblingGroupId": "siblings-oh-generations-behavioral-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: GENERATIONS BEHAVIORAL HEALTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ZYAMA S GOLDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Generations Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Generations Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERATIONS BEHAVIORAL HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GENERATIONS BEHAVIORAL HEALTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ZYAMA S GOLDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Generations Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Generations Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERATIONS BEHAVIORAL HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364062",
      "ccn": "364062",
      "name": "MOUNT CARMEL BEHAVIORAL HEALTHCARE LLC",
      "address": "4646 HILTON CORPORATE DRIVE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43232",
      "county": "FRANKLIN",
      "latitude": 39.9357478597587,
      "longitude": -82.8703804703122,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "website": "https://www.mountcarmelbehavioralhealth.com/?utm_source=yext&utm_medium=organic&utm_campaign=listing&utm_term=brand",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-mount-carmel-behavioral-healthcare-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-oh-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.acadiahealthcare.com/investors/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Trinity Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "364063",
      "ccn": "364063",
      "name": "GEORGETOWN BEHAVIORAL HOSPITAL",
      "address": "425 HOME STREET",
      "city": "GEORGETOWN",
      "state": "OH",
      "zip": "45121",
      "county": "BROWN",
      "latitude": 38.858425049827,
      "longitude": -83.8968923496399,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "GEORGETOWN BEHAVIORAL HOSPITAL",
      "parentSystemId": "entity-georgetown-behavioral-hospital",
      "siblingGroupId": "siblings-oh-georgetown-behavioral-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGETOWN BEHAVIORAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGETOWN BEHAVIORAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364064",
      "ccn": "364064",
      "name": "SUNRISE VISTA HEALTH AND WELLNESS",
      "address": "1223 MARKET AVE NORTH",
      "city": "CANTON",
      "state": "OH",
      "zip": "44714",
      "county": "FRANKLIN",
      "latitude": 39.9355658298799,
      "longitude": -82.9432307801925,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HC REAL ESTATE HOLDINGS, LLC",
      "peFirm": "Longevity Venture Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "CommuniCare Family of Companies",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-hc-real-estate-holdings-llc",
      "siblingGroupId": "siblings-oh-hc-real-estate-holdings-llc",
      "campusFamilyId": "campus-oh-364064",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HC REAL ESTATE HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD NOBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HC REAL ESTATE HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HC REAL ESTATE HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists LLOYD NOBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HC REAL ESTATE HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "364065",
      "ccn": "364065",
      "name": "GLENWOOD BEHAVIORAL HEALTH HOSPITAL",
      "address": "2446 KIPLING AVENUE",
      "city": "CINCINNATI",
      "state": "OH",
      "zip": "45239",
      "county": "HAMILTON",
      "latitude": 39.2043077400146,
      "longitude": -84.5716399402437,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-oh-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "364066",
      "ccn": "364066",
      "name": "ASSURANCE HEALTH TOLEDO, LLC",
      "address": "4040 KING RD",
      "city": "SYLVANIA",
      "state": "OH",
      "zip": "43560",
      "county": "LUCAS",
      "latitude": 41.6897486500343,
      "longitude": -83.7220642996613,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "ASSURANCE HEALTH SYSTEM LLC",
      "parentSystemId": "entity-assurance-health-system-llc",
      "siblingGroupId": "siblings-oh-assurance-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASSURANCE HEALTH SYSTEM LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASSURANCE HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370001",
      "ccn": "370001",
      "name": "HILLCREST MEDICAL CENTER",
      "address": "1120 SOUTH UTICA AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74104",
      "county": "TULSA",
      "latitude": 36.1471611796439,
      "longitude": -95.9685108301405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 626,
      "rating": 3,
      "website": "http://www.hillcrestmedicalcenter.com/",
      "status": "confirmed_pe",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Ardent Health Services. PESP PE firm/sponsor: Equity Group Investments.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "campusFamilyId": "campus-ok-370001",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370001-loc-ok-tulsa-hillcrest-medical-center",
      "ccn": "370001",
      "name": "HILLCREST MEDICAL CENTER",
      "address": "1120 SOUTH UTICA AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74014",
      "county": "TULSA",
      "latitude": 36.1474992298138,
      "longitude": -95.9676608271507,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "campusFamilyId": "campus-ok-370001",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370001"
    },
    {
      "id": "370002",
      "ccn": "370002",
      "name": "ALLIANCEHEALTH WOODWARD",
      "address": "900 17TH STREET",
      "city": "WOODWARD",
      "state": "OK",
      "zip": "73801",
      "county": "WOODWARD",
      "latitude": 36.4373979103167,
      "longitude": -99.4003372199095,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 87,
      "rating": 3,
      "website": "http://myalliancehealth.com/",
      "status": "signal",
      "parentSystem": "INTEGRIS HEALTH INC",
      "affiliatedSystem": "Myalliancehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Myalliancehealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodward-alliancehealth-woodward/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Myalliancehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Myalliancehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN BROWN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Myalliancehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Myalliancehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370004",
      "ccn": "370004",
      "name": "INTEGRIS MIAMI HOSPITAL",
      "address": "200 2ND AVENUE SOUTHWEST",
      "city": "MIAMI",
      "state": "OK",
      "zip": "74354",
      "county": "OTTAWA",
      "latitude": 36.8726704700434,
      "longitude": -94.8801794100392,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 117,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miami-integris-miami-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BAPTIST HEALTHCARE OF OKLAHOMA LLC",
      "parentSystemId": "entity-baptist-healthcare-of-oklahoma-llc",
      "siblingGroupId": "siblings-ok-baptist-healthcare-of-oklahoma-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTHCARE OF OKLAHOMA LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE OF OKLAHOMA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTHCARE OF OKLAHOMA LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE OF OKLAHOMA LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370008",
      "ccn": "370008",
      "name": "NORMAN REGIONAL",
      "address": "901 N PORTER",
      "city": "NORMAN",
      "state": "OK",
      "zip": "73071",
      "county": "CLEVELAND",
      "latitude": 35.2300612753404,
      "longitude": -97.4396528829201,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 387,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norman-norman-regional/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORMAN REGIONAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-norman-regional-hospital-authority",
      "siblingGroupId": "siblings-ok-norman-regional-hospital-authority",
      "campusFamilyId": "campus-ok-370008",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-norman-regional-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370008-loc-ok-norman-norman-regional-hospital",
      "ccn": "370008",
      "name": "NORMAN REGIONAL HOSPITAL",
      "address": "901 NORTH PORTER STREET",
      "city": "NORMAN",
      "state": "OK",
      "zip": "73070",
      "county": "CLEVELAND",
      "latitude": 35.2306840351739,
      "longitude": -97.4391354802659,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NORMAN REGIONAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-norman-regional-hospital-authority",
      "siblingGroupId": "siblings-ok-norman-regional-hospital-authority",
      "campusFamilyId": "campus-ok-370008",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-norman-regional-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370008"
    },
    {
      "id": "370008-loc-ok-norman-norman-regional-hospital-2",
      "ccn": "370008",
      "name": "NORMAN REGIONAL HOSPITAL",
      "address": "901 NORTH PORTER STREET",
      "city": "NORMAN",
      "state": "OK",
      "zip": "73071",
      "county": "CLEVELAND",
      "latitude": 35.2300757058953,
      "longitude": -97.4387253463381,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 30,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NORMAN REGIONAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-norman-regional-hospital-authority",
      "siblingGroupId": "siblings-ok-norman-regional-hospital-authority",
      "campusFamilyId": "campus-ok-370008",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-norman-regional-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370008"
    },
    {
      "id": "370008-loc-ok-norman-norman-regional-healthplex",
      "ccn": "370008",
      "name": "NORMAN REGIONAL HEALTHPLEX",
      "address": "3300 HEALTHPLEX PKWY",
      "city": "NORMAN",
      "state": "OK",
      "zip": "73072",
      "county": "CLEVELAND",
      "latitude": 35.2595936099265,
      "longitude": -97.4895334596316,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 152,
      "rating": 2,
      "website": "http://www.normanregional.com/en/locations.html?location_list=9",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norman-norman-regional-healthplex/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORMAN REGIONAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-norman-regional-hospital-authority",
      "siblingGroupId": "siblings-ok-norman-regional-hospital-authority",
      "campusFamilyId": "campus-ok-370008",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-norman-regional-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORMAN REGIONAL HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN P MANFREDO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NORMAN REGIONAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORMAN REGIONAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370008"
    },
    {
      "id": "370013",
      "ccn": "370013",
      "name": "MERCY HOSPITAL OKLAHOMA CITY, INC",
      "address": "4300 WEST MEMORIAL ROAD",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73120",
      "county": "OKLAHOMA",
      "latitude": 35.6068488898555,
      "longitude": -97.6004381503738,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 385,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370014",
      "ccn": "370014",
      "name": "ALLIANCEHEALTH DURANT",
      "address": "1800 UNIVERSITY BOULEVARD",
      "city": "DURANT",
      "state": "OK",
      "zip": "74701",
      "county": "BRYAN",
      "latitude": 34.0071519201069,
      "longitude": -96.3934279202469,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 138,
      "rating": 1,
      "website": "http://myalliancehealth.com/",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Myalliancehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Myalliancehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-durant-alliancehealth-durant/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ok-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.chs.net/serving-communities/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Myalliancehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Myalliancehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Myalliancehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Myalliancehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "370015",
      "ccn": "370015",
      "name": "HILLCREST HOSPITAL PRYOR",
      "address": "111 NORTH BAILEY STREET",
      "city": "PRYOR",
      "state": "OK",
      "zip": "74361",
      "county": "MAYES",
      "latitude": 36.3082887496849,
      "longitude": -95.3047966703515,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": 4,
      "website": "http://www.hillcrestpryor.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pryor-hillcrest-hospital-pryor/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370018",
      "ccn": "370018",
      "name": "ASCENSION ST. JOHN JANE PHILLIPS",
      "address": "3500 EAST FRANK PHILLIPS BOULEVARD",
      "city": "BARTLESVILLE",
      "state": "OK",
      "zip": "74006",
      "county": "WASHINGTON",
      "latitude": 36.7519936297236,
      "longitude": -95.9386672800458,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 133,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ST JOHN HEALTH SYSTEMS INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-john-health-systems-inc",
      "siblingGroupId": "siblings-ok-st-john-health-systems-inc",
      "campusFamilyId": "campus-ok-370018",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ascension-st-john"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD RECTOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD RECTOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370018-loc-ok-bartlesville-ascension-st-john-jane-phillips",
      "ccn": "370018",
      "name": "ASCENSION ST. JOHN JANE PHILLIPS",
      "address": "3500 EAST FRANK PHILLIPS BOULEVARD",
      "city": "BARTLESVILLE",
      "state": "OK",
      "zip": "74006",
      "county": "WASHINGTON",
      "latitude": 36.7527846057268,
      "longitude": -95.9386310159561,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 9,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ST JOHN HEALTH SYSTEMS INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-john-health-systems-inc",
      "siblingGroupId": "siblings-ok-st-john-health-systems-inc",
      "campusFamilyId": "campus-ok-370018",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ascension-st-john"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD RECTOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD RECTOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370018"
    },
    {
      "id": "370018-loc-ok-bartlesville-ascension-st-john-jane-phillips-2",
      "ccn": "370018",
      "name": "ASCENSION ST JOHN JANE PHILLIPS",
      "address": "3500 EAST FRANK PHILLIPS BOULEVARD",
      "city": "BARTLESVILLE",
      "state": "OK",
      "zip": "74006",
      "county": "WASHINGTON",
      "latitude": 36.7525241002516,
      "longitude": -95.938546199722,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ST JOHN HEALTH SYSTEMS INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-john-health-systems-inc",
      "siblingGroupId": "siblings-ok-st-john-health-systems-inc",
      "campusFamilyId": "campus-ok-370018",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ascension-st-john"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD RECTOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BRAD RECTOR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370018"
    },
    {
      "id": "370019",
      "ccn": "370019",
      "name": "GREAT PLAINS REGIONAL MEDICAL CENTER",
      "address": "1801 WEST THIRD STREET",
      "city": "ELK CITY",
      "state": "OK",
      "zip": "73644",
      "county": "BECKHAM",
      "latitude": 35.4139830598579,
      "longitude": -99.4262510197251,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 62,
      "rating": 2,
      "website": "http://www.gprmc-ok.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FARMERS UNION HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-farmers-union-hospital-association",
      "siblingGroupId": "siblings-ok-farmers-union-hospital-association",
      "campusFamilyId": "campus-ok-370019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-farmers-union-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: FARMERS UNION HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FARMERS UNION HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FARMERS UNION HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FARMERS UNION HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FARMERS UNION HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FARMERS UNION HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370019-loc-ok-elk-city-great-plains-regional-medical-center",
      "ccn": "370019",
      "name": "GREAT PLAINS REGIONAL MEDICAL CENTER",
      "address": "1705 WEST 2ND STREET",
      "city": "ELK CITY",
      "state": "OK",
      "zip": "73644",
      "county": "BECKHAM",
      "latitude": 35.4130737499209,
      "longitude": -99.4263230098137,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FARMERS UNION HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-farmers-union-hospital-association",
      "siblingGroupId": "siblings-ok-farmers-union-hospital-association",
      "campusFamilyId": "campus-ok-370019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-farmers-union-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: FARMERS UNION HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FARMERS UNION HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FARMERS UNION HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FARMERS UNION HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FARMERS UNION HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FARMERS UNION HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370019"
    },
    {
      "id": "370019-loc-ok-elk-city-great-plains-regional-medical-center-2",
      "ccn": "370019",
      "name": "GREAT PLAINS REGIONAL MEDICAL CENTER",
      "address": "1801 WEST 3RD STREET",
      "city": "ELK CITY",
      "state": "OK",
      "zip": "73644",
      "county": "BECKHAM",
      "latitude": 35.4140101942219,
      "longitude": -99.4259282397722,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FARMERS UNION HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-farmers-union-hospital-association",
      "siblingGroupId": "siblings-ok-farmers-union-hospital-association",
      "campusFamilyId": "campus-ok-370019",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-farmers-union-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: FARMERS UNION HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FARMERS UNION HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FARMERS UNION HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FARMERS UNION HOSPITAL ASSOCIATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FARMERS UNION HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FARMERS UNION HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370019"
    },
    {
      "id": "370020",
      "ccn": "370020",
      "name": "MERCY HOSPITAL ADA",
      "address": "430 NORTH MONTA VISTA",
      "city": "ADA",
      "state": "OK",
      "zip": "74820",
      "county": "PONTOTOC",
      "latitude": 34.7785806970562,
      "longitude": -96.6334533040282,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 144,
      "rating": 4,
      "website": "https://www.mercy.net/practice/mercy-hospital-ada",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "campusFamilyId": "campus-ok-370020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370020-loc-ok-ada-mercy-hospital-ada",
      "ccn": "370020",
      "name": "MERCY HOSPITAL ADA",
      "address": "430 NORTH MONTA VISTA",
      "city": "ADA",
      "state": "OK",
      "zip": "74820",
      "county": "PONTOTOC",
      "latitude": 34.7778276500957,
      "longitude": -96.6334408515817,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "campusFamilyId": "campus-ok-370020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370020"
    },
    {
      "id": "370020-loc-ok-ada-mercy-hospital-ada-2",
      "ccn": "370020",
      "name": "MERCY HOSPITAL ADA",
      "address": "430 NORTH MONTA VISTA",
      "city": "ADA",
      "state": "OK",
      "zip": "74820",
      "county": "PONTOTOC",
      "latitude": 34.7781508997333,
      "longitude": -96.6334992995674,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "campusFamilyId": "campus-ok-370020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370020"
    },
    {
      "id": "370022",
      "ccn": "370022",
      "name": "JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY",
      "address": "1200 EAST PECAN",
      "city": "ALTUS",
      "state": "OK",
      "zip": "73521",
      "county": "JACKSON",
      "latitude": 34.6352397502452,
      "longitude": -99.3180387703324,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-jackson-county-memorial-hospital-authority",
      "siblingGroupId": "siblings-ok-jackson-county-memorial-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-jackson-county-memorial-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370023",
      "ccn": "370023",
      "name": "DUNCAN REGIONAL HOSPITAL, INC",
      "address": "1407 NORTH WHISENANT DRIVE",
      "city": "DUNCAN",
      "state": "OK",
      "zip": "73534",
      "county": "STEPHENS",
      "latitude": 34.5203175301969,
      "longitude": -97.9759479995666,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 110,
      "rating": 3,
      "website": "http://www.duncanregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Duncan Regional Hospital",
      "parentSystemId": "entity-duncan-regional-hospital",
      "siblingGroupId": "siblings-ok-duncan-regional-hospital",
      "campusFamilyId": "campus-ok-370023",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-duncan-regional-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to DUNCAN REGIONAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Duncan Regional Hospital, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to DUNCAN REGIONAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Duncan Regional Hospital, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370023-loc-ok-duncan-duncan-regional-hospital-inc",
      "ccn": "370023",
      "name": "DUNCAN REGIONAL HOSPITAL. INC",
      "address": "1407 WHISENANT DRIVE",
      "city": "DUNCAN",
      "state": "OK",
      "zip": "73533",
      "county": "STEPHENS",
      "latitude": 34.5200971000178,
      "longitude": -97.9760086996286,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Duncan Regional Hospital",
      "parentSystemId": "entity-duncan-regional-hospital",
      "siblingGroupId": "siblings-ok-duncan-regional-hospital",
      "campusFamilyId": "campus-ok-370023",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-duncan-regional-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to DUNCAN REGIONAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Duncan Regional Hospital, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to DUNCAN REGIONAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Duncan Regional Hospital, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370023"
    },
    {
      "id": "370025",
      "ccn": "370025",
      "name": "SAINT FRANCIS HOSPITAL MUSKOGEE",
      "address": "300 ROCKEFELLER DRIVE",
      "city": "MUSKOGEE",
      "state": "OK",
      "zip": "74401",
      "county": "MUSKOGEE",
      "latitude": 35.7524047409043,
      "longitude": -95.4060943318809,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 320,
      "rating": 3,
      "website": "http://www.eastarhealth.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370025-loc-ok-muskogee-saint-francis-hospital-muskogee",
      "ccn": "370025",
      "name": "SAINT FRANCIS HOSPITAL MUSKOGEE",
      "address": "300 ROCKEFELLER DRIVE",
      "city": "MUSKOGEE",
      "state": "OK",
      "zip": "74401",
      "county": "MUSKOGEE",
      "latitude": 35.7527628980803,
      "longitude": -95.4052335122767,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 26,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370025"
    },
    {
      "id": "370025-loc-ok-muskogee-saint-francis-hospital-muskogee-east",
      "ccn": "370025",
      "name": "SAINT FRANCIS HOSPITAL MUSKOGEE EAST",
      "address": "2900 N MAIN ST",
      "city": "MUSKOGEE",
      "state": "OK",
      "zip": "74401",
      "county": "MUSKOGEE",
      "latitude": 35.7825795098136,
      "longitude": -95.3562569102356,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 45,
      "rating": 3,
      "website": "http://www.eastarhealth.com/facilities/eastar-east-camous-formerly-muskogee-community-hospital/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muskogee-saint-francis-hospital-muskogee-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370025",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370025"
    },
    {
      "id": "370026",
      "ccn": "370026",
      "name": "ST. MARY'S REGIONAL MEDICAL CENTER",
      "address": "305 S FIFTH STREET",
      "city": "ENID",
      "state": "OK",
      "zip": "73701",
      "county": "GARFIELD",
      "latitude": 36.3937529197055,
      "longitude": -97.87128589038,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 229,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ok-universal-health-services",
      "campusFamilyId": "campus-ok-370026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "370026-loc-ok-enid-st-mary-s-regional-medical-center",
      "ccn": "370026",
      "name": "ST. MARY'S REGIONAL MEDICAL CENTER",
      "address": "305 SOUTH 5TH STREET",
      "city": "ENID",
      "state": "OK",
      "zip": "73701",
      "county": "GARFIELD",
      "latitude": 36.3937560999279,
      "longitude": -97.8712246998378,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 22,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ok-universal-health-services",
      "campusFamilyId": "campus-ok-370026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370026"
    },
    {
      "id": "370028",
      "ccn": "370028",
      "name": "INTEGRIS BAPTIST MEDICAL CENTER, INC",
      "address": "3300 NORTHWEST EXPRESSWAY",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73112",
      "county": "OKLAHOMA",
      "latitude": 35.5293791398123,
      "longitude": -97.5761348798439,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 892,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-integris-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS HEALTH INC",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370034",
      "ccn": "370034",
      "name": "MCALESTER REGIONAL HEALTH CENTER",
      "address": "1 CLARK BASS BOULEVARD",
      "city": "MCALESTER",
      "state": "OK",
      "zip": "74501",
      "county": "PITTSBURG",
      "latitude": 34.9368735958126,
      "longitude": -95.7508060712766,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 149,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MCALESTER REGIONAL HEALTH CENTER AUTHORITY",
      "parentSystemId": "entity-mcalester-regional-health-center-authority",
      "siblingGroupId": "siblings-ok-mcalester-regional-health-center-authority",
      "campusFamilyId": "campus-ok-370034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-mcalester-regional-health-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists SAYER BRENNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCALESTER REGIONAL HEALTH CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCALESTER REGIONAL HEALTH CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SAYER BRENNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCALESTER REGIONAL HEALTH CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCALESTER REGIONAL HEALTH CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370034-loc-ok-mcalester-mcalester-regional-health-center",
      "ccn": "370034",
      "name": "MCALESTER REGIONAL HEALTH CENTER",
      "address": "1 CLARK BASS BOULEVARD",
      "city": "MCALESTER",
      "state": "OK",
      "zip": "74501",
      "county": "PITTSBURG",
      "latitude": 34.9368708003468,
      "longitude": -95.7516756943706,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MCALESTER REGIONAL HEALTH CENTER AUTHORITY",
      "parentSystemId": "entity-mcalester-regional-health-center-authority",
      "siblingGroupId": "siblings-ok-mcalester-regional-health-center-authority",
      "campusFamilyId": "campus-ok-370034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-mcalester-regional-health-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists SAYER BRENNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCALESTER REGIONAL HEALTH CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCALESTER REGIONAL HEALTH CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SAYER BRENNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCALESTER REGIONAL HEALTH CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCALESTER REGIONAL HEALTH CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370034"
    },
    {
      "id": "370034-loc-ok-mcalester-mcalester-regional-health-center-2",
      "ccn": "370034",
      "name": "MCALESTER REGIONAL HEALTH CENTER",
      "address": "1 CLARK BASS BOULEVARD",
      "city": "MCALESTER",
      "state": "OK",
      "zip": "74501",
      "county": "PITTSBURG",
      "latitude": 34.9371395667065,
      "longitude": -95.7505381469465,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 22,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MCALESTER REGIONAL HEALTH CENTER AUTHORITY",
      "parentSystemId": "entity-mcalester-regional-health-center-authority",
      "siblingGroupId": "siblings-ok-mcalester-regional-health-center-authority",
      "campusFamilyId": "campus-ok-370034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-mcalester-regional-health-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists SAYER BRENNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCALESTER REGIONAL HEALTH CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCALESTER REGIONAL HEALTH CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SAYER BRENNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCALESTER REGIONAL HEALTH CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCALESTER REGIONAL HEALTH CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370034"
    },
    {
      "id": "370037",
      "ccn": "370037",
      "name": "SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY",
      "address": "1000 NORTH LEE STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73102",
      "county": "OKLAHOMA",
      "latitude": 35.4779097001213,
      "longitude": -97.5234297097233,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 773,
      "rating": 4,
      "website": "http://www.saintsok.com",
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE OF OKLAHOMA, INC.",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-ssm-health-care-of-oklahoma-inc",
      "campusFamilyId": "campus-ok-370037",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370037-loc-ok-oklahoma-city-ssm-health-st-anthony-hospital-oklaho",
      "ccn": "370037",
      "name": "SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY",
      "address": "1000 NORTH LEE BOULEVARD",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73101",
      "county": "OKLAHOMA",
      "latitude": 35.4784020652703,
      "longitude": -97.5230477649291,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 255,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE OF OKLAHOMA, INC.",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-ssm-health-care-of-oklahoma-inc",
      "campusFamilyId": "campus-ok-370037",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370037"
    },
    {
      "id": "370037-loc-ok-oklahoma-city-ssm-health-st-anthony-hospital-oklaho-2",
      "ccn": "370037",
      "name": "SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY",
      "address": "1000 NORTH LEE AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73101",
      "county": "OKLAHOMA",
      "latitude": 35.4781150800786,
      "longitude": -97.5230521702672,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 18,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE OF OKLAHOMA, INC.",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-ssm-health-care-of-oklahoma-inc",
      "campusFamilyId": "campus-ok-370037",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370037"
    },
    {
      "id": "370039",
      "ccn": "370039",
      "name": "HILLCREST HOSPITAL CLAREMORE",
      "address": "1202 NORTH MUSKOGEE PLACE",
      "city": "CLAREMORE",
      "state": "OK",
      "zip": "74017",
      "county": "ROGERS",
      "latitude": 36.3226445398777,
      "longitude": -95.6046751800546,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": 4,
      "website": "http://www.hillcrestclaremore.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-claremore-hillcrest-hospital-claremore/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370047",
      "ccn": "370047",
      "name": "MERCY HOSPITAL ARDMORE, INC",
      "address": "1011 14TH AVENUE NW",
      "city": "ARDMORE",
      "state": "OK",
      "zip": "73401",
      "county": "CARTER",
      "latitude": 34.1889557828964,
      "longitude": -97.1403945476313,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 190,
      "rating": 4,
      "website": "http://www.mercyok.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "campusFamilyId": "campus-ok-370047",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370047-loc-ok-ardmore-mercy-hospital-ardmore-inc",
      "ccn": "370047",
      "name": "MERCY HOSPITAL ARDMORE, INC",
      "address": "1011 14TH AVE NW",
      "city": "ARDMORE",
      "state": "OK",
      "zip": "73401",
      "county": "CARTER",
      "latitude": 34.1892285628427,
      "longitude": -97.1408726777379,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 16,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "campusFamilyId": "campus-ok-370047",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370047"
    },
    {
      "id": "370047-loc-ok-ardmore-mercy-hospital-ardmore-inc-2",
      "ccn": "370047",
      "name": "MERCY HOSPITAL ARDMORE, INC.",
      "address": "1011 14TH AVENUE NW",
      "city": "ARDMORE",
      "state": "OK",
      "zip": "73401",
      "county": "CARTER",
      "latitude": 34.189007799717,
      "longitude": -97.1409012001465,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 20,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "campusFamilyId": "campus-ok-370047",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370047"
    },
    {
      "id": "370049",
      "ccn": "370049",
      "name": "STILLWATER MEDICAL CENTER",
      "address": "1323 WEST 6TH AVENUE",
      "city": "STILLWATER",
      "state": "OK",
      "zip": "74074",
      "county": "PAYNE",
      "latitude": 36.1150110999751,
      "longitude": -97.0751020696635,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 117,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STILLWATER MEDICAL CENTER AUTHORITY",
      "parentSystemId": "entity-stillwater-medical-center-authority",
      "siblingGroupId": "siblings-ok-stillwater-medical-center-authority",
      "campusFamilyId": "campus-ok-370049",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-stillwater-medical-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370049-loc-ok-stillwater-stillwater-medical-center",
      "ccn": "370049",
      "name": "STILLWATER MEDICAL CENTER",
      "address": "1323 WEST 6TH STREET",
      "city": "STILLWATER",
      "state": "OK",
      "zip": "74076",
      "county": "PAYNE",
      "latitude": 36.115060300356,
      "longitude": -97.074971300111,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STILLWATER MEDICAL CENTER AUTHORITY",
      "parentSystemId": "entity-stillwater-medical-center-authority",
      "siblingGroupId": "siblings-ok-stillwater-medical-center-authority",
      "campusFamilyId": "campus-ok-370049",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-stillwater-medical-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370049"
    },
    {
      "id": "370054",
      "ccn": "370054",
      "name": "GRADY MEMORIAL HOSPITAL AUTHORITY",
      "address": "2220 IOWA AVENUE",
      "city": "CHICKASHA",
      "state": "OK",
      "zip": "73018",
      "county": "GRADY",
      "latitude": 35.0480341703489,
      "longitude": -97.9617328797459,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 57,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "GRADY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-grady-memorial-hospital",
      "siblingGroupId": "siblings-ok-grady-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-grady-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to GRADY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRADY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to GRADY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRADY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370057",
      "ccn": "370057",
      "name": "MUSCOGEE - CREEK - NATION MEDICAL CENTER",
      "address": "1401 MORRIS DRIVE",
      "city": "OKMULGEE",
      "state": "OK",
      "zip": "74447",
      "county": "OKMULGEE",
      "latitude": 35.6111880201705,
      "longitude": -95.9524849995579,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Tribal",
      "beds": 66,
      "rating": null,
      "website": "http://www.creekhealth.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-okmulgee-muscogee-creek-nation-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MUSCOGEE CREEK NATION",
      "parentSystemId": "entity-muscogee-creek-nation",
      "siblingGroupId": "siblings-ok-muscogee-creek-nation",
      "campusFamilyId": "campus-ok-370057",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-muscogee-creek-nation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUSCOGEE CREEK NATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MUSCOGEE CREEK NATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCOGEE CREEK NATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MUSCOGEE CREEK NATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MUSCOGEE CREEK NATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSCOGEE CREEK NATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370078",
      "ccn": "370078",
      "name": "OKLAHOMA STATE UNIVERSITY MEDICAL CENTER",
      "address": "744 WEST 9TH STREET",
      "city": "TULSA",
      "state": "OK",
      "zip": "74127",
      "county": "TULSA",
      "latitude": 36.146705390212,
      "longitude": -95.9998439298083,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 235,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-oklahoma-state-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "OKLAHOMA STATE UNIVERSITY MEDICAL TRUST",
      "parentSystemId": "entity-oklahoma-state-university-medical-trust",
      "siblingGroupId": "siblings-ok-oklahoma-state-university-medical-trust",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-oklahoma-state-university-medical-trust"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: OKLAHOMA STATE UNIVERSITY MEDICAL TRUST (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RHONDA HANAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OKLAHOMA STATE UNIVERSITY MEDICAL TRUST; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKLAHOMA STATE UNIVERSITY MEDICAL TRUST, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OKLAHOMA STATE UNIVERSITY MEDICAL TRUST (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RHONDA HANAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OKLAHOMA STATE UNIVERSITY MEDICAL TRUST; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKLAHOMA STATE UNIVERSITY MEDICAL TRUST, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370089",
      "ccn": "370089",
      "name": "NORTHEASTERN HEALTH SYSTEM",
      "address": "1400 E DOWNING ST",
      "city": "TAHLEQUAH",
      "state": "OK",
      "zip": "74464",
      "county": "CHEROKEE",
      "latitude": 35.913996685238,
      "longitude": -94.9504321298843,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 98,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEASTERN HEALTH SYSTEM",
      "parentSystemId": "entity-northeastern-health-system",
      "siblingGroupId": "siblings-ok-northeastern-health-system",
      "campusFamilyId": "campus-ok-370089",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-northeastern-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEASTERN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Northeastern Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEASTERN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Northeastern Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370089-loc-ok-tahlequah-northeastern-health-system",
      "ccn": "370089",
      "name": "NORTHEASTERN HEALTH SYSTEM",
      "address": "1400 EAST DOWNING STREET",
      "city": "TAHLEQUAH",
      "state": "OK",
      "zip": "74465",
      "county": "CHEROKEE",
      "latitude": 35.9135330876949,
      "longitude": -94.9508542895588,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": 2,
      "website": "http://nhs-ok.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTHEASTERN HEALTH SYSTEM",
      "parentSystemId": "entity-northeastern-health-system",
      "siblingGroupId": "siblings-ok-northeastern-health-system",
      "campusFamilyId": "campus-ok-370089",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-northeastern-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTHEASTERN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Northeastern Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTHEASTERN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Northeastern Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTHEASTERN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370089"
    },
    {
      "id": "370091",
      "ccn": "370091",
      "name": "SAINT FRANCIS HOSPITAL, INC",
      "address": "6161 SOUTH YALE AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74136",
      "county": "TULSA",
      "latitude": 36.0727658301285,
      "longitude": -95.918984269601,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1088,
      "rating": 5,
      "website": "http://www.saintfrancis.com/pages/home.aspx",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370091",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370091-loc-ok-tulsa-saint-francis-hospital-inc",
      "ccn": "370091",
      "name": "SAINT FRANCIS HOSPITAL, INC",
      "address": "6161 S YALE AVE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74136",
      "county": "TULSA",
      "latitude": 36.0705400999365,
      "longitude": -95.9182869002594,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": 5,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370091",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370091"
    },
    {
      "id": "370093",
      "ccn": "370093",
      "name": "OU MEDICAL CENTER -THE CHILDREN'S HOSPITAL",
      "address": "1200 CHILDREN'S AVE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73104",
      "county": "OKLAHOMA",
      "latitude": 35.4816532399367,
      "longitude": -97.4961050096341,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 314,
      "rating": 2,
      "website": "http://www.oumedicine.com/oumedicalcenter",
      "status": "corporate_chain",
      "parentSystem": "OU MEDICINE INC",
      "affiliatedSystem": "Oumedicine",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Oumedicine",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-ou-medical-center--the-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-ou-medicine-inc",
      "siblingGroupId": "siblings-ok-ou-medicine-inc",
      "campusFamilyId": "campus-ok-370093",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-ou-medicine-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists RICHARD LOFGREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oumedicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oumedicine. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OU MEDICINE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OU MEDICINE INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD LOFGREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oumedicine; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oumedicine. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OU MEDICINE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OU MEDICINE INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370094",
      "ccn": "370094",
      "name": "SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST",
      "address": "2825 PARKLAWN DRIVE",
      "city": "MIDWEST CITY",
      "state": "OK",
      "zip": "73110",
      "county": "OKLAHOMA",
      "latitude": 35.4673153117377,
      "longitude": -97.3935663668622,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 243,
      "rating": 2,
      "status": "signal",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "SSM Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midwest-city-ssm-health-st.-anthony-hospital---midwest/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-ok-ssm-health-care-corporation",
      "campusFamilyId": "campus-ok-370094",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370097",
      "ccn": "370097",
      "name": "SOUTHWESTERN MEDICAL CENTER",
      "address": "5602 SOUTHWEST LEE BOULEVARD",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73505",
      "county": "COMANCHE",
      "latitude": 34.5926352501196,
      "longitude": -98.4627401903486,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 199,
      "rating": 2,
      "status": "disputed",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: ScionHealth. PESP PE firm/sponsor: Apollo Global Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "CMS Hospital General Information",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Ownership warning",
      "relationshipType": "ownership",
      "parentSystem": "SOUTHWESTERN MEDICAL CENTER",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-southwestern-medical-center",
      "siblingGroupId": "siblings-ok-southwestern-medical-center",
      "campusFamilyId": "campus-ok-370097",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTERN MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTERN MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370097-loc-ok-lawton-southwestern-medical-center",
      "ccn": "370097",
      "name": "SOUTHWESTERN MEDICAL CENTER",
      "address": "5602 SOUTHWEST LEE BOULEVARD",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73506",
      "county": "COMANCHE",
      "latitude": 34.5929244132071,
      "longitude": -98.4632183770491,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 92,
      "rating": 2,
      "status": "disputed",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: ScionHealth. PESP PE firm/sponsor: Apollo Global Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending",
        "CMS Hospital General Information",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "ScionHealth",
      "publicControlBadge": "Ownership warning",
      "relationshipType": "ownership",
      "parentSystem": "SOUTHWESTERN MEDICAL CENTER",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-southwestern-medical-center",
      "siblingGroupId": "siblings-ok-southwestern-medical-center",
      "campusFamilyId": "campus-ok-370097",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTERN MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTERN MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370097"
    },
    {
      "id": "370097-loc-ok-lawton-southwestern-medical-center-2",
      "ccn": "370097",
      "name": "SOUTHWESTERN MEDICAL CENTER",
      "address": "5602 SOUTHWEST LEE BOULEVARD",
      "city": "LAWTON",
      "state": "OK",
      "zip": "73505",
      "county": "COMANCHE",
      "latitude": 34.5940499000894,
      "longitude": -98.4625439003742,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 14,
      "rating": 2,
      "status": "disputed",
      "relationshipType": "ownership",
      "parentSystem": "SOUTHWESTERN MEDICAL CENTER",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: ScionHealth. PESP PE firm/sponsor: Apollo Global Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "National baseline system/operator rule",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-southwestern-medical-center",
      "siblingGroupId": "siblings-ok-southwestern-medical-center",
      "campusFamilyId": "campus-ok-370097",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTERN MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWESTERN MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370097"
    },
    {
      "id": "370099",
      "ccn": "370099",
      "name": "HILLCREST HOSPITAL CUSHING",
      "address": "1027 EAST CHERRY STREET",
      "city": "CUSHING",
      "state": "OK",
      "zip": "74023",
      "county": "PAYNE",
      "latitude": 35.9787427637674,
      "longitude": -96.7566921942013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 99,
      "rating": 4,
      "website": "http://www.hillcrestcushing.com/",
      "status": "confirmed_pe",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Ardent Health Services. PESP PE firm/sponsor: Equity Group Investments.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "campusFamilyId": "campus-ok-370099",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370099-loc-ok-cushing-hillcrest-hospital-cushing",
      "ccn": "370099",
      "name": "HILLCREST HOSPITAL CUSHING",
      "address": "1027 EAST CHERRY STREET",
      "city": "CUSHING",
      "state": "OK",
      "zip": "74023",
      "county": "PAYNE",
      "latitude": 35.9783721763464,
      "longitude": -96.7569336191289,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 21,
      "rating": 4,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "campusFamilyId": "campus-ok-370099",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370099"
    },
    {
      "id": "370100",
      "ccn": "370100",
      "name": "CHOCTAW MEMORIAL HOSPITAL",
      "address": "1405 EAST KIRK ROAD",
      "city": "HUGO",
      "state": "OK",
      "zip": "74743",
      "county": "CHOCTAW",
      "latitude": 34.012372100052,
      "longitude": -95.4966500901597,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 34,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hugo-choctaw-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY",
      "parentSystemId": "entity-choctaw-county-city-of-hugo-hospital-authority",
      "siblingGroupId": "siblings-ok-choctaw-county-city-of-hugo-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-choctaw-county-city-of-hugo-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHOCTAW COUNTY CITY OF HUGO HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370106",
      "ccn": "370106",
      "name": "INTEGRIS SOUTHWEST MEDICAL CENTER",
      "address": "4401 SOUTH WESTERN AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73109",
      "county": "OKLAHOMA",
      "latitude": 35.4224812433474,
      "longitude": -97.5332069912419,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": 2,
      "status": "confirmed_pe",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: ScionHealth. PESP PE firm/sponsor: Apollo Global Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "INTEGRIS HEALTH INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "May 2016",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "campusFamilyId": "campus-ok-370106",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370106-loc-ok-oklahoma-city-integris-southwest-medical-center",
      "ccn": "370106",
      "name": "INTEGRIS SOUTHWEST MEDICAL CENTER",
      "address": "4401 SOUTH WESTERN AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73109",
      "county": "OKLAHOMA",
      "latitude": 35.4219231396692,
      "longitude": -97.53348862027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 83,
      "rating": 2,
      "status": "confirmed_pe",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: ScionHealth. PESP PE firm/sponsor: Apollo Global Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "INTEGRIS HEALTH INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "May 2016",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "campusFamilyId": "campus-ok-370106",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370106"
    },
    {
      "id": "370106-loc-ok-oklahoma-city-integris-southwest-medical-center-2",
      "ccn": "370106",
      "name": "INTEGRIS SOUTHWEST MEDICAL CENTER",
      "address": "4401 SOUTH WESTERN AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73109",
      "county": "OKLAHOMA",
      "latitude": 35.4223113387239,
      "longitude": -97.5334213265738,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 334,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "INTEGRIS HEALTH INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "May 2016",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "campusFamilyId": "campus-ok-370106",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370106"
    },
    {
      "id": "370112",
      "ccn": "370112",
      "name": "SEQUOYAH COUNTY - CITY OF SALLISAW HOSPITAL AUTHORITY",
      "address": "213 EAST REDWOOD",
      "city": "SALLISAW",
      "state": "OK",
      "zip": "74955",
      "county": "SEQUOYAH",
      "latitude": 35.4639061003358,
      "longitude": -94.7883095898745,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 41,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY",
      "parentSystemId": "entity-sequoyah-county-city-of-sallisaw-hospital-authority",
      "siblingGroupId": "siblings-ok-sequoyah-county-city-of-sallisaw-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-sequoyah-county-city-of-sallisaw-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370113",
      "ccn": "370113",
      "name": "INTEGRIS GROVE HOSPITAL",
      "address": "1001 EAST 18TH STREET",
      "city": "GROVE",
      "state": "OK",
      "zip": "74344",
      "county": "DELAWARE",
      "latitude": 36.581287350213,
      "longitude": -94.758576689765,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 58,
      "rating": 4,
      "website": "http://www.integris-health.com",
      "status": "corporate_chain",
      "parentSystem": "BAPTIST HEALTHCARE OF OKLAHOMA LLC",
      "affiliatedSystem": "Integris Health",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Integris Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grove-integris-grove-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-healthcare-of-oklahoma-llc",
      "siblingGroupId": "siblings-ok-baptist-healthcare-of-oklahoma-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST HEALTHCARE OF OKLAHOMA LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Integris Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Integris Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE OF OKLAHOMA LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST HEALTHCARE OF OKLAHOMA LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Integris Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Integris Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAPTIST HEALTHCARE OF OKLAHOMA LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370114",
      "ccn": "370114",
      "name": "ASCENSION ST. JOHN MEDICAL CENTER",
      "address": "1923 S UTICA AVE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74104",
      "county": "TULSA",
      "latitude": 36.1342000900155,
      "longitude": -95.9642196903177,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 677,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ST JOHN HEALTH SYSTEMS INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-ascension-st.-john-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-john-health-systems-inc",
      "siblingGroupId": "siblings-ok-st-john-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ascension-st-john"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES TERRENCE DOLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES TERRENCE DOLAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370149",
      "ccn": "370149",
      "name": "SSM HEALTH ST. ANTHONY HOSPITAL - SHAWNEE",
      "address": "1102 WEST MACARTHUR",
      "city": "SHAWNEE",
      "state": "OK",
      "zip": "74804",
      "county": "POTTAWATOMIE",
      "latitude": 35.362990210013,
      "longitude": -96.9375457900679,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 96,
      "rating": 3,
      "status": "signal",
      "parentSystem": "SSM HEALTH CARE OF OKLAHOMA, INC.",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "SSM Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-ssm-health-care-of-oklahoma-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHASTA R MANUEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SHASTA R MANUEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "37014F",
      "ccn": "37014F",
      "name": "OKLAHOMA CITY VA MEDICAL CENTER",
      "address": "921 NORTHEAST 13TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73104",
      "county": "OKLAHOMA",
      "latitude": 35.4828151898309,
      "longitude": -97.4966717100345,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 2,
      "website": "https://www.va.gov/oklahoma-city-health-care/locations/oklahoma-city-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ok-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370158",
      "ccn": "370158",
      "name": "PURCELL MUNICIPAL HOSPITAL",
      "address": "1500 NORTH GREEN AVENUE",
      "city": "PURCELL",
      "state": "OK",
      "zip": "73080",
      "county": "MCCLAIN",
      "latitude": 35.0286005600274,
      "longitude": -97.364621699787,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 39,
      "rating": 3,
      "website": "http://www.purcellhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-purcell-purcell-municipal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE OF OKLAHOMA, INC.",
      "parentSystemId": "entity-ssm-health-care-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-ssm-health-care-of-oklahoma-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370166",
      "ccn": "370166",
      "name": "WAGONER COMMUNITY HOSPITAL",
      "address": "1200 W CHEROKEE ST",
      "city": "WAGONER",
      "state": "OK",
      "zip": "74467",
      "county": "WAGONER",
      "latitude": 35.9615239601198,
      "longitude": -95.3924305000652,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 100,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wagoner-wagoner-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WAGONER HOSPITAL AUTHORITY",
      "parentSystemId": "entity-wagoner-hospital-authority",
      "siblingGroupId": "siblings-ok-wagoner-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-verified-parent-wagoner-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to WAGONER HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAGONER HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to WAGONER HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAGONER HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370173",
      "ccn": "370173",
      "name": "CLAREMORE INDIAN HOSPITAL",
      "address": "101 SOUTH MOORE AVE",
      "city": "CLAREMORE",
      "state": "OK",
      "zip": "74017",
      "county": "ROGERS",
      "latitude": 36.3161088238075,
      "longitude": -95.6291436292057,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Federal",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Federal",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CLAREMORE INDIAN HOSPITAL",
      "parentSystemId": "entity-claremore-indian-hospital",
      "siblingGroupId": "siblings-ok-claremore-indian-hospital",
      "campusFamilyId": "campus-ok-370173",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-government-federal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAREMORE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Federal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLAREMORE INDIAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370178",
      "ccn": "370178",
      "name": "MEMORIAL HOSPITAL",
      "address": "1401 WEST LOCUST STREET",
      "city": "STILWELL",
      "state": "OK",
      "zip": "74960",
      "county": "ADAIR",
      "latitude": 35.809322360272,
      "longitude": -94.6431533401931,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 67,
      "rating": 4,
      "website": "http://www.stilwellmemorialhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HOSPITAL",
      "parentSystemId": "entity-memorial-hospital-ok-stilwell-370178",
      "siblingGroupId": "siblings-ok-memorial-hospital-ok-stilwell-370178",
      "campusFamilyId": "campus-ok-370178",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370178-loc-ok-stilwell-memorial-hospital",
      "ccn": "370178",
      "name": "MEMORIAL HOSPITAL",
      "address": "1401 W LOCUST ST",
      "city": "STILWELL",
      "state": "OK",
      "zip": "74960",
      "county": "ADAIR",
      "latitude": 35.8098990001641,
      "longitude": -94.6430775996382,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HOSPITAL",
      "parentSystemId": "entity-memorial-hospital-ok-stilwell-370178",
      "siblingGroupId": "siblings-ok-memorial-hospital-ok-stilwell-370178",
      "campusFamilyId": "campus-ok-370178",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OK resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370178"
    },
    {
      "id": "370180",
      "ccn": "370180",
      "name": "CHICKASAW NATION MEDICAL CENTER",
      "address": "1921 STONECIPHER BLVD",
      "city": "ADA",
      "state": "OK",
      "zip": "74820",
      "county": "PONTOTOC",
      "latitude": 34.731167680212,
      "longitude": -96.6454197700128,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": null,
      "rating": 5,
      "website": "http://www.chickasaw.net/services/index_5311.htm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ada-chickasaw-nation-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHICKASAW NATION MEDICAL CENTER",
      "parentSystemId": "entity-chickasaw-nation-medical-center",
      "siblingGroupId": "siblings-ok-chickasaw-nation-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-voluntary-non-profit-other"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHICKASAW NATION MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Voluntary non-profit - Other; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHICKASAW NATION MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370183",
      "ccn": "370183",
      "name": "HILLCREST HOSPITAL HENRYETTA",
      "address": "2401 WEST MAIN",
      "city": "HENRYETTA",
      "state": "OK",
      "zip": "74437",
      "county": "OKMULGEE",
      "latitude": 35.4380954296343,
      "longitude": -96.0156618902343,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 30,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henryetta-hillcrest-hospital-henryetta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370192",
      "ccn": "370192",
      "name": "NORTHWEST SURGICAL HOSPITAL",
      "address": "9204 NORTH MAY AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73120",
      "county": "OKLAHOMA",
      "latitude": 35.5640935400811,
      "longitude": -97.5667245897632,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 9,
      "rating": null,
      "website": "http://nwsurgicalokc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-northwest-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS/USP HEALTH VENTURES, LLC",
      "parentSystemId": "entity-integris-usp-health-ventures-llc",
      "siblingGroupId": "siblings-ok-integris-usp-health-ventures-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS/USP HEALTH VENTURES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS/USP HEALTH VENTURES, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS/USP HEALTH VENTURES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS/USP HEALTH VENTURES, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370199",
      "ccn": "370199",
      "name": "LAKESIDE WOMEN'S HOSPITAL - A MEMBER OF INTEGRIS HEALTH",
      "address": "11200 NORTH PORTLAND AVENUE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73120",
      "county": "OKLAHOMA",
      "latitude": 35.583942289917,
      "longitude": -97.583612929681,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": null,
      "website": "http://www.lakeside-wh.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS HEALTH INC",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ARIELLE M ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ARIELLE M ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370201",
      "ccn": "370201",
      "name": "SURGICAL HOSPITAL OF OKLAHOMA",
      "address": "100 SE 59TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73129",
      "county": "OKLAHOMA",
      "latitude": 35.4056740297618,
      "longitude": -97.5093301204347,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 12,
      "rating": null,
      "website": "http://www.sh-ok.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-surgical-hospital-of-oklahoma/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OK SHO HEALTH VENTURES, LLC",
      "parentSystemId": "entity-ok-sho-health-ventures-llc",
      "siblingGroupId": "siblings-ok-ok-sho-health-ventures-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: OK SHO HEALTH VENTURES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OK SHO HEALTH VENTURES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OK SHO HEALTH VENTURES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OK SHO HEALTH VENTURES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370202",
      "ccn": "370202",
      "name": "HILLCREST HOSPITAL SOUTH",
      "address": "8801 SOUTH 101ST EAST AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74133",
      "county": "TULSA",
      "latitude": 36.0353155001845,
      "longitude": -95.8635598595895,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 180,
      "rating": 3,
      "website": "http://www.southcresthospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-hillcrest-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370203",
      "ccn": "370203",
      "name": "COMMUNITY HOSPITAL, LLC",
      "address": "3100 SOUTHWEST 89TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73159",
      "county": "CLEVELAND",
      "latitude": 35.3759109102075,
      "longitude": -97.5705335301112,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 45,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS/USP HEALTH VENTURES, LLC",
      "parentSystemId": "entity-integris-usp-health-ventures-llc",
      "siblingGroupId": "siblings-ok-integris-usp-health-ventures-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS/USP HEALTH VENTURES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS/USP HEALTH VENTURES, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS/USP HEALTH VENTURES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS/USP HEALTH VENTURES, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370206",
      "ccn": "370206",
      "name": "OKLAHOMA SPINE HOSPITAL",
      "address": "14101 PARKWAY COMMONS DRIVE",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73134",
      "county": "OKLAHOMA",
      "latitude": 35.6145013199276,
      "longitude": -97.5832999997552,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 25,
      "rating": null,
      "website": "http://www.oklahomaspine.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-oklahoma-spine-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MEDICAL FACILITIES AMERICA HOLDCO 1 LLC",
      "parentSystemId": "entity-medical-facilities-america-holdco-1-llc",
      "siblingGroupId": "siblings-ok-medical-facilities-america-holdco-1-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDICAL FACILITIES AMERICA HOLDCO 1 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 63.96%). CMS lists FADI F NASR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL FACILITIES AMERICA HOLDCO 1 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDICAL FACILITIES AMERICA HOLDCO 1 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 63.96%). CMS lists FADI F NASR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL FACILITIES AMERICA HOLDCO 1 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370210",
      "ccn": "370210",
      "name": "OKLAHOMA SURGICAL HOSPITAL, LLC",
      "address": "2408 EAST 81ST STREET, SUITE 300",
      "city": "TULSA",
      "state": "OK",
      "zip": "74137",
      "county": "TULSA",
      "latitude": 36.0433817000574,
      "longitude": -95.9535356798939,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 75,
      "rating": 5,
      "website": "http://www.oklahomasurgicalhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-oklahoma-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OKLAHOMA SURGICAL HOSPITAL LLC",
      "parentSystemId": "entity-oklahoma-surgical-hospital-llc",
      "siblingGroupId": "siblings-ok-oklahoma-surgical-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKLAHOMA SURGICAL HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKLAHOMA SURGICAL HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370211",
      "ccn": "370211",
      "name": "INTEGRIS CANADIAN VALLEY HOSPITAL",
      "address": "1201 HEALTH CENTER PARKWAY",
      "city": "YUKON",
      "state": "OK",
      "zip": "73099",
      "county": "CANADIAN",
      "latitude": 35.4851135102694,
      "longitude": -97.7631547597557,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 75,
      "rating": 4,
      "website": "http://www.integris-health.com",
      "status": "corporate_chain",
      "parentSystem": "INTEGRIS RURAL HEALTH INC",
      "affiliatedSystem": "Integris Health",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Integris Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yukon-integris-canadian-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-integris-rural-health-inc",
      "siblingGroupId": "siblings-ok-integris-rural-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS RURAL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA L GRAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Integris Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Integris Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS RURAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS RURAL HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TERESA L GRAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Integris Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Integris Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS RURAL HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370214",
      "ccn": "370214",
      "name": "LINDSAY MUNICIPAL HOSPITAL",
      "address": "1305 WEST CHEROKEE STREET, HWY 19W",
      "city": "LINDSAY",
      "state": "OK",
      "zip": "73052",
      "county": "GARVIN",
      "latitude": 34.8389967800166,
      "longitude": -97.6262444200533,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 26,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lindsay-lindsay-municipal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LINDSAY MUNICIPAL HOSPITAL",
      "parentSystemId": "entity-lindsay-municipal-hospital",
      "siblingGroupId": "siblings-ok-lindsay-municipal-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-lindsay-municipal-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LINDSAY MUNICIPAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINDSAY MUNICIPAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LINDSAY MUNICIPAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINDSAY MUNICIPAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370215",
      "ccn": "370215",
      "name": "OKLAHOMA HEART HOSPITAL, LLC",
      "address": "4050 WEST MEMORIAL ROAD",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73120",
      "county": "OKLAHOMA",
      "latitude": 35.6079672600258,
      "longitude": -97.5970536298615,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 97,
      "rating": 4,
      "website": "http://www.okheart.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH OKLAHOMA COMMUNITIES",
      "parentSystemId": "entity-mercy-health-oklahoma-communities",
      "siblingGroupId": "siblings-ok-mercy-health-oklahoma-communities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH OKLAHOMA COMMUNITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 45.19%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH OKLAHOMA COMMUNITIES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH OKLAHOMA COMMUNITIES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 45.19%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH OKLAHOMA COMMUNITIES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370218",
      "ccn": "370218",
      "name": "SAINT FRANCIS HOSPITAL SOUTH, LLC",
      "address": "10501 EAST 91ST STREET SOUTH",
      "city": "TULSA",
      "state": "OK",
      "zip": "74133",
      "county": "TULSA",
      "latitude": 36.0335822501603,
      "longitude": -95.8573200996422,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-saint-francis-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370220",
      "ccn": "370220",
      "name": "ONECORE HEALTH",
      "address": "1044 SOUTHWEST 44TH, SUITE 350",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73109",
      "county": "OKLAHOMA",
      "latitude": 35.4203746299686,
      "longitude": -97.5342526499956,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOLARA SURGICAL PARTNERS LLC",
      "parentSystemId": "entity-solara-surgical-partners-llc",
      "siblingGroupId": "siblings-ok-solara-surgical-partners-llc",
      "campusFamilyId": "campus-ok-370220",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOLARA SURGICAL PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 13.14%). CMS lists STEVEN R WINHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLARA SURGICAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOLARA SURGICAL PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 13.14%). CMS lists STEVEN R WINHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLARA SURGICAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370220-loc-ok-oklahoma-city-onecore-health",
      "ccn": "370220",
      "name": "ONECORE HEALTH",
      "address": "100 NE 85TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73114",
      "county": "OKLAHOMA",
      "latitude": 35.5571109998824,
      "longitude": -97.5104020001131,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 7,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOLARA SURGICAL PARTNERS LLC",
      "parentSystemId": "entity-solara-surgical-partners-llc",
      "siblingGroupId": "siblings-ok-solara-surgical-partners-llc",
      "campusFamilyId": "campus-ok-370220",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOLARA SURGICAL PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 13.14%). CMS lists STEVEN R WINHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLARA SURGICAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOLARA SURGICAL PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 13.14%). CMS lists STEVEN R WINHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLARA SURGICAL PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370220"
    },
    {
      "id": "370222",
      "ccn": "370222",
      "name": "MCBRIDE ORTHOPEDIC HOSPITAL",
      "address": "9600 N BROADWAY EXTENSION",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73114",
      "county": "OKLAHOMA",
      "latitude": 35.5682304901501,
      "longitude": -97.5117557298053,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 68,
      "rating": null,
      "website": "http://www.mcbrideclinicorthopedichospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-mcbride-orthopedic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS HEALTH INC",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT AUGUSTINE GERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT AUGUSTINE GERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370225",
      "ccn": "370225",
      "name": "SUMMIT MEDICAL CENTER, LLC",
      "address": "1800 SOUTH RENAISSANCE BOULEVARD",
      "city": "EDMOND",
      "state": "OK",
      "zip": "73013",
      "county": "OKLAHOMA",
      "latitude": 35.635071629653,
      "longitude": -97.49977104958,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 9,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edmond-summit-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SOLARA SUMMIT PARTNERS LLC",
      "parentSystemId": "entity-solara-summit-partners-llc",
      "siblingGroupId": "siblings-ok-solara-summit-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOLARA SUMMIT PARTNERS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 20%). CMS lists JEFFREY J SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLARA SUMMIT PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOLARA SUMMIT PARTNERS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 20%). CMS lists JEFFREY J SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOLARA SUMMIT PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370227",
      "ccn": "370227",
      "name": "ASCENSION ST. JOHN OWASSO",
      "address": "12451 EAST 100TH STREET NORTH",
      "city": "OWASSO",
      "state": "OK",
      "zip": "74055",
      "county": "TULSA",
      "latitude": 36.2991733002828,
      "longitude": -95.8355296604054,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 5,
      "website": "http://www.stjohnowasso.com",
      "status": "corporate_chain",
      "parentSystem": "ST JOHN HEALTH SYSTEMS INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-owasso-ascension-st.-john-owasso/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-john-health-systems-inc",
      "siblingGroupId": "siblings-ok-st-john-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ascension-st-john"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL CHRISTIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL CHRISTIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370228",
      "ccn": "370228",
      "name": "BAILEY MEDICAL CENTER, LLC",
      "address": "10502 NORTH 110TH EAST AVENUE",
      "city": "OWASSO",
      "state": "OK",
      "zip": "74055",
      "county": "TULSA",
      "latitude": 36.3048075700878,
      "longitude": -95.8527498299044,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 73,
      "rating": 5,
      "website": "http://www.baileymedicalcenter.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-owasso-bailey-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEFFREY A JOHNSTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JEFFREY A JOHNSTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370234",
      "ccn": "370234",
      "name": "OKLAHOMA HEART HOSPITAL SOUTH, LLC",
      "address": "5200 EAST I-240 SERVICE ROAD",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73135",
      "county": "OKLAHOMA",
      "latitude": 35.3896821899257,
      "longitude": -97.4271076701272,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 44,
      "rating": 5,
      "website": "https://www.okheart.com/locations/south-campus",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-oklahoma-heart-hospital-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "OKLAHOMA HEART HOSPITAL, LLC",
      "parentSystemId": "entity-oklahoma-heart-hospital-llc",
      "siblingGroupId": "siblings-ok-oklahoma-heart-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: OKLAHOMA HEART HOSPITAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 76%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKLAHOMA HEART HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OKLAHOMA HEART HOSPITAL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 76%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKLAHOMA HEART HOSPITAL, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370235",
      "ccn": "370235",
      "name": "ASCENSION ST. JOHN BROKEN ARROW",
      "address": "1000 WEST BOISE CIRCLE",
      "city": "BROKEN ARROW",
      "state": "OK",
      "zip": "74102",
      "county": "TULSA",
      "latitude": 36.0783293101168,
      "longitude": -95.8007592498294,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 44,
      "rating": 4,
      "website": "http://www.stjohnbrokenarrow.com",
      "status": "corporate_chain",
      "parentSystem": "ST JOHN HEALTH SYSTEMS INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-broken-arrow-ascension-st.-john-broken-arrow/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-john-health-systems-inc",
      "siblingGroupId": "siblings-ok-st-john-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ascension-st-john"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEILA VANCUREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST JOHN HEALTH SYSTEMS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEILA VANCUREN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Ascension St. John; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JOHN HEALTH SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370236",
      "ccn": "370236",
      "name": "INTEGRIS HEALTH EDMOND, INC",
      "address": "4801 INTEGRIS PARKWAY",
      "city": "EDMOND",
      "state": "OK",
      "zip": "73034",
      "county": "OKLAHOMA",
      "latitude": 35.64463527026,
      "longitude": -97.4183600304007,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 64,
      "rating": 2,
      "website": "http://integrisok.com/edmond",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS HEALTH INC",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "campusFamilyId": "campus-ok-370236",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRIS M HAMMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRIS M HAMMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370236-loc-ok-edmond-integris-health-edmond",
      "ccn": "370236",
      "name": "INTEGRIS HEALTH EDMOND",
      "address": "4801 INTEGRIS PARKWAY JONATHAN RULE",
      "city": "EDMOND",
      "state": "OK",
      "zip": "73034",
      "county": "OKLAHOMA",
      "latitude": 35.6442428820698,
      "longitude": -97.4183789013099,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 3,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS HEALTH INC",
      "parentSystemId": "entity-integris-health-inc",
      "siblingGroupId": "siblings-ok-integris-health-inc",
      "campusFamilyId": "campus-ok-370236",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRIS M HAMMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRIS M HAMMES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370236"
    },
    {
      "id": "370237",
      "ccn": "370237",
      "name": "SAINT FRANCIS HOSPITAL VINITA",
      "address": "735 NORTH FOREMAN",
      "city": "VINITA",
      "state": "OK",
      "zip": "74301",
      "county": "CRAIG",
      "latitude": 36.6534085998943,
      "longitude": -95.1562939599798,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370237",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370237-loc-ok-vinita-saint-francis-hospital-vinita-inc",
      "ccn": "370237",
      "name": "SAINT FRANCIS HOSPITAL VINITA, INC",
      "address": "735 NORTH FOREMAN STREET",
      "city": "VINITA",
      "state": "OK",
      "zip": "74301",
      "county": "CRAIG",
      "latitude": 36.6538738999493,
      "longitude": -95.1563786001441,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "campusFamilyId": "campus-ok-370237",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "370237"
    },
    {
      "id": "370240",
      "ccn": "370240",
      "name": "INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING",
      "address": "9417 N COUNCIL ROAD",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73162",
      "county": "OKLAHOMA",
      "latitude": 35.5653380702273,
      "longitude": -97.6569111395619,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": null,
      "website": "https://integrisok.com/locations/emergency-room/community-hospital-council-crossing-er",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-integris-community-hospital---council-crossing/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "INTEGRIS EMERGENCY HOPSITALS LLC",
      "parentSystemId": "entity-integris-emergency-hopsitals-llc",
      "siblingGroupId": "siblings-ok-integris-emergency-hopsitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-integris-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://integrishealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRIS EMERGENCY HOPSITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HOMER D KIRBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS EMERGENCY HOPSITALS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRIS EMERGENCY HOPSITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HOMER D KIRBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to INTEGRIS Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRIS EMERGENCY HOPSITALS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370244",
      "ccn": "370244",
      "name": "COUNCIL OAK COMPREHENSIVE HEALTHCARE",
      "address": "10109 E 79TH ST",
      "city": "TULSA",
      "state": "OK",
      "zip": "74133",
      "county": "TULSA",
      "latitude": 36.0514986996546,
      "longitude": -95.8633730998419,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Tribal",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNCIL OAK COMPREHENSIVE HEALTHCARE",
      "parentSystemId": "entity-council-oak-comprehensive-healthcare",
      "siblingGroupId": "siblings-ok-council-oak-comprehensive-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-tribal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNCIL OAK COMPREHENSIVE HEALTHCARE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNCIL OAK COMPREHENSIVE HEALTHCARE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370245",
      "ccn": "370245",
      "name": "CLINTON REGIONAL HOSPITAL",
      "address": "100 N 30TH STREET LEN LACEFIELD",
      "city": "CLINTON",
      "state": "OK",
      "zip": "73601",
      "county": "CUSTER",
      "latitude": 35.5149082849838,
      "longitude": -98.9979669280512,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CLINTON REGIONAL HOSPITAL",
      "parentSystemId": "entity-clinton-regional-hospital",
      "siblingGroupId": "siblings-ok-clinton-regional-hospital",
      "campusFamilyId": "campus-ok-370245",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-government-local"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Local; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINTON REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Government - Local; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLINTON REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370247",
      "ccn": "370247",
      "name": "EXCEPTIONAL COMMUNITY HOSPITAL ARDMORE",
      "address": "1641 WOERZ WAY",
      "city": "ARDMORE",
      "state": "OK",
      "zip": "73401",
      "county": "CARTER",
      "latitude": 34.19226910976,
      "longitude": -97.1634125688398,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 7,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EHC 2, LLP",
      "parentSystemId": "entity-ehc-2-llp",
      "siblingGroupId": "siblings-ok-ehc-2-llp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: EHC 2, LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EHC 2, LLP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EHC 2, LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EHC 2, LLP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "370779",
      "ccn": "370779",
      "name": "STILLWATER MEDICAL - PERRY",
      "address": "501 14TH ST",
      "city": "PERRY",
      "state": "OK",
      "zip": "73077",
      "county": "NOBLE",
      "latitude": 36.2883926797243,
      "longitude": -97.2994951101095,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 26,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-perry-stillwater-medical-perry/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STILLWATER MEDICAL CENTER AUTHORITY",
      "parentSystemId": "entity-stillwater-medical-center-authority",
      "siblingGroupId": "siblings-ok-stillwater-medical-center-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-stillwater-medical-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370780",
      "ccn": "370780",
      "name": "STILLWATER MEDICAL - BLACKWELL",
      "address": "710 SOUTH 13TH STREET",
      "city": "BLACKWELL",
      "state": "OK",
      "zip": "74631",
      "county": "KAY",
      "latitude": 36.7980379297391,
      "longitude": -97.2999867400982,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STILLWATER MEDICAL CENTER AUTHORITY",
      "parentSystemId": "entity-stillwater-medical-center-authority",
      "siblingGroupId": "siblings-ok-stillwater-medical-center-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-stillwater-medical-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STILLWATER MEDICAL CENTER AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STILLWATER MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STILLWATER MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "370781",
      "ccn": "370781",
      "name": "HARPER COUNTY COMMUNITY HOSPITAL",
      "address": "1003 US HIGHWAY 64 NORTH",
      "city": "BUFFALO",
      "state": "OK",
      "zip": "73834",
      "county": "HARPER",
      "latitude": 36.8447268900707,
      "longitude": -99.6284482696371,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "www.hcchospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buffalo-harper-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE OF OKLAHOMA, INC.",
      "parentSystemId": "entity-ssm-health-care-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-ssm-health-care-of-oklahoma-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "370783",
      "ccn": "370783",
      "name": "ELKVIEW GENERAL HOSPITAL",
      "address": "429 WEST ELM STREET",
      "city": "HOBART",
      "state": "OK",
      "zip": "73651",
      "county": "KIOWA",
      "latitude": 35.0377761302349,
      "longitude": -99.098606870079,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 38,
      "rating": null,
      "website": "www.elkviewhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hobart-elkview-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KIOWA COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-kiowa-county-hospital-authority",
      "siblingGroupId": "siblings-ok-kiowa-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-verified-parent-kiowa-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS lists LISA A HART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to KIOWA COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIOWA COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists LISA A HART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to KIOWA COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KIOWA COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371300",
      "ccn": "371300",
      "name": "ATOKA COUNTY MEDICAL CENTER",
      "address": "1590 WEST LIBERTY ROAD",
      "city": "ATOKA",
      "state": "OK",
      "zip": "74525",
      "county": "ATOKA",
      "latitude": 34.3925323003539,
      "longitude": -96.1514405404265,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-atoka-atoka-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ATOKA COUNTY HEALTHCARE AUTHORITY",
      "parentSystemId": "entity-atoka-county-healthcare-authority",
      "siblingGroupId": "siblings-ok-atoka-county-healthcare-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-atoka-county-healthcare-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATOKA COUNTY HEALTHCARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRIS MARTIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to ATOKA COUNTY HEALTHCARE AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATOKA COUNTY HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ATOKA COUNTY HEALTHCARE AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRIS MARTIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to ATOKA COUNTY HEALTHCARE AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATOKA COUNTY HEALTHCARE AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371301",
      "ccn": "371301",
      "name": "PRAGUE REGIONAL MEMORIAL HOSPITAL",
      "address": "1322 KLABZUBA AVENUE",
      "city": "PRAGUE",
      "state": "OK",
      "zip": "74864",
      "county": "LINCOLN",
      "latitude": 35.4901446598047,
      "longitude": -96.6843125700889,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COHESIVE HEALTHCARE MANAGEMENT AND CONSULTING LLC",
      "parentSystemId": "entity-cohesive-healthcare-management-and-consulting-llc",
      "siblingGroupId": "siblings-ok-cohesive-healthcare-management-and-consulting-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COHESIVE HEALTHCARE MANAGEMENT AND CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SHAYLEEN FIPPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COHESIVE HEALTHCARE MANAGEMENT AND CONSULTING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COHESIVE HEALTHCARE MANAGEMENT AND CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SHAYLEEN FIPPS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COHESIVE HEALTHCARE MANAGEMENT AND CONSULTING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "371302",
      "ccn": "371302",
      "name": "MERCY HOSPITAL WATONGA",
      "address": "500 NORTH CLARENCE NASH BOULEVARD",
      "city": "WATONGA",
      "state": "OK",
      "zip": "73772",
      "county": "BLAINE",
      "latitude": 35.8495579702746,
      "longitude": -98.4186312902359,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.mercy.net/watongaok/practice/mercy-hospital-watonga",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH",
      "affiliatedSystem": "Mercy",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mercy",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-watonga-mercy-hospital-watonga/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHERYL L MATEJKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHERYL L MATEJKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mercy. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371303",
      "ccn": "371303",
      "name": "ROGER MILLS MEMORIAL HOSPITAL",
      "address": "501 SOUTH LL MALES AVENUE",
      "city": "CHEYENNE",
      "state": "OK",
      "zip": "73628",
      "county": "ROGER MILLS",
      "latitude": 35.6094311301088,
      "longitude": -99.6715311697279,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.rmmhonline.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cheyenne-roger-mills-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ROGER MILLS COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-roger-mills-county-hospital-authority",
      "siblingGroupId": "siblings-ok-roger-mills-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-roger-mills-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROGER MILLS COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to ROGER MILLS COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROGER MILLS COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROGER MILLS COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to ROGER MILLS COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROGER MILLS COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371304",
      "ccn": "371304",
      "name": "MERCY HOSPITAL TISHOMINGO",
      "address": "1000 SOUTH BYRD ST",
      "city": "TISHOMINGO",
      "state": "OK",
      "zip": "73460",
      "county": "JOHNSTON",
      "latitude": 34.2225646601525,
      "longitude": -96.6747809104268,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tishomingo-mercy-hospital-tishomingo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371305",
      "ccn": "371305",
      "name": "ASCENSION ST. JOHN NOWATA",
      "address": "237 SOUTH LOCUST",
      "city": "NOWATA",
      "state": "OK",
      "zip": "74048",
      "county": "NOWATA",
      "latitude": 36.6966854399779,
      "longitude": -95.630281199986,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Jane Phillips Memorial Medical Center",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nowata-ascension-st.-john-nowata/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jane-phillips-memorial-medical-center",
      "siblingGroupId": "siblings-ok-jane-phillips-memorial-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-jane-phillips-memorial-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: JANE PHILLIPS MEMORIAL MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to JANE PHILLIPS MEMORIAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Jane Phillips Memorial Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JANE PHILLIPS MEMORIAL MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to JANE PHILLIPS MEMORIAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Jane Phillips Memorial Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371307",
      "ccn": "371307",
      "name": "CIMARRON MEMORIAL HOSPITAL",
      "address": "100 SOUTH ELLIS",
      "city": "BOISE CITY",
      "state": "OK",
      "zip": "73933",
      "county": "CIMARRON",
      "latitude": 36.7286727403577,
      "longitude": -102.518064769926,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-boise-city-cimarron-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CIMARRON MEMORIAL HOSPITAL AND NURSING HOME",
      "parentSystemId": "entity-cimarron-memorial-hospital-and-nursing-home",
      "siblingGroupId": "siblings-ok-cimarron-memorial-hospital-and-nursing-home",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-cimarron-memorial-hospital-and-nursing-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CIMARRON MEMORIAL HOSPITAL AND NURSING HOME (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CIMARRON MEMORIAL HOSPITAL AND NURSING HOME; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIMARRON MEMORIAL HOSPITAL AND NURSING HOME, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CIMARRON MEMORIAL HOSPITAL AND NURSING HOME (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CIMARRON MEMORIAL HOSPITAL AND NURSING HOME; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CIMARRON MEMORIAL HOSPITAL AND NURSING HOME, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371309",
      "ccn": "371309",
      "name": "PAWHUSKA HOSPITAL, INC",
      "address": "1101 EAST 15TH STREET",
      "city": "PAWHUSKA",
      "state": "OK",
      "zip": "74056",
      "county": "OSAGE",
      "latitude": 36.6735064797408,
      "longitude": -96.3255127398402,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.pawhuskahospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pawhuska-pawhuska-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PAWHUSKA HOSPITAL INC",
      "parentSystemId": "entity-pawhuska-hospital-inc",
      "siblingGroupId": "siblings-ok-pawhuska-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-pawhuska-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAWHUSKA HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PAWHUSKA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAWHUSKA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PAWHUSKA HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PAWHUSKA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAWHUSKA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371310",
      "ccn": "371310",
      "name": "MERCY HOSPITAL HEALDTON, INC",
      "address": "3462 HOSPITAL ROAD",
      "city": "HEALDTON",
      "state": "OK",
      "zip": "73438",
      "county": "CARTER",
      "latitude": 34.222868420314,
      "longitude": -97.4914664796129,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-healdton-mercy-hospital-healdton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371311",
      "ccn": "371311",
      "name": "JEFFERSON COUNTY HOSPITAL",
      "address": "INTERSECTION US HIGHWAYS 81 AND 70",
      "city": "WAURIKA",
      "state": "OK",
      "zip": "73573",
      "county": "JEFFERSON",
      "latitude": 34.1573124598369,
      "longitude": -97.9795152904082,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waurika-jefferson-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Duncan Regional Hospital",
      "parentSystemId": "entity-duncan-regional-hospital",
      "siblingGroupId": "siblings-ok-duncan-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-duncan-regional-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to DUNCAN REGIONAL HOSPITAL, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Duncan Regional Hospital, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to DUNCAN REGIONAL HOSPITAL, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Duncan Regional Hospital, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371313",
      "ccn": "371313",
      "name": "MERCY HOSPITAL KINGFISHER",
      "address": "1000 KINGFISHER HOSPITAL DRIVE",
      "city": "KINGFISHER",
      "state": "OK",
      "zip": "73750",
      "county": "KINGFISHER",
      "latitude": 35.8102394297762,
      "longitude": -97.9449127003986,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingfisher-mercy-hospital-kingfisher/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHERYL L MATEJKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHERYL L MATEJKA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371314",
      "ccn": "371314",
      "name": "THE PHYSICIANS' HOSPITAL IN ANADARKO",
      "address": "1002 E CENTRAL BLVD",
      "city": "ANADARKO",
      "state": "OK",
      "zip": "73005",
      "county": "CADDO",
      "latitude": 35.0705023101794,
      "longitude": -98.2283253002512,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anadarko-the-physicians--hospital-in-anadarko/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AVEM STAFFING RESOURCES, LLC",
      "parentSystemId": "entity-avem-staffing-resources-llc",
      "siblingGroupId": "siblings-ok-avem-staffing-resources-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVEM STAFFING RESOURCES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELIZABETH J PUSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVEM STAFFING RESOURCES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVEM STAFFING RESOURCES, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELIZABETH J PUSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVEM STAFFING RESOURCES, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "371317",
      "ccn": "371317",
      "name": "MERCY HOSPITAL LOGAN COUNTY, INC",
      "address": "200 S ACADEMY RD",
      "city": "GUTHRIE",
      "state": "OK",
      "zip": "73044",
      "county": "LOGAN",
      "latitude": 35.8763307100073,
      "longitude": -97.4620263602173,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-guthrie-mercy-hospital-logan-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MERCY HEALTH",
      "parentSystemId": "entity-mercy-health",
      "siblingGroupId": "siblings-ok-mercy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mercy"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mercy.net/practice/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Mercy; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371320",
      "ccn": "371320",
      "name": "CLEVELAND AREA HOSPITAL",
      "address": "1401 WEST PAWNEE",
      "city": "CLEVELAND",
      "state": "OK",
      "zip": "74020",
      "county": "PAWNEE",
      "latitude": 36.309324520269,
      "longitude": -96.4817423603323,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleveland-cleveland-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CLEVELAND AREA HOSPITAL AUTHORITY",
      "parentSystemId": "entity-cleveland-area-hospital-authority",
      "siblingGroupId": "siblings-ok-cleveland-area-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-cleveland-area-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEVELAND AREA HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CLEVELAND AREA HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLEVELAND AREA HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEVELAND AREA HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CLEVELAND AREA HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLEVELAND AREA HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371321",
      "ccn": "371321",
      "name": "HOLDENVILLE GENERAL HOSPITAL",
      "address": "100 MCDOUGAL DRIVE",
      "city": "HOLDENVILLE",
      "state": "OK",
      "zip": "74848",
      "county": "HUGHES",
      "latitude": 35.0890591697011,
      "longitude": -96.37859603961,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.holdenvillegeneral.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-holdenville-holdenville-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HOLDENVILLE HOSPITAL AUTHORITY",
      "parentSystemId": "entity-holdenville-hospital-authority",
      "siblingGroupId": "siblings-ok-holdenville-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-holdenville-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDENVILLE HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to HOLDENVILLE HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLDENVILLE HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLDENVILLE HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to HOLDENVILLE HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLDENVILLE HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371322",
      "ccn": "371322",
      "name": "BEAVER COUNTY MEMORIAL HOSPITAL",
      "address": "212 EAST 8TH STREET",
      "city": "BEAVER",
      "state": "OK",
      "zip": "73932",
      "county": "BEAVER",
      "latitude": 36.8107845303361,
      "longitude": -100.516276369602,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaver-beaver-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BEAVER COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-beaver-county-memorial-hospital",
      "siblingGroupId": "siblings-ok-beaver-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-beaver-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to BEAVER COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAVER COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to BEAVER COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAVER COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371323",
      "ccn": "371323",
      "name": "WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD, OKLAHOMA",
      "address": "3701 EAST MAIN",
      "city": "WEATHERFORD",
      "state": "OK",
      "zip": "73096",
      "county": "CUSTER",
      "latitude": 35.5392768700061,
      "longitude": -98.6623016296051,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WEATHERFORD HOSPITAL AUTHORITY",
      "parentSystemId": "entity-weatherford-hospital-authority",
      "siblingGroupId": "siblings-ok-weatherford-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-weatherford-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEATHERFORD HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to WEATHERFORD HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEATHERFORD HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEATHERFORD HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to WEATHERFORD HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEATHERFORD HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371325",
      "ccn": "371325",
      "name": "CORDELL MEMORIAL HOSPITAL",
      "address": "1220 N GLENN ENGLISH STREET",
      "city": "CORDELL",
      "state": "OK",
      "zip": "73632",
      "county": "WASHITA",
      "latitude": 35.3030493401069,
      "longitude": -98.9885510396697,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cordell-cordell-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE OF OKLAHOMA, INC.",
      "parentSystemId": "entity-ssm-health-care-of-oklahoma-inc",
      "siblingGroupId": "siblings-ok-ssm-health-care-of-oklahoma-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-ssm-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ssmhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GEORGANNA BUSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF OKLAHOMA, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GEORGANNA BUSS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SSM Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF OKLAHOMA, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371326",
      "ccn": "371326",
      "name": "ALLIANCE HEALTH MADILL",
      "address": "901 S 5TH AVE",
      "city": "MADILL",
      "state": "OK",
      "zip": "73446",
      "county": "MARSHALL",
      "latitude": 34.0810970701649,
      "longitude": -96.7775522599764,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Community Health Systems",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-ok-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL STATES HMA HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CENTRAL STATES HMA HOLDINGS LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL STATES HMA HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CENTRAL STATES HMA HOLDINGS LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "371327",
      "ccn": "371327",
      "name": "OKEENE MUNICIPAL HOSPITAL",
      "address": "207 EAST F STREET",
      "city": "OKEENE",
      "state": "OK",
      "zip": "73763",
      "county": "BLAINE",
      "latitude": 36.1167988998762,
      "longitude": -98.3153447101584,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-okeene-okeene-municipal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY",
      "parentSystemId": "entity-okeene-municipal-hospital-and-schallmo-authority",
      "siblingGroupId": "siblings-ok-okeene-municipal-hospital-and-schallmo-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-okeene-municipal-hospital-and-schallmo-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKEENE MUNICIPAL HOSPITAL AND SCHALLMO AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371328",
      "ccn": "371328",
      "name": "ARBUCKLE MEMORIAL HOSPITAL AUTHORITY",
      "address": "2011 WEST BROADWAY",
      "city": "SULPHUR",
      "state": "OK",
      "zip": "73086",
      "county": "MURRAY",
      "latitude": 34.5049882997077,
      "longitude": -96.9961371198838,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Preferred Management Corporation",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-ok-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-preferred-management-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "371329",
      "ccn": "371329",
      "name": "FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY",
      "address": "523 EAST STATE ROAD",
      "city": "FAIRVIEW",
      "state": "OK",
      "zip": "73737",
      "county": "MAJOR",
      "latitude": 36.2759877798059,
      "longitude": -98.4745234098967,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.fairviewregional.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY",
      "parentSystemId": "entity-fairview-regional-medical-center-authority",
      "siblingGroupId": "siblings-ok-fairview-regional-medical-center-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-fairview-regional-medical-center-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371330",
      "ccn": "371330",
      "name": "MANGUM REGIONAL MEDICAL CENTER",
      "address": "1 WICKERSHAM DRIVE",
      "city": "MANGUM",
      "state": "OK",
      "zip": "73554",
      "county": "GREER",
      "latitude": 34.8923609602294,
      "longitude": -99.5011111097293,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mangum-mangum-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MANGUM CITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-mangum-city-hospital-authority",
      "siblingGroupId": "siblings-ok-mangum-city-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-mangum-city-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MANGUM CITY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KELLEY MARTINEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MANGUM CITY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MANGUM CITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MANGUM CITY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KELLEY MARTINEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MANGUM CITY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MANGUM CITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371331",
      "ccn": "371331",
      "name": "DRUMRIGHT REGIONAL HOSPITAL",
      "address": "610 WEST BYPASS",
      "city": "DRUMRIGHT",
      "state": "OK",
      "zip": "74030",
      "county": "CREEK",
      "latitude": 35.9981067900382,
      "longitude": -96.6059666098456,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 15,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-drumright-drumright-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RHG CONSOLIDATED LLC",
      "parentSystemId": "entity-rhg-consolidated-llc",
      "siblingGroupId": "siblings-ok-rhg-consolidated-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: RHG CONSOLIDATED LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RHG CONSOLIDATED LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "371332",
      "ccn": "371332",
      "name": "SEILING MUNICIPAL HOSPITAL",
      "address": "809 NE HWY 60",
      "city": "SEILING",
      "state": "OK",
      "zip": "73663",
      "county": "DEWEY",
      "latitude": 36.1547960698062,
      "longitude": -98.9230734297017,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seiling-seiling-municipal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SEILING MUNICIPAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-seiling-municipal-hospital-authority",
      "siblingGroupId": "siblings-ok-seiling-municipal-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-seiling-municipal-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SEILING MUNICIPAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SEILING MUNICIPAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEILING MUNICIPAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SEILING MUNICIPAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to SEILING MUNICIPAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEILING MUNICIPAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371333",
      "ccn": "371333",
      "name": "CREEK NATION COMMUNITY HOSPITAL - OKEMAH",
      "address": "309 NORTH 14TH STREET",
      "city": "OKEMAH",
      "state": "OK",
      "zip": "74859",
      "county": "OKFUSKEE",
      "latitude": 35.4338507001806,
      "longitude": -96.318162799644,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": null,
      "rating": null,
      "website": "http://174.121.93.48/~healthsy/cnch.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CREEK NATION COMMUNITY HOSPITAL",
      "parentSystemId": "entity-creek-nation-community-hospital",
      "siblingGroupId": "siblings-ok-creek-nation-community-hospital",
      "campusFamilyId": "campus-ok-371333",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-tribal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CREEK NATION COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CREEK NATION COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371333-loc-ok-okemah-creek-nation-community-hospital",
      "ccn": "371333",
      "name": "CREEK NATION COMMUNITY HOSPITAL",
      "address": "1800 E COPLIN",
      "city": "OKEMAH",
      "state": "OK",
      "zip": "74859",
      "county": "OKFUSKEE",
      "latitude": 35.4223515503517,
      "longitude": -96.2778090101325,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Tribal",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Tribal",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-okemah-creek-nation-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CREEK NATION COMMUNITY HOSPITAL",
      "parentSystemId": "entity-creek-nation-community-hospital",
      "siblingGroupId": "siblings-ok-creek-nation-community-hospital",
      "campusFamilyId": "campus-ok-371333",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-tribal"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CREEK NATION COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Tribal; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CREEK NATION COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "371333"
    },
    {
      "id": "371334",
      "ccn": "371334",
      "name": "CARNEGIE TRI - COUNTY MUNICIPAL HOSPITAL",
      "address": "102 NORTH BROADWAY",
      "city": "CARNEGIE",
      "state": "OK",
      "zip": "73015",
      "county": "CADDO",
      "latitude": 35.1074157697221,
      "longitude": -98.6051932503383,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 17,
      "rating": null,
      "website": "carnegiehospital.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carnegie-carnegie-tri-county-municipal-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC",
      "parentSystemId": "entity-carnegie-tri-county-municipal-hospital-management-inc",
      "siblingGroupId": "siblings-ok-carnegie-tri-county-municipal-hospital-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-carnegie-tri-county-municipal-hospital-management-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHASTITY SINK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHASTITY SINK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL MANAGEMENT INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371335",
      "ccn": "371335",
      "name": "HASKELL REGIONAL HOSPITAL",
      "address": "401 NORTHWEST \"H\" STREET",
      "city": "STIGLER",
      "state": "OK",
      "zip": "74462",
      "county": "HASKELL",
      "latitude": 35.2611650701313,
      "longitude": -95.128751580131,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "HASKELL REGIONAL HOSPITAL INC",
      "parentSystemId": "entity-haskell-regional-hospital-inc",
      "siblingGroupId": "siblings-ok-haskell-regional-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-haskell-regional-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HASKELL REGIONAL HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to HASKELL REGIONAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HASKELL REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HASKELL REGIONAL HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to HASKELL REGIONAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HASKELL REGIONAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "371336",
      "ccn": "371336",
      "name": "NEWMAN MEMORIAL HOSPITAL, INC",
      "address": "905 SOUTH MAIN STREET",
      "city": "SHATTUCK",
      "state": "OK",
      "zip": "73858",
      "county": "ELLIS",
      "latitude": 36.2680034998131,
      "longitude": -99.8820227703723,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.newmanmemorialhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shattuck-newman-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEWMAN MEMORIAL HOSPITAL, INC",
      "parentSystemId": "entity-newman-memorial-hospital-inc",
      "siblingGroupId": "siblings-ok-newman-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-newman-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NEWMAN MEMORIAL HOSPITAL, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWMAN MEMORIAL HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to NEWMAN MEMORIAL HOSPITAL, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWMAN MEMORIAL HOSPITAL, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371337",
      "ccn": "371337",
      "name": "EASTERN OKLAHOMA MEDICAL CENTER",
      "address": "105 WALL STREET",
      "city": "POTEAU",
      "state": "OK",
      "zip": "74953",
      "county": "LE FLORE",
      "latitude": 35.0438092711914,
      "longitude": -94.6119263378485,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 33,
      "rating": 4,
      "website": "http://www.eomchospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LEFLORE COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-leflore-county-hospital-authority",
      "siblingGroupId": "siblings-ok-leflore-county-hospital-authority",
      "campusFamilyId": "campus-ok-371337",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-leflore-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEFLORE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRADLEY DEDMON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LEFLORE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEFLORE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEFLORE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRADLEY DEDMON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LEFLORE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEFLORE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371337-loc-ok-poteau-eastern-oklahoma-medical-center",
      "ccn": "371337",
      "name": "EASTERN OKLAHOMA MEDICAL CENTER",
      "address": "105 WALL STREET",
      "city": "POTEAU",
      "state": "OK",
      "zip": "74953",
      "county": "LE FLORE",
      "latitude": 35.0431594336969,
      "longitude": -94.6126270561094,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 10,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LEFLORE COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-leflore-county-hospital-authority",
      "siblingGroupId": "siblings-ok-leflore-county-hospital-authority",
      "campusFamilyId": "campus-ok-371337",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-leflore-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEFLORE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRADLEY DEDMON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LEFLORE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEFLORE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEFLORE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRADLEY DEDMON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to LEFLORE COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEFLORE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "371337"
    },
    {
      "id": "371338",
      "ccn": "371338",
      "name": "HARMON MEMORIAL HOSPITAL",
      "address": "400 EAST CHESTNUT",
      "city": "HOLLIS",
      "state": "OK",
      "zip": "73550",
      "county": "HARMON",
      "latitude": 34.6922095201976,
      "longitude": -99.9142890498387,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 22,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hollis-harmon-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY",
      "parentSystemId": "entity-jackson-county-memorial-hospital-authority",
      "siblingGroupId": "siblings-ok-jackson-county-memorial-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-jackson-county-memorial-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371340",
      "ccn": "371340",
      "name": "MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY",
      "address": "520 MEDICAL DRIVE",
      "city": "GUYMON",
      "state": "OK",
      "zip": "73942",
      "county": "TEXAS",
      "latitude": 36.6909724096833,
      "longitude": -101.475994630426,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 33,
      "rating": null,
      "website": "http://www.mhtcguymon.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-guymon-memorial-hospital-of-texas-county-authority/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY",
      "parentSystemId": "entity-memorial-hospital-of-texas-county-authority",
      "siblingGroupId": "siblings-ok-memorial-hospital-of-texas-county-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-memorial-hospital-of-texas-county-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371341",
      "ccn": "371341",
      "name": "SHARE MEDICAL CENTER",
      "address": "800 SHARE DRIVE",
      "city": "ALVA",
      "state": "OK",
      "zip": "73717",
      "county": "WOODS",
      "latitude": 36.7872206000859,
      "longitude": -98.6712217503577,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CITY OF ALVA",
      "parentSystemId": "entity-city-of-alva",
      "siblingGroupId": "siblings-ok-city-of-alva",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-city-of-alva"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF ALVA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CITY OF ALVA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ALVA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF ALVA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to CITY OF ALVA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF ALVA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "371342",
      "ccn": "371342",
      "name": "MCCURTAIN MEMORIAL HOSPITAL",
      "address": "1301 LINCOLN ROAD",
      "city": "IDABEL",
      "state": "OK",
      "zip": "74745",
      "county": "MCCURTAIN",
      "latitude": 33.8828282801867,
      "longitude": -94.8111617596237,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.mmhok.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-idabel-mccurtain-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.",
      "parentSystemId": "entity-mccurtain-memorial-medical-management-inc",
      "siblingGroupId": "siblings-ok-mccurtain-memorial-medical-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-mccurtain-memorial-medical-management-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "373300",
      "ccn": "373300",
      "name": "J. D. MCCARTY CENTER FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES",
      "address": "2002 EAST ROBINSON",
      "city": "NORMAN",
      "state": "OK",
      "zip": "73071",
      "county": "CLEVELAND",
      "latitude": 35.2320812000593,
      "longitude": -97.4073775798767,
      "hospitalType": "Childrens",
      "sourceOwner": "Government - State",
      "beds": 36,
      "rating": null,
      "website": "http://www.jdmc.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norman-j.-d.-mccarty-center-for-children-with-developmental-disabilities/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF OKLAHOMA",
      "parentSystemId": "entity-state-of-oklahoma",
      "siblingGroupId": "siblings-ok-state-of-oklahoma",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-state-of-oklahoma"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "373303",
      "ccn": "373303",
      "name": "THE CHILDREN'S CENTER, INC",
      "address": "6800 NORTHWEST 39TH EXPRESSWAY",
      "city": "BETHANY",
      "state": "OK",
      "zip": "73008",
      "county": "OKLAHOMA",
      "latitude": 35.5104396299509,
      "longitude": -97.6333639001583,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 160,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bethany-the-children-s-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CHILDREN'S CENTER INC",
      "parentSystemId": "entity-the-children-s-center-inc",
      "siblingGroupId": "siblings-ok-the-children-s-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-the-children-s-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE CHILDREN'S CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to THE CHILDREN'S CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDREN'S CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE CHILDREN'S CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to THE CHILDREN'S CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDREN'S CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "374000",
      "ccn": "374000",
      "name": "GRIFFIN MEMORIAL HOSPITAL",
      "address": "900 EAST MAIN STREET",
      "city": "NORMAN",
      "state": "OK",
      "zip": "73070",
      "county": "CLEVELAND",
      "latitude": 35.2290112302183,
      "longitude": -97.4266181799255,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 182,
      "rating": null,
      "website": "http://www.odmhsas.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norman-griffin-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF OKLAHOMA",
      "parentSystemId": "entity-state-of-oklahoma",
      "siblingGroupId": "siblings-ok-state-of-oklahoma",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-state-of-oklahoma"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OKLAHOMA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OKLAHOMA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "374001",
      "ccn": "374001",
      "name": "NORTHWEST CENTER FOR BEHAVIORAL HEALTH - NCBH",
      "address": "1 MILE EAST ON US HIGHWAY 270",
      "city": "FORT SUPPLY",
      "state": "OK",
      "zip": "73841",
      "county": "WOODWARD",
      "latitude": 36.3964729999796,
      "longitude": -99.3590220003803,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 28,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-supply-northwest-center-for-behavioral-health-ncbh/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF OKLAHOMA",
      "parentSystemId": "entity-state-of-oklahoma",
      "siblingGroupId": "siblings-ok-state-of-oklahoma",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-state-of-oklahoma"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OKLAHOMA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OKLAHOMA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "374006",
      "ccn": "374006",
      "name": "CARL ALBERT COMMUNITY MENTAL HEALTH CENTER",
      "address": "1100 EAST MONROE",
      "city": "MCALESTER",
      "state": "OK",
      "zip": "74502",
      "county": "PITTSBURG",
      "latitude": 34.9351750699339,
      "longitude": -95.7524052198061,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 15,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcalester-carl-albert-community-mental-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF OKLAHOMA",
      "parentSystemId": "entity-state-of-oklahoma",
      "siblingGroupId": "siblings-ok-state-of-oklahoma",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ok-parent-state-of-oklahoma"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "374012",
      "ccn": "374012",
      "name": "BROOKHAVEN HOSPITAL, INC",
      "address": "201 SOUTH GARNETT ROAD",
      "city": "TULSA",
      "state": "OK",
      "zip": "74128",
      "county": "TULSA",
      "latitude": 36.158205010099,
      "longitude": -95.8498318700963,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": null,
      "website": "http://www.brookhavenhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "VIZION HEALTH - BROOKHAVEN, LLC",
      "peFirm": "New Century Capital Partners",
      "acquiredDate": "June 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Vizion Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-brookhaven-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-vizion-health-brookhaven-llc",
      "siblingGroupId": "siblings-ok-vizion-health-brookhaven-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIZION HEALTH - BROOKHAVEN, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN CHESNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Vizion Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Vizion Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIZION HEALTH - BROOKHAVEN, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIZION HEALTH - BROOKHAVEN, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEPHEN CHESNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Vizion Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Vizion Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIZION HEALTH - BROOKHAVEN, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "374016",
      "ccn": "374016",
      "name": "ROLLING HILLS HOSPITAL, LLC",
      "address": "1000 ROLLING HILLS LANE",
      "city": "ADA",
      "state": "OK",
      "zip": "74820",
      "county": "PONTOTOC",
      "latitude": 34.7845956700749,
      "longitude": -96.6274507801643,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "website": "http://www.rollinghillshospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ada-rolling-hills-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-ok-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "374020",
      "ccn": "374020",
      "name": "LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, INC",
      "address": "6655 SOUTH YALE AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74136",
      "county": "TULSA",
      "latitude": 36.0659550101352,
      "longitude": -95.9185930703628,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": null,
      "website": "https://www.saintfrancis.com/laureate-psychiatric-clinic/pages/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-laureate-psychiatric-clinic-and-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAINT FRANCIS HEALTH SYSTEM INC",
      "parentSystemId": "entity-saint-francis-health-system-inc",
      "siblingGroupId": "siblings-ok-saint-francis-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-saint-francis-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintfrancis.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT FRANCIS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Saint Francis Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT FRANCIS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "374021",
      "ccn": "374021",
      "name": "PARKSIDE, INC",
      "address": "1239 S TRENTON AVE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74120",
      "county": "TULSA",
      "latitude": 36.1451754899406,
      "longitude": -95.9689600102404,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 120,
      "rating": null,
      "website": "http://www.parksideinc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-parkside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PARKSIDE, INC.",
      "parentSystemId": "entity-parkside-inc",
      "siblingGroupId": "siblings-ok-parkside-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-parkside-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: PARKSIDE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PARKSIDE, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARKSIDE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PARKSIDE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to PARKSIDE, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PARKSIDE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "374023",
      "ccn": "374023",
      "name": "CEDAR RIDGE",
      "address": "6501 NORTHEAST 50TH STREET",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73141",
      "county": "OKLAHOMA",
      "latitude": 35.5229327803353,
      "longitude": -97.4119374902426,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 116,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-cedar-ridge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ok-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "374025",
      "ccn": "374025",
      "name": "OAKWOOD SPRINGS, LLC",
      "address": "13101 MEMORIAL SPRINGS COURT",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "73114",
      "county": "OKLAHOMA",
      "latitude": 35.6022215701442,
      "longitude": -97.5279746101391,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oklahoma-city-oakwood-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ok-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "374026",
      "ccn": "374026",
      "name": "TULSA CENTER FOR BEHAVIORAL HEALTH",
      "address": "2323 S HARVARD AVE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74114",
      "county": "TULSA",
      "latitude": 36.1287663999621,
      "longitude": -95.9387523001976,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulsa-tulsa-center-for-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF OKLAHOMA",
      "parentSystemId": "entity-state-of-oklahoma",
      "siblingGroupId": "siblings-ok-state-of-oklahoma",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-state-of-oklahoma"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF OKLAHOMA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFFREY S GRANTHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF OKLAHOMA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFFREY S GRANTHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to STATE OF OKLAHOMA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF OKLAHOMA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "380001",
      "ccn": "380001",
      "name": "MID - COLUMBIA MEDICAL CENTER",
      "address": "1700 E 19TH STREET",
      "city": "THE DALLES",
      "state": "OR",
      "zip": "97058",
      "county": "WASCO",
      "latitude": 45.587271589969,
      "longitude": -121.164519569604,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 4,
      "website": "www.mcmc.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-the-dalles-mid-columbia-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Adventist Health",
      "parentSystemId": "entity-adventist-health",
      "siblingGroupId": "siblings-or-adventist-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-verified-parent-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/documents/system/2023-annual-audit-report.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STONE POINT HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adventist Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STONE POINT HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Adventist Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380002",
      "ccn": "380002",
      "name": "ASANTE THREE RIVERS MEDICAL CENTER",
      "address": "500 SW RAMSEY AVENUE",
      "city": "GRANTS PASS",
      "state": "OR",
      "zip": "97527",
      "county": "JOSEPHINE",
      "latitude": 42.4213778797886,
      "longitude": -123.342841169641,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 125,
      "rating": 3,
      "website": "http://www.asante.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grants-pass-asante-three-rivers-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASANTE",
      "parentSystemId": "entity-asante",
      "siblingGroupId": "siblings-or-asante",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-asante"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.asante.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASANTE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Asante; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASANTE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASANTE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Asante; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASANTE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380004",
      "ccn": "380004",
      "name": "PROVIDENCE ST VINCENT MEDICAL CENTER",
      "address": "9205 SW BARNES ROAD",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97225",
      "county": "WASHINGTON",
      "latitude": 45.5106738698523,
      "longitude": -122.771760080004,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 539,
      "rating": 4,
      "website": "http://www.providence.org/portland/hospitals",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-providence-st-vincent-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380005",
      "ccn": "380005",
      "name": "ASANTE ASHLAND COMMUNITY HOSPITAL",
      "address": "280 MAPLE STREET",
      "city": "ASHLAND",
      "state": "OR",
      "zip": "97520",
      "county": "JACKSON",
      "latitude": 42.2059229299189,
      "longitude": -122.724948409713,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": null,
      "website": "www.ashlandhospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ashland-asante-ashland-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASANTE",
      "parentSystemId": "entity-asante",
      "siblingGroupId": "siblings-or-asante",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-asante"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.asante.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASANTE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Asante; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASANTE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASANTE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Asante; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASANTE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380007",
      "ccn": "380007",
      "name": "LEGACY EMANUEL MEDICAL CENTER",
      "address": "2801 N GANTENBEIN AVENUE",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97227",
      "county": "MULTNOMAH",
      "latitude": 45.5432858803145,
      "longitude": -122.670221810116,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 554,
      "rating": 3,
      "website": "www.legacyhealth.org",
      "status": "corporate_chain",
      "parentSystem": "LEGACY HEALTH",
      "affiliatedSystem": "Legacyhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Legacyhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-legacy-health",
      "siblingGroupId": "siblings-or-legacy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-legacy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.legacyhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380009",
      "ccn": "380009",
      "name": "OHSU HOSPITAL AND CLINICS",
      "address": "3181 SW SAM JACKSON PARK ROAD",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97239",
      "county": "MULTNOMAH",
      "latitude": 45.4989404001213,
      "longitude": -122.686111790275,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 576,
      "rating": 3,
      "website": "http://www.ohsu.edu",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "OREGON HEALTH & SCIENCE UNIVERSITY",
      "parentSystemId": "entity-oregon-health-and-science-university",
      "siblingGroupId": "siblings-or-oregon-health-and-science-university",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-oregon-health-science-university"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ohsu.edu/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: OREGON HEALTH & SCIENCE UNIVERSITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Oregon Health & Science University; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OREGON HEALTH & SCIENCE UNIVERSITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OREGON HEALTH & SCIENCE UNIVERSITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Oregon Health & Science University; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OREGON HEALTH & SCIENCE UNIVERSITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "380014",
      "ccn": "380014",
      "name": "GOOD SAMARITAN REGIONAL MEDICAL CENTER",
      "address": "3600 NW SAMARITAN DRIVE",
      "city": "CORVALLIS",
      "state": "OR",
      "zip": "97330",
      "county": "BENTON",
      "latitude": 44.6032226600237,
      "longitude": -123.25262361988,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 188,
      "rating": 3,
      "website": "http://www.samhealth.org/locations/goodsamaritanregionalmedicalcenter/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "SAMARITAN HEALTH SERVICES INC.",
      "affiliatedSystem": "Samhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Samhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corvallis-good-samaritan-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-samaritan-health-services-inc",
      "siblingGroupId": "siblings-or-samaritan-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-samaritan-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.samhealth.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSIAH S JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSIAH S JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380017",
      "ccn": "380017",
      "name": "LEGACY GOOD SAMARITAN MEDICAL CENTER",
      "address": "1015 NW 22ND AVENUE, W121",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97210",
      "county": "MULTNOMAH",
      "latitude": 45.5302590099813,
      "longitude": -122.697491289866,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 539,
      "rating": 4,
      "website": "www.legacyhealth.org",
      "status": "corporate_chain",
      "parentSystem": "LEGACY HEALTH",
      "affiliatedSystem": "Legacyhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Legacyhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-legacy-good-samaritan-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-legacy-health",
      "siblingGroupId": "siblings-or-legacy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-legacy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.legacyhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380018",
      "ccn": "380018",
      "name": "ASANTE ROGUE REGIONAL MEDICAL CENTER",
      "address": "2825 E BARNETT ROAD",
      "city": "MEDFORD",
      "state": "OR",
      "zip": "97504",
      "county": "JACKSON",
      "latitude": 42.3180669998491,
      "longitude": -122.830800999552,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 378,
      "rating": 4,
      "website": "http://www.asante.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-medford-asante-rogue-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASANTE",
      "parentSystemId": "entity-asante",
      "siblingGroupId": "siblings-or-asante",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-asante"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.asante.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASANTE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Asante; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASANTE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASANTE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Asante; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASANTE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380020",
      "ccn": "380020",
      "name": "MCKENZIE - WILLAMETTE MEDICAL CENTER",
      "address": "1460 G STREET",
      "city": "SPRINGFIELD",
      "state": "OR",
      "zip": "97477",
      "county": "LANE",
      "latitude": 44.0534836799863,
      "longitude": -123.003690070125,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 113,
      "rating": 4,
      "website": "www.mckweb.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-mckenzie-willamette-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-goldentree-distressed-master-fund-iii-ltd",
      "siblingGroupId": "siblings-or-goldentree-distressed-master-fund-iii-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GOLDENTREE DISTRESSED MASTER FUND III LTD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED MASTER FUND III LTD, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GOLDENTREE DISTRESSED MASTER FUND III LTD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED MASTER FUND III LTD, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "380022",
      "ccn": "380022",
      "name": "SAMARITAN ALBANY GENERAL HOSPITAL",
      "address": "1046 6TH AVENUE SW",
      "city": "ALBANY",
      "state": "OR",
      "zip": "97321",
      "county": "LINN",
      "latitude": 44.6316727697757,
      "longitude": -123.116324120197,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 79,
      "rating": 4,
      "website": "www.samhealth.org",
      "status": "corporate_chain",
      "parentSystem": "SAMARITAN HEALTH SERVICES INC.",
      "affiliatedSystem": "Samhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Samhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-albany-samaritan-albany-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-samaritan-health-services-inc",
      "siblingGroupId": "siblings-or-samaritan-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-samaritan-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.samhealth.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL KETERI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL KETERI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380025",
      "ccn": "380025",
      "name": "LEGACY MOUNT HOOD MEDICAL CENTER",
      "address": "24800 SE STARK STREET",
      "city": "GRESHAM",
      "state": "OR",
      "zip": "97030",
      "county": "MULTNOMAH",
      "latitude": 45.5167841302585,
      "longitude": -122.406989130095,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 115,
      "rating": 3,
      "website": "www.legacyhealth.org",
      "status": "corporate_chain",
      "parentSystem": "LEGACY HEALTH",
      "affiliatedSystem": "Legacyhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Legacyhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gresham-legacy-mount-hood-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-legacy-health",
      "siblingGroupId": "siblings-or-legacy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-legacy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.legacyhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380027",
      "ccn": "380027",
      "name": "MERCY MEDICAL CENTER",
      "address": "2700 NW STEWART PARKWAY",
      "city": "ROSEBURG",
      "state": "OR",
      "zip": "97471",
      "county": "DOUGLAS",
      "latitude": 43.241562120189,
      "longitude": -123.366711100064,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 174,
      "rating": 4,
      "website": "www.mercyrose.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roseburg-mercy-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-or-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMIE CHRISTINE POINDEXTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMIE CHRISTINE POINDEXTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380029",
      "ccn": "380029",
      "name": "LEGACY SILVERTON MEDICAL CENTER",
      "address": "342 FAIRVIEW STREET",
      "city": "SILVERTON",
      "state": "OR",
      "zip": "97381",
      "county": "MARION",
      "latitude": 45.0046659199142,
      "longitude": -122.790073100352,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": null,
      "website": "silvertonhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "LEGACY HEALTH",
      "parentSystemId": "entity-legacy-health",
      "siblingGroupId": "siblings-or-legacy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-legacy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.legacyhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380037",
      "ccn": "380037",
      "name": "PROVIDENCE NEWBERG MEDICAL CENTER",
      "address": "1001 PROVIDENCE DRIVE",
      "city": "NEWBERG",
      "state": "OR",
      "zip": "97132",
      "county": "YAMHILL",
      "latitude": 45.3083492702523,
      "longitude": -122.935917330183,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 40,
      "rating": 4,
      "website": "http://oregon.providence.org/patients/facilities/providence-newberg-medical-center/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newberg-providence-newberg-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380038",
      "ccn": "380038",
      "name": "PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER",
      "address": "1500 DIVISION STREET",
      "city": "OREGON CITY",
      "state": "OR",
      "zip": "97045",
      "county": "CLACKAMAS",
      "latitude": 45.3562337898909,
      "longitude": -122.587107659718,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 143,
      "rating": 4,
      "website": "http://oregon.providence.org/patients/facilities/providence-willamette-falls-medical-center/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oregon-city-providence-willamette-falls-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "38003F",
      "ccn": "38003F",
      "name": "PORTLAND VA MEDICAL CENTER",
      "address": "3710 SOUTHWEST US VETERANS HOSPITAL ROAD",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97239",
      "county": "MULTNOMAH",
      "latitude": 45.4971810901554,
      "longitude": -122.683978199847,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "website": "https://www.portland.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-portland-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-or-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OR resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. OR resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "380050",
      "ccn": "380050",
      "name": "SKY LAKES MEDICAL CENTER",
      "address": "2865 DAGGETT AVENUE",
      "city": "KLAMATH FALLS",
      "state": "OR",
      "zip": "97601",
      "county": "KLAMATH",
      "latitude": 42.2531606599776,
      "longitude": -121.785190770197,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 176,
      "rating": 2,
      "website": "www.skylakes.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-klamath-falls-sky-lakes-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SKY LAKES MEDICAL CENTER INC",
      "parentSystemId": "entity-sky-lakes-medical-center-inc",
      "siblingGroupId": "siblings-or-sky-lakes-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-sky-lakes-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS lists RICHARD RICO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to SKY LAKES MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SKY LAKES MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD RICO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to SKY LAKES MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SKY LAKES MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380051",
      "ccn": "380051",
      "name": "SALEM HOSPITAL",
      "address": "890 OAK STREET SE",
      "city": "SALEM",
      "state": "OR",
      "zip": "97301",
      "county": "MARION",
      "latitude": 44.9327093398221,
      "longitude": -123.034070979847,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 494,
      "rating": 3,
      "website": "www.salemhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salem-salem-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SALEM HEALTH HOSPITALS AND CLINICS",
      "parentSystemId": "entity-salem-health-hospitals-and-clinics",
      "siblingGroupId": "siblings-or-salem-health-hospitals-and-clinics",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-salem-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://salemhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALEM HEALTH HOSPITALS AND CLINICS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Salem Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM HEALTH HOSPITALS AND CLINICS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALEM HEALTH HOSPITALS AND CLINICS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Salem Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM HEALTH HOSPITALS AND CLINICS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380052",
      "ccn": "380052",
      "name": "SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC",
      "address": "351 SW 9TH STREET",
      "city": "ONTARIO",
      "state": "OR",
      "zip": "97914",
      "county": "MALHEUR",
      "latitude": 44.0253330198702,
      "longitude": -116.97769200977,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 49,
      "rating": 2,
      "website": "www.saintalphonsus.org/ontario",
      "status": "corporate_chain",
      "parentSystem": "SAINT ALPHONSUS HEALTH SYSTEM INC",
      "affiliatedSystem": "Saintalphonsus",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Saintalphonsus",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ontario-saint-alphonsus-medical-center---ontario/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-saint-alphonsus-health-system-inc",
      "siblingGroupId": "siblings-or-saint-alphonsus-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-saint-alphonsus-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.saintalphonsus.org/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN L CHECKETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintalphonsus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintalphonsus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAINT ALPHONSUS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BRIAN L CHECKETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Saintalphonsus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Saintalphonsus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Saint Alphonsus Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT ALPHONSUS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380056",
      "ccn": "380056",
      "name": "SANTIAM HOSPITAL",
      "address": "1401 N 10TH AVENUE",
      "city": "STAYTON",
      "state": "OR",
      "zip": "97383",
      "county": "MARION",
      "latitude": 44.8051102499976,
      "longitude": -122.784762590074,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": null,
      "website": "www.santiamhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stayton-santiam-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANTIAM MEMORIAL HOSPITAL",
      "parentSystemId": "entity-santiam-memorial-hospital",
      "siblingGroupId": "siblings-or-santiam-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-santiam-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to SANTIAM MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANTIAM MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to SANTIAM MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANTIAM MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380060",
      "ccn": "380060",
      "name": "ADVENTIST HEALTH PORTLAND",
      "address": "10123 SE MARKET STREET",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97216",
      "county": "MULTNOMAH",
      "latitude": 45.512710349972,
      "longitude": -122.558434239841,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 302,
      "rating": 4,
      "website": "www.adventisthealthnw.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-or-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM/WEST (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM/WEST (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380061",
      "ccn": "380061",
      "name": "PROVIDENCE PORTLAND MEDICAL CENTER",
      "address": "4805 NE GLISAN STREET",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97213",
      "county": "MULTNOMAH",
      "latitude": 45.5275335498736,
      "longitude": -122.613506239868,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 483,
      "rating": 4,
      "website": "http://oregon.providence.org/patients/facilities/providence-portland-medical-center/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-providence-portland-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380071",
      "ccn": "380071",
      "name": "WILLAMETTE VALLEY MEDICAL CENTER",
      "address": "2700 SE STRATUS AVE",
      "city": "MCMINNVILLE",
      "state": "OR",
      "zip": "97128",
      "county": "YAMHILL",
      "latitude": 45.1990382603154,
      "longitude": -123.164672770211,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 2,
      "website": "www.wvmcweb.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "May 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcminnville-willamette-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-or-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "380075",
      "ccn": "380075",
      "name": "PROVIDENCE MEDFORD MEDICAL CENTER",
      "address": "1111 CRATER LAKE AVENUE",
      "city": "MEDFORD",
      "state": "OR",
      "zip": "97504",
      "county": "JACKSON",
      "latitude": 42.3396249002599,
      "longitude": -122.862719850192,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 168,
      "rating": 2,
      "website": "http://oregon.providence.org/patients/facilities/providence-medford-medical-center/pages/contactusindex.aspx",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-medford-providence-medford-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380082",
      "ccn": "380082",
      "name": "PROVIDENCE MILWAUKIE HOSPITAL",
      "address": "10150 SE 32ND AVENUE",
      "city": "MILWAUKIE",
      "state": "OR",
      "zip": "97222",
      "county": "CLACKAMAS",
      "latitude": 45.4493663798166,
      "longitude": -122.627562910347,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 77,
      "rating": 3,
      "website": "http://oregon.providence.org/patients/facilities/providence-milwaukie-hospital/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milwaukie-providence-milwaukie-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380089",
      "ccn": "380089",
      "name": "LEGACY MERIDIAN PARK MEDICAL CENTER",
      "address": "19300 SW 65TH AVENUE",
      "city": "TUALATIN",
      "state": "OR",
      "zip": "97062",
      "county": "CLACKAMAS",
      "latitude": 45.3784323797907,
      "longitude": -122.740779260065,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 150,
      "rating": 2,
      "website": "www.legacyhealth.org",
      "status": "corporate_chain",
      "parentSystem": "LEGACY HEALTH",
      "affiliatedSystem": "Legacyhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Legacyhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tualatin-legacy-meridian-park-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-legacy-health",
      "siblingGroupId": "siblings-or-legacy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-legacy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.legacyhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Legacyhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Legacyhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Legacy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380090",
      "ccn": "380090",
      "name": "BAY AREA HOSPITAL",
      "address": "1775 THOMPSON ROAD",
      "city": "COOS BAY",
      "state": "OR",
      "zip": "97420",
      "county": "COOS",
      "latitude": 43.3834065099407,
      "longitude": -124.232995299828,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 174,
      "rating": 2,
      "website": "www.bayareahospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coos-bay-bay-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BAY AREA HOSPITAL DISTRICT",
      "parentSystemId": "entity-bay-area-hospital-district",
      "siblingGroupId": "siblings-or-bay-area-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-verified-parent-bay-area-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAY AREA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to BAY AREA HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAY AREA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAY AREA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to BAY AREA HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAY AREA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "380091",
      "ccn": "380091",
      "name": "KAISER SUNNYSIDE MEDICAL CENTER",
      "address": "10180 SE SUNNYSIDE ROAD",
      "city": "CLACKAMAS",
      "state": "OR",
      "zip": "97015",
      "county": "CLACKAMAS",
      "latitude": 45.4313203598413,
      "longitude": -122.560466190386,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 302,
      "rating": 4,
      "website": "https://healthy.kaiserpermanente.org",
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clackamas-kaiser-sunnyside-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-or-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/oregon-washington/facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAREN E LYONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAREN E LYONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380102",
      "ccn": "380102",
      "name": "SACRED HEART MEDICAL CENTER - RIVERBEND",
      "address": "3333 RIVERBEND DRIVE",
      "city": "SPRINGFIELD",
      "state": "OR",
      "zip": "97477",
      "county": "LANE",
      "latitude": 44.0813621199781,
      "longitude": -123.026741709885,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 347,
      "rating": 4,
      "website": "http://www.peacehealth.org/sacred-heart-riverbend/pages/default.aspx",
      "status": "signal",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "Peacehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Peacehealth",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-or-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Peacehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Peacehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Peacehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Peacehealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "380103",
      "ccn": "380103",
      "name": "KAISER FOUNDATION HOSPITAL - WESTSIDE",
      "address": "2875 NW STUCKI AVE",
      "city": "HILLSBORO",
      "state": "OR",
      "zip": "97124",
      "county": "WASHINGTON",
      "latitude": 45.5392542700896,
      "longitude": -122.877001749873,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 122,
      "rating": 4,
      "website": "https://healthy.kaiserpermanente.org",
      "status": "corporate_chain",
      "parentSystem": "KAISER FOUNDATION HOSPITALS",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hillsboro-kaiser-foundation-hospital---westside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-kaiser-foundation-hospitals",
      "siblingGroupId": "siblings-or-kaiser-foundation-hospitals",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-kaiser-permanente"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthy.kaiserpermanente.org/oregon-washington/facilities"
      ],
      "ownershipProofNotes": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ADAM VAN DEN AVYLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KAISER FOUNDATION HOSPITALS (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ADAM VAN DEN AVYLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Kaiser Permanente; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAISER FOUNDATION HOSPITALS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381301",
      "ccn": "381301",
      "name": "PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER",
      "address": "1515 VILLAGE DRIVE",
      "city": "COTTAGE GROVE",
      "state": "OR",
      "zip": "97424",
      "county": "LANE",
      "latitude": 43.8037278799836,
      "longitude": -123.039696789806,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PeaceHealth",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-or-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381302",
      "ccn": "381302",
      "name": "SAMARITAN NORTH LINCOLN HOSPITAL",
      "address": "3043 NE 28TH STREET",
      "city": "LINCOLN CITY",
      "state": "OR",
      "zip": "97367",
      "county": "LINCOLN",
      "latitude": 44.9860609397207,
      "longitude": -123.995181090372,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "www.samhealth.org",
      "status": "corporate_chain",
      "parentSystem": "SAMARITAN HEALTH SERVICES INC.",
      "affiliatedSystem": "Samhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Samhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lincoln-city-samaritan-north-lincoln-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-samaritan-health-services-inc",
      "siblingGroupId": "siblings-or-samaritan-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-samaritan-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.samhealth.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSEPH CAHILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JOSEPH CAHILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381303",
      "ccn": "381303",
      "name": "PROVIDENCE SEASIDE HOSPITAL",
      "address": "725 S WAHANNA ROAD",
      "city": "SEASIDE",
      "state": "OR",
      "zip": "97138",
      "county": "CLATSOP",
      "latitude": 45.9890150198502,
      "longitude": -123.91206867013,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 3,
      "website": "http://www.providence.org",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seaside-providence-seaside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381305",
      "ccn": "381305",
      "name": "BLUE MOUNTAIN HOSPITAL",
      "address": "170 FORD ROAD",
      "city": "JOHN DAY",
      "state": "OR",
      "zip": "97845",
      "county": "GRANT",
      "latitude": 44.417112720277,
      "longitude": -118.959691480193,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.bluemountainhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-john-day-blue-mountain-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BLUE MOUNTAIN HOSPITAL DISTRICT",
      "parentSystemId": "entity-blue-mountain-hospital-district",
      "siblingGroupId": "siblings-or-blue-mountain-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-verified-parent-blue-mountain-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BLUE MOUNTAIN HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to BLUE MOUNTAIN HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUE MOUNTAIN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BLUE MOUNTAIN HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to BLUE MOUNTAIN HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUE MOUNTAIN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381306",
      "ccn": "381306",
      "name": "WALLOWA MEMORIAL HOSPITAL",
      "address": "601 MEDICAL PARKWAY",
      "city": "ENTERPRISE",
      "state": "OR",
      "zip": "97828",
      "county": "WALLOWA",
      "latitude": 45.4323652598254,
      "longitude": -117.284461319948,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "website": "www.wchcd.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-enterprise-wallowa-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WALLOWA COUNTY HEALTH CARE DISTRICT",
      "parentSystemId": "entity-wallowa-county-health-care-district",
      "siblingGroupId": "siblings-or-wallowa-county-health-care-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-wallowa-county-health-care-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WALLOWA COUNTY HEALTH CARE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to WALLOWA COUNTY HEALTH CARE DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WALLOWA COUNTY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WALLOWA COUNTY HEALTH CARE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to WALLOWA COUNTY HEALTH CARE DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WALLOWA COUNTY HEALTH CARE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381307",
      "ccn": "381307",
      "name": "HARNEY DISTRICT HOSPITAL",
      "address": "557 W WASHINGTON STREET",
      "city": "BURNS",
      "state": "OR",
      "zip": "97720",
      "county": "HARNEY",
      "latitude": 43.5882074998523,
      "longitude": -119.060723589843,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.harneydh.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burns-harney-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HARNEY DISTRICT HOSPITAL",
      "parentSystemId": "entity-harney-district-hospital",
      "siblingGroupId": "siblings-or-harney-district-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-harney-district-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARNEY DISTRICT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL W GRIGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to HARNEY DISTRICT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARNEY DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HARNEY DISTRICT HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL W GRIGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to HARNEY DISTRICT HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARNEY DISTRICT HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381308",
      "ccn": "381308",
      "name": "SALEM HEALTH WEST VALLEY",
      "address": "525 SE WASHINGTON STREET",
      "city": "DALLAS",
      "state": "OR",
      "zip": "97338",
      "county": "POLK",
      "latitude": 44.9187860698342,
      "longitude": -123.310338449998,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.salemhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SALEM HEALTH HOSPITALS AND CLINICS",
      "parentSystemId": "entity-salem-health-hospitals-and-clinics",
      "siblingGroupId": "siblings-or-salem-health-hospitals-and-clinics",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-salem-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://salemhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SALEM HEALTH HOSPITALS AND CLINICS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Salem Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM HEALTH HOSPITALS AND CLINICS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SALEM HEALTH HOSPITALS AND CLINICS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Salem Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SALEM HEALTH HOSPITALS AND CLINICS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381309",
      "ccn": "381309",
      "name": "LAKE DISTRICT HOSPITAL",
      "address": "700 SOUTH J STREET",
      "city": "LAKEVIEW",
      "state": "OR",
      "zip": "97630",
      "county": "LAKE",
      "latitude": 42.1812946600746,
      "longitude": -120.352111219948,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "website": "www.lakehealthdistrict.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lakeview-lake-district-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LAKE HEALTH DISTRICT",
      "parentSystemId": "entity-lake-health-district",
      "siblingGroupId": "siblings-or-lake-health-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-lake-health-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS lists JENNIFER ANTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to LAKE HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JENNIFER ANTLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to LAKE HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAKE HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381310",
      "ccn": "381310",
      "name": "PIONEER MEMORIAL HOSPITAL",
      "address": "564 E PIONEER DRIVE",
      "city": "HEPPNER",
      "state": "OR",
      "zip": "97836",
      "county": "MORROW",
      "latitude": 45.35589942,
      "longitude": -119.548659440186,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 21,
      "rating": null,
      "website": "http://www.morrowcountyhealthdistrict.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-heppner-pioneer-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MORROW COUNTY HEALTH DISTRICT",
      "parentSystemId": "entity-morrow-county-health-district",
      "siblingGroupId": "siblings-or-morrow-county-health-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-morrow-county-health-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to MORROW COUNTY HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORROW COUNTY HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to MORROW COUNTY HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MORROW COUNTY HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381311",
      "ccn": "381311",
      "name": "LOWER UMPQUA HOSPITAL DISTRICT",
      "address": "600 RANCH ROAD",
      "city": "REEDSPORT",
      "state": "OR",
      "zip": "97467",
      "county": "DOUGLAS",
      "latitude": 43.6945895699093,
      "longitude": -124.136301849981,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "website": "www.lowerrumpquahhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reedsport-lower-umpqua-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "LOWER UMPQUA HOSPITAL DISTRICT",
      "parentSystemId": "entity-lower-umpqua-hospital-district",
      "siblingGroupId": "siblings-or-lower-umpqua-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-verified-parent-lower-umpqua-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOWER UMPQUA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to LOWER UMPQUA HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOWER UMPQUA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LOWER UMPQUA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to LOWER UMPQUA HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOWER UMPQUA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381312",
      "ccn": "381312",
      "name": "COQUILLE VALLEY HOSPITAL DISTRICT",
      "address": "940 EAST 5TH STREET",
      "city": "COQUILLE",
      "state": "OR",
      "zip": "97423",
      "county": "COOS",
      "latitude": 43.179442710227,
      "longitude": -124.179386010408,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "www.cvhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coquille-coquille-valley-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COQUILLE VALLEY HOSPITAL DISTRICT",
      "parentSystemId": "entity-coquille-valley-hospital-district",
      "siblingGroupId": "siblings-or-coquille-valley-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-verified-parent-coquille-valley-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COQUILLE VALLEY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to COQUILLE VALLEY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COQUILLE VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COQUILLE VALLEY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to COQUILLE VALLEY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COQUILLE VALLEY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381314",
      "ccn": "381314",
      "name": "SAMARITAN PACIFIC COMMUNITY HOSPITAL",
      "address": "930 SW ABBEY STREET",
      "city": "NEWPORT",
      "state": "OR",
      "zip": "97365",
      "county": "LINCOLN",
      "latitude": 44.6293931997594,
      "longitude": -124.059611459654,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "www.samhealth.org",
      "status": "corporate_chain",
      "parentSystem": "SAMARITAN HEALTH SERVICES INC.",
      "affiliatedSystem": "Samhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Samhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-samaritan-health-services-inc",
      "siblingGroupId": "siblings-or-samaritan-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-samaritan-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.samhealth.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LESLEY J OGDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LESLEY J OGDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381316",
      "ccn": "381316",
      "name": "PEACE HARBOR MEDICAL CENTER",
      "address": "400 9TH STREET",
      "city": "FLORENCE",
      "state": "OR",
      "zip": "97439",
      "county": "LANE",
      "latitude": 43.9731419297293,
      "longitude": -124.117477559778,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 21,
      "rating": 5,
      "website": "http://www.peacehealth.org/peace-harbor/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "Peacehealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Peacehealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-florence-peace-harbor-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-or-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Peacehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Peacehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Peacehealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Peacehealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381317",
      "ccn": "381317",
      "name": "ADVENTIST HEALTH TILLAMOOK",
      "address": "1000 THIRD STREET",
      "city": "TILLAMOOK",
      "state": "OR",
      "zip": "97141",
      "county": "TILLAMOOK",
      "latitude": 45.4566109001128,
      "longitude": -123.854331460283,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 49,
      "rating": 4,
      "website": "http://www.tcgh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tillamook-adventist-health-tillamook/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVENTIST HEALTH SYSTEM/WEST",
      "parentSystemId": "entity-adventist-health-system-west",
      "siblingGroupId": "siblings-or-adventist-health-system-west",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM/WEST (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM/WEST (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM/WEST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381318",
      "ccn": "381318",
      "name": "PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL",
      "address": "810 12TH STREET",
      "city": "HOOD RIVER",
      "state": "OR",
      "zip": "97031",
      "county": "HOOD RIVER",
      "latitude": 45.704831970296,
      "longitude": -121.523908630001,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 4,
      "website": "http://oregon.providence.org/patients/facilities/providence-hood-river-memorial-hospital/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hood-river-providence-hood-river-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-or-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381319",
      "ccn": "381319",
      "name": "ST ANTHONY HOSPITAL",
      "address": "2801 ST ANTHONY WAY",
      "city": "PENDLETON",
      "state": "OR",
      "zip": "97801",
      "county": "UMATILLA",
      "latitude": 45.6493056397857,
      "longitude": -118.811237039895,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 3,
      "website": "http://www.sahpendleton.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pendleton-st-anthony-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-or-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381320",
      "ccn": "381320",
      "name": "COLUMBIA MEMORIAL HOSPITAL",
      "address": "2111 EXCHANGE STREET",
      "city": "ASTORIA",
      "state": "OR",
      "zip": "97103",
      "county": "CLATSOP",
      "latitude": 46.1880020598908,
      "longitude": -123.818592259792,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": null,
      "website": "www.columbiamemorial.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-astoria-columbia-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "COLUMBIA LUTHERAN CHARITIES",
      "parentSystemId": "entity-columbia-lutheran-charities",
      "siblingGroupId": "siblings-or-columbia-lutheran-charities",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-columbia-lutheran-charities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS lists JEANETTE SCHACHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to COLUMBIA LUTHERAN CHARITIES; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA LUTHERAN CHARITIES, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEANETTE SCHACHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to COLUMBIA LUTHERAN CHARITIES; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA LUTHERAN CHARITIES, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "381321",
      "ccn": "381321",
      "name": "GRANDE RONDE HOSPITAL",
      "address": "900 SUNSET DRIVE",
      "city": "LA GRANDE",
      "state": "OR",
      "zip": "97850",
      "county": "UNION",
      "latitude": 45.3194271897158,
      "longitude": -118.106070389916,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "www.grh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-grande-grande-ronde-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRANDE RONDE HOSPITAL INC",
      "parentSystemId": "entity-grande-ronde-hospital-inc",
      "siblingGroupId": "siblings-or-grande-ronde-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-grande-ronde-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to GRANDE RONDE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANDE RONDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to GRANDE RONDE HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANDE RONDE HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381322",
      "ccn": "381322",
      "name": "CURRY GENERAL HOSPITAL",
      "address": "94220 FOURTH STREET",
      "city": "GOLD BEACH",
      "state": "OR",
      "zip": "97444",
      "county": "CURRY",
      "latitude": 42.4112513001354,
      "longitude": -124.41907750028,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gold-beach-curry-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CURRY HEALTH DISTRICT",
      "parentSystemId": "entity-curry-health-district",
      "siblingGroupId": "siblings-or-curry-health-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-curry-health-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS lists KAREN KENNEDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to CURRY HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURRY HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KAREN KENNEDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to CURRY HEALTH DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CURRY HEALTH DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "381323",
      "ccn": "381323",
      "name": "SAMARITAN LEBANON COMMUNITY HOSPITAL",
      "address": "525 N SANTIAM HIGHWAY",
      "city": "LEBANON",
      "state": "OR",
      "zip": "97355",
      "county": "LINN",
      "latitude": 44.5513269599443,
      "longitude": -122.906964079706,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 49,
      "rating": 3,
      "website": "www.samhealth.org",
      "status": "corporate_chain",
      "parentSystem": "SAMARITAN HEALTH SERVICES INC.",
      "affiliatedSystem": "Samhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Samhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lebanon-samaritan-lebanon-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-samaritan-health-services-inc",
      "siblingGroupId": "siblings-or-samaritan-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-samaritan-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.samhealth.org/find-a-location"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAMARITAN HEALTH SERVICES INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Samhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Samhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Samaritan Health Services; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAMARITAN HEALTH SERVICES INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381324",
      "ccn": "381324",
      "name": "ST CHARLES MADRAS",
      "address": "470 NE A STREET",
      "city": "MADRAS",
      "state": "OR",
      "zip": "97741",
      "county": "JEFFERSON",
      "latitude": 44.6378737298186,
      "longitude": -121.120725420303,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madras-st-charles-madras-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST CHARLES HEALTH SYSTEM INC",
      "parentSystemId": "entity-st-charles-health-system-inc",
      "siblingGroupId": "siblings-or-st-charles-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-st-charles-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://stcharleshealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST CHARLES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to St. Charles Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST CHARLES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST CHARLES HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to St. Charles Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST CHARLES HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "381325",
      "ccn": "381325",
      "name": "GOOD SHEPHERD MEDICAL CENTER",
      "address": "610 NW 11TH STREET",
      "city": "HERMISTON",
      "state": "OR",
      "zip": "97838",
      "county": "UMATILLA",
      "latitude": 45.8471189898796,
      "longitude": -119.308512490092,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": null,
      "website": "http://www.gsmc.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hermiston-good-shepherd-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GOOD SHEPHERD HEALTH CARE SYSTEM",
      "parentSystemId": "entity-good-shepherd-health-care-system",
      "siblingGroupId": "siblings-or-good-shepherd-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "or-parent-good-shepherd-health-care-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to GOOD SHEPHERD HEALTH CARE SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SHEPHERD HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to GOOD SHEPHERD HEALTH CARE SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOOD SHEPHERD HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "383300",
      "ccn": "383300",
      "name": "SHRINERS HOSPITAL FOR CHILDREN - PORTLAND",
      "address": "3101 SW SAM JACKSON PARK ROAD",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97239",
      "county": "MULTNOMAH",
      "latitude": 45.5007899300908,
      "longitude": -122.684409100129,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 29,
      "rating": null,
      "website": "www.shrinershospitalsforchildren.org",
      "status": "corporate_chain",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "affiliatedSystem": "Shrinershospitalsforchildren",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Shrinershospitalsforchildren",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-shriners-hospital-for-children-portland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-or-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.shrinerschildrens.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Shrinershospitalsforchildren; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Shrinershospitalsforchildren. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Shriners Hospitals for Children; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Shrinershospitalsforchildren; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Shrinershospitalsforchildren. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Shriners Hospitals for Children; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "384008",
      "ccn": "384008",
      "name": "OREGON STATE HOSPITAL DISTINCT PART",
      "address": "2600 CENTER STREET NE",
      "city": "SALEM",
      "state": "OR",
      "zip": "97301",
      "county": "MARION",
      "latitude": 44.9390394797146,
      "longitude": -123.004577060349,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 554,
      "rating": null,
      "website": "https://www.oregon.gov/oha/osh/pages/index.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P",
      "parentSystemId": "entity-dhs-office-of-financial-services-irs-eopc-bmrc-eotc-osh-osh-p",
      "siblingGroupId": "siblings-or-dhs-office-of-financial-services-irs-eopc-bmrc-eotc-osh-osh-p",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-dhs-office-of-financial-services-irs-eopc-bmrc-eotc-osh-osh-p"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DHS OFFICE OF FINANCIAL SERVICES IRS EOPC BMRC EOTC OSH OSH-P, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "384012",
      "ccn": "384012",
      "name": "CEDAR HILLS HOSPITAL",
      "address": "10300 SW EASTRIDGE STREET",
      "city": "PORTLAND",
      "state": "OR",
      "zip": "97225",
      "county": "WASHINGTON",
      "latitude": 45.5058697200709,
      "longitude": -122.783081870025,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 98,
      "rating": null,
      "website": "https://cedarhillshospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portland-cedar-hills-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-or-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "or-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.oregon.gov/oha/ph/ProviderPartnerResources/HealthcareProvidersFacilities/HealthcareHealthCareRegulationQualityImprovement/Documents/HOSPITALList.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. OR resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "390001",
      "ccn": "390001",
      "name": "GEISINGER - COMMUNITY MEDICAL CENTER",
      "address": "1800 MULBERRY STREET",
      "city": "SCRANTON",
      "state": "PA",
      "zip": "18510",
      "county": "LACKAWANNA",
      "latitude": 41.400205999999,
      "longitude": -75.6462230000501,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 293,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scranton-geisinger-community-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEDIAL CENTER HEALTHCARE SYSTEM",
      "parentSystemId": "entity-community-medial-center-healthcare-system",
      "siblingGroupId": "siblings-pa-community-medial-center-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-lehigh-valley-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lvhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY MEDIAL CENTER HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Lehigh Valley Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEDIAL CENTER HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY MEDIAL CENTER HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Lehigh Valley Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEDIAL CENTER HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390002",
      "ccn": "390002",
      "name": "UPMC MCKEESPORT",
      "address": "1500 FIFTH AVENUE",
      "city": "MCKEESPORT",
      "state": "PA",
      "zip": "15132",
      "county": "ALLEGHENY",
      "latitude": 40.3517962099937,
      "longitude": -79.8498537404117,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 213,
      "rating": 3,
      "website": "http://www.upmc.com",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mckeesport-upmc-mckeesport/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (OPERATIONAL/MANAGERIAL CONTROL). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (OPERATIONAL/MANAGERIAL CONTROL). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390003",
      "ccn": "390003",
      "name": "GEISINGER - BLOOMSBURG HOSPITAL",
      "address": "549 EAST FAIR STREET",
      "city": "BLOOMSBURG",
      "state": "PA",
      "zip": "17815",
      "county": "COLUMBIA",
      "latitude": 41.0095119997919,
      "longitude": -76.4522729995658,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 62,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bloomsburg-geisinger-bloomsburg-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEISINGER BLOOMSBURG HOSPITAL",
      "parentSystemId": "entity-geisinger-bloomsburg-hospital",
      "siblingGroupId": "siblings-pa-geisinger-bloomsburg-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER BLOOMSBURG HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER BLOOMSBURG HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390004",
      "ccn": "390004",
      "name": "PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER",
      "address": "503 NORTH 21ST STREET",
      "city": "CAMP HILL",
      "state": "PA",
      "zip": "17011",
      "county": "CUMBERLAND",
      "latitude": 40.2540720001,
      "longitude": -76.9219501201438,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 306,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN STATE HEALTH",
      "parentSystemId": "entity-penn-state-health",
      "siblingGroupId": "siblings-pa-penn-state-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LESLYN WILLIAMSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LESLYN WILLIAMSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390006",
      "ccn": "390006",
      "name": "GEISINGER MEDICAL CENTER",
      "address": "100 NORTH ACADEMY AVENUE",
      "city": "DANVILLE",
      "state": "PA",
      "zip": "17822",
      "county": "MONTOUR",
      "latitude": 40.9681449597559,
      "longitude": -76.6052561104176,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 553,
      "rating": 4,
      "website": "https://www.geisinger.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-geisinger-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEISINGER HEALTH SYSTEM",
      "parentSystemId": "entity-geisinger-health-system",
      "siblingGroupId": "siblings-pa-geisinger-health-system",
      "campusFamilyId": "campus-pa-390006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: GEISINGER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GEISINGER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390006-loc-pa-danville-geisinger-medical-center-transplant-center",
      "ccn": "390006",
      "name": "GEISINGER MEDICAL CENTER - TRANSPLANT CENTER",
      "address": "100 NORTH ACADEMY AVENUE",
      "city": "DANVILLE",
      "state": "PA",
      "zip": "17822",
      "county": "MONTOUR",
      "latitude": 40.967687299841,
      "longitude": -76.6045773999828,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEISINGER HEALTH SYSTEM",
      "parentSystemId": "entity-geisinger-health-system",
      "siblingGroupId": "siblings-pa-geisinger-health-system",
      "campusFamilyId": "campus-pa-390006",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: GEISINGER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GEISINGER HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "390006"
    },
    {
      "id": "390009",
      "ccn": "390009",
      "name": "SAINT VINCENT HOSPITAL",
      "address": "232 WEST 25TH STREET",
      "city": "ERIE",
      "state": "PA",
      "zip": "16544",
      "county": "ERIE",
      "latitude": 42.1113709997464,
      "longitude": -80.0795389996399,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 348,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erie-saint-vincent-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Allegheny Health Network",
      "parentSystemId": "entity-allegheny-health-network",
      "siblingGroupId": "siblings-pa-allegheny-health-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-allegheny-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGHENY HEALTH NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegheny Health Network, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGHENY HEALTH NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegheny Health Network, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390012",
      "ccn": "390012",
      "name": "LANSDALE HOSPITAL",
      "address": "100 MEDICAL CAMPUS DRIVE",
      "city": "LANSDALE",
      "state": "PA",
      "zip": "19446",
      "county": "MONTGOMERY",
      "latitude": 40.2503000002936,
      "longitude": -75.271420999945,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 140,
      "rating": 3,
      "website": "http://www.abingtonhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390013",
      "ccn": "390013",
      "name": "EVANGELICAL COMMUNITY HOSPITAL",
      "address": "1 HOSPITAL DRIVE",
      "city": "LEWISBURG",
      "state": "PA",
      "zip": "17837",
      "county": "UNION",
      "latitude": 40.9797349998149,
      "longitude": -76.886619999857,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 132,
      "rating": 4,
      "website": "http://www.evanhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewisburg-evangelical-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390016",
      "ccn": "390016",
      "name": "UPMC JAMESON",
      "address": "1211 WILMINGTON AVENUE",
      "city": "NEW CASTLE",
      "state": "PA",
      "zip": "16105",
      "county": "LAWRENCE",
      "latitude": 41.0132020000142,
      "longitude": -80.3526490002637,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 146,
      "rating": 3,
      "website": "https://upmcjameson.com",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-castle-upmc-jameson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "39001F",
      "ccn": "39001F",
      "name": "JAMES E VAN ZANDT VA MEDICAL CENTER",
      "address": "2907 PLEASANT VALLEY BOULEVARD",
      "city": "ALTOONA",
      "state": "PA",
      "zip": "16602",
      "county": "BLAIR",
      "latitude": 40.4884950503123,
      "longitude": -78.395754609644,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 68,
      "rating": 5,
      "website": "http://www.altoona.va.gov/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-altoona-james-e-van-zandt-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-pa-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "390025",
      "ccn": "390025",
      "name": "KENSINGTON HOSPITAL",
      "address": "136 WEST DIAMOND STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19122",
      "county": "PHILADELPHIA",
      "latitude": 39.9816993397519,
      "longitude": -75.1346280296261,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 31,
      "rating": null,
      "website": "http://kensingtonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-kensington-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KENSINGTON HOSPITAL",
      "parentSystemId": "entity-kensington-hospital",
      "siblingGroupId": "siblings-pa-kensington-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENSINGTON HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAREN COLEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KENSINGTON HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENSINGTON HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KAREN COLEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KENSINGTON HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390026",
      "ccn": "390026",
      "name": "CHESTNUT HILL HOSPITAL",
      "address": "8835 GERMANTOWN AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19118",
      "county": "PHILADELPHIA",
      "latitude": 40.0794679998908,
      "longitude": -75.2119350002085,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 148,
      "rating": 2,
      "website": "https://chestnuthill.towerhealth.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-chestnut-hill-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEMPLE UNIVERSITY HEALTH SYSTEM INC",
      "parentSystemId": "entity-temple-university-health-system-inc",
      "siblingGroupId": "siblings-pa-temple-university-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-temple-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.templehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists RICHARD NEWELL JR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS lists RICHARD NEWELL JR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390027",
      "ccn": "390027",
      "name": "TEMPLE UNIVERSITY HOSPITAL, INC",
      "address": "3401 NORTH BROAD STREET, HOSPITAL ADMINISTRATION SUITE D",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19140",
      "county": "PHILADELPHIA",
      "latitude": 40.0048348602884,
      "longitude": -75.1509023198433,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 879,
      "rating": 4,
      "website": "https://www.templehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-temple-university-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEMPLE UNIVERSITY HEALTH SYSTEM INC",
      "parentSystemId": "entity-temple-university-health-system-inc",
      "siblingGroupId": "siblings-pa-temple-university-health-system-inc",
      "campusFamilyId": "campus-pa-390027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-temple-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.templehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390027-loc-pa-philadelphia-temple-university-hospital-transplant-",
      "ccn": "390027",
      "name": "TEMPLE UNIVERSITY HOSPITAL - TRANSPLANT CENTER",
      "address": "3401 NORTH BROAD STREET, HOSPITAL ADMINISTRATION SUITE D",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19140",
      "county": "PHILADELPHIA",
      "latitude": 40.0051214997324,
      "longitude": -75.1499736001801,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "TEMPLE UNIVERSITY HEALTH SYSTEM INC",
      "parentSystemId": "entity-temple-university-health-system-inc",
      "siblingGroupId": "siblings-pa-temple-university-health-system-inc",
      "campusFamilyId": "campus-pa-390027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-temple-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.templehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TEMPLE UNIVERSITY HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Temple Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEMPLE UNIVERSITY HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "390027"
    },
    {
      "id": "390028",
      "ccn": "390028",
      "name": "UPMC MERCY",
      "address": "1400 LOCUST STREET",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15219",
      "county": "ALLEGHENY",
      "latitude": 40.436098999704,
      "longitude": -79.9851139998029,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 435,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-upmc-mercy/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390035",
      "ccn": "390035",
      "name": "ST. LUKE'S HOSPITAL - UPPER BUCKS CAMPUS",
      "address": "3000 ST LUKE'S DRIVE",
      "city": "QUAKERTOWN",
      "state": "PA",
      "zip": "18951",
      "county": "BUCKS",
      "latitude": 40.4444524197809,
      "longitude": -75.3756065897043,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 79,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390036",
      "ccn": "390036",
      "name": "HERITAGE VALLEY BEAVER",
      "address": "1000 DUTCH RIDGE ROAD",
      "city": "BEAVER",
      "state": "PA",
      "zip": "15009",
      "county": "BEAVER",
      "latitude": 40.7120445199744,
      "longitude": -80.3232984402071,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 285,
      "rating": 3,
      "website": "http://www.heritagevalley.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaver-heritage-valley-beaver/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VALLEY MEDICAL FACILITIES INC",
      "parentSystemId": "entity-valley-medical-facilities-inc",
      "siblingGroupId": "siblings-pa-valley-medical-facilities-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: VALLEY MEDICAL FACILITIES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY MEDICAL FACILITIES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VALLEY MEDICAL FACILITIES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY MEDICAL FACILITIES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390037",
      "ccn": "390037",
      "name": "HERITAGE VALLEY SEWICKLEY",
      "address": "720 BLACKBURN ROAD",
      "city": "SEWICKLEY",
      "state": "PA",
      "zip": "15143",
      "county": "ALLEGHENY",
      "latitude": 40.5425759997506,
      "longitude": -80.1779789998762,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 171,
      "rating": 4,
      "website": "http://www.heritagevalley.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sewickley-heritage-valley-sewickley/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HERITAGE VALLEY HEALTH SYSTEM",
      "parentSystemId": "entity-heritage-valley-health-system",
      "siblingGroupId": "siblings-pa-heritage-valley-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: HERITAGE VALLEY HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HERITAGE VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HERITAGE VALLEY HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HERITAGE VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390039",
      "ccn": "390039",
      "name": "UPMC SOMERSET",
      "address": "225 SOUTH CENTER AVENUE",
      "city": "SOMERSET",
      "state": "PA",
      "zip": "15501",
      "county": "SOMERSET",
      "latitude": 40.0070479998653,
      "longitude": -79.0778210003446,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-somerset-upmc-somerset/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390041",
      "ccn": "390041",
      "name": "UNIONTOWN HOSPITAL",
      "address": "500 WEST BERKELEY STREET",
      "city": "UNIONTOWN",
      "state": "PA",
      "zip": "15401",
      "county": "FAYETTE",
      "latitude": 39.9018090001854,
      "longitude": -79.7380830000738,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 145,
      "rating": 2,
      "website": "http://www.uniontownhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-uniontown-uniontown-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-pa-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CARRIE E WILLETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists CARRIE E WILLETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390042",
      "ccn": "390042",
      "name": "THE WASHINGTON HOSPITAL",
      "address": "155 WILSON AVENUE",
      "city": "WASHINGTON",
      "state": "PA",
      "zip": "15301",
      "county": "WASHINGTON",
      "latitude": 40.1838751097124,
      "longitude": -80.2466061795871,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 278,
      "rating": 4,
      "website": "http://www.washingtonhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-washington-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UPMC",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390044",
      "ccn": "390044",
      "name": "READING HOSPITAL",
      "address": "420 S FIFTH AVENUE",
      "city": "WEST READING",
      "state": "PA",
      "zip": "19611",
      "county": "BERKS",
      "latitude": 40.3305170000607,
      "longitude": -75.9501639995902,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 737,
      "rating": 4,
      "website": "https://reading.towerhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-reading-reading-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "READING HOSPITAL",
      "parentSystemId": "entity-reading-hospital",
      "siblingGroupId": "siblings-pa-reading-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS lists BRIAN RAYME as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent READING HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRIAN RAYME as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent READING HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390045",
      "ccn": "390045",
      "name": "UPMC WILLIAMSPORT",
      "address": "700 HIGH STREET",
      "city": "WILLIAMSPORT",
      "state": "PA",
      "zip": "17701",
      "county": "LYCOMING",
      "latitude": 41.2470106298599,
      "longitude": -77.0159669704314,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 255,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390046",
      "ccn": "390046",
      "name": "WELLSPAN YORK HOSPITAL",
      "address": "1001 SOUTH GEORGE STREET",
      "city": "YORK",
      "state": "PA",
      "zip": "17403",
      "county": "YORK",
      "latitude": 39.9456980000233,
      "longitude": -76.7185009996115,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 596,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-york-wellspan-york-hospital-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390048",
      "ccn": "390048",
      "name": "GEISINGER - LEWISTOWN HOSPITAL",
      "address": "400 HIGHLAND AVENUE",
      "city": "LEWISTOWN",
      "state": "PA",
      "zip": "17044",
      "county": "MIFFLIN",
      "latitude": 40.6177230002008,
      "longitude": -77.5680179999687,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 167,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewistown-geisinger--lewistown-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEISINGER LEWISTOWN HOSPITAL",
      "parentSystemId": "entity-geisinger-lewistown-hospital",
      "siblingGroupId": "siblings-pa-geisinger-lewistown-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: GEISINGER LEWISTOWN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER LEWISTOWN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GEISINGER LEWISTOWN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER LEWISTOWN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390050",
      "ccn": "390050",
      "name": "ALLEGHENY GENERAL HOSPITAL",
      "address": "320 EAST NORTH AVENUE",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15212",
      "county": "ALLEGHENY",
      "latitude": 40.4570629997795,
      "longitude": -80.0034020002734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 572,
      "rating": 3,
      "website": "http://www.ahn.org",
      "status": "corporate_chain",
      "parentSystem": "WEST PENN ALLEGHENY HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Ahn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ahn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-allegheny-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-west-penn-allegheny-health-system-inc",
      "siblingGroupId": "siblings-pa-west-penn-allegheny-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-allegheny-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ahn.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390056",
      "ccn": "390056",
      "name": "PENN HIGHLANDS HUNTINGDON",
      "address": "1225 WARM SPRINGS AVENUE",
      "city": "HUNTINGDON",
      "state": "PA",
      "zip": "16652",
      "county": "HUNTINGDON",
      "latitude": 40.4941990001518,
      "longitude": -78.012130000012,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 71,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntingdon-penn-highlands-huntingdon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN HIGHLANDS HEALTHCARE, INC.",
      "parentSystemId": "entity-penn-highlands-healthcare-inc",
      "siblingGroupId": "siblings-pa-penn-highlands-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-highlands-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390058",
      "ccn": "390058",
      "name": "UPMC CARLISLE",
      "address": "361 ALEXANDER SPRING ROAD",
      "city": "CARLISLE",
      "state": "PA",
      "zip": "17015",
      "county": "CUMBERLAND",
      "latitude": 40.1833291897309,
      "longitude": -77.2242212099612,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 166,
      "rating": 4,
      "status": "signal",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "UPMC",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carlisle-upmc-carlisle/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390062",
      "ccn": "390062",
      "name": "CONEMAUGH NASON MEDICAL CENTER",
      "address": "105 NASON DRIVE",
      "city": "ROARING SPRING",
      "state": "PA",
      "zip": "16673",
      "county": "BLAIR",
      "latitude": 40.3389279999525,
      "longitude": -78.3884329996169,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 45,
      "rating": 5,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roaring-spring-conemaugh-nason-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-pa-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists RODNEY D REIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists RODNEY D REIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390063",
      "ccn": "390063",
      "name": "UPMC HAMOT",
      "address": "201 STATE STREET",
      "city": "ERIE",
      "state": "PA",
      "zip": "16550",
      "county": "ERIE",
      "latitude": 42.1351120000249,
      "longitude": -80.0853629402219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 423,
      "rating": 3,
      "website": "http://www.upmc.com",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erie-upmc-hamot/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390065",
      "ccn": "390065",
      "name": "WELLSPAN GETTYSBURG HOSPITAL",
      "address": "147 GETTYS STREET",
      "city": "GETTYSBURG",
      "state": "PA",
      "zip": "17325",
      "county": "ADAMS",
      "latitude": 39.8243780001119,
      "longitude": -77.2343909995635,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gettysburg-wellspan-gettysburg-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390066",
      "ccn": "390066",
      "name": "WELLSPAN GOOD SAMARITAN HOSPITAL",
      "address": "252 SOUTH 4TH STREET",
      "city": "LEBANON",
      "state": "PA",
      "zip": "17042",
      "county": "LEBANON",
      "latitude": 40.3364789997285,
      "longitude": -76.4162339998236,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 163,
      "rating": 5,
      "website": "https://www.wellspan.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lebanon-wellspan-good-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390067",
      "ccn": "390067",
      "name": "UPMC PINNACLE HOSPITALS",
      "address": "409 SOUTH SECOND STREET",
      "city": "HARRISBURG",
      "state": "PA",
      "zip": "17104",
      "county": "DAUPHIN",
      "latitude": 40.2569390630701,
      "longitude": -76.8756736966416,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC PINNACLE",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc-pinnacle",
      "siblingGroupId": "siblings-pa-upmc-pinnacle",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC PINNACLE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC PINNACLE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC PINNACLE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC PINNACLE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390068",
      "ccn": "390068",
      "name": "UPMC LITITZ",
      "address": "1500 HIGHLANDS DRIVE",
      "city": "LITITZ",
      "state": "PA",
      "zip": "17543",
      "county": "LANCASTER",
      "latitude": 40.1322450003373,
      "longitude": -76.3119019999444,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 148,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lititz-upmc-lititz/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "39006F",
      "ccn": "39006F",
      "name": "LEBANON VA MEDICAL CENTER",
      "address": "1700 SOUTH LINCOLN AVENUE",
      "city": "LEBANON",
      "state": "PA",
      "zip": "17042",
      "county": "LEBANON",
      "latitude": 40.3173118600621,
      "longitude": -76.3971239195956,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 213,
      "rating": 5,
      "website": "https://www.va.gov/lebanon-health-care/locations/lebanon-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-pa-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "390070",
      "ccn": "390070",
      "name": "LOWER BUCKS HOSPITAL",
      "address": "501 BATH ROAD",
      "city": "BRISTOL",
      "state": "PA",
      "zip": "19007",
      "county": "BUCKS",
      "latitude": 40.1050915599592,
      "longitude": -74.8672635403718,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 135,
      "rating": 3,
      "website": "http://www.lowerbuckshosp.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bristol-lower-bucks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-pa-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390073",
      "ccn": "390073",
      "name": "UPMC ALTOONA",
      "address": "620 HOWARD AVENUE",
      "city": "ALTOONA",
      "state": "PA",
      "zip": "16601",
      "county": "BLAIR",
      "latitude": 40.5218208997495,
      "longitude": -78.3986977195852,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 398,
      "rating": 3,
      "website": "http://altoonaregional.org",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-altoona-upmc-altoona/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390079",
      "ccn": "390079",
      "name": "THE ROBERT PACKER HOSPITAL",
      "address": "1 GUTHRIE SQUARE",
      "city": "SAYRE",
      "state": "PA",
      "zip": "18840",
      "county": "BRADFORD",
      "latitude": 41.980229999896,
      "longitude": -76.5207270002596,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 267,
      "rating": 2,
      "website": "https://www.guthrie.org",
      "status": "signal",
      "parentSystem": "ROBERT PACKER HOSPITAL",
      "affiliatedSystem": "Guthrie",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Guthrie",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sayre-robert-packer-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-robert-packer-hospital",
      "siblingGroupId": "siblings-pa-robert-packer-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-robert-packer-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Guthrie; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Guthrie. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to ROBERT PACKER HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROBERT PACKER HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Guthrie; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Guthrie. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to ROBERT PACKER HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROBERT PACKER HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390086",
      "ccn": "390086",
      "name": "PENN HIGHLANDS DUBOIS",
      "address": "100 HOSPITAL AVE",
      "city": "DUBOIS",
      "state": "PA",
      "zip": "15801",
      "county": "CLEARFIELD",
      "latitude": 41.1150181996778,
      "longitude": -78.7752253896393,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 216,
      "rating": 2,
      "website": "http://www.phhealthcare.org",
      "status": "signal",
      "parentSystem": "PENN HIGHLANDS HEALTHCARE, INC.",
      "affiliatedSystem": "Phhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Phhealthcare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dubois-penn-highlands-dubois/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-penn-highlands-healthcare-inc",
      "siblingGroupId": "siblings-pa-penn-highlands-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-highlands-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Phhealthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Phhealthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390090",
      "ccn": "390090",
      "name": "WEST PENN HOSPITAL",
      "address": "4800 FRIENDSHIP AVENUE",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15224",
      "county": "ALLEGHENY",
      "latitude": 40.4618759998964,
      "longitude": -79.9462220001257,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 356,
      "rating": 3,
      "website": "http://www.ahn.org",
      "status": "corporate_chain",
      "parentSystem": "WEST PENN ALLEGHENY HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Ahn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ahn",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-west-penn-allegheny-health-system-inc",
      "siblingGroupId": "siblings-pa-west-penn-allegheny-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-allegheny-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ahn.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390091",
      "ccn": "390091",
      "name": "UPMC NORTHWEST",
      "address": "100 FAIRFIELD DRIVE",
      "city": "SENECA",
      "state": "PA",
      "zip": "16346",
      "county": "VENANGO",
      "latitude": 41.3613834097398,
      "longitude": -79.7006277398109,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 151,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seneca-upmc-northwest/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390093",
      "ccn": "390093",
      "name": "INDEPENDENCE HEALTH SYSTEM CLARION HOSPITAL",
      "address": "ONE HOSPITAL DRIVE",
      "city": "CLARION",
      "state": "PA",
      "zip": "16214",
      "county": "CLARION",
      "latitude": 41.1918872259741,
      "longitude": -79.3976998521634,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "EB HEALTH PARTNERS",
      "parentSystemId": "entity-eb-health-partners",
      "siblingGroupId": "siblings-pa-eb-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM SCOTT MADDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM SCOTT MADDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390096",
      "ccn": "390096",
      "name": "PENN STATE HEALTH ST. JOSEPH",
      "address": "2500 BERNVILLE ROAD",
      "city": "READING",
      "state": "PA",
      "zip": "19605",
      "county": "BERKS",
      "latitude": 40.3751458600391,
      "longitude": -75.9781827102201,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 204,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN STATE HEALTH",
      "parentSystemId": "entity-penn-state-health",
      "siblingGroupId": "siblings-pa-penn-state-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN STATE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOSEPH FRANK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN STATE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOSEPH FRANK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390097",
      "ccn": "390097",
      "name": "HOLY REDEEMER HOSPITAL",
      "address": "1648 HUNTINGDON PIKE",
      "city": "MEADOWBROOK",
      "state": "PA",
      "zip": "19046",
      "county": "MONTGOMERY",
      "latitude": 40.1095830701934,
      "longitude": -75.0823226098069,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 239,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOLY REDEEMER HEALTH SYSTEM",
      "parentSystemId": "entity-holy-redeemer-health-system",
      "siblingGroupId": "siblings-pa-holy-redeemer-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLY REDEEMER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOLY REDEEMER HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390100",
      "ccn": "390100",
      "name": "THE LANCASTER GENERAL HOSPITAL",
      "address": "555 NORTH DUKE STREET",
      "city": "LANCASTER",
      "state": "PA",
      "zip": "17602",
      "county": "LANCASTER",
      "latitude": 40.0472933800799,
      "longitude": -76.3040792701259,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 620,
      "rating": 5,
      "website": "http://www.lancastergeneralhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-lancaster-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LANCASTER GENERAL HEALTH",
      "parentSystemId": "entity-lancaster-general-health",
      "siblingGroupId": "siblings-pa-lancaster-general-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennmedicine.org/practices"
      ],
      "ownershipProofNotes": "CMS owner candidate: LANCASTER GENERAL HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANCASTER GENERAL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LANCASTER GENERAL HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANCASTER GENERAL HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390101",
      "ccn": "390101",
      "name": "UPMC MEMORIAL",
      "address": "1701 INNOVATION DRIVE",
      "city": "YORK",
      "state": "PA",
      "zip": "17408",
      "county": "YORK",
      "latitude": 39.9821929999782,
      "longitude": -76.7690450001266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-york-upmc-memorial/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390102",
      "ccn": "390102",
      "name": "UPMC ST. MARGARET",
      "address": "815 FREEPORT ROAD",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15215",
      "county": "ALLEGHENY",
      "latitude": 40.4894183100837,
      "longitude": -79.8960707295781,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 250,
      "rating": 3,
      "website": "http://www.upmc.com",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-upmc-st.-margaret/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390107",
      "ccn": "390107",
      "name": "UPMC PASSAVANT",
      "address": "9100 BABCOCK BOULEVARD",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15237",
      "county": "ALLEGHENY",
      "latitude": 40.5733929997616,
      "longitude": -80.0139930000309,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 423,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390110",
      "ccn": "390110",
      "name": "CONEMAUGH MEMORIAL MEDICAL CENTER",
      "address": "1086 FRANKLIN STREET",
      "city": "JOHNSTOWN",
      "state": "PA",
      "zip": "15905",
      "county": "CAMBRIA",
      "latitude": 40.3057497999604,
      "longitude": -78.9183624098183,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 507,
      "rating": 2,
      "website": "http://www.conemaugh.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-pa-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390112",
      "ccn": "390112",
      "name": "CHAN SOON - SHIONG MEDICAL CENTER AT WINDBER",
      "address": "600 SOMERSET AVENUE",
      "city": "WINDBER",
      "state": "PA",
      "zip": "15963",
      "county": "SOMERSET",
      "latitude": 40.2426390002752,
      "longitude": -78.8375199999594,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 54,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-windber-chan-soon-shiong-medical-center-at-windber/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WINDBER HOSPITAL INC",
      "parentSystemId": "entity-windber-hospital-inc",
      "siblingGroupId": "siblings-pa-windber-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-windber-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WINDBER HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINDBER HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WINDBER HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINDBER HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390113",
      "ccn": "390113",
      "name": "MEADVILLE MEDICAL CENTER",
      "address": "751 LIBERTY STREET",
      "city": "MEADVILLE",
      "state": "PA",
      "zip": "16335",
      "county": "CRAWFORD",
      "latitude": 41.6416479999714,
      "longitude": -80.1458819998402,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 200,
      "rating": 4,
      "website": "http://www.mmchs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meadville-meadville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEADVILLE MEDICAL CENTER",
      "parentSystemId": "entity-meadville-medical-center",
      "siblingGroupId": "siblings-pa-meadville-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEADVILLE MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEADVILLE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEADVILLE MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEADVILLE MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390115",
      "ccn": "390115",
      "name": "JEFFERSON HEALTH - NORTHEAST",
      "address": "10800 KNIGHTS ROAD",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19114",
      "county": "PHILADELPHIA",
      "latitude": 40.0717220696566,
      "longitude": -74.9831089499052,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 464,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "JEFFERSON HEALTH- NORTHEAST",
      "affiliatedSystem": "Jefferson Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jefferson Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-health-northeast",
      "siblingGroupId": "siblings-pa-jefferson-health-northeast",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH- NORTHEAST, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH- NORTHEAST, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390117",
      "ccn": "390117",
      "name": "UPMC BEDFORD",
      "address": "10455 LINCOLN HIGHWAY",
      "city": "EVERETT",
      "state": "PA",
      "zip": "15537",
      "county": "BEDFORD",
      "latitude": 40.0254040401323,
      "longitude": -78.4326729998622,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-everett-upmc-bedford/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390123",
      "ccn": "390123",
      "name": "POTTSTOWN HOSPITAL",
      "address": "1600 EAST HIGH STREET",
      "city": "POTTSTOWN",
      "state": "PA",
      "zip": "19464",
      "county": "MONTGOMERY",
      "latitude": 40.2426170003384,
      "longitude": -75.6122170000853,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 219,
      "rating": 2,
      "website": "https://pottstown.towerhealth.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "TOWER HEALTH",
      "parentSystemId": "entity-tower-health",
      "siblingGroupId": "siblings-pa-tower-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-tower-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://towerhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TOWER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TOWER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390125",
      "ccn": "390125",
      "name": "WAYNE MEMORIAL HOSPITAL",
      "address": "601 PARK STREET",
      "city": "HONESDALE",
      "state": "PA",
      "zip": "18431",
      "county": "WAYNE",
      "latitude": 41.5765610002357,
      "longitude": -75.2603289998721,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": 2,
      "website": "http://www.wmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-honesdale-wayne-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WAYNE MEMORIAL HOSPITAL",
      "parentSystemId": "entity-wayne-memorial-hospital",
      "siblingGroupId": "siblings-pa-wayne-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-wayne-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WAYNE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WAYNE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390127",
      "ccn": "390127",
      "name": "PHOENIXVILLE HOSPITAL",
      "address": "140 NUTT ROAD",
      "city": "PHOENIXVILLE",
      "state": "PA",
      "zip": "19460",
      "county": "CHESTER",
      "latitude": 40.1237890000667,
      "longitude": -75.5150849999032,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 144,
      "rating": 3,
      "website": "https://phoenixville.towerhealth.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-phoenixville-phoenixville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TOWER HEALTH",
      "parentSystemId": "entity-tower-health",
      "siblingGroupId": "siblings-pa-tower-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-tower-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://towerhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TOWER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TOWER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390133",
      "ccn": "390133",
      "name": "LEHIGH VALLEY HOSPITAL",
      "address": "1200 S CEDAR CREST BLVD",
      "city": "ALLENTOWN",
      "state": "PA",
      "zip": "18103",
      "county": "LEHIGH",
      "latitude": 40.5664400002199,
      "longitude": -75.5228810003504,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1171,
      "rating": 4,
      "website": "https://www.lvhn.org",
      "status": "signal",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "affiliatedSystem": "Lvhn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Lvhn",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "campusFamilyId": "campus-pa-390133",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390133-loc-pa-allentown-lehigh-valley-hospital-17th-st",
      "ccn": "390133",
      "name": "LEHIGH VALLEY HOSPITAL-17TH ST",
      "address": "1637 W CHEW ST",
      "city": "ALLENTOWN",
      "state": "PA",
      "zip": "18102",
      "county": "LEHIGH",
      "latitude": 40.6021388501241,
      "longitude": -75.4944647097488,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": 4,
      "website": "http://www.lvhn.org/facilities_directions/hospital_locations/lehigh_valley_hospital_17th_street",
      "status": "signal",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "affiliatedSystem": "Lvhn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Lvhn",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-allentown-lehigh-valley-hospital-17th-st/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "campusFamilyId": "campus-pa-390133",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "390133"
    },
    {
      "id": "390133-loc-pa-allentown-lehigh-valley-hospital-transplant-center",
      "ccn": "390133",
      "name": "LEHIGH VALLEY HOSPITAL - TRANSPLANT CENTER",
      "address": "1200 S. CEDAR CREST BLVD.",
      "city": "ALLENTOWN",
      "state": "PA",
      "zip": "18103",
      "county": "LEHIGH",
      "latitude": 40.5663457999644,
      "longitude": -75.5238394003506,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-allentown-lehigh-valley-hospital-transplant-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "campusFamilyId": "campus-pa-390133",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "390133"
    },
    {
      "id": "390137",
      "ccn": "390137",
      "name": "WILKES - BARRE GENERAL HOSPITAL",
      "address": "575 NORTH RIVER STREET",
      "city": "WILKES-BARRE",
      "state": "PA",
      "zip": "18764",
      "county": "LUZERNE",
      "latitude": 41.2586914299496,
      "longitude": -75.867063669773,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 412,
      "rating": 2,
      "website": "http://www.commonwealthhealth.net",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Commonwealthhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Commonwealthhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilkes-barre-wilkes-barre-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-pa-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Commonwealthhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Commonwealthhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Commonwealthhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Commonwealthhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "390138",
      "ccn": "390138",
      "name": "WAYNESBORO HOSPITAL",
      "address": "501 EAST MAIN STREET",
      "city": "WAYNESBORO",
      "state": "PA",
      "zip": "17268",
      "county": "FRANKLIN",
      "latitude": 39.7516909999121,
      "longitude": -77.5682799999096,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 57,
      "rating": 4,
      "website": "http://www.summithealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waynesboro-waynesboro-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390139",
      "ccn": "390139",
      "name": "THE BRYN MAWR HOSPITAL",
      "address": "130 SOUTH BRYN MAWR AVENUE",
      "city": "BRYN MAWR",
      "state": "PA",
      "zip": "19010",
      "county": "MONTGOMERY",
      "latitude": 40.0189444798395,
      "longitude": -75.3214288104401,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 264,
      "rating": 5,
      "website": "https://www.mainlinehealth.org/locations/bryn-mawr-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bryn-mawr-bryn-mawr-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIN LINE HEALTH, INC.",
      "parentSystemId": "entity-main-line-health-inc",
      "siblingGroupId": "siblings-pa-main-line-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-main-line-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainlinehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "39013F",
      "ccn": "39013F",
      "name": "WILKES - BARRE VA MEDICAL CENTER",
      "address": "1111 EAST END BOULEVARD",
      "city": "WILKES-BARRE",
      "state": "PA",
      "zip": "18711",
      "county": "LUZERNE",
      "latitude": 41.2481042798321,
      "longitude": -75.8359693099684,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 161,
      "rating": 5,
      "website": "https://www.va.gov/wilkes-barre-health-care/locations/wilkes-barre-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-pa-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "390146",
      "ccn": "390146",
      "name": "WARREN GENERAL HOSPITAL",
      "address": "2 CRESCENT PARK WEST",
      "city": "WARREN",
      "state": "PA",
      "zip": "16365",
      "county": "WARREN",
      "latitude": 41.8433280002588,
      "longitude": -79.1546099996392,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 85,
      "rating": 3,
      "website": "http://www.wgh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-warren-warren-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WARREN GENERAL HOSPITAL",
      "parentSystemId": "entity-warren-general-hospital",
      "siblingGroupId": "siblings-pa-warren-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARREN GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WARREN GENERAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390147",
      "ccn": "390147",
      "name": "PENN HIGHLANDS MON VALLEY",
      "address": "1163 COUNTRY CLUB ROAD",
      "city": "MONONGAHELA",
      "state": "PA",
      "zip": "15063",
      "county": "WASHINGTON",
      "latitude": 40.1822059996954,
      "longitude": -79.9112160000782,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 200,
      "rating": 1,
      "website": "http://www.monvalleyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN HIGHLANDS HEALTHCARE, INC.",
      "parentSystemId": "entity-penn-highlands-healthcare-inc",
      "siblingGroupId": "siblings-pa-penn-highlands-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-highlands-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390151",
      "ccn": "390151",
      "name": "THE CHAMBERSBURG HOSPITAL",
      "address": "112 NORTH SEVENTH STREET",
      "city": "CHAMBERSBURG",
      "state": "PA",
      "zip": "17201",
      "county": "FRANKLIN",
      "latitude": 39.9339779996741,
      "longitude": -77.6461360001323,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 285,
      "rating": 4,
      "website": "http://www.summithealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chambersburg-chambersburg-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390153",
      "ccn": "390153",
      "name": "PAOLI HOSPITAL",
      "address": "255 WEST LANCASTER AVENUE",
      "city": "PAOLI",
      "state": "PA",
      "zip": "19301",
      "county": "CHESTER",
      "latitude": 40.044188999978,
      "longitude": -75.5010870001918,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 231,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paoli-paoli-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIN LINE HEALTH, INC.",
      "parentSystemId": "entity-main-line-health-inc",
      "siblingGroupId": "siblings-pa-main-line-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-main-line-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainlinehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390162",
      "ccn": "390162",
      "name": "ST. LUKE'S HOSPITAL - EASTON CAMPUS",
      "address": "250 SOUTH 21ST STREET",
      "city": "EASTON",
      "state": "PA",
      "zip": "18042",
      "county": "NORTHAMPTON",
      "latitude": 40.6871082601342,
      "longitude": -75.2425992601299,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 180,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "campusFamilyId": "campus-pa-390162",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390163",
      "ccn": "390163",
      "name": "ACMH HOSPITAL",
      "address": "1 NOLTE DRIVE",
      "city": "KITTANNING",
      "state": "PA",
      "zip": "16201",
      "county": "ARMSTRONG",
      "latitude": 40.8088440001965,
      "longitude": -79.5620159999435,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 147,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kittanning-acmh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Pennsylvania Mountains Care Network",
      "parentSystemId": "entity-pennsylvania-mountains-care-network",
      "siblingGroupId": "siblings-pa-pennsylvania-mountains-care-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-mountains-care-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA MOUNTAINS CARE NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA MOUNTAINS CARE NETWORK; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Pennsylvania Mountains Care Network, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA MOUNTAINS CARE NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA MOUNTAINS CARE NETWORK; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Pennsylvania Mountains Care Network, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390164",
      "ccn": "390164",
      "name": "UPMC PRESBYTERIAN SHADYSIDE",
      "address": "200 LOTHROP STREET",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15213",
      "county": "ALLEGHENY",
      "latitude": 40.4427836199921,
      "longitude": -79.9607067699401,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1504,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "campusFamilyId": "campus-pa-390164",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390164-loc-pa-pittsburgh-upmc-presbyterian-shadyside-transplant-c",
      "ccn": "390164",
      "name": "UPMC PRESBYTERIAN SHADYSIDE - TRANSPLANT CENTER",
      "address": "200 LOTHROP STREET",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15213",
      "county": "ALLEGHENY",
      "latitude": 40.4424245518859,
      "longitude": -79.9607827431587,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "campusFamilyId": "campus-pa-390164",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "390164"
    },
    {
      "id": "390168",
      "ccn": "390168",
      "name": "INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITAL",
      "address": "ONE HOSPITAL WAY",
      "city": "BUTLER",
      "state": "PA",
      "zip": "16001",
      "county": "BUTLER",
      "latitude": 40.866838341891,
      "longitude": -79.8810775501438,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BUTLER HEALTHCARE PROVIDERS",
      "parentSystemId": "entity-butler-healthcare-providers",
      "siblingGroupId": "siblings-pa-butler-healthcare-providers",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-butler-healthcare-providers"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to BUTLER HEALTHCARE PROVIDERS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BUTLER HEALTHCARE PROVIDERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to BUTLER HEALTHCARE PROVIDERS; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BUTLER HEALTHCARE PROVIDERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390173",
      "ccn": "390173",
      "name": "INDIANA REGIONAL MEDICAL CENTER",
      "address": "835 HOSPITAL ROAD",
      "city": "INDIANA",
      "state": "PA",
      "zip": "15701",
      "county": "INDIANA",
      "latitude": 40.6075209998147,
      "longitude": -79.1562619996501,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 166,
      "rating": 2,
      "website": "http://www.indianarmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-indiana-indiana-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Pennsylvania Mountains Care Network",
      "parentSystemId": "entity-pennsylvania-mountains-care-network",
      "siblingGroupId": "siblings-pa-pennsylvania-mountains-care-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-mountains-care-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA MOUNTAINS CARE NETWORK (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK RICHARDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA MOUNTAINS CARE NETWORK; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Pennsylvania Mountains Care Network, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA MOUNTAINS CARE NETWORK (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARK RICHARDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA MOUNTAINS CARE NETWORK; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Pennsylvania Mountains Care Network, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390174",
      "ccn": "390174",
      "name": "THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC",
      "address": "111 SOUTH 11TH STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19107",
      "county": "PHILADELPHIA",
      "latitude": 39.9497083797933,
      "longitude": -75.1579460504103,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 926,
      "rating": 3,
      "website": "http://hospitals.jefferson.edu",
      "status": "corporate_chain",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "affiliatedSystem": "Jefferson Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jefferson Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "campusFamilyId": "campus-pa-390174",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390174-loc-pa-philadelphia-thomas-jefferson-university-hospital-t",
      "ccn": "390174",
      "name": "THOMAS JEFFERSON UNIVERSITY HOSPITAL - TRANSPLANT CENTER",
      "address": "111 SOUTH 11TH STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19107",
      "county": "PHILADELPHIA",
      "latitude": 39.9497230509192,
      "longitude": -75.1580810411463,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "affiliatedSystem": "Jefferson Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Jefferson Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "campusFamilyId": "campus-pa-390174",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "390174"
    },
    {
      "id": "390178",
      "ccn": "390178",
      "name": "UPMC HORIZON",
      "address": "110 NORTH MAIN STREET",
      "city": "GREENVILLE",
      "state": "PA",
      "zip": "16125",
      "county": "MERCER",
      "latitude": 41.4116550000701,
      "longitude": -80.3720170002845,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 116,
      "rating": 4,
      "website": "http://www.upmc.com",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390179",
      "ccn": "390179",
      "name": "THE CHESTER COUNTY HOSPITAL",
      "address": "701 EAST MARSHALL STREET",
      "city": "WEST CHESTER",
      "state": "PA",
      "zip": "19380",
      "county": "CHESTER",
      "latitude": 39.9712065700183,
      "longitude": -75.6021450702551,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 309,
      "rating": 5,
      "website": "http://www.chestercountyhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-chester-chester-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM",
      "parentSystemId": "entity-chester-county-hospital-and-health-system",
      "siblingGroupId": "siblings-pa-chester-county-hospital-and-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JULIA PUCHTLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JULIA PUCHTLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESTER COUNTY HOSPITAL AND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390180",
      "ccn": "390180",
      "name": "CROZER - CHESTER MEDICAL CENTER",
      "address": "1 MEDICAL CENTER BOULEVARD",
      "city": "UPLAND",
      "state": "PA",
      "zip": "19013",
      "county": "DELAWARE",
      "latitude": 39.8564980003089,
      "longitude": -75.3676450001059,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 473,
      "rating": 1,
      "website": "https://www.practicelink.com/",
      "status": "closed",
      "evidenceSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "evidenceSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "controlCategory": "historical",
      "classificationDepth": "source_backed_closure_import",
      "classificationReason": "CROZER - CHESTER MEDICAL CENTER closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Leonard Green & Partners; operating platform: Prospect Medical Holdings / Crozer Health. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "source-delaware-county-prospect-update-2026-06-10",
        "source-pa-house-krueger-crozer-sale-2026-01-21",
        "source-geisinger-crozer-closure-2025-05-30",
        "source-prospect-background-crozer-2016",
        "source-senate-budget-private-equity-2025-01-07",
        "source-healthcare-dive-crozer-closure-2025",
        "source-pesp-tracker-crozer-2026-04-03",
        "source-cms-care-compare-crozer-390180",
        "Existing PE Healthcare Watch evidence dossier",
        "Delaware County Prospect Medical Update",
        "Delaware County Prospect Medical update and Prospect Crozer-Keystone acquisition page",
        "Delaware County Health Department — Prospect Medical Update",
        "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Delaware County Health Department — Prospect Medical bankruptcy update",
        "https://www.healthcaredive.com/news/prospect-medical-holdings-close-crozer-health/746117/",
        "https://newjerseymonitor.com/2024/01/18/shell-game-when-private-equity-comes-to-town-hospitals-can-see-cutbacks-closures/"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "parentSystem": "CROZER CHESTER MEDICAL CENTER",
      "affiliatedSystem": "Crozer Health",
      "affiliatedSystemEvidence": "Delaware County Prospect Medical update and Prospect Crozer-Keystone acquisition page",
      "affiliationConfidence": "high",
      "peFirm": "Leonard Green & Partners",
      "acquiredDate": "2016",
      "signalSummary": "Closed Crozer Health hospital with former Prospect/Leonard Green PE context; January 2026 property sale shifted control to Chariot Equities / Allaire Health Services, while hospital restoration remains unconfirmed.",
      "closureDate": "2025-04/05",
      "closureYear": 2025,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Crozer-Chester Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Prospect Medical Holdings (Crozer Health). Historical PE sponsor/context: Leonard Green & Partners. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSource": "Delaware County Health Department — Prospect Medical bankruptcy update",
      "closureSourceUrl": "https://www.delcopa.gov/health/prospect-medical-bankruptcy-update",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-upland-crozer-chester-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "formerOperator": "Prospect Medical Holdings (Crozer Health)",
      "hospitalId": "390180",
      "historicalPeOwnership": true,
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "Owner stopped investing in facilities and equipment; scaled-back services; nurse pickets from 2022; 'ghost town' halls per staff",
      "acquisitionSourceId": "pe-acquisition-390180",
      "closureSourceId": "closure-390180",
      "expandedClosureResearch": {
        "sourceRow": 15,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2025-04/05",
        "careLevel": "Tertiary (teaching)",
        "hospitalType": "Teaching hospital; safety-net; burn center",
        "traumaLevel": "Level II trauma center (needs verification)",
        "licensedBeds": "~300 (needs verification)",
        "patientsServedNote": "Flagship hospital for Delaware County (575k residents); trauma, burn, crisis services",
        "ruralUrban": "Suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Leonard Green & Partners",
        "parentCompany": "Prospect Medical Holdings (Crozer Health)",
        "acquiredYear": "2016",
        "acquisitionDealNote": "Part of $300M Crozer Health purchase with 10-year keep-open pledge; closed in Chapter 11 when no buyer found",
        "yearsPeToClosure": "9",
        "extractionMoneyTrail": "Leonard Green & Partners majority owner 2010-2021; investors extracted ~$658M in dividends and fees; $1.4B sale-leaseback of hospital real estate to Medical Properties Trust (2019); bought Crozer Health for $300M (2016) with 10-year keep-open pledge; Chapter 11 Jan 2025",
        "degradationRecord": "Owner stopped investing in facilities and equipment; scaled-back services; nurse pickets from 2022; 'ghost town' halls per staff",
        "communityImpact": "County lost its trauma/burn/teaching hub; state and county emergency funding failed to save it; PA moved to legislate against PE hospital ownership",
        "buildingFate": "Wound down 2025; backup bidder Restorative Health Foundation/Syan Investments in bankruptcy sale",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.healthcaredive.com/news/prospect-medical-holdings-close-crozer-health/746117/",
          "https://newjerseymonitor.com/2024/01/18/shell-game-when-private-equity-comes-to-town-hospitals-can-see-cutbacks-closures/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-crozer-chester-medical-center",
      "siblingGroupId": "siblings-pa-crozer-chester-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Prospect Medical Holdings (Crozer Health); this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Prospect Medical Holdings (Crozer Health). It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROZER CHESTER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Prospect Medical Holdings (Crozer Health); this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Prospect Medical Holdings (Crozer Health). It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROZER CHESTER MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390185",
      "ccn": "390185",
      "name": "LEHIGH VALLEY HOSPITAL - HAZLETON",
      "address": "700 EAST BROAD STREET",
      "city": "HAZLETON",
      "state": "PA",
      "zip": "18201",
      "county": "LUZERNE",
      "latitude": 40.9491760002729,
      "longitude": -75.9648290001967,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 150,
      "rating": 2,
      "website": "http://hazleton.lvhn.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hazleton-lehigh-valley-hospital-hazleton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390195",
      "ccn": "390195",
      "name": "MAIN LINE HOSPITAL LANKENAU - TRANSPLANT CENTER",
      "address": "100 LANCASTER AVENUE",
      "city": "WYNNEWOOD",
      "state": "PA",
      "zip": "19096",
      "county": "MONTGOMERY",
      "latitude": 39.9884506510656,
      "longitude": -75.2623969629786,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIN LINE HEALTH, INC.",
      "parentSystemId": "entity-main-line-health-inc",
      "siblingGroupId": "siblings-pa-main-line-health-inc",
      "campusFamilyId": "campus-pa-390195",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-main-line-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainlinehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIN LINE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390199",
      "ccn": "390199",
      "name": "PUNXSUTAWNEY AREA HOSPITAL, INC",
      "address": "81 HILLCREST DRIVE",
      "city": "PUNXSUTAWNEY",
      "state": "PA",
      "zip": "15767",
      "county": "JEFFERSON",
      "latitude": 40.9610459999669,
      "longitude": -78.9996660003711,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 2,
      "website": "http://www.pah.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-punxsutawney-punxsutawney-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PUNXSUTAWNEY AREA HOSPITAL INC",
      "parentSystemId": "entity-punxsutawney-area-hospital-inc",
      "siblingGroupId": "siblings-pa-punxsutawney-area-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-punxsutawney-area-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PUNXSUTAWNEY AREA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUNXSUTAWNEY AREA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PUNXSUTAWNEY AREA HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUNXSUTAWNEY AREA HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390201",
      "ccn": "390201",
      "name": "LEHIGH VALLEY HOSPITAL - POCONO",
      "address": "206 EAST BROWN STREET",
      "city": "EAST STROUDSBURG",
      "state": "PA",
      "zip": "18301",
      "county": "MONROE",
      "latitude": 40.9927989999615,
      "longitude": -75.1745349998103,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 264,
      "rating": 3,
      "website": "https://www.lvhn.org",
      "status": "corporate_chain",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "affiliatedSystem": "Lvhn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Lvhn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-stroudsburg-lehigh-valley-hospital-pocono/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists STEPHEN MOLITORIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lvhn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lvhn. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS lists STEPHEN MOLITORIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Lvhn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Lvhn. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390203",
      "ccn": "390203",
      "name": "DOYLESTOWN HOSPITAL",
      "address": "595 WEST STATE STREET",
      "city": "DOYLESTOWN",
      "state": "PA",
      "zip": "18901",
      "county": "BUCKS",
      "latitude": 40.3059017902506,
      "longitude": -75.1461011004325,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 239,
      "rating": 4,
      "website": "http://www.doylestownhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-doylestown-doylestown-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "DOYLESTOWN HOSPITAL",
      "parentSystemId": "entity-doylestown-hospital",
      "siblingGroupId": "siblings-pa-doylestown-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS lists NICOLE BOYTIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOYLESTOWN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists NICOLE BOYTIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOYLESTOWN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390204",
      "ccn": "390204",
      "name": "NAZARETH HOSPITAL",
      "address": "2601 HOLME AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19152",
      "county": "PHILADELPHIA",
      "latitude": 40.0589713402525,
      "longitude": -75.04200873963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 203,
      "rating": 2,
      "website": "https://www.trinityhealthma.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-nazareth-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NAZARETH HOSPITAL",
      "parentSystemId": "entity-nazareth-hospital",
      "siblingGroupId": "siblings-pa-nazareth-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAZARETH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NAZARETH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390217",
      "ccn": "390217",
      "name": "EXCELA HEALTH FRICK HOSPITAL",
      "address": "508 SOUTH CHURCH STREET",
      "city": "MOUNT PLEASANT",
      "state": "PA",
      "zip": "15666",
      "county": "WESTMORELAND",
      "latitude": 40.1451599997302,
      "longitude": -79.5492960001492,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 33,
      "rating": 3,
      "website": "http://www.excelahealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-pleasant-excela-health-frick-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EB HEALTH PARTNERS",
      "parentSystemId": "entity-eb-health-partners",
      "siblingGroupId": "siblings-pa-eb-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS ALBANESI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS ALBANESI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390219",
      "ccn": "390219",
      "name": "EXCELA HEALTH LATROBE HOSPITAL",
      "address": "1 MELLON WAY",
      "city": "LATROBE",
      "state": "PA",
      "zip": "15650",
      "county": "WESTMORELAND",
      "latitude": 40.3211439402137,
      "longitude": -79.3946601104471,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 170,
      "rating": 4,
      "website": "http://www.excelahealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-latrobe-excela-health-latrobe-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EB HEALTH PARTNERS",
      "parentSystemId": "entity-eb-health-partners",
      "siblingGroupId": "siblings-pa-eb-health-partners",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS ALBANESI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EB HEALTH PARTNERS (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists THOMAS ALBANESI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EB HEALTH PARTNERS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390222",
      "ccn": "390222",
      "name": "RIDDLE MEMORIAL HOSPITAL",
      "address": "1068 WEST BALTIMORE PIKE",
      "city": "MEDIA",
      "state": "PA",
      "zip": "19063",
      "county": "DELAWARE",
      "latitude": 39.9123480003208,
      "longitude": -75.4305410001694,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 204,
      "rating": 4,
      "website": "https://www.mainlinehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAIN LINE HEALTH, INC.",
      "parentSystemId": "entity-main-line-health-inc",
      "siblingGroupId": "siblings-pa-main-line-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-main-line-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mainlinehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAIN LINE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAIN LINE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Main Line Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAIN LINE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390223",
      "ccn": "390223",
      "name": "PENN PRESBYTERIAN MEDICAL CENTER",
      "address": "51 NORTH 39TH STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19104",
      "county": "PHILADELPHIA",
      "latitude": 39.9588724798362,
      "longitude": -75.1992636801194,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 350,
      "rating": 4,
      "website": "http://www.pennmedicine.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-penn-presbyterian-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S",
      "parentSystemId": "entity-presbyterian-medical-center-of-the-university-of-pennsylvania-health-s",
      "siblingGroupId": "siblings-pa-presbyterian-medical-center-of-the-university-of-pennsylvania-health-s",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennmedicine.org/practices"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390225",
      "ccn": "390225",
      "name": "WELLSPAN EPHRATA COMMUNITY HOSPITAL",
      "address": "169 MARTIN AVENUE",
      "city": "EPHRATA",
      "state": "PA",
      "zip": "17522",
      "county": "LANCASTER",
      "latitude": 40.1872340001943,
      "longitude": -76.1821970004235,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 141,
      "rating": 5,
      "website": "http://www.wellspan.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ephrata-wellspan-ephrata-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390228",
      "ccn": "390228",
      "name": "ST. CLAIR HOSPITAL",
      "address": "1000 BOWER HILL ROAD",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15243",
      "county": "ALLEGHENY",
      "latitude": 40.3780949998734,
      "longitude": -80.0666299996996,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 329,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. CLAIR HEALTH CORPORATION",
      "parentSystemId": "entity-st-clair-health-corporation",
      "siblingGroupId": "siblings-pa-st-clair-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST. CLAIR HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MICHAEL FLANAGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. CLAIR HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST. CLAIR HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MICHAEL FLANAGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. CLAIR HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390231",
      "ccn": "390231",
      "name": "ABINGTON HOSPITAL",
      "address": "1200 OLD YORK ROAD",
      "city": "ABINGTON",
      "state": "PA",
      "zip": "19001",
      "county": "MONTGOMERY",
      "latitude": 40.118894949966,
      "longitude": -75.1209989697985,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 667,
      "rating": 3,
      "website": "http://www.abingtonhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390233",
      "ccn": "390233",
      "name": "UPMC HANOVER",
      "address": "300 HIGHLAND AVENUE",
      "city": "HANOVER",
      "state": "PA",
      "zip": "17331",
      "county": "YORK",
      "latitude": 39.8087929998455,
      "longitude": -76.9831910003475,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 93,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "HANOVER HEALTHCARE PLUS INC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hanover-upmc-hanover/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hanover-healthcare-plus-inc",
      "siblingGroupId": "siblings-pa-hanover-healthcare-plus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HANOVER HEALTHCARE PLUS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANOVER HEALTHCARE PLUS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HANOVER HEALTHCARE PLUS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANOVER HEALTHCARE PLUS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390237",
      "ccn": "390237",
      "name": "REGIONAL HOSPITAL OF SCRANTON",
      "address": "746 JEFFERSON AVENUE",
      "city": "SCRANTON",
      "state": "PA",
      "zip": "18501",
      "county": "LACKAWANNA",
      "latitude": 41.4123352597289,
      "longitude": -75.6539615101157,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 186,
      "rating": 2,
      "website": "http://www.commonwealthhealth.net",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Commonwealthhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Commonwealthhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-pa-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Commonwealthhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Commonwealthhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Commonwealthhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Commonwealthhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "390256",
      "ccn": "390256",
      "name": "THE MILTON S. HERSHEY MEDICAL CENTER",
      "address": "500 UNIVERSITY DRIVE",
      "city": "HERSHEY",
      "state": "PA",
      "zip": "17033",
      "county": "DAUPHIN",
      "latitude": 40.2637539998922,
      "longitude": -76.6748420000476,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 639,
      "rating": 4,
      "website": "https://hmc.pennstatehealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hershey-milton-s-hershey-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN STATE HEALTH",
      "parentSystemId": "entity-penn-state-health",
      "siblingGroupId": "siblings-pa-penn-state-health",
      "campusFamilyId": "campus-pa-390256",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONALD MCKENNA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONALD MCKENNA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390256-loc-pa-hershey-milton-s-hershey-medical-center-transplant-",
      "ccn": "390256",
      "name": "MILTON S HERSHEY MEDICAL CENTER - TRANSPLANT CENTER",
      "address": "500 UNIVERSITY DRIVE, P. O. BOX 850",
      "city": "HERSHEY",
      "state": "PA",
      "zip": "17033",
      "county": "DAUPHIN",
      "latitude": 40.2635409031327,
      "longitude": -76.6747964006654,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN STATE HEALTH",
      "parentSystemId": "entity-penn-state-health",
      "siblingGroupId": "siblings-pa-penn-state-health",
      "campusFamilyId": "campus-pa-390256",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONALD MCKENNA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DONALD MCKENNA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "390256"
    },
    {
      "id": "390258",
      "ccn": "390258",
      "name": "ST. MARY MEDICAL CENTER",
      "address": "1201 LANGHORNE-NEWTOWN ROAD",
      "city": "LANGHORNE",
      "state": "PA",
      "zip": "19047",
      "county": "BUCKS",
      "latitude": 40.2027589997391,
      "longitude": -74.923846999882,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 373,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-langhorne-st-mary-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Trinity Health",
      "parentSystemId": "entity-trinity-health",
      "siblingGroupId": "siblings-pa-trinity-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-trinity-health-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to TRINITY HEALTH CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TRINITY HEALTH CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART KILPINEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to TRINITY HEALTH CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Trinity Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390267",
      "ccn": "390267",
      "name": "FORBES HOSPITAL",
      "address": "2570 HAYMAKER ROAD",
      "city": "MONROEVILLE",
      "state": "PA",
      "zip": "15146",
      "county": "ALLEGHENY",
      "latitude": 40.4284430001659,
      "longitude": -79.7476520000073,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 315,
      "rating": 3,
      "website": "http://www.ahn.org",
      "status": "corporate_chain",
      "parentSystem": "WEST PENN ALLEGHENY HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Ahn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ahn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroeville-forbes-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-west-penn-allegheny-health-system-inc",
      "siblingGroupId": "siblings-pa-west-penn-allegheny-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-allegheny-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ahn.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390268",
      "ccn": "390268",
      "name": "MOUNT NITTANY MEDICAL CENTER",
      "address": "1800 EAST PARK AVENUE",
      "city": "STATE COLLEGE",
      "state": "PA",
      "zip": "16803",
      "county": "CENTRE",
      "latitude": 40.8185483399701,
      "longitude": -77.8425898497157,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 260,
      "rating": 5,
      "website": "http://www.mountnittany.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-state-college-mount-nittany-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOUNT NITTANY MEDICAL CENTER",
      "parentSystemId": "entity-mount-nittany-medical-center",
      "siblingGroupId": "siblings-pa-mount-nittany-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-mount-nittany-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to MOUNT NITTANY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT NITTANY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to MOUNT NITTANY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOUNT NITTANY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390270",
      "ccn": "390270",
      "name": "GEISINGER WYOMING VALLEY MEDICAL CENTER",
      "address": "1000 EAST MOUNTAIN BOULEVARD",
      "city": "WILKES-BARRE",
      "state": "PA",
      "zip": "18711",
      "county": "LUZERNE",
      "latitude": 41.257365000282,
      "longitude": -75.8089900004279,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 310,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wilkes-barre-geisinger-wyoming-valley-med-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEISINGER WYOMING VALLEY MEDICAL CENTER",
      "parentSystemId": "entity-geisinger-wyoming-valley-medical-center",
      "siblingGroupId": "siblings-pa-geisinger-wyoming-valley-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER WYOMING VALLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER WYOMING VALLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390278",
      "ccn": "390278",
      "name": "EAGLEVILLE HOSPITAL",
      "address": "100 EAGLEVILLE ROAD",
      "city": "EAGLEVILLE",
      "state": "PA",
      "zip": "19408",
      "county": "MONTGOMERY",
      "latitude": 40.1557119398262,
      "longitude": -75.4125307003943,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 83,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eagleville-eagleville-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EAGLEVILLE FOUNDATION",
      "parentSystemId": "entity-eagleville-foundation",
      "siblingGroupId": "siblings-pa-eagleville-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-eagleville-foundation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: EAGLEVILLE FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to EAGLEVILLE FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAGLEVILLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EAGLEVILLE FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to EAGLEVILLE FOUNDATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAGLEVILLE FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390304",
      "ccn": "390304",
      "name": "ROXBOROUGH MEMORIAL HOSPITAL",
      "address": "5800 RIDGE AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19128",
      "county": "PHILADELPHIA",
      "latitude": 40.0286267897174,
      "longitude": -75.2097723699424,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 131,
      "rating": 2,
      "website": "http://www.roxboroughmemorial.com",
      "status": "corporate_chain",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Prime Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Prime Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-roxborough-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-pa-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Prime Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Prime Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Prime Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Prime Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390307",
      "ccn": "390307",
      "name": "EDGEWOOD SURGICAL HOSPITAL",
      "address": "239 EDGEWOOD DRIVE EXTENSION",
      "city": "TRANSFER",
      "state": "PA",
      "zip": "16154",
      "county": "MERCER",
      "latitude": 41.3307320001702,
      "longitude": -80.4183289997669,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 10,
      "rating": null,
      "website": "http://www.edgewoodsurgical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-transfer-edgewood-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "KAPITAL DEVELOPMENT LLC",
      "parentSystemId": "entity-kapital-development-llc",
      "siblingGroupId": "siblings-pa-kapital-development-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: KAPITAL DEVELOPMENT LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists RYAN G MOLLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAPITAL DEVELOPMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KAPITAL DEVELOPMENT LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists RYAN G MOLLI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KAPITAL DEVELOPMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390316",
      "ccn": "390316",
      "name": "SURGICAL INSTITUTE OF READING, LLC",
      "address": "2752 CENTURY BOULEVARD",
      "city": "WYOMISSING",
      "state": "PA",
      "zip": "19610",
      "county": "BERKS",
      "latitude": 40.3586117598254,
      "longitude": -75.9879269804487,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 12,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wyomissing-surgical-institute-of-reading/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "USP READING INC",
      "parentSystemId": "entity-usp-reading-inc",
      "siblingGroupId": "siblings-pa-usp-reading-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: USP READING INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LORRI WILDI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP READING INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: USP READING INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LORRI WILDI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP READING INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390322",
      "ccn": "390322",
      "name": "ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL, LLC",
      "address": "3300 TILLMAN DRIVE",
      "city": "BENSALEM",
      "state": "PA",
      "zip": "19020",
      "county": "BUCKS",
      "latitude": 40.1129395302262,
      "longitude": -74.9627067500405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "http://rothmanorthohospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "NUEHEALTH MANAGEMENT SERVICES LLC",
      "parentSystemId": "entity-nuehealth-management-services-llc",
      "siblingGroupId": "siblings-pa-nuehealth-management-services-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: NUEHEALTH MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL R. TASSET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NUEHEALTH MANAGEMENT SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NUEHEALTH MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL R. TASSET as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NUEHEALTH MANAGEMENT SERVICES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390323",
      "ccn": "390323",
      "name": "ADVANCED SURGICAL HOSPITAL, LLC",
      "address": "100 TRICH DRIVE",
      "city": "WASHINGTON",
      "state": "PA",
      "zip": "15301",
      "county": "WASHINGTON",
      "latitude": 40.1564120002918,
      "longitude": -80.2790419998938,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 14,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-washington-advanced-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "SCA Health / Optum",
      "parentSystemId": "entity-sca-health-optum",
      "siblingGroupId": "siblings-pa-sca-health-optum",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-verified-parent-sca-health-optum"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.optum.com/en/care/specialty-care/surgery.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PATRICK T MCCULLOCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists PATRICK T MCCULLOCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "390324",
      "ccn": "390324",
      "name": "PHYSICIANS CARE SURGICAL HOSPITAL, LP",
      "address": "454 ENTERPRISE DRIVE, SUITE 100",
      "city": "ROYERSFORD",
      "state": "PA",
      "zip": "19468",
      "county": "MONTGOMERY",
      "latitude": 40.2160700002572,
      "longitude": -75.5534050000182,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 12,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "MLJH LLC",
      "peFirm": "Nueterra Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ValueHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-royersford-physicians-care-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-mljh-llc",
      "siblingGroupId": "siblings-pa-mljh-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: MLJH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50.49%). Official parent-system candidate from existing system-family mapping: ValueHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ValueHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MLJH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MLJH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50.49%). Official parent-system candidate from existing system-family mapping: ValueHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ValueHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MLJH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "390327",
      "ccn": "390327",
      "name": "WELLSPAN SURGERY AND REHABILITATION HOSPITAL",
      "address": "55 MONUMENT ROAD",
      "city": "YORK",
      "state": "PA",
      "zip": "17403",
      "county": "YORK",
      "latitude": 39.9261927900914,
      "longitude": -76.7189585502132,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 73,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-york-wellspan-surgery-and-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390328",
      "ccn": "390328",
      "name": "UPMC EAST",
      "address": "2775 MOSSIDE BOULEVARD",
      "city": "MONROEVILLE",
      "state": "PA",
      "zip": "15146",
      "county": "ALLEGHENY",
      "latitude": 40.4364303797218,
      "longitude": -79.7598967496939,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 155,
      "rating": 4,
      "website": "http://www.upmc.com",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monroeville-upmc-east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390330",
      "ccn": "390330",
      "name": "ST. LUKE'S HOSPITAL - MONROE CAMPUS",
      "address": "100 ST LUKE'S LANE",
      "city": "STROUDSBURG",
      "state": "PA",
      "zip": "18360",
      "county": "MONROE",
      "latitude": 40.9975309997843,
      "longitude": -75.2599809997175,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 98,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stroudsburg-st-lukes-hospital-monroe-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390331",
      "ccn": "390331",
      "name": "WILLS EYE HOSPITAL",
      "address": "840 WALNUT STREET, 7TH FLOOR",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19107",
      "county": "PHILADELPHIA",
      "latitude": 39.9478930901575,
      "longitude": -75.154894529984,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 4,
      "rating": null,
      "website": "http://www.willseye.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-wills-eye-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS",
      "parentSystemId": "entity-city-of-phila-trustee-acting-by-the-brd-of-dir-of-city-trusts",
      "siblingGroupId": "siblings-pa-city-of-phila-trustee-acting-by-the-brd-of-dir-of-city-trusts",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-city-of-phila-trustee-acting-by-the-brd-of-dir-of-city-trusts"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "390332",
      "ccn": "390332",
      "name": "GEISINGER ST. LUKE'S HOSPITAL",
      "address": "100 PARAMOUNT BLVD",
      "city": "ORWIGSBURG",
      "state": "PA",
      "zip": "17961",
      "county": "SCHUYLKILL",
      "latitude": 40.6417240397126,
      "longitude": -76.0920023002102,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orwigsburg-geisinger-st.-luke-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390334",
      "ccn": "390334",
      "name": "AHN WEXFORD HOSPITAL",
      "address": "12351 PERRY HIGHWAY",
      "city": "WEXFORD",
      "state": "PA",
      "zip": "15090",
      "county": "ALLEGHENY",
      "latitude": 40.6356710798335,
      "longitude": -80.0639988800465,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 160,
      "rating": 5,
      "website": "https://www.ahn.org/locations/hospitals/wexford",
      "status": "corporate_chain",
      "parentSystem": "WEST PENN ALLEGHENY HEALTH SYSTEM, INC.",
      "affiliatedSystem": "Ahn",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ahn",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-west-penn-allegheny-health-system-inc",
      "siblingGroupId": "siblings-pa-west-penn-allegheny-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-allegheny-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.ahn.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Ahn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ahn. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Allegheny Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PENN ALLEGHENY HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390335",
      "ccn": "390335",
      "name": "ST. LUKE'S HOSPITAL - CARBON CAMPUS",
      "address": "500 ST LUKES DRIVE",
      "city": "LEHIGHTON",
      "state": "PA",
      "zip": "18235",
      "county": "CARBON",
      "latitude": 40.8446404900276,
      "longitude": -75.6711125201176,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 80,
      "rating": 5,
      "website": "https://geisingerstlukes.org/carbon",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST LUKE'S HEALTH NETWORK INC",
      "parentSystemId": "entity-st-luke-s-health-network-inc",
      "siblingGroupId": "siblings-pa-st-luke-s-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-st-luke-s-university-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.slhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to St. Luke's University Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390336",
      "ccn": "390336",
      "name": "PENN STATE HEALTH HAMPDEN MEDICAL CENTER",
      "address": "2200 GOOD HOPE ROAD",
      "city": "ENOLA",
      "state": "PA",
      "zip": "17025",
      "county": "CHESTER",
      "latitude": 39.9975910202095,
      "longitude": -75.7975710603039,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 110,
      "rating": 4,
      "website": "https://www.pennstatehealth.org/locations/hampden-medical-center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-enola-penn-state-health---hampden-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN STATE HEALTH",
      "parentSystemId": "entity-penn-state-health",
      "siblingGroupId": "siblings-pa-penn-state-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LESLYN WILLIAMSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LESLYN WILLIAMSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390337",
      "ccn": "390337",
      "name": "GEISINGER MEDICAL CENTER MUNCY",
      "address": "255 ROUTE 220 HIGHWAY",
      "city": "MUNCY",
      "state": "PA",
      "zip": "17756",
      "county": "LYCOMING",
      "latitude": 41.2399281003065,
      "longitude": -76.8079791999609,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEISINGER MEDICAL CENTER MUNCY",
      "parentSystemId": "entity-geisinger-medical-center-muncy",
      "siblingGroupId": "siblings-pa-geisinger-medical-center-muncy",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER MEDICAL CENTER MUNCY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEISINGER MEDICAL CENTER MUNCY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390338",
      "ccn": "390338",
      "name": "LEHIGH VALLEY HOSPITAL - DICKSON CITY",
      "address": "330 MAIN STREET",
      "city": "DICKSON CITY",
      "state": "PA",
      "zip": "18519",
      "county": "LACKAWANNA",
      "latitude": 41.4532475809015,
      "longitude": -75.6325070569649,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "JEFFERSON HEALTH CORPORATION",
      "parentSystemId": "entity-jefferson-health-corporation",
      "siblingGroupId": "siblings-pa-jefferson-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-jefferson-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.jeffersonhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JEFFERSON HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Jefferson Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390339",
      "ccn": "390339",
      "name": "PENN STATE HEALTH LANCASTER MEDICAL CENTER",
      "address": "2160 STATE ROAD",
      "city": "LANCASTER",
      "state": "PA",
      "zip": "17601",
      "county": "LANCASTER",
      "latitude": 40.0828210491679,
      "longitude": -76.3844252637724,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Recent CMS cost-report rows show a severe baseline financial-distress pattern. This is a warning signal, not a prediction of a sale.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN STATE HEALTH",
      "parentSystemId": "entity-penn-state-health",
      "siblingGroupId": "siblings-pa-penn-state-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANGELA D SONON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANGELA D SONON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "390430",
      "ccn": "390430",
      "name": "LEHIGH VALLEY HOSPITAL - MACUNGIE",
      "address": "3369 STATE ROUTE 100",
      "city": "MACUNGIE",
      "state": "PA",
      "zip": "18062",
      "county": "LEHIGH",
      "latitude": 40.5191477002812,
      "longitude": -75.5631950995977,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "LEHIGH VALLEY HEALTH NETWORK",
      "parentSystemId": "entity-lehigh-valley-health-network",
      "siblingGroupId": "siblings-pa-lehigh-valley-health-network",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-lehigh-valley-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lvhn.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEHIGH VALLEY HEALTH NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS lists STEVEN GRAUBART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Lehigh Valley Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEHIGH VALLEY HEALTH NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEHIGH VALLEY HEALTH NETWORK (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS lists STEVEN GRAUBART as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Lehigh Valley Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEHIGH VALLEY HEALTH NETWORK, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391300",
      "ccn": "391300",
      "name": "GEISINGER JERSEY SHORE HOSPITAL",
      "address": "1020 THOMPSON STREET",
      "city": "JERSEY SHORE",
      "state": "PA",
      "zip": "17740",
      "county": "LYCOMING",
      "latitude": 41.2018359996916,
      "longitude": -77.2679310002713,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jersey-shore-geisinger-jersey-shore-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "JERSEY SHORE HOSPITAL FOUNDATION, INC",
      "parentSystemId": "entity-jersey-shore-hospital-foundation-inc",
      "siblingGroupId": "siblings-pa-jersey-shore-hospital-foundation-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: JERSEY SHORE HOSPITAL FOUNDATION, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JERSEY SHORE HOSPITAL FOUNDATION, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JERSEY SHORE HOSPITAL FOUNDATION, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JERSEY SHORE HOSPITAL FOUNDATION, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391301",
      "ccn": "391301",
      "name": "UPMC MUNCY",
      "address": "215 EAST WATER STREET",
      "city": "MUNCY",
      "state": "PA",
      "zip": "17756",
      "county": "LYCOMING",
      "latitude": 41.2097580001983,
      "longitude": -76.7753419998255,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muncy-upmc-muncy/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391302",
      "ccn": "391302",
      "name": "CONEMAUGH MEYERSDALE MEDICAL CENTER",
      "address": "200 HOSPITAL DRIVE",
      "city": "MEYERSDALE",
      "state": "PA",
      "zip": "15552",
      "county": "SOMERSET",
      "latitude": 39.8091050002716,
      "longitude": -79.0250959999141,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "website": "http://www.conemaugh.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-meyersdale-conemaugh-meyersdale-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-pa-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RODNEY D REIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RODNEY D REIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "391303",
      "ccn": "391303",
      "name": "THE FULTON COUNTY MEDICAL CENTER",
      "address": "214 PEACH ORCHARD ROAD",
      "city": "MCCONNELLSBURG",
      "state": "PA",
      "zip": "17233",
      "county": "FULTON",
      "latitude": 39.9371902402867,
      "longitude": -78.0068702202931,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 21,
      "rating": 3,
      "website": "http://www.fcmcpa.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcconnellsburg-fulton-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FULTON COUNTY MEDICAL CENTER",
      "parentSystemId": "entity-fulton-county-medical-center",
      "siblingGroupId": "siblings-pa-fulton-county-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-fulton-county-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to FULTON COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FULTON COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to FULTON COUNTY MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FULTON COUNTY MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "391304",
      "ccn": "391304",
      "name": "THE BUCKTAIL MEDICAL CENTER",
      "address": "1001 PINE STREET",
      "city": "RENOVO",
      "state": "PA",
      "zip": "17764",
      "county": "CLINTON",
      "latitude": 41.3278629997091,
      "longitude": -77.7364929998664,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-renovo-bucktail-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BUCKTAIL MEDICAL CENTER",
      "parentSystemId": "entity-bucktail-medical-center",
      "siblingGroupId": "siblings-pa-bucktail-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-bucktail-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS lists JOHN K LUGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to BUCKTAIL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BUCKTAIL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JOHN K LUGG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to BUCKTAIL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BUCKTAIL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391305",
      "ccn": "391305",
      "name": "TROY COMMUNITY HOSPITAL, INC",
      "address": "275 GUTHRIE DRIVE",
      "city": "TROY",
      "state": "PA",
      "zip": "16947",
      "county": "BRADFORD",
      "latitude": 41.7936110499748,
      "longitude": -76.7942902503517,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-troy-troy-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TROY COMMUNITY HOSPITAL INCORPORATED",
      "parentSystemId": "entity-troy-community-hospital-incorporated",
      "siblingGroupId": "siblings-pa-troy-community-hospital-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-troy-community-hospital-incorporated"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to TROY COMMUNITY HOSPITAL INCORPORATED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TROY COMMUNITY HOSPITAL INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to TROY COMMUNITY HOSPITAL INCORPORATED; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TROY COMMUNITY HOSPITAL INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391306",
      "ccn": "391306",
      "name": "ENDLESS MOUNTAINS HEALTH SYSTEMS, INC",
      "address": "100 HOSPITAL DRIVE",
      "city": "MONTROSE",
      "state": "PA",
      "zip": "18801",
      "county": "SUSQUEHANNA",
      "latitude": 41.8375429002986,
      "longitude": -75.8367690297602,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://endlesscare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montrose-endless-mountains-health-systems/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ENDLESS MOUNTAINS HEALTH SYSTEMS, INC.",
      "parentSystemId": "entity-endless-mountains-health-systems-inc",
      "siblingGroupId": "siblings-pa-endless-mountains-health-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-endless-mountains-health-systems-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to ENDLESS MOUNTAINS HEALTH SYSTEMS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDLESS MOUNTAINS HEALTH SYSTEMS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to ENDLESS MOUNTAINS HEALTH SYSTEMS, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ENDLESS MOUNTAINS HEALTH SYSTEMS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391307",
      "ccn": "391307",
      "name": "PENN HIGHLANDS TYRONE",
      "address": "187 HOSPITAL DRIVE",
      "city": "TYRONE",
      "state": "PA",
      "zip": "16686",
      "county": "BLAIR",
      "latitude": 40.6746622100486,
      "longitude": -78.2523326600265,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tyrone-penn-highlands-tyrone/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN HIGHLANDS HEALTHCARE, INC.",
      "parentSystemId": "entity-penn-highlands-healthcare-inc",
      "siblingGroupId": "siblings-pa-penn-highlands-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-highlands-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN HIGHLANDS HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN HIGHLANDS HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391308",
      "ccn": "391308",
      "name": "LECOM HEALTH CORRY MEMORIAL HOSPITAL",
      "address": "965 SHAMROCK LANE",
      "city": "CORRY",
      "state": "PA",
      "zip": "16407",
      "county": "ERIE",
      "latitude": 41.9362533203209,
      "longitude": -79.6129706203751,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "website": "http://www.corryhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corry-lecom-health-corry-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MILLCREEK HEALTH SYSTEM",
      "parentSystemId": "entity-millcreek-health-system",
      "siblingGroupId": "siblings-pa-millcreek-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: MILLCREEK HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLCREEK HEALTH SYSTEM, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MILLCREEK HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILLCREEK HEALTH SYSTEM, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "391309",
      "ccn": "391309",
      "name": "BARNES - KASSON COUNTY HOSPITAL",
      "address": "2872 TURNPIKE STREET",
      "city": "SUSQUEHANNA",
      "state": "PA",
      "zip": "18847",
      "county": "SUSQUEHANNA",
      "latitude": 41.9465591398159,
      "longitude": -75.5923037002292,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.barnes-kasson.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-susquehanna-barnes-kasson-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WAYNE MEMORIAL HEALTH SYSTEM INC.",
      "parentSystemId": "entity-wayne-memorial-health-system-inc",
      "siblingGroupId": "siblings-pa-wayne-memorial-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wayne-memorial-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: WAYNE MEMORIAL HEALTH SYSTEM INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WAYNE MEMORIAL HEALTH SYSTEM INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE MEMORIAL HEALTH SYSTEM INC., ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WAYNE MEMORIAL HEALTH SYSTEM INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WAYNE MEMORIAL HEALTH SYSTEM INC.; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAYNE MEMORIAL HEALTH SYSTEM INC., ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "391312",
      "ccn": "391312",
      "name": "PENN HIGHLANDS BROOKVILLE",
      "address": "100 HOSPITAL ROAD",
      "city": "BROOKVILLE",
      "state": "PA",
      "zip": "15825",
      "county": "JEFFERSON",
      "latitude": 41.1565294200168,
      "longitude": -79.0933329900932,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 4,
      "website": "http://www.phhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "DUBOIS REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "Phhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Phhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brookville-penn-highlands-brookville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-dubois-regional-medical-center",
      "siblingGroupId": "siblings-pa-dubois-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-highlands-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.phhealthcare.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: DUBOIS REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Phhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUBOIS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DUBOIS REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Phhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DUBOIS REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391313",
      "ccn": "391313",
      "name": "UPMC COLE",
      "address": "1001 EAST SECOND STREET",
      "city": "COUDERSPORT",
      "state": "PA",
      "zip": "16915",
      "county": "POTTER",
      "latitude": 41.7721329201111,
      "longitude": -77.9801094897258,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 4,
      "website": "http://www.colememorial.org",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coudersport-upmc-cole/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391314",
      "ccn": "391314",
      "name": "THE TITUSVILLE AREA HOSPITAL",
      "address": "406 WEST OAK STREET",
      "city": "TITUSVILLE",
      "state": "PA",
      "zip": "16354",
      "county": "CRAWFORD",
      "latitude": 41.6336200000543,
      "longitude": -79.6797299995911,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "website": "http://www.titusvillehospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-titusville-titusville-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TITUSVILLE AREA HEALTH CENTER INC",
      "parentSystemId": "entity-titusville-area-health-center-inc",
      "siblingGroupId": "siblings-pa-titusville-area-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-titusville-area-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: TITUSVILLE AREA HEALTH CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to TITUSVILLE AREA HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TITUSVILLE AREA HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TITUSVILLE AREA HEALTH CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to TITUSVILLE AREA HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TITUSVILLE AREA HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391315",
      "ccn": "391315",
      "name": "PENN HIGHLANDS ELK",
      "address": "763 JOHNSONBURG ROAD",
      "city": "SAINT MARYS",
      "state": "PA",
      "zip": "15857",
      "county": "ELK",
      "latitude": 41.4263717797011,
      "longitude": -78.5782112599149,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 4,
      "website": "http://www.phhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ELK REGIONAL HEALTH CENTER",
      "affiliatedSystem": "Phhealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Phhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-st-marys-penn-highlands-elk/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-elk-regional-health-center",
      "siblingGroupId": "siblings-pa-elk-regional-health-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-penn-highlands-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.phhealthcare.org/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Phhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELK REGIONAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Phhealthcare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn Highlands Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELK REGIONAL HEALTH CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391316",
      "ccn": "391316",
      "name": "UPMC WELLSBORO",
      "address": "32-36 CENTRAL AVENUE",
      "city": "WELLSBORO",
      "state": "PA",
      "zip": "16901",
      "county": "TIOGA",
      "latitude": 41.7451130001505,
      "longitude": -77.3004309998151,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wellsboro-upmc-wellsboro/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "391317",
      "ccn": "391317",
      "name": "CONEMAUGH MINERS MEDICAL CENTER",
      "address": "290 HAIDA AVENUE",
      "city": "HASTINGS",
      "state": "PA",
      "zip": "16646",
      "county": "CAMBRIA",
      "latitude": 40.6580726298657,
      "longitude": -78.7052696195894,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hastings-conemaugh-miners-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-pa-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RODNEY D REIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RODNEY D REIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "391318",
      "ccn": "391318",
      "name": "UPMC KANE",
      "address": "4372 ROUTE 6",
      "city": "KANE",
      "state": "PA",
      "zip": "16735",
      "county": "MCKEAN",
      "latitude": 41.6717709998217,
      "longitude": -78.8170699998401,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 31,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UPMC HAMOT",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kane-upmc-kane/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc-hamot",
      "siblingGroupId": "siblings-pa-upmc-hamot",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC HAMOT (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC HAMOT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC HAMOT (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: UPMC; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC HAMOT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "393302",
      "ccn": "393302",
      "name": "UPMC CHILDREN'S HOSPITAL OF PITTSBURGH - TRANSPLANT CENTER",
      "address": "1 CHILDREN'S HOSPITAL DRIVE, 4401 PENN AVENUE",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15224",
      "county": "ALLEGHENY",
      "latitude": 40.4665287400846,
      "longitude": -79.9529903701087,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 313,
      "rating": null,
      "website": "https://www.chp.edu/",
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "campusFamilyId": "campus-pa-393302",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "393302-loc-pa-pittsburgh-upmc-children-s-hospital-of-pittsburgh",
      "ccn": "393302",
      "name": "UPMC CHILDREN'S HOSPITAL OF PITTSBURGH",
      "address": "1 CHILDREN'S HOSPITAL DRIVE, 4401 PENN AVENUE, ADMIN OFFICE BLDG, SUITE 6400",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15224",
      "county": "ALLEGHENY",
      "latitude": 40.4675655998916,
      "longitude": -79.9531073999289,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 313,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "UPMC",
      "affiliatedSystem": "UPMC",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "UPMC",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-upmc",
      "siblingGroupId": "siblings-pa-upmc",
      "campusFamilyId": "campus-pa-393302",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-upmc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.upmc.com/about/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UPMC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Existing public parent-system label preserved as a regression candidate: UPMC. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to UPMC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "393302"
    },
    {
      "id": "393303",
      "ccn": "393303",
      "name": "THE CHILDREN'S HOSPITAL OF PHILADELPHIA",
      "address": "3401 CIVIC CENTER BLVD",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19104",
      "county": "PHILADELPHIA",
      "latitude": 39.9485415999451,
      "longitude": -75.1938064902268,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 595,
      "rating": null,
      "website": "http://www.chop.edu",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-childrens-hospital-of-philadelphia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
      "parentSystemId": "entity-children-s-hospital-of-philadelphia",
      "siblingGroupId": "siblings-pa-children-s-hospital-of-philadelphia",
      "campusFamilyId": "campus-pa-393303",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-children-s-hospital-of-philadelphia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL OF PHILADELPHIA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL OF PHILADELPHIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL OF PHILADELPHIA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL OF PHILADELPHIA, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "393303-loc-pa-philadelphia-childrens-hospital-of-philadelphia-tra",
      "ccn": "393303",
      "name": "CHILDRENS HOSPITAL OF PHILADELPHIA - TRANSPLANT CENTER",
      "address": "34TH STREET AND CIVIC CENTER BLVD.",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19104",
      "county": "PHILADELPHIA",
      "latitude": 39.9487139932373,
      "longitude": -75.1935134067806,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
      "parentSystemId": "entity-children-s-hospital-of-philadelphia",
      "siblingGroupId": "siblings-pa-children-s-hospital-of-philadelphia",
      "campusFamilyId": "campus-pa-393303",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-children-s-hospital-of-philadelphia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL OF PHILADELPHIA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL OF PHILADELPHIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to CHILDREN'S HOSPITAL OF PHILADELPHIA; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HOSPITAL OF PHILADELPHIA, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "393303"
    },
    {
      "id": "393304",
      "ccn": "393304",
      "name": "CHILDREN'S HOME OF PITTSBURGH",
      "address": "5324 PENN AVENUE",
      "city": "PITTSBURGH",
      "state": "PA",
      "zip": "15224",
      "county": "ALLEGHENY",
      "latitude": 40.464233610043,
      "longitude": -79.937371659606,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pittsburgh-childrens-home-of-pittsburgh/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THE CHILDRENS HOME OF PITTSBURGH",
      "parentSystemId": "entity-the-childrens-home-of-pittsburgh",
      "siblingGroupId": "siblings-pa-the-childrens-home-of-pittsburgh",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "pa-parent-the-childrens-home-of-pittsburgh"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to THE CHILDRENS HOME OF PITTSBURGH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDRENS HOME OF PITTSBURGH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to THE CHILDRENS HOME OF PITTSBURGH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE CHILDRENS HOME OF PITTSBURGH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "393307",
      "ccn": "393307",
      "name": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
      "address": "160 EAST ERIE AVE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19134",
      "county": "PHILADELPHIA",
      "latitude": 40.0065698401274,
      "longitude": -75.1243767295899,
      "hospitalType": "Childrens",
      "sourceOwner": "Proprietary",
      "beds": 188,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-st-christophers-hospital-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TOWER HEALTH",
      "parentSystemId": "entity-tower-health",
      "siblingGroupId": "siblings-pa-tower-health",
      "campusFamilyId": "campus-pa-393307",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-tower-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://towerhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TOWER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TOWER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "393307-loc-pa-philadelphia-st-christophers-hospital-for-children-",
      "ccn": "393307",
      "name": "ST. CHRISTOPHERS HOSPITAL FOR CHILDREN - TRANSPLANT CENTER",
      "address": "160 EAST ERIE AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19134",
      "county": "PHILADELPHIA",
      "latitude": 40.0068094997791,
      "longitude": -75.1253382000318,
      "hospitalType": "Childrens",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "TOWER HEALTH",
      "parentSystemId": "entity-tower-health",
      "siblingGroupId": "siblings-pa-tower-health",
      "campusFamilyId": "campus-pa-393307",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-tower-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://towerhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TOWER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TOWER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Tower Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWER HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "393307"
    },
    {
      "id": "393309",
      "ccn": "393309",
      "name": "SHRINERS HOSPITALS FOR CHILDREN, PHILADELPHIA",
      "address": "3551 N BROAD STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19104",
      "county": "PHILADELPHIA",
      "latitude": 40.0068788899402,
      "longitude": -75.1512425801134,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-shriners-hospitals-for-children-philadelphia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-pa-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "394001",
      "ccn": "394001",
      "name": "NORRISTOWN STATE HOSPITAL",
      "address": "1001 STERIGERE STREET",
      "city": "NORRISTOWN",
      "state": "PA",
      "zip": "19401",
      "county": "MONTGOMERY",
      "latitude": 40.1325329997321,
      "longitude": -75.3488689997388,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 374,
      "rating": null,
      "website": "http://www.dhs.pa.gov",
      "status": "corporate_chain",
      "parentSystem": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
      "affiliatedSystem": "Dhs Pa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dhs Pa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norristown-norristown-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-pennsylvania-department-of-human-services",
      "siblingGroupId": "siblings-pa-pennsylvania-department-of-human-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-department-of-human-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EDNA MCCUTCHEON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EDNA MCCUTCHEON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "394004",
      "ccn": "394004",
      "name": "DANVILLE STATE HOSPITAL",
      "address": "50 KIRKBRIDE DRIVE",
      "city": "DANVILLE",
      "state": "PA",
      "zip": "17821",
      "county": "MONTOUR",
      "latitude": 40.9489089998025,
      "longitude": -76.5955050004165,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 161,
      "rating": null,
      "website": "http://www.dhs.pa.gov",
      "status": "corporate_chain",
      "parentSystem": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
      "affiliatedSystem": "Dhs Pa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dhs Pa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-danville-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-pennsylvania-department-of-human-services",
      "siblingGroupId": "siblings-pa-pennsylvania-department-of-human-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-department-of-human-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOSEPH CAULFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOSEPH CAULFIELD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "394008",
      "ccn": "394008",
      "name": "FRIENDS HOSPITAL",
      "address": "4641 ROOSEVELT BLVD",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19124",
      "county": "PHILADELPHIA",
      "latitude": 40.026492829714,
      "longitude": -75.1021278504192,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 192,
      "rating": null,
      "website": "http://friendshospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-friends-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394012",
      "ccn": "394012",
      "name": "CLARKS SUMMIT STATE HOSPITAL",
      "address": "1451 HILLSIDE DRIVE",
      "city": "CLARKS SUMMIT",
      "state": "PA",
      "zip": "18411",
      "county": "LACKAWANNA",
      "latitude": 41.4804990001438,
      "longitude": -75.7374019995916,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 203,
      "rating": null,
      "website": "http://www.dhs.pa.gov",
      "status": "corporate_chain",
      "parentSystem": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
      "affiliatedSystem": "Dhs Pa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dhs Pa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarks-summit-clarks-summit-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-pennsylvania-department-of-human-services",
      "siblingGroupId": "siblings-pa-pennsylvania-department-of-human-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-department-of-human-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LOUIS BERNACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LOUIS BERNACKI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "394014",
      "ccn": "394014",
      "name": "WERNERSVILLE STATE HOSPITAL",
      "address": "160 MAIN ST",
      "city": "WERNERSVILLE",
      "state": "PA",
      "zip": "19565",
      "county": "BERKS",
      "latitude": 40.3304094503422,
      "longitude": -76.1060497297201,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 262,
      "rating": null,
      "website": "http://www.dhs.pa.gov",
      "status": "corporate_chain",
      "parentSystem": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
      "affiliatedSystem": "Dhs Pa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dhs Pa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wernersville-wernersville-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-pennsylvania-department-of-human-services",
      "siblingGroupId": "siblings-pa-pennsylvania-department-of-human-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-department-of-human-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOY ALEXANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOY ALEXANDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "394020",
      "ccn": "394020",
      "name": "PHILHAVEN HOSPITAL",
      "address": "283 SOUTH BUTLER ROAD",
      "city": "MT GRETNA",
      "state": "PA",
      "zip": "17064",
      "county": "LEBANON",
      "latitude": 40.2673700001885,
      "longitude": -76.4620690001783,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 118,
      "rating": null,
      "website": "https://www.wellspanphilhaven.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "WELLSPAN HEALTH",
      "parentSystemId": "entity-wellspan-health",
      "siblingGroupId": "siblings-pa-wellspan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-wellspan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wellspan.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WELLSPAN HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to WellSpan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLSPAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "394023",
      "ccn": "394023",
      "name": "BELMONT BEHAVIORAL HOSPITAL, LLC",
      "address": "4200 MONUMENT RD",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19131",
      "county": "PHILADELPHIA",
      "latitude": 40.0001250001435,
      "longitude": -75.2146459998533,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 180,
      "rating": null,
      "website": "http://www.belmontbehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-belmont-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-pa-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394026",
      "ccn": "394026",
      "name": "TORRANCE STATE HOSPITAL",
      "address": "STATE ROUTE 1014, PO BOX 111",
      "city": "TORRANCE",
      "state": "PA",
      "zip": "15779",
      "county": "WESTMORELAND",
      "latitude": 40.4148400000622,
      "longitude": -79.2382429998772,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 357,
      "rating": null,
      "website": "http://www.dhs.pa.gov/citizens/statehospitals",
      "status": "corporate_chain",
      "parentSystem": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
      "affiliatedSystem": "Dhs Pa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dhs Pa",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-pennsylvania-department-of-human-services",
      "siblingGroupId": "siblings-pa-pennsylvania-department-of-human-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-pennsylvania-department-of-human-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STACEY KEILMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STACEY KEILMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dhs Pa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dhs Pa. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "394027",
      "ccn": "394027",
      "name": "FAIRMOUNT BEHAVIORAL HEALTH SYSTEM",
      "address": "561 FAIRTHORNE AVENUE",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19128",
      "county": "PHILADELPHIA",
      "latitude": 40.0431740900248,
      "longitude": -75.2218793602852,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 239,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394034",
      "ccn": "394034",
      "name": "HORSHAM CLINIC",
      "address": "722 E BUTLER PIKE",
      "city": "AMBLER",
      "state": "PA",
      "zip": "19002",
      "county": "MONTGOMERY",
      "latitude": 40.1881279603346,
      "longitude": -75.1894605900026,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 206,
      "rating": null,
      "website": "http://www.horshamclinic.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ambler-horsham-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394038",
      "ccn": "394038",
      "name": "FOUNDATIONS BEHAVIORAL HEALTH",
      "address": "833 E BUTLER AVENUE",
      "city": "DOYLESTOWN",
      "state": "PA",
      "zip": "18901",
      "county": "BUCKS",
      "latitude": 40.3009540003044,
      "longitude": -75.1552849997902,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-doylestown-foundations-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394040",
      "ccn": "394040",
      "name": "THE MEADOWS PSYCHIATRIC CENTER",
      "address": "132 THE MEADOWS DRIVE",
      "city": "CENTRE HALL",
      "state": "PA",
      "zip": "16828",
      "county": "CENTRE",
      "latitude": 40.8108864202168,
      "longitude": -77.7125677700524,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 119,
      "rating": null,
      "website": "http://www.themeadows.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-centre-hall-meadows-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394043",
      "ccn": "394043",
      "name": "CLARION PSYCHIATRIC CENTER",
      "address": "2 HOSPITAL DRIVE RD 3",
      "city": "CLARION",
      "state": "PA",
      "zip": "16214",
      "county": "CLARION",
      "latitude": 41.1934030001611,
      "longitude": -79.3975039996685,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 112,
      "rating": null,
      "website": "http://clarioncenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarion-clarion-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394049",
      "ccn": "394049",
      "name": "BROOKE GLEN BEHAVIORAL HOSPITAL",
      "address": "7170 LAFAYETTE AVE",
      "city": "FORT WASHINGTON",
      "state": "PA",
      "zip": "19034",
      "county": "MONTGOMERY",
      "latitude": 40.134718010047,
      "longitude": -75.2156930797417,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-washington-brooke-glen-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394050",
      "ccn": "394050",
      "name": "ROXBURY TREATMENT CENTER",
      "address": "601 ROXBURY ROAD",
      "city": "SHIPPENSBURG",
      "state": "PA",
      "zip": "17257",
      "county": "FRANKLIN",
      "latitude": 40.0559995902337,
      "longitude": -77.5372560797013,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 112,
      "rating": null,
      "website": "http://www.roxburyhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shippensburg-roxbury-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394051",
      "ccn": "394051",
      "name": "PENNSYLVANIA PSYCHIATRIC INSTITUTE",
      "address": "2501 NORTH THIRD STREET",
      "city": "HARRISBURG",
      "state": "PA",
      "zip": "17110",
      "county": "DAUPHIN",
      "latitude": 40.2862885799764,
      "longitude": -76.8981113900069,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 89,
      "rating": null,
      "website": "http://www.ppimhs.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harrisburg-pennsylvania-psychiatric-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PENN STATE HEALTH",
      "parentSystemId": "entity-penn-state-health",
      "siblingGroupId": "siblings-pa-penn-state-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-penn-state-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.pennstatehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PENN STATE HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Penn State Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PENN STATE HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "394052",
      "ccn": "394052",
      "name": "HAVEN BEHAVIORAL HOSPITAL OF EASTERN PENNSYLVANIA",
      "address": "145 NORTH 6TH STREET",
      "city": "READING",
      "state": "PA",
      "zip": "19601",
      "county": "BERKS",
      "latitude": 40.3380042800895,
      "longitude": -75.9253893596745,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": null,
      "website": "https://www.havenreading.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "peFirm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "acquiredDate": "August 2010",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Haven Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reading-haven-behavioral-hospital-of-eastern-pennsylvania/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-haven-behavioral-healthcare-inc",
      "siblingGroupId": "siblings-pa-haven-behavioral-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "394053",
      "ccn": "394053",
      "name": "HAVEN BEHAVIORAL HOSPITAL OF PHILADELPHIA",
      "address": "3300 HENRY AVENUE UNIT 4",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19129",
      "county": "PHILADELPHIA",
      "latitude": 40.0118210500286,
      "longitude": -75.1841681996422,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "peFirm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Haven Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philadelphia-haven-behavioral-hospital-of-philadelphia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-haven-behavioral-healthcare-inc",
      "siblingGroupId": "siblings-pa-haven-behavioral-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "394055",
      "ccn": "394055",
      "name": "LANCASTER BEHAVIORAL HEALTH HOSPITAL",
      "address": "333 HARRISBURG AVENUE",
      "city": "LANCASTER",
      "state": "PA",
      "zip": "17603",
      "county": "LANCASTER",
      "latitude": 40.0497855699619,
      "longitude": -76.3156361797994,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 126,
      "rating": null,
      "website": "https://lancasterbehavioral.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-lancaster-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-pa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ALAN B MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394056",
      "ccn": "394056",
      "name": "TOWER BEHAVIORAL HEALTH",
      "address": "201 WELLNESS WAY",
      "city": "READING",
      "state": "PA",
      "zip": "19605",
      "county": "BERKS",
      "latitude": 40.3729651102181,
      "longitude": -75.9731921897277,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 144,
      "rating": null,
      "website": "https://www.towerbehavioralhealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-pa-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-verified-parent-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.acadiahealthcare.com/investors/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA MANAGEMENT COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "394057",
      "ccn": "394057",
      "name": "MALVERN BEHAVIORAL HEALTH",
      "address": "1930 SOUTH BROAD STREET",
      "city": "PHILADELPHIA",
      "state": "PA",
      "zip": "19145",
      "county": "PHILADELPHIA",
      "latitude": 39.9259755198817,
      "longitude": -75.170162160009,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 22,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "PROGRESSION COMPANIES INC",
      "parentSystemId": "entity-progression-companies-inc",
      "siblingGroupId": "siblings-pa-progression-companies-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROGRESSION COMPANIES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICHOLAS C TENAGLIA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSION COMPANIES INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROGRESSION COMPANIES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NICHOLAS C TENAGLIA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROGRESSION COMPANIES INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "394058",
      "ccn": "394058",
      "name": "BERWICK HOSPITAL CENTER",
      "address": "701 EAST 16TH STREET",
      "city": "BERWICK",
      "state": "PA",
      "zip": "18603",
      "county": "COLUMBIA",
      "latitude": 41.0709540001409,
      "longitude": -76.2309300000208,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 90,
      "rating": null,
      "website": "http://www.commonwealthhealth.net",
      "status": "corporate_chain",
      "parentSystem": "APESA SOLUTIONS LLC",
      "affiliatedSystem": "Commonwealthhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Commonwealthhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berwick-berwick-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-apesa-solutions-llc",
      "siblingGroupId": "siblings-pa-apesa-solutions-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: APESA SOLUTIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Commonwealthhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Commonwealthhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APESA SOLUTIONS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APESA SOLUTIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Commonwealthhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Commonwealthhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APESA SOLUTIONS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "394059",
      "ccn": "394059",
      "name": "GEISINGER BEHAVIORAL HEALTH CENTER NORTHEAST",
      "address": "60 GLENMAURA NATIONAL BOULEVARD",
      "city": "MOOSIC",
      "state": "PA",
      "zip": "18507",
      "county": "LACKAWANNA",
      "latitude": 41.3561049718293,
      "longitude": -75.6799536313461,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-pa-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-geisinger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.geisinger.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 85%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 85%). CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Geisinger; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "400001",
      "ccn": "400001",
      "name": "PRESBYTERIAN COMMUNITY HOSP",
      "address": "1451 ASHFORD AVENUE",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00907",
      "county": "SAN JUAN",
      "latitude": 18.4559932899785,
      "longitude": -66.0654695300168,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 195,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400003",
      "ccn": "400003",
      "name": "HOSPITAL METROPOLITANO DR PILA",
      "address": "2435 LAS AMERICAS AVE",
      "city": "PONCE",
      "state": "PR",
      "zip": "00733",
      "county": "PONCE",
      "latitude": 18.0036816200978,
      "longitude": -66.610658700103,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 115,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400004",
      "ccn": "400004",
      "name": "ASOCIACION HOSPITAL DEL MAESTRO, INC",
      "address": "SERGIO CUEVAS BUSTAMANTE STREET 550",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00936",
      "county": "SAN JUAN",
      "latitude": 18.4118219398622,
      "longitude": -66.0687220700475,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 250,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400007",
      "ccn": "400007",
      "name": "RYDER MEMORIAL HOSPITAL INC",
      "address": "355 AVE FONT MARTELO",
      "city": "HUMACAO",
      "state": "PR",
      "zip": "00791",
      "county": "HUMACAO",
      "latitude": 18.1560003003509,
      "longitude": -65.835080020352,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 227,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400010",
      "ccn": "400010",
      "name": "HOSPITAL GENERAL DE CASTANER",
      "address": "CARR 135, KM 64 2",
      "city": "CASTANER",
      "state": "PR",
      "zip": "00631",
      "county": "LARES",
      "latitude": 18.1810130699113,
      "longitude": -66.8331817499613,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400011",
      "ccn": "400011",
      "name": "HOSPITAL MENONITA HUMACAO, INC",
      "address": "300 AVE FONT MARTELLO",
      "city": "HUMACAO",
      "state": "PR",
      "zip": "00792",
      "county": "HUMACAO",
      "latitude": 18.1527464299304,
      "longitude": -65.8340325703576,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 67,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning"
    },
    {
      "id": "400012",
      "ccn": "400012",
      "name": "HOSPITAL ONCOLOGICO DR ISAAC GONZALEZ MARTINEZ",
      "address": "BO MONACILLOS CARR 22 CENTRO MEDICO DE PUERTO RIC",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00935",
      "county": "SAN JUAN",
      "latitude": 18.3963367302522,
      "longitude": -66.0725339802258,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 143,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400013",
      "ccn": "400013",
      "name": "HOSPITAL MENONITA DE CAYEY",
      "address": "BO RINCON SECTOR LAS LOMAS KM31 CARR 14",
      "city": "CAYEY",
      "state": "PR",
      "zip": "00737",
      "county": "CAYEY",
      "latitude": 18.1243148796177,
      "longitude": -66.1466971401645,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400014",
      "ccn": "400014",
      "name": "BELLA VISTA HOSPITAL",
      "address": "CARR 349, KM 2, 7 CERRO LAS MESAS",
      "city": "MAYAGUEZ",
      "state": "PR",
      "zip": "00681",
      "county": "BAYAMÓN",
      "latitude": 18.3968147599682,
      "longitude": -66.1634489002266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 150,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400021",
      "ccn": "400021",
      "name": "HOSPITAL DE LA CONCEPCION",
      "address": "ROAD NUMBER 2, KM 1734 CAIN ALTO",
      "city": "SAN GERMAN",
      "state": "PR",
      "zip": "00683",
      "county": "SAN GERMÁN",
      "latitude": 18.0988091096797,
      "longitude": -67.038164760011,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 167,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400022",
      "ccn": "400022",
      "name": "HOSPITAL DAMAS INC",
      "address": "PONCE BY PASS, SUITE 2213",
      "city": "PONCE",
      "state": "PR",
      "zip": "00717",
      "county": "PONCE",
      "latitude": 17.9971280799306,
      "longitude": -66.6176404496103,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 251,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400032",
      "ccn": "400032",
      "name": "BAYAMON MEDICAL CENTER",
      "address": "CARRETERA NUMERO 2, KM 11 7",
      "city": "BAYAMON",
      "state": "PR",
      "zip": "00960",
      "county": "BAYAMÓN",
      "latitude": 18.3969575301731,
      "longitude": -66.1627065100179,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 211,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "40003F",
      "ccn": "40003F",
      "name": "SAN JUAN VA MEDICAL CENTER",
      "address": "10 CALLE CASIA",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00921",
      "county": "SAN JUAN",
      "latitude": 18.3903941398963,
      "longitude": -66.0793354800764,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 209,
      "rating": 2,
      "website": "https://www.caribbean.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400048",
      "ccn": "400048",
      "name": "HOSPITAL MENONITA GUAYAMA",
      "address": "AVE PEDRO ALBIZU CAMPOS URB LA HACIENDA",
      "city": "GUAYAMA",
      "state": "PR",
      "zip": "00785",
      "county": "GUAYAMA",
      "latitude": 17.9735513400458,
      "longitude": -66.1144543498461,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 115,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning"
    },
    {
      "id": "400061",
      "ccn": "400061",
      "name": "HOSPITAL UNIVERSITARIO DE ADULTO",
      "address": "BARRIO MONACILLOS CENTROMEDICO",
      "city": "RIO PIEDRAS",
      "state": "PR",
      "zip": "00927",
      "county": "SAN JUAN",
      "latitude": 18.397719850366,
      "longitude": -66.0730416801766,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400098",
      "ccn": "400098",
      "name": "HOSPITAL SAN FRANCISCO",
      "address": "371 DE DIEGO AVE",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00923",
      "county": "SAN JUAN",
      "latitude": 18.3987659700871,
      "longitude": -66.0390982999736,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 150,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400102",
      "ccn": "400102",
      "name": "DOCTORS' CENTER BAYAMON",
      "address": "9 J STREET EXT HERMANAS DAVILA",
      "city": "BAYAMON",
      "state": "PR",
      "zip": "00959",
      "county": "BAYAMÓN",
      "latitude": 18.3979957800551,
      "longitude": -66.1663510595672,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 91,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400103",
      "ccn": "400103",
      "name": "MAYAGUEZ MEDICAL CENTER",
      "address": "CARR 2, BO SABALOS",
      "city": "MAYAGUEZ",
      "state": "PR",
      "zip": "00682",
      "county": "MAYAGÜEZ",
      "latitude": 18.1806372400404,
      "longitude": -67.1528497096907,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 181,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400104",
      "ccn": "400104",
      "name": "HOSPITAL MENONITA CAGUAS INC",
      "address": "CARR 172, EXIT 21, URB TURABO GARDENS",
      "city": "CAGUAS",
      "state": "PR",
      "zip": "00725",
      "county": "CAGUAS",
      "latitude": 18.2207161097153,
      "longitude": -66.0498902097411,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 135,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400105",
      "ccn": "400105",
      "name": "HOSPITAL UNIVERSITARIO DR RUIZ ARNAU",
      "address": "LAUREL AVE SANTA JUANITA #100",
      "city": "BAYAMON",
      "state": "PR",
      "zip": "00956",
      "county": "BAYAMÓN",
      "latitude": 18.3676093742606,
      "longitude": -66.1539832361952,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400106",
      "ccn": "400106",
      "name": "METROPOLITAN HOSPITAL",
      "address": "CARRETERA 21, 1785 URB LAS LOMAS",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00915",
      "county": "SAN JUAN",
      "latitude": 18.3899033500976,
      "longitude": -66.0982615098757,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 132,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400110",
      "ccn": "400110",
      "name": "HOSPITAL PAVIA YAUCO",
      "address": "CARR 128 KM 1.0",
      "city": "YAUCO",
      "state": "PR",
      "zip": "00698",
      "county": "YAUCO",
      "latitude": 18.0312080336499,
      "longitude": -66.8577170247864,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400111",
      "ccn": "400111",
      "name": "HOSPITAL SAN CARLOS BORROMEO",
      "address": "CALLE CONCEPCION VERA AYALA, SUITE 550 S",
      "city": "MOCA",
      "state": "PR",
      "zip": "00676",
      "county": "MOCA",
      "latitude": 18.3901943497764,
      "longitude": -67.1099690401334,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400112",
      "ccn": "400112",
      "name": "HOSPITAL UPR, DR FEDERICO TRILLA",
      "address": "CARR 3, KM 8, 3 AVE 65TH INFANTERIA, BOX 6021",
      "city": "CAROLINA",
      "state": "PR",
      "zip": "00984",
      "county": "CAROLINA",
      "latitude": 18.3884716996742,
      "longitude": -65.9718986699116,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 233,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400114",
      "ccn": "400114",
      "name": "MANATI MEDICAL CENTER DR OTERO LOPEZ",
      "address": "CALLE HERNANDEZ CARRION URB ATENAS",
      "city": "MANATI",
      "state": "PR",
      "zip": "00674",
      "county": "MANATÍ",
      "latitude": 18.4345543502426,
      "longitude": -66.4824951000152,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 251,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400115",
      "ccn": "400115",
      "name": "CENTRO MEDICO WILMA N VAZQUEZ",
      "address": "CARR 2, KM 395, ROAD NUMBER 2 BO ALGARROBO",
      "city": "VEGA BAJA",
      "state": "PR",
      "zip": "00693",
      "county": "VEGA BAJA",
      "latitude": 18.4463335600361,
      "longitude": -66.3770437597661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 150,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400118",
      "ccn": "400118",
      "name": "DOCTORS' CENTER HOSPITAL, INC",
      "address": "MARGINAL CARRETERA NO 2, KM 47 7",
      "city": "MANATI",
      "state": "PR",
      "zip": "00674",
      "county": "MANATÍ",
      "latitude": 18.4336747603276,
      "longitude": -66.4739681898287,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 150,
      "rating": 1,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400122",
      "ccn": "400122",
      "name": "PROFESSIONAL HOSPITAL GUAYNABO INC",
      "address": "8 AVE LAS CUMBRES",
      "city": "GUAYNABO",
      "state": "PR",
      "zip": "00969",
      "county": "GUAYNABO",
      "latitude": 18.3624311603132,
      "longitude": -66.0976403598911,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400123",
      "ccn": "400123",
      "name": "HOSPITAL PEREA",
      "address": "15 DR BASORA STREET",
      "city": "MAYAGUEZ",
      "state": "PR",
      "zip": "00681",
      "county": "MAYAGÜEZ",
      "latitude": 18.2007320298341,
      "longitude": -67.1404014897957,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400127",
      "ccn": "400127",
      "name": "ASEM",
      "address": "EDIFICIO CENTRAL JULIO A PEREZ MEDICAL CENTER",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00935",
      "county": "SAN JUAN",
      "latitude": 18.3958140849005,
      "longitude": -66.0734658942982,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "400128",
      "ccn": "400128",
      "name": "HOSPITAL PAVIA HATO REY, INC",
      "address": "AVE PONCE DE LEON 435",
      "city": "HATO REY",
      "state": "PR",
      "zip": "00919",
      "county": "SAN JUAN",
      "latitude": 18.4194128702454,
      "longitude": -66.0559758996339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 180,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400130",
      "ccn": "400130",
      "name": "HOSPITAL METROPOLITANO DE LA MONTANA",
      "address": "CALLE ISAAC GONZALEZ ESQUINA LEDESMA",
      "city": "BDA NUEVA",
      "state": "PR",
      "zip": "00641",
      "county": "UTUADO",
      "latitude": 18.2677688101196,
      "longitude": -66.7013350500222,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400131",
      "ccn": "400131",
      "name": "CARIBBEAN MEDICAL CENTER",
      "address": "151 AVE OSVALDO MOLINA",
      "city": "FAJARDO",
      "state": "PR",
      "zip": "00738",
      "county": "FAJARDO",
      "latitude": 18.3320162398678,
      "longitude": -65.6502550804121,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "400137",
      "ccn": "400137",
      "name": "DOCTORS CENTER HOSPITAL ORLANDO HEALTH DORADO",
      "address": "ROAD 696 INTERSECTION EFRON AVENUE BO HIGUILLAR",
      "city": "DORADO",
      "state": "PR",
      "zip": "00646",
      "county": "DORADO",
      "latitude": 18.4558957000842,
      "longitude": -66.2902697004243,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": null,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "403301",
      "ccn": "403301",
      "name": "UNIVERSITY PEDIATRIC HOSPITAL",
      "address": "PUERTO RICO MEDICAL CENTER IN RIO PIEDRAS",
      "city": "SAN JUAN",
      "state": "PR",
      "zip": "00935",
      "county": "SAN JUAN",
      "latitude": 18.3945986002978,
      "longitude": -66.0731319500829,
      "hospitalType": "Childrens",
      "sourceOwner": "Government - State",
      "beds": 108,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "404004",
      "ccn": "404004",
      "name": "FIRST HOSPITAL PANAMERICANO",
      "address": "STATE ROAD 787, KM 15",
      "city": "CIDRA",
      "state": "PR",
      "zip": "00739",
      "county": "CIDRA",
      "latitude": 18.176038959746,
      "longitude": -66.1614012300623,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 216,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "404005",
      "ccn": "404005",
      "name": "SAN JUAN CAPESTRANO HOSPITAL INC",
      "address": "CARR 877, KM 1, 6 CAMINO LAS LOMAS, RR2",
      "city": "RIO PIEDRAS",
      "state": "PR",
      "zip": "00928",
      "county": "SAN JUAN",
      "latitude": 18.3845888602325,
      "longitude": -66.0223613504356,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 108,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled"
    },
    {
      "id": "404009",
      "ccn": "404009",
      "name": "CENTRO DE SALUD CONDUCTUAL MENONITA - CIMA",
      "address": "CARR ESTATAL, 14 INTERIOR SARGENTO GERARDO SANTIAGO",
      "city": "AIBONITO",
      "state": "PR",
      "zip": "00705",
      "county": "CULEBRA",
      "latitude": 18.3032546196697,
      "longitude": -65.302364360431,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "410004",
      "ccn": "410004",
      "name": "ROGER WILLIAMS MEDICAL CENTER",
      "address": "825 CHALKSTONE AVENUE",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02908",
      "county": "PROVIDENCE",
      "latitude": 41.83483869025,
      "longitude": -71.4353896396057,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 220,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "CHAMBER INC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-providence-roger-williams-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chamber-inc",
      "siblingGroupId": "siblings-ri-chamber-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.ri.gov/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHAMBER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SANG BUM LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHAMBER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SANG BUM LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "410005",
      "ccn": "410005",
      "name": "OUR LADY OF FATIMA HOSPITAL",
      "address": "200 HIGH SERVICE AVENUE",
      "city": "NORTH PROVIDENCE",
      "state": "RI",
      "zip": "02904",
      "county": "PROVIDENCE",
      "latitude": 41.8552947702709,
      "longitude": -71.459240479931,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 312,
      "rating": 3,
      "website": "http://www.fatimahospital.com/",
      "status": "corporate_chain",
      "parentSystem": "CHAMBER INC",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-providence-our-lady-of-fatima-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chamber-inc",
      "siblingGroupId": "siblings-ri-chamber-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.ri.gov/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHAMBER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SANG BUM LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHAMBER INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SANG BUM LEE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "410006",
      "ccn": "410006",
      "name": "NEWPORT HOSPITAL",
      "address": "11 FRIENDSHIP STREET",
      "city": "NEWPORT",
      "state": "RI",
      "zip": "02840",
      "county": "NEWPORT",
      "latitude": 41.4971391201786,
      "longitude": -71.3060489895776,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 129,
      "rating": 4,
      "website": "http://www.newporthospital.org/service-directory/newport-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-newport-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LIFESPAN CORPORATION",
      "parentSystemId": "entity-lifespan-corporation",
      "siblingGroupId": "siblings-ri-lifespan-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-lifespan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifespan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CRISTA DURAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CRISTA DURAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "410007",
      "ccn": "410007",
      "name": "RHODE ISLAND HOSPITAL",
      "address": "593 EDDY STREET",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02903",
      "county": "PROVIDENCE",
      "latitude": 41.811881079819,
      "longitude": -71.409129259872,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 719,
      "rating": 4,
      "website": "http://www.rhodeislandhospital.org/rhode-island-hospital-services",
      "status": "corporate_chain",
      "parentSystem": "LIFESPAN CORPORATION",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-providence-rhode-island-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lifespan-corporation",
      "siblingGroupId": "siblings-ri-lifespan-corporation",
      "campusFamilyId": "campus-ri-410007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-lifespan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifespan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "410009",
      "ccn": "410009",
      "name": "KENT COUNTY MEMORIAL HOSPITAL",
      "address": "455 TOLL GATE ROAD",
      "city": "WARWICK",
      "state": "RI",
      "zip": "02886",
      "county": "KENT",
      "latitude": 41.7052480896751,
      "longitude": -71.4782358399073,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 359,
      "rating": 3,
      "website": "http://www.kentri.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "CARE NEW ENGLAND HEALTH SYSTEMS",
      "parentSystemId": "entity-care-new-england-health-systems",
      "siblingGroupId": "siblings-ri-care-new-england-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-care-new-england-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carenewengland.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARE NEW ENGLAND HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Care New England Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARE NEW ENGLAND HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARE NEW ENGLAND HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Care New England Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARE NEW ENGLAND HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "410011",
      "ccn": "410011",
      "name": "LANDMARK MEDICAL CENTER",
      "address": "115 CASS AVENUE",
      "city": "WOONSOCKET",
      "state": "RI",
      "zip": "02895",
      "county": "PROVIDENCE",
      "latitude": 42.0046118997337,
      "longitude": -71.4958033304345,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 214,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woonsocket-landmark-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Prime Healthcare",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-ri-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.ri.gov/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "410012",
      "ccn": "410012",
      "name": "THE MIRIAM HOSPITAL",
      "address": "164 SUMMIT AVENUE",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02906",
      "county": "PROVIDENCE",
      "latitude": 41.85206819025,
      "longitude": -71.3981234899815,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 247,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "LIFESPAN CORPORATION",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-providence-the-miriam-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lifespan-corporation",
      "siblingGroupId": "siblings-ri-lifespan-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-lifespan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifespan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARIA P DUCHARME as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARIA P DUCHARME as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "410013",
      "ccn": "410013",
      "name": "WESTERLY HOSPITAL",
      "address": "25 WELLS ST",
      "city": "WESTERLY",
      "state": "RI",
      "zip": "02891",
      "county": "WASHINGTON",
      "latitude": 41.3621890802614,
      "longitude": -71.8253032395575,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 125,
      "rating": 4,
      "website": "http://www.westerlyhospital.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-westerly-westerly-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "YALE-NEW HAVEN HEALTH SERVICES CORPORATION",
      "parentSystemId": "entity-yale-new-haven-health-services-corporation",
      "siblingGroupId": "siblings-ri-yale-new-haven-health-services-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-yale-new-haven-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ynhhs.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: YALE-NEW HAVEN HEALTH SERVICES CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Yale New Haven Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: YALE-NEW HAVEN HEALTH SERVICES CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Yale New Haven Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent YALE-NEW HAVEN HEALTH SERVICES CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "41005F",
      "ccn": "41005F",
      "name": "PROVIDENCE VA MEDICAL CENTER",
      "address": "830 CHALKSTONE AVENUE",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02908",
      "county": "PROVIDENCE",
      "latitude": 41.8321390800783,
      "longitude": -71.4331495404261,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 4,
      "website": "https://www.providence.va.gov/locations/directions.asp",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-ri-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ri-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.ri.gov/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. RI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. RI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "414000",
      "ccn": "414000",
      "name": "BUTLER HOSPITAL",
      "address": "345 BLACKSTONE BOULEVARD",
      "city": "PROVIDENCE",
      "state": "RI",
      "zip": "02906",
      "county": "PROVIDENCE",
      "latitude": 41.8426472598661,
      "longitude": -71.3800854996377,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 143,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CARE NEW ENGLAND HEALTH SYSTEMS",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-providence-butler-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-care-new-england-health-systems",
      "siblingGroupId": "siblings-ri-care-new-england-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-care-new-england-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carenewengland.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARE NEW ENGLAND HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Care New England Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARE NEW ENGLAND HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARE NEW ENGLAND HEALTH SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Care New England Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARE NEW ENGLAND HEALTH SYSTEMS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "414003",
      "ccn": "414003",
      "name": "EMMA PENDLETON BRADLEY HOSPITAL",
      "address": "1011 VETERANS MEMORIAL PARKWAY",
      "city": "EAST PROVIDENCE",
      "state": "RI",
      "zip": "02915",
      "county": "PROVIDENCE",
      "latitude": 41.7924481001787,
      "longitude": -71.3672703996958,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "LIFESPAN CORPORATION",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-east-providence-emma-pendleton-bradley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lifespan-corporation",
      "siblingGroupId": "siblings-ri-lifespan-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ri-parent-lifespan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifespan.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFESPAN CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. RI resolution: normalized CMS owner/operator to Lifespan Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIFESPAN CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420002",
      "ccn": "420002",
      "name": "PIEDMONT MEDICAL CENTER",
      "address": "222 S HERLONG AVE",
      "city": "ROCK HILL",
      "state": "SC",
      "zip": "29732",
      "county": "YORK",
      "latitude": 34.9566094498027,
      "longitude": -81.0517737397447,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 288,
      "rating": 2,
      "website": "http://www.piedmontmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rock-hill-piedmont-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HEALTHCARE NETWORK HOLDINGS INC",
      "parentSystemId": "entity-healthcare-network-holdings-inc",
      "siblingGroupId": "siblings-sc-healthcare-network-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHCARE NETWORK HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHCARE NETWORK HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "420004",
      "ccn": "420004",
      "name": "MUSC MEDICAL CENTER",
      "address": "169 ASHLEY AVE",
      "city": "CHARLESTON",
      "state": "SC",
      "zip": "29425",
      "county": "CHARLESTON",
      "latitude": 32.7858820400471,
      "longitude": -79.9479213602167,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 790,
      "rating": 2,
      "website": "http://www.muschealth.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-musc-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY OF SOUTH CAROLINA",
      "parentSystemId": "entity-medical-university-of-south-carolina",
      "siblingGroupId": "siblings-sc-medical-university-of-south-carolina",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-medical-university-of-south-carolina"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDICAL UNIVERSITY OF SOUTH CAROLINA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY OF SOUTH CAROLINA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDICAL UNIVERSITY OF SOUTH CAROLINA (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY OF SOUTH CAROLINA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420005",
      "ccn": "420005",
      "name": "MCLEOD MEDICAL CENTER DILLON",
      "address": "301 E JACKSON ST",
      "city": "DILLON",
      "state": "SC",
      "zip": "29536",
      "county": "DILLON",
      "latitude": 34.4217105902341,
      "longitude": -79.3655324403788,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 79,
      "rating": 3,
      "website": "http://www.mcleodhealth.org/mcleod-dillon/mcleod-health-dillon-has-a-strong-history-in-the-dillon-community.html",
      "status": "corporate_chain",
      "parentSystem": "MCLEOD HEALTH",
      "affiliatedSystem": "Mcleodhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mcleodhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dillon-mcleod-medical-center-dillon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcleod-health",
      "siblingGroupId": "siblings-sc-mcleod-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-mcleod-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mcleodhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420007",
      "ccn": "420007",
      "name": "SPARTANBURG MEDICAL CENTER",
      "address": "101 E WOOD ST",
      "city": "SPARTANBURG",
      "state": "SC",
      "zip": "29303",
      "county": "SPARTANBURG",
      "latitude": 34.9666004496766,
      "longitude": -81.9394644899971,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 516,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "government",
      "parentSystem": "SPARTANBURG MEDICAL CENTER",
      "parentSystemId": "entity-spartanburg-medical-center",
      "siblingGroupId": "siblings-sc-spartanburg-medical-center",
      "campusFamilyId": "campus-sc-420007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-spartanburg-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPARTANBURG MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHARLES E MORROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SPARTANBURG MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPARTANBURG MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHARLES E MORROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SPARTANBURG MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420007-loc-sc-spartanburg-spartanburg-medical-center-mary-black-c",
      "ccn": "420007",
      "name": "SPARTANBURG MEDICAL CENTER - MARY BLACK CAMPUS",
      "address": "1700 SKYLYN DR",
      "city": "SPARTANBURG",
      "state": "SC",
      "zip": "29307",
      "county": "SPARTANBURG",
      "latitude": 34.9784081699344,
      "longitude": -81.8955195297288,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 231,
      "rating": 2,
      "website": "http://www.maryblackhealthsystem.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spartanburg-spartanburg-medical-center---mary-black-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SPARTANBURG MEDICAL CENTER",
      "parentSystemId": "entity-spartanburg-medical-center",
      "siblingGroupId": "siblings-sc-spartanburg-medical-center",
      "campusFamilyId": "campus-sc-420007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-spartanburg-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPARTANBURG MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHARLES E MORROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SPARTANBURG MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPARTANBURG MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CHARLES E MORROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SPARTANBURG MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "420007"
    },
    {
      "id": "420009",
      "ccn": "420009",
      "name": "PRISMA HEALTH - UPSTATE - PRISMA HEALTH OCONEE MEMORIAL HOSPITAL",
      "address": "298 MEMORIAL DR",
      "city": "SENECA",
      "state": "SC",
      "zip": "29672",
      "county": "OCONEE",
      "latitude": 34.695530690145,
      "longitude": -82.987219790249,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 169,
      "rating": 4,
      "website": "https://www.ghs.org/locations/oconee-medical-campus/",
      "status": "signal",
      "parentSystem": "Prisma Health",
      "affiliatedSystem": "Ghs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ghs",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420010",
      "ccn": "420010",
      "name": "CAROLINA PINES REGIONAL MEDICAL CENTER",
      "address": "1304 W BOBO NEWSOM HWY",
      "city": "HARTSVILLE",
      "state": "SC",
      "zip": "29550",
      "county": "DARLINGTON",
      "latitude": 34.3498188597242,
      "longitude": -80.1041200202724,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 116,
      "rating": 2,
      "website": "http://www.cprmc.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "May 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hartsville-carolina-pines-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-sc-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "420015",
      "ccn": "420015",
      "name": "PRISMA HEALTH BAPTIST EASLEY HOSPITAL",
      "address": "200 FLEETWOOD DR",
      "city": "EASLEY",
      "state": "SC",
      "zip": "29640",
      "county": "PICKENS",
      "latitude": 34.8406589997575,
      "longitude": -82.6068529901652,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 109,
      "rating": 4,
      "website": "http://www.baptisteasley.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-easley-prisma-health-baptist-easley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Prisma Health",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420018",
      "ccn": "420018",
      "name": "PRISMA HEALTH RICHLAND",
      "address": "5 RICHLAND MEDICAL PARK DR",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29203",
      "county": "RICHLAND",
      "latitude": 34.0286016499928,
      "longitude": -81.0330541697471,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 641,
      "rating": 3,
      "website": "http://www.palmettohealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-prisma-health-richland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Prisma Health",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420019",
      "ccn": "420019",
      "name": "MUSC HEALTH CHESTER MEDICAL CENTER",
      "address": "1 MEDICAL PARK DR",
      "city": "CHESTER",
      "state": "SC",
      "zip": "29706",
      "county": "CHESTER",
      "latitude": 34.6844824201175,
      "longitude": -81.1831532798035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 82,
      "rating": null,
      "website": "http://www.chospital.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chester-musc-health-chester-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-medical-university-hospital-authority",
      "siblingGroupId": "siblings-sc-medical-university-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-verified-parent-medical-university-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420020",
      "ccn": "420020",
      "name": "TIDELANDS GEORGETOWN MEMORIAL HOSPITAL",
      "address": "606 BLACK RIVER RD",
      "city": "GEORGETOWN",
      "state": "SC",
      "zip": "29440",
      "county": "GEORGETOWN",
      "latitude": 33.379642690227,
      "longitude": -79.2845534102398,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 131,
      "rating": 2,
      "website": "http://www.tidelandshealth.org/locations/profile/?id=3",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-georgetown-tidelands-georgetown-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEORGETOWN HOSPITAL SYSTEM",
      "parentSystemId": "entity-georgetown-hospital-system",
      "siblingGroupId": "siblings-sc-georgetown-hospital-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-roper-st-francis-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rsfh.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GEORGETOWN HOSPITAL SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRUCE BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Roper St. Francis Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGETOWN HOSPITAL SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GEORGETOWN HOSPITAL SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRUCE BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Roper St. Francis Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGETOWN HOSPITAL SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420023",
      "ccn": "420023",
      "name": "ST FRANCIS - DOWNTOWN",
      "address": "1 SAINT FRANCIS DR",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29601",
      "county": "GREENVILLE",
      "latitude": 34.8404389702013,
      "longitude": -82.4213904197485,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 245,
      "rating": 4,
      "website": "http://www.stfrancishealth.org/find-a-facility-st-francis-downtown.html",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-st-francis-downtown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-sc-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420026",
      "ccn": "420026",
      "name": "MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN",
      "address": "2435 FOREST DR",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29204",
      "county": "RICHLAND",
      "latitude": 34.0143760999137,
      "longitude": -81.0133447003239,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 258,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-musc-health-columbia-medical-center-downtown/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-medical-university-hospital-authority",
      "siblingGroupId": "siblings-sc-medical-university-hospital-authority",
      "campusFamilyId": "campus-sc-420026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-verified-parent-medical-university-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420027",
      "ccn": "420027",
      "name": "ANMED HEALTH MEDICAL CENTER",
      "address": "800 N FANT ST",
      "city": "ANDERSON",
      "state": "SC",
      "zip": "29621",
      "county": "ANDERSON",
      "latitude": 34.5114842397562,
      "longitude": -82.6464867503321,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 461,
      "rating": 4,
      "website": "http://www.anmedhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anderson-anmed-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ANMED HEALTH",
      "parentSystemId": "entity-anmed-health",
      "siblingGroupId": "siblings-sc-anmed-health",
      "campusFamilyId": "campus-sc-420027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-anmed-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://anmedhealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to AnMed Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANMED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to AnMed Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANMED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420027-loc-sc-anderson-anmed-health-women-s-and-children-s-hospit",
      "ccn": "420027",
      "name": "ANMED HEALTH WOMEN'S AND CHILDREN'S HOSPITAL",
      "address": "2000 E GREENVILLE ST",
      "city": "ANDERSON",
      "state": "SC",
      "zip": "29621",
      "county": "ANDERSON",
      "latitude": 34.54557143007,
      "longitude": -82.6288811101515,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 72,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anderson-anmed-health-women-s-and-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ANMED HEALTH",
      "parentSystemId": "entity-anmed-health",
      "siblingGroupId": "siblings-sc-anmed-health",
      "campusFamilyId": "campus-sc-420027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-anmed-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://anmedhealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to AnMed Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANMED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to AnMed Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANMED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "420027"
    },
    {
      "id": "420027-loc-sc-anderson-anmed-health-rehabilitation-hospital",
      "ccn": "420027",
      "name": "ANMED HEALTH REHABILITATION HOSPITAL",
      "address": "1 SPRING BACK WAY",
      "city": "ANDERSON",
      "state": "SC",
      "zip": "29621",
      "county": "ANDERSON",
      "latitude": 34.5377413902386,
      "longitude": -82.6280326702302,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 4,
      "website": "http://www.anmedrehab.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anderson-anmed-health-rehabilitation-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ANMED HEALTH",
      "parentSystemId": "entity-anmed-health",
      "siblingGroupId": "siblings-sc-anmed-health",
      "campusFamilyId": "campus-sc-420027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-anmed-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://anmedhealth.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to AnMed Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANMED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to AnMed Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANMED HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "420027"
    },
    {
      "id": "420030",
      "ccn": "420030",
      "name": "COLLETON MEDICAL CENTER",
      "address": "501 ROBERTSON BLVD",
      "city": "WALTERBORO",
      "state": "SC",
      "zip": "29488",
      "county": "COLLETON",
      "latitude": 32.9228210003286,
      "longitude": -80.6699108198096,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 135,
      "rating": 3,
      "website": "http://www.colletonmedical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-walterboro-colleton-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-sc-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "420036",
      "ccn": "420036",
      "name": "MUSC HEALTH LANCASTER MEDICAL CENTER",
      "address": "800 W MEETING ST",
      "city": "LANCASTER",
      "state": "SC",
      "zip": "29720",
      "county": "LANCASTER",
      "latitude": 34.71768706982,
      "longitude": -80.7877213703839,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 211,
      "rating": 4,
      "website": "http://www.springsmemorial.com",
      "status": "signal",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP tracker; independent corroboration pending"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-musc-health-lancaster-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MUSC HEALTH LANCASTER MEDICAL CENTER",
      "parentSystemId": "entity-musc-health-lancaster-medical-center",
      "siblingGroupId": "siblings-sc-musc-health-lancaster-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-medical-university-of-south-carolina"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSC HEALTH LANCASTER MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUSC HEALTH LANCASTER MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420037",
      "ccn": "420037",
      "name": "PRISMA HEALTH HILLCREST HOSPITAL",
      "address": "729 SE MAIN ST",
      "city": "SIMPSONVILLE",
      "state": "SC",
      "zip": "29681",
      "county": "GREENVILLE",
      "latitude": 34.7201856099463,
      "longitude": -82.2482301998927,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 43,
      "rating": 4,
      "website": "http://www.ghs.org/hillcrest",
      "status": "signal",
      "parentSystem": "Prisma Health",
      "affiliatedSystem": "Ghs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ghs",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-simpsonville-prisma-health-hillcrest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420038",
      "ccn": "420038",
      "name": "PRISMA HEALTH - UPSTATE - PRISMA HEALTH LAURENS COUNTY HOSPITAL",
      "address": "22725 HWY 76 E",
      "city": "CLINTON",
      "state": "SC",
      "zip": "29325",
      "county": "LAURENS",
      "latitude": 34.4814708000226,
      "longitude": -81.9408219701556,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 4,
      "website": "http://www.ghs.org/laurens",
      "status": "signal",
      "parentSystem": "Prisma Health",
      "affiliatedSystem": "Ghs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ghs",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420043",
      "ccn": "420043",
      "name": "CHEROKEE MEDICAL CENTER",
      "address": "1530 N LIMESTONE ST",
      "city": "GAFFNEY",
      "state": "SC",
      "zip": "29340",
      "county": "CHEROKEE",
      "latitude": 35.0898793002723,
      "longitude": -81.6343726704247,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 125,
      "rating": 2,
      "website": "http://maryblackgaffney.com/mary-black-gaffney/home.aspx",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gaffney-cherokee-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "APELLA HEALTH MANAGEMENT INC",
      "parentSystemId": "entity-apella-health-management-inc",
      "siblingGroupId": "siblings-sc-apella-health-management-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: APELLA HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELMER B HOLSTIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APELLA HEALTH MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: APELLA HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELMER B HOLSTIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent APELLA HEALTH MANAGEMENT INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "420053",
      "ccn": "420053",
      "name": "NEWBERRY COUNTY MEMORIAL HOSPITAL",
      "address": "2669 KINARD ST",
      "city": "NEWBERRY",
      "state": "SC",
      "zip": "29108",
      "county": "NEWBERRY",
      "latitude": 34.2904283497134,
      "longitude": -81.6064234202275,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 90,
      "rating": 3,
      "website": "http://www.newberryhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newberry-newberry-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NEWBERRY COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-newberry-county-memorial-hospital",
      "siblingGroupId": "siblings-sc-newberry-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-newberry-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to NEWBERRY COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWBERRY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to NEWBERRY COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEWBERRY COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420055",
      "ccn": "420055",
      "name": "MUSC HEALTH MARION MEDICAL CENTER",
      "address": "2829 EAST HWY 76",
      "city": "MULLINS",
      "state": "SC",
      "zip": "29574",
      "county": "MARION",
      "latitude": 34.1862798397205,
      "longitude": -79.3258397902551,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 124,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - State",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mullins-musc-health-marion-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-medical-university-hospital-authority",
      "siblingGroupId": "siblings-sc-medical-university-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-verified-parent-medical-university-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420065",
      "ccn": "420065",
      "name": "BON SECOURS - ST FRANCIS XAVIER HOSPITAL",
      "address": "2095 HENRY TECKLENBURG DR",
      "city": "CHARLESTON",
      "state": "SC",
      "zip": "29414",
      "county": "CHARLESTON",
      "latitude": 32.8083710698603,
      "longitude": -80.0424576900634,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 190,
      "rating": 3,
      "website": "http://www.ropersaintfrancis.com",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-sc-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420070",
      "ccn": "420070",
      "name": "PRISMA HEALTH TUOMEY HOSPITAL",
      "address": "129 N WASHINGTON ST",
      "city": "SUMTER",
      "state": "SC",
      "zip": "29150",
      "county": "SUMTER",
      "latitude": 33.923611320298,
      "longitude": -80.3427210497124,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 283,
      "rating": 3,
      "website": "http://www.tuomey.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sumter-prisma-health-tuomey-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Prisma Health",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420071",
      "ccn": "420071",
      "name": "SELF REGIONAL HEALTHCARE",
      "address": "1325 SPRING ST",
      "city": "GREENWOOD",
      "state": "SC",
      "zip": "29646",
      "county": "GREENWOOD",
      "latitude": 34.1756436202033,
      "longitude": -82.1565781897434,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 358,
      "rating": 4,
      "website": "http://www.selfregional.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenwood-self-regional-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SELF REGIONAL HEALTHCARE",
      "parentSystemId": "entity-self-regional-healthcare",
      "siblingGroupId": "siblings-sc-self-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-self-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.selfregional.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Self Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELF REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Self Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELF REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420072",
      "ccn": "420072",
      "name": "HAMPTON REGIONAL MEDICAL CENTER",
      "address": "595 W CAROLINA AVE",
      "city": "VARNVILLE",
      "state": "SC",
      "zip": "29944",
      "county": "HAMPTON",
      "latitude": 32.852848080024,
      "longitude": -81.0900305101418,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": null,
      "website": "http://www.hamptonregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-varnville-hampton-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HAMPTON REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-hampton-regional-medical-center",
      "siblingGroupId": "siblings-sc-hampton-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-hampton-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAMPTON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to HAMPTON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMPTON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HAMPTON REGIONAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to HAMPTON REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMPTON REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420073",
      "ccn": "420073",
      "name": "LEXINGTON MEDICAL CENTER",
      "address": "2720 SUNSET BLVD",
      "city": "WEST COLUMBIA",
      "state": "SC",
      "zip": "29169",
      "county": "LEXINGTON",
      "latitude": 34.0059618997162,
      "longitude": -81.1141989902599,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 557,
      "rating": 3,
      "website": "http://www.lexmed.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-columbia-lexington-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LEXINGTON HEALTH INC",
      "parentSystemId": "entity-lexington-health-inc",
      "siblingGroupId": "siblings-sc-lexington-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-lexington-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS lists ASHLEY JOINER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to LEXINGTON HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEXINGTON HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ASHLEY JOINER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to LEXINGTON HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEXINGTON HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420078",
      "ccn": "420078",
      "name": "PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL",
      "address": "701 GROVE RD",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29605",
      "county": "GREENVILLE",
      "latitude": 34.8186438901656,
      "longitude": -82.4126485903252,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 864,
      "rating": 4,
      "website": "http://www.ghs.org/greenvillememorial",
      "status": "signal",
      "parentSystem": "Prisma Health",
      "affiliatedSystem": "Ghs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ghs",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-prisma-health-greenville-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420079",
      "ccn": "420079",
      "name": "TRIDENT MEDICAL CENTER",
      "address": "9330 MEDICAL PLAZA DR",
      "city": "CHARLESTON",
      "state": "SC",
      "zip": "29406",
      "county": "CHARLESTON",
      "latitude": 32.9759625002512,
      "longitude": -80.0730751100292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 321,
      "rating": 3,
      "website": "http://www.tridenthealthsystem.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AC MED LLC",
      "parentSystemId": "entity-ac-med-llc",
      "siblingGroupId": "siblings-sc-ac-med-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AC MED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AC MED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "420082",
      "ccn": "420082",
      "name": "AIKEN REGIONAL MEDICAL CENTERS",
      "address": "302 UNIVERSITY PKWY",
      "city": "AIKEN",
      "state": "SC",
      "zip": "29801",
      "county": "AIKEN",
      "latitude": 33.5711978903612,
      "longitude": -81.7618029802375,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 273,
      "rating": 2,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-sc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "420086",
      "ccn": "420086",
      "name": "PRISMA HEALTH BAPTIST",
      "address": "TAYLOR ST AT MARION ST",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29220",
      "county": "RICHLAND",
      "latitude": 34.0076548203341,
      "longitude": -81.0335312398417,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 352,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-prisma-health-baptist/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Prisma Health",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420087",
      "ccn": "420087",
      "name": "ROPER HOSPITAL",
      "address": "316 CALHOUN ST",
      "city": "CHARLESTON",
      "state": "SC",
      "zip": "29401",
      "county": "CHARLESTON",
      "latitude": 32.7827939198474,
      "longitude": -79.9492764203138,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 332,
      "rating": 4,
      "website": "http://www.ropersaintfrancis.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-sc-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420089",
      "ccn": "420089",
      "name": "EAST COOPER MEDICAL CENTER",
      "address": "2000 HOSPITAL DR",
      "city": "MOUNT PLEASANT",
      "state": "SC",
      "zip": "29464",
      "county": "CHARLESTON",
      "latitude": 32.8211808699873,
      "longitude": -79.8505535199332,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 130,
      "rating": 4,
      "website": "http://www.eastcoopermedctr.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-pleasant-east-cooper-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "EAST COOPER COMMUNITY HOSPITAL, INC.",
      "parentSystemId": "entity-east-cooper-community-hospital-inc",
      "siblingGroupId": "siblings-sc-east-cooper-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: EAST COOPER COMMUNITY HOSPITAL, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON L BERND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST COOPER COMMUNITY HOSPITAL, INC., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EAST COOPER COMMUNITY HOSPITAL, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON L BERND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST COOPER COMMUNITY HOSPITAL, INC., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "420091",
      "ccn": "420091",
      "name": "MUSC HEALTH FLORENCE MEDICAL CENTER",
      "address": "805 PAMPLICO HWY",
      "city": "FLORENCE",
      "state": "SC",
      "zip": "29505",
      "county": "FLORENCE",
      "latitude": 34.160066150137,
      "longitude": -79.7520553995963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 310,
      "rating": 3,
      "website": "http://www.carolinashospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - State",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-florence-musc-health-florence-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-medical-university-hospital-authority",
      "siblingGroupId": "siblings-sc-medical-university-hospital-authority",
      "campusFamilyId": "campus-sc-420091",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-verified-parent-medical-university-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://muschealth.org/locations"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Medical University of South Carolina; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL UNIVERSITY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "420098",
      "ccn": "420098",
      "name": "TIDELANDS WACCAMAW COMMUNITY HOSPITAL",
      "address": "4070 HWY 17 BYPASS",
      "city": "MURRELLS INLET",
      "state": "SC",
      "zip": "29576",
      "county": "GEORGETOWN",
      "latitude": 33.5604687499544,
      "longitude": -79.0427252999227,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 124,
      "rating": 4,
      "website": "http://www.tidelandshealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murrells-inlet-tidelands-waccamaw-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GEORGETOWN HOSPITAL SYSTEM",
      "parentSystemId": "entity-georgetown-hospital-system",
      "siblingGroupId": "siblings-sc-georgetown-hospital-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-roper-st-francis-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rsfh.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GEORGETOWN HOSPITAL SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRUCE BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Roper St. Francis Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGETOWN HOSPITAL SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GEORGETOWN HOSPITAL SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRUCE BAILEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Roper St. Francis Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GEORGETOWN HOSPITAL SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420101",
      "ccn": "420101",
      "name": "COASTAL CAROLINA HOSPITAL",
      "address": "1000 MEDICAL CENTER DR",
      "city": "HARDEEVILLE",
      "state": "SC",
      "zip": "29927",
      "county": "JASPER",
      "latitude": 32.3150337998287,
      "longitude": -81.0539623501871,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 41,
      "rating": 4,
      "website": "http://www.coastalhospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hardeeville-coastal-carolina-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COASTAL CAROLINA MEDICAL CENTER INC",
      "parentSystemId": "entity-coastal-carolina-medical-center-inc",
      "siblingGroupId": "siblings-sc-coastal-carolina-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-coastal-carolina-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: COASTAL CAROLINA MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON L BERND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Coastal Carolina Hospital System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COASTAL CAROLINA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COASTAL CAROLINA MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JASON L BERND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Coastal Carolina Hospital System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COASTAL CAROLINA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420102",
      "ccn": "420102",
      "name": "PRISMA HEALTH PATEWOOD HOSPITAL",
      "address": "175 PATEWOOD DR",
      "city": "GREENVILLE",
      "state": "SC",
      "zip": "29615",
      "county": "GREENVILLE",
      "latitude": 34.851513459754,
      "longitude": -82.3276080899372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 72,
      "rating": 5,
      "website": "http://www.ghs.org/patewood",
      "status": "signal",
      "parentSystem": "Prisma Health",
      "affiliatedSystem": "Ghs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ghs",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-prisma-health-patewood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-UPSTATE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ghs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ghs. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420103",
      "ccn": "420103",
      "name": "PELHAM MEDICAL CENTER",
      "address": "250 WESTMORELAND RD",
      "city": "GREER",
      "state": "SC",
      "zip": "29651",
      "county": "SPARTANBURG",
      "latitude": 34.8624835802092,
      "longitude": -82.2185913003928,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 48,
      "rating": 5,
      "website": "https://www.spartanburgregional.com/locations/pelham-medical-center/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greer-pelham-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC",
      "parentSystemId": "entity-spartanburg-regional-health-services-district-inc",
      "siblingGroupId": "siblings-sc-spartanburg-regional-health-services-district-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-spartanburg-regional-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.spartanburgregional.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ELMER B HOLSTIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Spartanburg Regional Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ELMER B HOLSTIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Spartanburg Regional Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420104",
      "ccn": "420104",
      "name": "MOUNT PLEASANT HOSPITAL",
      "address": "3500 HWY 17 N",
      "city": "MOUNT PLEASANT",
      "state": "SC",
      "zip": "29466",
      "county": "CHARLESTON",
      "latitude": 32.8778293098941,
      "longitude": -79.7691314200349,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 85,
      "rating": 5,
      "website": "http://www.mymountpleasanthospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-pleasant-mount-pleasant-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ROPER ST. FRANCIS HEALTHCARE",
      "parentSystemId": "entity-roper-st-francis-healthcare",
      "siblingGroupId": "siblings-sc-roper-st-francis-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-roper-st-francis-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.rsfh.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROPER ST. FRANCIS HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Roper St. Francis Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROPER ST. FRANCIS HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROPER ST. FRANCIS HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Roper St. Francis Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROPER ST. FRANCIS HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420105",
      "ccn": "420105",
      "name": "MCLEOD LORIS",
      "address": "3655 MITCHELL ST",
      "city": "LORIS",
      "state": "SC",
      "zip": "29569",
      "county": "HORRY",
      "latitude": 34.0574707000803,
      "longitude": -78.8988931400206,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": 4,
      "website": "http://www.mcleodhealth.org/mcleod-loris/about-mcleod-loris.html",
      "status": "corporate_chain",
      "parentSystem": "MCLEOD HEALTH",
      "affiliatedSystem": "Mcleodhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mcleodhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-loris-mcleod-loris/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcleod-health",
      "siblingGroupId": "siblings-sc-mcleod-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-mcleod-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mcleodhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists SAMUEL F ERVIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists SAMUEL F ERVIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420106",
      "ccn": "420106",
      "name": "PRISMA HEALTH BAPTIST PARKRIDGE",
      "address": "400 PALMETTO HEALTH PKWY",
      "city": "COLUMBIA",
      "state": "SC",
      "zip": "29212",
      "county": "RICHLAND",
      "latitude": 34.0874379199291,
      "longitude": -81.1600896295684,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 76,
      "rating": 4,
      "website": "https://www.palmettohealth.org/locations-directions/hospitals/palmetto-health-baptist-parkridge",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-prisma-health-baptist-parkridge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Prisma Health",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-sc-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://prismahealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH-MIDLANDS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists POLLY H MILLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Prisma Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420107",
      "ccn": "420107",
      "name": "MCLEOD HEALTH CHERAW",
      "address": "711 CHESTERFIELD HWY",
      "city": "CHERAW",
      "state": "SC",
      "zip": "29520",
      "county": "CHESTERFIELD",
      "latitude": 34.6945760502092,
      "longitude": -79.919753709811,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 59,
      "rating": 3,
      "website": "http://www.mcleodhealth.org/cheraw/mcleod-health-cheraw.html",
      "status": "corporate_chain",
      "parentSystem": "MCLEOD HEALTH",
      "affiliatedSystem": "Mcleodhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mcleodhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cheraw-mcleod-health-cheraw/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcleod-health",
      "siblingGroupId": "siblings-sc-mcleod-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-mcleod-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mcleodhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLEOD HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SAMUEL F ERVIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLEOD HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SAMUEL F ERVIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420108",
      "ccn": "420108",
      "name": "UNION MEDICAL CENTER",
      "address": "322 W SOUTH ST",
      "city": "UNION",
      "state": "SC",
      "zip": "29379",
      "county": "UNION",
      "latitude": 34.7121601296733,
      "longitude": -81.6293007904153,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 85,
      "rating": null,
      "website": "http://www.wallacethomson.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-union-union-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC",
      "parentSystemId": "entity-spartanburg-regional-health-services-district-inc",
      "siblingGroupId": "siblings-sc-spartanburg-regional-health-services-district-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-spartanburg-regional-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.spartanburgregional.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELMER B HOLSTIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Spartanburg Regional Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELMER B HOLSTIEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Spartanburg Regional Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "420109",
      "ccn": "420109",
      "name": "MCLEOD HEALTH CLARENDON",
      "address": "10 E HOSPITAL ST",
      "city": "MANNING",
      "state": "SC",
      "zip": "29102",
      "county": "CLARENDON",
      "latitude": 33.6867129796661,
      "longitude": -80.2115390303199,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 81,
      "rating": 3,
      "website": "https://www.mcleodhealth.org/mcleod-health-clarendon.html",
      "status": "corporate_chain",
      "parentSystem": "MCLEOD HEALTH",
      "affiliatedSystem": "Mcleodhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mcleodhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manning-mcleod-health-clarendon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mcleod-health",
      "siblingGroupId": "siblings-sc-mcleod-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-mcleod-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mcleodhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCLEOD HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Mcleodhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Mcleodhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to McLeod Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCLEOD HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "421300",
      "ccn": "421300",
      "name": "ALLENDALE COUNTY HOSPITAL",
      "address": "1787 ALLENDALE FAIRFAX HWY",
      "city": "FAIRFAX",
      "state": "SC",
      "zip": "29827",
      "county": "ALLENDALE",
      "latitude": 32.9655431202749,
      "longitude": -81.2479563295533,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.allendalecountyhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairfax-allendale-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "ALLENDALE COUNTY HOSPITAL BOARD",
      "parentSystemId": "entity-allendale-county-hospital-board",
      "siblingGroupId": "siblings-sc-allendale-county-hospital-board",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-allendale-county-hospital-board"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLENDALE COUNTY HOSPITAL BOARD (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to ALLENDALE COUNTY HOSPITAL BOARD; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLENDALE COUNTY HOSPITAL BOARD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ALLENDALE COUNTY HOSPITAL BOARD (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to ALLENDALE COUNTY HOSPITAL BOARD; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLENDALE COUNTY HOSPITAL BOARD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "421301",
      "ccn": "421301",
      "name": "ABBEVILLE AREA MEDICAL CENTER",
      "address": "420 THOMSON CIR",
      "city": "ABBEVILLE",
      "state": "SC",
      "zip": "29620",
      "county": "ABBEVILLE",
      "latitude": 34.1597195699238,
      "longitude": -82.3830373499529,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.abbevilleareamc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abbeville-abbeville-area-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SELF REGIONAL HEALTHCARE",
      "parentSystemId": "entity-self-regional-healthcare",
      "siblingGroupId": "siblings-sc-self-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-self-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selfregional.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELF REGIONAL HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW T LOGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Self Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELF REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELF REGIONAL HEALTHCARE (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW T LOGAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Self Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELF REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "421304",
      "ccn": "421304",
      "name": "EDGEFIELD COUNTY HEALTHCARE",
      "address": "300 RIDGE MEDICAL PLAZA RD",
      "city": "EDGEFIELD",
      "state": "SC",
      "zip": "29824",
      "county": "EDGEFIELD",
      "latitude": 33.7790002496816,
      "longitude": -81.9297069696181,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edgefield-edgefield-county-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SELF REGIONAL HEALTHCARE",
      "parentSystemId": "entity-self-regional-healthcare",
      "siblingGroupId": "siblings-sc-self-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-self-regional-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.selfregional.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SELF REGIONAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Self Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELF REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SELF REGIONAL HEALTHCARE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Self Regional Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SELF REGIONAL HEALTHCARE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "424002",
      "ccn": "424002",
      "name": "LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL",
      "address": "152 WACCAMAW MEDICAL PARK DR",
      "city": "CONWAY",
      "state": "SC",
      "zip": "29526",
      "county": "HORRY",
      "latitude": 33.78691250003,
      "longitude": -78.9978476099118,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 105,
      "rating": null,
      "website": "http://lighthousecarecenterofconway.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-sc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "424007",
      "ccn": "424007",
      "name": "SPRINGBROOK BEHAVIORAL HEALTH SYSTEM",
      "address": "1 HAVENWOOD LN, SUITE A",
      "city": "TRAVELERS REST",
      "state": "SC",
      "zip": "29690",
      "county": "GREENVILLE",
      "latitude": 34.9640711002136,
      "longitude": -82.4547324703953,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 62,
      "rating": null,
      "website": "http://www.springbrookbehavioral.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-travelers-rest-springbrook-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHESTNUT HILL MENTAL HEALTH CENTER, INC",
      "parentSystemId": "entity-chestnut-hill-mental-health-center-inc",
      "siblingGroupId": "siblings-sc-chestnut-hill-mental-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sc-parent-chestnut-hill-mental-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS lists RICHARD HILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to CHESTNUT HILL MENTAL HEALTH CENTER, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESTNUT HILL MENTAL HEALTH CENTER, INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD HILLS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to CHESTNUT HILL MENTAL HEALTH CENTER, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHESTNUT HILL MENTAL HEALTH CENTER, INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "424008",
      "ccn": "424008",
      "name": "THREE RIVERS BEHAVIORAL HEALTH",
      "address": "2900 SUNSET BLVD",
      "city": "WEST COLUMBIA",
      "state": "SC",
      "zip": "29169",
      "county": "LEXINGTON",
      "latitude": 34.0072910996407,
      "longitude": -81.1181742096653,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 122,
      "rating": null,
      "website": "http://www.threeriversbehavioral.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-west-columbia-three-rivers-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-sc-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "424011",
      "ccn": "424011",
      "name": "PATRICK B HARRIS PSYCHIATRIC HOSPITAL",
      "address": "130 HWY 252",
      "city": "ANDERSON",
      "state": "SC",
      "zip": "29621",
      "county": "ANDERSON",
      "latitude": 34.4777673098476,
      "longitude": -82.5673575696538,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 200,
      "rating": null,
      "website": "http://www.patrickbharrispsychiatrichospital.com/index.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anderson-patrick-b-harris-psychiatric-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
      "parentSystemId": "entity-south-carolina-dept-of-mental-health-accounting-office",
      "siblingGroupId": "siblings-sc-south-carolina-dept-of-mental-health-accounting-office",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-south-carolina-dept-of-mental-health-accounting-office"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALLEN MCENIRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ALLEN MCENIRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "424014",
      "ccn": "424014",
      "name": "REBOUND BEHAVIORAL HEALTH",
      "address": "134 E REBOUND RD",
      "city": "LANCASTER",
      "state": "SC",
      "zip": "29720",
      "county": "LANCASTER",
      "latitude": 34.8620695203148,
      "longitude": -80.8023950298514,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 63,
      "rating": null,
      "website": "http://www.reboundbehavioralhealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-rebound-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-sc-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SC resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "430008",
      "ccn": "430008",
      "name": "BROOKINGS HEALTH SYSTEM",
      "address": "300 22ND AVE",
      "city": "BROOKINGS",
      "state": "SD",
      "zip": "57006",
      "county": "BROOKINGS",
      "latitude": 44.3078783097838,
      "longitude": -96.7669672501852,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brookings-brookings-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF BROOKINGS",
      "parentSystemId": "entity-city-of-brookings",
      "siblingGroupId": "siblings-sd-city-of-brookings",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-city-of-brookings"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF BROOKINGS (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CITY OF BROOKINGS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF BROOKINGS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF BROOKINGS (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CITY OF BROOKINGS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF BROOKINGS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "430012",
      "ccn": "430012",
      "name": "AVERA SACRED HEART HOSPITAL",
      "address": "501 SUMMIT",
      "city": "YANKTON",
      "state": "SD",
      "zip": "57078",
      "county": "YANKTON",
      "latitude": 42.8732545502756,
      "longitude": -97.4081910196378,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 99,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yankton-avera-sacred-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VICTORIA M HANSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists VICTORIA M HANSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "430014",
      "ccn": "430014",
      "name": "AVERA ST. LUKE'S",
      "address": "305 S STATE ST",
      "city": "ABERDEEN",
      "state": "SD",
      "zip": "57401",
      "county": "BROWN",
      "latitude": 45.4615100298606,
      "longitude": -98.4785123501698,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 60,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL BJERKNES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL BJERKNES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "430015",
      "ccn": "430015",
      "name": "AVERA ST. MARY'S HOSPITAL",
      "address": "801 E SIOUX",
      "city": "PIERRE",
      "state": "SD",
      "zip": "57501",
      "county": "HUGHES",
      "latitude": 44.3598042197341,
      "longitude": -100.342626750274,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pierre-avera-st-mary-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SHANTEL SHAMIELE KREBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SHANTEL SHAMIELE KREBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "430027",
      "ccn": "430027",
      "name": "SANFORD USD MEDICAL CENTER",
      "address": "1305 W 18TH ST",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57105",
      "county": "MINNEHAHA",
      "latitude": 43.5355161800492,
      "longitude": -96.742105869844,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 545,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sioux-falls-sanford-usd-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "430048",
      "ccn": "430048",
      "name": "MONUMENT HEALTH SPEARFISH HOSPITAL",
      "address": "1440 N MAIN ST",
      "city": "SPEARFISH",
      "state": "SD",
      "zip": "57783",
      "county": "LAWRENCE",
      "latitude": 44.498063670075,
      "longitude": -103.860644620363,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 44,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONUMENT HEALTH INC",
      "parentSystemId": "entity-monument-health-inc",
      "siblingGroupId": "siblings-sd-monument-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-monument-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://monument.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RUTA P DAVIDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RUTA P DAVIDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "43005F",
      "ccn": "43005F",
      "name": "SIOUX FALLS VA MEDICAL CENTER",
      "address": "2501 WEST 22ND STREET",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57117",
      "county": "MINNEHAHA",
      "latitude": 43.5311018401453,
      "longitude": -96.7550585701279,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-sd-veterans-health-administration",
      "campusFamilyId": "campus-sd-43005f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SD resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. SD resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "430077",
      "ccn": "430077",
      "name": "RAPID CITY HOSPITAL",
      "address": "3200 CANYON LAKE DRIVE",
      "city": "RAPID CITY",
      "state": "SD",
      "zip": "57702",
      "county": "PENNINGTON",
      "latitude": 44.0742025202259,
      "longitude": -103.271688350147,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 9,
      "rating": 3,
      "website": "http://www.ihs.gov/greatplains/healthcarefacilities/rapidcity",
      "status": "corporate_chain",
      "parentSystem": "MONUMENT HEALTH INC",
      "affiliatedSystem": "Ihs",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ihs",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-monument-health-inc",
      "siblingGroupId": "siblings-sd-monument-health-inc",
      "campusFamilyId": "campus-sd-430077",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-monument-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://monument.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN A MASER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN A MASER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "430077-loc-sd-rapid-city-monument-health-rapid-city-hospital",
      "ccn": "430077",
      "name": "MONUMENT HEALTH RAPID CITY HOSPITAL",
      "address": "353 FAIRMONT BLVD",
      "city": "RAPID CITY",
      "state": "SD",
      "zip": "57701",
      "county": "PENNINGTON",
      "latitude": 44.0577486002384,
      "longitude": -103.225250309844,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 417,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONUMENT HEALTH INC",
      "parentSystemId": "entity-monument-health-inc",
      "siblingGroupId": "siblings-sd-monument-health-inc",
      "campusFamilyId": "campus-sd-430077",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-monument-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://monument.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN A MASER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVEN A MASER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "430077"
    },
    {
      "id": "430089",
      "ccn": "430089",
      "name": "DUNES SURGICAL HOSPITAL",
      "address": "600 N SIOUX POINT RD",
      "city": "DAKOTA DUNES",
      "state": "SD",
      "zip": "57049",
      "county": "UNION",
      "latitude": 42.5055824498375,
      "longitude": -96.4957456502224,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 38,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dakota-dunes-dunes-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "USP SIOUXLAND INC",
      "parentSystemId": "entity-usp-siouxland-inc",
      "siblingGroupId": "siblings-sd-usp-siouxland-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: USP SIOUXLAND INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP SIOUXLAND INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: USP SIOUXLAND INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP SIOUXLAND INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "430090",
      "ccn": "430090",
      "name": "SIOUX FALLS SPECIALTY HOSPITAL, LLP",
      "address": "910 E 20TH ST",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57105",
      "county": "MINNEHAHA",
      "latitude": 43.5350561601177,
      "longitude": -96.7142649699449,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 33,
      "rating": null,
      "website": "https://www.sfsh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sioux-falls-sioux-falls-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MEDICAL FACILITIES AMERICA HOLDCO 1 LLC",
      "parentSystemId": "entity-medical-facilities-america-holdco-1-llc",
      "siblingGroupId": "siblings-sd-medical-facilities-america-holdco-1-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDICAL FACILITIES AMERICA HOLDCO 1 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL FACILITIES AMERICA HOLDCO 1 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDICAL FACILITIES AMERICA HOLDCO 1 LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEDICAL FACILITIES AMERICA HOLDCO 1 LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "430091",
      "ccn": "430091",
      "name": "BLACK HILLS SURGICAL HOSPITAL LLP",
      "address": "216 ANAMARIA DR",
      "city": "RAPID CITY",
      "state": "SD",
      "zip": "57701",
      "county": "PENNINGTON",
      "latitude": 44.0464436202338,
      "longitude": -103.223484099824,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 26,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rapid-city-black-hills-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "430093",
      "ccn": "430093",
      "name": "SAME DAY SURGERY CENTER, LLC",
      "address": "651 CATHEDRAL DRIVE",
      "city": "RAPID CITY",
      "state": "SD",
      "zip": "57701",
      "county": "PENNINGTON",
      "latitude": 44.0586863200184,
      "longitude": -103.228871269634,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 6,
      "rating": null,
      "website": "http://www.samedaysurgerycenter.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RAPID CITY AMBULATORY SURGERY LLC",
      "parentSystemId": "entity-rapid-city-ambulatory-surgery-llc",
      "siblingGroupId": "siblings-sd-rapid-city-ambulatory-surgery-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RAPID CITY AMBULATORY SURGERY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). CMS lists WESLEY L SUFFICOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RAPID CITY AMBULATORY SURGERY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RAPID CITY AMBULATORY SURGERY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 60%). CMS lists WESLEY L SUFFICOOL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RAPID CITY AMBULATORY SURGERY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "430095",
      "ccn": "430095",
      "name": "AVERA HEART HOSPITAL OF SOUTH DAKOTA",
      "address": "4500 WEST 69TH STREET",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57108",
      "county": "LINCOLN",
      "latitude": 43.4909429899973,
      "longitude": -96.7807341798494,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 53,
      "rating": 5,
      "website": "http://www.avera.org/locations/heart-hospital/",
      "status": "corporate_chain",
      "parentSystem": "AVERA MCKENNAN",
      "affiliatedSystem": "Avera",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Avera",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sioux-falls-avera-heart-hospital-of-south-dakota/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-avera-mckennan",
      "siblingGroupId": "siblings-sd-avera-mckennan",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA MCKENNAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 33.33%). CMS lists JULIE LAUTT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MCKENNAN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA MCKENNAN (5% OR GREATER DIRECT OWNERSHIP INTEREST, 33.33%). CMS lists JULIE LAUTT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA MCKENNAN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "430779",
      "ccn": "430779",
      "name": "LANDMANN - JUNGMAN MEMORIAL HOSPITAL",
      "address": "600 BILLARS",
      "city": "SCOTLAND",
      "state": "SD",
      "zip": "57059",
      "county": "BON HOMME",
      "latitude": 43.1490361598542,
      "longitude": -97.7290452397341,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-scotland-landmann-jungman-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION",
      "parentSystemId": "entity-landmann-jungman-memorial-hospital-corporation",
      "siblingGroupId": "siblings-sd-landmann-jungman-memorial-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-landmann-jungman-memorial-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MELISSA GALE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MELISSA GALE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431300",
      "ccn": "431300",
      "name": "MADISON REGIONAL HEALTH SYSTEM",
      "address": "323 SW 10TH ST",
      "city": "MADISON",
      "state": "SD",
      "zip": "57042",
      "county": "LAKE",
      "latitude": 43.9913730397472,
      "longitude": -97.1181423402025,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "website": "http://www.madisonregionalhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-madison-madison-regional-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MADISON COMMUNITY HOSPITAL",
      "parentSystemId": "entity-madison-community-hospital",
      "siblingGroupId": "siblings-sd-madison-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-madison-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists TERESA MALLETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to MADISON COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TERESA MALLETT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to MADISON COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MADISON COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431301",
      "ccn": "431301",
      "name": "FAULKTON AREA MEDICAL CENTER",
      "address": "1300 OAK STREET",
      "city": "FAULKTON",
      "state": "SD",
      "zip": "57438",
      "county": "FAULK",
      "latitude": 45.0306557201499,
      "longitude": -99.1326383696215,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "website": "http://www.faulktonmedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-faulkton-faulkton-area-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FAULKTON AREA MEDICAL CENTER",
      "parentSystemId": "entity-faulkton-area-medical-center",
      "siblingGroupId": "siblings-sd-faulkton-area-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-faulkton-area-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: FAULKTON AREA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EMILY BAUER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to FAULKTON AREA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAULKTON AREA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FAULKTON AREA MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS lists EMILY BAUER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to FAULKTON AREA MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAULKTON AREA MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431302",
      "ccn": "431302",
      "name": "AVERA MISSOURI RIVER HEALTH CENTER",
      "address": "606 E GARFIELD AVE",
      "city": "GETTYSBURG",
      "state": "SD",
      "zip": "57442",
      "county": "POTTER",
      "latitude": 45.013084890026,
      "longitude": -99.9477914596452,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 7,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHANTEL SHAMIELE KREBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHANTEL SHAMIELE KREBS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431305",
      "ccn": "431305",
      "name": "DOUGLAS COUNTY MEMORIAL HOSPITAL",
      "address": "708 8TH ST",
      "city": "ARMOUR",
      "state": "SD",
      "zip": "57313",
      "county": "DOUGLAS",
      "latitude": 43.3253156298923,
      "longitude": -98.3452786199909,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-armour-douglas-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "DOUGLAS COUNTY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-douglas-county-memorial-hospital",
      "siblingGroupId": "siblings-sd-douglas-county-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-douglas-county-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to DOUGLAS COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOUGLAS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to DOUGLAS COUNTY MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOUGLAS COUNTY MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "431306",
      "ccn": "431306",
      "name": "PLATTE HEALTH CENTER",
      "address": "601 EAST 7TH ST",
      "city": "PLATTE",
      "state": "SD",
      "zip": "57369",
      "county": "CHARLES MIX",
      "latitude": 43.38464767976,
      "longitude": -98.8361564403133,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-platte-platte-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PLATTE COMMUNITY MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-platte-community-memorial-hospital-inc",
      "siblingGroupId": "siblings-sd-platte-community-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-platte-community-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to PLATTE COMMUNITY MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLATTE COMMUNITY MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to PLATTE COMMUNITY MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PLATTE COMMUNITY MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431307",
      "ccn": "431307",
      "name": "SANFORD CLEAR LAKE MEDICAL CENTER",
      "address": "701 3RD AVE SOUTH",
      "city": "CLEAR LAKE",
      "state": "SD",
      "zip": "57226",
      "county": "DEUEL",
      "latitude": 44.7527249400338,
      "longitude": -96.6831355596744,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clear-lake-sanford-clear-lake-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431308",
      "ccn": "431308",
      "name": "EUREKA COMMUNITY HEALTH SERVICES",
      "address": "200 J AVE",
      "city": "EUREKA",
      "state": "SD",
      "zip": "57437",
      "county": "MCPHERSON",
      "latitude": 45.7721722698382,
      "longitude": -99.6230192500136,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 4,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eureka-eureka-community-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA ST LUKES",
      "parentSystemId": "entity-avera-st-lukes",
      "siblingGroupId": "siblings-sd-avera-st-lukes",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA ST LUKES (OPERATIONAL/MANAGERIAL CONTROL, 25%). CMS lists CARMEN LOUISE WEBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA ST LUKES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA ST LUKES (OPERATIONAL/MANAGERIAL CONTROL, 25%). CMS lists CARMEN LOUISE WEBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA ST LUKES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431309",
      "ccn": "431309",
      "name": "COMMUNITY MEMORIAL HOSPITAL",
      "address": "809 JACKSON",
      "city": "BURKE",
      "state": "SD",
      "zip": "57523",
      "county": "GREGORY",
      "latitude": 43.1820931599219,
      "longitude": -99.2940097895947,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burke-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COMMUNITY MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-community-memorial-hospital-inc",
      "siblingGroupId": "siblings-sd-community-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-community-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to COMMUNITY MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMUNITY MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431310",
      "ccn": "431310",
      "name": "AVERA FLANDREAU HOSPITAL",
      "address": "214 N PRAIRIE ST",
      "city": "FLANDREAU",
      "state": "SD",
      "zip": "57028",
      "county": "MOODY",
      "latitude": 44.0513519201076,
      "longitude": -96.5914630903946,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flandreau-avera-flandreau-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431311",
      "ccn": "431311",
      "name": "SANFORD HOSPITAL WEBSTER",
      "address": "1401 W FIRST ST",
      "city": "WEBSTER",
      "state": "SD",
      "zip": "57274",
      "county": "DAY",
      "latitude": 45.3397727703039,
      "longitude": -97.5219545502626,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431312",
      "ccn": "431312",
      "name": "MARSHALL COUNTY HEALTHCARE CENTER",
      "address": "413 9TH ST",
      "city": "BRITTON",
      "state": "SD",
      "zip": "57430",
      "county": "MARSHALL",
      "latitude": 45.7885838697786,
      "longitude": -97.7461385302841,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA ST LUKES",
      "parentSystemId": "entity-avera-st-lukes",
      "siblingGroupId": "siblings-sd-avera-st-lukes",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA ST LUKES (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA ST LUKES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA ST LUKES (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA ST LUKES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431313",
      "ccn": "431313",
      "name": "FREEMAN MEDICAL CENTER",
      "address": "510 E 8TH ST",
      "city": "FREEMAN",
      "state": "SD",
      "zip": "57029",
      "county": "HUTCHINSON",
      "latitude": 43.3479663703088,
      "longitude": -97.4310807003383,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-freeman-freeman-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FREEMAN REGIONAL HEALTH SERVICES",
      "parentSystemId": "entity-freeman-regional-health-services",
      "siblingGroupId": "siblings-sd-freeman-regional-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-freeman-regional-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to FREEMAN REGIONAL HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to FREEMAN REGIONAL HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FREEMAN REGIONAL HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431314",
      "ccn": "431314",
      "name": "BENNETT COUNTY HOSPITAL AND NURSING HOME",
      "address": "102 MAJOR ALLEN",
      "city": "MARTIN",
      "state": "SD",
      "zip": "57551",
      "county": "BENNETT",
      "latitude": 43.1697536696848,
      "longitude": -101.730725430019,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BENNETT COUNTY HOSPITAL AND NURSING HOME",
      "parentSystemId": "entity-bennett-county-hospital-and-nursing-home",
      "siblingGroupId": "siblings-sd-bennett-county-hospital-and-nursing-home",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-bennett-county-hospital-and-nursing-home"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists SHANDEL ANSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to BENNETT COUNTY HOSPITAL AND NURSING HOME; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENNETT COUNTY HOSPITAL AND NURSING HOME, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists SHANDEL ANSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to BENNETT COUNTY HOSPITAL AND NURSING HOME; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BENNETT COUNTY HOSPITAL AND NURSING HOME, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "431315",
      "ccn": "431315",
      "name": "WAGNER COMMUNITY MEMORIAL HOSPITAL",
      "address": "513 3RD ST SW",
      "city": "WAGNER",
      "state": "SD",
      "zip": "57380",
      "county": "CHARLES MIX",
      "latitude": 43.0783751498031,
      "longitude": -98.3020032297994,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wagner-wagner-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WAGNER COMMUNITY MEMORIAL HOSPITAL",
      "parentSystemId": "entity-wagner-community-memorial-hospital",
      "siblingGroupId": "siblings-sd-wagner-community-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-wagner-community-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists BRITTANY BARRON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to WAGNER COMMUNITY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAGNER COMMUNITY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRITTANY BARRON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to WAGNER COMMUNITY MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAGNER COMMUNITY MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431316",
      "ccn": "431316",
      "name": "COMMUNITY MEMORIAL HOSPITAL",
      "address": "111 W 10TH AVE",
      "city": "REDFIELD",
      "state": "SD",
      "zip": "57469",
      "county": "SPINK",
      "latitude": 44.8715666497882,
      "longitude": -98.5209223402475,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-redfield-community-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CITY OF REDFIELD",
      "parentSystemId": "entity-city-of-redfield",
      "siblingGroupId": "siblings-sd-city-of-redfield",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-city-of-redfield"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF REDFIELD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CITY OF REDFIELD; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF REDFIELD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF REDFIELD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CITY OF REDFIELD; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF REDFIELD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "431318",
      "ccn": "431318",
      "name": "BOWDLE HOSPITAL",
      "address": "8001 W 5TH",
      "city": "BOWDLE",
      "state": "SD",
      "zip": "57428",
      "county": "EDMUNDS",
      "latitude": 45.4479784901922,
      "longitude": -99.6616274395532,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CITY OF BOWDLE",
      "parentSystemId": "entity-city-of-bowdle",
      "siblingGroupId": "siblings-sd-city-of-bowdle",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-city-of-bowdle"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITY OF BOWDLE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CITY OF BOWDLE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF BOWDLE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CITY OF BOWDLE (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CITY OF BOWDLE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITY OF BOWDLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "431319",
      "ccn": "431319",
      "name": "HANS P. PETERSON MEMORIAL HOSPITAL",
      "address": "503 W PINE STREET",
      "city": "PHILIP",
      "state": "SD",
      "zip": "57567",
      "county": "HAAKON",
      "latitude": 44.0398087597194,
      "longitude": -101.671476779553,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-philip-hans-p-peterson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONUMENT HEALTH NETWORK INC",
      "parentSystemId": "entity-monument-health-network-inc",
      "siblingGroupId": "siblings-sd-monument-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-monument-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://monument.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONUMENT HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONUMENT HEALTH NETWORK INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431320",
      "ccn": "431320",
      "name": "MONUMENT HEALTH LEAD - DEADWOOD HOSPITAL",
      "address": "61 CHARLES ST",
      "city": "DEADWOOD",
      "state": "SD",
      "zip": "57732",
      "county": "LAWRENCE",
      "latitude": 44.3696269200626,
      "longitude": -103.728268410277,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONUMENT HEALTH INC",
      "parentSystemId": "entity-monument-health-inc",
      "siblingGroupId": "siblings-sd-monument-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-monument-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://monument.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RUTA P DAVIDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists RUTA P DAVIDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431321",
      "ccn": "431321",
      "name": "MONUMENT HEALTH STURGIS HOSPITAL",
      "address": "2140 JUNCTION AVE",
      "city": "STURGIS",
      "state": "SD",
      "zip": "57785",
      "county": "MEADE",
      "latitude": 44.4024946999384,
      "longitude": -103.507337200255,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sturgis-monument-health-sturgis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONUMENT HEALTH INC",
      "parentSystemId": "entity-monument-health-inc",
      "siblingGroupId": "siblings-sd-monument-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-monument-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://monument.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AUSTIN M WILLUWEIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AUSTIN M WILLUWEIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431322",
      "ccn": "431322",
      "name": "FALL RIVER HOSPITAL",
      "address": "1201 HIGHWAY 71 SO",
      "city": "HOT SPRINGS",
      "state": "SD",
      "zip": "57747",
      "county": "FALL RIVER",
      "latitude": 43.4172081297901,
      "longitude": -103.480089410327,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hot-springs-fall-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "FALL RIVER HEALTH SERVICES",
      "parentSystemId": "entity-fall-river-health-services",
      "siblingGroupId": "siblings-sd-fall-river-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-fall-river-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: FALL RIVER HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NICHOLLE GILBERTSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to FALL RIVER HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALL RIVER HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FALL RIVER HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS lists NICHOLLE GILBERTSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to FALL RIVER HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALL RIVER HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "431323",
      "ccn": "431323",
      "name": "MONUMENT HEALTH CUSTER HOSPITAL",
      "address": "1220 MONTGOMERY ST",
      "city": "CUSTER",
      "state": "SD",
      "zip": "57730",
      "county": "CUSTER",
      "latitude": 43.7724007100651,
      "longitude": -103.590527349922,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "website": "http://www.regionalhealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONUMENT HEALTH INC",
      "parentSystemId": "entity-monument-health-inc",
      "siblingGroupId": "siblings-sd-monument-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-monument-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://monument.health/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AUSTIN M WILLUWEIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONUMENT HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AUSTIN M WILLUWEIT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Monument Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONUMENT HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431324",
      "ccn": "431324",
      "name": "AVERA WESKOTA MEMORIAL MEDICAL CENTER",
      "address": "604 1ST ST NE",
      "city": "WESSINGTON SPRINGS",
      "state": "SD",
      "zip": "57382",
      "county": "JERAULD",
      "latitude": 44.0810863299009,
      "longitude": -98.5637422100298,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wessington-springs-avera-weskota-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HILARY RAE ROCKWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HILARY RAE ROCKWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431325",
      "ccn": "431325",
      "name": "MOBRIDGE REGIONAL HOSPITAL",
      "address": "1401 10TH AVE W",
      "city": "MOBRIDGE",
      "state": "SD",
      "zip": "57601",
      "county": "WALWORTH",
      "latitude": 45.5462169597831,
      "longitude": -100.448960469694,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOBRIDGE REGIONAL HOSPITAL",
      "parentSystemId": "entity-mobridge-regional-hospital",
      "siblingGroupId": "siblings-sd-mobridge-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-mobridge-regional-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to MOBRIDGE REGIONAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOBRIDGE REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to MOBRIDGE REGIONAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOBRIDGE REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431326",
      "ccn": "431326",
      "name": "MILBANK AREA HOSPITAL - AVERA HEALTH",
      "address": "301 FLYNN DRIVE",
      "city": "MILBANK",
      "state": "SD",
      "zip": "57252",
      "county": "GRANT",
      "latitude": 45.2224580601864,
      "longitude": -96.627173509762,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milbank-milbank-area-hospital-/-avera-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431327",
      "ccn": "431327",
      "name": "ST. MICHAEL'S HOSPITAL",
      "address": "410 W 16TH AVE",
      "city": "TYNDALL",
      "state": "SD",
      "zip": "57066",
      "county": "BON HOMME",
      "latitude": 42.9915707799583,
      "longitude": -97.8675250997312,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tyndall-saint-michaels-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SACRED HEART HEALTH SERVICES",
      "parentSystemId": "entity-sacred-heart-health-services",
      "siblingGroupId": "siblings-sd-sacred-heart-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sacred-heart-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SACRED HEART HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to SACRED HEART HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SACRED HEART HEALTH SERVICES (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to SACRED HEART HEALTH SERVICES; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SACRED HEART HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "431328",
      "ccn": "431328",
      "name": "PIONEER MEMORIAL HOSPITAL",
      "address": "315 N WASHINGTON",
      "city": "VIBORG",
      "state": "SD",
      "zip": "57070",
      "county": "TURNER",
      "latitude": 43.1753810300379,
      "longitude": -97.0840425597152,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES",
      "parentSystemId": "entity-pioneer-memorial-hospital-and-health-services",
      "siblingGroupId": "siblings-sd-pioneer-memorial-hospital-and-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-pioneer-memorial-hospital-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431329",
      "ccn": "431329",
      "name": "SANFORD CHAMBERLAIN MEDICAL CENTER",
      "address": "300 S BYRON BLVD",
      "city": "CHAMBERLAIN",
      "state": "SD",
      "zip": "57325",
      "county": "BRULE",
      "latitude": 43.7861325902154,
      "longitude": -99.3247161301972,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chamberlain-sanford-chamberlain-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431330",
      "ccn": "431330",
      "name": "AVERA ST. BENEDICT HEALTH CENTER",
      "address": "401 W GLYNN DR",
      "city": "PARKSTON",
      "state": "SD",
      "zip": "57366",
      "county": "HUTCHINSON",
      "latitude": 43.3996903799702,
      "longitude": -97.9912405596373,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parkston-avera-saint-benedict-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LINDSAY RAE WEBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LINDSAY RAE WEBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431331",
      "ccn": "431331",
      "name": "AVERA DELLS AREA HOSPITAL",
      "address": "909 N IOWA AVE",
      "city": "DELL RAPIDS",
      "state": "SD",
      "zip": "57022",
      "county": "MINNEHAHA",
      "latitude": 43.8285845400688,
      "longitude": -96.7158099797071,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dell-rapids-avera-dells-area-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431332",
      "ccn": "431332",
      "name": "AVERA DESMET MEMORIAL HOSPITAL",
      "address": "306 PRAIRIE AVE SW",
      "city": "DE SMET",
      "state": "SD",
      "zip": "57231",
      "county": "KINGSBURY",
      "latitude": 44.3859458000538,
      "longitude": -97.5612971502762,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 6,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HILARY RAE ROCKWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HILARY RAE ROCKWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431333",
      "ccn": "431333",
      "name": "SANFORD CANTON - INWOOD MEDICAL CENTER",
      "address": "440 N HIAWATHA DR",
      "city": "CANTON",
      "state": "SD",
      "zip": "57013",
      "county": "LINCOLN",
      "latitude": 43.3044978397446,
      "longitude": -96.5575597696633,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canton-sanford-canton-inwood-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SANFORD",
      "parentSystemId": "entity-sanford",
      "siblingGroupId": "siblings-sd-sanford",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-sanford-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sanfordhealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SANFORD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Sanford Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANFORD, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431334",
      "ccn": "431334",
      "name": "WINNER REGIONAL HEALTHCARE CENTER",
      "address": "745 E 8TH ST",
      "city": "WINNER",
      "state": "SD",
      "zip": "57580",
      "county": "TRIPP",
      "latitude": 43.3699297600233,
      "longitude": -99.8472950899594,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winner-winner-regional-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WINNER REGIONAL HEALTHCARE CENTER",
      "parentSystemId": "entity-winner-regional-healthcare-center",
      "siblingGroupId": "siblings-sd-winner-regional-healthcare-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-winner-regional-healthcare-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists BRIAN WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to WINNER REGIONAL HEALTHCARE CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINNER REGIONAL HEALTHCARE CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists BRIAN WILLIAMS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to WINNER REGIONAL HEALTHCARE CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINNER REGIONAL HEALTHCARE CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431335",
      "ccn": "431335",
      "name": "HURON REGIONAL MEDICAL CENTER",
      "address": "172 FOURTH ST SE",
      "city": "HURON",
      "state": "SD",
      "zip": "57350",
      "county": "BEADLE",
      "latitude": 44.3615311797161,
      "longitude": -98.2110596301848,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huron-huron-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HURON REGIONAL MEDICAL CENTER INC",
      "parentSystemId": "entity-huron-regional-medical-center-inc",
      "siblingGroupId": "siblings-sd-huron-regional-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-huron-regional-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to HURON REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURON REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to HURON REGIONAL MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HURON REGIONAL MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431337",
      "ccn": "431337",
      "name": "AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC",
      "address": "300 W 5TH ST",
      "city": "MILLER",
      "state": "SD",
      "zip": "57362",
      "county": "HAND",
      "latitude": 44.5200541197974,
      "longitude": -98.9922821904056,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-miller-avera-hand-county-memorial-hospital-and-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431338",
      "ccn": "431338",
      "name": "AVERA GREGORY HOSPITAL",
      "address": "400 PARK AVENUE",
      "city": "GREGORY",
      "state": "SD",
      "zip": "57533",
      "county": "GREGORY",
      "latitude": 43.2295546299674,
      "longitude": -99.4358486399836,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.avera.org/",
      "status": "corporate_chain",
      "parentSystem": "AVERA HEALTH",
      "affiliatedSystem": "Avera",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Avera",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gregory-avera-gregory-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RONALD J. PLACE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Avera; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Avera. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431339",
      "ccn": "431339",
      "name": "COTEAU DES PRAIRIES HEALTH CARE SYSTEM",
      "address": "205 ORCHARD DRIVE",
      "city": "SISSETON",
      "state": "SD",
      "zip": "57262",
      "county": "ROBERTS",
      "latitude": 45.6574921797148,
      "longitude": -97.0501571801369,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.cdphospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COTEAU DES PRAIRIES HOSPITAL",
      "parentSystemId": "entity-coteau-des-prairies-hospital",
      "siblingGroupId": "siblings-sd-coteau-des-prairies-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-coteau-des-prairies-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COTEAU DES PRAIRIES HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to COTEAU DES PRAIRIES HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTEAU DES PRAIRIES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COTEAU DES PRAIRIES HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to COTEAU DES PRAIRIES HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COTEAU DES PRAIRIES HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "431340",
      "ccn": "431340",
      "name": "AVERA QUEEN OF PEACE",
      "address": "525 N FOSTER",
      "city": "MITCHELL",
      "state": "SD",
      "zip": "57301",
      "county": "DAVISON",
      "latitude": 43.7143422799222,
      "longitude": -98.0080207998871,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AVERA HEALTH",
      "parentSystemId": "entity-avera-health",
      "siblingGroupId": "siblings-sd-avera-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sd-parent-avera-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.avera.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HILARY RAE ROCKWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AVERA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists HILARY RAE ROCKWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to Avera Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AVERA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "433300",
      "ccn": "433300",
      "name": "LIFESCAPE",
      "address": "2501 W 26TH ST",
      "city": "SIOUX FALLS",
      "state": "SD",
      "zip": "57105",
      "county": "MINNEHAHA",
      "latitude": 43.5287556500405,
      "longitude": -96.7553041300007,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CHILDRENS CARE HOSPITAL AND SCHOOL",
      "parentSystemId": "entity-childrens-care-hospital-and-school",
      "siblingGroupId": "siblings-sd-childrens-care-hospital-and-school",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "sd-parent-childrens-care-hospital-and-school"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/hospitals/"
      ],
      "ownershipProofNotes": "CMS lists KIMBERLY MARSO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CHILDRENS CARE HOSPITAL AND SCHOOL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS CARE HOSPITAL AND SCHOOL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KIMBERLY MARSO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. SD resolution: normalized CMS owner/operator to CHILDRENS CARE HOSPITAL AND SCHOOL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS CARE HOSPITAL AND SCHOOL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440002",
      "ccn": "440002",
      "name": "JACKSON - MADISON COUNTY GENERAL HOSPITAL DISTRICT",
      "address": "620 SKYLINE DRIVE",
      "city": "JACKSON",
      "state": "TN",
      "zip": "38301",
      "county": "MADISON",
      "latitude": 35.636732659912,
      "longitude": -88.831789689587,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 792,
      "rating": 3,
      "website": "http://www.wth.org/locations/page/jackson-madison-co-general",
      "status": "corporate_chain",
      "parentSystem": "West Tennessee Healthcare / Jackson-Madison County Hospital District",
      "affiliatedSystem": "Wth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "siblingGroupId": "siblings-tn-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "campusFamilyId": "campus-tn-440002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-west-tennessee-healthcare-jackson-madison-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to JACKSON MADISON COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to JACKSON MADISON COUNTY GENERAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440006",
      "ccn": "440006",
      "name": "TRISTAR SKYLINE MEDICAL CENTER",
      "address": "3441 DICKERSON PIKE",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37207",
      "county": "DAVIDSON",
      "latitude": 36.2453409299475,
      "longitude": -86.7496189803225,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 407,
      "rating": 2,
      "website": "http://tristarskyline.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-tristar-skyline-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440007",
      "ccn": "440007",
      "name": "UNITY MEDICAL CENTER",
      "address": "481 INTERSTATE DRIVE",
      "city": "MANCHESTER",
      "state": "TN",
      "zip": "37355",
      "county": "COFFEE",
      "latitude": 35.4968799700304,
      "longitude": -86.0784012199147,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 3,
      "website": "http://www.unitymedicalmanchester.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manchester-unity-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UNITY MEDICAL CENTER INC",
      "parentSystemId": "entity-unity-medical-center-inc",
      "siblingGroupId": "siblings-tn-unity-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-unity-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNITY MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to UNITY MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNITY MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to UNITY MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITY MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440008",
      "ccn": "440008",
      "name": "HENDERSON COUNTY COMMUNITY HOSPITAL",
      "address": "200 WEST CHURCH STREET",
      "city": "LEXINGTON",
      "state": "TN",
      "zip": "38351",
      "county": "HENDERSON",
      "latitude": 35.6553019298829,
      "longitude": -88.3986641402658,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 45,
      "rating": null,
      "website": "http://www.hendersoncchospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lexington-henderson-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Braden Health",
      "parentSystemId": "entity-braden-health",
      "siblingGroupId": "siblings-tn-braden-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-braden-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRADEN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to BRADEN HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Braden Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRADEN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to BRADEN HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Braden Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440009",
      "ccn": "440009",
      "name": "CUMBERLAND MEDICAL CENTER, INC",
      "address": "421 SOUTH MAIN STREET",
      "city": "CROSSVILLE",
      "state": "TN",
      "zip": "38555",
      "county": "CUMBERLAND",
      "latitude": 35.9433250002051,
      "longitude": -85.0220313599556,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 189,
      "rating": 4,
      "website": "http://www.cmchealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crossville-cumberland-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440011",
      "ccn": "440011",
      "name": "BLOUNT MEMORIAL HOSPITAL",
      "address": "907 EAST LAMAR ALEXANDER PARKWAY",
      "city": "MARYVILLE",
      "state": "TN",
      "zip": "37804",
      "county": "BLOUNT",
      "latitude": 35.7564622400198,
      "longitude": -83.9587150497884,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 304,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-maryville-blount-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Prisma Health",
      "parentSystemId": "entity-prisma-health",
      "siblingGroupId": "siblings-tn-prisma-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-prisma-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRISMA HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KRISTI A LAWRENCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to PRISMA HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PRISMA HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KRISTI A LAWRENCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to PRISMA HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prisma Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440012",
      "ccn": "440012",
      "name": "BRISTOL REGIONAL MEDICAL CENTER",
      "address": "1 MEDICAL PARK BLVD",
      "city": "BRISTOL",
      "state": "TN",
      "zip": "37620",
      "county": "SULLIVAN",
      "latitude": 36.5855164501182,
      "longitude": -82.2569232696606,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 312,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bristol-bristol-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WELLMONT BRISTOL REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-wellmont-bristol-regional-medical-center",
      "siblingGroupId": "siblings-tn-wellmont-bristol-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-government-hospital-district-or-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Government - Hospital District or Authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLMONT BRISTOL REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Government - Hospital District or Authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WELLMONT BRISTOL REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440016",
      "ccn": "440016",
      "name": "BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY",
      "address": "631 RB WILSON DRIVE",
      "city": "HUNTINGDON",
      "state": "TN",
      "zip": "38344",
      "county": "CARROLL",
      "latitude": 36.0231673398151,
      "longitude": -88.41240858959,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": 4,
      "website": "http://www.baptistonline.org/huntingdon/",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntingdon-baptist-memorial-hospital---carroll-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-tn-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440017",
      "ccn": "440017",
      "name": "HOLSTON VALLEY MEDICAL CENTER",
      "address": "130 WEST RAVINE ROAD",
      "city": "KINGSPORT",
      "state": "TN",
      "zip": "37660",
      "county": "SULLIVAN",
      "latitude": 36.5541031696529,
      "longitude": -82.5546072499219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 505,
      "rating": 2,
      "website": "http://www.wellmont.org",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Wellmont",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellmont",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingsport-holston-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellmont; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellmont. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellmont; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellmont. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440018",
      "ccn": "440018",
      "name": "SYCAMORE SHOALS HOSPITAL",
      "address": "1501 WEST ELK AVENUE",
      "city": "ELIZABETHTON",
      "state": "TN",
      "zip": "37643",
      "county": "CARTER",
      "latitude": 36.3458670599486,
      "longitude": -82.2500016704465,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 121,
      "rating": 2,
      "website": "http://www.msha.com/hospitals/sycamore_shoals_hospital_l_elizabethton_tn.aspx",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Msha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Msha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elizabethton-sycamore-shoals-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440020",
      "ccn": "440020",
      "name": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI",
      "address": "1265 EAST COLLEGE STREET",
      "city": "PULASKI",
      "state": "TN",
      "zip": "38478",
      "county": "GILES",
      "latitude": 35.1892409401523,
      "longitude": -87.0041213904405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 95,
      "rating": 3,
      "website": "http://www.southerntennessee.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pulaski-southern-tennessee-regional-health-system-pulaski/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440029",
      "ccn": "440029",
      "name": "WILLIAMSON MEDICAL CENTER",
      "address": "4321 CAROTHERS PARKWAY",
      "city": "FRANKLIN",
      "state": "TN",
      "zip": "37067",
      "county": "WILLIAMSON",
      "latitude": 35.9161622596868,
      "longitude": -86.8192500399398,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 203,
      "rating": 5,
      "website": "http://www.williamsonmedicalcenter.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-williamson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WILLIAMSON COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-williamson-county-hospital-district",
      "siblingGroupId": "siblings-tn-williamson-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-williamson-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: WILLIAMSON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PHILLIP J MAZZUCA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to WILLIAMSON COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAMSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WILLIAMSON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists PHILLIP J MAZZUCA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to WILLIAMSON COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAMSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440031",
      "ccn": "440031",
      "name": "ROANE MEDICAL CENTER",
      "address": "8045 ROANE MEDICAL CENTER DRIVE",
      "city": "HARRIMAN",
      "state": "TN",
      "zip": "37748",
      "county": "ROANE",
      "latitude": 35.8886048599404,
      "longitude": -84.5560070597157,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 54,
      "rating": 4,
      "website": "http://www.roanemedical.com/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harriman-roane-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440032",
      "ccn": "440032",
      "name": "HAWKINS COUNTY MEMORIAL HOSPITAL",
      "address": "851 LOCUST STREET",
      "city": "ROGERSVILLE",
      "state": "TN",
      "zip": "37857",
      "county": "HAWKINS",
      "latitude": 36.4002192701057,
      "longitude": -83.0142335699436,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": null,
      "website": "http://www.wellmont.org",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Wellmont",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellmont",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rogersville-hawkins-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellmont; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellmont. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellmont; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellmont. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440033",
      "ccn": "440033",
      "name": "TENNOVA HEALTHCARE - LAFOLLETTE MEDICAL CENTER",
      "address": "923 EAST CENTRAL AVENUE",
      "city": "LAFOLLETTE",
      "state": "TN",
      "zip": "37766",
      "county": "CAMPBELL",
      "latitude": 36.3888710403244,
      "longitude": -84.111469780149,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 66,
      "rating": 3,
      "website": "http://www.tennovaeast.com/locations/lafollette-medical-center",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Tennovaeast",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tennovaeast",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lafollette-tennova-healthcare---lafollette-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tn-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovaeast; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovaeast. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovaeast; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovaeast. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440034",
      "ccn": "440034",
      "name": "METHODIST MEDICAL CENTER OF OAK RIDGE",
      "address": "990 OAK RIDGE TURNPIKE",
      "city": "OAK RIDGE",
      "state": "TN",
      "zip": "37830",
      "county": "ANDERSON",
      "latitude": 36.0245451097376,
      "longitude": -84.2450855296822,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 301,
      "rating": 4,
      "website": "http://www.mmcoakridge.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oak-ridge-methodist-medical-center-of-oak-ridge/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440035",
      "ccn": "440035",
      "name": "TENNOVA HEALTHCARE - CLARKSVILLE",
      "address": "651 DUNLOP LANE",
      "city": "CLARKSVILLE",
      "state": "TN",
      "zip": "37040",
      "county": "MONTGOMERY",
      "latitude": 36.5819763999318,
      "longitude": -87.2704735196922,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 270,
      "rating": 1,
      "website": "http://www.tennovamiddle.com/locations/tennova-healthcare-clarksville",
      "status": "corporate_chain",
      "parentSystem": "VANDERBILT MONTGOMERY HOLDINGS LLC",
      "affiliatedSystem": "Tennovamiddle",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tennovamiddle",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarksville-tennova-healthcare---clarksville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-vanderbilt-montgomery-holdings-llc",
      "siblingGroupId": "siblings-tn-vanderbilt-montgomery-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDERBILT MONTGOMERY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovamiddle; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovamiddle. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT MONTGOMERY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDERBILT MONTGOMERY HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovamiddle; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovamiddle. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT MONTGOMERY HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440039",
      "ccn": "440039",
      "name": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "address": "1211 MEDICAL CENTER DRIVE",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37232",
      "county": "DAVIDSON",
      "latitude": 36.1408360097669,
      "longitude": -86.8021667000283,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1175,
      "rating": 5,
      "website": "http://www.mc.vanderbilt.edu/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "parentSystemId": "entity-vanderbilt-university-medical-center",
      "siblingGroupId": "siblings-tn-vanderbilt-university-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440046",
      "ccn": "440046",
      "name": "TRISTAR HORIZON MEDICAL CENTER",
      "address": "111 HIGHWAY 70 EAST",
      "city": "DICKSON",
      "state": "TN",
      "zip": "37055",
      "county": "DICKSON",
      "latitude": 36.0733061698868,
      "longitude": -87.3757271596119,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 158,
      "rating": 3,
      "website": "http://tristarhorizon.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dickson-tristar-horizon-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF TENNESSEE, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF TENNESSEE, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440048",
      "ccn": "440048",
      "name": "BAPTIST MEMORIAL HOSPITAL",
      "address": "6019 WALNUT GROVE ROAD",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38120",
      "county": "SHELBY",
      "latitude": 35.1299666547254,
      "longitude": -89.8614474816161,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 927,
      "rating": 3,
      "website": "http://www.baptistonline.org/memphis/",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-baptist-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-tn-baptist-memorial-health-care",
      "campusFamilyId": "campus-tn-440048",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440048-loc-tn-memphis-baptist-memorial-hospital-for-women",
      "ccn": "440048",
      "name": "BAPTIST MEMORIAL HOSPITAL FOR WOMEN",
      "address": "6225 HUMPHREYS BOULEVARD",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38120",
      "county": "SHELBY",
      "latitude": 35.1278750197748,
      "longitude": -89.8552946696052,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 927,
      "rating": 3,
      "website": "http://www.baptistonline.org/womens/",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-baptist-memorial-hospital-for-women/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-tn-baptist-memorial-health-care",
      "campusFamilyId": "campus-tn-440048",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "440048"
    },
    {
      "id": "440050",
      "ccn": "440050",
      "name": "GREENEVILLE COMMUNITY HOSPITAL",
      "address": "1420 TUSCULUM BOULEVARD",
      "city": "GREENEVILLE",
      "state": "TN",
      "zip": "37745",
      "county": "GREENE",
      "latitude": 36.1735333697127,
      "longitude": -82.790238510118,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 140,
      "rating": 2,
      "website": "http://www.laughlinmemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ballad Health",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440053",
      "ccn": "440053",
      "name": "SAINT THOMAS RUTHERFORD HOSPITAL",
      "address": "1700 MEDICAL CENTER PARKWAY",
      "city": "MURFREESBORO",
      "state": "TN",
      "zip": "37129",
      "county": "RUTHERFORD",
      "latitude": 35.8605791197754,
      "longitude": -86.4250313798716,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 358,
      "rating": 3,
      "website": "http://www.sthealth.com/locations/saint-thomas-rutherford-hospital",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Sthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murfreesboro-saint-thomas-rutherford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tn-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440056",
      "ccn": "440056",
      "name": "TENNOVA HEALTHCARE - JEFFERSON MEMORIAL HOSPITAL",
      "address": "110 HOSPITAL DRIVE",
      "city": "JEFFERSON CITY",
      "state": "TN",
      "zip": "37760",
      "county": "JEFFERSON",
      "latitude": 36.106638439721,
      "longitude": -83.5189094097238,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 58,
      "rating": 2,
      "website": "http://www.tennovaeast.com/locations/jefferson-memorial-hospital",
      "status": "corporate_chain",
      "parentSystem": "HEALTH MANAGEMENT ASSOCIATES LLC",
      "affiliatedSystem": "Tennovaeast",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tennovaeast",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jefferson-city-tennova-healthcare---jefferson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-health-management-associates-llc",
      "siblingGroupId": "siblings-tn-health-management-associates-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH MANAGEMENT ASSOCIATES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovaeast; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovaeast. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH MANAGEMENT ASSOCIATES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH MANAGEMENT ASSOCIATES LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovaeast; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovaeast. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH MANAGEMENT ASSOCIATES LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440057",
      "ccn": "440057",
      "name": "CLAIBORNE MEDICAL CENTER",
      "address": "1850 OLD KNOXVILLE ROAD",
      "city": "TAZEWELL",
      "state": "TN",
      "zip": "37879",
      "county": "CLAIBORNE",
      "latitude": 36.4528338899042,
      "longitude": -83.5722757201306,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 85,
      "rating": null,
      "website": "http://www.claibornehospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440058",
      "ccn": "440058",
      "name": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM WINCHESTER",
      "address": "185 HOSPITAL ROAD",
      "city": "WINCHESTER",
      "state": "TN",
      "zip": "37398",
      "county": "FRANKLIN",
      "latitude": 35.1758866697123,
      "longitude": -86.0901314298779,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 152,
      "rating": 3,
      "website": "http://www.southerntennessee.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winchester-southern-tennessee-regional-health-system-winchester/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ADAM M MARTIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ADAM M MARTIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440059",
      "ccn": "440059",
      "name": "COOKEVILLE REGIONAL MEDICAL CENTER",
      "address": "1 MEDICAL CENTER BOULEVARD",
      "city": "COOKEVILLE",
      "state": "TN",
      "zip": "38501",
      "county": "PUTNAM",
      "latitude": 36.1693267898291,
      "longitude": -85.5087625802827,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 269,
      "rating": 2,
      "website": "http://www.crmchealth.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cookeville-cookeville-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COOKEVILLE REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-cookeville-regional-medical-center",
      "siblingGroupId": "siblings-tn-cookeville-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-cookeville-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS lists MARILYN C KEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to COOKEVILLE REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOKEVILLE REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARILYN C KEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to COOKEVILLE REGIONAL MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOKEVILLE REGIONAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440060",
      "ccn": "440060",
      "name": "WEST TENNESSEE HEALTHCARE MILAN HOSPITAL",
      "address": "4039 SOUTH HIGHLAND",
      "city": "MILAN",
      "state": "TN",
      "zip": "38358",
      "county": "GIBSON",
      "latitude": 35.9122864099512,
      "longitude": -88.7541413196709,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 70,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "West Tennessee Healthcare / Jackson-Madison County Hospital District",
      "parentSystemId": "entity-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "siblingGroupId": "siblings-tn-west-tennessee-healthcare-jackson-madison-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-west-tennessee-healthcare-jackson-madison-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.wth.org/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JACKSON MADISON COUNTY GENERAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Tennessee Healthcare / Jackson-Madison County Hospital District, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440063",
      "ccn": "440063",
      "name": "JOHNSON CITY MEDICAL CENTER",
      "address": "400 NORTH STATE OF FRANKLIN ROAD",
      "city": "JOHNSON CITY",
      "state": "TN",
      "zip": "37604",
      "county": "WASHINGTON",
      "latitude": 36.3078430999073,
      "longitude": -82.384562639898,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 585,
      "rating": 1,
      "website": "http://www.msha.com",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Msha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Msha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-johnson-city-johnson-city-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440065",
      "ccn": "440065",
      "name": "TRISTAR NORTHCREST MEDICAL CENTER",
      "address": "100 NORTHCREST DRIVE",
      "city": "SPRINGFIELD",
      "state": "TN",
      "zip": "37172",
      "county": "ROBERTSON",
      "latitude": 36.4784800798523,
      "longitude": -86.8869019304249,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 109,
      "rating": 3,
      "website": "http://www.northcrest.com",
      "status": "signal",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-tristar-northcrest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440068",
      "ccn": "440068",
      "name": "STARR REGIONAL MEDICAL CENTER",
      "address": "1114 WEST MADISON STREET",
      "city": "ATHENS",
      "state": "TN",
      "zip": "37303",
      "county": "MCMINN",
      "latitude": 35.4408149899204,
      "longitude": -84.6073528704023,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 190,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-athens-starr-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440073",
      "ccn": "440073",
      "name": "MAURY REGIONAL HOSPITAL",
      "address": "1224 TROTWOOD AVENUE",
      "city": "COLUMBIA",
      "state": "TN",
      "zip": "38401",
      "county": "MAURY",
      "latitude": 35.6071638701408,
      "longitude": -87.0668911098329,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 255,
      "rating": 3,
      "website": "http://www.mauryregional.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-maury-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAURY COUNTY GOVERNMENT",
      "parentSystemId": "entity-maury-county-government",
      "siblingGroupId": "siblings-tn-maury-county-government",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAURY COUNTY GOVERNMENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD D SCHEFKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAURY COUNTY GOVERNMENT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAURY COUNTY GOVERNMENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD D SCHEFKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAURY COUNTY GOVERNMENT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440081",
      "ccn": "440081",
      "name": "LECONTE MEDICAL CENTER",
      "address": "742 MIDDLE CREEK ROAD",
      "city": "SEVIERVILLE",
      "state": "TN",
      "zip": "37862",
      "county": "SEVIER",
      "latitude": 35.8559232099569,
      "longitude": -83.5352199802004,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 79,
      "rating": 5,
      "website": "http://www.lecontemedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sevierville-leconte-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440084",
      "ccn": "440084",
      "name": "SWEETWATER HOSPITAL ASSOCIATION",
      "address": "304 WRIGHT STREET",
      "city": "SWEETWATER",
      "state": "TN",
      "zip": "37874",
      "county": "MONROE",
      "latitude": 35.6006938402452,
      "longitude": -84.464284629733,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 59,
      "rating": 1,
      "website": "http://www.sweetwaterhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sweetwater-sweetwater-hospital-association/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SWEETWATER HOSPITAL ASSOCIATION",
      "parentSystemId": "entity-sweetwater-hospital-association",
      "siblingGroupId": "siblings-tn-sweetwater-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-sweetwater-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SWEETWATER HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SWEETWATER HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SWEETWATER HOSPITAL ASSOCIATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SWEETWATER HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440091",
      "ccn": "440091",
      "name": "MEMORIAL HEALTH CARE SYSTEM - AND HIXSON",
      "address": "2525 DESALES AVENUE",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37404",
      "county": "HAMILTON",
      "latitude": 35.041574610281,
      "longitude": -85.2600266203652,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 423,
      "rating": 5,
      "website": "http://www.memorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CommonSpirit Health",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tn-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CRAIG A NIELSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to COMMONSPIRIT HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists CRAIG A NIELSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to COMMONSPIRIT HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440102",
      "ccn": "440102",
      "name": "LINCOLN MEDICAL CENTER",
      "address": "106 MEDICAL CENTER BOULEVARD",
      "city": "FAYETTEVILLE",
      "state": "TN",
      "zip": "37334",
      "county": "LINCOLN",
      "latitude": 35.1496072500229,
      "longitude": -86.5552772101093,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 49,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fayetteville-lincoln-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE",
      "parentSystemId": "entity-the-health-care-authority-of-the-city-of-huntsville",
      "siblingGroupId": "siblings-tn-the-health-care-authority-of-the-city-of-huntsville",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-the-health-care-authority-of-the-city-of-huntsville"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARY SEALS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARY SEALS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440104",
      "ccn": "440104",
      "name": "ERLANGER MEDICAL CENTER",
      "address": "975 EAST THIRD STREET",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37403",
      "county": "HAMILTON",
      "latitude": 35.0488941301404,
      "longitude": -85.2900474502862,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 848,
      "rating": 4,
      "website": "http://www.erlanger.org/baroness-hospital/baroness-hospital",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chattanooga-erlanger-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "Chattanooga-Hamilton County Hospital Authority / Erlanger",
      "parentSystemId": "entity-chattanooga-hamilton-county-hospital-authority-erlanger",
      "siblingGroupId": "siblings-tn-chattanooga-hamilton-county-hospital-authority-erlanger",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-chattanooga-hamilton-county-hospital-authority-erlanger"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.erlanger.org/-/media/erlanger-media/file/policies/ehs-compliance-program-approved-08-13-20.ashx"
      ],
      "ownershipProofNotes": "CMS owner candidate: ERLANGER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to ERLANGER HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Chattanooga-Hamilton County Hospital Authority / Erlanger, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ERLANGER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to ERLANGER HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Chattanooga-Hamilton County Hospital Authority / Erlanger, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440109",
      "ccn": "440109",
      "name": "HARDIN MEDICAL CENTER",
      "address": "935 WAYNE ROAD",
      "city": "SAVANNAH",
      "state": "TN",
      "zip": "38372",
      "county": "HARDIN",
      "latitude": 35.2279311201501,
      "longitude": -88.2303470803648,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 58,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-savannah-hardin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "HARDIN COUNTY GOVERMENT",
      "parentSystemId": "entity-hardin-county-goverment",
      "siblingGroupId": "siblings-tn-hardin-county-goverment",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hardin-county-goverment"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARDIN COUNTY GOVERMENT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HARDIN COUNTY GOVERMENT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARDIN COUNTY GOVERMENT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HARDIN COUNTY GOVERMENT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HARDIN COUNTY GOVERMENT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARDIN COUNTY GOVERMENT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440110",
      "ccn": "440110",
      "name": "FORT LOUDOUN MEDICAL CENTER",
      "address": "550 FORT LOUDOUN MEDICAL CENTER DR",
      "city": "LENOIR CITY",
      "state": "TN",
      "zip": "37772",
      "county": "LOUDON",
      "latitude": 35.8251721702038,
      "longitude": -84.2701807900009,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 50,
      "rating": 4,
      "website": "http://www.ftloudoun.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lenoir-city-fort-loudoun-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440125",
      "ccn": "440125",
      "name": "FORT SANDERS REGIONAL MEDICAL CENTER",
      "address": "1901 CLINCH AVENUE",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37916",
      "county": "KNOX",
      "latitude": 35.9570317203372,
      "longitude": -83.9372099002145,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 517,
      "rating": 3,
      "website": "http://www.covenanthealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-knoxville-fort-sanders-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440130",
      "ccn": "440130",
      "name": "BAPTIST MEMORIAL HOSPITAL - UNION CITY",
      "address": "1201 BISHOP STREET",
      "city": "UNION CITY",
      "state": "TN",
      "zip": "38261",
      "county": "OBION",
      "latitude": 36.4142337797455,
      "longitude": -89.0449685797427,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 137,
      "rating": 4,
      "website": "http://www.baptistonline.org/union-city/",
      "status": "corporate_chain",
      "parentSystem": "Baptist Memorial Health Care",
      "affiliatedSystem": "Baptistonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baptistonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-union-city-baptist-memorial-hospital---union-city/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-tn-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptistonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440131",
      "ccn": "440131",
      "name": "BAPTIST MEMORIAL HOSPITAL - TIPTON",
      "address": "1995 HIGHWAY 51 SOUTH",
      "city": "COVINGTON",
      "state": "TN",
      "zip": "38019",
      "county": "TIPTON",
      "latitude": 35.5357101600285,
      "longitude": -89.6776066900875,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 100,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-baptist-memorial-hospital-tipton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Baptist Memorial Health Care",
      "parentSystemId": "entity-baptist-memorial-health-care",
      "siblingGroupId": "siblings-tn-baptist-memorial-health-care",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-baptist-memorial-health-care"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.baptistonline.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BAPTIST MEMORIAL HEALTH CARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baptist Memorial Health Care, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440137",
      "ccn": "440137",
      "name": "VANDERBILT BEDFORD HOSPITAL",
      "address": "2835 HIGHWAY 231 NORTH",
      "city": "SHELBYVILLE",
      "state": "TN",
      "zip": "37160",
      "county": "BEDFORD",
      "latitude": 35.5639230000279,
      "longitude": -86.4487763995547,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": 4,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shelbyville-vanderbilt-bedford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "parentSystemId": "entity-vanderbilt-university-medical-center",
      "siblingGroupId": "siblings-tn-vanderbilt-university-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "44013F",
      "ccn": "44013F",
      "name": "MEMPHIS VA MEDICAL CENTER",
      "address": "1030 JEFFERSON AVENUE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38104",
      "county": "SHELBY",
      "latitude": 35.1435207502103,
      "longitude": -90.0263436796601,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 280,
      "rating": 3,
      "website": "https://www.memphis.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tn-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440144",
      "ccn": "440144",
      "name": "VANDERBILT TULLAHOMA - HARTON HOSPITAL",
      "address": "1801 NORTH JACKSON STREET",
      "city": "TULLAHOMA",
      "state": "TN",
      "zip": "37388",
      "county": "COFFEE",
      "latitude": 35.3821029198557,
      "longitude": -86.2312598197766,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 135,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tullahoma-vanderbilt-tullahoma-harton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "parentSystemId": "entity-vanderbilt-university-medical-center",
      "siblingGroupId": "siblings-tn-vanderbilt-university-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440150",
      "ccn": "440150",
      "name": "TRISTAR SUMMIT MEDICAL CENTER",
      "address": "5655 FRIST BOULEVARD",
      "city": "HERMITAGE",
      "state": "TN",
      "zip": "37076",
      "county": "DAVIDSON",
      "latitude": 36.176379430123,
      "longitude": -86.6083751596047,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 218,
      "rating": 4,
      "website": "http://tristarsummit.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hermitage-tristar-summit-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440151",
      "ccn": "440151",
      "name": "SAINT THOMAS RIVER PARK HOSPITAL, LLC",
      "address": "1559 SPARTA STREET",
      "city": "MC MINNVILLE",
      "state": "TN",
      "zip": "37110",
      "county": "WARREN",
      "latitude": 35.6998444897527,
      "longitude": -85.7429789202444,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 125,
      "rating": 3,
      "website": "http://www.sthealth.com/locations/saint-thomas-river-park-hospital",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Sthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tn-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440152",
      "ccn": "440152",
      "name": "REGIONAL ONE HEALTH",
      "address": "877 JEFFERSON AVENUE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38103",
      "county": "SHELBY",
      "latitude": 35.1418039800323,
      "longitude": -90.0318288296158,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 625,
      "rating": 1,
      "website": "http://www.regionalonehealth.org/regional-medical-center/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-regional-one-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SHELBY COUNTY HEALTH CARE CORPORATION",
      "parentSystemId": "entity-shelby-county-health-care-corporation",
      "siblingGroupId": "siblings-tn-shelby-county-health-care-corporation",
      "campusFamilyId": "campus-tn-440152",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-shelby-county-health-care-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SHELBY COUNTY HEALTH CARE CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SHELBY COUNTY HEALTH CARE CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "440152-loc-tn-memphis-regional-one-health-extended-care-hospital",
      "ccn": "440152",
      "name": "REGIONAL ONE HEALTH EXTENDED CARE HOSPITAL",
      "address": "890 MADISON AVENUE 4TH FLOOR",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38103",
      "county": "SHELBY",
      "latitude": 35.1408426803424,
      "longitude": -90.0319525698513,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 30,
      "rating": 1,
      "website": "http://www.regionalonehealth.org/extended-care-hospital/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-regional-one-health-extended-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SHELBY COUNTY HEALTH CARE CORPORATION",
      "parentSystemId": "entity-shelby-county-health-care-corporation",
      "siblingGroupId": "siblings-tn-shelby-county-health-care-corporation",
      "campusFamilyId": "campus-tn-440152",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-shelby-county-health-care-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SHELBY COUNTY HEALTH CARE CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SHELBY COUNTY HEALTH CARE CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHELBY COUNTY HEALTH CARE CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "440152"
    },
    {
      "id": "440153",
      "ccn": "440153",
      "name": "TENNOVA HEALTHCARE - NEWPORT MEDICAL CENTER",
      "address": "435 SECOND STREET",
      "city": "NEWPORT",
      "state": "TN",
      "zip": "37821",
      "county": "COCKE",
      "latitude": 35.9642039203252,
      "longitude": -83.1821986699163,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 74,
      "rating": 4,
      "website": "http://www.tennovaeast.com/locations/newport-medical-center",
      "status": "corporate_chain",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Tennovaeast",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tennovaeast",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tn-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovaeast; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovaeast. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovaeast; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovaeast. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440156",
      "ccn": "440156",
      "name": "PARKRIDGE MEDICAL CENTER, INC",
      "address": "2333 MCCALLIE AVENUE",
      "city": "CHATTANOOGA",
      "state": "TN",
      "zip": "37404",
      "county": "HAMILTON",
      "latitude": 35.0349294896639,
      "longitude": -85.2674822796939,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 621,
      "rating": 4,
      "website": "http://www.parkridgemedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chattanooga-parkridge-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440159",
      "ccn": "440159",
      "name": "DELTA SPECIALTY HOSPITAL",
      "address": "3000 GETWELL ROAD",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38118",
      "county": "SHELBY",
      "latitude": 35.0670674597841,
      "longitude": -89.9311511897871,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 223,
      "rating": null,
      "website": "http://www.deltamedcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "DELTA SPECIALTY HOSPITAL",
      "parentSystemId": "entity-delta-specialty-hospital",
      "siblingGroupId": "siblings-tn-delta-specialty-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-proprietary"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. TN resolution: normalized CMS owner/operator to Proprietary; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DELTA SPECIALTY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440161",
      "ccn": "440161",
      "name": "TRISTAR CENTENNIAL MEDICAL CENTER",
      "address": "2300 PATTERSON STREET",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37203",
      "county": "DAVIDSON",
      "latitude": 36.1537518202089,
      "longitude": -86.8090048601257,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 741,
      "rating": 4,
      "website": "http://www.tristarcentennial.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-tristar-centennial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440173",
      "ccn": "440173",
      "name": "PARKWEST MEDICAL CENTER",
      "address": "9352 PARK WEST BOULEVARD",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37923",
      "county": "KNOX",
      "latitude": 35.9170724497543,
      "longitude": -84.1006437900963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 492,
      "rating": 3,
      "website": "http://www.yesparkwest.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-knoxville-parkwest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COVENANT HEALTH",
      "parentSystemId": "entity-covenant-health",
      "siblingGroupId": "siblings-tn-covenant-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COVENANT HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COVENANT HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440175",
      "ccn": "440175",
      "name": "SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG",
      "address": "1607 SOUTH LOCUST AVENUE",
      "city": "LAWRENCEBURG",
      "state": "TN",
      "zip": "38464",
      "county": "LAWRENCE",
      "latitude": 35.2219545997413,
      "longitude": -87.3383033296041,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 99,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lawrenceburg-southern-tennessee-regional-health-system-lawrenceburg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tn-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ERIC RHEE PERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ERIC RHEE PERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440176",
      "ccn": "440176",
      "name": "INDIAN PATH COMMUNITY HOSPITAL",
      "address": "2000 BROOKSIDE DRIVE",
      "city": "KINGSPORT",
      "state": "TN",
      "zip": "37660",
      "county": "SULLIVAN",
      "latitude": 36.5508090300645,
      "longitude": -82.5142761401764,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 239,
      "rating": null,
      "website": "http://www.msha.com",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Msha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Msha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440184",
      "ccn": "440184",
      "name": "FRANKLIN WOODS COMMUNITY HOSPITAL",
      "address": "300 MED TECH PARKWAY",
      "city": "JOHNSON CITY",
      "state": "TN",
      "zip": "37604",
      "county": "WASHINGTON",
      "latitude": 36.3363038301017,
      "longitude": -82.4020644698661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 80,
      "rating": 3,
      "website": "https://www.mountainstateshealth.com/fwch",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-johnson-city-franklin-woods-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ballad Health",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440187",
      "ccn": "440187",
      "name": "LIVINGSTON REGIONAL HOSPITAL",
      "address": "315 OAK STREET",
      "city": "LIVINGSTON",
      "state": "TN",
      "zip": "38570",
      "county": "OVERTON",
      "latitude": 36.3852291098418,
      "longitude": -85.3275844204091,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 114,
      "rating": 2,
      "website": "http://www.livingstonregionalhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-livingston-livingston-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tn-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440192",
      "ccn": "440192",
      "name": "SAINT THOMAS HIGHLANDS HOSPITAL, LLC",
      "address": "401 SEWELL ROAD",
      "city": "SPARTA",
      "state": "TN",
      "zip": "38583",
      "county": "WHITE",
      "latitude": 35.9491612901496,
      "longitude": -85.4772371504143,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "website": "http://www.sthealth.com/locations/saint-thomas-highlands-hospital",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Sthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sparta-saint-thomas-highlands-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tn-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440193",
      "ccn": "440193",
      "name": "VANDERBILT WILSON COUNTY HOSPITAL",
      "address": "1411 W BADDOUR PARKWAY",
      "city": "LEBANON",
      "state": "TN",
      "zip": "37087",
      "county": "WILSON",
      "latitude": 36.221605649783,
      "longitude": -86.3276203198432,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 245,
      "rating": 5,
      "website": "http://www.tennovamiddle.com/locations/tennova-healthcare-lebanon",
      "status": "signal",
      "parentSystem": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "affiliatedSystem": "Tennovamiddle",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Tennovamiddle",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-vanderbilt-university-medical-center",
      "siblingGroupId": "siblings-tn-vanderbilt-university-medical-center",
      "campusFamilyId": "campus-tn-440193",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovamiddle; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovamiddle. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovamiddle; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovamiddle. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440193-loc-tn-lebanon-vanderbilt-wilson-county-hospital-satellite",
      "ccn": "440193",
      "name": "VANDERBILT WILSON COUNTY HOSPITAL - SATELLITE",
      "address": "500 PARK AVENUE",
      "city": "LEBANON",
      "state": "TN",
      "zip": "37087",
      "county": "WILSON",
      "latitude": 36.203294190166,
      "longitude": -86.2831346698936,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 245,
      "rating": 5,
      "website": "http://www.tennovamiddle.com/locations/tennova-healthcare-lebanon",
      "status": "signal",
      "parentSystem": "VANDERBILT UNIVERSITY MEDICAL CENTER",
      "affiliatedSystem": "Tennovamiddle",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Tennovamiddle",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-vanderbilt-university-medical-center",
      "siblingGroupId": "siblings-tn-vanderbilt-university-medical-center",
      "campusFamilyId": "campus-tn-440193",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovamiddle; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovamiddle. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDERBILT UNIVERSITY MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tennovamiddle; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Tennovamiddle. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDERBILT UNIVERSITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "440193"
    },
    {
      "id": "440194",
      "ccn": "440194",
      "name": "TRISTAR HENDERSONVILLE MEDICAL CENTER",
      "address": "355 NEW SHACKLE ISLAND ROAD",
      "city": "HENDERSONVILLE",
      "state": "TN",
      "zip": "37075",
      "county": "SUMNER",
      "latitude": 36.3248186201277,
      "longitude": -86.6222338297173,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 159,
      "rating": 4,
      "website": "http://tristarhendersonville.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hendersonville-tristar-hendersonville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440197",
      "ccn": "440197",
      "name": "TRISTAR SOUTHERN HILLS MEDICAL CENTER",
      "address": "391 WALLACE ROAD",
      "city": "NASHVILLE",
      "state": "TN",
      "zip": "37211",
      "county": "DAVIDSON",
      "latitude": 36.0763823703153,
      "longitude": -86.7218921296335,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 127,
      "rating": 4,
      "website": "http://tristarsouthernhills.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nashville-tristar-southern-hills-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440200",
      "ccn": "440200",
      "name": "SAINT THOMAS STONES RIVER HOSPITAL, LLC",
      "address": "324 DOOLITTLE ROAD",
      "city": "WOODBURY",
      "state": "TN",
      "zip": "37190",
      "county": "CANNON",
      "latitude": 35.8327108897399,
      "longitude": -86.0718428401126,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "website": "http://www.sthealth.com/locations/saint-thomas-stones-river-hospital",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Sthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodbury-saint-thomas-stones-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tn-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "440227",
      "ccn": "440227",
      "name": "TRISTAR STONECREST MEDICAL CENTER",
      "address": "200 STONECREST BLVD",
      "city": "SMYRNA",
      "state": "TN",
      "zip": "37167",
      "county": "RUTHERFORD",
      "latitude": 35.9750342602724,
      "longitude": -86.5652021602876,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 115,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-smyrna-tristar-stonecrest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC D SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIC D SMITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440231",
      "ccn": "440231",
      "name": "TRUSTPOINT HOSPITAL",
      "address": "1009 NORTH THOMPSON LANE",
      "city": "MURFREESBORO",
      "state": "TN",
      "zip": "37129",
      "county": "RUTHERFORD",
      "latitude": 35.8638913296577,
      "longitude": -86.4303280596875,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 217,
      "rating": null,
      "website": "http://www.trustpointhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murfreesboro-trustpoint-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Acadia Healthcare",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-tn-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440238",
      "ccn": "440238",
      "name": "HAYWOOD COUNTY COMMUNITY HOSPITAL",
      "address": "2545 NORTH WASHINGTON AVENUE",
      "city": "BROWNSVILLE",
      "state": "TN",
      "zip": "38012",
      "county": "HAYWOOD",
      "latitude": 35.6105722400811,
      "longitude": -89.2429765596833,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": null,
      "website": "http://www.haywoodparkcommunity.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Braden Health",
      "parentSystemId": "entity-braden-health",
      "siblingGroupId": "siblings-tn-braden-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-braden-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRADEN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BEAU R BRADEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to BRADEN HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Braden Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRADEN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BEAU R BRADEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to BRADEN HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Braden Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "440779",
      "ccn": "440779",
      "name": "TRISTAR ASHLAND CITY MEDICAL CENTER",
      "address": "313 NORTH MAIN STREET",
      "city": "ASHLAND CITY",
      "state": "TN",
      "zip": "37015",
      "county": "CHEATHAM",
      "latitude": 36.2771195898162,
      "longitude": -87.0655947303852,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Proprietary",
      "beds": 12,
      "rating": null,
      "website": "http://tristarashlandcity.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ashland-city-tristar-ashland-city-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tn-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "440780",
      "ccn": "440780",
      "name": "WAYNE MEDICAL CENTER",
      "address": "103 MANGUBAT DRIVE",
      "city": "WAYNESBORO",
      "state": "TN",
      "zip": "38485",
      "county": "WAYNE",
      "latitude": 35.3247529297976,
      "longitude": -87.7568843298221,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waynesboro-wayne-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAURY COUNTY GOVERNMENT",
      "parentSystemId": "entity-maury-county-government",
      "siblingGroupId": "siblings-tn-maury-county-government",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAURY COUNTY GOVERNMENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAURY COUNTY GOVERNMENT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAURY COUNTY GOVERNMENT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAURY COUNTY GOVERNMENT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "441300",
      "ccn": "441300",
      "name": "SAINT THOMAS HICKMAN HOSPITAL",
      "address": "135 EAST SWAN STREET",
      "city": "CENTERVILLE",
      "state": "TN",
      "zip": "37033",
      "county": "HICKMAN",
      "latitude": 35.779486900344,
      "longitude": -87.4589601104094,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.sthealth.com/locations/saint-thomas-hickman-hospital",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Sthealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sthealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-centerville-saint-thomas-hickman-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tn-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JUSTIN MCELROY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JUSTIN MCELROY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Sthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sthealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "441304",
      "ccn": "441304",
      "name": "JOHNSON COUNTY COMMUNITY HOSPITAL",
      "address": "1901 SOUTH SHADY STREET",
      "city": "MOUNTAIN CITY",
      "state": "TN",
      "zip": "37683",
      "county": "JOHNSON",
      "latitude": 36.4535559502886,
      "longitude": -81.7976806299783,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 2,
      "rating": null,
      "website": "http://www.msha.com/hospitals/johnson_county_community_hospital_l_mountain_city_tn.aspx",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Msha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Msha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "441305",
      "ccn": "441305",
      "name": "MACON COMMUNITY HOSPITAL",
      "address": "305 WEST LOCUST STREET",
      "city": "LAFAYETTE",
      "state": "TN",
      "zip": "37083",
      "county": "MACON",
      "latitude": 36.5194589097972,
      "longitude": -86.0265632896576,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "MACON COUNTY GENERAL HOSPITAL INC",
      "parentSystemId": "entity-macon-county-general-hospital-inc",
      "siblingGroupId": "siblings-tn-macon-county-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-macon-county-general-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to OVATION HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACON COUNTY GENERAL HOSPITAL INC, ownership class government. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OVATION HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to OVATION HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MACON COUNTY GENERAL HOSPITAL INC, ownership class government. Excluded OVATION HEALTH from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "441306",
      "ccn": "441306",
      "name": "ERLANGER BLEDSOE",
      "address": "71 WHEELERTOWN AVENUE",
      "city": "PIKEVILLE",
      "state": "TN",
      "zip": "37367",
      "county": "BLEDSOE",
      "latitude": 35.620685969775,
      "longitude": -85.1908688300704,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pikeville-erlanger-bledsoe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY",
      "parentSystemId": "entity-chattanooga-hamilton-county-hospital-authority",
      "siblingGroupId": "siblings-tn-chattanooga-hamilton-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-verified-parent-chattanooga-hamilton-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE BOYNTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE BOYNTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "441309",
      "ccn": "441309",
      "name": "MARSHALL MEDICAL CENTER",
      "address": "1080 NORTH ELLINGTON PARKWAY",
      "city": "LEWISBURG",
      "state": "TN",
      "zip": "37091",
      "county": "MARSHALL",
      "latitude": 35.4650474898074,
      "longitude": -86.7854901603966,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.mauryregional.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewisburg-marshall-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER",
      "parentSystemId": "entity-maury-regional-hospital-marshall-medical-center",
      "siblingGroupId": "siblings-tn-maury-regional-hospital-marshall-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS lists RICHARD D SCHEFKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RICHARD D SCHEFKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "441310",
      "ccn": "441310",
      "name": "RHEA MEDICAL CENTER",
      "address": "9400 RHEA COUNTY HIGHWAY",
      "city": "DAYTON",
      "state": "TN",
      "zip": "37321",
      "county": "RHEA",
      "latitude": 35.5291013398127,
      "longitude": -84.9817794600586,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 2,
      "website": "http://www.rheamedical.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-rhea-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RHEA MEDICAL CENTER",
      "parentSystemId": "entity-rhea-medical-center",
      "siblingGroupId": "siblings-tn-rhea-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-rhea-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS lists MARILYN ENGEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to RHEA MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHEA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARILYN ENGEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to RHEA MEDICAL CENTER; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHEA MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "441313",
      "ccn": "441313",
      "name": "HANCOCK COUNTY HOSPITAL",
      "address": "1519 MAIN STREET",
      "city": "SNEEDVILLE",
      "state": "TN",
      "zip": "37869",
      "county": "HANCOCK",
      "latitude": 36.5333329801136,
      "longitude": -83.2151081404312,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 10,
      "rating": null,
      "website": "http://www.wellmont.org/hospitals/hancock-county-hospital.aspx",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Wellmont",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wellmont",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sneedville-hancock-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-tn-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellmont; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellmont. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wellmont; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wellmont. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "441314",
      "ccn": "441314",
      "name": "LAUDERDALE COMMUNITY HOSPITAL",
      "address": "326 ASBURY AVENUE",
      "city": "RIPLEY",
      "state": "TN",
      "zip": "38063",
      "county": "LAUDERDALE",
      "latitude": 35.7443525203106,
      "longitude": -89.5496351902317,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "www.lauderdalehospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "RHG CONSOLIDATED LLC",
      "parentSystemId": "entity-rhg-consolidated-llc",
      "siblingGroupId": "siblings-tn-rhg-consolidated-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-rhg-consolidated-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: RHG CONSOLIDATED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to RHG CONSOLIDATED LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RHG CONSOLIDATED LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DARREL W MORRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to RHG CONSOLIDATED LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RHG CONSOLIDATED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "441316",
      "ccn": "441316",
      "name": "WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL",
      "address": "175 HOSPITAL STREET",
      "city": "CAMDEN",
      "state": "TN",
      "zip": "38320",
      "county": "BENTON",
      "latitude": 36.0552168197156,
      "longitude": -88.10794648993,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.wth.org/locations/page/camden-general-hospital",
      "status": "corporate_chain",
      "parentSystem": "CAMDEN GENERAL HOSPITAL, INC.",
      "affiliatedSystem": "Wth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-camden-general-hospital-inc",
      "siblingGroupId": "siblings-tn-camden-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMDEN GENERAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMDEN GENERAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "441320",
      "ccn": "441320",
      "name": "WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL",
      "address": "650 NUCKOLLS ROAD",
      "city": "BOLIVAR",
      "state": "TN",
      "zip": "38008",
      "county": "HARDEMAN",
      "latitude": 35.2675724897931,
      "longitude": -88.9992923898521,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.wth.org/locations/page/bolivar-general-hospital",
      "status": "corporate_chain",
      "parentSystem": "BOLIVAR GENERAL HOSPITAL, INC.",
      "affiliatedSystem": "Wth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bolivar-general-hospital-inc",
      "siblingGroupId": "siblings-tn-bolivar-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOLIVAR GENERAL HOSPITAL, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOLIVAR GENERAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOLIVAR GENERAL HOSPITAL, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to Nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOLIVAR GENERAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "441322",
      "ccn": "441322",
      "name": "HOUSTON COUNTY COMMUNITY HOSPITAL",
      "address": "5001 EAST MAIN STREET, PO BOX 489",
      "city": "ERIN",
      "state": "TN",
      "zip": "37061",
      "county": "HOUSTON",
      "latitude": 36.3201705700929,
      "longitude": -87.6896434904447,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-erin-houston-county-community-hospital-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "Braden Health",
      "parentSystemId": "entity-braden-health",
      "siblingGroupId": "siblings-tn-braden-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-braden-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: BRADEN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BEAU R BRADEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to BRADEN HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Braden Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BRADEN HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists BEAU R BRADEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to BRADEN HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Braden Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "441323",
      "ccn": "441323",
      "name": "BIG SOUTH FORK MEDICAL CENTER",
      "address": "18797 ALBERTA STREET",
      "city": "ONEIDA",
      "state": "TN",
      "zip": "37841",
      "county": "SCOTT",
      "latitude": 36.5044248900476,
      "longitude": -84.5158636700168,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oneida-big-south-fork-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RENNOVA HEALTH INC",
      "parentSystemId": "entity-rennova-health-inc",
      "siblingGroupId": "siblings-tn-rennova-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-rennova-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: RENNOVA HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER DIAMANTIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to RENNOVA HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RENNOVA HEALTH INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RENNOVA HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHRISTOPHER DIAMANTIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to RENNOVA HEALTH INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RENNOVA HEALTH INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "443302",
      "ccn": "443302",
      "name": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
      "address": "262 DANNY THOMAS PLACE",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38105",
      "county": "SHELBY",
      "latitude": 35.1542158499463,
      "longitude": -90.0429022300708,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 80,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-st.-jude-children-s-research-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST JUDE CHILDRENS RESEARCH HOSPITAL INC",
      "parentSystemId": "entity-st-jude-childrens-research-hospital-inc",
      "siblingGroupId": "siblings-tn-st-jude-childrens-research-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-st-jude-childrens-research-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to ST JUDE CHILDRENS RESEARCH HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JUDE CHILDRENS RESEARCH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to ST JUDE CHILDRENS RESEARCH HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST JUDE CHILDRENS RESEARCH HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "443303",
      "ccn": "443303",
      "name": "EAST TENNESSEE CHILDREN'S HOSPITAL",
      "address": "2018 CLINCH AVENUE",
      "city": "KNOXVILLE",
      "state": "TN",
      "zip": "37916",
      "county": "KNOX",
      "latitude": 35.956288170087,
      "longitude": -83.9376747801707,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 152,
      "rating": null,
      "website": "http://www.etch.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-knoxville-east-tennessee-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.",
      "parentSystemId": "entity-east-tennessee-children-s-hospital-association-inc",
      "siblingGroupId": "siblings-tn-east-tennessee-children-s-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tn-parent-east-tennessee-children-s-hospital-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450002",
      "ccn": "450002",
      "name": "THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS",
      "address": "2001 NORTH OREGON STREET",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7710037601767,
      "longitude": -106.499873449981,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 480,
      "rating": 2,
      "website": "http://www.sphn-pmh.com/en-us/pages/default.aspx",
      "status": "corporate_chain",
      "parentSystem": "HEALTH SERVICES NETWORK HOSPITALS, INC.",
      "affiliatedSystem": "HEALTH SERVICES NETWORK HOSPITALS, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-the-hospitals-of-providence-memorial-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH SERVICES NETWORK HOSPITALS, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH SERVICES NETWORK HOSPITALS, INC., ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-health-services-network-hospitals-inc",
      "siblingGroupId": "siblings-tx-health-services-network-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH SERVICES NETWORK HOSPITALS, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH SERVICES NETWORK HOSPITALS, INC., ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450007",
      "ccn": "450007",
      "name": "PETERSON REGIONAL MEDICAL CENTER",
      "address": "551 HILL COUNTRY DRIVE",
      "city": "KERRVILLE",
      "state": "TX",
      "zip": "78028",
      "county": "KERR",
      "latitude": 30.0434659900245,
      "longitude": -99.1528688996388,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 124,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kerrville-peterson-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SID PETERSON MEMORIAL HOSPITAL",
      "affiliatedSystem": "SID PETERSON MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SID PETERSON MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SID PETERSON MEMORIAL HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SID PETERSON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sid-peterson-memorial-hospital",
      "siblingGroupId": "siblings-tx-sid-peterson-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-sid-peterson-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SID PETERSON MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SID PETERSON MEMORIAL HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SID PETERSON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450010",
      "ccn": "450010",
      "name": "UNITED REGIONAL HEALTH CARE SYSTEM",
      "address": "1600 11TH STREET",
      "city": "WICHITA FALLS",
      "state": "TX",
      "zip": "76301",
      "county": "WICHITA",
      "latitude": 33.9024305802652,
      "longitude": -98.501980790255,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 275,
      "rating": 3,
      "website": "http://www.urhcs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "UNITED REGIONAL HEALTH CARE SYSTEM INC",
      "affiliatedSystem": "UNITED REGIONAL HEALTH CARE SYSTEM INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: UNITED REGIONAL HEALTH CARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CORY EDMONDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to UNITED REGIONAL HEALTH CARE SYSTEM INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED REGIONAL HEALTH CARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-united-regional-health-care-system-inc",
      "siblingGroupId": "siblings-tx-united-regional-health-care-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-united-regional-health-care-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNITED REGIONAL HEALTH CARE SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CORY EDMONDSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to UNITED REGIONAL HEALTH CARE SYSTEM INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNITED REGIONAL HEALTH CARE SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450018",
      "ccn": "450018",
      "name": "UNIVERSITY OF TEXAS MEDICAL BRANCH - GALVESTON",
      "address": "301 UNIVERSITY BLVD",
      "city": "GALVESTON",
      "state": "TX",
      "zip": "77555",
      "county": "GALVESTON",
      "latitude": 29.3108076902936,
      "longitude": -94.7771215904404,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 749,
      "rating": 3,
      "website": "https://www.utmbhealth.com/locations/hospitals-campuses/galveston-campus",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON",
      "affiliatedSystem": "University of Texas System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-texas-medical-branch-at-galveston",
      "siblingGroupId": "siblings-tx-university-of-texas-medical-branch-at-galveston",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450021",
      "ccn": "450021",
      "name": "BAYLOR UNIVERSITY MEDICAL CENTER",
      "address": "3500 GASTON AVENUE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75246",
      "county": "DALLAS",
      "latitude": 32.7895851601914,
      "longitude": -96.7802726497109,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 914,
      "rating": 4,
      "website": "http://www.baylorhealth.com/physicianslocations/dallas/pages/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-baylor-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450023",
      "ccn": "450023",
      "name": "CITIZENS MEDICAL CENTER",
      "address": "2701 HOSPITAL DRIVE",
      "city": "VICTORIA",
      "state": "TX",
      "zip": "77901",
      "county": "VICTORIA",
      "latitude": 28.8128772598457,
      "longitude": -96.9777387398211,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 317,
      "rating": 3,
      "website": "http://www.citizensmedicalcenter.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-victoria-citizens-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CITIZENS MEDICAL CENTER COUNTY OF VICTORIA",
      "affiliatedSystem": "CITIZENS MEDICAL CENTER COUNTY OF VICTORIA",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL R OLSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEDICAL CENTER COUNTY OF VICTORIA, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-citizens-medical-center-county-of-victoria",
      "siblingGroupId": "siblings-tx-citizens-medical-center-county-of-victoria",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MICHAEL R OLSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CITIZENS MEDICAL CENTER COUNTY OF VICTORIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450024",
      "ccn": "450024",
      "name": "UNIVERSITY MEDICAL CENTER OF EL PASO",
      "address": "4815 ALAMEDA AVENUE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79905",
      "county": "EL PASO",
      "latitude": 31.771611090241,
      "longitude": -106.435355200313,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 354,
      "rating": 3,
      "website": "http://www.thomasoncares.org",
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-university-medical-center-of-el-paso/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "EL PASO COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "EL PASO COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL PASO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-el-paso-county-hospital-district",
      "siblingGroupId": "siblings-tx-el-paso-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-el-paso-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL PASO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450028",
      "ccn": "450028",
      "name": "VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE",
      "address": "1040 W JEFFERSON ST",
      "city": "BROWNSVILLE",
      "state": "TX",
      "zip": "78520",
      "county": "CAMERON",
      "latitude": 25.9178480601394,
      "longitude": -97.51069654961,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 240,
      "rating": 3,
      "website": "http://www.valleybaptist.net/brownsville/index.htm",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brownsville-valley-baptist-medical-center---brownsville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "VHS VALLEY HEALTH SYSTEM LLC",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: VHS VALLEY HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to VHS VALLEY HEALTH SYSTEM LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VHS VALLEY HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-vhs-valley-health-system-llc",
      "siblingGroupId": "siblings-tx-vhs-valley-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-vhs-valley-health-system-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: VHS VALLEY HEALTH SYSTEM LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to VHS VALLEY HEALTH SYSTEM LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VHS VALLEY HEALTH SYSTEM LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450029",
      "ccn": "450029",
      "name": "LAREDO MEDICAL CENTER",
      "address": "1700 EAST SAUNDERS STREET",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78041",
      "county": "WEBB",
      "latitude": 27.5328597597813,
      "longitude": -99.4782916898604,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 326,
      "rating": 4,
      "website": "http://www.laredomedical.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laredo-laredo-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tx-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450032",
      "ccn": "450032",
      "name": "CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW",
      "address": "700 E MARSHALL AVENUE",
      "city": "LONGVIEW",
      "state": "TX",
      "zip": "75601",
      "county": "GREGG",
      "latitude": 32.5007498600897,
      "longitude": -94.7298539901082,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 425,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longview-christus-good-shepherd-medical-center---longview/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450034",
      "ccn": "450034",
      "name": "CHRISTUS SOUTHEAST TEXAS - ST. ELIZABETH",
      "address": "2830 CALDER",
      "city": "BEAUMONT",
      "state": "TX",
      "zip": "77702",
      "county": "JEFFERSON",
      "latitude": 30.0873418196123,
      "longitude": -94.1318084697273,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 425,
      "rating": 4,
      "status": "pe_contract",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "CMS lists CHRISTUS Health as the nonprofit direct owner. Separate SCP Health facility/job pages document emergency medicine service-layer exposure, and Onex lists SCP Health as an Onex Partners platform investment. This is not direct PE ownership of the hospital.",
      "classificationSources": [
        "source-cms-general-info",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners",
        "source-pesp-tracker-local",
        "source-christus-location",
        "source-christus-mission",
        "source-christus-ministries",
        "source-scp-st-elizabeth-em-job",
        "source-scp-st-elizabeth-facility",
        "source-onex-scp-health",
        "source-nppes-christus",
        "Existing PE Healthcare Watch evidence dossier",
        "Valley Health contract dossier",
        "CMS Hospital All Owners and CHRISTUS official location/ministry pages"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "PE-backed contractor",
      "operatorName": "SCP Health",
      "publicControlBadge": "PE-backed contract",
      "caseId": "beaumont-baptist-christus",
      "relationshipType": "contract",
      "parentSystem": "Christus Health",
      "peFirm": "Onex Partners",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "sourceCount": 11,
      "evidenceGrade": "primary-source service-contract exposure with government ownership context",
      "confidence": "high",
      "dossierUrl": "/data/dossiers/450034.json",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450035",
      "ccn": "450035",
      "name": "ST JOSEPH MEDICAL CENTER",
      "address": "1401 ST JOSEPH PARKWAY",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77002",
      "county": "HARRIS",
      "latitude": 29.7481161302289,
      "longitude": -95.3661481403531,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 744,
      "rating": 3,
      "website": "http://www.sjmctx.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Physician",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-st.-joseph-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Healthcare Systems of America",
      "affiliatedSystem": "HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE GILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-healthcare-systems-of-america",
      "siblingGroupId": "siblings-tx-healthcare-systems-of-america",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE GILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450039",
      "ccn": "450039",
      "name": "JPS HEALTH NETWORK - TRINITY SPRINGS NORTH",
      "address": "1000 ST LOUIS AVENUE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7339344500578,
      "longitude": -97.3286408300268,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 36,
      "rating": 4,
      "website": "http://www.jpshealthnet.org/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-jps-health-network---trinity-springs-north/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TARRANT COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "TARRANT COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TARRANT COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TARRANT COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-tarrant-county-hospital-district",
      "siblingGroupId": "siblings-tx-tarrant-county-hospital-district",
      "campusFamilyId": "campus-tx-450039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-tarrant-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: TARRANT COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TARRANT COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450040",
      "ccn": "450040",
      "name": "COVENANT MEDICAL CENTER",
      "address": "3615 19TH STREET",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79410",
      "county": "LUBBOCK",
      "latitude": 33.5769391299237,
      "longitude": -101.891995040327,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 381,
      "rating": 3,
      "website": "http://www.covenanthealth.org",
      "status": "signal",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Covenanthealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-covenant-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Covenanthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Covenanthealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "campusFamilyId": "campus-tx-450040",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Covenanthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Covenanthealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450040-loc-tx-lubbock-covenant-medical-center-lakeside",
      "ccn": "450040",
      "name": "COVENANT MEDICAL CENTER - LAKESIDE",
      "address": "4000 24TH STREET",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79410",
      "county": "LUBBOCK",
      "latitude": 33.5733913603055,
      "longitude": -101.901948329658,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 196,
      "rating": 3,
      "website": "http://www.covenanthealth.org/",
      "status": "signal",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Covenanthealth",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-covenant-medical-center---lakeside/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Covenanthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Covenanthealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "campusFamilyId": "campus-tx-450040",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Covenanthealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Covenanthealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450040"
    },
    {
      "id": "450042",
      "ccn": "450042",
      "name": "ASCENSION PROVIDENCE",
      "address": "6901 MEDICAL PARKWAY",
      "city": "WACO",
      "state": "TX",
      "zip": "76712",
      "county": "MCLENNAN",
      "latitude": 31.5142506598319,
      "longitude": -97.1994909695886,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 237,
      "rating": 2,
      "website": "http://providence.net/facilities/providence-hospital.html",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION PROVIDENCE",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION PROVIDENCE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION PROVIDENCE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-providence",
      "siblingGroupId": "siblings-tx-ascension-providence",
      "campusFamilyId": "campus-tx-450042",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION PROVIDENCE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION PROVIDENCE, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450042-loc-tx-waco-ascension-providence-depaul-center",
      "ccn": "450042",
      "name": "ASCENSION PROVIDENCE DEPAUL CENTER",
      "address": "301 LONDONDERRY DRIVE",
      "city": "WACO",
      "state": "TX",
      "zip": "76712",
      "county": "MCLENNAN",
      "latitude": 31.5110022000133,
      "longitude": -97.1983971701189,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": 2,
      "website": "http://www.providence.net/depaul/",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION PROVIDENCE",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION PROVIDENCE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION PROVIDENCE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-providence",
      "siblingGroupId": "siblings-tx-ascension-providence",
      "campusFamilyId": "campus-tx-450042",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION PROVIDENCE (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION PROVIDENCE, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450042"
    },
    {
      "id": "450046",
      "ccn": "450046",
      "name": "CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI",
      "address": "2606 HOSPITAL BOULEVARD",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78405",
      "county": "NUECES",
      "latitude": 27.7798902001669,
      "longitude": -97.4163649000024,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 3,
      "website": "http://www.christusspohn.org",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christusspohn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-christus-spohn-hospital-corpus-christi/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450046-loc-tx-corpus-christi-christus-spohn-hospital-corpus-chris",
      "ccn": "450046",
      "name": "CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE",
      "address": "600 ELIZABETH STREET",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78404",
      "county": "NUECES",
      "latitude": 27.7780936798071,
      "longitude": -97.3947479101757,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 787,
      "rating": 3,
      "website": "http://www.christusspohn.org/shoreline",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christusspohn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-christus-spohn-hospital-corpus-christi-shoreline/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450046"
    },
    {
      "id": "450046-loc-tx-corpus-christi-christus-spohn-hospital-corpus-chris-2",
      "ccn": "450046",
      "name": "CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SOUTH",
      "address": "5950 SARATOGA BOULEVARD",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78414",
      "county": "NUECES",
      "latitude": 27.6840675396068,
      "longitude": -97.3775325700196,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 153,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-christus-spohn-hospital-corpus-christi---south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450046",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450046"
    },
    {
      "id": "450051",
      "ccn": "450051",
      "name": "METHODIST DALLAS MEDICAL CENTER",
      "address": "1441 NORTH BECKLEY AVENUE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75203",
      "county": "DALLAS",
      "latitude": 32.7603738097638,
      "longitude": -96.8260235497888,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 592,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-methodist-dallas-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Methodist Health System",
      "affiliatedSystem": "METHODIST HOSPITALS OF DALLAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-tx-methodist-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://methodisthealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450055",
      "ccn": "450055",
      "name": "ROLLING PLAINS MEMORIAL HOSPITAL",
      "address": "200 EAST ARIZONA",
      "city": "SWEETWATER",
      "state": "TX",
      "zip": "79556",
      "county": "NOLAN",
      "latitude": 32.4532123801283,
      "longitude": -100.39731665998,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 86,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sweetwater-rolling-plains-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ROLLING PLAINS MEMORIAL HOSPITAL",
      "affiliatedSystem": "ROLLING PLAINS MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ROLLING PLAINS MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROLLING PLAINS MEMORIAL HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROLLING PLAINS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-rolling-plains-memorial-hospital",
      "siblingGroupId": "siblings-tx-rolling-plains-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-rolling-plains-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROLLING PLAINS MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROLLING PLAINS MEMORIAL HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROLLING PLAINS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450056",
      "ccn": "450056",
      "name": "ASCENSION SETON MEDICAL CENTER AUSTIN",
      "address": "1201 WEST 38TH STREET",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78705",
      "county": "TRAVIS",
      "latitude": 30.3050018497249,
      "longitude": -97.7456083203489,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 524,
      "rating": 3,
      "website": "http://www.seton.net",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-ascension-seton-medical-center-austin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450058",
      "ccn": "450058",
      "name": "BAPTIST MEDICAL CENTER",
      "address": "111 DALLAS STREET",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78205",
      "county": "BEXAR",
      "latitude": 29.4335889402444,
      "longitude": -98.4926407798705,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 607,
      "rating": 3,
      "website": "http://www.baptisthealthsystem.com",
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Tenet Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-baptist-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tenet Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Tenet Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-tenet-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.tenethealth.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Tenet Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Tenet Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450064",
      "ccn": "450064",
      "name": "TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL",
      "address": "800 W RANDOL MILL RD",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76012",
      "county": "TARRANT",
      "latitude": 32.7488972900913,
      "longitude": -97.1158199903771,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 369,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-texas-health-arlington-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450068",
      "ccn": "450068",
      "name": "MEMORIAL HERMANN - TEXAS MEDICAL CENTER",
      "address": "6411 FANNIN",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7145511696926,
      "longitude": -95.3962820304392,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1220,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-memorial-hermann-texas-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MEMORIAL HERMANN HEALTH SYSTEM",
      "affiliatedSystem": "Memorial Hermann Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450072",
      "ccn": "450072",
      "name": "CHI ST LUKES HEALTH - BRAZOSPORT",
      "address": "100 MEDICAL DRIVE",
      "city": "LAKE JACKSON",
      "state": "TX",
      "zip": "77566",
      "county": "BRAZORIA",
      "latitude": 29.029500679731,
      "longitude": -95.4527448201556,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 154,
      "rating": 4,
      "website": "http://www.brhstx.org",
      "status": "corporate_chain",
      "parentSystem": "ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lake-jackson-chi-st-lukes-health---brazosport/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JASON CASEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-luke-s-community-development-corporation-pmc",
      "siblingGroupId": "siblings-tx-st-luke-s-community-development-corporation-pmc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JASON CASEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450080",
      "ccn": "450080",
      "name": "TITUS REGIONAL MEDICAL CENTER",
      "address": "2001 NORTH JEFFERSON",
      "city": "MOUNT PLEASANT",
      "state": "TX",
      "zip": "75455",
      "county": "TITUS",
      "latitude": 33.175599389674,
      "longitude": -94.971174940362,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 174,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mount-pleasant-titus-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TITUS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "TITUS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TITUS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KRISTYL HUFF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TITUS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-titus-county-hospital-district",
      "siblingGroupId": "siblings-tx-titus-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-titus-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: TITUS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KRISTYL HUFF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TITUS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450082",
      "ccn": "450082",
      "name": "CHRISTUS SPOHN HOSPITAL BEEVILLE",
      "address": "1500 EAST HOUSTON HIGHWAY",
      "city": "BEEVILLE",
      "state": "TX",
      "zip": "78102",
      "county": "BEE",
      "latitude": 28.4074275398027,
      "longitude": -97.7315441201909,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 69,
      "rating": 2,
      "website": "http://www.christusspohn.org",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christusspohn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beeville-christus-spohn-hospital-beeville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Christusspohn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christusspohn. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Christusspohn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christusspohn. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450083",
      "ccn": "450083",
      "name": "UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL",
      "address": "1000 SOUTH BECKHAM AVENUE",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.338479520325,
      "longitude": -95.2907681997856,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 424,
      "rating": 2,
      "website": "http://www.etmc.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "campusFamilyId": "campus-tx-450083",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450087",
      "ccn": "450087",
      "name": "MEDICAL CITY NORTH HILLS",
      "address": "4401 BOOTH CALLOWAY ROAD",
      "city": "NORTH RICHLAND HILLS",
      "state": "TX",
      "zip": "76180",
      "county": "TARRANT",
      "latitude": 32.8290807196338,
      "longitude": -97.213505560285,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 164,
      "rating": 2,
      "website": "http://northhillshospital.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-richland-hills-medical-city-north-hills/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450090",
      "ccn": "450090",
      "name": "NORTH TEXAS MEDICAL CENTER",
      "address": "1900 HOSPITAL BOULEVARD",
      "city": "GAINESVILLE",
      "state": "TX",
      "zip": "76240",
      "county": "COOKE",
      "latitude": 33.6463626399919,
      "longitude": -97.1627319000776,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 4,
      "website": "http://www.ntmconline.net",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gainesville-north-texas-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Hospital Consulting",
      "affiliatedSystem": "COMMUNITY HOSPITAL CONSULTING, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KRISTI RIGSBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-community-hospital-consulting",
      "siblingGroupId": "siblings-tx-community-hospital-consulting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-hospital-consulting-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KRISTI RIGSBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450097",
      "ccn": "450097",
      "name": "HCA HOUSTON HEALTHCARE SOUTHEAST",
      "address": "4000 SPENCER HIGHWAY",
      "city": "PASADENA",
      "state": "TX",
      "zip": "77504",
      "county": "HARRIS",
      "latitude": 29.6610602700301,
      "longitude": -95.1838147003116,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 341,
      "rating": 3,
      "website": "http://www.bayshoremedical.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pasadena-hca-houston-healthcare-southeast/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450102",
      "ccn": "450102",
      "name": "CHRISTUS MOTHER FRANCES HOSPITAL - SOUTH TYLER",
      "address": "8389 S BROADWAY AVENUE",
      "city": "TYLER",
      "state": "TX",
      "zip": "75703",
      "county": "SMITH",
      "latitude": 32.2580617099741,
      "longitude": -95.3089027698022,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": 4,
      "website": "https://www.tmfhc.org/maps-and-locations/locations-profile/christus-mother-frances-hospital-south-tyler/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tyler-christus-mother-frances-hospital---south-tyler/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450102",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450102-loc-tx-tyler-christus-mother-frances-hospital-tyler",
      "ccn": "450102",
      "name": "CHRISTUS MOTHER FRANCES HOSPITAL - TYLER",
      "address": "800 EAST DAWSON",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "SMITH",
      "latitude": 32.3427694503166,
      "longitude": -95.2916402600089,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 553,
      "rating": 4,
      "website": "http://www.tmfhs.org/motherfranceshospitaltyler",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450102",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450102"
    },
    {
      "id": "450104",
      "ccn": "450104",
      "name": "GUADALUPE REGIONAL MEDICAL CENTER",
      "address": "1215 EAST COURT STREET",
      "city": "SEGUIN",
      "state": "TX",
      "zip": "78155",
      "county": "GUADALUPE",
      "latitude": 29.5678451203694,
      "longitude": -97.9472370301108,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 153,
      "rating": 2,
      "website": "http://www.grmedcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seguin-guadalupe-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "GUADALUPE COUNTY HOSPITAL BOARD",
      "affiliatedSystem": "GUADALUPE COUNTY HOSPITAL BOARD",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: GUADALUPE COUNTY HOSPITAL BOARD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GUADALUPE COUNTY HOSPITAL BOARD, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-guadalupe-county-hospital-board",
      "siblingGroupId": "siblings-tx-guadalupe-county-hospital-board",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: GUADALUPE COUNTY HOSPITAL BOARD (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GUADALUPE COUNTY HOSPITAL BOARD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450107",
      "ccn": "450107",
      "name": "LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHCARE",
      "address": "1801 NORTH OREGON STREET",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7698358698104,
      "longitude": -106.499075550176,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 296,
      "rating": 2,
      "website": "http://www.laspalmasdelsolhealthcare.com/locations-facilities/las-palmas-medical-center.aspx",
      "status": "corporate_chain",
      "parentSystem": "SUN TOWERS/VISTA HILLS HOLDING CO",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Laspalmasdelsolhealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: SUN TOWERS/VISTA HILLS HOLDING CO (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Laspalmasdelsolhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SUN TOWERS/VISTA HILLS HOLDING CO; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN TOWERS/VISTA HILLS HOLDING CO, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sun-towers-vista-hills-holding-co",
      "siblingGroupId": "siblings-tx-sun-towers-vista-hills-holding-co",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-sun-towers-vista-hills-holding-co"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUN TOWERS/VISTA HILLS HOLDING CO (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Laspalmasdelsolhealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SUN TOWERS/VISTA HILLS HOLDING CO; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN TOWERS/VISTA HILLS HOLDING CO, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450108",
      "ccn": "450108",
      "name": "CONNALLY MEMORIAL MEDICAL CENTER",
      "address": "499 10TH STREET",
      "city": "FLORESVILLE",
      "state": "TX",
      "zip": "78114",
      "county": "WILSON",
      "latitude": 29.1585006299795,
      "longitude": -98.1749725903379,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 44,
      "rating": 3,
      "website": "www.connallymmc.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-floresville-connally-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WILSON COUNTY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "WILSON COUNTY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: WILSON COUNTY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT W GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILSON COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-wilson-county-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-wilson-county-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-wilson-county-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: WILSON COUNTY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT W GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILSON COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450119",
      "ccn": "450119",
      "name": "SOUTH TEXAS HEALTH SYSTEM BEHAVIORAL",
      "address": "2102 WEST TRENTON ROAD",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78503",
      "county": "HIDALGO",
      "latitude": 26.2620492498455,
      "longitude": -98.1903686003967,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 134,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "campusFamilyId": "campus-tx-450119",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450119-loc-tx-edinburg-south-texas-health-system-edinburg",
      "ccn": "450119",
      "name": "SOUTH TEXAS HEALTH SYSTEM EDINBURG",
      "address": "1102 WEST TRENTON ROAD",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78539",
      "county": "HIDALGO",
      "latitude": 26.2611905302528,
      "longitude": -98.1826665996609,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 235,
      "rating": 4,
      "website": "https://www.southtexashealthsystemedinburg.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "campusFamilyId": "campus-tx-450119",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450119"
    },
    {
      "id": "450128",
      "ccn": "450128",
      "name": "KNAPP MEDICAL CENTER",
      "address": "1401 EAST EIGHTH STREET",
      "city": "WESLACO",
      "state": "TX",
      "zip": "78596",
      "county": "HIDALGO",
      "latitude": 26.15322840016,
      "longitude": -97.9776193699499,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 227,
      "rating": 5,
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital All Owners and official hospital documents",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-07-12",
      "reviewedAt": "2026-07-12",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Knapp Medical Center is a nonprofit hospital in the Prime Healthcare Foundation system, not an independent hospital and not documented as PE-owned. Current emergency-medicine services are connected to Small Hospital Innovations; reviewed sources do not identify that current group as PE-backed. A separate 2011 EmCare contract is preserved as historical PE-backed staffing exposure.",
      "classificationSources": [
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "Official Prime Healthcare/Foundation and hospital documents",
        "PESP Private Equity Hospital Tracker import",
        "Texas HMO facility-based physician-group disclosure",
        "Staffing-group corporate and government records"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-12",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Major nonprofit health system",
      "operatorName": "Prime Healthcare Foundation",
      "publicControlBadge": "Prime Healthcare Foundation nonprofit system",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weslaco-knapp-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "major_health_system",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Prime Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "acquiredDate": "2013",
      "peFirm": "",
      "staffingCompany": "Small Hospital Innovations",
      "staffingRelationshipType": "emergency_medicine_facility_based_group",
      "staffingPeStatus": "current_pe_link_searched_not_found",
      "historicalPeContract": "EmCare / Clayton, Dubilier & Rice emergency-department contract documented in 2011; not current.",
      "caseId": "rio-grande-prime-ownership-staffing",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Prime Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Prime Healthcare Foundation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-tx-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Prime Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Prime Healthcare Foundation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450132",
      "ccn": "450132",
      "name": "MEDICAL CENTER HOSPITAL",
      "address": "500 W 4TH ST",
      "city": "ODESSA",
      "state": "TX",
      "zip": "79761",
      "county": "ECTOR",
      "latitude": 31.8452596996912,
      "longitude": -102.373685299759,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 402,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-odessa-medical-center-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ECTOR COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "ECTOR COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ECTOR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists DEBBY MIRELES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ECTOR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-ector-county-hospital-district",
      "siblingGroupId": "siblings-tx-ector-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-ector-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: ECTOR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists DEBBY MIRELES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ECTOR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450133",
      "ccn": "450133",
      "name": "MIDLAND MEMORIAL HOSPITAL",
      "address": "400 ROSALIND REDFERN GROVER PKWY",
      "city": "MIDLAND",
      "state": "TX",
      "zip": "79701",
      "county": "MIDLAND",
      "latitude": 31.995920090215,
      "longitude": -102.099503309862,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 540,
      "rating": 1,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midland-midland-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MIDLAND COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "MIDLAND COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MIDLAND COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDLAND COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-midland-county-hospital-district",
      "siblingGroupId": "siblings-tx-midland-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-midland-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MIDLAND COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MIDLAND COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450137",
      "ccn": "450137",
      "name": "BAYLOR SCOTT AND WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH",
      "address": "1400 8TH AVE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7302240997441,
      "longitude": -97.3455421595837,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 538,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-baylor-scott-&-white-all-saints-medical-center-fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JUSTIN MEIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450144",
      "ccn": "450144",
      "name": "PERMIAN REGIONAL MEDICAL CENTER",
      "address": "720 HOSPITAL DRIVE",
      "city": "ANDREWS",
      "state": "TX",
      "zip": "79714",
      "county": "ANDREWS",
      "latitude": 32.3380433601295,
      "longitude": -102.545989990189,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-andrews-permian-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ANDREWS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "ANDREWS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ANDREWS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDREWS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-andrews-county-hospital-district",
      "siblingGroupId": "siblings-tx-andrews-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-andrews-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: ANDREWS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANDREWS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450148",
      "ccn": "450148",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE",
      "address": "201 WALLS DRIVE",
      "city": "CLEBURNE",
      "state": "TX",
      "zip": "76033",
      "county": "JOHNSON",
      "latitude": 32.3319975298514,
      "longitude": -97.4385603698379,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 137,
      "rating": 5,
      "website": "http://www.texashealth.org",
      "status": "corporate_chain",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Texashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cleburne-texas-health-harris-methodist-hospital-cleburne/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Texashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Texashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Texashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Texashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450152",
      "ccn": "450152",
      "name": "ADVENTHEALTH CENTRAL TEXAS",
      "address": "2201 SOUTH CLEAR CREEK ROAD",
      "city": "KILLEEN",
      "state": "TX",
      "zip": "76549",
      "county": "BELL",
      "latitude": 31.1134499103224,
      "longitude": -97.8016708099949,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 170,
      "rating": 3,
      "website": "http://www.mplex.org",
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-killeen-adventhealth-central-texas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 68%). CMS lists ERIN PARDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-tx-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 68%). CMS lists ERIN PARDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450154",
      "ccn": "450154",
      "name": "VAL VERDE REGIONAL MEDICAL CENTER",
      "address": "801 BEDELL AVENUE",
      "city": "DEL RIO",
      "state": "TX",
      "zip": "78840",
      "county": "VAL VERDE",
      "latitude": 29.3749627598308,
      "longitude": -100.89266352967,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 93,
      "rating": 3,
      "website": "http://www.vvrmc.org/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-del-rio-val-verde-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "VAL VERDE COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "VAL VERDE COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: VAL VERDE COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CLAUDIA FALCON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VAL VERDE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-val-verde-county-hospital-district",
      "siblingGroupId": "siblings-tx-val-verde-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-val-verde-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: VAL VERDE COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CLAUDIA FALCON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VAL VERDE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450155",
      "ccn": "450155",
      "name": "HEREFORD REGIONAL MEDICAL CENTER",
      "address": "540 WEST 15TH STREET",
      "city": "HEREFORD",
      "state": "TX",
      "zip": "79045",
      "county": "DEAF SMITH",
      "latitude": 34.839518779906,
      "longitude": -102.413987470278,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 42,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hereford-hereford-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DEAF SMITH COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "DEAF SMITH COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: DEAF SMITH COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEAF SMITH COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-deaf-smith-county-hospital-district",
      "siblingGroupId": "siblings-tx-deaf-smith-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-deaf-smith-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEAF SMITH COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEAF SMITH COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450162",
      "ccn": "450162",
      "name": "GRACE SURGICAL HOSPITAL",
      "address": "7509 MARSHA SHARP FWY",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79407",
      "county": "LUBBOCK",
      "latitude": 33.5231756001587,
      "longitude": -101.986147099642,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "campusFamilyId": "campus-tx-450162",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450163",
      "ccn": "450163",
      "name": "CHRISTUS SPOHN HOSPITAL KLEBERG",
      "address": "1311 EAST GENERAL CAVAZOS BOULEVARD",
      "city": "KINGSVILLE",
      "state": "TX",
      "zip": "78363",
      "county": "KLEBERG",
      "latitude": 27.4900728098215,
      "longitude": -97.8506537801931,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 96,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingsville-christus-spohn-hospital-kleberg/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450176",
      "ccn": "450176",
      "name": "MISSION REGIONAL MEDICAL CENTER",
      "address": "900 SOUTH BRYAN ROAD",
      "city": "MISSION",
      "state": "TX",
      "zip": "78572",
      "county": "HIDALGO",
      "latitude": 26.1963482003027,
      "longitude": -98.3143172198314,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 297,
      "rating": 4,
      "website": "http://www.missionrmc.org",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital All Owners and official hospital documents",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-07-12",
      "reviewedAt": "2026-07-12",
      "controlCategory": "major_health_system",
      "classificationDepth": "full_research",
      "classificationReason": "Mission Regional Medical Center is a nonprofit hospital in the Prime Healthcare Foundation system, not an independent hospital and not documented as PE-owned. Current emergency-medicine services are connected to Rio Grande Valley Emergency Physicians PLLC; reviewed sources do not identify that current group as PE-backed.",
      "classificationSources": [
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "Official Prime Healthcare/Foundation and hospital documents",
        "PESP Private Equity Hospital Tracker import",
        "Texas HMO facility-based physician-group disclosure",
        "Staffing-group corporate and government records"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-12",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Major nonprofit health system",
      "operatorName": "Prime Healthcare Foundation",
      "publicControlBadge": "Prime Healthcare Foundation nonprofit system",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mission-mission-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "relationshipType": "major_health_system",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Prime Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "acquiredDate": "2017-07-01",
      "peFirm": "",
      "staffingCompany": "Rio Grande Valley Emergency Physicians PLLC",
      "staffingRelationshipType": "emergency_medicine_facility_based_group",
      "staffingPeStatus": "current_pe_link_searched_not_found",
      "historicalPeContract": "",
      "caseId": "rio-grande-prime-ownership-staffing",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION - MISSION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Prime Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Prime Healthcare Foundation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-tx-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE FOUNDATION - MISSION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Prime Healthcare; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Prime Healthcare Foundation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450193",
      "ccn": "450193",
      "name": "BAYLOR ST LUKES MEDICAL CENTER - MCNAIR CAMPUS",
      "address": "7200 CAMBRIDGE STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.6989892898625,
      "longitude": -95.3940632401964,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 170,
      "rating": 4,
      "website": "https://www.chistlukeshealth.org/locations/baylor-st-lukes-medical-center-mcnair-campus?utm_source=localsearch&utm_medium=facility&utm_campaign=chitexas&utm_term=baylorstlukesmedicalcentermcnaircampus",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-baylor-st-lukes-medical-center---mcnair-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 65%). CMS lists JESUS GOMEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 65%). CMS lists JESUS GOMEZ as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450194",
      "ccn": "450194",
      "name": "UT HEALTH EAST TEXAS JACKSONVILLE HOSPITAL",
      "address": "501 SOUTH RAGSDALE STREET",
      "city": "JACKSONVILLE",
      "state": "TX",
      "zip": "75766",
      "county": "CHEROKEE",
      "latitude": 31.9602854998896,
      "longitude": -95.270399920306,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://www.etmc.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450196",
      "ccn": "450196",
      "name": "PARIS REGIONAL MEDICAL CENTER NORTH CAMPUS",
      "address": "865 DESHONG DRIVE",
      "city": "PARIS",
      "state": "TX",
      "zip": "75460",
      "county": "LAMAR",
      "latitude": 33.6877347896608,
      "longitude": -95.5476076301159,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 154,
      "rating": 1,
      "website": "http://parisregionalmedical.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EHC PRMC GP, LLC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-paris-paris-regional-medical-center---north-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: EHC PRMC GP, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EHC PRMC GP, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EHC PRMC GP, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ehc-prmc-gp-llc",
      "siblingGroupId": "siblings-tx-ehc-prmc-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ehc-prmc-gp-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EHC PRMC GP, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EHC PRMC GP, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EHC PRMC GP, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450200",
      "ccn": "450200",
      "name": "WADLEY REGIONAL MEDICAL CENTER",
      "address": "1000 PINE",
      "city": "TEXARKANA",
      "state": "TX",
      "zip": "75501",
      "county": "BOWIE",
      "latitude": 33.4289141703447,
      "longitude": -94.0476271198737,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 370,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-texarkana-wadley-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WADLEY REGIONAL MEDICAL CENTER",
      "affiliatedSystem": "Physician",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: facility-specific primary-source resolution to Brim Healthcare of Texas; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WADLEY REGIONAL MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-wadley-regional-medical-center",
      "siblingGroupId": "siblings-tx-wadley-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-450200"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.sos.texas.gov/texreg/archive/March142025/In%20Addition/202500752-1.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: facility-specific primary-source resolution to Brim Healthcare of Texas; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WADLEY REGIONAL MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450203",
      "ccn": "450203",
      "name": "MEDICAL CITY WEATHERFORD",
      "address": "713 E ANDERSON ST",
      "city": "WEATHERFORD",
      "state": "TX",
      "zip": "76086",
      "county": "PARKER",
      "latitude": 32.7481182199156,
      "longitude": -97.7858105200545,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 103,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "GALEN HOLDCO LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weatherford-medical-city-weatherford/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: GALEN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to GALEN HOLDCO LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALEN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-galen-holdco-llc",
      "siblingGroupId": "siblings-tx-galen-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-galen-holdco-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: GALEN HOLDCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to GALEN HOLDCO LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GALEN HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450209",
      "ccn": "450209",
      "name": "NORTHWEST TEXAS HOSPITAL",
      "address": "1501 S COULTER STREET",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79106",
      "county": "POTTER",
      "latitude": 35.1996694301607,
      "longitude": -101.92023474011,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 385,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-amarillo-northwest-texas-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450210",
      "ccn": "450210",
      "name": "UT HEALTH EAST TEXAS CARTHAGE HOSPITAL",
      "address": "409 COTTAGE ROAD",
      "city": "CARTHAGE",
      "state": "TX",
      "zip": "75633",
      "county": "PANOLA",
      "latitude": 32.1658826000987,
      "longitude": -94.3465960098931,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": 5,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450211",
      "ccn": "450211",
      "name": "CHI ST LUKES HEALTH MEMORIAL LUFKIN",
      "address": "1201 W FRANK AVE",
      "city": "LUFKIN",
      "state": "TX",
      "zip": "75904",
      "county": "ANGELINA",
      "latitude": 31.3361913299618,
      "longitude": -94.7418546801085,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 279,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lufkin-chi-st-lukes-health-memorial-lufkin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450222",
      "ccn": "450222",
      "name": "HCA HOUSTON HEALTHCARE CONROE",
      "address": "504 MEDICAL CENTER BOULEVARD",
      "city": "CONROE",
      "state": "TX",
      "zip": "77304",
      "county": "MONTGOMERY",
      "latitude": 30.2847239201683,
      "longitude": -95.4680049196035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 328,
      "rating": 2,
      "website": "http://conroeregional.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conroe-hca-houston-healthcare-conroe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450229",
      "ccn": "450229",
      "name": "CONTINUECARE HOSPITAL AT HENDRICK MEDICAL CENTER",
      "address": "1900 PINE STREET 7TH FLOOR",
      "city": "ABILENE",
      "state": "TX",
      "zip": "79601",
      "county": "TAYLOR",
      "latitude": 32.4723471598689,
      "longitude": -99.7332793797764,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abilene-continuecare-hospital-at-hendrick-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Hendrick Medical Center",
      "affiliatedSystem": "HENDRICK MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hendrick-medical-center",
      "siblingGroupId": "siblings-tx-hendrick-medical-center",
      "campusFamilyId": "campus-tx-450229",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-hendrick-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450229-loc-tx-abilene-hendrick-medical-center",
      "ccn": "450229",
      "name": "HENDRICK MEDICAL CENTER",
      "address": "1900 PINE",
      "city": "ABILENE",
      "state": "TX",
      "zip": "79601",
      "county": "TAYLOR",
      "latitude": 32.4721764697228,
      "longitude": -99.733954399932,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 540,
      "rating": 3,
      "website": "http://www.ehendrick.org/main/home.aspx",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abilene-hendrick-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Hendrick Medical Center",
      "affiliatedSystem": "HENDRICK MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hendrick-medical-center",
      "siblingGroupId": "siblings-tx-hendrick-medical-center",
      "campusFamilyId": "campus-tx-450229",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-hendrick-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450229"
    },
    {
      "id": "450229-loc-tx-abilene-hendrick-medical-center-south",
      "ccn": "450229",
      "name": "HENDRICK MEDICAL CENTER SOUTH",
      "address": "6250 US HIGHWAY 83",
      "city": "ABILENE",
      "state": "TX",
      "zip": "79606",
      "county": "TAYLOR",
      "latitude": 32.3750692197158,
      "longitude": -99.7437275500987,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 231,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abilene-hendrick-medical-center-south/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Hendrick Medical Center",
      "affiliatedSystem": "HENDRICK MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hendrick-medical-center",
      "siblingGroupId": "siblings-tx-hendrick-medical-center",
      "campusFamilyId": "campus-tx-450229",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-hendrick-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450229"
    },
    {
      "id": "450235",
      "ccn": "450235",
      "name": "MEMORIAL HOSPITAL",
      "address": "1110 N SARAH DEWITT DRIVE",
      "city": "GONZALES",
      "state": "TX",
      "zip": "78629",
      "county": "GONZALES",
      "latitude": 29.5175921096115,
      "longitude": -97.429343179814,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 33,
      "rating": null,
      "website": "http://www.gonzaleshealthcare.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "GONZALES HEALTHCARE SYSTEMS",
      "affiliatedSystem": "GONZALES HEALTHCARE SYSTEMS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: GONZALES HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to GONZALES HEALTHCARE SYSTEMS; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GONZALES HEALTHCARE SYSTEMS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-gonzales-healthcare-systems",
      "siblingGroupId": "siblings-tx-gonzales-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-gonzales-healthcare-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: GONZALES HEALTHCARE SYSTEMS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to GONZALES HEALTHCARE SYSTEMS; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GONZALES HEALTHCARE SYSTEMS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450236",
      "ccn": "450236",
      "name": "CHRISTUS MOTHER FRANCES HOSPITAL - SULPHUR SPRINGS",
      "address": "115 AIRPORT ROAD",
      "city": "SULPHUR SPRINGS",
      "state": "TX",
      "zip": "75482",
      "county": "HOPKINS",
      "latitude": 33.1576280200788,
      "longitude": -95.6001447101755,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 96,
      "rating": 4,
      "website": "http://www.hcmh.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sulphur-springs-christus-mother-frances-hospital---sulphur-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS NORTHEAST TEXAS AND NORTHERN LOUISIANA HEALTH SYSTEM CORP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450241",
      "ccn": "450241",
      "name": "FAITH COMMUNITY HOSPITAL",
      "address": "215 CHISHOLM TRAIL",
      "city": "JACKSBORO",
      "state": "TX",
      "zip": "76458",
      "county": "JACK",
      "latitude": 33.2306676901099,
      "longitude": -98.1669386504264,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 17,
      "rating": null,
      "website": "https://www.fchtexas.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksboro-faith-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "JACK COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "JACK COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: JACK COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACK COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-jack-county-hospital-district",
      "siblingGroupId": "siblings-tx-jack-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-jack-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: JACK COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JACK COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450253",
      "ccn": "450253",
      "name": "BELLVILLE MEDICAL CENTER",
      "address": "44 NORTH CUMMINGS STREET",
      "city": "BELLVILLE",
      "state": "TX",
      "zip": "77418",
      "county": "AUSTIN",
      "latitude": 29.9531581303115,
      "longitude": -96.2600977702953,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 30,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bellville-bellville-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BELLVILLE MEDICAL CENTER",
      "affiliatedSystem": "BELLVILLE MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: BELLVILLE MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BELLVILLE MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLVILLE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-bellville-medical-center",
      "siblingGroupId": "siblings-tx-bellville-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-bellville-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLVILLE MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BELLVILLE MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLVILLE MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450272",
      "ccn": "450272",
      "name": "CHRISTUS SANTA ROSA HOSPITAL - SAN MARCOS",
      "address": "1301 WONDER WORLD DRIVE",
      "city": "SAN MARCOS",
      "state": "TX",
      "zip": "78666",
      "county": "HAYS",
      "latitude": 29.8524819901931,
      "longitude": -97.9459039401106,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 170,
      "rating": 4,
      "website": "https://www.christushealth.org/santa-rosa/san-marcos",
      "status": "signal",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Christushealth",
      "publicControlBadge": "Ownership warning",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christushealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christushealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450289",
      "ccn": "450289",
      "name": "HARRIS HEALTH SYSTEM BEN TAUB HOSPITAL",
      "address": "1504 TAUB LOOP",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7109823602483,
      "longitude": -95.3945517000304,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 402,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "HARRIS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "HARRIS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HARRIS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ESMAEIL M PORSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRIS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-harris-county-hospital-district",
      "siblingGroupId": "siblings-tx-harris-county-hospital-district",
      "campusFamilyId": "campus-tx-450289",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-harris-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARRIS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ESMAEIL M PORSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRIS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450289-loc-tx-houston-harris-health-system-lyndon-b-johnson-hospi",
      "ccn": "450289",
      "name": "HARRIS HEALTH SYSTEM LYNDON B JOHNSON HOSPITAL",
      "address": "5656 KELLEY STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77026",
      "county": "HARRIS",
      "latitude": 29.8119332800726,
      "longitude": -95.3118817000653,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 215,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "HARRIS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "HARRIS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HARRIS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ESMAEIL M PORSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRIS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-harris-county-hospital-district",
      "siblingGroupId": "siblings-tx-harris-county-hospital-district",
      "campusFamilyId": "campus-tx-450289",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-harris-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARRIS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ESMAEIL M PORSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRIS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450289"
    },
    {
      "id": "450289-loc-tx-houston-harris-health-system-quentin-mease-hospital",
      "ccn": "450289",
      "name": "HARRIS HEALTH SYSTEM QUENTIN MEASE HOSPITAL",
      "address": "3601 NORTH MACGREGOR WAY",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77004",
      "county": "HARRIS",
      "latitude": 29.7110390798595,
      "longitude": -95.3598064198245,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": 3,
      "website": "https://www.harrishealth.org/en/services/locations/pages/quentin-mease-medical-specialties.aspx",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-harris-health-system-quentin-mease-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HARRIS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "HARRIS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HARRIS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ESMAEIL M PORSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRIS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-harris-county-hospital-district",
      "siblingGroupId": "siblings-tx-harris-county-hospital-district",
      "campusFamilyId": "campus-tx-450289",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-harris-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARRIS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ESMAEIL M PORSA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARRIS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450289"
    },
    {
      "id": "450292",
      "ccn": "450292",
      "name": "TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN",
      "address": "850 ED HALL DRIVE",
      "city": "KAUFMAN",
      "state": "TX",
      "zip": "75142",
      "county": "KAUFMAN",
      "latitude": 32.5921696099835,
      "longitude": -96.3185202500754,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 91,
      "rating": null,
      "website": "http://www.texashealth.org/kaufman",
      "status": "corporate_chain",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Texashealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kaufman-texas-health-presbyterian-hospital-kaufman/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Texashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Texashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Texashealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Texashealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450324",
      "ccn": "450324",
      "name": "TEXOMA MEDICAL CENTER",
      "address": "5016 SOUTH US HIGHWAY 75",
      "city": "DENISON",
      "state": "TX",
      "zip": "75020",
      "county": "GRAYSON",
      "latitude": 33.7097178203553,
      "longitude": -96.5850870299676,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 333,
      "rating": 4,
      "website": "http://www.texomamedicalcenter.net",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denison-texoma-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450330",
      "ccn": "450330",
      "name": "OAKBEND MEDICAL CENTER",
      "address": "1705 JACKSON STREET",
      "city": "RICHMOND",
      "state": "TX",
      "zip": "77469",
      "county": "FORT BEND",
      "latitude": 29.5763288402815,
      "longitude": -95.7709370203497,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 168,
      "rating": 3,
      "website": "http://www.oakbendmedcenter.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "OAKBEND MEDICAL CENTER",
      "affiliatedSystem": "OAKBEND MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: OAKBEND MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OAKBEND MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAKBEND MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-oakbend-medical-center",
      "siblingGroupId": "siblings-tx-oakbend-medical-center",
      "campusFamilyId": "campus-tx-450330",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oakbend-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OAKBEND MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OAKBEND MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAKBEND MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450330-loc-tx-richmond-oakbend-medical-center",
      "ccn": "450330",
      "name": "OAKBEND MEDICAL CENTER",
      "address": "22003 SOUTHWEST FREEWAY",
      "city": "RICHMOND",
      "state": "TX",
      "zip": "77469",
      "county": "FORT BEND",
      "latitude": 29.5551533101981,
      "longitude": -95.713926090325,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 61,
      "rating": 3,
      "website": "https://www.oakbendmedcenter.org/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "OAKBEND MEDICAL CENTER",
      "affiliatedSystem": "OAKBEND MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: OAKBEND MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OAKBEND MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAKBEND MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-oakbend-medical-center",
      "siblingGroupId": "siblings-tx-oakbend-medical-center",
      "campusFamilyId": "campus-tx-450330",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oakbend-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OAKBEND MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OAKBEND MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OAKBEND MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450330"
    },
    {
      "id": "450347",
      "ccn": "450347",
      "name": "HUNTSVILLE MEMORIAL HOSPITAL",
      "address": "110 MEMORIAL HOSPITAL DRIVE",
      "city": "HUNTSVILLE",
      "state": "TX",
      "zip": "77340",
      "county": "WALKER",
      "latitude": 30.6985499903418,
      "longitude": -95.5589869599257,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 123,
      "rating": 2,
      "website": "http://www.huntsvillememorial.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntsville-huntsville-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Hospital Consulting",
      "affiliatedSystem": "COMMUNITY HOSPITAL CONSULTING, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-community-hospital-consulting",
      "siblingGroupId": "siblings-tx-community-hospital-consulting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-hospital-consulting-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450351",
      "ccn": "450351",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE",
      "address": "411 N BELKNAP ST",
      "city": "STEPHENVILLE",
      "state": "TX",
      "zip": "76401",
      "county": "ERATH",
      "latitude": 32.2229638797138,
      "longitude": -98.2043999204187,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 98,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stephenville-texas-health-harris-methodist-hospital-stephenville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450352",
      "ccn": "450352",
      "name": "HUNT REGIONAL MEDICAL CENTER GREENVILLE",
      "address": "4215 JOE RAMSEY BOULEVARD",
      "city": "GREENVILLE",
      "state": "TX",
      "zip": "75401",
      "county": "HUNT",
      "latitude": 33.12231408014,
      "longitude": -96.1239707399611,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 167,
      "rating": 2,
      "website": "http://www.huntregional.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-hunt-regional-medical-center-greenville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HUNT MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "HUNT MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HUNT MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hunt-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-hunt-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hunt-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUNT MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUNT MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450358",
      "ccn": "450358",
      "name": "HOUSTON METHODIST HOSPITAL",
      "address": "6565 FANNIN ST",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7105231398634,
      "longitude": -95.3989388796386,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1398,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "THE METHODIST HOSPITAL",
      "affiliatedSystem": "Houston Methodist",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450369",
      "ccn": "450369",
      "name": "CHILDRESS REGIONAL MEDICAL CENTER",
      "address": "901 US HIGHWAY 83 N",
      "city": "CHILDRESS",
      "state": "TX",
      "zip": "79201",
      "county": "CHILDRESS",
      "latitude": 34.4392667800843,
      "longitude": -100.226733299737,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 39,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-childress-childress-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CHILDRESS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "CHILDRESS COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHILDRESS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRESS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-childress-county-hospital-district",
      "siblingGroupId": "siblings-tx-childress-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-childress-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILDRESS COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRESS COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450370",
      "ccn": "450370",
      "name": "COLUMBUS COMMUNITY HOSPITAL",
      "address": "110 SHULT DR",
      "city": "COLUMBUS",
      "state": "TX",
      "zip": "78934",
      "county": "COLORADO",
      "latitude": 29.6945178402892,
      "longitude": -96.5433110995635,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-columbus-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COLUMBUS COMMUNITY HOSPITAL",
      "affiliatedSystem": "COLUMBUS COMMUNITY HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COLUMBUS COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JAMES VANEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COLUMBUS COMMUNITY HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-columbus-community-hospital",
      "siblingGroupId": "siblings-tx-columbus-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-columbus-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBUS COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JAMES VANEK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COLUMBUS COMMUNITY HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBUS COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450372",
      "ccn": "450372",
      "name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE",
      "address": "2400 N IH 35 E",
      "city": "WAXAHACHIE",
      "state": "TX",
      "zip": "75165",
      "county": "ELLIS",
      "latitude": 32.427423635861,
      "longitude": -96.8579539716283,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 122,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SABRINA A JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR SCOTT & WHITE HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SABRINA A JOHNSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450379",
      "ccn": "450379",
      "name": "DALLAS MEDICAL CENTER",
      "address": "7 MEDICAL PARKWAY",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75234",
      "county": "DALLAS",
      "latitude": 32.915260529836,
      "longitude": -96.8697958700292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 155,
      "rating": 3,
      "website": "http://www.dallasmedcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-dallas-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DALLAS MEDICAL CENTER LLC",
      "affiliatedSystem": "DALLAS MEDICAL CENTER LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: DALLAS MEDICAL CENTER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DALLAS MEDICAL CENTER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALLAS MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dallas-medical-center-llc",
      "siblingGroupId": "siblings-tx-dallas-medical-center-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-dallas-medical-center-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DALLAS MEDICAL CENTER LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DALLAS MEDICAL CENTER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALLAS MEDICAL CENTER LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450388",
      "ccn": "450388",
      "name": "METHODIST HOSPITAL",
      "address": "7700 FLOYD CURL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "BEXAR",
      "latitude": 29.5082132998654,
      "longitude": -98.5724775904476,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 996,
      "rating": 4,
      "website": "http://sahealth.com/locations/methodist-hospital/index.dot",
      "status": "corporate_chain",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-methodist-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "campusFamilyId": "campus-tx-450388",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450388-loc-tx-san-antonio-methodist-hospital-stone-oak-rehabilita",
      "ccn": "450388",
      "name": "METHODIST HOSPITAL STONE OAK REHABILITATION CENTER",
      "address": "19126 STONEHUE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78258",
      "county": "BEXAR",
      "latitude": 29.6282313201793,
      "longitude": -98.4923584995639,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "campusFamilyId": "campus-tx-450388",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450388"
    },
    {
      "id": "450388-loc-tx-san-antonio-methodist-texsan-hospital-a-methodist-h",
      "ccn": "450388",
      "name": "METHODIST TEXSAN HOSPITAL - A METHODIST HOSPITAL FACILITY",
      "address": "6700 IH-10 WEST",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78201",
      "county": "BEXAR",
      "latitude": 29.4898639899604,
      "longitude": -98.5475725798314,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 120,
      "rating": 4,
      "website": "http://sahealth.com/locations/methodisttexsan/",
      "status": "corporate_chain",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "campusFamilyId": "campus-tx-450388",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450388"
    },
    {
      "id": "450388-loc-tx-san-antonio-metropolitan-methodist-hospital",
      "ccn": "450388",
      "name": "METROPOLITAN METHODIST HOSPITAL",
      "address": "1310 MCCULLOUGH AVENUE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78212",
      "county": "BEXAR",
      "latitude": 29.4418034300793,
      "longitude": -98.4909839702796,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 378,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "campusFamilyId": "campus-tx-450388",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450388"
    },
    {
      "id": "450388-loc-tx-san-antonio-northeast-methodist-hospital",
      "ccn": "450388",
      "name": "NORTHEAST METHODIST HOSPITAL",
      "address": "12412 JUDSON ROAD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78233",
      "county": "BEXAR",
      "latitude": 29.552464520189,
      "longitude": -98.3482613097035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 207,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "campusFamilyId": "campus-tx-450388",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450388"
    },
    {
      "id": "450388-loc-tx-san-antonio-methodist-hospital-landmark",
      "ccn": "450388",
      "name": "METHODIST HOSPITAL | LANDMARK",
      "address": "5510 PRESIDIO PKWY",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78249",
      "county": "BEXAR",
      "latitude": 29.5852657997928,
      "longitude": -98.5921061998172,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "campusFamilyId": "campus-tx-450388",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450388"
    },
    {
      "id": "450388-loc-tx-san-antonio-methodist-hospital-westover-hills",
      "ccn": "450388",
      "name": "METHODIST HOSPITAL WESTOVER HILLS",
      "address": "5106 WEST LOOP 1604 NORTH",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78251",
      "county": "BEXAR",
      "latitude": 29.4840512287698,
      "longitude": -98.7043045292472,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 46,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "campusFamilyId": "campus-tx-450388",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450388"
    },
    {
      "id": "450389",
      "ccn": "450389",
      "name": "UT HEALTH EAST TEXAS ATHENS HOSPITAL",
      "address": "2000 SOUTH PALESTINE STREET",
      "city": "ATHENS",
      "state": "TX",
      "zip": "75751",
      "county": "HENDERSON",
      "latitude": 32.1694446997564,
      "longitude": -95.8462336996667,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 127,
      "rating": 2,
      "website": "http://www.etmc.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450395",
      "ccn": "450395",
      "name": "CHI ST LUKES HEALTH - MEMORIAL LIVINGSTON",
      "address": "1717 HIGHWAY 59 BYPASS",
      "city": "LIVINGSTON",
      "state": "TX",
      "zip": "77351",
      "county": "POLK",
      "latitude": 30.7308717097237,
      "longitude": -94.9393924800328,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 66,
      "rating": 4,
      "website": "http://www.memorialhealth.us/centers/livingston",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-livingston-chi-st-lukes-health---memorial-livingston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450399",
      "ccn": "450399",
      "name": "BROWNFIELD REGIONAL MEDICAL CENTER",
      "address": "705 EAST FELT STREET",
      "city": "BROWNFIELD",
      "state": "TX",
      "zip": "79316",
      "county": "TERRY",
      "latitude": 33.1877298298253,
      "longitude": -102.267414289932,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 48,
      "rating": null,
      "website": "http://www.brownfield-rmc.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brownfield-brownfield-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TERRY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "TERRY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TERRY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERRY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-terry-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-terry-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-terry-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: TERRY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TERRY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450400",
      "ccn": "450400",
      "name": "PARKVIEW REGIONAL HOSPITAL",
      "address": "600 SOUTH BONHAM",
      "city": "MEXIA",
      "state": "TX",
      "zip": "76667",
      "county": "LIMESTONE",
      "latitude": 31.6752885999932,
      "longitude": -96.4809374599562,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 58,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mexia-parkview-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-kindred-healthcare-operating-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450403",
      "ccn": "450403",
      "name": "HORIZON MEDICAL CENTER OF MCKINNEY LLC",
      "address": "6601 W UNIVERSITY",
      "city": "MCKINNEY",
      "state": "TX",
      "zip": "75071",
      "county": "COLLIN",
      "latitude": 33.2176011432646,
      "longitude": -96.7038860920703,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 26,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-450403",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450419",
      "ccn": "450419",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE",
      "address": "108 DENVER TRL",
      "city": "AZLE",
      "state": "TX",
      "zip": "76020",
      "county": "TARRANT",
      "latitude": 32.880966480338,
      "longitude": -97.5330986499271,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-azle-texas-health-harris-methodist-hospital-azle/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450422",
      "ccn": "450422",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - UPTOWN",
      "address": "2727 EAST LEMMON AVENUE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75204",
      "county": "DALLAS",
      "latitude": 32.8042463801584,
      "longitude": -96.7949549500732,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: USPI HOLDING COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 17.45%). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-tenet-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.tenethealth.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: USPI HOLDING COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 17.45%). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450424",
      "ccn": "450424",
      "name": "HOUSTON METHODIST BAYTOWN HOSPITAL",
      "address": "4401 GARTH RD",
      "city": "BAYTOWN",
      "state": "TX",
      "zip": "77521",
      "county": "HARRIS",
      "latitude": 29.7691162701803,
      "longitude": -94.9797166098686,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 230,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-baytown-houston-methodist-baytown-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE METHODIST HOSPITAL",
      "affiliatedSystem": "Houston Methodist",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450431",
      "ccn": "450431",
      "name": "HEART HOSPITAL OF AUSTIN - A CAMPUS OF ST DAVIDS MEDICAL CENTER",
      "address": "3801 NORTH LAMAR",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78756",
      "county": "TRAVIS",
      "latitude": 30.3058292699043,
      "longitude": -97.7411042196166,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 58,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-round-rock-hospital-inc",
      "siblingGroupId": "siblings-tx-round-rock-hospital-inc",
      "campusFamilyId": "campus-tx-450431",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-round-rock-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450431-loc-tx-austin-st-davids-medical-center",
      "ccn": "450431",
      "name": "ST DAVIDS MEDICAL CENTER",
      "address": "919 E 32ND STREET",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78705",
      "county": "TRAVIS",
      "latitude": 30.2898922102472,
      "longitude": -97.7260463695666,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 371,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-st.-david-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-round-rock-hospital-inc",
      "siblingGroupId": "siblings-tx-round-rock-hospital-inc",
      "campusFamilyId": "campus-tx-450431",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-round-rock-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450431"
    },
    {
      "id": "450431-loc-tx-austin-st-davids-rehabilitation-hospital-a-st-david",
      "ccn": "450431",
      "name": "ST DAVIDS REHABILITATION HOSPITAL - A ST DAVIDS MEDICAL CENTER",
      "address": "1005 EAST 32ND STREET",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78705",
      "county": "TRAVIS",
      "latitude": 30.2896893197175,
      "longitude": -97.7249857601517,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-round-rock-hospital-inc",
      "siblingGroupId": "siblings-tx-round-rock-hospital-inc",
      "campusFamilyId": "campus-tx-450431",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-round-rock-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450431"
    },
    {
      "id": "450447",
      "ccn": "450447",
      "name": "NAVARRO REGIONAL HOSPITAL",
      "address": "3201 WEST HIGHWAY 22",
      "city": "CORSICANA",
      "state": "TX",
      "zip": "75110",
      "county": "NAVARRO",
      "latitude": 32.0836312802559,
      "longitude": -96.5035989200655,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 162,
      "rating": 2,
      "website": "http://www.navarrohospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corsicana-navarro-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tx-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450451",
      "ccn": "450451",
      "name": "GLEN ROSE MEDICAL CENTER",
      "address": "1021 HOLDEN STREET",
      "city": "GLEN ROSE",
      "state": "TX",
      "zip": "76043",
      "county": "SOMERVELL",
      "latitude": 32.2419812896917,
      "longitude": -97.7469002998484,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "website": "http://www.glenrosemedicalcenter.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glen-rose-glen-rose-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SOMERVELL COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "SOMERVELL COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOMERVELL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-somervell-county-hospital-district",
      "siblingGroupId": "siblings-tx-somervell-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-somervell-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOMERVELL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450460",
      "ccn": "450460",
      "name": "TYLER COUNTY HOSPITAL",
      "address": "1100 WEST BLUFF STREET",
      "city": "WOODVILLE",
      "state": "TX",
      "zip": "75979",
      "county": "TYLER",
      "latitude": 30.7760358202024,
      "longitude": -94.4276363204058,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": null,
      "website": "http://www.tchospital.us",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodville-tyler-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TYLER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "TYLER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TYLER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-tyler-county-hospital-district",
      "siblingGroupId": "siblings-tx-tyler-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-tyler-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TYLER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450462",
      "ccn": "450462",
      "name": "TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS",
      "address": "8200 WALNUT HILL LN",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75231",
      "county": "DALLAS",
      "latitude": 32.8811341799753,
      "longitude": -96.7624376597568,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 875,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-texas-health-presbyterian-hospital-dallas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450465",
      "ccn": "450465",
      "name": "MATAGORDA REGIONAL MEDICAL CENTER",
      "address": "104 7TH STREET",
      "city": "BAY CITY",
      "state": "TX",
      "zip": "77414",
      "county": "MATAGORDA",
      "latitude": 28.9800470098667,
      "longitude": -95.9916774003577,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 58,
      "rating": 5,
      "website": "http://www.matagordaregional.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bay-city-matagorda-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MATAGORDA COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "MATAGORDA COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MATAGORDA COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MATAGORDA COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-matagorda-county-hospital-district",
      "siblingGroupId": "siblings-tx-matagorda-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-matagorda-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MATAGORDA COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MATAGORDA COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450469",
      "ccn": "450469",
      "name": "WILSON N JONES REGIONAL MEDICAL CENTER",
      "address": "500 N HIGHLAND AVE",
      "city": "SHERMAN",
      "state": "TX",
      "zip": "75092",
      "county": "GRAYSON",
      "latitude": 33.6370973898178,
      "longitude": -96.6238216501969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 214,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sherman-wilson-n-jones-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "American Healthcare Systems",
      "affiliatedSystem": "AMERICAN HEALTHCARE SYSTEMS CORP INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTHCARE SYSTEMS CORP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MIKE M SARIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AMERICAN HEALTHCARE SYSTEMS CORP INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent American Healthcare Systems, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-healthcare-systems",
      "siblingGroupId": "siblings-tx-american-healthcare-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-american-healthcare-systems-corp-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTHCARE SYSTEMS CORP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MIKE M SARIAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AMERICAN HEALTHCARE SYSTEMS CORP INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent American Healthcare Systems, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450475",
      "ccn": "450475",
      "name": "UT HEALTH EAST TEXAS HENDERSON HOSPITAL",
      "address": "300 WILSON STREET",
      "city": "HENDERSON",
      "state": "TX",
      "zip": "75652",
      "county": "RUSK",
      "latitude": 32.1609499997642,
      "longitude": -94.7956183602812,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 96,
      "rating": 5,
      "website": "http://www.etmc.org/etmchenderson/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450484",
      "ccn": "450484",
      "name": "WOODLAND HEIGHTS MEDICAL CENTER",
      "address": "505 SOUTH JOHN REDDITT DRIVE",
      "city": "LUFKIN",
      "state": "TX",
      "zip": "75904",
      "county": "ANGELINA",
      "latitude": 31.3283994701102,
      "longitude": -94.7540588403173,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 149,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lufkin-woodland-heights-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tx-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450489",
      "ccn": "450489",
      "name": "MEDICAL ARTS HOSPITAL",
      "address": "2200 NORTH BRYAN AVENUE",
      "city": "LAMESA",
      "state": "TX",
      "zip": "79331",
      "county": "DAWSON",
      "latitude": 32.7492009096539,
      "longitude": -101.967542380151,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 21,
      "rating": null,
      "website": "http://www.medicalartshospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lamesa-medical-arts-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DAWSON COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "DAWSON COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: DAWSON COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAWSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dawson-county-hospital-district",
      "siblingGroupId": "siblings-tx-dawson-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-dawson-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: DAWSON COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DAWSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450508",
      "ccn": "450508",
      "name": "NACOGDOCHES MEMORIAL HOSPITAL",
      "address": "1204 NORTH MOUND STREET",
      "city": "NACOGDOCHES",
      "state": "TX",
      "zip": "75961",
      "county": "NACOGDOCHES",
      "latitude": 31.6126410896666,
      "longitude": -94.6488773899121,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 210,
      "rating": 2,
      "website": "http://www.nacmem.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nacogdoches-nacogdoches-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NACOGDOCHES COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "NACOGDOCHES COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NACOGDOCHES COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nacogdoches-county-hospital-district",
      "siblingGroupId": "siblings-tx-nacogdoches-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-nacogdoches-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NACOGDOCHES COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450518",
      "ccn": "450518",
      "name": "THE MEDICAL CENTER OF SOUTHEAST TEXAS",
      "address": "2555 JIMMY JOHNSON BLVD",
      "city": "PORT ARTHUR",
      "state": "TX",
      "zip": "77640",
      "county": "JEFFERSON",
      "latitude": 29.9355020302945,
      "longitude": -93.989534530212,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 204,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Physician",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-arthur-the-medical-center-of-southeast-texas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Healthcare Systems of America",
      "affiliatedSystem": "HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE GILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-healthcare-systems-of-america",
      "siblingGroupId": "siblings-tx-healthcare-systems-of-america",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHCARE SYSTEMS OF AMERICA -TEXAS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AIMEE GILL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Healthcare Systems of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450537",
      "ccn": "450537",
      "name": "METHODIST RICHARDSON MEDICAL CENTER",
      "address": "2831 E PRES GEORGE BUSH HWY",
      "city": "RICHARDSON",
      "state": "TX",
      "zip": "75082",
      "county": "COLLIN",
      "latitude": 32.9960815602235,
      "longitude": -96.6664903200421,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 269,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richardson-methodist-richardson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Methodist Health System",
      "affiliatedSystem": "METHODIST HOSPITALS OF DALLAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-tx-methodist-health-system",
      "campusFamilyId": "campus-tx-450537",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://methodisthealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450537-loc-tx-richardson-methodist-richardson-medical-center-camp",
      "ccn": "450537",
      "name": "METHODIST RICHARDSON MEDICAL CENTER CAMPUS FOR CONTINUING CARE",
      "address": "401 W CAMPBELL ROAD",
      "city": "RICHARDSON",
      "state": "TX",
      "zip": "75080",
      "county": "DALLAS",
      "latitude": 32.9743165299863,
      "longitude": -96.7266011097369,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 174,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Methodist Health System",
      "affiliatedSystem": "METHODIST HOSPITALS OF DALLAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-tx-methodist-health-system",
      "campusFamilyId": "campus-tx-450537",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://methodisthealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450537"
    },
    {
      "id": "450539",
      "ccn": "450539",
      "name": "COVENANT HOSPITAL PLAINVIEW",
      "address": "2601 DIMMIT ROAD",
      "city": "PLAINVIEW",
      "state": "TX",
      "zip": "79072",
      "county": "HALE",
      "latitude": 34.2067567200967,
      "longitude": -101.732945650379,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 68,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plainview-covenant-hospital-plainview/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450565",
      "ccn": "450565",
      "name": "PALO PINTO GENERAL HOSPITAL",
      "address": "400 SOUTHWEST 25TH AVENUE",
      "city": "MINERAL WELLS",
      "state": "TX",
      "zip": "76067",
      "county": "PALO PINTO",
      "latitude": 32.7989207597513,
      "longitude": -98.1450907800969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 74,
      "rating": 3,
      "website": "http://www.ppgh.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mineral-wells-palo-pinto-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "PALO PINTO COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "PALO PINTO COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PALO PINTO COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO PINTO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-palo-pinto-county-hospital-district",
      "siblingGroupId": "siblings-tx-palo-pinto-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-palo-pinto-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: PALO PINTO COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALO PINTO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450571",
      "ccn": "450571",
      "name": "SHANNON MEDICAL CENTER",
      "address": "120 E HARRIS AVE",
      "city": "SAN ANGELO",
      "state": "TX",
      "zip": "76903",
      "county": "TOM GREEN",
      "latitude": 31.4652478397662,
      "longitude": -100.434893159569,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 333,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "SHANNON HEALTH SYSTEM",
      "affiliatedSystem": "SHANNON HEALTH SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SHANNON HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHANNON HEALTH SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANNON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shannon-health-system",
      "siblingGroupId": "siblings-tx-shannon-health-system",
      "campusFamilyId": "campus-tx-450571",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-shannon-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHANNON HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHANNON HEALTH SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANNON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450571-loc-tx-san-angelo-shannon-medical-center-south",
      "ccn": "450571",
      "name": "SHANNON MEDICAL CENTER SOUTH",
      "address": "3501 KNICKERBOCKER RD",
      "city": "SAN ANGELO",
      "state": "TX",
      "zip": "76904",
      "county": "TOM GREEN",
      "latitude": 31.4182765403166,
      "longitude": -100.469814049633,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 171,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "SHANNON HEALTH SYSTEM",
      "affiliatedSystem": "SHANNON HEALTH SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SHANNON HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHANNON HEALTH SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANNON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shannon-health-system",
      "siblingGroupId": "siblings-tx-shannon-health-system",
      "campusFamilyId": "campus-tx-450571",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-shannon-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHANNON HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHANNON HEALTH SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANNON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450571"
    },
    {
      "id": "450571-loc-tx-san-angelo-shannon-medical-center-st-johns-campus",
      "ccn": "450571",
      "name": "SHANNON MEDICAL CENTER ST JOHNS CAMPUS",
      "address": "2018 PULLIAM STREET",
      "city": "SAN ANGELO",
      "state": "TX",
      "zip": "76905",
      "county": "TOM GREEN",
      "latitude": 31.471711699619,
      "longitude": -100.402443770209,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 108,
      "rating": 3,
      "website": "http://www.shannonhealth.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-angelo-shannon-medical-center-st-johns-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SHANNON HEALTH SYSTEM",
      "affiliatedSystem": "SHANNON HEALTH SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SHANNON HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHANNON HEALTH SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANNON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shannon-health-system",
      "siblingGroupId": "siblings-tx-shannon-health-system",
      "campusFamilyId": "campus-tx-450571",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-shannon-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHANNON HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHANNON HEALTH SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHANNON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450571"
    },
    {
      "id": "450584",
      "ccn": "450584",
      "name": "WILBARGER GENERAL HOSPITAL",
      "address": "920 HILLCREST DRIVE",
      "city": "VERNON",
      "state": "TX",
      "zip": "76384",
      "county": "WILBARGER",
      "latitude": 34.1586152502281,
      "longitude": -99.3151605097715,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 28,
      "rating": null,
      "website": "http://www.wghospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vernon-wilbarger-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WILBARGER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "WILBARGER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: WILBARGER COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIDGETTE REEVES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILBARGER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-wilbarger-county-hospital-district",
      "siblingGroupId": "siblings-tx-wilbarger-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-wilbarger-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: WILBARGER COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIDGETTE REEVES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILBARGER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450587",
      "ccn": "450587",
      "name": "HENDRICK MEDICAL CENTER BROWNWOOD",
      "address": "1501 BURNETT RD",
      "city": "BROWNWOOD",
      "state": "TX",
      "zip": "76801",
      "county": "BROWN",
      "latitude": 31.6773439198202,
      "longitude": -98.9938338396161,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 188,
      "rating": 1,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brownwood-hendrick-medical-center-brownwood/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Hendrick Medical Center",
      "affiliatedSystem": "HENDRICK MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HENDRICK MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hendrick-medical-center",
      "siblingGroupId": "siblings-tx-hendrick-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hendrick-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HENDRICK MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HENDRICK MEDICAL CENTER; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Hendrick Medical Center, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450596",
      "ccn": "450596",
      "name": "LAKE GRANBURY MEDICAL CENTER",
      "address": "1310 PALUXY ROAD",
      "city": "GRANBURY",
      "state": "TX",
      "zip": "76048",
      "county": "HOOD",
      "latitude": 32.4324893097746,
      "longitude": -97.8038484996185,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 73,
      "rating": 3,
      "website": "http://www.lakegranburymedicalcenter.com/lake-granbury-medical-center/home.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Community Health Systems",
      "affiliatedSystem": "Community Health Systems",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-community-health-systems",
      "siblingGroupId": "siblings-tx-community-health-systems",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-health-systems"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.chs.net/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHS COMMUNITY HEALTH SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Community Health Systems; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Health Systems, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450597",
      "ccn": "450597",
      "name": "CUERO REGIONAL HOSPITAL",
      "address": "2550 NORTH ESPLANADE",
      "city": "CUERO",
      "state": "TX",
      "zip": "77954",
      "county": "DEWITT",
      "latitude": 29.1126150298058,
      "longitude": -97.2833411698859,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 49,
      "rating": 4,
      "website": "http://www.cuerohosp.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cuero-cuero-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DEWITT MEDICAL DISTRICT",
      "affiliatedSystem": "DEWITT MEDICAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: DEWITT MEDICAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DEWITT MEDICAL DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEWITT MEDICAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dewitt-medical-district",
      "siblingGroupId": "siblings-tx-dewitt-medical-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-dewitt-medical-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DEWITT MEDICAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DEWITT MEDICAL DISTRICT; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEWITT MEDICAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450604",
      "ccn": "450604",
      "name": "HILL COUNTRY MEMORIAL HOSPITAL",
      "address": "1020 STATE HIGHWAY 16 SOUTH",
      "city": "FREDERICKSBURG",
      "state": "TX",
      "zip": "78624",
      "county": "GILLESPIE",
      "latitude": 30.2625190000544,
      "longitude": -98.8818432698501,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 84,
      "rating": 4,
      "website": "http://www.hcmhs.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fredericksburg-hill-country-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC.",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-healthcare-ministries-of-south-texas-inc",
      "siblingGroupId": "siblings-tx-methodist-healthcare-ministries-of-south-texas-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450617",
      "ccn": "450617",
      "name": "HCA HOUSTON HEALTHCARE CLEAR LAKE",
      "address": "500 MEDICAL CENTER BOULEVARD",
      "city": "WEBSTER",
      "state": "TX",
      "zip": "77598",
      "county": "HARRIS",
      "latitude": 29.5413067499244,
      "longitude": -95.1278151403462,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 532,
      "rating": 4,
      "website": "http://www.clearlakermc.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-webster-hca-houston-healthcare-clear-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450634",
      "ccn": "450634",
      "name": "MEDICAL CITY DENTON",
      "address": "3535 SOUTH I-35 EAST",
      "city": "DENTON",
      "state": "TX",
      "zip": "76210",
      "county": "DENTON",
      "latitude": 33.1778745298618,
      "longitude": -97.091433299595,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 208,
      "rating": 4,
      "status": "signal",
      "parentSystem": "COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denton-medical-city-denton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-columbia-north-texas-subsidiary-gp-llc",
      "siblingGroupId": "siblings-tx-columbia-north-texas-subsidiary-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450638",
      "ccn": "450638",
      "name": "HCA HOUSTON HEALTHCARE NORTHWEST",
      "address": "710 CYPRESS CREEK PARKWAY",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77090",
      "county": "HARRIS",
      "latitude": 30.0204405002085,
      "longitude": -95.4427141795908,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 417,
      "rating": 2,
      "website": "http://www.hnmc.com",
      "status": "corporate_chain",
      "parentSystem": "HOUSTON NW MANAGER, LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-hca-houston-healthcare-northwest/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HOUSTON NW MANAGER, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 98.48%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HOUSTON NW MANAGER, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON NW MANAGER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-houston-nw-manager-llc",
      "siblingGroupId": "siblings-tx-houston-nw-manager-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-houston-nw-manager-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOUSTON NW MANAGER, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 98.48%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HOUSTON NW MANAGER, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOUSTON NW MANAGER, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450641",
      "ccn": "450641",
      "name": "NOCONA GENERAL HOSPITAL",
      "address": "100 PARK ROAD",
      "city": "NOCONA",
      "state": "TX",
      "zip": "76255",
      "county": "MONTAGUE",
      "latitude": 33.7772744200318,
      "longitude": -97.7327010299026,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 22,
      "rating": 1,
      "website": "http://noconageneral.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nocona-nocona-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NOCONA HOSPITAL DISTRICT",
      "affiliatedSystem": "NOCONA HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: NOCONA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOCONA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-nocona-hospital-district",
      "siblingGroupId": "siblings-tx-nocona-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-nocona-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOCONA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOCONA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450643",
      "ccn": "450643",
      "name": "DOCTORS HOSPITAL OF LAREDO",
      "address": "10700 MCPHERSON ROAD",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78045",
      "county": "WEBB",
      "latitude": 27.6069144803952,
      "longitude": -99.4784756100334,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 171,
      "rating": 4,
      "website": "http://www.doctorshosplaredo.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laredo-doctors-hospital-of-laredo/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists EDWARD SIM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450644",
      "ccn": "450644",
      "name": "HCA HOUSTON HEALTHCARE WEST",
      "address": "12141 RICHMOND AVENUE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77082",
      "county": "HARRIS",
      "latitude": 29.7293416602125,
      "longitude": -95.5944836197814,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 273,
      "rating": 1,
      "website": "http://www.westhoustonmedical.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-hca-houston-healthcare-west/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450647",
      "ccn": "450647",
      "name": "MEDICAL CITY DALLAS HOSPITAL",
      "address": "7777 FOREST LN",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75230",
      "county": "DALLAS",
      "latitude": 32.9119328802116,
      "longitude": -96.7740738700086,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 899,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-columbia-north-texas-subsidiary-gp-llc",
      "siblingGroupId": "siblings-tx-columbia-north-texas-subsidiary-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450651",
      "ccn": "450651",
      "name": "MEDICAL CITY PLANO",
      "address": "3901 W 15TH ST",
      "city": "PLANO",
      "state": "TX",
      "zip": "75075",
      "county": "COLLIN",
      "latitude": 33.0208930002235,
      "longitude": -96.7660152003758,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 603,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-medical-city-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-columbia-north-texas-subsidiary-gp-llc",
      "siblingGroupId": "siblings-tx-columbia-north-texas-subsidiary-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450653",
      "ccn": "450653",
      "name": "SCENIC MOUNTAIN MEDICAL CENTER - A STEWARD FAMILY HOSPITAL",
      "address": "1601 WEST ELEVENTH PLACE",
      "city": "BIG SPRING",
      "state": "TX",
      "zip": "79720",
      "county": "HOWARD",
      "latitude": 32.2363778503077,
      "longitude": -101.491675530398,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 146,
      "rating": null,
      "status": "signal",
      "parentSystem": "QUINCY HEALTH LLC",
      "affiliatedSystem": "QUINCY HEALTH LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Steward Health Care",
      "publicControlBadge": "Ownership warning",
      "parentSystemEvidence": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to QUINCY HEALTH LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quincy-health-llc",
      "siblingGroupId": "siblings-tx-quincy-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-quincy-health-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Steward Health Care; this is not proof without facility-level inclusion on the official page. Official system page request failed: fetch failed. Existing public parent-system label preserved as a regression candidate: Steward Health Care. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to QUINCY HEALTH LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450654",
      "ccn": "450654",
      "name": "STARR COUNTY MEMORIAL HOSPITAL",
      "address": "128 NORTH FM ROAD 3167",
      "city": "RIO GRANDE CITY",
      "state": "TX",
      "zip": "78582",
      "county": "STARR",
      "latitude": 26.3764321101956,
      "longitude": -98.8583591703329,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 48,
      "rating": 2,
      "website": "http://www.starrcountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rio-grande-city-starr-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STARR COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "STARR COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STARR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STARR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-starr-county-hospital-district",
      "siblingGroupId": "siblings-tx-starr-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-starr-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: STARR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 80%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STARR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450656",
      "ccn": "450656",
      "name": "NACOGDOCHES MEDICAL CENTER",
      "address": "4920 N E STALLINGS DRIVE",
      "city": "NACOGDOCHES",
      "state": "TX",
      "zip": "75965",
      "county": "NACOGDOCHES",
      "latitude": 31.6531443102589,
      "longitude": -94.6538731197348,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 161,
      "rating": 3,
      "website": "http://www.nacmedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-nacogdoches-nacogdoches-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "AMISUB OF TEXAS INC",
      "affiliatedSystem": "AMISUB OF TEXAS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: AMISUB OF TEXAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AMISUB OF TEXAS INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMISUB OF TEXAS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-amisub-of-texas-inc",
      "siblingGroupId": "siblings-tx-amisub-of-texas-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-amisub-of-texas-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMISUB OF TEXAS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AMISUB OF TEXAS INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMISUB OF TEXAS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450658",
      "ccn": "450658",
      "name": "FREESTONE MEDICAL CENTER",
      "address": "125 NEWMAN STREET",
      "city": "FAIRFIELD",
      "state": "TX",
      "zip": "75840",
      "county": "FREESTONE",
      "latitude": 31.7253437402935,
      "longitude": -96.1705982295679,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 37,
      "rating": null,
      "website": "http://www.etmc.org",
      "status": "corporate_chain",
      "parentSystem": "FAIRFIELD HOSPITAL DISTRICT",
      "affiliatedSystem": "COMMUNITY HOSPITAL CONSULTING, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Etmc",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairfield-freestone-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MELISSA LOUISE WILSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Etmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Etmc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRFIELD HOSPITAL DISTRICT, ownership class government. Excluded COMMUNITY HOSPITAL CONSULTING, INC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-fairfield-hospital-district",
      "siblingGroupId": "siblings-tx-fairfield-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-fairfield-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MELISSA LOUISE WILSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Etmc; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Etmc. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAIRFIELD HOSPITAL DISTRICT, ownership class government. Excluded COMMUNITY HOSPITAL CONSULTING, INC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "450659",
      "ccn": "450659",
      "name": "HCA HOUSTON HEALTHCARE MEDICAL CENTER",
      "address": "1313 HERMANN DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77004",
      "county": "HARRIS",
      "latitude": 29.722555670204,
      "longitude": -95.3875318996843,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 444,
      "rating": 4,
      "website": "http://www.parkplazahospital.com",
      "status": "signal",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-hca-houston-healthcare-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Georgia nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-georgia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Georgia nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450661",
      "ccn": "450661",
      "name": "ODESSA REGIONAL MEDICAL CENTER",
      "address": "520 EAST SIXTH STREET",
      "city": "ODESSA",
      "state": "TX",
      "zip": "79761",
      "county": "ECTOR",
      "latitude": 31.8517284702728,
      "longitude": -102.364203009708,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 211,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-odessa-odessa-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "QUINCY HEALTH LLC",
      "affiliatedSystem": "QUINCY HEALTH LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to QUINCY HEALTH LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quincy-health-llc",
      "siblingGroupId": "siblings-tx-quincy-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-quincy-health-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to QUINCY HEALTH LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450662",
      "ccn": "450662",
      "name": "VALLEY REGIONAL MEDICAL CENTER",
      "address": "100A E ALTON GLOOR BLVD",
      "city": "BROWNSVILLE",
      "state": "TX",
      "zip": "78526",
      "county": "CAMERON",
      "latitude": 25.9776129897701,
      "longitude": -97.5148011201281,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 214,
      "rating": 2,
      "website": "http://www.valleyregionalmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brownsville-valley-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450669",
      "ccn": "450669",
      "name": "MEDICAL CITY LEWISVILLE",
      "address": "500 W MAIN ST",
      "city": "LEWISVILLE",
      "state": "TX",
      "zip": "75057",
      "county": "DENTON",
      "latitude": 33.0452460396706,
      "longitude": -97.0047627998357,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 186,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lewisville-medical-city-lewisville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-columbia-north-texas-subsidiary-gp-llc",
      "siblingGroupId": "siblings-tx-columbia-north-texas-subsidiary-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "45066F",
      "ccn": "45066F",
      "name": "DALLAS VA MEDICAL CENTER",
      "address": "4500 SOUTH LANCASTER ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75216",
      "county": "DALLAS",
      "latitude": 32.6930563096269,
      "longitude": -96.7912894598963,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 292,
      "rating": 3,
      "website": "https://www.northtexas.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Veterans Health Administration",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-tx-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dph.georgia.gov/healthcare-facilities-regulation"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450670",
      "ccn": "450670",
      "name": "HCA HOUSTON HEALTHCARE TOMBALL",
      "address": "605 HOLDERRIETH BOULEVARD",
      "city": "TOMBALL",
      "state": "TX",
      "zip": "77375",
      "county": "HARRIS",
      "latitude": 30.0873040796366,
      "longitude": -95.6236955796712,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 350,
      "rating": 3,
      "website": "http://www.tomballregionalmedicalcenter.com",
      "status": "signal",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tomball-hca-houston-healthcare-tomball/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 2; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450672",
      "ccn": "450672",
      "name": "MEDICAL CITY FORT WORTH",
      "address": "900 EIGHTH AVENUE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7356690197953,
      "longitude": -97.3452753096386,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 348,
      "rating": 2,
      "website": "http://www.plazamedicalcenter.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-medical-city-fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450674",
      "ccn": "450674",
      "name": "THE WOMANS HOSPITAL OF TEXAS",
      "address": "7600 FANNIN STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77054",
      "county": "HARRIS",
      "latitude": 29.6929502198653,
      "longitude": -95.4024042296618,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 403,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-the-woman-s-hospital-of-texas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "COLUMBIA/HCA OF HOUSTON, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450675",
      "ccn": "450675",
      "name": "MEDICAL CITY ARLINGTON",
      "address": "3301 MATLOCK RD",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76015",
      "county": "TARRANT",
      "latitude": 32.6923253097987,
      "longitude": -97.1127163802408,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 431,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-medical-city-arlington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-columbia-north-texas-subsidiary-gp-llc",
      "siblingGroupId": "siblings-tx-columbia-north-texas-subsidiary-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450684",
      "ccn": "450684",
      "name": "MEMORIAL HERMANN NORTHEAST HOSPITAL",
      "address": "18951 MEMORIAL NORTH",
      "city": "HUMBLE",
      "state": "TX",
      "zip": "77338",
      "county": "HARRIS",
      "latitude": 29.9955120397216,
      "longitude": -95.2761288900979,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 242,
      "rating": 3,
      "website": "http://www.memorialhermann.org/locations/northeast/",
      "status": "corporate_chain",
      "parentSystem": "MEMORIAL HERMANN HEALTH SYSTEM",
      "affiliatedSystem": "Memorial Hermann Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-humble-memorial-hermann-northeast-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Memorialhermann; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Memorialhermann. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Memorialhermann; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Memorialhermann. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450686",
      "ccn": "450686",
      "name": "UNIVERSITY MEDICAL CENTER",
      "address": "602 INDIANA AVENUE",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79415",
      "county": "LUBBOCK",
      "latitude": 33.5879671403573,
      "longitude": -101.891298510012,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 495,
      "rating": 2,
      "website": "http://www.umchealthsystem.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-university-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LUBBOCK COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "LUBBOCK COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: LUBBOCK COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUBBOCK COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lubbock-county-hospital-district",
      "siblingGroupId": "siblings-tx-lubbock-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-lubbock-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: LUBBOCK COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUBBOCK COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450688",
      "ccn": "450688",
      "name": "DALLAS REGIONAL MEDICAL CENTER",
      "address": "1011 NORTH GALLOWAY AVE",
      "city": "MESQUITE",
      "state": "TX",
      "zip": "75149",
      "county": "DALLAS",
      "latitude": 32.778790479643,
      "longitude": -96.6005102904206,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 202,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mesquite-dallas-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Prime Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-tx-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE HOLDINGS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450690",
      "ccn": "450690",
      "name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER",
      "address": "11937 US-271",
      "city": "TYLER",
      "state": "TX",
      "zip": "75708",
      "county": "SMITH",
      "latitude": 32.4260299903224,
      "longitude": -95.21308611969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": null,
      "rating": 4,
      "website": "https://www.uthct.edu/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER",
      "affiliatedSystem": "University of Texas System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-texas-health-science-center-at-tyler",
      "siblingGroupId": "siblings-tx-university-of-texas-health-science-center-at-tyler",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450694",
      "ccn": "450694",
      "name": "EL CAMPO MEMORIAL HOSPITAL",
      "address": "303 SANDY CORNER ROAD",
      "city": "EL CAMPO",
      "state": "TX",
      "zip": "77437",
      "county": "WHARTON",
      "latitude": 29.2184996199121,
      "longitude": -96.2911895797829,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 3,
      "website": "http://www.ecmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-campo-el-campo-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "EL CAMPO MEMORIAL HOSPITAL",
      "affiliatedSystem": "EL CAMPO MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EL CAMPO MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EL CAMPO MEMORIAL HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL CAMPO MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-el-campo-memorial-hospital",
      "siblingGroupId": "siblings-tx-el-campo-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-el-campo-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EL CAMPO MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EL CAMPO MEMORIAL HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL CAMPO MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450698",
      "ccn": "450698",
      "name": "LAMB HEALTHCARE CENTER",
      "address": "1500 SOUTH SUNSET",
      "city": "LITTLEFIELD",
      "state": "TX",
      "zip": "79339",
      "county": "LAMB",
      "latitude": 33.9117068699582,
      "longitude": -102.344294910199,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 75,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-littlefield-lamb-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LAMB HEALTHCARE CENTER",
      "affiliatedSystem": "LAMB HEALTHCARE CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: LAMB HEALTHCARE CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to LAMB HEALTHCARE CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAMB HEALTHCARE CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lamb-healthcare-center",
      "siblingGroupId": "siblings-tx-lamb-healthcare-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-lamb-healthcare-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAMB HEALTHCARE CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to LAMB HEALTHCARE CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAMB HEALTHCARE CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "45069F",
      "ccn": "45069F",
      "name": "BROOKE ARMY MEDICAL CENTER",
      "address": "3551 ROGER BROOKE DRIVE, BUILDING 3600",
      "city": "FORT SAM HOUSTON",
      "state": "TX",
      "zip": "78234",
      "county": "BEXAR",
      "latitude": 29.4600959799346,
      "longitude": -98.4155912601604,
      "hospitalType": "Acute Care - Department of Defense",
      "sourceOwner": "Department of Defense",
      "beds": 483,
      "rating": null,
      "website": "http://bamc.tricare.mil",
      "status": "verified_independent",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "BROOKE ARMY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Defense",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-sam-houston-brooke-army-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS lists CHARON SEYMORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: U.S. Department of Defense; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Defense. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Department of Defense; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-tx-department-of-defense",
      "campusFamilyId": "campus-tx-45069f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists CHARON SEYMORE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: U.S. Department of Defense; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Defense. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: normalized CMS owner/operator to Department of Defense; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "450702",
      "ccn": "450702",
      "name": "LONGVIEW REGIONAL MEDICAL CENTER",
      "address": "2901 NORTH FOURTH STREET",
      "city": "LONGVIEW",
      "state": "TX",
      "zip": "75605",
      "county": "GREGG",
      "latitude": 32.5328850397211,
      "longitude": -94.7305141000268,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 224,
      "rating": 3,
      "website": "http://www.longviewregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longview-longview-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "REGIONAL HOSPITAL OF LONGVIEW LLC",
      "affiliatedSystem": "REGIONAL HOSPITAL OF LONGVIEW LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: REGIONAL HOSPITAL OF LONGVIEW LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to REGIONAL HOSPITAL OF LONGVIEW LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL HOSPITAL OF LONGVIEW LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-regional-hospital-of-longview-llc",
      "siblingGroupId": "siblings-tx-regional-hospital-of-longview-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-regional-hospital-of-longview-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: REGIONAL HOSPITAL OF LONGVIEW LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to REGIONAL HOSPITAL OF LONGVIEW LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REGIONAL HOSPITAL OF LONGVIEW LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450711",
      "ccn": "450711",
      "name": "RIO GRANDE REGIONAL HOSPITAL",
      "address": "101 E RIDGE ROAD",
      "city": "MCALLEN",
      "state": "TX",
      "zip": "78503",
      "county": "HIDALGO",
      "latitude": 26.1863624898738,
      "longitude": -98.2207737700205,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 320,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mcallen-rio-grande-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450713",
      "ccn": "450713",
      "name": "ST DAVIDS SOUTH AUSTIN MEDICAL CENTER",
      "address": "901 W BEN WHITE BLVD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78704",
      "county": "TRAVIS",
      "latitude": 30.2259300601816,
      "longitude": -97.7745961397954,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 368,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-st.-david-s-south-austin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COL-NAMC HOLDINGS INC",
      "affiliatedSystem": "COL-NAMC HOLDINGS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: COL-NAMC HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COL-NAMC HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COL-NAMC HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-col-namc-holdings-inc",
      "siblingGroupId": "siblings-tx-col-namc-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-col-namc-holdings-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COL-NAMC HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COL-NAMC HOLDINGS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COL-NAMC HOLDINGS INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450718",
      "ccn": "450718",
      "name": "ROUND ROCK MEDICAL CENTER",
      "address": "2400 ROUND ROCK AVENUE",
      "city": "ROUND ROCK",
      "state": "TX",
      "zip": "78681",
      "county": "WILLIAMSON",
      "latitude": 30.5111077696656,
      "longitude": -97.7136084003473,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 175,
      "rating": 3,
      "website": "http://www.stdavids.com/home.aspx",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-round-rock-hospital-inc",
      "siblingGroupId": "siblings-tx-round-rock-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-round-rock-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450723",
      "ccn": "450723",
      "name": "METHODIST CHARLTON MEDICAL CENTER",
      "address": "3500 W WHEATLAND RD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75237",
      "county": "DALLAS",
      "latitude": 32.6457618598039,
      "longitude": -96.8768486196816,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 314,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-methodist-charlton-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Methodist Health System",
      "affiliatedSystem": "METHODIST HOSPITALS OF DALLAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-tx-methodist-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://methodisthealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450730",
      "ccn": "450730",
      "name": "CARROLLTON REGIONAL MEDICAL CENTER",
      "address": "4343 NORTH JOSEY LANE",
      "city": "CARROLLTON",
      "state": "TX",
      "zip": "75010",
      "county": "DENTON",
      "latitude": 33.0286985203383,
      "longitude": -96.8858494899951,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 216,
      "rating": 2,
      "website": "https://www.crmc.health/",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carrollton-carrollton-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SANA HEALTHCARE CARROLLTON",
      "affiliatedSystem": "SANA HEALTHCARE CARROLLTON",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists JOHN KEEFE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SANA HEALTHCARE CARROLLTON; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANA HEALTHCARE CARROLLTON, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sana-healthcare-carrollton",
      "siblingGroupId": "siblings-tx-sana-healthcare-carrollton",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-sana-healthcare-carrollton"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists JOHN KEEFE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SANA HEALTHCARE CARROLLTON; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SANA HEALTHCARE CARROLLTON, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450742",
      "ccn": "450742",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - LAKE POINTE",
      "address": "6800 SCENIC DRIVE",
      "city": "ROWLETT",
      "state": "TX",
      "zip": "75088",
      "county": "ROCKWALL",
      "latitude": 32.9180193299106,
      "longitude": -96.5087190701483,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 176,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rowlett-baylor-scott-&-white-medical-center---lake-pointe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists DONAS COLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists DONAS COLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450743",
      "ccn": "450743",
      "name": "TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON",
      "address": "3000 I 35 NORTH",
      "city": "DENTON",
      "state": "TX",
      "zip": "76201",
      "county": "DENTON",
      "latitude": 33.2176153801914,
      "longitude": -97.1665889595821,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 255,
      "rating": 5,
      "website": "http://www.dentonhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denton-texas-health-presbyterian-hospital-denton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450747",
      "ccn": "450747",
      "name": "PALESTINE REGIONAL MEDICAL CENTER",
      "address": "2900 SOUTH LOOP 256",
      "city": "PALESTINE",
      "state": "TX",
      "zip": "75801",
      "county": "ANDERSON",
      "latitude": 31.732596680154,
      "longitude": -95.6272275604339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 90,
      "rating": 1,
      "website": "http://www.palestineregional.com/",
      "status": "confirmed_pe",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: ScionHealth. PESP PE firm/sponsor: Apollo Global Management.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "campusFamilyId": "campus-tx-450747",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-kindred-healthcare-operating-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450747-loc-tx-palestine-palestine-regional-medical-center-rehab-a",
      "ccn": "450747",
      "name": "PALESTINE REGIONAL MEDICAL CENTER - REHAB AND PSYCHIATRIC CAMPUS",
      "address": "4000 SOUTH LOOP 256",
      "city": "PALESTINE",
      "state": "TX",
      "zip": "75801",
      "county": "ANDERSON",
      "latitude": 31.7384786001985,
      "longitude": -95.6443699600838,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 70,
      "rating": 1,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "campusFamilyId": "campus-tx-450747",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-kindred-healthcare-operating-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450747"
    },
    {
      "id": "450755",
      "ccn": "450755",
      "name": "COVENANT HOSPITAL LEVELLAND",
      "address": "1900 COLLEGE AVENUE",
      "city": "LEVELLAND",
      "state": "TX",
      "zip": "79336",
      "county": "HOCKLEY",
      "latitude": 33.5726865200671,
      "longitude": -102.368897210124,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": null,
      "website": "http://www.covenanthospitallevelland.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-levelland-covenant-hospital-levelland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450771",
      "ccn": "450771",
      "name": "TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO",
      "address": "6200 W PARKER RD",
      "city": "PLANO",
      "state": "TX",
      "zip": "75093",
      "county": "COLLIN",
      "latitude": 33.0436635499156,
      "longitude": -96.8364709502549,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 338,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-texas-health-presbyterian-hospital-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "campusFamilyId": "campus-tx-450771",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450774",
      "ccn": "450774",
      "name": "TOPS SURGICAL SPECIALTY HOSPITAL",
      "address": "17080 RED OAK DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77090",
      "county": "HARRIS",
      "latitude": 30.0188957002863,
      "longitude": -95.4439449901077,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 15,
      "rating": null,
      "website": "http://www.tops-hospital.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-tops-surgical-specialty-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MEMORAIL HERMANN USP SURGERY CENTERS II LP",
      "affiliatedSystem": "MEMORAIL HERMANN USP SURGERY CENTERS II LP",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MEMORAIL HERMANN USP SURGERY CENTERS II LP (OPERATIONAL/MANAGERIAL CONTROL, 37.75%). CMS lists JASON CUNNINGHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MEMORAIL HERMANN USP SURGERY CENTERS II LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORAIL HERMANN USP SURGERY CENTERS II LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-memorail-hermann-usp-surgery-centers-ii-lp",
      "siblingGroupId": "siblings-tx-memorail-hermann-usp-surgery-centers-ii-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorail-hermann-usp-surgery-centers-ii-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORAIL HERMANN USP SURGERY CENTERS II LP (OPERATIONAL/MANAGERIAL CONTROL, 37.75%). CMS lists JASON CUNNINGHAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MEMORAIL HERMANN USP SURGERY CENTERS II LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORAIL HERMANN USP SURGERY CENTERS II LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450775",
      "ccn": "450775",
      "name": "HCA HOUSTON HEALTHCARE KINGWOOD",
      "address": "22999 US HIGHWAY 59",
      "city": "KINGWOOD",
      "state": "TX",
      "zip": "77339",
      "county": "MONTGOMERY",
      "latitude": 30.0500684796292,
      "longitude": -95.2550755796372,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 457,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingwood-hca-houston-healthcare-kingwood/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450779",
      "ccn": "450779",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH",
      "address": "6100 HARRIS PKWY",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76132",
      "county": "TARRANT",
      "latitude": 32.6578356102557,
      "longitude": -97.4210759501183,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 207,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-texas-health-harris-methodist-hospital-southwest-fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450788",
      "ccn": "450788",
      "name": "THE CORPUS CHRISTI MEDICAL CENTER - BAY AREA",
      "address": "7101 SOUTH PADRE ISLAND DRIVE",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78412",
      "county": "NUECES",
      "latitude": 27.6932807003678,
      "longitude": -97.3454135603609,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 152,
      "rating": 4,
      "website": "http://ccmedicalcenter.com/about/bay-area.dot",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ccmedicalcenter",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-corpus-christi-medical-center-bay-area/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-450788",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450788-loc-tx-corpus-christi-the-corpus-christi-medical-center-do",
      "ccn": "450788",
      "name": "THE CORPUS CHRISTI MEDICAL CENTER - DOCTORS REGIONAL",
      "address": "3315 SOUTH ALAMEDA",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78411",
      "county": "NUECES",
      "latitude": 27.7527705402839,
      "longitude": -97.3891922801993,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 250,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-corpus-christi-medical-center---doctors-regional/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-450788",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450788"
    },
    {
      "id": "450788-loc-tx-corpus-christi-the-corpus-christi-medical-center-no",
      "ccn": "450788",
      "name": "THE CORPUS CHRISTI MEDICAL CENTER - NORTHWEST",
      "address": "13725 NORTHWEST BLVD",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78410",
      "county": "NUECES",
      "latitude": 27.8549173298288,
      "longitude": -97.6354231702679,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 89,
      "rating": 4,
      "website": "http://ccmedicalcenter.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ccmedicalcenter",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-450788",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450788"
    },
    {
      "id": "450788-loc-tx-corpus-christi-the-corpus-christi-medical-center-th",
      "ccn": "450788",
      "name": "THE CORPUS CHRISTI MEDICAL CENTER - THE HEART HOSPITAL",
      "address": "7002 WILLIAMS DRIVE",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78413",
      "county": "NUECES",
      "latitude": 27.6927345399725,
      "longitude": -97.3457616503469,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 72,
      "rating": 4,
      "website": "http://ccmedicalcenter.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Ccmedicalcenter",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-the-corpus-christi-medical-center---the-heart-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-450788",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ccmedicalcenter; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ccmedicalcenter. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "450788"
    },
    {
      "id": "450801",
      "ccn": "450801",
      "name": "CHRISTUS ST MICHAEL HEALTH SYSTEM",
      "address": "2600 ST MICHAEL DRIVE",
      "city": "TEXARKANA",
      "state": "TX",
      "zip": "75503",
      "county": "BOWIE",
      "latitude": 33.4641788903571,
      "longitude": -94.0754933998745,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 311,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "campusFamilyId": "campus-tx-450801",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450804",
      "ccn": "450804",
      "name": "TEXAS ORTHOPEDIC HOSPITAL",
      "address": "7401 SOUTH MAIN",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7002119397486,
      "longitude": -95.4090685998876,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-texas-orthopedic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 60%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 60%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450808",
      "ccn": "450808",
      "name": "NORTHWEST HILLS SURGICAL HOSPITAL",
      "address": "6818 AUSTIN CENTER BOULEVARD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78731",
      "county": "TRAVIS",
      "latitude": 30.3505138599789,
      "longitude": -97.7517162201888,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": null,
      "website": "http://www.northwesthillssurgical.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-northwest-hills-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SCA Health / Optum",
      "affiliatedSystem": "SURGICAL CARE AFFILIATES LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SURGICAL CARE AFFILIATES LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-sca-health-optum",
      "siblingGroupId": "siblings-tx-sca-health-optum",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-sca-health-optum"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.optum.com/en/care/specialty-care/surgery.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SURGICAL CARE AFFILIATES LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SURGICAL CARE AFFILIATES LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCA Health / Optum, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450809",
      "ccn": "450809",
      "name": "NORTH AUSTIN MEDICAL CENTER",
      "address": "12221 MOPAC EXPRESSWAY NORTH",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78758",
      "county": "TRAVIS",
      "latitude": 30.411488029842,
      "longitude": -97.7062274000019,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 395,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystem": "ROUND ROCK HOSPITAL INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-round-rock-hospital-inc",
      "siblingGroupId": "siblings-tx-round-rock-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-round-rock-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROUND ROCK HOSPITAL INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ROUND ROCK HOSPITAL INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ROUND ROCK HOSPITAL INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450820",
      "ccn": "450820",
      "name": "HOUSTON METHODIST SUGAR LAND HOSPITAL",
      "address": "16655 SOUTHWEST FWY",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77479",
      "county": "FORT BEND",
      "latitude": 29.5895861598672,
      "longitude": -95.6301656002836,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 350,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sugar-land-houston-methodist-sugar-land-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE METHODIST HOSPITAL",
      "affiliatedSystem": "Houston Methodist",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450822",
      "ccn": "450822",
      "name": "MEDICAL CITY LAS COLINAS",
      "address": "6800 N MACARTHUR BLVD",
      "city": "IRVING",
      "state": "TX",
      "zip": "75039",
      "county": "DALLAS",
      "latitude": 32.9017329799499,
      "longitude": -96.9565650703836,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 99,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-irving-medical-city-las-colinas/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450825",
      "ccn": "450825",
      "name": "CORNERSTONE REGIONAL HOSPITAL",
      "address": "2302 CORNERSTONE BOULEVARD",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78539",
      "county": "HIDALGO",
      "latitude": 26.2623728601002,
      "longitude": -98.1984397296625,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 14,
      "rating": null,
      "website": "http://www.cornerstoneregional.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edinburg-cornerstone-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "450827",
      "ccn": "450827",
      "name": "KELL WEST REGIONAL HOSPITAL",
      "address": "5420 KELL BOULEVARD WEST",
      "city": "WICHITA FALLS",
      "state": "TX",
      "zip": "76310",
      "county": "WICHITA",
      "latitude": 33.872821169824,
      "longitude": -98.5803042099712,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 41,
      "rating": null,
      "website": "http://www.kellwest.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-falls-kell-west-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "KELL WEST REGIONAL HOSPITAL",
      "affiliatedSystem": "Proprietary",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: facility-specific primary-source resolution to Kell West Regional Hospital; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KELL WEST REGIONAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kell-west-regional-hospital",
      "siblingGroupId": "siblings-tx-kell-west-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-450827"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.kellwest.com/finance"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: facility-specific primary-source resolution to Kell West Regional Hospital; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KELL WEST REGIONAL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450828",
      "ccn": "450828",
      "name": "CHRISTUS SPOHN HOSPITAL ALICE",
      "address": "2500 EAST MAIN STREET",
      "city": "ALICE",
      "state": "TX",
      "zip": "78332",
      "county": "JIM WELLS",
      "latitude": 27.7640164699287,
      "longitude": -98.0417262603888,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 135,
      "rating": 3,
      "website": "http://www.christusspohn.org/locations_alice.htm",
      "status": "corporate_chain",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Christusspohn",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alice-christus-spohn-hospital-alice/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christusspohn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christusspohn. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Christusspohn; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Christusspohn. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450833",
      "ccn": "450833",
      "name": "ENNIS REGIONAL MEDICAL CENTER",
      "address": "2201 WEST LAMPASAS STREET",
      "city": "ENNIS",
      "state": "TX",
      "zip": "75119",
      "county": "ELLIS",
      "latitude": 32.306724550174,
      "longitude": -96.64149104022,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "website": "http://www.ennisregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ennis-ennis-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-tx-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-kindred-healthcare-operating-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KINDRED HEALTHCARE OPERATING LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450834",
      "ccn": "450834",
      "name": "THE PHYSICIANS CENTRE HOSPITAL",
      "address": "3131 UNIVERSITY DRIVE EAST",
      "city": "BRYAN",
      "state": "TX",
      "zip": "77802",
      "county": "BRAZOS",
      "latitude": 30.6503293800226,
      "longitude": -96.2977122704171,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 16,
      "rating": null,
      "website": "http://www.thephysicianscentre.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "BSW SP JV, LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bryan-the-physicians-centre-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Surgery Partners",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BSW SP JV, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 78.84%). CMS lists MUKUND IYENGAR GUNDANNA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BSW SP JV, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BSW SP JV, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-bsw-sp-jv-llc",
      "siblingGroupId": "siblings-tx-bsw-sp-jv-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-bsw-sp-jv-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: BSW SP JV, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 78.84%). CMS lists MUKUND IYENGAR GUNDANNA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BSW SP JV, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BSW SP JV, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450840",
      "ccn": "450840",
      "name": "TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN",
      "address": "1105 CENTRAL EXPY N",
      "city": "ALLEN",
      "state": "TX",
      "zip": "75013",
      "county": "COLLIN",
      "latitude": 33.1159773202337,
      "longitude": -96.6731010500658,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 88,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-allen-texas-health-presbyterian-hospital-allen/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450844",
      "ccn": "450844",
      "name": "HOUSTON METHODIST WILLOWBROOK HOSPITAL",
      "address": "18220 STATE HIGHWAY 249",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77070",
      "county": "HARRIS",
      "latitude": 29.9664687701252,
      "longitude": -95.5511445300531,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 358,
      "rating": 5,
      "website": "http://www.houstonmethodist.org/willowbrook-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-houston-methodist-willowbrook-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE METHODIST HOSPITAL",
      "affiliatedSystem": "Houston Methodist",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450847",
      "ccn": "450847",
      "name": "MEMORIAL HERMANN KATY HOSPITAL",
      "address": "23900 KATY FREEWAY",
      "city": "KATY",
      "state": "TX",
      "zip": "77494",
      "county": "HARRIS",
      "latitude": 29.787311000192,
      "longitude": -95.7862545302291,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 208,
      "rating": 3,
      "website": "http://www.memorialhermann.org/locations/katy/",
      "status": "corporate_chain",
      "parentSystem": "MEMORIAL HERMANN HEALTH SYSTEM",
      "affiliatedSystem": "Memorial Hermann Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-katy-memorial-hermann-katy-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Memorialhermann; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Memorialhermann. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Memorialhermann; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Memorialhermann. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450848",
      "ccn": "450848",
      "name": "MEMORIAL HERMANN SUGAR LAND HOSPITAL",
      "address": "17500 WEST GRAND PARKWAY SOUTH",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77479",
      "county": "FORT BEND",
      "latitude": 29.5644021997514,
      "longitude": -95.6903726902751,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 179,
      "rating": 4,
      "website": "http://www.memorialhermann.org",
      "status": "corporate_chain",
      "parentSystem": "MEMORIAL HERMANN HEALTH SYSTEM",
      "affiliatedSystem": "Memorial Hermann Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Memorialhermann",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Memorialhermann; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Memorialhermann. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-health-system",
      "siblingGroupId": "siblings-tx-memorial-hermann-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Memorialhermann; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Memorialhermann. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450855",
      "ccn": "450855",
      "name": "HARLINGEN MEDICAL CENTER",
      "address": "5501 SOUTH EXPRESSWAY 77",
      "city": "HARLINGEN",
      "state": "TX",
      "zip": "78550",
      "county": "CAMERON",
      "latitude": 26.1574503099906,
      "longitude": -97.6753028604134,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 112,
      "rating": 4,
      "website": "http://www.harlingenmedicalcenter.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harlingen-harlingen-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "KASP TRUST",
      "affiliatedSystem": "KASP TRUST",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: KASP TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 67.9%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KASP TRUST; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KASP TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kasp-trust",
      "siblingGroupId": "siblings-tx-kasp-trust",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-kasp-trust"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KASP TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 67.9%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to KASP TRUST; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KASP TRUST, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450856",
      "ccn": "450856",
      "name": "SOUTH TEXAS SPINE AND SURGICAL HOSPITAL",
      "address": "18600 NORTH HARDY OAK BOULEVARD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78258",
      "county": "BEXAR",
      "latitude": 29.6132534296594,
      "longitude": -98.4773671499978,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 30,
      "rating": null,
      "website": "http://www.southtexassurgical.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-south-texas-spine-and-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NATIONAL SURGICAL HOSPITALS, LLC",
      "affiliatedSystem": "NATIONAL SURGICAL HOSPITALS, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51.26%). CMS lists ADAM HARRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-national-surgical-hospitals-llc",
      "siblingGroupId": "siblings-tx-national-surgical-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51.26%). CMS lists ADAM HARRIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450862",
      "ccn": "450862",
      "name": "ST LUKES THE WOODLANDS HOSPITAL",
      "address": "17200 ST LUKES WAY",
      "city": "THE WOODLANDS",
      "state": "TX",
      "zip": "77384",
      "county": "MONTGOMERY",
      "latitude": 30.2057017702131,
      "longitude": -95.45813314969,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 241,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-the-woodlands-st.-luke-s-the-woodlands-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "St. Luke’s Health System Corporation",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ST. LUKES HEALTH SYSTEM CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID C. STRICKLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST. LUKES HEALTH SYSTEM CORPORATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent St. Luke’s Health System Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-st-luke-s-health-system-corporation",
      "siblingGroupId": "siblings-tx-st-luke-s-health-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-st-lukes-health-system-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST. LUKES HEALTH SYSTEM CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DAVID C. STRICKLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST. LUKES HEALTH SYSTEM CORPORATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent St. Luke’s Health System Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450865",
      "ccn": "450865",
      "name": "ASCENSION SETON SOUTHWEST",
      "address": "7900 FM 1826",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78737",
      "county": "TRAVIS",
      "latitude": 30.2265835800315,
      "longitude": -97.8920919395588,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450867",
      "ccn": "450867",
      "name": "ASCENSION SETON NORTHWEST",
      "address": "11113 RESEARCH BOULEVARD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78759",
      "county": "TRAVIS",
      "latitude": 30.4049279501814,
      "longitude": -97.7436047700414,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 117,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450872",
      "ccn": "450872",
      "name": "USMD HOSPITAL AT ARLINGTON",
      "address": "801 WEST I-20",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76017",
      "county": "TARRANT",
      "latitude": 32.6798094096538,
      "longitude": -97.1179122403357,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 34,
      "rating": null,
      "website": "http://www.usmdarlington.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-usmd-hospital-at-arlington/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "USMD HOSPITAL VENTURES, L.L.C.",
      "affiliatedSystem": "USMD HOSPITAL VENTURES, L.L.C.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: USMD HOSPITAL VENTURES, L.L.C. (OPERATIONAL/MANAGERIAL CONTROL, 46.61%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USMD HOSPITAL VENTURES, L.L.C., ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-usmd-hospital-ventures-l-l-c",
      "siblingGroupId": "siblings-tx-usmd-hospital-ventures-l-l-c",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: USMD HOSPITAL VENTURES, L.L.C. (OPERATIONAL/MANAGERIAL CONTROL, 46.61%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USMD HOSPITAL VENTURES, L.L.C., ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "450880",
      "ccn": "450880",
      "name": "BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL - FORT WORTH",
      "address": "1800 PARK PLACE AVENUE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76110",
      "county": "TARRANT",
      "latitude": 32.7273229298273,
      "longitude": -97.3471553901035,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 29,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "TEXAS HEALTH VENTURES GROUP LLC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-baylor-scott-&-white-surgical-hospital---fort-worth/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-ventures-group-llc",
      "siblingGroupId": "siblings-tx-texas-health-ventures-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "450888",
      "ccn": "450888",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE",
      "address": "1545 E SOUTHLAKE BLVD",
      "city": "SOUTHLAKE",
      "state": "TX",
      "zip": "76092",
      "county": "TARRANT",
      "latitude": 32.9395134802838,
      "longitude": -97.1281399703755,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 17,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-southlake-texas-health-harris-methodist-hospital-southlake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451301",
      "ccn": "451301",
      "name": "REAGAN MEMORIAL HOSPITAL",
      "address": "1300 N MAIN AVE",
      "city": "BIG LAKE",
      "state": "TX",
      "zip": "76932",
      "county": "REAGAN",
      "latitude": 31.2040125399531,
      "longitude": -101.4610175497,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 7,
      "rating": null,
      "website": "http://reaganhealth.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-lake-reagan-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "REAGAN HOSPITAL DISTRICT",
      "affiliatedSystem": "REAGAN HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: REAGAN HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REAGAN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-reagan-hospital-district",
      "siblingGroupId": "siblings-tx-reagan-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-reagan-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: REAGAN HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REAGAN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451303",
      "ccn": "451303",
      "name": "LIMESTONE MEDICAL CENTER",
      "address": "701 MCCLINTIC",
      "city": "GROESBECK",
      "state": "TX",
      "zip": "76642",
      "county": "LIMESTONE",
      "latitude": 31.5327111899904,
      "longitude": -96.5312111097917,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "SOUTH LIMESTONE HOSPITAL DISTRICT",
      "affiliatedSystem": "SOUTH LIMESTONE HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SOUTH LIMESTONE HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 14%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH LIMESTONE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-south-limestone-hospital-district",
      "siblingGroupId": "siblings-tx-south-limestone-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-south-limestone-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: SOUTH LIMESTONE HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 14%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTH LIMESTONE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451304",
      "ccn": "451304",
      "name": "SCHLEICHER COUNTY MEDICAL CENTER",
      "address": "102 NORTH HIGHWAY 277",
      "city": "ELDORADO",
      "state": "TX",
      "zip": "76936",
      "county": "SCHLEICHER",
      "latitude": 30.8630019399016,
      "longitude": -100.602994059659,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 14,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eldorado-schleicher-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Preferred Management Corporation",
      "affiliatedSystem": "PREFERRED MANAGEMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451306",
      "ccn": "451306",
      "name": "KIMBLE HOSPITAL",
      "address": "349 REID ROAD",
      "city": "JUNCTION",
      "state": "TX",
      "zip": "76849",
      "county": "KIMBLE",
      "latitude": 30.4984730797618,
      "longitude": -99.7805609102837,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 15,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-junction-kimble-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Preferred Management Corporation",
      "affiliatedSystem": "PREFERRED MANAGEMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-preferred-management-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451307",
      "ccn": "451307",
      "name": "IRAAN GENERAL HOSPITAL",
      "address": "600 HIGHWAY 349 NORTH",
      "city": "IRAAN",
      "state": "TX",
      "zip": "79744",
      "county": "PECOS",
      "latitude": 30.9148308801511,
      "longitude": -101.907444299821,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-iraan-iraan-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "GENERAL HOSPITAL",
      "affiliatedSystem": "GENERAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists WILLIAM NALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to GENERAL HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-general-hospital",
      "siblingGroupId": "siblings-tx-general-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-general-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists WILLIAM NALL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to GENERAL HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GENERAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451308",
      "ccn": "451308",
      "name": "YOAKUM COUNTY HOSPITAL",
      "address": "412 MUSTANG AVENUE",
      "city": "DENVER CITY",
      "state": "TX",
      "zip": "79323",
      "county": "YOAKUM",
      "latitude": 32.9685760099483,
      "longitude": -102.835862100366,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denver-city-yoakum-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COUNTY OF YOAKUM",
      "affiliatedSystem": "COUNTY OF YOAKUM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists WENDY A BIRCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF YOAKUM, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-yoakum",
      "siblingGroupId": "siblings-tx-county-of-yoakum",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS lists WENDY A BIRCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF YOAKUM, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451309",
      "ccn": "451309",
      "name": "MCCAMEY HOSPITAL",
      "address": "2500 HIGHWAY 305 SOUTH",
      "city": "MCCAMEY",
      "state": "TX",
      "zip": "79752",
      "county": "UPTON",
      "latitude": 31.1146621796729,
      "longitude": -102.21029172986,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "website": "http://www.mccameyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mccamey-mccamey-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MCCAMEY COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "MCCAMEY COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MCCAMEY COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCCAMEY COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-mccamey-county-hospital-district",
      "siblingGroupId": "siblings-tx-mccamey-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-mccamey-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCCAMEY COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCCAMEY COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451310",
      "ccn": "451310",
      "name": "BALLINGER MEMORIAL HOSPITAL DISTRICT",
      "address": "608 AVENUE B",
      "city": "BALLINGER",
      "state": "TX",
      "zip": "76821",
      "county": "RUNNELS",
      "latitude": 31.7499729201973,
      "longitude": -99.9629097797885,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.ballingerhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "BALLINGER MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "BALLINGER MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: BALLINGER MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTOINETTE SEHON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BALLINGER MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-ballinger-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-ballinger-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-ballinger-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLINGER MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ANTOINETTE SEHON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BALLINGER MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451311",
      "ccn": "451311",
      "name": "SWEENY COMMUNITY HOSPITAL",
      "address": "305 NORTH MCKINNEY STREET",
      "city": "SWEENY",
      "state": "TX",
      "zip": "77480",
      "county": "BRAZORIA",
      "latitude": 29.0478346702888,
      "longitude": -95.6918314096678,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "website": "http://www.sweenyhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sweeny-sweeny-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SWEENY HOSPITAL DISTRICT",
      "affiliatedSystem": "SWEENY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SWEENY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SWEENY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-sweeny-hospital-district",
      "siblingGroupId": "siblings-tx-sweeny-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-sweeny-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: SWEENY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SWEENY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451312",
      "ccn": "451312",
      "name": "RICE MEDICAL CENTER",
      "address": "600 SOUTH AUSTIN ROAD",
      "city": "EAGLE LAKE",
      "state": "TX",
      "zip": "77434",
      "county": "COLORADO",
      "latitude": 29.5877585799289,
      "longitude": -96.3452846996679,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.ricemedicalcenter.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eagle-lake-rice-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "EAGLE LAKE COMMUNITY HOSPITAL",
      "affiliatedSystem": "EAGLE LAKE COMMUNITY HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: EAGLE LAKE COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KURT SUNDERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EAGLE LAKE COMMUNITY HOSPITAL; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAGLE LAKE COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-eagle-lake-community-hospital",
      "siblingGroupId": "siblings-tx-eagle-lake-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-eagle-lake-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EAGLE LAKE COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists KURT SUNDERMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EAGLE LAKE COMMUNITY HOSPITAL; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EAGLE LAKE COMMUNITY HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451313",
      "ccn": "451313",
      "name": "FISHER COUNTY HOSPITAL DISTRICT",
      "address": "774 STATE HWY 70 NORTH",
      "city": "ROTAN",
      "state": "TX",
      "zip": "79546",
      "county": "FISHER",
      "latitude": 32.8334398601208,
      "longitude": -100.436042809994,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rotan-fisher-county-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "FISHER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "FISHER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FISHER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-fisher-county-hospital-district",
      "siblingGroupId": "siblings-tx-fisher-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-fisher-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FISHER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451314",
      "ccn": "451314",
      "name": "WINKLER COUNTY MEMORIAL HOSPITAL",
      "address": "821 JEFFEE DRIVE",
      "city": "KERMIT",
      "state": "TX",
      "zip": "79745",
      "county": "WINKLER",
      "latitude": 31.8495920599305,
      "longitude": -103.090562620445,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 19,
      "rating": null,
      "website": "www.co.winkler.tx.us",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kermit-winkler-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "WINKLER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "WINKLER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: WINKLER COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINKLER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-winkler-county-hospital-district",
      "siblingGroupId": "siblings-tx-winkler-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-winkler-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: WINKLER COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WINKLER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451315",
      "ccn": "451315",
      "name": "NORTH RUNNELS HOSPITAL",
      "address": "7821 STATE HIGHWAY 153",
      "city": "WINTERS",
      "state": "TX",
      "zip": "79567",
      "county": "RUNNELS",
      "latitude": 31.9492215103772,
      "longitude": -99.9591354398503,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winters-north-runnels-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NORTH RUNNELS COUNTY HOSPITAL",
      "affiliatedSystem": "NORTH RUNNELS COUNTY HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: NORTH RUNNELS COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH RUNNELS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-north-runnels-county-hospital",
      "siblingGroupId": "siblings-tx-north-runnels-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH RUNNELS COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH RUNNELS COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451317",
      "ccn": "451317",
      "name": "REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT",
      "address": "107 SWIFT STREET",
      "city": "REFUGIO",
      "state": "TX",
      "zip": "78377",
      "county": "REFUGIO",
      "latitude": 28.3067966296432,
      "longitude": -97.279861170137,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "website": "http://www.refugiohospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-refugio-refugio-county-memorial-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-refugio-county-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-refugio-county-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-refugio-county-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451318",
      "ccn": "451318",
      "name": "STONEWALL MEMORIAL HOSPITAL",
      "address": "821 N BROADWAY",
      "city": "ASPERMONT",
      "state": "TX",
      "zip": "79502",
      "county": "STONEWALL",
      "latitude": 33.1505600501245,
      "longitude": -100.229184399702,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aspermont-stonewall-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STONEWALL MEMORIAL HOSPITAL",
      "affiliatedSystem": "STONEWALL MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STONEWALL MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STONEWALL MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-stonewall-memorial-hospital",
      "siblingGroupId": "siblings-tx-stonewall-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: STONEWALL MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STONEWALL MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451319",
      "ccn": "451319",
      "name": "CHRISTUS MOTHER FRANCES HOSPITAL - JACKSONVILLE",
      "address": "2026 SOUTH JACKSON",
      "city": "JACKSONVILLE",
      "state": "TX",
      "zip": "75766",
      "county": "CHEROKEE",
      "latitude": 31.9385259196669,
      "longitude": -95.2477743595704,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.tmfhc.org/maps-and-locations/locations-profile/?id=9",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jacksonville-christus-mother-frances-hospital-jacksonville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451320",
      "ccn": "451320",
      "name": "BAYSIDE COMMUNITY HOSPITAL",
      "address": "200 HOSPITAL DRIVE",
      "city": "ANAHUAC",
      "state": "TX",
      "zip": "77514",
      "county": "CHAMBERS",
      "latitude": 29.752557399951,
      "longitude": -94.6874466698235,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "website": "http://chambershealth.org/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1",
      "affiliatedSystem": "CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-chambers-county-public-hospital-district-no-1",
      "siblingGroupId": "siblings-tx-chambers-county-public-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-chambers-county-public-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451323",
      "ccn": "451323",
      "name": "ADVENTHEALTH ROLLINS BROOK",
      "address": "608 NORTH KEY AVENUE",
      "city": "LAMPASAS",
      "state": "TX",
      "zip": "76550",
      "county": "LAMPASAS",
      "latitude": 31.0721863002895,
      "longitude": -98.1862253996265,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystem": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "AdventHealth",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 68%). CMS lists ERIN PARDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-adventist-health-system-sunbelt-healthcare-corporation",
      "siblingGroupId": "siblings-tx-adventist-health-system-sunbelt-healthcare-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-adventist-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.adventisthealth.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 68%). CMS lists ERIN PARDE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: AdventHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: AdventHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Adventist Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451324",
      "ccn": "451324",
      "name": "LILLIAN M HUDSPETH MEMORIAL HOSPITAL",
      "address": "308 HUDSPETH AVENUE",
      "city": "SONORA",
      "state": "TX",
      "zip": "76950",
      "county": "SUTTON",
      "latitude": 30.5634092802917,
      "longitude": -100.6344359498,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sonora-lillian-m.-hudspeth-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SUTTON COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "SUTTON COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-sutton-county-hospital-district",
      "siblingGroupId": "siblings-tx-sutton-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-sutton-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUTTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451325",
      "ccn": "451325",
      "name": "CONCHO COUNTY HOSPITAL",
      "address": "614 EAKER STREET",
      "city": "EDEN",
      "state": "TX",
      "zip": "76837",
      "county": "CONCHO",
      "latitude": 31.2212926600153,
      "longitude": -99.8481141199365,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "website": "http://www.conchocountyhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eden-concho-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CONCHO COUNTY HOSPITAL",
      "affiliatedSystem": "CONCHO COUNTY HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CONCHO COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT A PASCASIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCHO COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-concho-county-hospital",
      "siblingGroupId": "siblings-tx-concho-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CONCHO COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBERT A PASCASIO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CONCHO COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451330",
      "ccn": "451330",
      "name": "MEDINA REGIONAL HOSPITAL",
      "address": "3100 AVENUE E",
      "city": "HONDO",
      "state": "TX",
      "zip": "78861",
      "county": "MEDINA",
      "latitude": 29.3346229599711,
      "longitude": -99.1344825399329,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.medinahospital.net",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARY MANGOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-methodist-healthcare-system-of-san-antonio-ltd-llp",
      "siblingGroupId": "siblings-tx-methodist-healthcare-system-of-san-antonio-ltd-llp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARY MANGOLD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451331",
      "ccn": "451331",
      "name": "COON MEMORIAL HOSPITAL AND HOME",
      "address": "1411 DENVER AVENUE",
      "city": "DALHART",
      "state": "TX",
      "zip": "79022",
      "county": "HARTLEY",
      "latitude": 36.0512613097035,
      "longitude": -102.521483829763,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 21,
      "rating": null,
      "website": "http://dhchd.org/coon-memorial-hospital",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dalhart-coon-memorial-hospital-and-home/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT",
      "affiliatedSystem": "DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELISSA BUNDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-dallam-hartley-counties-hospital-district",
      "siblingGroupId": "siblings-tx-dallam-hartley-counties-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-dallam-hartley-counties-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MELISSA BUNDY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451332",
      "ccn": "451332",
      "name": "PALACIOS COMMUNITY MEDICAL CENTER",
      "address": "311 GREEN AVENUE",
      "city": "PALACIOS",
      "state": "TX",
      "zip": "77465",
      "county": "MATAGORDA",
      "latitude": 28.7169263603437,
      "longitude": -96.2142274598617,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 17,
      "rating": null,
      "website": "http://www.palacioshospital.net/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-palacios-palacios-community-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "PALACIOS COMMUNITY MEDICAL CENTER",
      "affiliatedSystem": "PALACIOS COMMUNITY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists DAVID MAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PALACIOS COMMUNITY MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALACIOS COMMUNITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-palacios-community-medical-center",
      "siblingGroupId": "siblings-tx-palacios-community-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-palacios-community-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists DAVID MAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PALACIOS COMMUNITY MEDICAL CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PALACIOS COMMUNITY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451333",
      "ccn": "451333",
      "name": "MARTIN COUNTY HOSPITAL DISTRICT",
      "address": "600 EAST I 20",
      "city": "STANTON",
      "state": "TX",
      "zip": "79782",
      "county": "MARTIN",
      "latitude": 32.139817459845,
      "longitude": -101.787519709753,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stanton-martin-county-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MARTIN COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "MARTIN COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MARTIN COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TONYA GLISAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARTIN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-martin-county-hospital-district",
      "siblingGroupId": "siblings-tx-martin-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-martin-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARTIN COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TONYA GLISAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARTIN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451334",
      "ccn": "451334",
      "name": "PARKVIEW HOSPITAL",
      "address": "901 SWEETWATER STREET",
      "city": "WHEELER",
      "state": "TX",
      "zip": "79096",
      "county": "WHEELER",
      "latitude": 35.4393396103399,
      "longitude": -100.270359689558,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wheeler-parkview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NORTH WHEELER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "NORTH WHEELER COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH WHEELER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-north-wheeler-county-hospital-district",
      "siblingGroupId": "siblings-tx-north-wheeler-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-north-wheeler-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH WHEELER COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451335",
      "ccn": "451335",
      "name": "MUENSTER MEMORIAL HOSPITAL",
      "address": "605 NORTH MAPLE STREET",
      "city": "MUENSTER",
      "state": "TX",
      "zip": "76252",
      "county": "COOKE",
      "latitude": 33.6539573397371,
      "longitude": -97.3803233598246,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "website": "http://muensterhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muenster-muenster-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MUENSTER HOSPITAL DISTRICT",
      "affiliatedSystem": "MUENSTER HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MUENSTER HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUENSTER HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-muenster-hospital-district",
      "siblingGroupId": "siblings-tx-muenster-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-muenster-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MUENSTER HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MUENSTER HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451337",
      "ccn": "451337",
      "name": "W J MANGOLD MEMORIAL HOSPITAL",
      "address": "320 NORTH MAIN STREET",
      "city": "LOCKNEY",
      "state": "TX",
      "zip": "79241",
      "county": "FLOYD",
      "latitude": 34.1270774803408,
      "longitude": -101.441245260191,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Physician",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lockney-w.j.-mangold-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LOCKNEY GENERAL HOSPITAL DISTRICT",
      "affiliatedSystem": "LOCKNEY GENERAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: LOCKNEY GENERAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOCKNEY GENERAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lockney-general-hospital-district",
      "siblingGroupId": "siblings-tx-lockney-general-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-lockney-general-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: LOCKNEY GENERAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LOCKNEY GENERAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451338",
      "ccn": "451338",
      "name": "CULBERSON HOSPITAL",
      "address": "EISENHOWER-FM 2185",
      "city": "VAN HORN",
      "state": "TX",
      "zip": "79855",
      "county": "CULBERSON",
      "latitude": 31.04917326014,
      "longitude": -104.82750863971,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-van-horn-culberson-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Preferred Management Corporation",
      "affiliatedSystem": "PREFERRED MANAGEMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-preferred-management-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451339",
      "ccn": "451339",
      "name": "THROCKMORTON COUNTY MEMORIAL HOSPITAL",
      "address": "802 NORTH MINTER AVENUE",
      "city": "THROCKMORTON",
      "state": "TX",
      "zip": "76483",
      "county": "THROCKMORTON",
      "latitude": 33.1899041396293,
      "longitude": -99.1766489401432,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 14,
      "rating": null,
      "website": "www.tcmhtexas.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-throckmorton-throckmorton-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THROCKMORTON COUNTY MEMORIAL HOSP",
      "affiliatedSystem": "THROCKMORTON COUNTY MEMORIAL HOSP",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: THROCKMORTON COUNTY MEMORIAL HOSP (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THROCKMORTON COUNTY MEMORIAL HOSP, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-throckmorton-county-memorial-hosp",
      "siblingGroupId": "siblings-tx-throckmorton-county-memorial-hosp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: THROCKMORTON COUNTY MEMORIAL HOSP (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THROCKMORTON COUNTY MEMORIAL HOSP, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451340",
      "ccn": "451340",
      "name": "SHAMROCK GENERAL HOSPITAL",
      "address": "1000 SOUTH MAIN",
      "city": "SHAMROCK",
      "state": "TX",
      "zip": "79079",
      "county": "WHEELER",
      "latitude": 35.1989674002195,
      "longitude": -100.248119370434,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shamrock-shamrock-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Preferred Management Corporation",
      "affiliatedSystem": "PREFERRED MANAGEMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-preferred-management-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451341",
      "ccn": "451341",
      "name": "HASKELL MEMORIAL HOSPITAL",
      "address": "1 NORTH AVENUE N",
      "city": "HASKELL",
      "state": "TX",
      "zip": "79521",
      "county": "HASKELL",
      "latitude": 33.1573615103735,
      "longitude": -99.7446810201446,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://haskellhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-haskell-haskell-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HASKELL COUNTY HOSPITAL",
      "affiliatedSystem": "HASKELL COUNTY HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HASKELL COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HASKELL COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-haskell-county-hospital",
      "siblingGroupId": "siblings-tx-haskell-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HASKELL COUNTY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HASKELL COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451342",
      "ccn": "451342",
      "name": "MITCHELL COUNTY HOSPITAL",
      "address": "997 WEST I-20",
      "city": "COLORADO CITY",
      "state": "TX",
      "zip": "79512",
      "county": "MITCHELL",
      "latitude": 32.4064373097441,
      "longitude": -100.87593459041,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colorado-city-mitchell-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MITCHELL COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "MITCHELL COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MITCHELL COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MITCHELL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-mitchell-county-hospital-district",
      "siblingGroupId": "siblings-tx-mitchell-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-mitchell-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MITCHELL COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MITCHELL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451343",
      "ccn": "451343",
      "name": "ELECTRA MEMORIAL HOSPITAL",
      "address": "1207 SOUTH BAILEY STREET",
      "city": "ELECTRA",
      "state": "TX",
      "zip": "76360",
      "county": "WICHITA",
      "latitude": 34.0180268099747,
      "longitude": -98.9248981200461,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-electra-electra-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ELECTRA HOSPITAL DISTRICT",
      "affiliatedSystem": "ELECTRA HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ELECTRA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELECTRA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-electra-hospital-district",
      "siblingGroupId": "siblings-tx-electra-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-electra-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: ELECTRA HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ELECTRA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451344",
      "ccn": "451344",
      "name": "HANSFORD COUNTY HOSPITAL",
      "address": "707 SOUTH ROLAND",
      "city": "SPEARMAN",
      "state": "TX",
      "zip": "79081",
      "county": "HANSFORD",
      "latitude": 36.1902767696447,
      "longitude": -101.199614049804,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 14,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spearman-hansford-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HANSFORD COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "HANSFORD COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANSFORD COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hansford-county-hospital-district",
      "siblingGroupId": "siblings-tx-hansford-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-hansford-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HANSFORD COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451346",
      "ccn": "451346",
      "name": "YOAKUM COMMUNITY HOSPITAL",
      "address": "1200 CARL RAMERT DRIVE",
      "city": "YOAKUM",
      "state": "TX",
      "zip": "77995",
      "county": "LAVACA",
      "latitude": 29.3069585198174,
      "longitude": -97.1291590902007,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": 3,
      "website": "http://www.yoakumhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-yoakum-yoakum-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Community Hospital Consulting",
      "affiliatedSystem": "COMMUNITY HOSPITAL CONSULTING, INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-community-hospital-consulting",
      "siblingGroupId": "siblings-tx-community-hospital-consulting",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-community-hospital-consulting-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMUNITY HOSPITAL CONSULTING, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COMMUNITY HOSPITAL CONSULTING, INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Community Hospital Consulting, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451347",
      "ccn": "451347",
      "name": "COLEMAN COUNTY MEDICAL CENTER COMPANY",
      "address": "310 SOUTH PECOS STREET",
      "city": "COLEMAN",
      "state": "TX",
      "zip": "76834",
      "county": "COLEMAN",
      "latitude": 31.8285434299604,
      "longitude": -99.4256230802736,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.colemantexas.org/hospital.html",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-coleman-coleman-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Preferred Management Corporation",
      "affiliatedSystem": "PREFERRED MANAGEMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451349",
      "ccn": "451349",
      "name": "SWISHER MEMORIAL HOSPITAL",
      "address": "539 SE 2ND ST",
      "city": "TULIA",
      "state": "TX",
      "zip": "79088",
      "county": "SWISHER",
      "latitude": 34.5359595799967,
      "longitude": -101.755605119822,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 20,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tulia-swisher-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SWISHER MEMORIAL HEALTHCARE SYSTEM",
      "affiliatedSystem": "SWISHER MEMORIAL HEALTHCARE SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SWISHER MEMORIAL HEALTHCARE SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SWISHER MEMORIAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-swisher-memorial-healthcare-system",
      "siblingGroupId": "siblings-tx-swisher-memorial-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-swisher-memorial-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SWISHER MEMORIAL HEALTHCARE SYSTEM; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SWISHER MEMORIAL HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451350",
      "ccn": "451350",
      "name": "PLAINS MEMORIAL HOSPITAL",
      "address": "310 WEST HALSELL",
      "city": "DIMMITT",
      "state": "TX",
      "zip": "79027",
      "county": "CASTRO",
      "latitude": 34.5560902798297,
      "longitude": -102.315959909944,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 17,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dimmitt-plains-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CASTRO COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "CASTRO COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CASTRO COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELISHA ROSIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASTRO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-castro-county-hospital-district",
      "siblingGroupId": "siblings-tx-castro-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-castro-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: CASTRO COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ELISHA ROSIER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CASTRO COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451351",
      "ccn": "451351",
      "name": "LYNN COUNTY HOSPITAL DISTRICT",
      "address": "2600 LOCKWOOD",
      "city": "TAHOKA",
      "state": "TX",
      "zip": "79373",
      "county": "LYNN",
      "latitude": 33.1672815596708,
      "longitude": -101.816151230408,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tahoka-lynn-county-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LYNN COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "LYNN COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LYNN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lynn-county-hospital-district",
      "siblingGroupId": "siblings-tx-lynn-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-lynn-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LYNN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451352",
      "ccn": "451352",
      "name": "HARDEMAN COUNTY MEMORIAL HOSPITAL",
      "address": "402 MERCER STREET",
      "city": "QUANAH",
      "state": "TX",
      "zip": "79252",
      "county": "HARDEMAN",
      "latitude": 34.2961943601026,
      "longitude": -99.7415484600016,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "website": "http://www.hcmhosp.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quanah-hardeman-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HARDEMAN COUNTY MEMORIAL HOSP",
      "affiliatedSystem": "HARDEMAN COUNTY MEMORIAL HOSP",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HARDEMAN COUNTY MEMORIAL HOSP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACY BETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARDEMAN COUNTY MEMORIAL HOSP, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hardeman-county-memorial-hosp",
      "siblingGroupId": "siblings-tx-hardeman-county-memorial-hosp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HARDEMAN COUNTY MEMORIAL HOSP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACY BETTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HARDEMAN COUNTY MEMORIAL HOSP, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451354",
      "ccn": "451354",
      "name": "HAMILTON HOSPITAL",
      "address": "901 WEST HAMILTON STREET",
      "city": "OLNEY",
      "state": "TX",
      "zip": "76374",
      "county": "YOUNG",
      "latitude": 33.3693648203491,
      "longitude": -98.764304589905,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.olneyhamiltonhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "OLNEY-HAMILTON HOSPITAL DISTRICT",
      "affiliatedSystem": "OLNEY-HAMILTON HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLNEY-HAMILTON HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-olney-hamilton-hospital-district",
      "siblingGroupId": "siblings-tx-olney-hamilton-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-olney-hamilton-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OLNEY-HAMILTON HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451355",
      "ccn": "451355",
      "name": "COLLINGSWORTH GENERAL HOSPITAL",
      "address": "1013 15TH STREET",
      "city": "WELLINGTON",
      "state": "TX",
      "zip": "79095",
      "county": "COLLINGSWORTH",
      "latitude": 34.8486005802336,
      "longitude": -100.212191900127,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 13,
      "rating": null,
      "website": "http://www.collingsworthgeneral.net",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wellington-collingsworth-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Preferred Management Corporation",
      "affiliatedSystem": "PREFERRED MANAGEMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-preferred-management-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PREFERRED MANAGEMENT CORPORATION; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451356",
      "ccn": "451356",
      "name": "MEMORIAL MEDICAL CENTER",
      "address": "815 NORTH VIRGINIA STREET",
      "city": "PORT LAVACA",
      "state": "TX",
      "zip": "77979",
      "county": "CALHOUN",
      "latitude": 28.6203029396999,
      "longitude": -96.6323508196463,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "http://www.mmcportlavaca.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-lavaca-memorial-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MEMORIAL MEDICAL CENTER",
      "affiliatedSystem": "MEMORIAL MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIN CLEVENGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MEMORIAL MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-memorial-medical-center-tx-port-lavaca-451356",
      "siblingGroupId": "siblings-tx-memorial-medical-center-tx-port-lavaca-451356",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ERIN CLEVENGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MEMORIAL MEDICAL CENTER; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL MEDICAL CENTER, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451358",
      "ccn": "451358",
      "name": "MEMORIAL HOSPITAL",
      "address": "209 NW 8TH STREET",
      "city": "SEMINOLE",
      "state": "TX",
      "zip": "79360",
      "county": "GAINES",
      "latitude": 32.7216279699557,
      "longitude": -102.654878859637,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 33,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seminole-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS",
      "affiliatedSystem": "SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-seminole-hospital-district-of-gaines-county-texas",
      "siblingGroupId": "siblings-tx-seminole-hospital-district-of-gaines-county-texas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-seminole-hospital-district-of-gaines-county-texas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451359",
      "ccn": "451359",
      "name": "OCHILTREE GENERAL HOSPITAL",
      "address": "3101 GARRETT DRIVE",
      "city": "PERRYTON",
      "state": "TX",
      "zip": "79070",
      "county": "OCHILTREE",
      "latitude": 36.3698858503285,
      "longitude": -100.798789000372,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.ochiltreehospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-perryton-ochiltree-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "OCHILTREE HOSPITAL DISTRICT",
      "affiliatedSystem": "OCHILTREE HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: OCHILTREE HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCHILTREE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-ochiltree-hospital-district",
      "siblingGroupId": "siblings-tx-ochiltree-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-ochiltree-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCHILTREE HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCHILTREE HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451361",
      "ccn": "451361",
      "name": "SABINE COUNTY HOSPITAL",
      "address": "2301 WORTH ST",
      "city": "HEMPHILL",
      "state": "TX",
      "zip": "75948",
      "county": "SABINE",
      "latitude": 31.3338087297711,
      "longitude": -93.8629645099972,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://sabinecountyhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hemphill-sabine-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Preferred Management Corporation",
      "affiliatedSystem": "PREFERRED MANAGEMENT CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-preferred-management-corporation",
      "siblingGroupId": "siblings-tx-preferred-management-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PREFERRED MANAGEMENT CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DONALD A FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Preferred Management Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451362",
      "ccn": "451362",
      "name": "CLAY COUNTY MEMORIAL HOSPITAL",
      "address": "310 WEST SOUTH STREET",
      "city": "HENRIETTA",
      "state": "TX",
      "zip": "76365",
      "county": "CLAY",
      "latitude": 33.8143726896714,
      "longitude": -98.1984841495567,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.ccmhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-henrietta-clay-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COUNTY OF CLAY",
      "affiliatedSystem": "COUNTY OF CLAY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF CLAY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF CLAY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-clay",
      "siblingGroupId": "siblings-tx-county-of-clay",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF CLAY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF CLAY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451364",
      "ccn": "451364",
      "name": "OTTO KAISER MEMORIAL HOSPITAL",
      "address": "3349 S HIGHWAY 181",
      "city": "KENEDY",
      "state": "TX",
      "zip": "78119",
      "county": "KARNES",
      "latitude": 28.8506567002013,
      "longitude": -97.8782554596304,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "KARNES COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "KARNES COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Kaiser Permanente",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kenedy-otto-kaiser-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: KARNES COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KARNES COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-karnes-county-hospital-district",
      "siblingGroupId": "siblings-tx-karnes-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-karnes-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: KARNES COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Kaiser Permanente; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Kaiser Permanente. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KARNES COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451365",
      "ccn": "451365",
      "name": "ASCENSION SETON HIGHLAND LAKES",
      "address": "3201 SOUTH WATER STREET",
      "city": "BURNET",
      "state": "TX",
      "zip": "78611",
      "county": "BURNET",
      "latitude": 30.7330584699222,
      "longitude": -98.2368586495617,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-burnet-ascension-seton-highland-lakes/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451366",
      "ccn": "451366",
      "name": "COCHRAN MEMORIAL HOSPITAL",
      "address": "114 W WILSON",
      "city": "MORTON",
      "state": "TX",
      "zip": "79346",
      "county": "COCHRAN",
      "latitude": 33.719737509856,
      "longitude": -102.757522270226,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morton-cochran-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COCHRAN MEMORIAL HOSPITAL",
      "affiliatedSystem": "COCHRAN MEMORIAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COCHRAN MEMORIAL HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COCHRAN MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-cochran-memorial-hospital",
      "siblingGroupId": "siblings-tx-cochran-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-cochran-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to COCHRAN MEMORIAL HOSPITAL; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COCHRAN MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451367",
      "ccn": "451367",
      "name": "UT HEALTH EAST TEXAS PITTSBURG HOSPITAL",
      "address": "2701 US HIGHWAY 271 NORTH",
      "city": "PITTSBURG",
      "state": "TX",
      "zip": "75686",
      "county": "CAMP",
      "latitude": 33.0330459797636,
      "longitude": -94.9590539901997,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": 3,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451369",
      "ccn": "451369",
      "name": "GOLDEN PLAINS COMMUNITY HOSPITAL",
      "address": "100 MEDICAL DRIVE",
      "city": "BORGER",
      "state": "TX",
      "zip": "79007",
      "county": "HUTCHINSON",
      "latitude": 35.6551381899005,
      "longitude": -101.409180669573,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.goldenplains.org",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-borger-golden-plains-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HUTCHINSON COUNTY EMS INC",
      "affiliatedSystem": "HUTCHINSON COUNTY EMS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HUTCHINSON COUNTY EMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUTCHINSON COUNTY EMS INC, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hutchinson-county-ems-inc",
      "siblingGroupId": "siblings-tx-hutchinson-county-ems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUTCHINSON COUNTY EMS INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUTCHINSON COUNTY EMS INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451370",
      "ccn": "451370",
      "name": "TMC BONHAM HOSPITAL",
      "address": "504 LIPSCOMB",
      "city": "BONHAM",
      "state": "TX",
      "zip": "75418",
      "county": "FANNIN",
      "latitude": 33.5783279801862,
      "longitude": -96.1666458300657,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bonham-tmc-bonham-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "FANNIN COUNTY HOSPITAL AUTHORITY",
      "affiliatedSystem": "FANNIN COUNTY HOSPITAL AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: FANNIN COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANGELA OWENS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FANNIN COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-fannin-county-hospital-authority",
      "siblingGroupId": "siblings-tx-fannin-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-fannin-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: FANNIN COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ANGELA OWENS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FANNIN COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451371",
      "ccn": "451371",
      "name": "ASCENSION SETON EDGAR B DAVIS",
      "address": "130 HAYS STREET",
      "city": "LULING",
      "state": "TX",
      "zip": "78648",
      "county": "CALDWELL",
      "latitude": 29.6731745599451,
      "longitude": -97.654499530435,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451372",
      "ccn": "451372",
      "name": "MULESHOE AREA MEDICAL CENTER",
      "address": "708 SOUTH FIRST STREET",
      "city": "MULESHOE",
      "state": "TX",
      "zip": "79347",
      "county": "BAILEY",
      "latitude": 34.2212693001884,
      "longitude": -102.728677050246,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.mahdtx.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-muleshoe-muleshoe-area-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MULESHOE AREA HOSPITAL DISTRICT",
      "affiliatedSystem": "MULESHOE AREA HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MULESHOE AREA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBBIE DEWBERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULESHOE AREA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-muleshoe-area-hospital-district",
      "siblingGroupId": "siblings-tx-muleshoe-area-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-muleshoe-area-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULESHOE AREA HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ROBBIE DEWBERRY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULESHOE AREA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451373",
      "ccn": "451373",
      "name": "WARD MEMORIAL HOSPITAL",
      "address": "406 SOUTH GARY STREET",
      "city": "MONAHANS",
      "state": "TX",
      "zip": "79756",
      "county": "WARD",
      "latitude": 31.5937842896968,
      "longitude": -102.883186829957,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.wardmemorial.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monahans-ward-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COUNTY OF WARD",
      "affiliatedSystem": "COUNTY OF WARD",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF WARD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF WARD, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-county-of-ward",
      "siblingGroupId": "siblings-tx-county-of-ward",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF WARD (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF WARD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451375",
      "ccn": "451375",
      "name": "LIBERTY DAYTON REGIONAL MEDICAL CENTER",
      "address": "1353 NORTH TRAVIS",
      "city": "LIBERTY",
      "state": "TX",
      "zip": "77575",
      "county": "LIBERTY",
      "latitude": 30.0688233703346,
      "longitude": -94.7984913504263,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-liberty-liberty-dayton-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LIBERTY COUNTY HOSPITAL DISTRICT NO. 1",
      "affiliatedSystem": "LIBERTY COUNTY HOSPITAL DISTRICT NO. 1",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIBERTY COUNTY HOSPITAL DISTRICT NO. 1, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-liberty-county-hospital-district-no-1",
      "siblingGroupId": "siblings-tx-liberty-county-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-liberty-county-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LIBERTY COUNTY HOSPITAL DISTRICT NO. 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451376",
      "ccn": "451376",
      "name": "LAVACA MEDICAL CENTER",
      "address": "1400 NORTH TEXANA STREET",
      "city": "HALLETTSVILLE",
      "state": "TX",
      "zip": "77964",
      "county": "LAVACA",
      "latitude": 29.4574026696545,
      "longitude": -96.9382128295906,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 4,
      "website": "www.mmcportlavaca.com",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "LAVACA HOSPITAL DISTRICT",
      "affiliatedSystem": "LAVACA HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAVACA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lavaca-hospital-district",
      "siblingGroupId": "siblings-tx-lavaca-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-lavaca-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAVACA HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451377",
      "ccn": "451377",
      "name": "REEVES REGIONAL HEALTH",
      "address": "2349 MEDICAL DRIVE",
      "city": "PECOS",
      "state": "TX",
      "zip": "79772",
      "county": "REEVES",
      "latitude": 31.4012928679028,
      "longitude": -103.513895126407,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "REEVES COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "REEVES COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REEVES COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-reeves-county-hospital-district",
      "siblingGroupId": "siblings-tx-reeves-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-reeves-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REEVES COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451378",
      "ccn": "451378",
      "name": "BIG BEND REGIONAL MEDICAL CENTER",
      "address": "2600 HIGHWAY 118 NORTH",
      "city": "ALPINE",
      "state": "TX",
      "zip": "79830",
      "county": "BREWSTER",
      "latitude": 30.3839443900871,
      "longitude": -103.670480680076,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.bigbendhealthcare.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "QUINCY HEALTH LLC",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alpine-big-bend-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "QUINCY HEALTH LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to QUINCY HEALTH LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quincy-health-llc",
      "siblingGroupId": "siblings-tx-quincy-health-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-quincy-health-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUINCY HEALTH LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to QUINCY HEALTH LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUINCY HEALTH LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451379",
      "ccn": "451379",
      "name": "CORYELL MEMORIAL HOSPITAL",
      "address": "1507 WEST MAIN STREET",
      "city": "GATESVILLE",
      "state": "TX",
      "zip": "76528",
      "county": "CORYELL",
      "latitude": 31.4351371096758,
      "longitude": -97.7791993399749,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.cmhos.org",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gatesville-coryell-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
      "affiliatedSystem": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-coryell-county-memorial-hospital-authority",
      "siblingGroupId": "siblings-tx-coryell-county-memorial-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-verified-parent-coryell-county-memorial-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451380",
      "ccn": "451380",
      "name": "UT HEALTH EAST TEXAS QUITMAN HOSPITAL",
      "address": "117 N WINNSBORO STREET",
      "city": "QUITMAN",
      "state": "TX",
      "zip": "75783",
      "county": "WOOD",
      "latitude": 32.7970694597547,
      "longitude": -95.4429181896868,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 4,
      "website": "http://www.etmc.org/etmcquitman/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451381",
      "ccn": "451381",
      "name": "CHRISTUS MOTHER FRANCES HOSPITAL - WINNSBORO",
      "address": "719 WEST COKE ROAD",
      "city": "WINNSBORO",
      "state": "TX",
      "zip": "75494",
      "county": "WOOD",
      "latitude": 32.9445383199987,
      "longitude": -95.3072796299664,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.tmfhs.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winnsboro-christus-mother-frances-hospital---winnsboro/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451382",
      "ccn": "451382",
      "name": "COMANCHE COUNTY MEDICAL CENTER",
      "address": "10201 HIGHWAY 16 NORTH",
      "city": "COMANCHE",
      "state": "TX",
      "zip": "76442",
      "county": "COMANCHE",
      "latitude": 31.9842906801502,
      "longitude": -98.5615678297997,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-comanche-comanche-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COMANCHE COUNTY MEDICAL CENTER COMPANY",
      "affiliatedSystem": "COMANCHE COUNTY MEDICAL CENTER COMPANY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMANCHE COUNTY MEDICAL CENTER COMPANY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY MEDICAL CENTER COMPANY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-comanche-county-medical-center-company",
      "siblingGroupId": "siblings-tx-comanche-county-medical-center-company",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMANCHE COUNTY MEDICAL CENTER COMPANY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMANCHE COUNTY MEDICAL CENTER COMPANY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451384",
      "ccn": "451384",
      "name": "COGDELL MEMORIAL HOSPITAL",
      "address": "1700 COGDELL BLVD",
      "city": "SNYDER",
      "state": "TX",
      "zip": "79549",
      "county": "SCURRY",
      "latitude": 32.6879322801808,
      "longitude": -100.917092540086,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-snyder-cogdell-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SCURRY COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "SCURRY COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SCURRY COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCURRY COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-scurry-county-hospital-district",
      "siblingGroupId": "siblings-tx-scurry-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-scurry-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: SCURRY COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SCURRY COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451385",
      "ccn": "451385",
      "name": "GOODALL - WITCHER HOSPITAL",
      "address": "101 POSEY AVE",
      "city": "CLIFTON",
      "state": "TX",
      "zip": "76634",
      "county": "BOSQUE",
      "latitude": 31.7768526298042,
      "longitude": -97.5889255599831,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clifton-goodall-witcher-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BOSQUE COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "BOSQUE COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BOSQUE COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOSQUE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-bosque-county-hospital-district",
      "siblingGroupId": "siblings-tx-bosque-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-bosque-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOSQUE COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOSQUE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451386",
      "ccn": "451386",
      "name": "MEMORIAL HOSPITAL",
      "address": "224 EAST SECOND STREET",
      "city": "DUMAS",
      "state": "TX",
      "zip": "79029",
      "county": "MOORE",
      "latitude": 35.8644955602573,
      "longitude": -101.970558170087,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dumas-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MOORE COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "MOORE COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MOORE COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOORE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-moore-county-hospital-district",
      "siblingGroupId": "siblings-tx-moore-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-moore-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOORE COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOORE COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451387",
      "ccn": "451387",
      "name": "UVALDE MEMORIAL HOSPITAL",
      "address": "1025 GARNER FIELD ROAD",
      "city": "UVALDE",
      "state": "TX",
      "zip": "78801",
      "county": "UVALDE",
      "latitude": 29.214119670202,
      "longitude": -99.7678372103287,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "website": "http://www.umhtx.org/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-uvalde-uvalde-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "UVALDE COUNTY HOSPITAL AUTHORITY",
      "affiliatedSystem": "UVALDE COUNTY HOSPITAL AUTHORITY",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UVALDE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UVALDE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-uvalde-county-hospital-authority",
      "siblingGroupId": "siblings-tx-uvalde-county-hospital-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-uvalde-county-hospital-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: UVALDE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UVALDE COUNTY HOSPITAL AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451389",
      "ccn": "451389",
      "name": "PECOS COUNTY MEMORIAL HOSPITAL",
      "address": "387 WEST I H 10",
      "city": "FORT STOCKTON",
      "state": "TX",
      "zip": "79735",
      "county": "PECOS",
      "latitude": 30.9053793102773,
      "longitude": -102.880407369704,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-stockton-pecos-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "PECOS COUNTY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "PECOS COUNTY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: PECOS COUNTY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PECOS COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-pecos-county-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-pecos-county-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-pecos-county-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: PECOS COUNTY MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PECOS COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451390",
      "ccn": "451390",
      "name": "DIMMIT REGIONAL HOSPITAL",
      "address": "704 HOSPITAL DRIVE",
      "city": "CARRIZO SPRINGS",
      "state": "TX",
      "zip": "78834",
      "county": "DIMMIT",
      "latitude": 28.5192347101012,
      "longitude": -99.8633975603105,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.dimmitregionalhospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "DIMMIT REGIONAL HOSPITAL",
      "affiliatedSystem": "DIMMIT REGIONAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: DIMMIT REGIONAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DIMMIT REGIONAL HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DIMMIT REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-dimmit-regional-hospital",
      "siblingGroupId": "siblings-tx-dimmit-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-dimmit-regional-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DIMMIT REGIONAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to DIMMIT REGIONAL HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DIMMIT REGIONAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451391",
      "ccn": "451391",
      "name": "FRIO REGIONAL HOSPITAL",
      "address": "200 S IH-35",
      "city": "PEARSALL",
      "state": "TX",
      "zip": "78061",
      "county": "FRIO",
      "latitude": 28.8963046502764,
      "longitude": -99.1172571997311,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pearsall-frio-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "FRIO HOSPITAL ASSOCIATION",
      "affiliatedSystem": "FRIO HOSPITAL ASSOCIATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to FRIO HOSPITAL ASSOCIATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRIO HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-frio-hospital-association",
      "siblingGroupId": "siblings-tx-frio-hospital-association",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-frio-hospital-association"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to FRIO HOSPITAL ASSOCIATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRIO HOSPITAL ASSOCIATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451392",
      "ccn": "451392",
      "name": "HAMILTON GENERAL HOSPITAL",
      "address": "400 NORTH BROWN AVENUE",
      "city": "HAMILTON",
      "state": "TX",
      "zip": "76531",
      "county": "HAMILTON",
      "latitude": 31.7043801799314,
      "longitude": -98.1137798203076,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "HAMILTON COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "HAMILTON COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HAMILTON COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TAMMY SCHREIBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hamilton-county-hospital-district",
      "siblingGroupId": "siblings-tx-hamilton-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hamilton-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAMILTON COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TAMMY SCHREIBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAMILTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451393",
      "ccn": "451393",
      "name": "CROCKETT MEDICAL CENTER",
      "address": "1100 E LOOP 304",
      "city": "CROCKETT",
      "state": "TX",
      "zip": "75835",
      "county": "HOUSTON",
      "latitude": 31.3236036399442,
      "longitude": -95.4388993103619,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Physician",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crockett-crockett-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MID COAST HEALTH SYSTEM",
      "affiliatedSystem": "MID COAST HEALTH SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: MID COAST HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MID COAST HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mid-coast-health-system",
      "siblingGroupId": "siblings-tx-mid-coast-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: MID COAST HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MID COAST HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451394",
      "ccn": "451394",
      "name": "KNOX COUNTY HOSPITAL",
      "address": "701 SOUTHEAST 5TH STREET",
      "city": "KNOX CITY",
      "state": "TX",
      "zip": "79529",
      "county": "KNOX",
      "latitude": 33.4138046599194,
      "longitude": -99.8115530498939,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-knox-city-knox-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "KNOX COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "KNOX COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: KNOX COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KNOX COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-knox-county-hospital-district",
      "siblingGroupId": "siblings-tx-knox-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-knox-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: KNOX COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KNOX COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451395",
      "ccn": "451395",
      "name": "HILL REGIONAL HOSPITAL",
      "address": "101 CIRCLE DRIVE",
      "city": "HILLSBORO",
      "state": "TX",
      "zip": "76645",
      "county": "HILL",
      "latitude": 32.0126313900252,
      "longitude": -97.0992596801667,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://www.hillregionalhospital.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hillsboro-hill-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "NHCI OF HILLSBORO INC",
      "affiliatedSystem": "NHCI OF HILLSBORO INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists ABDUL HAMEED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to NHCI OF HILLSBORO INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NHCI OF HILLSBORO INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-nhci-of-hillsboro-inc",
      "siblingGroupId": "siblings-tx-nhci-of-hillsboro-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-nhci-of-hillsboro-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists ABDUL HAMEED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to NHCI OF HILLSBORO INC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NHCI OF HILLSBORO INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "451396",
      "ccn": "451396",
      "name": "MID COAST MEDICAL CENTER - CENTRAL",
      "address": "200 W OLLIE ST",
      "city": "LLANO",
      "state": "TX",
      "zip": "78643",
      "county": "LLANO",
      "latitude": 30.7426496200761,
      "longitude": -98.6776557503239,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Physician",
      "beds": 25,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "parentSystem": "LLANO REGIONAL HOSPITAL",
      "affiliatedSystem": "LLANO REGIONAL HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to Llano County Hospital Authority; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LLANO REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-llano-regional-hospital",
      "siblingGroupId": "siblings-tx-llano-regional-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-451396"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://llanoregional.org/news/press-release-for-llano-hospital-rebrands-under-local-leadership-for-a-stronger-future/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to Llano County Hospital Authority; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LLANO REGIONAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "451398",
      "ccn": "451398",
      "name": "PAMPA REGIONAL MEDICAL CENTER",
      "address": "1 MEDICAL PLAZA",
      "city": "PAMPA",
      "state": "TX",
      "zip": "79065",
      "county": "GRAY",
      "latitude": 35.5724721599668,
      "longitude": -100.964796470118,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 109,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pampa-pampa-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Prime Healthcare",
      "affiliatedSystem": "Prime Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-prime-healthcare",
      "siblingGroupId": "siblings-tx-prime-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-prime-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.primehealthcare.com/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: PRIME HEALTHCARE SERVICES, INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Prime Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Prime Healthcare, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "451399",
      "ccn": "451399",
      "name": "SEYMOUR HOSPITAL",
      "address": "200 STADIUM DRIVE",
      "city": "SEYMOUR",
      "state": "TX",
      "zip": "76380",
      "county": "BAYLOR",
      "latitude": 33.5901706597372,
      "longitude": -99.2486974596149,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.seymourhospital.com/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seymour-seymour-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "BAYLOR COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "BAYLOR COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-baylor-county-hospital-district",
      "siblingGroupId": "siblings-tx-baylor-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-baylor-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "452114",
      "ccn": "452114",
      "name": "ATRIUM MEDICAL CENTER LP",
      "address": "11929 WEST AIRPORT BOULEVARD",
      "city": "STAFFORD",
      "state": "TX",
      "zip": "77477",
      "county": "FORT BEND",
      "latitude": 29.6468475100758,
      "longitude": -95.5882770103631,
      "hospitalType": "Long-term",
      "sourceOwner": "Physician",
      "beds": 68,
      "rating": null,
      "website": "http://www.atriummedicalcenter.com",
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stafford-atrium-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ATRIUM MEDICAL CENTER, LP",
      "affiliatedSystem": "ATRIUM MEDICAL CENTER, LP",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists BHARTIBEN PATEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM MEDICAL CENTER, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-atrium-medical-center-lp",
      "siblingGroupId": "siblings-tx-atrium-medical-center-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists BHARTIBEN PATEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATRIUM MEDICAL CENTER, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "453300",
      "ccn": "453300",
      "name": "COOK CHILDRENS MEDICAL CENTER",
      "address": "801 SEVENTH AVENUE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76104",
      "county": "TARRANT",
      "latitude": 32.7370717299856,
      "longitude": -97.3414050404079,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 444,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-cook-children-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "COOK CHILDRENS HEALTHCARE SYSTEM",
      "affiliatedSystem": "COOK CHILDRENS HEALTHCARE SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COOK CHILDRENS HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Cook Children’s Health Care System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK CHILDRENS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cook-childrens-healthcare-system",
      "siblingGroupId": "siblings-tx-cook-childrens-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-cook-children-s-health-care-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cookchildrens.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COOK CHILDRENS HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Cook Children’s Health Care System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK CHILDRENS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453301",
      "ccn": "453301",
      "name": "DRISCOLL CHILDRENS HOSPITAL",
      "address": "3533 SOUTH ALAMEDA",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78411",
      "county": "NUECES",
      "latitude": 27.7485104203166,
      "longitude": -97.3862848396631,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 191,
      "rating": null,
      "website": "http://www.driscollchildrens.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-corpus-christi-driscoll-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "DRISCOLL CHILDRENS HOSPITAL",
      "affiliatedSystem": "DRISCOLL CHILDRENS HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: DRISCOLL CHILDRENS HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Driscoll Children’s Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DRISCOLL CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-driscoll-childrens-hospital",
      "siblingGroupId": "siblings-tx-driscoll-childrens-hospital",
      "campusFamilyId": "campus-tx-453301",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-driscoll-children-s-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.driscollchildrens.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: DRISCOLL CHILDRENS HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Driscoll Children’s Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DRISCOLL CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453301-loc-tx-corpus-christi-driscoll-childrens-hospital-neonatal",
      "ccn": "453301",
      "name": "DRISCOLL CHILDRENS HOSPITAL NEONATAL CARE CENTER",
      "address": "5950 SARATOGA BLVD 5TH FLOOR NICU",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78414",
      "county": "NUECES",
      "latitude": 27.6840681998541,
      "longitude": -97.3771702004138,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "DRISCOLL CHILDRENS HOSPITAL",
      "affiliatedSystem": "DRISCOLL CHILDRENS HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: DRISCOLL CHILDRENS HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Driscoll Children’s Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DRISCOLL CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-driscoll-childrens-hospital",
      "siblingGroupId": "siblings-tx-driscoll-childrens-hospital",
      "campusFamilyId": "campus-tx-453301",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-driscoll-children-s-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.driscollchildrens.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: DRISCOLL CHILDRENS HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Driscoll Children’s Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DRISCOLL CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "453301"
    },
    {
      "id": "453304",
      "ccn": "453304",
      "name": "TEXAS CHILDRENS HOSPITAL",
      "address": "6621 FANNIN STREET",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "HARRIS",
      "latitude": 29.7077784799646,
      "longitude": -95.4016526299248,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 737,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-texas-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS CHILDREN'S",
      "affiliatedSystem": "TEXAS CHILDREN'S",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS CHILDREN'S (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA SUKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS CHILDREN'S; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS CHILDREN'S, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-children-s",
      "siblingGroupId": "siblings-tx-texas-children-s",
      "campusFamilyId": "campus-tx-453304",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-children-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS CHILDREN'S (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA SUKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS CHILDREN'S; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS CHILDREN'S, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453304-loc-tx-houston-texas-childrens-hospital-west-campus",
      "ccn": "453304",
      "name": "TEXAS CHILDRENS HOSPITAL WEST CAMPUS",
      "address": "18200 KATY FREEWAY",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77094",
      "county": "HARRIS",
      "latitude": 29.7877562497452,
      "longitude": -95.6930501198778,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 86,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-texas-children-s-hospital-west-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS CHILDREN'S",
      "affiliatedSystem": "TEXAS CHILDREN'S",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS CHILDREN'S (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA SUKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS CHILDREN'S; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS CHILDREN'S, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-children-s",
      "siblingGroupId": "siblings-tx-texas-children-s",
      "campusFamilyId": "campus-tx-453304",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-children-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS CHILDREN'S (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBRA SUKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS CHILDREN'S; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS CHILDREN'S, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "453304"
    },
    {
      "id": "453306",
      "ccn": "453306",
      "name": "COVENANT CHILDRENS HOSPITAL",
      "address": "4015 22ND PLACE",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79410",
      "county": "LUBBOCK",
      "latitude": 33.5734032502873,
      "longitude": -101.900592029886,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 227,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-covenant-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-tx-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453310",
      "ccn": "453310",
      "name": "DELL CHILDRENS MEDICAL CENTER",
      "address": "4900 MUELLER BLVD",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78723",
      "county": "TRAVIS",
      "latitude": 30.3031108302137,
      "longitude": -97.7070224602323,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 227,
      "rating": null,
      "website": "http://www.dellchildrens.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-dell-children-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "campusFamilyId": "campus-tx-453310",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453310-loc-tx-austin-dell-childrens-medical-center-north-campus",
      "ccn": "453310",
      "name": "DELL CHILDRENS MEDICAL CENTER NORTH CAMPUS",
      "address": "9010 N LAKE CREEK PARKWAY",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78717",
      "county": "WILLIAMSON",
      "latitude": 30.4851807431227,
      "longitude": -97.8020239512078,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "campusFamilyId": "campus-tx-453310",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "453310"
    },
    {
      "id": "453311",
      "ccn": "453311",
      "name": "SHRINERS HOSPITALS FOR CHILDREN",
      "address": "815 MARKET STREET",
      "city": "GALVESTON",
      "state": "TX",
      "zip": "77550",
      "county": "GALVESTON",
      "latitude": 29.3094949001419,
      "longitude": -94.7769909502453,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": null,
      "website": "http://www.shrinershospitalsforchildren.org/hospitals/locations/galveston.aspx",
      "status": "corporate_chain",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "affiliatedSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Shrinershospitalsforchildren",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-galveston-shriners-hospitals-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Shrinershospitalsforchildren; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Shrinershospitalsforchildren. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-tx-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHRINERS HOSPITALS FOR CHILDREN (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Shrinershospitalsforchildren; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Shrinershospitalsforchildren. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453313",
      "ccn": "453313",
      "name": "EL PASO CHILDRENS HOSPITAL",
      "address": "4845 ALAMEDA AVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79905",
      "county": "EL PASO",
      "latitude": 31.7715011997487,
      "longitude": -106.433794970395,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 122,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-el-paso-children-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "EL PASO CHILDREN'S HOSPITAL CORPORATION",
      "affiliatedSystem": "EL PASO CHILDREN'S HOSPITAL CORPORATION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EL PASO CHILDREN'S HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EL PASO CHILDREN'S HOSPITAL CORPORATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL PASO CHILDREN'S HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-el-paso-children-s-hospital-corporation",
      "siblingGroupId": "siblings-tx-el-paso-children-s-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-el-paso-children-s-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EL PASO CHILDREN'S HOSPITAL CORPORATION (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EL PASO CHILDREN'S HOSPITAL CORPORATION; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EL PASO CHILDREN'S HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453314",
      "ccn": "453314",
      "name": "TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN",
      "address": "2222 WELBORN STREET",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75219",
      "county": "DALLAS",
      "latitude": 32.8019768997518,
      "longitude": -96.8143133102727,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": null,
      "website": "http://www.tsrhc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-texas-scottish-rite-hospital-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN",
      "affiliatedSystem": "TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-scottish-rite-hospital-for-crippled-children",
      "siblingGroupId": "siblings-tx-texas-scottish-rite-hospital-for-crippled-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-texas-scottish-rite-hospital-for-crippled-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453315",
      "ccn": "453315",
      "name": "CHILDRENS HOSPITAL OF SAN ANTONIO",
      "address": "333 NORTH SANTA ROSA STREET",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78207",
      "county": "BEXAR",
      "latitude": 29.4280373100832,
      "longitude": -98.4983758096973,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 652,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-children-s-hospital-of-san-antonio/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Christus Health",
      "affiliatedSystem": "CHRISTUS Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-christus-health",
      "siblingGroupId": "siblings-tx-christus-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-christus-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.christushealth.org/find-a-doctor"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHRISTUS HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Christus Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Christus Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453316",
      "ccn": "453316",
      "name": "CHILDRENS MEDICAL CENTER PLANO",
      "address": "7601 PRESTON ROAD",
      "city": "PLANO",
      "state": "TX",
      "zip": "75024",
      "county": "COLLIN",
      "latitude": 33.0785304901887,
      "longitude": -96.8004449697961,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 72,
      "rating": null,
      "website": "https://www.childrens.com/location-landing/locations-and-directions/childrens-health-plano",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plano-childrens-medical-center-plano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CHILDREN'S HEALTH SYSTEM OF TEXAS",
      "affiliatedSystem": "CHILDREN'S HEALTH SYSTEM OF TEXAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CHILDREN'S HEALTH SYSTEM OF TEXAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHILDREN'S HEALTH SYSTEM OF TEXAS; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HEALTH SYSTEM OF TEXAS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-children-s-health-system-of-texas",
      "siblingGroupId": "siblings-tx-children-s-health-system-of-texas",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-children-s-health-system-of-texas"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHILDREN'S HEALTH SYSTEM OF TEXAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CHILDREN'S HEALTH SYSTEM OF TEXAS; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDREN'S HEALTH SYSTEM OF TEXAS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453317",
      "ccn": "453317",
      "name": "COOK CHILDRENS MEDICAL CENTER - PROSPER",
      "address": "4100 W UNIVERSITY DRIVE",
      "city": "PROSPER",
      "state": "TX",
      "zip": "75078",
      "county": "DENTON",
      "latitude": 33.2207814719529,
      "longitude": -96.8696648471517,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 34,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "COOK CHILDRENS HEALTHCARE SYSTEM",
      "affiliatedSystem": "COOK CHILDRENS HEALTHCARE SYSTEM",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COOK CHILDRENS HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN T GREENE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Cook Children’s Health Care System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK CHILDRENS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-cook-childrens-healthcare-system",
      "siblingGroupId": "siblings-tx-cook-childrens-healthcare-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-cook-children-s-health-care-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://cookchildrens.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COOK CHILDRENS HEALTHCARE SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN T GREENE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Cook Children’s Health Care System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COOK CHILDRENS HEALTHCARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453319",
      "ccn": "453319",
      "name": "TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS",
      "address": "9835 NORTH LAKE CREEK PARKWAY BLDG A",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78717",
      "county": "WILLIAMSON",
      "latitude": 30.4741713070814,
      "longitude": -97.791260227879,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "TEXAS CHILDRENS HOSPITAL",
      "affiliatedSystem": "TEXAS CHILDRENS HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists DEBRA SUKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS CHILDRENS HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-childrens-hospital",
      "siblingGroupId": "siblings-tx-texas-childrens-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-texas-childrens-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists DEBRA SUKIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS CHILDRENS HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "453321",
      "ccn": "453321",
      "name": "DRISCOLL CHILDRENS HOSPITAL RIO GRANDE VALLEY",
      "address": "2820 W MICHAELANGELO DRIVE",
      "city": "EDINBURG",
      "state": "TX",
      "zip": "78539",
      "county": "HIDALGO",
      "latitude": 26.2537414598899,
      "longitude": -98.203337687748,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 111,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "DRISCOLL CHILDRENS HOSPITAL",
      "affiliatedSystem": "DRISCOLL CHILDRENS HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: DRISCOLL CHILDRENS HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Driscoll Children’s Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DRISCOLL CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-driscoll-childrens-hospital",
      "siblingGroupId": "siblings-tx-driscoll-childrens-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-driscoll-children-s-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.driscollchildrens.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: DRISCOLL CHILDRENS HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Driscoll Children’s Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DRISCOLL CHILDRENS HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "454000",
      "ccn": "454000",
      "name": "BIG SPRING STATE HOSPITAL",
      "address": "1901 NORTH HIGHWAY 87",
      "city": "BIG SPRING",
      "state": "TX",
      "zip": "79720",
      "county": "HOWARD",
      "latitude": 32.2705240801194,
      "longitude": -101.497911639591,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 200,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/bigspringsh/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-big-spring-big-spring-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBORAH D. YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DEBORAH D. YOUNG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454006",
      "ccn": "454006",
      "name": "TERRELL STATE HOSPITAL",
      "address": "1200 EAST BRIN STREET",
      "city": "TERRELL",
      "state": "TX",
      "zip": "75160",
      "county": "KAUFMAN",
      "latitude": 32.7407598602806,
      "longitude": -96.262741849943,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 316,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/terrellsh",
      "status": "corporate_chain",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-terrell-terrell-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK D MESSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK D MESSER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454008",
      "ccn": "454008",
      "name": "NORTH TEXAS STATE HOSPITAL WICHITA FALLS CAMPUS",
      "address": "6515 KEMP BOULEVARD",
      "city": "WICHITA FALLS",
      "state": "TX",
      "zip": "76308",
      "county": "WICHITA",
      "latitude": 33.8458242797452,
      "longitude": -98.524183430443,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 312,
      "rating": null,
      "website": "http://www.dshs.texas.gov/mhhospitals/northtexassh/default.shtm",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-falls-north-texas-state-hospital-wichita-falls-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454009",
      "ccn": "454009",
      "name": "RUSK STATE HOSPITAL",
      "address": "805 NORTH DICKINSON DRIVE",
      "city": "RUSK",
      "state": "TX",
      "zip": "75785",
      "county": "CHEROKEE",
      "latitude": 31.8083875897862,
      "longitude": -95.1577487797858,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 330,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/rusksh/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rusk-rusk-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454012",
      "ccn": "454012",
      "name": "MILLWOOD HOSPITAL",
      "address": "1011 NORTH COOPER STREET",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76011",
      "county": "TARRANT",
      "latitude": 32.7508519302424,
      "longitude": -97.1132299902078,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 134,
      "rating": null,
      "website": "http://www.millwoodhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-millwood-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454018",
      "ccn": "454018",
      "name": "RED RIVER HOSPITAL",
      "address": "1500-1505 8TH STREET",
      "city": "WICHITA FALLS",
      "state": "TX",
      "zip": "76301",
      "county": "WICHITA",
      "latitude": 33.9063072501268,
      "longitude": -98.5013406301223,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 96,
      "rating": null,
      "website": "http://www.redriverhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wichita-falls-red-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-tx-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454026",
      "ccn": "454026",
      "name": "WEST OAKS HOSPITAL",
      "address": "6500 HORNWOOD DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77074",
      "county": "HARRIS",
      "latitude": 29.7092513703211,
      "longitude": -95.4980839998808,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 160,
      "rating": null,
      "website": "http://www.westoakshospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-west-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454050",
      "ccn": "454050",
      "name": "GLEN OAKS HOSPITAL",
      "address": "301 EAST DIVISION STREET",
      "city": "GREENVILLE",
      "state": "TX",
      "zip": "75402",
      "county": "HUNT",
      "latitude": 33.1236960296557,
      "longitude": -96.0822874797617,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-greenville-glen-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454060",
      "ccn": "454060",
      "name": "LAUREL RIDGE TREATMENT CENTER",
      "address": "17720 CORPORATE WOODS DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78259",
      "county": "BEXAR",
      "latitude": 29.6032194781283,
      "longitude": -98.4378934929707,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 208,
      "rating": null,
      "website": "http://www.laurelridgetc.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-laurel-ridge-treatment-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "campusFamilyId": "campus-tx-454060",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454060-loc-tx-san-antonio-mission-resiliency-at-laurel-ridge-trea",
      "ccn": "454060",
      "name": "MISSION RESILIENCY AT LAUREL RIDGE TREATMENT CENTER",
      "address": "17720 CORPORATE WOODS DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78259",
      "county": "BEXAR",
      "latitude": 29.6034391341698,
      "longitude": -98.4383677360671,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "website": "https://laurelridgetc.com/programs/military-dependents/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "campusFamilyId": "campus-tx-454060",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "454060"
    },
    {
      "id": "454064",
      "ccn": "454064",
      "name": "RIVER CREST HOSPITAL",
      "address": "1636 HUNTERS GLEN ROAD",
      "city": "SAN ANGELO",
      "state": "TX",
      "zip": "76901",
      "county": "TOM GREEN",
      "latitude": 31.4472743599853,
      "longitude": -100.510233020003,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "website": "http://www.rivercresthospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-angelo-river-crest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "RIVER CREST HOSP",
      "affiliatedSystem": "Proprietary",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to River Crest Hospital, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVER CREST HOSP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-river-crest-hosp",
      "siblingGroupId": "siblings-tx-river-crest-hosp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-454064"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://pfd.hhs.texas.gov/sites/default/files/documents/hospital-svcs/2024/2024-dsh-pmnt.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to River Crest Hospital, Inc.; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVER CREST HOSP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454065",
      "ccn": "454065",
      "name": "HICKORY TRAIL HOSPITAL",
      "address": "2000 N OLD HICKORY TRAIL",
      "city": "DESOTO",
      "state": "TX",
      "zip": "75115",
      "county": "DALLAS",
      "latitude": 32.6282389298698,
      "longitude": -96.8649147302024,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 86,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454076",
      "ccn": "454076",
      "name": "HARRIS COUNTY PSYCHIATRIC CENTER",
      "address": "2800 SOUTH MACGREGOR WAY",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77021",
      "county": "HARRIS",
      "latitude": 29.7120168099087,
      "longitude": -95.3744237504321,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 16,
      "rating": null,
      "website": "http://hcpc.uth.tmc.edu/",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-harris-county-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON",
      "affiliatedSystem": "University of Texas System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists DANIEL DOYLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-texas-health-science-center-at-houston",
      "siblingGroupId": "siblings-tx-university-of-texas-health-science-center-at-houston",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://ahca.myflorida.com/health-care-policy-and-oversight/health-care-provider-and-facility-regulation"
      ],
      "ownershipProofNotes": "CMS lists DANIEL DOYLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454084",
      "ccn": "454084",
      "name": "AUSTIN STATE HOSPITAL",
      "address": "4110 GUADALUPE STREET",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78751",
      "county": "TRAVIS",
      "latitude": 30.3091153202037,
      "longitude": -97.7351074602419,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 314,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/austinsh/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-austin-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454088",
      "ccn": "454088",
      "name": "RIO GRANDE STATE CENTER",
      "address": "1401 SOUTH RANGERVILLE ROAD",
      "city": "HARLINGEN",
      "state": "TX",
      "zip": "78551",
      "county": "CAMERON",
      "latitude": 26.1606785498893,
      "longitude": -97.7070405496072,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 55,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/riograndesc/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harlingen-rio-grande-state-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH AND HUMAN SERVICES COMMISSION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454093",
      "ccn": "454093",
      "name": "SUNRISE CANYON",
      "address": "1950 ASPEN AVENUE",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79423",
      "county": "LUBBOCK",
      "latitude": 33.5729416399642,
      "longitude": -101.807502760198,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 30,
      "rating": null,
      "website": "http://www.lubbockmhmr.org/sch/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lubbock-sunrise-canyon/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LUBBOCK REGIONAL MHMR CENTER",
      "affiliatedSystem": "LUBBOCK REGIONAL MHMR CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists BETH LAWSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to LUBBOCK REGIONAL MHMR CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUBBOCK REGIONAL MHMR CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-lubbock-regional-mhmr-center",
      "siblingGroupId": "siblings-tx-lubbock-regional-mhmr-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-lubbock-regional-mhmr-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists BETH LAWSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to LUBBOCK REGIONAL MHMR CENTER; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LUBBOCK REGIONAL MHMR CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "454094",
      "ccn": "454094",
      "name": "MEDICAL CITY GREEN OAKS HOSPITAL",
      "address": "7808 CLODUS FIELDS DRIVE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75251",
      "county": "DALLAS",
      "latitude": 32.9128044299634,
      "longitude": -96.7712652899678,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 124,
      "rating": null,
      "website": "http://www.greenoakspsych.com",
      "status": "corporate_chain",
      "parentSystem": "COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-medical-city-green-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-columbia-north-texas-subsidiary-gp-llc",
      "siblingGroupId": "siblings-tx-columbia-north-texas-subsidiary-gp-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA NORTH TEXAS SUBSIDIARY GP LLC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454100",
      "ccn": "454100",
      "name": "EL PASO PSYCHIATRIC CENTER",
      "address": "4615 ALAMEDA AVENUE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79905",
      "county": "EL PASO",
      "latitude": 31.7720518201334,
      "longitude": -106.436114960346,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 74,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/mhhospitals/elpasopc/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystem": "HEALTH AND HUMAN SERVICES COMMISSION",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-el-paso-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-health-and-human-services-commission",
      "siblingGroupId": "siblings-tx-health-and-human-services-commission",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists KRISTY M CARR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH AND HUMAN SERVICES COMMISSION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "454101",
      "ccn": "454101",
      "name": "ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW LLC",
      "address": "2601 DIMMITT ROAD, 4TH FLOOR",
      "city": "PLAINVIEW",
      "state": "TX",
      "zip": "79072",
      "county": "HALE",
      "latitude": 34.2065400896718,
      "longitude": -101.732591050302,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-plainview-allegiance-behavioral-health-center-of-plainview/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Allegiance Health Management",
      "affiliatedSystem": "ALLEGIANCE HEALTH MANAGEMENT INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ALLEGIANCE HEALTH MANAGEMENT INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-allegiance-health-management",
      "siblingGroupId": "siblings-tx-allegiance-health-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-allegiance-health-management"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ahmgt.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALLEGIANCE HEALTH MANAGEMENT INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists ROCK BORDELON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ALLEGIANCE HEALTH MANAGEMENT INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Allegiance Health Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454103",
      "ccn": "454103",
      "name": "KINGWOOD PINES HOSPITAL",
      "address": "2001 LADBROOK DRIVE",
      "city": "KINGWOOD",
      "state": "TX",
      "zip": "77339",
      "county": "HARRIS",
      "latitude": 30.0444976196162,
      "longitude": -95.2299841398534,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 116,
      "rating": null,
      "website": "http://www.kingwoodpines.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingwood-kingwood-pines-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454104",
      "ccn": "454104",
      "name": "UNIVERSITY BEHAVIORAL HEALTH OF DENTON",
      "address": "2026 WEST UNIVERSITY",
      "city": "DENTON",
      "state": "TX",
      "zip": "76201",
      "county": "DENTON",
      "latitude": 33.2312853997212,
      "longitude": -97.1564467096315,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 104,
      "rating": null,
      "website": "http://www.ubhdenton.net",
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denton-university-behavioral-health-of-denton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454107",
      "ccn": "454107",
      "name": "BEHAVIORAL HOSPITAL OF BELLAIRE",
      "address": "5314 DASHWOOD, SUITE 200 AND 300",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77081",
      "county": "HARRIS",
      "latitude": 29.7079822101887,
      "longitude": -95.473416140008,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 124,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-behavioral-hospital-of-bellaire/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454108",
      "ccn": "454108",
      "name": "CYPRESS CREEK HOSPITAL",
      "address": "17750 CALI DRIVE",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77090",
      "county": "HARRIS",
      "latitude": 30.0245793998414,
      "longitude": -95.445345709774,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 128,
      "rating": null,
      "website": "http://www.cypresscreekhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-cypress-creek-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454109",
      "ccn": "454109",
      "name": "EL PASO BEHAVIORAL HEALTH SYSTEM",
      "address": "1900 DENVER AVENUE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "EL PASO",
      "latitude": 31.7803651002967,
      "longitude": -106.475953389972,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 166,
      "rating": null,
      "website": "http://www.elpasobh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-el-paso-behavioral-health-system/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454110",
      "ccn": "454110",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF THE PERMIAN BASIN",
      "address": "3300 SOUTH FM 1788",
      "city": "MIDLAND",
      "state": "TX",
      "zip": "79706",
      "county": "MIDLAND",
      "latitude": 31.922875039627,
      "longitude": -102.222164809683,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": null,
      "website": "http://oceanspermianbasin.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midland-oceans-behavioral-hospital-of-the-permian-basin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454114",
      "ccn": "454114",
      "name": "CEDAR CREST HOSPITAL",
      "address": "3500 I-H 35 SOUTH",
      "city": "BELTON",
      "state": "TX",
      "zip": "76513",
      "county": "BELL",
      "latitude": 31.0213591501842,
      "longitude": -97.4768069704077,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 68,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-belton-cedar-crest-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-tx-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454117",
      "ccn": "454117",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF LONGVIEW",
      "address": "615 CLINIC DRIVE",
      "city": "LONGVIEW",
      "state": "TX",
      "zip": "75605",
      "county": "GREGG",
      "latitude": 32.5373345100807,
      "longitude": -94.7345597500454,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Oceans Behavioral Health",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITIONS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITIONS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oceans Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-behavioral-health",
      "siblingGroupId": "siblings-tx-oceans-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisitions-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITIONS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITIONS INC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oceans Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454118",
      "ccn": "454118",
      "name": "LONE STAR BEHAVIORAL HEALTH CYPRESS",
      "address": "16303 GRANT ROAD",
      "city": "CYPRESS",
      "state": "TX",
      "zip": "77429",
      "county": "HARRIS",
      "latitude": 30.0242799201825,
      "longitude": -95.6627708599209,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "http://www.lonestarbehavioralhealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cypress-lone-star-behavioral-health-cypress/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "C&I HOLDINGS, LLC",
      "affiliatedSystem": "C&I HOLDINGS, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: C&I HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NATHAN D INGRAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to C&I HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent C&I HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-c-and-i-holdings-llc",
      "siblingGroupId": "siblings-tx-c-and-i-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-c-i-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: C&I HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NATHAN D INGRAM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to C&I HOLDINGS, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent C&I HOLDINGS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454119",
      "ccn": "454119",
      "name": "CARROLLTON SPRINGS",
      "address": "2225 PARKER ROAD",
      "city": "CARROLLTON",
      "state": "TX",
      "zip": "75010",
      "county": "DENTON",
      "latitude": 33.04591728972,
      "longitude": -96.868607210262,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 78,
      "rating": null,
      "website": "http://www.carrolltonsprings.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-carrollton-carrollton-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tx-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454121",
      "ccn": "454121",
      "name": "AUSTIN OAKS HOSPITAL",
      "address": "1407 WEST STASSNEY LANE",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78745",
      "county": "TRAVIS",
      "latitude": 30.2115959703224,
      "longitude": -97.7923757899348,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-austin-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454122",
      "ccn": "454122",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF ABILENE",
      "address": "4225 WOODS PLACE",
      "city": "ABILENE",
      "state": "TX",
      "zip": "79602",
      "county": "TAYLOR",
      "latitude": 32.3999669997183,
      "longitude": -99.7393110000723,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 92,
      "rating": null,
      "website": "https://oceanshealthcare.com/abilene",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abilene-oceans-behavioral-hospital-of-abilene/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454123",
      "ccn": "454123",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF LUFKIN",
      "address": "302 GOBBLERS KNOB RD",
      "city": "LUFKIN",
      "state": "TX",
      "zip": "75904",
      "county": "ANGELINA",
      "latitude": 31.3070738400987,
      "longitude": -94.7457387600384,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": null,
      "website": "http://oceanslufkin.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lufkin-oceans-behavioral-hospital-of-lufkin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454124",
      "ccn": "454124",
      "name": "MESA SPRINGS",
      "address": "5560 MESA SPRINGS DRIVE",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76123",
      "county": "TARRANT",
      "latitude": 32.6398133996584,
      "longitude": -97.4128976302795,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://www.mesasprings.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-mesa-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-tx-dsb-acquisition-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454126",
      "ccn": "454126",
      "name": "DALLAS BEHAVIORAL HEALTHCARE HOSPITAL LLC",
      "address": "800 KIRNWOOD DR",
      "city": "DESOTO",
      "state": "TX",
      "zip": "75115",
      "county": "DALLAS",
      "latitude": 32.6424243003647,
      "longitude": -96.8747600797651,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 116,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Signature Healthcare Services",
      "affiliatedSystem": "Signature Healthcare Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NABIL ZAIOUR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-tx-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-signature-healthcare-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists NABIL ZAIOUR as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454127",
      "ccn": "454127",
      "name": "ROCK SPRINGS",
      "address": "700 SOUTHEAST INNER LOOP",
      "city": "GEORGETOWN",
      "state": "TX",
      "zip": "78626",
      "county": "WILLIAMSON",
      "latitude": 30.6060406503846,
      "longitude": -97.6734648902741,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://www.rockspringshealth.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-georgetown-rock-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tx-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454128",
      "ccn": "454128",
      "name": "WELLBRIDGE HEALTHCARE FORT WORTH",
      "address": "6200 OVERTON RIDGE BLVD",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76132",
      "county": "TARRANT",
      "latitude": 32.6802200899562,
      "longitude": -97.4191700197328,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-tx-dsb-acquisition-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: DSB ACQUISITION LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454129",
      "ccn": "454129",
      "name": "GEORGETOWN BEHAVIORAL HEALTH INSTITUTE LLC",
      "address": "3101 S AUSTIN AVE",
      "city": "GEORGETOWN",
      "state": "TX",
      "zip": "78626",
      "county": "WILLIAMSON",
      "latitude": 30.6149017703062,
      "longitude": -97.6806318301722,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Signature Healthcare Services",
      "affiliatedSystem": "Signature Healthcare Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists REBEKAH FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-tx-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-signature-healthcare-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists REBEKAH FRANCIS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454131",
      "ccn": "454131",
      "name": "WESTPARK SPRINGS",
      "address": "6902 S PEEK ROAD",
      "city": "RICHMOND",
      "state": "TX",
      "zip": "77407",
      "county": "FORT BEND",
      "latitude": 29.6943402197644,
      "longitude": -95.7610405602406,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://www.westparksprings.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-westpark-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tx-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454132",
      "ccn": "454132",
      "name": "SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
      "address": "8550 HUEBNER ROAD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78240",
      "county": "BEXAR",
      "latitude": 29.5162952702797,
      "longitude": -98.6050012803621,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 198,
      "rating": null,
      "website": "http://www.sanantoniobehavioral.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-san-antonio-behavioral-healthcare-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Signature Healthcare Services",
      "affiliatedSystem": "Signature Healthcare Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KAREN SPARROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-tx-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-signature-healthcare-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KAREN SPARROW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454133",
      "ccn": "454133",
      "name": "CROSS CREEK HOSPITAL",
      "address": "8402 CROSS PARK DRIVE",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78754",
      "county": "TRAVIS",
      "latitude": 30.3382019998568,
      "longitude": -97.6772294798982,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 90,
      "rating": null,
      "website": "http://www.crosscreekhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-cross-creek-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 88.2%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-tx-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 88.2%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454135",
      "ccn": "454135",
      "name": "HOUSTON BEHAVIORAL HEALTHCARE HOSPITAL LLC",
      "address": "2801 GESSNER ROAD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77080",
      "county": "HARRIS",
      "latitude": 29.8234255597377,
      "longitude": -95.5463103298949,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 163,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-houston-behavioral-healthcare-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Signature Healthcare Services",
      "affiliatedSystem": "Signature Healthcare Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HEIDI PHILIPPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-signature-healthcare-services",
      "siblingGroupId": "siblings-tx-signature-healthcare-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-signature-healthcare-services-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SIGNATURE HEALTHCARE SERVICES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists HEIDI PHILIPPE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SIGNATURE HEALTHCARE SERVICES, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Signature Healthcare Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454136",
      "ccn": "454136",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF KATY",
      "address": "455 PARK GROVE LANE",
      "city": "KATY",
      "state": "TX",
      "zip": "77450",
      "county": "HARRIS",
      "latitude": 29.7779640999976,
      "longitude": -95.7485404698244,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": null,
      "website": "http://oceanskaty.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-katy-oceans-behavioral-hospital-of-katy/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LAURA F TARANTINO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LAURA F TARANTINO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454139",
      "ccn": "454139",
      "name": "SUN BEHAVIORAL HOUSTON",
      "address": "7601 FANNIN",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77054",
      "county": "HARRIS",
      "latitude": 29.6905884302858,
      "longitude": -95.401081209776,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 148,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SUN BEHAVIORAL HEALTH INC",
      "peFirm": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors",
      "acquiredDate": "March 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "SUN Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-sun-behavioral-houston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "SUN BEHAVIORAL HEALTH INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SUN BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICARDO VILLANUEVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SUN BEHAVIORAL HEALTH INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sun-behavioral-health-inc",
      "siblingGroupId": "siblings-tx-sun-behavioral-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-sun-behavioral-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUN BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICARDO VILLANUEVA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SUN BEHAVIORAL HEALTH INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454141",
      "ccn": "454141",
      "name": "PALMS BEHAVIORAL HEALTH",
      "address": "613 VICTORIA LANE",
      "city": "HARLINGEN",
      "state": "TX",
      "zip": "78550",
      "county": "CAMERON",
      "latitude": 26.1635742197791,
      "longitude": -97.672162289993,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 94,
      "rating": null,
      "website": "http://www.palmsbh.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "January 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harlingen-palms-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "SBHC HOLDINGS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-tx-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-sbhc-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454144",
      "ccn": "454144",
      "name": "WOODLAND SPRINGS",
      "address": "15860 OLD CONROE ROAD",
      "city": "CONROE",
      "state": "TX",
      "zip": "77384",
      "county": "MONTGOMERY",
      "latitude": 30.2291129003314,
      "longitude": -95.5399041004474,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 96,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conroe-woodland-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists ROSS TEEMANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-tx-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists ROSS TEEMANT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454146",
      "ccn": "454146",
      "name": "RIO VISTA BEHAVIORAL HEALTH",
      "address": "1390 NORTHWESTERN DRIVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79912",
      "county": "EL PASO",
      "latitude": 31.8798941596873,
      "longitude": -106.573523200277,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-rio-vista-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Acadia Healthcare",
      "affiliatedSystem": "Acadia Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-acadia-healthcare",
      "siblingGroupId": "siblings-tx-acadia-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-acadia-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ir.acadiahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: ACADIA HEALTHCARE COMPANY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Acadia Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Acadia Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454147",
      "ccn": "454147",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF PASADENA",
      "address": "4001 PRESTON AVENUE SUITE 150",
      "city": "PASADENA",
      "state": "TX",
      "zip": "77505",
      "county": "HARRIS",
      "latitude": 29.650856100108,
      "longitude": -95.1700084998965,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 22,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Oceans Behavioral Health",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pasadena-oceans-behavioral-hospital-of-pasadena/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITIONS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITIONS INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oceans Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-behavioral-health",
      "siblingGroupId": "siblings-tx-oceans-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisitions-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITIONS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITIONS INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oceans Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454148",
      "ccn": "454148",
      "name": "PERIMETER BEHAVIORAL HOSPITAL OF ARLINGTON",
      "address": "7000 US HIGHWAY 287",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76001",
      "county": "TARRANT",
      "latitude": 32.6279979602922,
      "longitude": -97.1778511203328,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 88,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Perimeter Behavioral Health",
      "peFirm": "Ridgemont Equity Partners",
      "acquiredDate": "May 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Perimeter Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Perimeter Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHANNON FAILES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HOLDCO PERIMETER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-tx-perimeter-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-holdco-perimeter-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SHANNON FAILES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HOLDCO PERIMETER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454149",
      "ccn": "454149",
      "name": "PERIMETER BEHAVIORAL HOSPITAL OF DALLAS",
      "address": "2696 WEST WALNUT STREET",
      "city": "GARLAND",
      "state": "TX",
      "zip": "75042",
      "county": "DALLAS",
      "latitude": 32.9134020001898,
      "longitude": -96.6701168996925,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Perimeter Behavioral Health",
      "peFirm": "Ridgemont Equity Partners",
      "acquiredDate": "May 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Perimeter Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Perimeter Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN M SOMERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HOLDCO PERIMETER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-tx-perimeter-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-holdco-perimeter-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SUSAN M SOMERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HOLDCO PERIMETER LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454150",
      "ccn": "454150",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF WACO",
      "address": "5931 CROSSLAKE PARKWAY",
      "city": "WACO",
      "state": "TX",
      "zip": "76712",
      "county": "MCLENNAN",
      "latitude": 31.4875737397007,
      "longitude": -97.1642517399439,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waco-oceans-behavioral-hospital-of-waco/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454152",
      "ccn": "454152",
      "name": "CANYON CREEK BEHAVIORAL HEALTH",
      "address": "1201 CANYON CREEK DRIVE",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76502",
      "county": "BELL",
      "latitude": 31.0591664000596,
      "longitude": -97.3693191997151,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 102,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-tx-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-universal-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.uhsinc.com/our-companies"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Universal Health Services; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "454153",
      "ccn": "454153",
      "name": "CARRUS BEHAVIORAL HOSPITAL",
      "address": "1724 W US HIGHWAY 82, SUITE 200",
      "city": "SHERMAN",
      "state": "TX",
      "zip": "75092",
      "county": "GRAYSON",
      "latitude": 33.6700040001826,
      "longitude": -96.6347333197647,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "CARRUS HEALTHCARE, LLC",
      "affiliatedSystem": "CARRUS HEALTHCARE, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: CARRUS HEALTHCARE, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JON M RAINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CARRUS HEALTHCARE, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARRUS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-carrus-healthcare-llc",
      "siblingGroupId": "siblings-tx-carrus-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-carrus-healthcare-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARRUS HEALTHCARE, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JON M RAINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CARRUS HEALTHCARE, LLC; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARRUS HEALTHCARE, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454154",
      "ccn": "454154",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF AMARILLO",
      "address": "7501 WALLACE BLVD, SUITE 200",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79124",
      "county": "POTTER",
      "latitude": 35.194181999652,
      "longitude": -101.92705510009,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 28,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454155",
      "ccn": "454155",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF CORPUS CHRISTI",
      "address": "600 ELIZABETH ST 5 EAST",
      "city": "CORPUS CHRISTI",
      "state": "TX",
      "zip": "78404",
      "county": "NUECES",
      "latitude": 27.7781156001886,
      "longitude": -97.3946638997303,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "OCEANS ACQUISITION INC",
      "peFirm": "Webster Equity Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Oceans Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454156",
      "ccn": "454156",
      "name": "VOYAGES BEHAVIORAL HEALTH OF SUGAR LAND",
      "address": "11931 HIGHWAY 6 SOUTH",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77498",
      "county": "FORT BEND",
      "latitude": 29.6421972812589,
      "longitude": -95.6485966439884,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "PAM Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PAM CUBED LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-pam-cubed-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists BRITTANY MISITANO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PAM CUBED LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454157",
      "ccn": "454157",
      "name": "OCEANS BEHAVIORAL HOSPITAL OF LUBBOCK",
      "address": "4202 PRINCETON STREET",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79415",
      "county": "LUBBOCK",
      "latitude": 33.6164961996997,
      "longitude": -101.901497099603,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "OCEANS ACQUISITION INC",
      "affiliatedSystem": "OCEANS ACQUISITION INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-acquisition-inc",
      "siblingGroupId": "siblings-tx-oceans-acquisition-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-oceans-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITION INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to OCEANS ACQUISITION INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OCEANS ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454158",
      "ccn": "454158",
      "name": "VOYAGES BEHAVIORAL HEALTH OF CONROE",
      "address": "1317 S LOOP 336 W",
      "city": "CONROE",
      "state": "TX",
      "zip": "77304",
      "county": "MONTGOMERY",
      "latitude": 30.2827931999083,
      "longitude": -95.4759365000815,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 64,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "PAM CUBED LLC",
      "affiliatedSystem": "PAM Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists ANDREW HARDIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PAM CUBED LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pam-cubed-llc",
      "siblingGroupId": "siblings-tx-pam-cubed-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-pam-cubed-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: PAM CUBED LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists ANDREW HARDIN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to PAM CUBED LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PAM CUBED LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "454161",
      "ccn": "454161",
      "name": "MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER | FRISCO",
      "address": "5860 FRISCO SQUARE BLVD SUITE 3000",
      "city": "FRISCO",
      "state": "TX",
      "zip": "75034",
      "county": "COLLIN",
      "latitude": 33.151270150686,
      "longitude": -96.8380598687698,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 70,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-454161",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460001",
      "ccn": "460001",
      "name": "UTAH VALLEY HOSPITAL",
      "address": "1034 NORTH 500 WEST",
      "city": "PROVO",
      "state": "UT",
      "zip": "84604",
      "county": "UTAH",
      "latitude": 40.2479210197195,
      "longitude": -111.66580787981,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 395,
      "rating": 5,
      "website": "https://intermountainhealthcare.org/locations/utah-valley-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460004",
      "ccn": "460004",
      "name": "MCKAY DEE HOSPITAL",
      "address": "4401 HARRISON BOULEVARD",
      "city": "OGDEN",
      "state": "UT",
      "zip": "84403",
      "county": "WEBER",
      "latitude": 41.1826576201778,
      "longitude": -111.953373289712,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 319,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460005",
      "ccn": "460005",
      "name": "OGDEN REGIONAL MEDICAL CENTER",
      "address": "5475 SOUTH 500 EAST",
      "city": "OGDEN",
      "state": "UT",
      "zip": "84405",
      "county": "WEBER",
      "latitude": 41.1643775097106,
      "longitude": -111.970389870425,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 238,
      "rating": 3,
      "website": "http://www.ogdenregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ogden-ogden-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460006",
      "ccn": "460006",
      "name": "LDS HOSPITAL",
      "address": "8TH AVENUE AND C STREET",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84143",
      "county": "SALT LAKE",
      "latitude": 40.7793176802301,
      "longitude": -111.879742979857,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 262,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salt-lake-city-lds-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460007",
      "ccn": "460007",
      "name": "CEDAR CITY HOSPITAL",
      "address": "1303 NORTH MAIN STREET",
      "city": "CEDAR CITY",
      "state": "UT",
      "zip": "84721",
      "county": "IRON",
      "latitude": 37.6997603602574,
      "longitude": -113.066674869847,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": 3,
      "website": "http://www.ihc.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cedar-city-cedar-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460010",
      "ccn": "460010",
      "name": "INTERMOUNTAIN MEDICAL CENTER",
      "address": "5121 SOUTH COTTONWOOD STREET",
      "city": "MURRAY",
      "state": "UT",
      "zip": "84107",
      "county": "SALT LAKE",
      "latitude": 40.6596899399202,
      "longitude": -111.890836429811,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 510,
      "rating": 5,
      "website": "http://www.intermountainhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-murray-intermountain-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460011",
      "ccn": "460011",
      "name": "CASTLEVIEW HOSPITAL",
      "address": "300 NORTH HOSPITAL DRIVE",
      "city": "PRICE",
      "state": "UT",
      "zip": "84501",
      "county": "CARBON",
      "latitude": 39.6051670497295,
      "longitude": -110.832940089639,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 39,
      "rating": 2,
      "website": "http://www.castleviewhospital.net",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-price-castleview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ut-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK C HOLYOAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK C HOLYOAK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "460013",
      "ccn": "460013",
      "name": "MOUNTAIN VIEW HOSPITAL",
      "address": "1000 EAST 100 NORTH",
      "city": "PAYSON",
      "state": "UT",
      "zip": "84651",
      "county": "UTAH",
      "latitude": 40.0440460303153,
      "longitude": -111.714285330269,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 124,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-payson-mountain-view-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460014",
      "ccn": "460014",
      "name": "MOUNTAIN WEST MEDICAL CENTER",
      "address": "2055 NORTH MAIN STREET",
      "city": "TOOELE",
      "state": "UT",
      "zip": "84074",
      "county": "TOOELE",
      "latitude": 40.5667372302581,
      "longitude": -112.297260140318,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 44,
      "rating": 4,
      "website": "http://www.mountainwestmc.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tooele-mountain-west-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-goldentree-distressed-master-fund-iii-ltd",
      "siblingGroupId": "siblings-ut-goldentree-distressed-master-fund-iii-ltd",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-goldentree-distressed-master-fund-iii-ltd"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GOLDENTREE DISTRESSED MASTER FUND III LTD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to GOLDENTREE DISTRESSED MASTER FUND III LTD; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED MASTER FUND III LTD, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GOLDENTREE DISTRESSED MASTER FUND III LTD (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to GOLDENTREE DISTRESSED MASTER FUND III LTD; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GOLDENTREE DISTRESSED MASTER FUND III LTD, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "460015",
      "ccn": "460015",
      "name": "LOGAN REGIONAL HOSPITAL",
      "address": "500 EAST 1400 NORTH",
      "city": "LOGAN",
      "state": "UT",
      "zip": "84341",
      "county": "CACHE",
      "latitude": 41.7556806398836,
      "longitude": -111.822183160329,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": 5,
      "website": "http://www.loganregionalhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-logan-logan-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460017",
      "ccn": "460017",
      "name": "BRIGHAM CITY COMMUNITY HOSPITAL",
      "address": "950 SOUTH MEDICAL DRIVE",
      "city": "BRIGHAM CITY",
      "state": "UT",
      "zip": "84302",
      "county": "BOX ELDER",
      "latitude": 41.4912271499713,
      "longitude": -112.025755669856,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 49,
      "rating": null,
      "website": "http://www.brighamcityhospital.com",
      "status": "corporate_chain",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brigham-city-brigham-city-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460019",
      "ccn": "460019",
      "name": "UINTAH BASIN MEDICAL CENTER",
      "address": "250 WEST 300 NORTH",
      "city": "ROOSEVELT",
      "state": "UT",
      "zip": "84066",
      "county": "DUCHESNE",
      "latitude": 40.3043850397323,
      "longitude": -109.996470349826,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 49,
      "rating": 2,
      "website": "http://www.ubmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roosevelt-uintah-basin-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UINTAH BASIN MEDICAL CENTER INC",
      "parentSystemId": "entity-uintah-basin-medical-center-inc",
      "siblingGroupId": "siblings-ut-uintah-basin-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ut-parent-uintah-basin-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to UINTAH BASIN MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UINTAH BASIN MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to UINTAH BASIN MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UINTAH BASIN MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460021",
      "ccn": "460021",
      "name": "ST GEORGE REGIONAL HOSPITAL",
      "address": "1380 EAST MEDICAL CENTER DRIVE",
      "city": "ST GEORGE",
      "state": "UT",
      "zip": "84790",
      "county": "WASHINGTON",
      "latitude": 37.0977669399278,
      "longitude": -113.553742820065,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 284,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460023",
      "ccn": "460023",
      "name": "AMERICAN FORK HOSPITAL",
      "address": "170 NORTH 1100 EAST",
      "city": "AMERICAN FORK",
      "state": "UT",
      "zip": "84003",
      "county": "UTAH",
      "latitude": 40.3802910098858,
      "longitude": -111.766599199642,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 89,
      "rating": 4,
      "website": "http://www.intermountainhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-american-fork-american-fork-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460026",
      "ccn": "460026",
      "name": "SEVIER VALLEY HOSPITAL",
      "address": "1000 NORTH MAIN STREET",
      "city": "RICHFIELD",
      "state": "UT",
      "zip": "84701",
      "county": "SEVIER",
      "latitude": 38.782700650126,
      "longitude": -112.08358251989,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 29,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460030",
      "ccn": "460030",
      "name": "ASHLEY REGIONAL MEDICAL CENTER",
      "address": "150 WEST 100 NORTH",
      "city": "VERNAL",
      "state": "UT",
      "zip": "84078",
      "county": "UINTAH",
      "latitude": 40.4577990798474,
      "longitude": -109.531584780091,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 39,
      "rating": 4,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vernal-ashley-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-ut-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "460039",
      "ccn": "460039",
      "name": "BEAR RIVER VALLEY HOSPITAL",
      "address": "905 NORTH 1000 WEST",
      "city": "TREMONTON",
      "state": "UT",
      "zip": "84337",
      "county": "BOX ELDER",
      "latitude": 41.7241487102747,
      "longitude": -112.182576929777,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.intermountainhealthcare.org/hospitals/bearriver",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tremonton-bear-river-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460042",
      "ccn": "460042",
      "name": "LAKEVIEW HOSPITAL",
      "address": "630 EAST MEDICAL DRIVE",
      "city": "BOUNTIFUL",
      "state": "UT",
      "zip": "84010",
      "county": "DAVIS",
      "latitude": 40.8859425201998,
      "longitude": -111.868820340063,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 125,
      "rating": 5,
      "website": "http://www.lakeviewhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bountiful-lakeview-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460043",
      "ccn": "460043",
      "name": "OREM COMMUNITY HOSPITAL",
      "address": "331 NORTH 400 WEST",
      "city": "OREM",
      "state": "UT",
      "zip": "84057",
      "county": "UTAH",
      "latitude": 40.3028854501664,
      "longitude": -111.70797404017,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "website": "http://www.intermountainhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orem-orem-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460044",
      "ccn": "460044",
      "name": "ALTA VIEW HOSPITAL",
      "address": "9660 SOUTH 1300 EAST",
      "city": "SANDY",
      "state": "UT",
      "zip": "84094",
      "county": "SALT LAKE",
      "latitude": 40.5759051501857,
      "longitude": -111.853961439899,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 69,
      "rating": 5,
      "website": "http://www.intermountainhealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sandy-alta-view-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460047",
      "ccn": "460047",
      "name": "ST MARK'S HOSPITAL",
      "address": "1200 EAST 3900 SOUTH",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84124",
      "county": "SALT LAKE",
      "latitude": 40.6859582700651,
      "longitude": -111.857140910066,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 308,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salt-lake-city-st.-mark-s-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460052",
      "ccn": "460052",
      "name": "TIMPANOGOS REGIONAL HOSPITAL",
      "address": "750 WEST 800 NORTH",
      "city": "OREM",
      "state": "UT",
      "zip": "84057",
      "county": "UTAH",
      "latitude": 40.3135935998213,
      "longitude": -111.713691129743,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 122,
      "rating": 4,
      "website": "http://www.timpanogosregionalhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-orem-timpanogos-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460054",
      "ccn": "460054",
      "name": "CACHE VALLEY HOSPITAL",
      "address": "2380 NORTH 400 EAST",
      "city": "NORTH LOGAN",
      "state": "UT",
      "zip": "84341",
      "county": "CACHE",
      "latitude": 41.775566470167,
      "longitude": -111.821230390071,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 28,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-north-logan-cache-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460057",
      "ccn": "460057",
      "name": "PARK CITY HOSPITAL",
      "address": "900 ROUND VALLEY DRIVE",
      "city": "PARK CITY",
      "state": "UT",
      "zip": "84060",
      "county": "SUMMIT",
      "latitude": 40.6874543597129,
      "longitude": -111.469482250361,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 37,
      "rating": 5,
      "website": "https://intermountainhealthcare.org/locations/park-city-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460058",
      "ccn": "460058",
      "name": "RIVERTON HOSPITAL",
      "address": "3741 WEST 12600 SOUTH",
      "city": "RIVERTON",
      "state": "UT",
      "zip": "84065",
      "county": "SALT LAKE",
      "latitude": 40.5203974702768,
      "longitude": -111.979914189953,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 97,
      "rating": 5,
      "website": "http://www.intermountainhealthcare.org/",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-riverton-riverton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460060",
      "ccn": "460060",
      "name": "LONE PEAK HOSPITAL",
      "address": "11925 SOUTH STATE STREET",
      "city": "DRAPER",
      "state": "UT",
      "zip": "84020",
      "county": "SALT LAKE",
      "latitude": 40.536059869695,
      "longitude": -111.889126059968,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-draper-lone-peak-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-ut-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-hca-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to HCA INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to HCA INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "460061",
      "ccn": "460061",
      "name": "LAYTON HOSPITAL",
      "address": "201 WEST LAYTON PARKWAY",
      "city": "LAYTON",
      "state": "UT",
      "zip": "84041",
      "county": "DAVIS",
      "latitude": 41.0518515202762,
      "longitude": -111.968839249785,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 43,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-layton-layton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460062",
      "ccn": "460062",
      "name": "SPANISH FORK HOSPITAL",
      "address": "765 EAST MARKET PLACE DRIVE",
      "city": "SPANISH FORK",
      "state": "UT",
      "zip": "84660",
      "county": "UTAH",
      "latitude": 40.1307671998142,
      "longitude": -111.640594700339,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 33,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ROBERT W ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "460063",
      "ccn": "460063",
      "name": "WESTERN PEAKS SPECIALTY HOSPITAL",
      "address": "485 EAST 500 SOUTH",
      "city": "BOUNTIFUL",
      "state": "UT",
      "zip": "84010",
      "county": "DAVIS",
      "latitude": 40.8848664999055,
      "longitude": -111.87092509996,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 43,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MILESTONE HEALTHCARE LLC",
      "parentSystemId": "entity-milestone-healthcare-llc",
      "siblingGroupId": "siblings-ut-milestone-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MILESTONE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFF FLETCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILESTONE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MILESTONE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JEFF FLETCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILESTONE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "461300",
      "ccn": "461300",
      "name": "DELTA COMMUNITY HOSPITAL",
      "address": "126 SOUTH WHITE SAGE AVENUE",
      "city": "DELTA",
      "state": "UT",
      "zip": "84624",
      "county": "MILLARD",
      "latitude": 39.3500517696542,
      "longitude": -112.561095829744,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "website": "https://intermountainhealthcare.org/locations/delta-community-hospital/",
      "status": "corporate_chain",
      "parentSystem": "Intermountain Health",
      "affiliatedSystem": "Intermountain Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Intermountain Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Intermountain Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Intermountain Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461301",
      "ccn": "461301",
      "name": "FILLMORE COMMUNITY HOSPITAL",
      "address": "674 SOUTH HIGHWAY 99",
      "city": "FILLMORE",
      "state": "UT",
      "zip": "84631",
      "county": "MILLARD",
      "latitude": 38.9547774501173,
      "longitude": -112.340276970218,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461302",
      "ccn": "461302",
      "name": "MOAB REGIONAL HOSPITAL",
      "address": "450 WEST WILLIAMS WAY",
      "city": "MOAB",
      "state": "UT",
      "zip": "84532",
      "county": "GRAND",
      "latitude": 38.5753041897811,
      "longitude": -109.559504110101,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 17,
      "rating": null,
      "website": "http://www.amhmoab.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-moab-moab-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MOAB VALLEY HEALTHCARE, INC.",
      "parentSystemId": "entity-moab-valley-healthcare-inc",
      "siblingGroupId": "siblings-ut-moab-valley-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-moab-valley-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MOAB VALLEY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to MOAB VALLEY HEALTHCARE, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOAB VALLEY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MOAB VALLEY HEALTHCARE, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to MOAB VALLEY HEALTHCARE, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MOAB VALLEY HEALTHCARE, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461304",
      "ccn": "461304",
      "name": "CENTRAL VALLEY MEDICAL CENTER - CAH",
      "address": "48 WEST 1500 NORTH",
      "city": "NEPHI",
      "state": "UT",
      "zip": "84648",
      "county": "JUAB",
      "latitude": 39.7314621600097,
      "longitude": -111.837740559915,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.cvmed.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CENTRAL VALLEY MEDICAL CENTER",
      "parentSystemId": "entity-central-valley-medical-center",
      "siblingGroupId": "siblings-ut-central-valley-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-central-valley-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTRAL VALLEY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to CENTRAL VALLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL VALLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CENTRAL VALLEY MEDICAL CENTER (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to CENTRAL VALLEY MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRAL VALLEY MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461305",
      "ccn": "461305",
      "name": "MILFORD MEMORIAL HOSPITAL",
      "address": "850 NORTH MAIN STREET",
      "city": "MILFORD",
      "state": "UT",
      "zip": "84751",
      "county": "BEAVER",
      "latitude": 38.4071628497938,
      "longitude": -113.008826070377,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MILFORD AREA HEALTH CARE SERVICE DISTRICT #3",
      "parentSystemId": "entity-milford-area-health-care-service-district-3",
      "siblingGroupId": "siblings-ut-milford-area-health-care-service-district-3",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-milford-area-health-care-service-district-3"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MILFORD AREA HEALTH CARE SERVICE DISTRICT #3 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SCOTT A LANGFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to MILFORD AREA HEALTH CARE SERVICE DISTRICT #3; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILFORD AREA HEALTH CARE SERVICE DISTRICT #3, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MILFORD AREA HEALTH CARE SERVICE DISTRICT #3 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SCOTT A LANGFORD as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to MILFORD AREA HEALTH CARE SERVICE DISTRICT #3; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILFORD AREA HEALTH CARE SERVICE DISTRICT #3, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461306",
      "ccn": "461306",
      "name": "GUNNISON VALLEY HOSPITAL",
      "address": "64 EAST 100 NORTH",
      "city": "GUNNISON",
      "state": "UT",
      "zip": "84634",
      "county": "SANPETE",
      "latitude": 39.1562559902224,
      "longitude": -111.816486590075,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gunnison-gunnison-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GUNNISON VALLEY HOSPITAL",
      "parentSystemId": "entity-gunnison-valley-hospital",
      "siblingGroupId": "siblings-ut-gunnison-valley-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-gunnison-valley-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: GUNNISON VALLEY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK FREDERICK DALLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to GUNNISON VALLEY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GUNNISON VALLEY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GUNNISON VALLEY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MARK FREDERICK DALLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to GUNNISON VALLEY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GUNNISON VALLEY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461307",
      "ccn": "461307",
      "name": "HEBER VALLEY HOSPITAL",
      "address": "454 EAST MEDICAL WAY",
      "city": "HEBER CITY",
      "state": "UT",
      "zip": "84032",
      "county": "WASATCH",
      "latitude": 40.4900050902274,
      "longitude": -111.406201069771,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-heber-city-heber-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461308",
      "ccn": "461308",
      "name": "SAN JUAN HOSPITAL",
      "address": "380 WEST 100 NORTH",
      "city": "MONTICELLO",
      "state": "UT",
      "zip": "84535",
      "county": "SAN JUAN",
      "latitude": 37.8744680599833,
      "longitude": -109.349869610035,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://sanjuanhealthservices.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-monticello-san-juan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "SAN JUAN COUNTY HOSPITAL",
      "parentSystemId": "entity-san-juan-county-hospital",
      "siblingGroupId": "siblings-ut-san-juan-county-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-san-juan-county-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SAN JUAN COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FARLEY CROFTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to SAN JUAN COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN JUAN COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SAN JUAN COUNTY HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists FARLEY CROFTS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to SAN JUAN COUNTY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAN JUAN COUNTY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "461309",
      "ccn": "461309",
      "name": "KANE COUNTY HOSPITAL",
      "address": "355 NORTH MAIN STREET",
      "city": "KANAB",
      "state": "UT",
      "zip": "84741",
      "county": "KANE",
      "latitude": 37.0544572496751,
      "longitude": -112.529508990145,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.kanecountyhospital.net",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kanab-kane-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT",
      "parentSystemId": "entity-kane-county-human-resource-special-service-district",
      "siblingGroupId": "siblings-ut-kane-county-human-resource-special-service-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-kane-county-human-resource-special-service-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBORAH ANN GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DEBORAH ANN GILLESPIE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "461310",
      "ccn": "461310",
      "name": "BLUE MOUNTAIN HOSPITAL",
      "address": "802 SOUTH 200 WEST",
      "city": "BLANDING",
      "state": "UT",
      "zip": "84511",
      "county": "SAN JUAN",
      "latitude": 37.6130664301377,
      "longitude": -109.482486140122,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 11,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blanding-blue-mountain-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLUE MOUNTAIN HOSPITAL",
      "parentSystemId": "entity-blue-mountain-hospital",
      "siblingGroupId": "siblings-ut-blue-mountain-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ut-parent-blue-mountain-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to BLUE MOUNTAIN HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUE MOUNTAIN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to BLUE MOUNTAIN HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLUE MOUNTAIN HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461333",
      "ccn": "461333",
      "name": "GARFIELD MEMORIAL HOSPITAL",
      "address": "200 NORTH 400 EAST",
      "city": "PANGUITCH",
      "state": "UT",
      "zip": "84759",
      "county": "GARFIELD",
      "latitude": 37.8264287399119,
      "longitude": -112.426922270437,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 15,
      "rating": null,
      "website": "http://www.ihc.com/hospitals/garfield",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-panguitch-garfield-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-intermountain-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://intermountainhealthcare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Intermountain Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "461335",
      "ccn": "461335",
      "name": "BEAVER VALLEY HOSPITAL",
      "address": "1109 NORTH 100 WEST",
      "city": "BEAVER",
      "state": "UT",
      "zip": "84713",
      "county": "BEAVER",
      "latitude": 38.2891494502337,
      "longitude": -112.643858780188,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beaver-beaver-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "BEAVER CITY CORPORATION",
      "parentSystemId": "entity-beaver-city-corporation",
      "siblingGroupId": "siblings-ut-beaver-city-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-beaver-city-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEAVER CITY CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to BEAVER CITY CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAVER CITY CORPORATION, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEAVER CITY CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to BEAVER CITY CORPORATION; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEAVER CITY CORPORATION, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "463301",
      "ccn": "463301",
      "name": "PRIMARY CHILDREN'S HOSPITAL",
      "address": "100 NORTH MARIO CAPECCHI DRIVE",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84113",
      "county": "SALT LAKE",
      "latitude": 40.7712872600723,
      "longitude": -111.838804689828,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 308,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Intermountain Health",
      "parentSystemId": "entity-intermountain-health",
      "siblingGroupId": "siblings-ut-intermountain-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-ihc-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IHC HEALTH SERVICES INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to IHC HEALTH SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Intermountain Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "464001",
      "ccn": "464001",
      "name": "UTAH STATE HOSPITAL",
      "address": "1300 EAST CENTER STREET",
      "city": "PROVO",
      "state": "UT",
      "zip": "84605",
      "county": "UTAH",
      "latitude": 40.2348225098458,
      "longitude": -111.635318140091,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 384,
      "rating": null,
      "website": "http://www.ush.utah.gov",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-provo-utah-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF UTAH",
      "parentSystemId": "entity-state-of-utah",
      "siblingGroupId": "siblings-ut-state-of-utah",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "ut-parent-state-of-utah"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS lists DALLAS L EARNSHAW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to STATE OF UTAH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF UTAH, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DALLAS L EARNSHAW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to STATE OF UTAH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF UTAH, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "464012",
      "ccn": "464012",
      "name": "MARIAN CENTER",
      "address": "451 EAST BISHOP FEDERAL LANE",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84115",
      "county": "SALT LAKE",
      "latitude": 40.7282704699775,
      "longitude": -111.878117640047,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 14,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salt-lake-city-marian-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MILESTONE HEALTHCARE LLC",
      "parentSystemId": "entity-milestone-healthcare-llc",
      "siblingGroupId": "siblings-ut-milestone-healthcare-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MILESTONE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LEE ALLEN KILPACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILESTONE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MILESTONE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LEE ALLEN KILPACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILESTONE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "464013",
      "ccn": "464013",
      "name": "SALT LAKE BEHAVIORAL HEALTH",
      "address": "3802 SOUTH 700 EAST",
      "city": "SALT LAKE CITY",
      "state": "UT",
      "zip": "84106",
      "county": "SALT LAKE",
      "latitude": 40.6880877001291,
      "longitude": -111.87281363986,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 118,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salt-lake-city-salt-lake-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-ut-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. UT resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "470005",
      "ccn": "470005",
      "name": "RUTLAND REGIONAL MEDICAL CENTER",
      "address": "160 ALLEN STREET",
      "city": "RUTLAND",
      "state": "VT",
      "zip": "05701",
      "county": "RUTLAND",
      "latitude": 43.5982940903196,
      "longitude": -72.9552631603551,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 123,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rutland-rutland-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RUTLAND HOSPITAL, INC.",
      "parentSystemId": "entity-rutland-hospital-inc",
      "siblingGroupId": "siblings-vt-rutland-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUTLAND HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RUTLAND HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "470011",
      "ccn": "470011",
      "name": "BRATTLEBORO MEMORIAL HOSPITAL",
      "address": "17 BELMONT AVENUE",
      "city": "BRATTLEBORO",
      "state": "VT",
      "zip": "05301",
      "county": "WINDHAM",
      "latitude": 42.8435127402167,
      "longitude": -72.5656183102852,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 61,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brattleboro-brattleboro-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRATTLEBORO MEMORIAL HOSPITAL",
      "parentSystemId": "entity-brattleboro-memorial-hospital",
      "siblingGroupId": "siblings-vt-brattleboro-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS lists DAVID SANVILLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRATTLEBORO MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DAVID SANVILLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRATTLEBORO MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "47001F",
      "ccn": "47001F",
      "name": "VA MEDICAL CENTER",
      "address": "215 NORTH MAIN STREET",
      "city": "WHITE RIVER JUNCTION",
      "state": "VT",
      "zip": "05009",
      "county": "WINDSOR",
      "latitude": 43.6484863828662,
      "longitude": -72.3434982967656,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-vt-veterans-health-administration",
      "campusFamilyId": "campus-vt-47001f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VT resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VT resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "471300",
      "ccn": "471300",
      "name": "GRACE COTTAGE HOSPITAL",
      "address": "185 GRAFTON ROAD",
      "city": "TOWNSHEND",
      "state": "VT",
      "zip": "05353",
      "county": "WINDHAM",
      "latitude": 43.0488033403083,
      "longitude": -72.6678474600855,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 19,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-townshend-grace-cottage-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CARLOS G OTIS HEALTH CARE CENTER INC",
      "parentSystemId": "entity-carlos-g-otis-health-care-center-inc",
      "siblingGroupId": "siblings-vt-carlos-g-otis-health-care-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-carlos-g-otis-health-care-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to CARLOS G OTIS HEALTH CARE CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARLOS G OTIS HEALTH CARE CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to CARLOS G OTIS HEALTH CARE CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARLOS G OTIS HEALTH CARE CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "471302",
      "ccn": "471302",
      "name": "MT. ASCUTNEY HOSPITAL AND HEALTH CENTER",
      "address": "289 COUNTY ROAD",
      "city": "WINDSOR",
      "state": "VT",
      "zip": "05089",
      "county": "WINDSOR",
      "latitude": 43.48749611979,
      "longitude": -72.4031488597774,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-windsor-mount-ascutney-hospital-&-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Dartmouth Health",
      "parentSystemId": "entity-dartmouth-health",
      "siblingGroupId": "siblings-vt-dartmouth-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "vt-verified-parent-dartmouth-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dartmouth-health.org/about"
      ],
      "ownershipProofNotes": "CMS owner candidate: DARTMOUTH-HITCHCOCK HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Dartmouth Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Dartmouth Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DARTMOUTH-HITCHCOCK HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Dartmouth Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Dartmouth Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "471304",
      "ccn": "471304",
      "name": "NORTH COUNTRY HOSPITAL AND HEALTH CENTER",
      "address": "189 PROUTY DRIVE",
      "city": "NEWPORT",
      "state": "VT",
      "zip": "05855",
      "county": "ORLEANS",
      "latitude": 44.9558025700553,
      "longitude": -72.2010818503102,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-north-country-hospital-&-health-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "NORTH COUNTRY HOSPITAL & HEALTH CENTER INC",
      "parentSystemId": "entity-north-country-hospital-and-health-center-inc",
      "siblingGroupId": "siblings-vt-north-country-hospital-and-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HOSPITAL & HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH COUNTRY HOSPITAL & HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "471305",
      "ccn": "471305",
      "name": "COPLEY HOSPITAL",
      "address": "528 WASHINGTON HIGHWAY",
      "city": "MORRISVILLE",
      "state": "VT",
      "zip": "05661",
      "county": "LAMOILLE",
      "latitude": 44.553435180094,
      "longitude": -72.5914302896567,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morrisville-copley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "COPLEY HOSPITAL INC",
      "parentSystemId": "entity-copley-hospital-inc",
      "siblingGroupId": "siblings-vt-copley-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS lists JEFFREY C HEBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COPLEY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JEFFREY C HEBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COPLEY HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "471306",
      "ccn": "471306",
      "name": "SPRINGFIELD HOSPITAL",
      "address": "25 RIDGEWOOD ROAD",
      "city": "SPRINGFIELD",
      "state": "VT",
      "zip": "05156",
      "county": "WINDSOR",
      "latitude": 43.2980194702728,
      "longitude": -72.4946523999698,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-springfield-springfield-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SPRINGFIELD MEDICAL CARE SYSTEMS INC",
      "parentSystemId": "entity-springfield-medical-care-systems-inc",
      "siblingGroupId": "siblings-vt-springfield-medical-care-systems-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS owner candidate: SPRINGFIELD MEDICAL CARE SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPRINGFIELD MEDICAL CARE SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SPRINGFIELD MEDICAL CARE SYSTEMS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPRINGFIELD MEDICAL CARE SYSTEMS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "471307",
      "ccn": "471307",
      "name": "PORTER HOSPITAL",
      "address": "115 PORTER DRIVE",
      "city": "MIDDLEBURY",
      "state": "VT",
      "zip": "05753",
      "county": "ADDISON",
      "latitude": 44.0004308203101,
      "longitude": -73.168242440363,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "PORTER MEDICAL CENTER INC",
      "parentSystemId": "entity-porter-medical-center-inc",
      "siblingGroupId": "siblings-vt-porter-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "vt-parent-vermont-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS owner candidate: PORTER MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORTER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PORTER MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to Vermont nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PORTER MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "474001",
      "ccn": "474001",
      "name": "BRATTLEBORO RETREAT",
      "address": "1 ANNA MARSH LANE",
      "city": "BRATTLEBORO",
      "state": "VT",
      "zip": "05301",
      "county": "WINDHAM",
      "latitude": 42.8591714901013,
      "longitude": -72.561387629776,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 149,
      "rating": null,
      "website": "https://www.brattlebororetreat.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brattleboro-brattleboro-retreat/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BRATTLEBORO RETREAT",
      "parentSystemId": "entity-brattleboro-retreat",
      "siblingGroupId": "siblings-vt-brattleboro-retreat",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "vt-parent-brattleboro-retreat"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS lists STEVEN CUMMINGS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to BRATTLEBORO RETREAT; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRATTLEBORO RETREAT, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEVEN CUMMINGS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to BRATTLEBORO RETREAT; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRATTLEBORO RETREAT, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "474004",
      "ccn": "474004",
      "name": "VERMONT PSYCHIATRIC CARE HOSPITAL",
      "address": "350 FISCHER ROAD",
      "city": "BERLIN",
      "state": "VT",
      "zip": "05602",
      "county": "WASHINGTON",
      "latitude": 44.2226240002487,
      "longitude": -72.564716000193,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berlin-vermont-psychiatric-care-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF VERMONT",
      "parentSystemId": "entity-state-of-vermont",
      "siblingGroupId": "siblings-vt-state-of-vermont",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "vt-parent-state-of-vermont"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.healthvermont.gov/systems/hospitals-health-systems"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF VERMONT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMIE P MARCHESSAULT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to STATE OF VERMONT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF VERMONT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF VERMONT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JAMIE P MARCHESSAULT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VT resolution: normalized CMS owner/operator to STATE OF VERMONT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF VERMONT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "480001",
      "ccn": "480001",
      "name": "THE ROY LESTER SCHNEIDER HOSPITAL",
      "address": "9048 SUGAR ESTATE",
      "city": "ST THOMAS",
      "state": "VI",
      "zip": "00801",
      "county": "ST. THOMAS",
      "latitude": 18.3406050001092,
      "longitude": -64.9147169997354,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 169,
      "rating": 2,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal"
    },
    {
      "id": "490002",
      "ccn": "490002",
      "name": "RUSSELL COUNTY HOSPITAL",
      "address": "58 CARROLL ST, PO BOX 3600",
      "city": "LEBANON",
      "state": "VA",
      "zip": "24266",
      "county": "RUSSELL",
      "latitude": 36.8987134796924,
      "longitude": -82.0787843798878,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 78,
      "rating": 4,
      "website": "www.balladhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-va-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-ballad-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490004",
      "ccn": "490004",
      "name": "SENTARA RMH MEDICAL CENTER",
      "address": "2010 HEALTH CAMPUS DRIVE",
      "city": "HARRISONBURG",
      "state": "VA",
      "zip": "22801",
      "county": "ROCKINGHAM",
      "latitude": 38.4047867601954,
      "longitude": -78.8554729701514,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 297,
      "rating": 5,
      "website": "www.rmhonline.com",
      "status": "corporate_chain",
      "parentSystem": "SENTARA BLUE RIDGE, LLC",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harrisonburg-sentara-rmh-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-blue-ridge-llc",
      "siblingGroupId": "siblings-va-sentara-blue-ridge-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA BLUE RIDGE, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA BLUE RIDGE, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA BLUE RIDGE, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA BLUE RIDGE, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490005",
      "ccn": "490005",
      "name": "VALLEY HEALTH WINCHESTER MEDICAL CENTER",
      "address": "1840 AMHERST STREET",
      "city": "WINCHESTER",
      "state": "VA",
      "zip": "22601",
      "county": "WINCHESTER",
      "latitude": 39.1942808100362,
      "longitude": -78.1932250998579,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 545,
      "rating": 4,
      "website": "www.valleyhealthlink.com/wmc",
      "status": "pe_contract",
      "caseId": "valley-health",
      "reviewedAt": "2026-06-22",
      "relationshipType": "contract",
      "parentSystem": "VALLEY HEALTH SYSTEM",
      "peFirm": "Onex Partners",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceAsOf": "2026-05-01",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "affiliatedSystem": "Valleyhealthlink",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "Valley Health contract dossier",
        "National baseline system/operator rule",
        "Valley Health featured case sources"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "PE-backed contractor",
      "operatorName": "SCP Health",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-winchester-valley-health-winchester-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-valley-health-system",
      "siblingGroupId": "siblings-va-valley-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-valley-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.valleyhealthlink.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490007",
      "ccn": "490007",
      "name": "SENTARA NORFOLK GENERAL HOSPITAL",
      "address": "600 GRESHAM DRIVE",
      "city": "NORFOLK",
      "state": "VA",
      "zip": "23507",
      "county": "NORFOLK",
      "latitude": 36.8621798698655,
      "longitude": -76.3028441602721,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 907,
      "rating": 4,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/norfolkgeneral/pages/norfolkgeneral.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-sentara-norfolk-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490009",
      "ccn": "490009",
      "name": "UNIVERSITY OF VIRGINIA MEDICAL CENTER",
      "address": "1215 LEE STREET",
      "city": "CHARLOTTESVILLE",
      "state": "VA",
      "zip": "22903",
      "county": "CHARLOTTESVILLE",
      "latitude": 38.0313397999596,
      "longitude": -78.4986870801247,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 643,
      "rating": 4,
      "website": "https://www.uvahealth.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlottesville-university-of-virginia-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA",
      "parentSystemId": "entity-rector-and-visitors-of-the-university-of-virginia",
      "siblingGroupId": "siblings-va-rector-and-visitors-of-the-university-of-virginia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-rector-visitors-of-the-university-of-virginia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE K SCHNITTGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHANIE K SCHNITTGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "490013",
      "ccn": "490013",
      "name": "SENTARA HALIFAX REGIONAL HOSPITAL",
      "address": "2204 WILBORN AVENUE",
      "city": "SOUTH BOSTON",
      "state": "VA",
      "zip": "24592",
      "county": "HALIFAX",
      "latitude": 36.7121151198847,
      "longitude": -78.9145514302947,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 192,
      "rating": 3,
      "website": "www.sentara.com",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-boston-sentara-halifax-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490017",
      "ccn": "490017",
      "name": "BON SECOURS MARYVIEW MEDICAL CENTER",
      "address": "3636 HIGH STREET",
      "city": "PORTSMOUTH",
      "state": "VA",
      "zip": "23707",
      "county": "PORTSMOUTH",
      "latitude": 36.8366363598429,
      "longitude": -76.3474318696178,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 346,
      "rating": 3,
      "website": "www.bonsecourshamptonroads.com/maryview/",
      "status": "signal",
      "parentSystem": "BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-portsmouth-bon-secours-maryview-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-hampton-roads-health-system-inc",
      "siblingGroupId": "siblings-va-bon-secours-hampton-roads-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490018",
      "ccn": "490018",
      "name": "AUGUSTA HEALTH",
      "address": "78 MEDICAL CENTER DRIVE",
      "city": "FISHERSVILLE",
      "state": "VA",
      "zip": "22939",
      "county": "AUGUSTA",
      "latitude": 38.0945244098107,
      "longitude": -78.9868373295802,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 4,
      "website": "www.augustahealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "AUGUSTA HEALTH CARE INC",
      "parentSystemId": "entity-augusta-health-care-inc",
      "siblingGroupId": "siblings-va-augusta-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-augusta-health-care-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to AUGUSTA HEALTH CARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AUGUSTA HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to AUGUSTA HEALTH CARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AUGUSTA HEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "49001F",
      "ccn": "49001F",
      "name": "FORT BELVOIR COMMUNITY HOSPITAL",
      "address": "9300 DEWITT LOOP",
      "city": "FORT BELVOIR",
      "state": "VA",
      "zip": "22060",
      "county": "FAIRFAX",
      "latitude": 38.705602520227,
      "longitude": -77.1436802801015,
      "hospitalType": "Acute Care - Department of Defense",
      "sourceOwner": "Department of Defense",
      "beds": 120,
      "rating": null,
      "website": "https://belvoirhospital.tricare.mil",
      "status": "corporate_chain",
      "parentSystem": "Department of Defense",
      "affiliatedSystem": "Belvoirhospital Tricare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Belvoirhospital Tricare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-belvoir-fort-belvoir-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-defense",
      "siblingGroupId": "siblings-va-department-of-defense",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-department-of-defense"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Belvoirhospital Tricare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Belvoirhospital Tricare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Belvoirhospital Tricare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Belvoirhospital Tricare. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Department of Defense; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Department of Defense, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "490020",
      "ccn": "490020",
      "name": "JOHN RANDOLPH MEDICAL CENTER",
      "address": "411 W RANDOLPH ROAD",
      "city": "HOPEWELL",
      "state": "VA",
      "zip": "23860",
      "county": "HOPEWELL",
      "latitude": 37.3080377700884,
      "longitude": -77.2912638702071,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 178,
      "rating": 3,
      "website": "www.hcavirginia.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Hcavirginia",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Hcavirginia",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF VIRGINIA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Hcavirginia. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF VIRGINIA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Hcavirginia. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490021",
      "ccn": "490021",
      "name": "CENTRA HEALTH",
      "address": "1920 ATHERHOLT ROAD",
      "city": "LYNCHBURG",
      "state": "VA",
      "zip": "24502",
      "county": "LYNCHBURG",
      "latitude": 37.4136928001328,
      "longitude": -79.1692268999539,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 534,
      "rating": 3,
      "website": "www.centrahealth.com",
      "status": "corporate_chain",
      "parentSystem": "Centra Health",
      "affiliatedSystem": "Centrahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Centrahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lynchburg-centra-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-centra-health",
      "siblingGroupId": "siblings-va-centra-health",
      "campusFamilyId": "campus-va-490021",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-centra-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.centrahealth.com/locations"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Centrahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centrahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Centra Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRA HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Centrahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Centrahealth. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Centra Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTRA HEALTH, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490022",
      "ccn": "490022",
      "name": "MARY WASHINGTON HOSPITAL",
      "address": "1001 SAM PERRY BOULEVARD",
      "city": "FREDERICKSBURG",
      "state": "VA",
      "zip": "22401",
      "county": "FREDERICKSBURG",
      "latitude": 38.3115218897452,
      "longitude": -77.4832286002622,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 981,
      "rating": 3,
      "website": "www.marywashingtonhealthcare.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fredericksburg-mary-washington-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mary Washington Healthcare",
      "parentSystemId": "entity-mary-washington-healthcare",
      "siblingGroupId": "siblings-va-mary-washington-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-mary-washington-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marywashingtonhealthcare.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDICORP HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Mary Washington Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mary Washington Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDICORP HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Mary Washington Healthcare; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mary Washington Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490023",
      "ccn": "490023",
      "name": "FAUQUIER HOSPITAL - HOSPITAL IN NORTHERN VIRGINIA",
      "address": "500 HOSPITAL DRIVE",
      "city": "WARRENTON",
      "state": "VA",
      "zip": "20186",
      "county": "FAUQUIER",
      "latitude": 38.7127659601469,
      "longitude": -77.8090621002318,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 109,
      "rating": 3,
      "website": "www.fauquierhealth.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-va-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "490024",
      "ccn": "490024",
      "name": "CARILION MEDICAL CENTER",
      "address": "1906 BELLEVIEW AVENUE",
      "city": "ROANOKE",
      "state": "VA",
      "zip": "24014",
      "county": "ROANOKE",
      "latitude": 37.2511981896988,
      "longitude": -79.9425437502785,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 752,
      "rating": 3,
      "website": "www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "CARILION CLINIC",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-roanoke-carilion-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilion-clinic",
      "siblingGroupId": "siblings-va-carilion-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-carilion-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carilionclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490033",
      "ccn": "490033",
      "name": "VALLEY HEALTH WARREN MEMORIAL HOSPITAL",
      "address": "1000 N SHENANDOAH AVENUE",
      "city": "FRONT ROYAL",
      "state": "VA",
      "zip": "22630",
      "county": "WARREN",
      "latitude": 38.9303431003338,
      "longitude": -78.1983514501128,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": 2,
      "website": "www.valleyhealthlink.com/wmh",
      "status": "pe_contract",
      "caseId": "valley-health",
      "reviewedAt": "2026-06-22",
      "relationshipType": "contract",
      "parentSystem": "VALLEY HEALTH SYSTEM",
      "peFirm": "Onex Partners",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceAsOf": "2026-05-01",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "affiliatedSystem": "Valleyhealthlink",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "Valley Health contract dossier",
        "National baseline system/operator rule",
        "Valley Health featured case sources"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "PE-backed contractor",
      "operatorName": "SCP Health",
      "publicControlBadge": "PE-backed contract",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-valley-health-system",
      "siblingGroupId": "siblings-va-valley-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-valley-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.valleyhealthlink.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JILL CHAMBERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JILL CHAMBERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490037",
      "ccn": "490037",
      "name": "RIVERSIDE SHORE MEMORIAL HOSPITAL",
      "address": "20480 MARKET STREET",
      "city": "ONANCOCK",
      "state": "VA",
      "zip": "23417",
      "county": "NORTHAMPTON",
      "latitude": 37.475428930011,
      "longitude": -75.8640725799142,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": 3,
      "website": "www.riversideonline.com",
      "status": "corporate_chain",
      "parentSystem": "RIVERSIDE HEALTHCARE ASSOCIATION, INC.",
      "affiliatedSystem": "Riversideonline",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Riversideonline",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-onancock-riverside-shore-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-riverside-healthcare-association-inc",
      "siblingGroupId": "siblings-va-riverside-healthcare-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-riverside-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.riversideonline.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Riversideonline; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Riversideonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Riversideonline; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Riversideonline. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490038",
      "ccn": "490038",
      "name": "SMYTH COUNTY COMMUNITY HOSPITAL",
      "address": "245 MEDICAL PARK DRIVE",
      "city": "MARION",
      "state": "VA",
      "zip": "24354",
      "county": "SMYTH",
      "latitude": 36.8520255296825,
      "longitude": -81.4883674499176,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 44,
      "rating": 3,
      "website": "www.balladhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-smyth-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-va-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-ballad-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490040",
      "ccn": "490040",
      "name": "INOVA ALEXANDRIA HOSPITAL",
      "address": "4320 SEMINARY ROAD",
      "city": "ALEXANDRIA",
      "state": "VA",
      "zip": "22304",
      "county": "ALEXANDRIA",
      "latitude": 38.8221236401882,
      "longitude": -77.1055347202383,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 312,
      "rating": 5,
      "website": "www.inova.org/patient-and-visitor-information/facilities/inova-alexandria-hospital/index.jsp",
      "status": "corporate_chain",
      "parentSystem": "INOVA HEALTH SYSTEMS FOUNDATION",
      "affiliatedSystem": "Inova",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Inova",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-inova-alexandria-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-inova-health-systems-foundation",
      "siblingGroupId": "siblings-va-inova-health-systems-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-inova-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.inova.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490041",
      "ccn": "490041",
      "name": "BON SECOURS MARY IMMACULATE HOSPITAL",
      "address": "2 BERNARDINE DRIVE",
      "city": "NEWPORT NEWS",
      "state": "VA",
      "zip": "23602",
      "county": "NEWPORT NEWS",
      "latitude": 37.1444726201087,
      "longitude": -76.5116719300934,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 123,
      "rating": 4,
      "website": "https://www.bonsecourshamptonroads.com/maryimmaculate/",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-news-bon-secours-mary-immaculate-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-hampton-roads-health-system-inc",
      "siblingGroupId": "siblings-va-bon-secours-hampton-roads-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490042",
      "ccn": "490042",
      "name": "CARILION NEW RIVER VALLEY",
      "address": "2900 LAMB CIRCLE",
      "city": "CHRISTIANSBURG",
      "state": "VA",
      "zip": "24073",
      "county": "MONTGOMERY",
      "latitude": 37.0891023102895,
      "longitude": -80.5054411104216,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": 4,
      "website": "https://www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "CARILION CLINIC",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilion-clinic",
      "siblingGroupId": "siblings-va-carilion-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-carilion-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carilionclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490043",
      "ccn": "490043",
      "name": "INOVA LOUDOUN HOSPITAL",
      "address": "44045 RIVERSIDE PARKWAY",
      "city": "LEESBURG",
      "state": "VA",
      "zip": "20176",
      "county": "LOUDOUN",
      "latitude": 39.0739514196953,
      "longitude": -77.4780220097912,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 323,
      "rating": 5,
      "website": "www.inova.org/patient-and-visitor-information/facilities/inova-loudoun-hospital/index.jsp",
      "status": "signal",
      "parentSystem": "INOVA HEALTH SYSTEMS FOUNDATION",
      "affiliatedSystem": "Inova",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Inova",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leesburg-inova-loudoun-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-inova-health-systems-foundation",
      "siblingGroupId": "siblings-va-inova-health-systems-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-inova-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.inova.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490044",
      "ccn": "490044",
      "name": "SENTARA OBICI HOSPITAL",
      "address": "2800 GODWIN BOULEVARD",
      "city": "SUFFOLK",
      "state": "VA",
      "zip": "23434",
      "county": "SUFFOLK",
      "latitude": 36.7733146801134,
      "longitude": -76.5811111796346,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 255,
      "rating": 4,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/obici/pages/obici.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-suffolk-sentara-obici-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490046",
      "ccn": "490046",
      "name": "SENTARA LEIGH HOSPITAL",
      "address": "830 KEMPSVILLE ROAD",
      "city": "NORFOLK",
      "state": "VA",
      "zip": "23502",
      "county": "NORFOLK",
      "latitude": 36.8508426700703,
      "longitude": -76.1896294697432,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 532,
      "rating": 3,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/leigh/pages/leigh.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-sentara-leigh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490048",
      "ccn": "490048",
      "name": "LEWISGALE MEDICAL CENTER",
      "address": "1900 ELECTRIC ROAD",
      "city": "SALEM",
      "state": "VA",
      "zip": "24153",
      "county": "SALEM",
      "latitude": 37.2633323700105,
      "longitude": -80.0316690995709,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 532,
      "rating": 2,
      "website": "www.lewisgale.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salem-lewisgale-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490050",
      "ccn": "490050",
      "name": "VIRGINIA HOSPITAL CENTER",
      "address": "1701 N GEORGE MASON DRIVE",
      "city": "ARLINGTON",
      "state": "VA",
      "zip": "22205",
      "county": "ARLINGTON",
      "latitude": 38.8888817897305,
      "longitude": -77.1272776601561,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 465,
      "rating": 4,
      "website": "www.virginiahospitalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-virginia-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM",
      "parentSystemId": "entity-virginia-hospital-center-arlington-health-system",
      "siblingGroupId": "siblings-va-virginia-hospital-center-arlington-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-virginia-hospital-center-arlington-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490052",
      "ccn": "490052",
      "name": "RIVERSIDE REGIONAL MEDICAL CENTER",
      "address": "500 J CLYDE MORRIS BOULEVARD",
      "city": "NEWPORT NEWS",
      "state": "VA",
      "zip": "23601",
      "county": "NEWPORT NEWS",
      "latitude": 37.0642434596816,
      "longitude": -76.4830342802328,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 576,
      "rating": 3,
      "website": "www.riverside-online.com/rrmc/index.cfm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newport-news-riverside-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIVERSIDE HEALTHCARE ASSOCIATION, INC.",
      "parentSystemId": "entity-riverside-healthcare-association-inc",
      "siblingGroupId": "siblings-va-riverside-healthcare-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-riverside-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.riversideonline.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490053",
      "ccn": "490053",
      "name": "JOHNSTON MEMORIAL HOSPITAL",
      "address": "16000 JOHNSTON MEMORIAL DRIVE",
      "city": "ABINGDON",
      "state": "VA",
      "zip": "24211",
      "county": "WASHINGTON",
      "latitude": 36.7229133899345,
      "longitude": -81.9121214597846,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 140,
      "rating": 3,
      "website": "www.jmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-abingdon-johnston-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Ballad Health",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-va-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-ballad-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490057",
      "ccn": "490057",
      "name": "SENTARA VIRGINIA BEACH GENERAL HOSPITAL",
      "address": "1060 FIRST COLONIAL ROAD",
      "city": "VIRGINIA BEACH",
      "state": "VA",
      "zip": "23454",
      "county": "VIRGINIA BEACH",
      "latitude": 36.8645736100799,
      "longitude": -76.0264937998745,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 320,
      "rating": 4,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/beachgeneral/pages/virginiabeach.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-virginia-beach-sentara-virginia-beach-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490059",
      "ccn": "490059",
      "name": "BON SECOURS ST. MARY'S HOSPITAL",
      "address": "5801 BREMO ROAD",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23226",
      "county": "CHESTERFIELD",
      "latitude": 37.510190150313,
      "longitude": -77.6962349501029,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 391,
      "rating": 5,
      "website": "www.bonsecours.com/locations/hospitals-medical-centers/richmond/st-marys-hospital",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS - RICHMOND HEALTH SYSTEM",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-bon-secours-st-marys-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-richmond-health-system",
      "siblingGroupId": "siblings-va-bon-secours-richmond-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490060",
      "ccn": "490060",
      "name": "CLINCH VALLEY MEDICAL CENTER",
      "address": "6801 GOV GC PEERY HIGHWAY",
      "city": "RICHLANDS",
      "state": "VA",
      "zip": "24641",
      "county": "TAZEWELL",
      "latitude": 37.0947172599971,
      "longitude": -81.820281849963,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 150,
      "rating": 3,
      "website": "www.clinchvalleymedicalcenter.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richlands-clinch-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-va-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "490063",
      "ccn": "490063",
      "name": "INOVA FAIRFAX HOSPITAL",
      "address": "3300 GALLOWS ROAD",
      "city": "FALLS CHURCH",
      "state": "VA",
      "zip": "22042",
      "county": "FAIRFAX",
      "latitude": 38.8581985200249,
      "longitude": -77.2276801199621,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 1043,
      "rating": 5,
      "website": "www.inova.org",
      "status": "corporate_chain",
      "parentSystem": "INOVA HEALTH SYSTEMS FOUNDATION",
      "affiliatedSystem": "Inova",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Inova",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-falls-church-inova-fairfax-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-inova-health-systems-foundation",
      "siblingGroupId": "siblings-va-inova-health-systems-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-inova-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.inova.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490066",
      "ccn": "490066",
      "name": "SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER",
      "address": "100 SENTARA CIRCLE",
      "city": "WILLIAMSBURG",
      "state": "VA",
      "zip": "23188",
      "county": "YORK",
      "latitude": 37.3363209797099,
      "longitude": -76.7408918000206,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 180,
      "rating": 5,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/williamsburg/pages/williamsburgregionalmedical.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williamsburg-sentara-williamsburg-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490067",
      "ccn": "490067",
      "name": "BON SECOURS SOUTHSIDE MEDICAL CENTER",
      "address": "200 MEDICAL PARK BOULEVARD",
      "city": "PETERSBURG",
      "state": "VA",
      "zip": "23805",
      "county": "PETERSBURG",
      "latitude": 37.1824930196505,
      "longitude": -77.3592538703955,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 300,
      "rating": 2,
      "website": "https://www.bonsecours.com/locations/hospitals-medical-centers/richmond/southside-regional-medical-center",
      "status": "signal",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-va-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490069",
      "ccn": "490069",
      "name": "BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER",
      "address": "8260 ATLEE ROAD",
      "city": "MECHANICSVILLE",
      "state": "VA",
      "zip": "23116",
      "county": "HANOVER",
      "latitude": 37.6284154799937,
      "longitude": -77.3865160701987,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 225,
      "rating": 4,
      "website": "www.bonsecours.com/hospitals/memorial/index.asp",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS - RICHMOND HEALTH SYSTEM",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mechanicsville-bon-secours-memorial-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-richmond-health-system",
      "siblingGroupId": "siblings-va-bon-secours-richmond-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "49006F",
      "ccn": "49006F",
      "name": "HAMPTON VA MEDICAL CENTER",
      "address": "100 EMANCIPATION DRIVE",
      "city": "HAMPTON",
      "state": "VA",
      "zip": "23667",
      "county": "HAMPTON",
      "latitude": 37.0153581897526,
      "longitude": -76.3322568603902,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 485,
      "rating": 4,
      "website": "https://www.hampton.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hampton-hampton-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-va-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "490075",
      "ccn": "490075",
      "name": "SOVAH HEALTH - DANVILLE",
      "address": "142 SOUTH MAIN STREET",
      "city": "DANVILLE",
      "state": "VA",
      "zip": "24541",
      "county": "DANVILLE",
      "latitude": 36.5777138499502,
      "longitude": -79.4054597502176,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 250,
      "rating": 2,
      "website": "www.danvilleregional.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-sovah-health-danville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-va-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHEN HEATHERLY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STEPHEN HEATHERLY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "490077",
      "ccn": "490077",
      "name": "SENTARA MARTHA JEFFERSON HOSPITAL",
      "address": "500 MARTHA JEFFERSON DRIVE",
      "city": "CHARLOTTESVILLE",
      "state": "VA",
      "zip": "22911",
      "county": "ALBEMARLE",
      "latitude": 38.022581180205,
      "longitude": -78.4443896201118,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 176,
      "rating": 4,
      "website": "www.sentara.com",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490084",
      "ccn": "490084",
      "name": "VCU HEALTH TAPPAHANNOCK HOSPITAL",
      "address": "618 HOSPITAL ROAD",
      "city": "TAPPAHANNOCK",
      "state": "VA",
      "zip": "22560",
      "county": "ESSEX",
      "latitude": 37.9012459798721,
      "longitude": -76.8788758196253,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 67,
      "rating": 4,
      "website": "https://www.vcuhealth.org/tappahannock/locations/tappahannock-hospital",
      "status": "corporate_chain",
      "parentSystem": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
      "affiliatedSystem": "Vcuhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Vcuhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-virginia-commonwealth-university-health-system-authority",
      "siblingGroupId": "siblings-va-virginia-commonwealth-university-health-system-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-virginia-commonwealth-university-health-system-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Vcuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Vcuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Vcuhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Vcuhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "490088",
      "ccn": "490088",
      "name": "BEDFORD MEMORIAL HOSPITAL",
      "address": "1613 OAKWOOD STREET",
      "city": "BEDFORD",
      "state": "VA",
      "zip": "24523",
      "county": "BEDFORD",
      "latitude": 37.3514029000257,
      "longitude": -79.5175184904355,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 50,
      "rating": 5,
      "website": "www.bmhva.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bedford-bedford-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BEDFORD MEMORIAL HOSPITAL",
      "parentSystemId": "entity-bedford-memorial-hospital",
      "siblingGroupId": "siblings-va-bedford-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bedford-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEDFORD MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BEDFORD MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEDFORD MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEDFORD MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BEDFORD MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEDFORD MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490089",
      "ccn": "490089",
      "name": "CARILION FRANKLIN MEMORIAL HOSPITAL",
      "address": "390 SOUTH MAIN STREET",
      "city": "ROCKY MOUNT",
      "state": "VA",
      "zip": "24151",
      "county": "FRANKLIN",
      "latitude": 36.9940482096681,
      "longitude": -79.8903478800082,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 37,
      "rating": 4,
      "website": "https://www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "CARILION CLINIC",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rocky-mount-carilion-franklin-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilion-clinic",
      "siblingGroupId": "siblings-va-carilion-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-carilion-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carilionclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490090",
      "ccn": "490090",
      "name": "CENTRA SOUTHSIDE COMMUNITY HOSPITAL",
      "address": "800 OAK STREET",
      "city": "FARMVILLE",
      "state": "VA",
      "zip": "23901",
      "county": "PRINCE EDWARD",
      "latitude": 37.302679550201,
      "longitude": -78.4043158902716,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 116,
      "rating": 4,
      "website": "www.centrasouthside.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-farmville-centra-southside-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHSIDE COMMUNITY HOSPITAL, INC.",
      "parentSystemId": "entity-southside-community-hospital-inc",
      "siblingGroupId": "siblings-va-southside-community-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-southside-community-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to SOUTHSIDE COMMUNITY HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHSIDE COMMUNITY HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to SOUTHSIDE COMMUNITY HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHSIDE COMMUNITY HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490092",
      "ccn": "490092",
      "name": "BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL",
      "address": "100 FAIRVIEW DRIVE",
      "city": "FRANKLIN",
      "state": "VA",
      "zip": "23851",
      "county": "FRANKLIN",
      "latitude": 36.691542980299,
      "longitude": -76.9375037297378,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 105,
      "rating": 3,
      "website": "https://www.bonsecours.com/locations/hospitals-medical-centers/hampton-roads/southampton-memorial-hospital",
      "status": "signal",
      "parentSystem": "BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-hampton-roads-health-system-inc",
      "siblingGroupId": "siblings-va-bon-secours-hampton-roads-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS HAMPTON ROADS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490093",
      "ccn": "490093",
      "name": "SENTARA CAREPLEX HOSPITAL",
      "address": "3000 COLISEUM DRIVE",
      "city": "HAMPTON",
      "state": "VA",
      "zip": "23666",
      "county": "HAMPTON",
      "latitude": 37.0572922300886,
      "longitude": -76.3903335597528,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 224,
      "rating": 4,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/careplex/pages/careplex.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hampton-sentara-careplex-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490094",
      "ccn": "490094",
      "name": "BON SECOURS RICHMOND COMMUNITY HOSPITAL",
      "address": "1500 NORTH 28TH STREET",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23223",
      "county": "RICHMOND",
      "latitude": 37.5401660397813,
      "longitude": -77.40693984041,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": null,
      "website": "www.bonsecours.com/hospitals/richmond/index.asp",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS - RICHMOND HEALTH SYSTEM",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-bon-secours-richmond-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-richmond-health-system",
      "siblingGroupId": "siblings-va-bon-secours-richmond-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490097",
      "ccn": "490097",
      "name": "BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER",
      "address": "727 NORTH MAIN STREET",
      "city": "EMPORIA",
      "state": "VA",
      "zip": "23847",
      "county": "EMPORIA",
      "latitude": 36.7015760400945,
      "longitude": -77.5376830696171,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": 4,
      "website": "https://www.bonsecours.com/locations/hospitals-medical-centers/richmond/southern-virginia-regional-medical-center",
      "status": "signal",
      "parentSystem": "BON SECOURS MERCY HEALTH INC",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-mercy-health-inc",
      "siblingGroupId": "siblings-va-bon-secours-mercy-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS MERCY HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS MERCY HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490098",
      "ccn": "490098",
      "name": "VCU COMMUNITY MEMORIAL HOSPITAL",
      "address": "125 BUENA VISTA CIRCLE",
      "city": "SOUTH HILL",
      "state": "VA",
      "zip": "23970",
      "county": "MECKLENBURG",
      "latitude": 36.7336009398731,
      "longitude": -78.1334483900241,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 70,
      "rating": 4,
      "website": "www.cmh-sh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
      "parentSystemId": "entity-virginia-commonwealth-university-health-system-authority",
      "siblingGroupId": "siblings-va-virginia-commonwealth-university-health-system-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-virginia-commonwealth-university-health-system-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "490101",
      "ccn": "490101",
      "name": "INOVA FAIR OAKS HOSPITAL",
      "address": "3600 JOSEPH SIEWICK DRIVE",
      "city": "FAIRFAX",
      "state": "VA",
      "zip": "22033",
      "county": "FAIRFAX",
      "latitude": 38.8845886197308,
      "longitude": -77.3798489897556,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 204,
      "rating": 5,
      "website": "www.inova.org/patient-and-visitor-information/facilities/inova-fair-oaks-hospital/index.jsp",
      "status": "corporate_chain",
      "parentSystem": "INOVA HEALTH SYSTEMS FOUNDATION",
      "affiliatedSystem": "Inova",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Inova",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fairfax-inova-fair-oaks-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-inova-health-systems-foundation",
      "siblingGroupId": "siblings-va-inova-health-systems-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-inova-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.inova.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490107",
      "ccn": "490107",
      "name": "RESTON HOSPITAL CENTER",
      "address": "1850 TOWN CENTER PARKWAY",
      "city": "RESTON",
      "state": "VA",
      "zip": "20190",
      "county": "FAIRFAX",
      "latitude": 38.9622235501387,
      "longitude": -77.3641660003028,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 369,
      "rating": 3,
      "website": "www.restonhospital.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reston-reston-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF VIRGINIA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF VIRGINIA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490110",
      "ccn": "490110",
      "name": "LEWISGALE HOSPITAL MONTGOMERY",
      "address": "3700 SOUTH MAIN STREET",
      "city": "BLACKSBURG",
      "state": "VA",
      "zip": "24060",
      "county": "MONTGOMERY",
      "latitude": 37.1872063700452,
      "longitude": -80.4110116998566,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 184,
      "rating": 3,
      "website": "www.lewisgale.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-blacksburg-lewisgale-hospital-montgomery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490111",
      "ccn": "490111",
      "name": "WYTHE COUNTY COMMUNITY HOSPITAL",
      "address": "600 WEST RIDGE ROAD",
      "city": "WYTHEVILLE",
      "state": "VA",
      "zip": "24382",
      "county": "WYTHE",
      "latitude": 36.954446819714,
      "longitude": -81.0971154095999,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 92,
      "rating": 3,
      "website": "www.wcchcares.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wytheville-wythe-county-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-va-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "490112",
      "ccn": "490112",
      "name": "CJW MEDICAL CENTER",
      "address": "7101 JAHNKE ROAD",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23225",
      "county": "RICHMOND",
      "latitude": 37.514379037847,
      "longitude": -77.5265804200164,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 853,
      "rating": 4,
      "website": "www.chippenhammed.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "campusFamilyId": "campus-va-490112",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490113",
      "ccn": "490113",
      "name": "SENTARA NORTHERN VIRGINIA MEDICAL CENTER",
      "address": "2300 OPITZ BOULEVARD",
      "city": "WOODBRIDGE",
      "state": "VA",
      "zip": "22191",
      "county": "PRINCE WILLIAM",
      "latitude": 38.6370725397299,
      "longitude": -77.2863494199514,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 239,
      "rating": 3,
      "website": "www.sentara.com/northern-virginia",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-woodbridge-sentara-northern-virginia-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490114",
      "ccn": "490114",
      "name": "LONESOME PINE HOSPITAL",
      "address": "1990 HOLTON AVENUE, EAST",
      "city": "BIG STONE GAP",
      "state": "VA",
      "zip": "24219",
      "county": "WISE",
      "latitude": 36.8770338002315,
      "longitude": -82.754351400219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 204,
      "rating": 4,
      "website": "www.balladhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-va-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-ballad-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490115",
      "ccn": "490115",
      "name": "TWIN COUNTY REGIONAL HOSPITAL",
      "address": "200 HOSPITAL DRIVE",
      "city": "GALAX",
      "state": "VA",
      "zip": "24333",
      "county": "GALAX",
      "latitude": 36.6706619700878,
      "longitude": -80.923928700223,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 141,
      "rating": 2,
      "website": "www.tcrh.org",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-galax-twin-county-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-va-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER TWIN COUNTY LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to DLP PARTNER TWIN COUNTY LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER TWIN COUNTY LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to DLP PARTNER TWIN COUNTY LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "490116",
      "ccn": "490116",
      "name": "LEWISGALE HOSPITAL PULASKI",
      "address": "2400 LEE HIGHWAY",
      "city": "PULASKI",
      "state": "VA",
      "zip": "24301",
      "county": "PULASKI",
      "latitude": 37.0681752200809,
      "longitude": -80.7572826100567,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 162,
      "rating": 4,
      "website": "www.pulaskicommunityhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pulaski-lewisgale-hospital-pulaski/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SEAN A PRESSMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists SEAN A PRESSMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490117",
      "ccn": "490117",
      "name": "CARILION TAZEWELL COMMUNITY HOSPITAL",
      "address": "388 BEN BOLT AVENUE",
      "city": "TAZEWELL",
      "state": "VA",
      "zip": "24651",
      "county": "TAZEWELL",
      "latitude": 37.1238875000622,
      "longitude": -81.4889515497867,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 56,
      "rating": null,
      "website": "https://www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "CARILION CLINIC",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tazewell-carilion-tazewell-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilion-clinic",
      "siblingGroupId": "siblings-va-carilion-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-carilion-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carilionclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490118",
      "ccn": "490118",
      "name": "HENRICO DOCTOR'S HOSPITAL - RETREAT",
      "address": "2621 GROVE AVENUE",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23220",
      "county": "RICHMOND",
      "latitude": 37.5539129798425,
      "longitude": -77.4731185396432,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 226,
      "rating": 4,
      "website": "https://hcavirginia.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Hcavirginia",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Hcavirginia",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "campusFamilyId": "campus-va-490118",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490118-loc-va-richmond-henrico-doctor-s-hospital-parham-doctors-h",
      "ccn": "490118",
      "name": "HENRICO DOCTOR'S HOSPITAL - PARHAM DOCTORS' HOSPITAL",
      "address": "7700 EAST PARHAM ROAD",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23294",
      "county": "HENRICO",
      "latitude": 37.6317100500387,
      "longitude": -77.5260210301058,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 340,
      "rating": 4,
      "website": "https://hcavirginia.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "Hcavirginia",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Hcavirginia",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "campusFamilyId": "campus-va-490118",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "490118"
    },
    {
      "id": "490118-loc-va-richmond-henrico-doctors-hospital",
      "ccn": "490118",
      "name": "HENRICO DOCTORS' HOSPITAL",
      "address": "1602 SKIPWITH ROAD",
      "city": "RICHMOND",
      "state": "VA",
      "zip": "23229",
      "county": "HENRICO",
      "latitude": 37.6047812998626,
      "longitude": -77.5402666998327,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 767,
      "rating": 4,
      "website": "www.hcavirginia.com",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richmond-henrico-doctors--hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "campusFamilyId": "campus-va-490118",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "490118"
    },
    {
      "id": "490119",
      "ccn": "490119",
      "name": "SENTARA PRINCESS ANNE HOSPITAL",
      "address": "2025 GLENN MITCHELL DRIVE",
      "city": "VIRGINIA BEACH",
      "state": "VA",
      "zip": "23456",
      "county": "VIRGINIA BEACH",
      "latitude": 36.7752182302777,
      "longitude": -76.0980182898202,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 221,
      "rating": 5,
      "website": "www.sentara.com/hospitalsfacilities/hospitals/princess-anne/pages/princess-anne.aspx",
      "status": "corporate_chain",
      "parentSystem": "SENTARA HEALTH",
      "affiliatedSystem": "Sentara Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Sentara Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-virginia-beach-sentara-princess-anne-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-sentara-health",
      "siblingGroupId": "siblings-va-sentara-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-sentara-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sentara.com/hospitalslocations"
      ],
      "ownershipProofNotes": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SENTARA HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 70%). Official parent-system candidate from existing system-family mapping: Sentara Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Sentara Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Sentara Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SENTARA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "49011F",
      "ccn": "49011F",
      "name": "SALEM VA MEDICAL CENTER",
      "address": "1970 ROANOKE BOULEVARD",
      "city": "SALEM",
      "state": "VA",
      "zip": "24153",
      "county": "SALEM",
      "latitude": 37.2739603897191,
      "longitude": -80.0184452796494,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 288,
      "rating": 4,
      "website": "https://www.va.gov/salem-health-care/locations/salem-va-medical-center/",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-salem-salem-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-va-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. VA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "490122",
      "ccn": "490122",
      "name": "INOVA MOUNT VERNON HOSPITAL",
      "address": "2501 PARKER'S LANE",
      "city": "ALEXANDRIA",
      "state": "VA",
      "zip": "22306",
      "county": "FAIRFAX",
      "latitude": 38.7397300697213,
      "longitude": -77.077046099985,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 249,
      "rating": 4,
      "website": "www.inova.org/patient-and-visitor-information/facilities/inova-mount-vernon-hospital/index.jsp",
      "status": "corporate_chain",
      "parentSystem": "INOVA HEALTH SYSTEMS FOUNDATION",
      "affiliatedSystem": "Inova",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Inova",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-alexandria-inova-mount-vernon-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-inova-health-systems-foundation",
      "siblingGroupId": "siblings-va-inova-health-systems-foundation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-inova-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.inova.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INOVA HEALTH SYSTEMS FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Inova; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Inova. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Inova Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INOVA HEALTH SYSTEMS FOUNDATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490126",
      "ccn": "490126",
      "name": "LEWISGALE HOSPITAL - ALLEGHANY",
      "address": "1 ARH LANE",
      "city": "LOW MOOR",
      "state": "VA",
      "zip": "24457",
      "county": "ALLEGHANY",
      "latitude": 37.7921888002195,
      "longitude": -79.8812189000537,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 210,
      "rating": 4,
      "website": "www.alleghanyregional.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-low-moor-lewisgale-hospital-alleghany/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490127",
      "ccn": "490127",
      "name": "BUCHANAN GENERAL HOSPITAL",
      "address": "1535 SLATE CREEK ROAD",
      "city": "GRUNDY",
      "state": "VA",
      "zip": "24614",
      "county": "BUCHANAN",
      "latitude": 37.2852789199596,
      "longitude": -82.065539170181,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 134,
      "rating": 4,
      "website": "www.bgh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grundy-buchanan-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BUCHANAN GENERAL HOSPITAL INC.",
      "parentSystemId": "entity-buchanan-general-hospital-inc",
      "siblingGroupId": "siblings-va-buchanan-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-buchanan-general-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BUCHANAN GENERAL HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BUCHANAN GENERAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BUCHANAN GENERAL HOSPITAL INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BUCHANAN GENERAL HOSPITAL INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490130",
      "ccn": "490130",
      "name": "RIVERSIDE WALTER REED HOSPITAL",
      "address": "ROUTE 17",
      "city": "GLOUCESTER",
      "state": "VA",
      "zip": "23061",
      "county": "GLOUCESTER",
      "latitude": 37.4198165800046,
      "longitude": -76.541775779618,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 67,
      "rating": 4,
      "website": "www.riverside-online.com/rwrh/index.cfm",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gloucester-riverside-walter-reed-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RIVERSIDE HEALTHCARE ASSOCIATION, INC.",
      "parentSystemId": "entity-riverside-healthcare-association-inc",
      "siblingGroupId": "siblings-va-riverside-healthcare-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-riverside-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.riversideonline.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RIVERSIDE HEALTHCARE ASSOCIATION, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Riverside Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RIVERSIDE HEALTHCARE ASSOCIATION, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490136",
      "ccn": "490136",
      "name": "BON SECOURS ST. FRANCIS MEDICAL CENTER",
      "address": "13700 ST FRANCIS BOULEVARD",
      "city": "MIDLOTHIAN",
      "state": "VA",
      "zip": "23114",
      "county": "CHESTERFIELD",
      "latitude": 37.4666946098187,
      "longitude": -77.6586395104348,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 130,
      "rating": 3,
      "website": "https://www.bonsecours.com",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS - RICHMOND HEALTH SYSTEM",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midlothian-bon-secours-st.-francis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-richmond-health-system",
      "siblingGroupId": "siblings-va-bon-secours-richmond-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490140",
      "ccn": "490140",
      "name": "STAFFORD HOSPITAL",
      "address": "101 HOSPITAL CENTER BLVD",
      "city": "STAFFORD",
      "state": "VA",
      "zip": "22554",
      "county": "STAFFORD",
      "latitude": 38.4152569699969,
      "longitude": -77.4072077198243,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 210,
      "rating": 4,
      "website": "www.marywashingtonhealthcare.com/locations/stafford-hospital",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stafford-stafford-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Mary Washington Healthcare",
      "parentSystemId": "entity-mary-washington-healthcare",
      "siblingGroupId": "siblings-va-mary-washington-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-verified-parent-mary-washington-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marywashingtonhealthcare.com/about-us/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEDICORP HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER D NEWMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mary Washington Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEDICORP HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER D NEWMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mary Washington Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "490141",
      "ccn": "490141",
      "name": "SPOTSYLVANIA REGIONAL MEDICAL CENTER",
      "address": "4600 SPOTSYLVANIA PARKWAY",
      "city": "FREDERICKSBURG",
      "state": "VA",
      "zip": "22408",
      "county": "SPOTSYLVANIA",
      "latitude": 38.2175160700791,
      "longitude": -77.4959513596811,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 155,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fredericksburg-spotsylvania-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTH SERVICES OF VIRGINIA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTH SERVICES OF VIRGINIA, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "490145",
      "ccn": "490145",
      "name": "STONE SPRINGS HOSPITAL CENTER",
      "address": "24440 STONE SPRINGS BLVD",
      "city": "DULLES",
      "state": "VA",
      "zip": "20166",
      "county": "LOUDOUN",
      "latitude": 38.9401316798047,
      "longitude": -77.5427225797334,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 132,
      "rating": 4,
      "website": "www.stonespringshospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "491302",
      "ccn": "491302",
      "name": "CARILION GILES COMMUNITY HOSPITAL",
      "address": "159 HARTLEY WAY",
      "city": "PEARISBURG",
      "state": "VA",
      "zip": "24134",
      "county": "GILES",
      "latitude": 37.3330790702407,
      "longitude": -80.7130214095707,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "https://www.carilionclinic.org",
      "status": "corporate_chain",
      "parentSystem": "CARILION CLINIC",
      "affiliatedSystem": "Carilionclinic",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Carilionclinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pearisburg-carilion-giles-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-carilion-clinic",
      "siblingGroupId": "siblings-va-carilion-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-carilion-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.carilionclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CARILION CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Carilionclinic; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Carilionclinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Carilion Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CARILION CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "491303",
      "ccn": "491303",
      "name": "DICKENSON COMMUNITY HOSPITAL",
      "address": "312 HOSPITAL DRIVE",
      "city": "CLINTWOOD",
      "state": "VA",
      "zip": "24228",
      "county": "DICKENSON",
      "latitude": 37.1606785101183,
      "longitude": -82.4490483301293,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "www.msha.com/dch.cfm?id=1507",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Msha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Msha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-va-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-ballad-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Msha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Msha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "491305",
      "ccn": "491305",
      "name": "VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL",
      "address": "759 SOUTH MAIN STREET",
      "city": "WOODSTOCK",
      "state": "VA",
      "zip": "22664",
      "county": "SHENANDOAH",
      "latitude": 38.8702953000364,
      "longitude": -78.5126840099426,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "www.valleyhealthlink.com",
      "status": "pe_contract",
      "caseId": "valley-health",
      "reviewedAt": "2026-06-22",
      "relationshipType": "contract",
      "parentSystem": "SHENANDOAH MEMORIAL HOSPITAL, INC.",
      "peFirm": "Onex Partners",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceAsOf": "2026-05-01",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "affiliatedSystem": "Valleyhealthlink",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "Valley Health contract dossier",
        "National baseline system/operator rule",
        "Valley Health featured case sources"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "PE-backed contractor",
      "operatorName": "SCP Health",
      "publicControlBadge": "PE-backed contract",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shenandoah-memorial-hospital-inc",
      "siblingGroupId": "siblings-va-shenandoah-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-shenandoah-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to SHENANDOAH MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHENANDOAH MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to SHENANDOAH MEMORIAL HOSPITAL, INC.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHENANDOAH MEMORIAL HOSPITAL, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "491307",
      "ccn": "491307",
      "name": "VALLEY HEALTH PAGE MEMORIAL HOSPITAL",
      "address": "200 MEMORIAL DRIVE",
      "city": "LURAY",
      "state": "VA",
      "zip": "22835",
      "county": "PAGE",
      "latitude": 38.6632500003272,
      "longitude": -78.468518000334,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "www.valleyhealthlink.com/page",
      "status": "pe_contract",
      "caseId": "valley-health",
      "reviewedAt": "2026-06-22",
      "relationshipType": "contract",
      "parentSystem": "VALLEY HEALTH SYSTEM",
      "peFirm": "Onex Partners",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceAsOf": "2026-05-01",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "affiliatedSystem": "Valleyhealthlink",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "Valley Health contract dossier",
        "National baseline system/operator rule",
        "Valley Health featured case sources"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "PE-backed contractor",
      "operatorName": "SCP Health",
      "publicControlBadge": "PE-backed contract",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-valley-health-system",
      "siblingGroupId": "siblings-va-valley-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-valley-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.valleyhealthlink.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VALLEY HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Valley Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "491308",
      "ccn": "491308",
      "name": "BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL",
      "address": "101 HARRIS ROAD",
      "city": "KILMARNOCK",
      "state": "VA",
      "zip": "22482",
      "county": "LANCASTER",
      "latitude": 37.7012208697693,
      "longitude": -76.3874946103672,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 4,
      "website": "www.richmond.bonsecours.com/find-a-facility-rappahannock-general-hospital.html",
      "status": "corporate_chain",
      "parentSystem": "BON SECOURS - RICHMOND HEALTH SYSTEM",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kilmarnock-bon-secours-rappahannock-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-bon-secours-richmond-health-system",
      "siblingGroupId": "siblings-va-bon-secours-richmond-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-bon-secours-mercy-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bonsecours.com/about-us/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BON SECOURS - RICHMOND HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JOHN STARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Bon Secours Mercy Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BON SECOURS - RICHMOND HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "491309",
      "ccn": "491309",
      "name": "LEE COUNTY COMMUNITY HOSPITAL",
      "address": "127 HEALTH CARE DRIVE",
      "city": "PENNINGTON GAP",
      "state": "VA",
      "zip": "24277",
      "county": "LEE",
      "latitude": 36.7488159012221,
      "longitude": -83.0508295278569,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 6,
      "rating": null,
      "website": "www.balladhealth.org",
      "status": "corporate_chain",
      "parentSystem": "Ballad Health",
      "affiliatedSystem": "Balladhealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Balladhealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ballad-health",
      "siblingGroupId": "siblings-va-ballad-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-ballad-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BALLAD HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Balladhealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Balladhealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to BALLAD HEALTH; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Ballad Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "493300",
      "ccn": "493300",
      "name": "CUMBERLAND HOSPITAL FOR CHILDREN AND ADOLESCENTS",
      "address": "9407 CUMBERLAND ROAD",
      "city": "NEW KENT",
      "state": "VA",
      "zip": "23124",
      "county": "NEW KENT",
      "latitude": 37.5463599598507,
      "longitude": -76.978540520038,
      "hospitalType": "Childrens",
      "sourceOwner": "Proprietary",
      "beds": 94,
      "rating": null,
      "website": "www.cumberlandhospital.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-kent-cumberland-hospital-for-children-and-adolescents/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-va-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "493301",
      "ccn": "493301",
      "name": "CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS",
      "address": "601 CHILDREN'S LANE",
      "city": "NORFOLK",
      "state": "VA",
      "zip": "23507",
      "county": "NORFOLK",
      "latitude": 36.8625207401645,
      "longitude": -76.3016762300285,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 206,
      "rating": null,
      "website": "www.chkd.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-norfolk-children-s-hospital-of-the-kings-daughters/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC",
      "parentSystemId": "entity-childrens-hospital-of-the-kings-daughters-inc",
      "siblingGroupId": "siblings-va-childrens-hospital-of-the-kings-daughters-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-childrens-hospital-of-the-kings-daughters-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "494010",
      "ccn": "494010",
      "name": "NORTHERN VIRGINIA MENTAL HEALTH INSTITUTE",
      "address": "3302 GALLOWS ROAD",
      "city": "FALLS CHURCH",
      "state": "VA",
      "zip": "22042",
      "county": "FAIRFAX",
      "latitude": 38.857889189913,
      "longitude": -77.232034529927,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 123,
      "rating": null,
      "website": "http://www.nvmhi.dbhds.virginia.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-falls-church-northern-virginia-mental-health-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMMONWEALTH OF VIRGINIA",
      "parentSystemId": "entity-commonwealth-of-virginia",
      "siblingGroupId": "siblings-va-commonwealth-of-virginia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-commonwealth-of-virginia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "494017",
      "ccn": "494017",
      "name": "SOUTHERN VIRGINIA MENTAL HEALTH INSTITUTE",
      "address": "382 TAYLOR DRIVE",
      "city": "DANVILLE",
      "state": "VA",
      "zip": "24541",
      "county": "DANVILLE",
      "latitude": 36.5547568102706,
      "longitude": -79.4100283203429,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 72,
      "rating": null,
      "website": "http://www.svmhi.dbhds.virginia.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-danville-southern-virginia-mental-health-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND SOUTHERN",
      "parentSystemId": "entity-commonwealth-of-virginia-department-of-behavioral-health-and-southern",
      "siblingGroupId": "siblings-va-commonwealth-of-virginia-department-of-behavioral-health-and-southern",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "va-parent-commonwealth-of-virginia-department-of-behavioral-health-and-southern"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND SOUTHERN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND SOUTHERN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND SOUTHERN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND SOUTHERN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "494021",
      "ccn": "494021",
      "name": "WESTERN STATE HOSPITAL",
      "address": "103 VALLEY CENTER DRIVE",
      "city": "STAUNTON",
      "state": "VA",
      "zip": "22402",
      "county": "STAUNTON",
      "latitude": 38.1424439297949,
      "longitude": -79.0274069096943,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 84,
      "rating": null,
      "website": "http://www.wsh.dbhds.virginia.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-staunton-western-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMMONWEALTH OF VIRGINIA",
      "parentSystemId": "entity-commonwealth-of-virginia",
      "siblingGroupId": "siblings-va-commonwealth-of-virginia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-commonwealth-of-virginia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "494022",
      "ccn": "494022",
      "name": "POPLAR SPRINGS HOSPITAL",
      "address": "350 POPLAR DRIVE",
      "city": "PETERSBURG",
      "state": "VA",
      "zip": "23805",
      "county": "PETERSBURG",
      "latitude": 37.187335230285,
      "longitude": -77.3593966396436,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 208,
      "rating": null,
      "website": "www.poplarsprings.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-petersburg-poplar-springs-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-va-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "494023",
      "ccn": "494023",
      "name": "DOMINION HOSPITAL",
      "address": "2960 SLEEPY HOLLOW ROAD",
      "city": "FALLS CHURCH",
      "state": "VA",
      "zip": "22044",
      "county": "FAIRFAX",
      "latitude": 38.8700868498314,
      "longitude": -77.1580784999333,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 116,
      "rating": null,
      "website": "www.dominionhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-falls-church-dominion-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "HCA Healthcare",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-va-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HCA HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "494025",
      "ccn": "494025",
      "name": "VIRGINIA BEACH PSYCHIATRIC CENTER",
      "address": "1100 FIRST COLONIAL ROAD",
      "city": "VIRGINIA BEACH",
      "state": "VA",
      "zip": "23454",
      "county": "VIRGINIA BEACH",
      "latitude": 36.8662392298026,
      "longitude": -76.0283735803021,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": null,
      "website": "www.vbpcweb.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-virginia-beach-virginia-beach-psychiatric-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-va-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "494029",
      "ccn": "494029",
      "name": "SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE",
      "address": "340 BAGLEY CIRCLE",
      "city": "MARION",
      "state": "VA",
      "zip": "24354",
      "county": "SMYTH",
      "latitude": 36.8332155298437,
      "longitude": -81.5101822999739,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 179,
      "rating": null,
      "website": "http://www.swvmhi.dbhds.virginia.gov/swvmhi/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marion-southwestern-virginia-mental-health-institute/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMMONWEALTH OF VIRGINIA",
      "parentSystemId": "entity-commonwealth-of-virginia",
      "siblingGroupId": "siblings-va-commonwealth-of-virginia",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-commonwealth-of-virginia"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH OF VIRGINIA (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "494032",
      "ccn": "494032",
      "name": "THE PAVILION AT WILLIAMSBURG PLACE",
      "address": "5483 MOORETOWN ROAD",
      "city": "WILLIAMSBURG",
      "state": "VA",
      "zip": "23188",
      "county": "JAMES CITY",
      "latitude": 37.3148616102375,
      "longitude": -76.7318873499207,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 66,
      "rating": null,
      "website": "www.pavilionwp.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "November 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-williamsburg-the-pavilion-at-williamsburg-place/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-va-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "494033",
      "ccn": "494033",
      "name": "CATAWBA HOSPITAL",
      "address": "5525 CATAWBA HOSPITAL DRIVE",
      "city": "CATAWBA",
      "state": "VA",
      "zip": "24070",
      "county": "ROANOKE",
      "latitude": 37.3914313401855,
      "longitude": -80.1098974496823,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 110,
      "rating": null,
      "website": "http://www.catawba.dmhmrsas.virginia.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-catawba-catawba-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL",
      "parentSystemId": "entity-commonwealth-of-virginia-catawba-hospital",
      "siblingGroupId": "siblings-va-commonwealth-of-virginia-catawba-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "va-parent-commonwealth-of-virginia-catawba-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/hospitals/"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CYNTHIA MCDANIEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists CYNTHIA MCDANIEL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. VA resolution: normalized CMS owner/operator to COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COMMONWEALTH OF VIRGINIA CATAWBA HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500002",
      "ccn": "500002",
      "name": "PROVIDENCE ST. MARY MEDICAL CENTER",
      "address": "401 POPLAR ST W",
      "city": "WALLA WALLA",
      "state": "WA",
      "zip": "99362",
      "county": "WALLA WALLA",
      "latitude": 46.0622276502629,
      "longitude": -118.343196980344,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 142,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=106",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-walla-walla-providence-st.-mary-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500003",
      "ccn": "500003",
      "name": "SKAGIT VALLEY HOSPITAL",
      "address": "1415 KINCAID ST E",
      "city": "MOUNT VERNON",
      "state": "WA",
      "zip": "98273",
      "county": "SKAGIT",
      "latitude": 48.4178696802633,
      "longitude": -122.32404309042,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 120,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=51",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HOSPITAL DIST NO 1 SKAGIT",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mt-vernon-skagit-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-dist-no-1-skagit",
      "siblingGroupId": "siblings-wa-public-hospital-dist-no-1-skagit",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-public-hospital-dist-no-1-skagit"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUBLIC HOSPITAL DIST NO 1 SKAGIT (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DIST NO 1 SKAGIT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DIST NO 1 SKAGIT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUBLIC HOSPITAL DIST NO 1 SKAGIT (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DIST NO 1 SKAGIT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DIST NO 1 SKAGIT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500005",
      "ccn": "500005",
      "name": "VIRGINIA MASON MEDICAL CENTER",
      "address": "1100 NINTH AVENUE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98101",
      "county": "KING",
      "latitude": 47.6097766799771,
      "longitude": -122.32786679997,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 259,
      "rating": 5,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=82",
      "status": "corporate_chain",
      "parentSystem": "VIRIGNIA MASON FRANCISCAN HEALTH",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seattle-virginia-mason-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-virignia-mason-franciscan-health",
      "siblingGroupId": "siblings-wa-virignia-mason-franciscan-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-virignia-mason-franciscan-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: VIRIGNIA MASON FRANCISCAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to VIRIGNIA MASON FRANCISCAN HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRIGNIA MASON FRANCISCAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VIRIGNIA MASON FRANCISCAN HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to VIRIGNIA MASON FRANCISCAN HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VIRIGNIA MASON FRANCISCAN HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500007",
      "ccn": "500007",
      "name": "ISLAND HOSPITAL",
      "address": "1211 24TH ST",
      "city": "ANACORTES",
      "state": "WA",
      "zip": "98221",
      "county": "SKAGIT",
      "latitude": 48.5019287599481,
      "longitude": -122.615666789636,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 43,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=2",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-district-no-2-skagit-county-washington",
      "siblingGroupId": "siblings-wa-public-hospital-district-no-2-skagit-county-washington",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-public-hospital-district-no-2-skagit-county-washington"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELISE J CUTTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). CMS lists ELISE J CUTTER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500014",
      "ccn": "500014",
      "name": "PROVIDENCE REGIONAL MEDICAL CENTER EVERETT",
      "address": "1700 13TH STREET",
      "city": "EVERETT",
      "state": "WA",
      "zip": "98201",
      "county": "SNOHOMISH",
      "latitude": 47.9998937500654,
      "longitude": -122.205709459839,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 571,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=34",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "campusFamilyId": "campus-wa-500014",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500014-loc-wa-everett-providence-regional-medical-center-everett-",
      "ccn": "500014",
      "name": "PROVIDENCE REGIONAL MEDICAL CENTER - EVERETT PACIFIC CAMPUS",
      "address": "916 PACIFIC AVE",
      "city": "EVERETT",
      "state": "WA",
      "zip": "98201",
      "county": "SNOHOMISH",
      "latitude": 47.9752396640447,
      "longitude": -122.216514912608,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 50,
      "rating": 4,
      "website": "http://www.providence.org",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-everett-providence-regional-medical-center-everett/pacific-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "campusFamilyId": "campus-wa-500014",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "500014"
    },
    {
      "id": "500015",
      "ccn": "500015",
      "name": "MULTICARE AUBURN MEDICAL CENTER",
      "address": "202 NORTH DIVISION ST",
      "city": "AUBURN",
      "state": "WA",
      "zip": "98002",
      "county": "KING",
      "latitude": 47.3089135497961,
      "longitude": -122.229035739734,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 161,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=13",
      "status": "corporate_chain",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-auburn-multicare-auburn-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500019",
      "ccn": "500019",
      "name": "PROVIDENCE CENTRALIA HOSPITAL",
      "address": "914 SOUTH SCHEUBER ROAD",
      "city": "CENTRALIA",
      "state": "WA",
      "zip": "98531",
      "county": "LEWIS",
      "latitude": 46.7124044797536,
      "longitude": -122.985580570292,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 128,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=20",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-centralia-providence-centralia-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500021",
      "ccn": "500021",
      "name": "FRANCISCAN HEALTH ST. CLARE HOSPITAL",
      "address": "11315 BRIDGEPORT WAY SW",
      "city": "LAKEWOOD",
      "state": "WA",
      "zip": "98499",
      "county": "PIERCE",
      "latitude": 47.1543099997059,
      "longitude": -122.502039999666,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 103,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=100",
      "status": "corporate_chain",
      "parentSystem": "FRANCISCAN HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-franciscan-health-system",
      "siblingGroupId": "siblings-wa-franciscan-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-franciscan-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to FRANCISCAN HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to FRANCISCAN HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500024",
      "ccn": "500024",
      "name": "PROVIDENCE ST. PETER HOSPITAL",
      "address": "413 LILLY RD NE",
      "city": "OLYMPIA",
      "state": "WA",
      "zip": "98506",
      "county": "THURSTON",
      "latitude": 47.0529419098333,
      "longitude": -122.847386450014,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 339,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=55",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-olympia-providence-st.-peter-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500025",
      "ccn": "500025",
      "name": "SWEDISH MEDICAL CENTER - CHERRY HILL CAMPUS",
      "address": "500 17TH AVE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98122",
      "county": "KING",
      "latitude": 47.6077212201361,
      "longitude": -122.310597949867,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 246,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=78",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-seattle-swedish-medical-center---cherry-hill-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500026",
      "ccn": "500026",
      "name": "SWEDISH EDMONDS",
      "address": "21601 76TH AVE W",
      "city": "EDMONDS",
      "state": "WA",
      "zip": "98020",
      "county": "SNOHOMISH",
      "latitude": 47.80321627981,
      "longitude": -122.334357049744,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 176,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=30",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500027",
      "ccn": "500027",
      "name": "SWEDISH MEDICAL CENTER - FIRST HILL",
      "address": "747 BROADWAY",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98114",
      "county": "KING",
      "latitude": 47.6086612699093,
      "longitude": -122.321621089582,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 623,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=77",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500031",
      "ccn": "500031",
      "name": "GRAYS HARBOR COMMUNITY HOSPITAL",
      "address": "915 ANDERSON DR",
      "city": "ABERDEEN",
      "state": "WA",
      "zip": "98520",
      "county": "GRAYS HARBOR",
      "latitude": 46.9792355797803,
      "longitude": -123.847185949696,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 43,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=1",
      "status": "corporate_chain",
      "parentSystem": "GRAYS HARBOR COMMUNITY HOSPITAL",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-grays-harbor-community-hospital",
      "siblingGroupId": "siblings-wa-grays-harbor-community-hospital",
      "campusFamilyId": "campus-wa-500031",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-grays-harbor-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: GRAYS HARBOR COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS JENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRAYS HARBOR COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAYS HARBOR COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GRAYS HARBOR COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS JENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRAYS HARBOR COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAYS HARBOR COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500031-loc-wa-aberdeen-grays-harbor-community-hospital-east",
      "ccn": "500031",
      "name": "GRAYS HARBOR COMMUNITY HOSPITAL - EAST",
      "address": "1006 N H STREET",
      "city": "ABERDEEN",
      "state": "WA",
      "zip": "98520",
      "county": "GRAYS HARBOR",
      "latitude": 46.9812623999048,
      "longitude": -123.820558590202,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "website": "www.ghchwa.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-aberdeen-grays-harbor-community-hospital---east/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRAYS HARBOR COMMUNITY HOSPITAL",
      "parentSystemId": "entity-grays-harbor-community-hospital",
      "siblingGroupId": "siblings-wa-grays-harbor-community-hospital",
      "campusFamilyId": "campus-wa-500031",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-grays-harbor-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: GRAYS HARBOR COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS JENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRAYS HARBOR COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAYS HARBOR COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GRAYS HARBOR COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists THOMAS JENSEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRAYS HARBOR COMMUNITY HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAYS HARBOR COMMUNITY HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "500031"
    },
    {
      "id": "500037",
      "ccn": "500037",
      "name": "ASTRIA TOPPENISH HOSPITAL",
      "address": "502 4TH AVE W",
      "city": "TOPPENISH",
      "state": "WA",
      "zip": "98948",
      "county": "YAKIMA",
      "latitude": 46.3708448499297,
      "longitude": -120.317057510375,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=104",
      "status": "corporate_chain",
      "parentSystem": "SHC HOLDCO LLC",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-shc-holdco-llc",
      "siblingGroupId": "siblings-wa-shc-holdco-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: SHC HOLDCO LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRIAN P GIBBONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHC HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SHC HOLDCO LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRIAN P GIBBONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHC HOLDCO LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "500041",
      "ccn": "500041",
      "name": "PEACEHEALTH ST. JOHN MEDICAL CENTER",
      "address": "1615 DELAWARE ST",
      "city": "LONGVIEW",
      "state": "WA",
      "zip": "98632",
      "county": "COWLITZ",
      "latitude": 46.1306936299199,
      "longitude": -122.941749200194,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 87,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=46",
      "status": "corporate_chain",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-longview-peacehealth-st.-john-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-wa-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500050",
      "ccn": "500050",
      "name": "PEACEHEALTH SOUTHWEST MEDICAL CENTER",
      "address": "400 NE MOTHER JOSEPH PLACE",
      "city": "VANCOUVER",
      "state": "WA",
      "zip": "98668",
      "county": "CLARK",
      "latitude": 45.624437510021,
      "longitude": -122.580726960391,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 234,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=105",
      "status": "corporate_chain",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vancouver-peacehealth-southwest-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-wa-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500053",
      "ccn": "500053",
      "name": "TRIOS HEALTH",
      "address": "900 AUBURN ST S",
      "city": "KENNEWICK",
      "state": "WA",
      "zip": "99336",
      "county": "BENTON",
      "latitude": 46.1992454599179,
      "longitude": -119.119216689781,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 74,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=42",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "RCCH � UW MEDICINE HEALTHCARE HOLDINGS LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "August 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kennewick-trios-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-rcch-uw-medicine-healthcare-holdings-llc",
      "siblingGroupId": "siblings-wa-rcch-uw-medicine-healthcare-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-rcch-uw-medicine-healthcare-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: RCCH � UW MEDICINE HEALTHCARE HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID ELGARICO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to RCCH � UW MEDICINE HEALTHCARE HOLDINGS LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RCCH � UW MEDICINE HEALTHCARE HOLDINGS LLC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RCCH � UW MEDICINE HEALTHCARE HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DAVID ELGARICO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to RCCH � UW MEDICINE HEALTHCARE HOLDINGS LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RCCH � UW MEDICINE HEALTHCARE HOLDINGS LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500058",
      "ccn": "500058",
      "name": "KADLEC REGIONAL MEDICAL CENTER",
      "address": "888 SWIFT BLVD",
      "city": "RICHLAND",
      "state": "WA",
      "zip": "99352",
      "county": "BENTON",
      "latitude": 46.2813433799185,
      "longitude": -119.281955979827,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 300,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=70",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500060",
      "ccn": "500060",
      "name": "CASCADE VALLEY HOSPITAL",
      "address": "330 STILLAGUAMISH AVE S",
      "city": "ARLINGTON",
      "state": "WA",
      "zip": "98223",
      "county": "SNOHOMISH",
      "latitude": 48.1889195500239,
      "longitude": -122.118945839819,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 30,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=12",
      "status": "signal",
      "parentSystem": "PUBLIC HOSPITAL DIST NO 1 SKAGIT",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Wsha",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-arlington-cascade-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-dist-no-1-skagit",
      "siblingGroupId": "siblings-wa-public-hospital-dist-no-1-skagit",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-public-hospital-dist-no-1-skagit"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUBLIC HOSPITAL DIST NO 1 SKAGIT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DIST NO 1 SKAGIT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DIST NO 1 SKAGIT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUBLIC HOSPITAL DIST NO 1 SKAGIT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DIST NO 1 SKAGIT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DIST NO 1 SKAGIT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500064",
      "ccn": "500064",
      "name": "UW MEDICINE - HARBORVIEW MEDICAL CENTER",
      "address": "325 NINTH AVE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98104",
      "county": "KING",
      "latitude": 47.6038601499237,
      "longitude": -122.323988920212,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 396,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=74",
      "status": "corporate_chain",
      "parentSystem": "UNIVERSITY OF WASHINGTON",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-university-of-washington",
      "siblingGroupId": "siblings-wa-university-of-washington",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-university-of-washington"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: UNIVERSITY OF WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to UNIVERSITY OF WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF WASHINGTON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UNIVERSITY OF WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to UNIVERSITY OF WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UNIVERSITY OF WASHINGTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500077",
      "ccn": "500077",
      "name": "PROVIDENCE HOLY FAMILY HOSPITAL",
      "address": "5633 N LIDGERWOOD",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99207",
      "county": "SPOKANE",
      "latitude": 47.7097544202869,
      "longitude": -117.406725029591,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 241,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=91",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spokane-providence-holy-family-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES - WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500079",
      "ccn": "500079",
      "name": "MULTICARE GOOD SAMARITAN HOSPITAL",
      "address": "407 14TH AVE SE",
      "city": "PUYALLUP",
      "state": "WA",
      "zip": "98372",
      "county": "PIERCE",
      "latitude": 47.1791800001915,
      "longitude": -122.289529999562,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 361,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=65",
      "status": "corporate_chain",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-puyallup-multicare-good-samaritan-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500084",
      "ccn": "500084",
      "name": "EVERGREENHEALTH MONROE",
      "address": "14701 179TH AVE SE",
      "city": "MONROE",
      "state": "WA",
      "zip": "98272",
      "county": "SNOHOMISH",
      "latitude": 47.8641395140966,
      "longitude": -121.989970072883,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 31,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=48",
      "status": "corporate_chain",
      "parentSystem": "KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-king-county-public-hospital-district-no-2",
      "siblingGroupId": "siblings-wa-king-county-public-hospital-district-no-2",
      "campusFamilyId": "campus-wa-500084",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-king-county-public-hospital-district-no-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA M LAPLANTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA M LAPLANTE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500088",
      "ccn": "500088",
      "name": "UW MEDICINE - VALLEY MEDICAL CENTER",
      "address": "400 43RD ST S",
      "city": "RENTON",
      "state": "WA",
      "zip": "98055",
      "county": "KING",
      "latitude": 47.4427780497108,
      "longitude": -122.213965340219,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 285,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=68",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-renton-uw-medicine---valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-district-1-of-king-county",
      "siblingGroupId": "siblings-wa-public-hospital-district-1-of-king-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-public-hospital-district-1-of-king-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500108",
      "ccn": "500108",
      "name": "FRANCISCAN HEALTH ST JOSEPH MEDICAL CENTER",
      "address": "1717 SOUTH J ST",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98405",
      "county": "PIERCE",
      "latitude": 47.2459909599891,
      "longitude": -122.448174889816,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 366,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=101",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-wa-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500119",
      "ccn": "500119",
      "name": "MULTICARE VALLEY HOSPITAL",
      "address": "12606 MISSION AVE E",
      "city": "SPOKANE VALLEY",
      "state": "WA",
      "zip": "99216",
      "county": "SPOKANE",
      "latitude": 47.6707643200997,
      "longitude": -117.235470929666,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 123,
      "rating": 5,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=94",
      "status": "corporate_chain",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500124",
      "ccn": "500124",
      "name": "EVERGREENHEALTH MEDICAL CENTER",
      "address": "12040 128TH ST NE",
      "city": "KIRKLAND",
      "state": "WA",
      "zip": "98033",
      "county": "KING",
      "latitude": 47.7158910901249,
      "longitude": -122.178401170173,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 216,
      "rating": 5,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=44",
      "status": "corporate_chain",
      "parentSystem": "KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kirkland-evergreenhealth-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-king-county-public-hospital-district-no-2",
      "siblingGroupId": "siblings-wa-king-county-public-hospital-district-no-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-king-county-public-hospital-district-no-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM HOWE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists WILLIAM HOWE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "500139",
      "ccn": "500139",
      "name": "CAPITAL MEDICAL CENTER",
      "address": "3900 CAPITAL MALL DR SW",
      "city": "OLYMPIA",
      "state": "WA",
      "zip": "98502",
      "county": "THURSTON",
      "latitude": 47.0427309199425,
      "longitude": -122.951786800008,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 74,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=54",
      "status": "signal",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Wsha",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500150",
      "ccn": "500150",
      "name": "LEGACY SALMON CREEK MEDICAL CENTER",
      "address": "2211 NE 139TH STREET",
      "city": "VANCOUVER",
      "state": "WA",
      "zip": "98686",
      "county": "CLARK",
      "latitude": 45.7209835197897,
      "longitude": -122.648241539791,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 208,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=155",
      "status": "corporate_chain",
      "parentSystem": "LEGACY HEALTH",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vancouver-legacy-salmon-creek-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-legacy-health",
      "siblingGroupId": "siblings-wa-legacy-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-washington-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LEGACY HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LEGACY HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500151",
      "ccn": "500151",
      "name": "FRANCISCAN HEALTH ST. ANTHONY HOSPITAL",
      "address": "11567 CANTERWOOD BLVD NW",
      "city": "GIG HARBOR",
      "state": "WA",
      "zip": "98332",
      "county": "PIERCE",
      "latitude": 47.363562870275,
      "longitude": -122.613238470048,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 112,
      "rating": 5,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=175",
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-wa-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "500154",
      "ccn": "500154",
      "name": "MULTICARE COVINGTON MEDICAL CENTER",
      "address": "17700 SE 272ND ST",
      "city": "COVINGTON",
      "state": "WA",
      "zip": "98042",
      "county": "KING",
      "latitude": 47.3589744001905,
      "longitude": -122.104208300253,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 52,
      "rating": 3,
      "website": "https://www.multicare.org/covington-medical-center/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-covington-multicare-covington-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "50030F",
      "ccn": "50030F",
      "name": "SEATTLE VA MEDICAL CENTER",
      "address": "1660 SOUTH COLUMBIAN WAY",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98108",
      "county": "KING",
      "latitude": 47.5624976001456,
      "longitude": -122.307749499899,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 4,
      "website": "https://www.pugetsound.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wa-veterans-health-administration",
      "campusFamilyId": "campus-wa-50030f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "50030F-loc-wa-seattle-va-puget-sound-health-care-system",
      "ccn": "50030F",
      "name": "VA PUGET SOUND HEALTH CARE SYSTEM",
      "address": "1660 S COLUMBIAN WAY",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98108",
      "county": "KING",
      "latitude": 47.5632310300518,
      "longitude": -122.308025659983,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 71,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=149",
      "status": "corporate_chain",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wa-veterans-health-administration",
      "campusFamilyId": "campus-wa-50030f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WA resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "50030F"
    },
    {
      "id": "501301",
      "ccn": "501301",
      "name": "GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT",
      "address": "66 N 6TH STREET",
      "city": "POMEROY",
      "state": "WA",
      "zip": "99347",
      "county": "GARFIELD",
      "latitude": 46.4754992302108,
      "longitude": -117.602948180132,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=60",
      "status": "corporate_chain",
      "parentSystem": "GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-garfield-county-memorial-hospital-district",
      "siblingGroupId": "siblings-wa-garfield-county-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-garfield-county-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501302",
      "ccn": "501302",
      "name": "DAYTON GENERAL HOSPITAL",
      "address": "1012 S 3RD ST",
      "city": "DAYTON",
      "state": "WA",
      "zip": "99328",
      "county": "COLUMBIA",
      "latitude": 46.3121047802936,
      "longitude": -117.970253849684,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=28",
      "status": "corporate_chain",
      "parentSystem": "COLUMBIA COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dayton-dayton-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-columbia-county-hospital-district",
      "siblingGroupId": "siblings-wa-columbia-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-columbia-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIN TRUMP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to COLUMBIA COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ERIN TRUMP as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to COLUMBIA COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501303",
      "ccn": "501303",
      "name": "WILLAPA HARBOR HOSPITAL",
      "address": "800 ALDER STREET",
      "city": "SOUTH BEND",
      "state": "WA",
      "zip": "98586",
      "county": "PACIFIC",
      "latitude": 46.6628208400931,
      "longitude": -123.812291220369,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=84",
      "status": "corporate_chain",
      "parentSystem": "PACIFIC COUNTY HOSPITAL DISTRICT 2",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-bend-willapa-harbor-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-pacific-county-hospital-district-2",
      "siblingGroupId": "siblings-wa-pacific-county-hospital-district-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-pacific-county-hospital-district-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PACIFIC COUNTY HOSPITAL DISTRICT 2 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PACIFIC COUNTY HOSPITAL DISTRICT 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PACIFIC COUNTY HOSPITAL DISTRICT 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PACIFIC COUNTY HOSPITAL DISTRICT 2 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PACIFIC COUNTY HOSPITAL DISTRICT 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PACIFIC COUNTY HOSPITAL DISTRICT 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501304",
      "ccn": "501304",
      "name": "SUMMIT PACIFIC MEDICAL CENTER",
      "address": "600 MAIN STREET",
      "city": "ELMA",
      "state": "WA",
      "zip": "98541",
      "county": "GRAYS HARBOR",
      "latitude": 47.0069040798109,
      "longitude": -123.391832699885,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=47",
      "status": "corporate_chain",
      "parentSystem": "GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elma-summit-pacific-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-grays-harbor-county-public-hospital-district-no-1",
      "siblingGroupId": "siblings-wa-grays-harbor-county-public-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-grays-harbor-county-public-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL, 5%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL, 5%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501305",
      "ccn": "501305",
      "name": "LINCOLN HOSPITAL",
      "address": "10 NICHOLS ST",
      "city": "DAVENPORT",
      "state": "WA",
      "zip": "99122",
      "county": "LINCOLN",
      "latitude": 47.6579277198868,
      "longitude": -118.145359809665,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=27",
      "status": "corporate_chain",
      "parentSystem": "LINCOLN COUNTY HOSPITAL DISTRICT 3",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-davenport-lincoln-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lincoln-county-hospital-district-3",
      "siblingGroupId": "siblings-wa-lincoln-county-hospital-district-3",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-lincoln-county-hospital-district-3"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: LINCOLN COUNTY HOSPITAL DISTRICT 3 (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to LINCOLN COUNTY HOSPITAL DISTRICT 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINCOLN COUNTY HOSPITAL DISTRICT 3, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LINCOLN COUNTY HOSPITAL DISTRICT 3 (5% OR GREATER DIRECT OWNERSHIP INTEREST). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to LINCOLN COUNTY HOSPITAL DISTRICT 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINCOLN COUNTY HOSPITAL DISTRICT 3, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501307",
      "ccn": "501307",
      "name": "ODESSA MEMORIAL HEALTHCARE CENTER",
      "address": "502 AMENDE DR E",
      "city": "ODESSA",
      "state": "WA",
      "zip": "99159",
      "county": "LINCOLN",
      "latitude": 47.3311891397966,
      "longitude": -118.682504480144,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=53",
      "status": "corporate_chain",
      "parentSystem": "LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-odessa-odessa-memorial-healthcare-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-lincoln-county-public-hospital-district-1",
      "siblingGroupId": "siblings-wa-lincoln-county-public-hospital-district-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-lincoln-county-public-hospital-district-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AUDRA MERKLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists AUDRA MERKLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501308",
      "ccn": "501308",
      "name": "COULEE MEDICAL CENTER",
      "address": "411 FORTUYN RD",
      "city": "GRAND COULEE",
      "state": "WA",
      "zip": "99133",
      "county": "GRANT",
      "latitude": 47.9424495201457,
      "longitude": -119.00759291023,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=40",
      "status": "corporate_chain",
      "parentSystem": "DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grand-coulee-coulee-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-douglas-grant-lincoln-and-okanogan-counties-public-hospital-district-6",
      "siblingGroupId": "siblings-wa-douglas-grant-lincoln-and-okanogan-counties-public-hospital-district-6",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-douglas-grant-lincoln-okanogan-counties-public-hospital-district-6"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS lists RAMONA HICKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists RAMONA HICKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501313",
      "ccn": "501313",
      "name": "CASCADE MEDICAL",
      "address": "817 COMMERCIAL ST",
      "city": "LEAVENWORTH",
      "state": "WA",
      "zip": "98826",
      "county": "CHELAN",
      "latitude": 47.5944511998006,
      "longitude": -120.660786800074,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 9,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=45",
      "status": "corporate_chain",
      "parentSystem": "CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leavenworth-cascade-medical/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-chelan-county-public-hospital-district-no-1",
      "siblingGroupId": "siblings-wa-chelan-county-public-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-chelan-county-public-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARIANNE VINCENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARIANNE VINCENT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501314",
      "ccn": "501314",
      "name": "OCEAN BEACH HOSPITAL",
      "address": "174 1ST AVE NORTH",
      "city": "ILWACO",
      "state": "WA",
      "zip": "98624",
      "county": "PACIFIC",
      "latitude": 46.3114342999862,
      "longitude": -124.042630830417,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 8,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=41",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ilwaco-ocean-beach-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-district-3-of-pacific-county",
      "siblingGroupId": "siblings-wa-public-hospital-district-3-of-pacific-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-public-hospital-district-3-of-pacific-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501315",
      "ccn": "501315",
      "name": "SKYLINE HOSPITAL",
      "address": "211 NE SKYLINE DR",
      "city": "WHITE SALMON",
      "state": "WA",
      "zip": "98672",
      "county": "KLICKITAT",
      "latitude": 45.7223792398948,
      "longitude": -121.470530680123,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 13,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=109",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-white-salmon-skyline-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-district-no-2-klickitat-county-washington",
      "siblingGroupId": "siblings-wa-public-hospital-district-no-2-klickitat-county-washington",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-public-hospital-district-no-2-klickitat-county-washington"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENDA A SCHNEIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists BRENDA A SCHNEIDER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501316",
      "ccn": "501316",
      "name": "KLICKITAT VALLEY HEALTH",
      "address": "310 SOUTH ROOSEVELT AVE",
      "city": "GOLDENDALE",
      "state": "WA",
      "zip": "98620",
      "county": "KLICKITAT",
      "latitude": 45.8201803300228,
      "longitude": -120.811106009952,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 15,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=39",
      "status": "corporate_chain",
      "parentSystem": "KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-goldendale-klickitat-valley-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-klickitat-county-public-hospital-district-no-1",
      "siblingGroupId": "siblings-wa-klickitat-county-public-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-klickitat-county-public-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501317",
      "ccn": "501317",
      "name": "COLUMBIA BASIN HOSPITAL",
      "address": "200 SOUTHEAST BLVD",
      "city": "EPHRATA",
      "state": "WA",
      "zip": "98823",
      "county": "GRANT",
      "latitude": 47.3144942198962,
      "longitude": -119.546427750136,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=33",
      "status": "corporate_chain",
      "parentSystem": "GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ephrata-columbia-basin-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-grant-county-public-hospital-district-no-3",
      "siblingGroupId": "siblings-wa-grant-county-public-hospital-district-no-3",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-grant-county-public-hospital-district-no-3"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS lists ROSALINDA KIBBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ROSALINDA KIBBY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501318",
      "ccn": "501318",
      "name": "OTHELLO COMMUNITY HOSPITAL",
      "address": "315 14TH AVE N",
      "city": "OTHELLO",
      "state": "WA",
      "zip": "99344",
      "county": "ADAMS",
      "latitude": 46.8304088300625,
      "longitude": -119.1552614603,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 14,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=57",
      "status": "corporate_chain",
      "parentSystem": "ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-othello-othello-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-adams-county-public-hospital-district-3",
      "siblingGroupId": "siblings-wa-adams-county-public-hospital-district-3",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-adams-county-public-hospital-district-3"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADAMS COUNTY PUBLIC HOSPITAL DISTRICT 3, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501320",
      "ccn": "501320",
      "name": "QUINCY VALLEY MEDICAL CENTER",
      "address": "908 10TH AVE SW",
      "city": "QUINCY",
      "state": "WA",
      "zip": "98848",
      "county": "GRANT",
      "latitude": 47.2309066998513,
      "longitude": -119.868172240205,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=66",
      "status": "corporate_chain",
      "parentSystem": "GRANT COUNTY HOSPITAL DISTRICT NO. 2",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-quincy-quincy-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-grant-county-hospital-district-no-2",
      "siblingGroupId": "siblings-wa-grant-county-hospital-district-no-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-grant-county-hospital-district-no-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRANT COUNTY HOSPITAL DISTRICT NO. 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT COUNTY HOSPITAL DISTRICT NO. 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to GRANT COUNTY HOSPITAL DISTRICT NO. 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT COUNTY HOSPITAL DISTRICT NO. 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501321",
      "ccn": "501321",
      "name": "NORTH VALLEY HOSPITAL",
      "address": "2ND AND WESTERN",
      "city": "TONASKET",
      "state": "WA",
      "zip": "98855",
      "county": "OKANOGAN",
      "latitude": 48.7070018901776,
      "longitude": -119.438731249599,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=103",
      "status": "corporate_chain",
      "parentSystem": "OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tonasket-north-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-okanogan-county-public-hospital-dist-no-4",
      "siblingGroupId": "siblings-wa-okanogan-county-public-hospital-dist-no-4",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-okanogan-county-public-hospital-dist-no-4"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4 (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN MCREYNOLDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4 (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JOHN MCREYNOLDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKANOGAN COUNTY PUBLIC HOSPITAL DIST NO 4, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501322",
      "ccn": "501322",
      "name": "FERRY COUNTY MEMORIAL HOSPITAL",
      "address": "36 NORTH KLONDIKE ROAD",
      "city": "REPUBLIC",
      "state": "WA",
      "zip": "99166",
      "county": "FERRY",
      "latitude": 48.6530413700008,
      "longitude": -118.731400910241,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 13,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=69",
      "status": "corporate_chain",
      "parentSystem": "FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-republic-ferry-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-ferry-county-public-hospital-district-no-1",
      "siblingGroupId": "siblings-wa-ferry-county-public-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-ferry-county-public-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501323",
      "ccn": "501323",
      "name": "JEFFERSON HEALTHCARE",
      "address": "834 SHERIDAN ST",
      "city": "PORT TOWNSEND",
      "state": "WA",
      "zip": "98368",
      "county": "JEFFERSON",
      "latitude": 48.106043320189,
      "longitude": -122.789273190117,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 39,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=62",
      "status": "corporate_chain",
      "parentSystem": "JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2",
      "affiliatedSystem": "Jefferson Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Jefferson Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-port-townsend-jefferson-healthcare/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-jefferson-county-public-hospital-district-no-2",
      "siblingGroupId": "siblings-wa-jefferson-county-public-hospital-district-no-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-jefferson-county-public-hospital-district-no-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS lists TYLER FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists TYLER FREEMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Jefferson Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Jefferson Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501324",
      "ccn": "501324",
      "name": "THREE RIVERS HOSPITAL",
      "address": "507 HOSPITAL WAY",
      "city": "BREWSTER",
      "state": "WA",
      "zip": "98812",
      "county": "OKANOGAN",
      "latitude": 48.1062260700818,
      "longitude": -119.782632860424,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 10,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=17",
      "status": "corporate_chain",
      "parentSystem": "OKANOGAN DOUGLAS COUNTY HOSPITAL DIST 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-brewster-three-rivers-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-okanogan-douglas-county-hospital-dist-1",
      "siblingGroupId": "siblings-wa-okanogan-douglas-county-hospital-dist-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-okanogan-douglas-county-hospital-dist-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to OKANOGAN DOUGLAS COUNTY HOSPITAL DIST 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKANOGAN DOUGLAS COUNTY HOSPITAL DIST 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to OKANOGAN DOUGLAS COUNTY HOSPITAL DIST 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKANOGAN DOUGLAS COUNTY HOSPITAL DIST 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501325",
      "ccn": "501325",
      "name": "FORKS COMMUNITY HOSPITAL",
      "address": "530 BOGACHIEL WAY",
      "city": "FORKS",
      "state": "WA",
      "zip": "98331",
      "county": "CLALLAM",
      "latitude": 47.9462073399213,
      "longitude": -124.392587999843,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 16,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=38",
      "status": "corporate_chain",
      "parentSystem": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-forks-forks-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-clallam-county-public-hospital-district-no-1",
      "siblingGroupId": "siblings-wa-clallam-county-public-hospital-district-no-1",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-clallam-county-public-hospital-district-no-1"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501326",
      "ccn": "501326",
      "name": "PROVIDENCE MOUNT CARMEL HOSPITAL",
      "address": "982 E COLUMBIA AVE",
      "city": "COLVILLE",
      "state": "WA",
      "zip": "99114",
      "county": "STEVENS",
      "latitude": 48.5406717901807,
      "longitude": -117.892748470001,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 41,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=25",
      "status": "corporate_chain",
      "parentSystem": "Providence",
      "affiliatedSystem": "Providence",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colville-providence-mount-carmel-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-providence",
      "siblingGroupId": "siblings-wa-providence",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROVIDENCE HEALTH & SERVICES (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Providence; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Providence, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "501327",
      "ccn": "501327",
      "name": "WHITMAN HOSPITAL AND MEDICAL CENTER",
      "address": "1200 WEST FAIRVIEW ROAD",
      "city": "COLFAX",
      "state": "WA",
      "zip": "99111",
      "county": "WHITMAN",
      "latitude": 46.8689303101696,
      "longitude": -117.376049759918,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 21,
      "rating": 5,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=24",
      "status": "corporate_chain",
      "parentSystem": "INTEGRA IMAGING BUSINESS ASSOCIATES LLC",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-colfax-whitman-hospital-and-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-integra-imaging-business-associates-llc",
      "siblingGroupId": "siblings-wa-integra-imaging-business-associates-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-washington-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: INTEGRA IMAGING BUSINESS ASSOCIATES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRA IMAGING BUSINESS ASSOCIATES LLC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: INTEGRA IMAGING BUSINESS ASSOCIATES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Washington nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent INTEGRA IMAGING BUSINESS ASSOCIATES LLC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501328",
      "ccn": "501328",
      "name": "MID - VALLEY HOSPITAL",
      "address": "810 VALLEY WAY",
      "city": "OMAK",
      "state": "WA",
      "zip": "98841",
      "county": "OKANOGAN",
      "latitude": 48.3965674602572,
      "longitude": -119.546525870419,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 23,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=56",
      "status": "corporate_chain",
      "parentSystem": "OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-omak-mid-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-okanogan-county-public-hospital-district-no-3",
      "siblingGroupId": "siblings-wa-okanogan-county-public-hospital-district-no-3",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-okanogan-county-public-hospital-district-no-3"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501329",
      "ccn": "501329",
      "name": "PEACEHEALTH UNITED GENERAL MEDICAL CENTER",
      "address": "2000 HOSPITAL DRIVE",
      "city": "SEDRO-WOOLLEY",
      "state": "WA",
      "zip": "98204",
      "county": "SKAGIT",
      "latitude": 48.4960859201126,
      "longitude": -122.276317860434,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 6,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=4",
      "status": "corporate_chain",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sedro-woolley-peacehealth-united-general-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-wa-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "501330",
      "ccn": "501330",
      "name": "ASTRIA SUNNYSIDE HOSPITAL",
      "address": "1016 TACOMA AVENUE",
      "city": "SUNNYSIDE",
      "state": "WA",
      "zip": "98944",
      "county": "YAKIMA",
      "latitude": 46.3224796001626,
      "longitude": -120.006681759878,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 37,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=95",
      "status": "corporate_chain",
      "parentSystem": "ASTRIA HEALTH",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sunnyside-astria-sunnyside-hospital-/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-astria-health",
      "siblingGroupId": "siblings-wa-astria-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-astria-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASTRIA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIAN P GIBBONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to ASTRIA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASTRIA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASTRIA HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists BRIAN P GIBBONS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to ASTRIA HEALTH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASTRIA HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "501331",
      "ccn": "501331",
      "name": "PULLMAN REGIONAL HOSPITAL",
      "address": "1125 WASHINGTON AVE NE",
      "city": "PULLMAN",
      "state": "WA",
      "zip": "99163",
      "county": "WHITMAN",
      "latitude": 46.7123882398889,
      "longitude": -117.169805969757,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=64",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pullman-pullman-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-district-1-a-of-whitman-county",
      "siblingGroupId": "siblings-wa-public-hospital-district-1-a-of-whitman-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-public-hospital-district-1-a-of-whitman-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501332",
      "ccn": "501332",
      "name": "TRI - STATE MEMORIAL HOSPITAL",
      "address": "1221 HIGHLAND AVE",
      "city": "CLARKSTON",
      "state": "WA",
      "zip": "99403",
      "county": "ASOTIN",
      "latitude": 46.4025536898062,
      "longitude": -117.054761289722,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=23",
      "status": "corporate_chain",
      "parentSystem": "TRI-STATE MEMORIAL HOSPITAL",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarkston-tri-state-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-tri-state-memorial-hospital",
      "siblingGroupId": "siblings-wa-tri-state-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-tri-state-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to TRI-STATE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-STATE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to TRI-STATE MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRI-STATE MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "501334",
      "ccn": "501334",
      "name": "LAKE CHELAN COMMUNITY HOSPITAL",
      "address": "503 HIGHLAND AVE E",
      "city": "CHELAN",
      "state": "WA",
      "zip": "98816",
      "county": "CHELAN",
      "latitude": 47.8449701802876,
      "longitude": -120.009612630273,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 29,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=21",
      "status": "corporate_chain",
      "parentSystem": "CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-chelan-county-public-hospital-district-no-2",
      "siblingGroupId": "siblings-wa-chelan-county-public-hospital-district-no-2",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-chelan-county-public-hospital-district-no-2"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO 2, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501335",
      "ccn": "501335",
      "name": "FRANCISCAN HEALTH ST. ELIZABETH HOSPITAL",
      "address": "1455 BATTERSBY AVENUE",
      "city": "ENUMCLAW",
      "state": "WA",
      "zip": "98022",
      "county": "KING",
      "latitude": 47.2091757602822,
      "longitude": -121.987747080321,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 28,
      "rating": 5,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=32",
      "status": "corporate_chain",
      "parentSystem": "ST ELIZABETH HOSPITAL",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-elizabeth-hospital",
      "siblingGroupId": "siblings-wa-st-elizabeth-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-voluntary-non-profit-private"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Voluntary non-profit - Private; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST ELIZABETH HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "501336",
      "ccn": "501336",
      "name": "MASON GENERAL HOSPITAL",
      "address": "901 MOUNTAIN VIEW DRIVE",
      "city": "SHELTON",
      "state": "WA",
      "zip": "98584",
      "county": "MASON",
      "latitude": 47.2258908901073,
      "longitude": -123.114414949589,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 27,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=83",
      "status": "corporate_chain",
      "parentSystem": "PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shelton-mason-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-public-hospital-district-no-1-of-mason-county",
      "siblingGroupId": "siblings-wa-public-hospital-district-no-1-of-mason-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-public-hospital-district-no-1-of-mason-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501337",
      "ccn": "501337",
      "name": "LOURDES MEDICAL CENTER",
      "address": "520 4TH AVE N",
      "city": "PASCO",
      "state": "WA",
      "zip": "99301",
      "county": "FRANKLIN",
      "latitude": 46.235025599963,
      "longitude": -119.095386160364,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": 3,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=58",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pasco-lourdes-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-wa-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "501338",
      "ccn": "501338",
      "name": "SNOQUALMIE VALLEY HOSPITAL",
      "address": "9801 FRONTIER AVE SE",
      "city": "SNOQUALMIE",
      "state": "WA",
      "zip": "98065",
      "county": "KING",
      "latitude": 47.5127201398345,
      "longitude": -121.885762939726,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "snoqualmiehospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-snoqualmie-snoqualmie-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON",
      "parentSystemId": "entity-public-hospital-district-no-4-king-county-washington",
      "siblingGroupId": "siblings-wa-public-hospital-district-no-4-king-county-washington",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-verified-parent-public-hospital-district-no-4-king-county-washington"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501339",
      "ccn": "501339",
      "name": "WHIDBEY HEALTH",
      "address": "101 NORTH MAIN STREET",
      "city": "COUPEVILLE",
      "state": "WA",
      "zip": "98239",
      "county": "ISLAND",
      "latitude": 48.2138932897509,
      "longitude": -122.684326800076,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 2,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=26",
      "status": "corporate_chain",
      "parentSystem": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "government",
      "parentSystemId": "entity-whidbey-island-public-hospital-district",
      "siblingGroupId": "siblings-wa-whidbey-island-public-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-whidbey-island-public-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "501340",
      "ccn": "501340",
      "name": "PEACEHEALTH PEACE ISLAND MEDICAL CENTER",
      "address": "1117 SPRING STREET",
      "city": "FRIDAY HARBOR",
      "state": "WA",
      "zip": "98250",
      "county": "SAN JUAN",
      "latitude": 48.5267789698497,
      "longitude": -123.029601130079,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 15,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=194",
      "status": "corporate_chain",
      "parentSystem": "PeaceHealth",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-friday-harbor-peacehealth-peace-island-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-peacehealth",
      "siblingGroupId": "siblings-wa-peacehealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-peacehealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.peacehealth.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PEACEHEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to PeaceHealth; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PeaceHealth, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "503300",
      "ccn": "503300",
      "name": "SEATTLE CHILDREN'S",
      "address": "4800 SANDPOINT WAY NE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98105",
      "county": "KING",
      "latitude": 47.6625682399095,
      "longitude": -122.282082990111,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 360,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=72",
      "status": "corporate_chain",
      "parentSystem": "SEATTLE CHILDREN'S HEALTH CARE SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-seattle-children-s-health-care-system",
      "siblingGroupId": "siblings-wa-seattle-children-s-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-seattle-children-s"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.seattlechildrens.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: SEATTLE CHILDREN'S HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Seattle Children’s; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEATTLE CHILDREN'S HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SEATTLE CHILDREN'S HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Seattle Children’s; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SEATTLE CHILDREN'S HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "503301",
      "ccn": "503301",
      "name": "MULTICARE MARY BRIDGE CHILDREN'S HOSPITAL AND HEALTH CENTER",
      "address": "317 MARTIN LUTHER KING JR WAY",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98405",
      "county": "PIERCE",
      "latitude": 47.2598113498192,
      "longitude": -122.452867769708,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 82,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=97",
      "status": "corporate_chain",
      "parentSystem": "MULTICARE HEALTH SYSTEM",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-multicare-health-system",
      "siblingGroupId": "siblings-wa-multicare-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-multicare-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.multicare.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MULTICARE HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to MultiCare Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MULTICARE HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "503302",
      "ccn": "503302",
      "name": "SHRINERS HOSPITAL FOR CHILDREN",
      "address": "911 FIFTH AVENUE W",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99204",
      "county": "SPOKANE",
      "latitude": 47.6509024100677,
      "longitude": -117.425671160094,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 32,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=146",
      "status": "corporate_chain",
      "parentSystem": "SHRINERS HOSPITALS FOR CHILDREN",
      "affiliatedSystem": "Wsha",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Wsha",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spokane-shriners-hospital-for-children/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-shriners-hospitals-for-children",
      "siblingGroupId": "siblings-wa-shriners-hospitals-for-children",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-shriners-hospitals-for-children"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Wsha; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Wsha. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to SHRINERS HOSPITALS FOR CHILDREN; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SHRINERS HOSPITALS FOR CHILDREN, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "504004",
      "ccn": "504004",
      "name": "EASTERN STATE HOSPITAL",
      "address": "MAPLE STREET, PO BOX A",
      "city": "MEDICAL LAKE",
      "state": "WA",
      "zip": "99022",
      "county": "SPOKANE",
      "latitude": 47.5731456299808,
      "longitude": -117.693950679584,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 317,
      "rating": null,
      "website": "https://www.dshs.wa.gov/bhsia/division-state-hospitals/eastern-state-hospital-overview",
      "status": "corporate_chain",
      "parentSystem": "DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS",
      "affiliatedSystem": "Dshs Wa",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs Wa",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-medical-lake-eastern-state-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-social-dept-of-shs-div-of-instns",
      "siblingGroupId": "siblings-wa-department-of-social-dept-of-shs-div-of-instns",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wa-parent-department-of-social-dept-of-shs-div-of-instns"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS lists MARK KETTNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs Wa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs Wa. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARK KETTNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Dshs Wa; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs Wa. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "504008",
      "ccn": "504008",
      "name": "LOURDES COUNSELING CENTER",
      "address": "1175 CARONDELET DRIVE",
      "city": "RICHLAND",
      "state": "WA",
      "zip": "99352",
      "county": "BENTON",
      "latitude": 46.2831274101889,
      "longitude": -119.281307489617,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 44,
      "rating": null,
      "website": "http://www.wsha.org/hospitaldetail.cfm?hid=59",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "September 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-richland-lourdes-counseling-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-wa-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CAPELLA HEALTH HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "504012",
      "ccn": "504012",
      "name": "SMOKEY POINT BEHAVIORAL HOSPITAL",
      "address": "3955 156TH ST NE",
      "city": "MARYSVILLE",
      "state": "WA",
      "zip": "98271",
      "county": "SNOHOMISH",
      "latitude": 48.1386041802813,
      "longitude": -122.179589500259,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 115,
      "rating": null,
      "website": "http://www.smokeypointbehavioralhospital.com",
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "US HEALTHVEST, LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "US HealthVest",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-wa-us-healthvest-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "504013",
      "ccn": "504013",
      "name": "RAINIER SPRINGS",
      "address": "2805 NE 129TH ST",
      "city": "VANCOUVER",
      "state": "WA",
      "zip": "98686",
      "county": "CLARK",
      "latitude": 45.7138886101486,
      "longitude": -122.640699599975,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "https://rainiersprings.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-vancouver-rainier-springs/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-wa-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "504014",
      "ccn": "504014",
      "name": "INLAND NORTHWEST BEHAVIORAL HEALTH",
      "address": "104 W 5TH AVE",
      "city": "SPOKANE",
      "state": "WA",
      "zip": "99204",
      "county": "SPOKANE",
      "latitude": 47.6517722997898,
      "longitude": -117.414111000315,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": null,
      "website": "https://inlandnorthwestbh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spokane-inland-northwest-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-wa-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists STEVE FILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "504015",
      "ccn": "504015",
      "name": "SOUTH SOUND BEHAVIORAL HOSPITAL",
      "address": "605 WOODLAND SQUARE LOOP",
      "city": "LACEY",
      "state": "WA",
      "zip": "98503",
      "county": "THURSTON",
      "latitude": 47.0424043998514,
      "longitude": -122.828084500421,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 108,
      "rating": null,
      "website": "http://www.southsoundbehavioralhospital.com",
      "status": "signal",
      "relationshipType": "venture_backing",
      "parentSystem": "US HEALTHVEST, LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "US HealthVest",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lacey-south-sound-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-wa-us-healthvest-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "504016",
      "ccn": "504016",
      "name": "WELLFOUND BEHAVIORAL HEALTH HOSPITAL",
      "address": "3402 S 19TH ST",
      "city": "TACOMA",
      "state": "WA",
      "zip": "98405",
      "county": "PIERCE",
      "latitude": 47.2422223000428,
      "longitude": -122.481219699613,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 120,
      "rating": null,
      "website": "http://www.wellfound.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tacoma-wellfound-behavioral-health-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FRANCISCAN HEALTH SYSTEM",
      "parentSystemId": "entity-franciscan-health-system",
      "siblingGroupId": "siblings-wa-franciscan-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-franciscan-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: FRANCISCAN HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to FRANCISCAN HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FRANCISCAN HEALTH SYSTEM (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. WA resolution: normalized CMS owner/operator to FRANCISCAN HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FRANCISCAN HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510001",
      "ccn": "510001",
      "name": "WEST VIRGINIA UNIVERSITY HOSPITALS",
      "address": "1 MEDICAL CENTER DRIVE",
      "city": "MORGANTOWN",
      "state": "WV",
      "zip": "26506",
      "county": "MONONGALIA",
      "latitude": 39.6545934141521,
      "longitude": -79.9579097476237,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 674,
      "rating": 3,
      "website": "http://www.health.wvu.edu",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morgantown-west-virginia-university-hospitals/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-wvu-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://wvumedicine.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510002",
      "ccn": "510002",
      "name": "GREENBRIER VALLEY MEDICAL CENTER",
      "address": "1320 MAPLEWOOD AVENUE, PO BOX 497",
      "city": "RONCEVERTE",
      "state": "WV",
      "zip": "24970",
      "county": "GREENBRIER",
      "latitude": 37.7731606698003,
      "longitude": -80.4702492300771,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 122,
      "rating": 2,
      "website": "http://www.gvmc.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ronceverte-greenbrier-valley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDALIA HEALTH INC",
      "parentSystemId": "entity-vandalia-health-inc",
      "siblingGroupId": "siblings-wv-vandalia-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510006",
      "ccn": "510006",
      "name": "UNITED HOSPITAL CENTER",
      "address": "327 MEDICAL PARK DRIVE",
      "city": "BRIDGEPORT",
      "state": "WV",
      "zip": "26330",
      "county": "HARRISON",
      "latitude": 39.3283099999037,
      "longitude": -80.2394599997553,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 292,
      "rating": 4,
      "website": "http://www.uhcwv.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bridgeport-united-hospital-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-wvu-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://wvumedicine.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510007",
      "ccn": "510007",
      "name": "ST MARY'S MEDICAL CENTER",
      "address": "2900 1ST AVENUE",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25702",
      "county": "CABELL",
      "latitude": 38.4305504496982,
      "longitude": -82.4004127303667,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 393,
      "rating": 3,
      "website": "http://www.st-marys.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-st-mary-s-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHALL HEALTH NETWORK INC",
      "parentSystemId": "entity-marshall-health-network-inc",
      "siblingGroupId": "siblings-wv-marshall-health-network-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHALL HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHALL HEALTH NETWORK INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHALL HEALTH NETWORK INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510008",
      "ccn": "510008",
      "name": "BERKELEY MEDICAL CENTER",
      "address": "2500 HOSPITAL DRIVE",
      "city": "MARTINSBURG",
      "state": "WV",
      "zip": "25401",
      "county": "BERKELEY",
      "latitude": 39.4762434697773,
      "longitude": -77.9802371798536,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 195,
      "rating": 3,
      "website": "http://www.cityhospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-martinsburg-berkeley-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510013",
      "ccn": "510013",
      "name": "REYNOLDS MEMORIAL HOSPITAL",
      "address": "800 WHEELING AVE",
      "city": "GLEN DALE",
      "state": "WV",
      "zip": "26038",
      "county": "MARSHALL",
      "latitude": 39.9461419302016,
      "longitude": -80.7524375501651,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 94,
      "rating": 2,
      "website": "http://www.reynoldsmemorial.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-glen-dale-reynolds-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REYNOLDS MEMORIAL HOSPITAL, INC",
      "parentSystemId": "entity-reynolds-memorial-hospital-inc",
      "siblingGroupId": "siblings-wv-reynolds-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-reynolds-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: REYNOLDS MEMORIAL HOSPITAL, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to REYNOLDS MEMORIAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REYNOLDS MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: REYNOLDS MEMORIAL HOSPITAL, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to REYNOLDS MEMORIAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REYNOLDS MEMORIAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510022",
      "ccn": "510022",
      "name": "CHARLESTON AREA MEDICAL CENTER",
      "address": "501 MORRIS STREET",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25301",
      "county": "KANAWHA",
      "latitude": 38.3479217901335,
      "longitude": -81.6271997504417,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 956,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDALIA HEALTH INC",
      "parentSystemId": "entity-vandalia-health-inc",
      "siblingGroupId": "siblings-wv-vandalia-health-inc",
      "campusFamilyId": "campus-wv-510022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID L RAMSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID L RAMSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510022-loc-wv-charleston-charleston-area-medical-center-transplan",
      "ccn": "510022",
      "name": "CHARLESTON AREA MEDICAL CENTER - TRANSPLANT",
      "address": "501 MORRIS ST, PO BOX 1393",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25325",
      "county": "KANAWHA",
      "latitude": 38.3480589998018,
      "longitude": -81.6264539996356,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDALIA HEALTH INC",
      "parentSystemId": "entity-vandalia-health-inc",
      "siblingGroupId": "siblings-wv-vandalia-health-inc",
      "campusFamilyId": "campus-wv-510022",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID L RAMSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID L RAMSEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "510022"
    },
    {
      "id": "510023",
      "ccn": "510023",
      "name": "WEIRTON MEDICAL CENTER",
      "address": "601 COLLIERS WAY",
      "city": "WEIRTON",
      "state": "WV",
      "zip": "26062",
      "county": "BROOKE",
      "latitude": 40.3930951798043,
      "longitude": -80.5278916595769,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 218,
      "rating": 1,
      "website": "http://www.weirtonmedical.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weirton-weirton-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510024",
      "ccn": "510024",
      "name": "MON HEALTH MEDICAL CENTER",
      "address": "1200 JD ANDERSON DR",
      "city": "MORGANTOWN",
      "state": "WV",
      "zip": "26505",
      "county": "MONONGALIA",
      "latitude": 39.6636155701429,
      "longitude": -79.9469437299812,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 189,
      "rating": 4,
      "website": "http://www.mongeneral.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-morgantown-mon-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDALIA HEALTH INC",
      "parentSystemId": "entity-vandalia-health-inc",
      "siblingGroupId": "siblings-wv-vandalia-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-wvu-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://wvumedicine.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510029",
      "ccn": "510029",
      "name": "THOMAS MEMORIAL HOSPITAL",
      "address": "4605 MACCORKLE AVENUE SW",
      "city": "SOUTH CHARLESTON",
      "state": "WV",
      "zip": "25309",
      "county": "KANAWHA",
      "latitude": 38.354865109737,
      "longitude": -81.7268665196745,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 241,
      "rating": 1,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-south-charleston-thomas-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS lists ALBERT WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "51002F",
      "ccn": "51002F",
      "name": "BECKLEY VA MEDICAL CENTER",
      "address": "200 VETERANS AVENUE",
      "city": "BECKLEY",
      "state": "WV",
      "zip": "25801",
      "county": "RALEIGH",
      "latitude": 37.764965479893,
      "longitude": -81.193200770068,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "website": "https://www.beckley.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beckley-beckley-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wv-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "510030",
      "ccn": "510030",
      "name": "DAVIS MEDICAL CENTER",
      "address": "812 GORMAN AVENUE, PO BOX 1484",
      "city": "ELKINS",
      "state": "WV",
      "zip": "26241",
      "county": "RANDOLPH",
      "latitude": 38.9282559099136,
      "longitude": -79.8548001895562,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 80,
      "rating": 2,
      "website": "http://www.davishealthsystem.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elkins-davis-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDALIA HEALTH INC",
      "parentSystemId": "entity-vandalia-health-inc",
      "siblingGroupId": "siblings-wv-vandalia-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDALIA HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists RONALD ANDRO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDALIA HEALTH INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists RONALD ANDRO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510038",
      "ccn": "510038",
      "name": "STONEWALL JACKSON MEMORIAL HOSPITAL",
      "address": "230 HOSPITAL PLAZA",
      "city": "WESTON",
      "state": "WV",
      "zip": "26452",
      "county": "LEWIS",
      "latitude": 39.0476399400786,
      "longitude": -80.4920919997725,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": 1,
      "website": "http://www.stonewallhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDALIA HEALTH INC",
      "parentSystemId": "entity-vandalia-health-inc",
      "siblingGroupId": "siblings-wv-vandalia-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDALIA HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510046",
      "ccn": "510046",
      "name": "PRINCETON COMMUNITY HOSPITAL",
      "address": "122 12TH STREET, PO BOX 1369",
      "city": "PRINCETON",
      "state": "WV",
      "zip": "24740",
      "county": "MERCER",
      "latitude": 37.3627189299026,
      "longitude": -81.1130108497191,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 267,
      "rating": 2,
      "website": "http://www.pchonline.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-princeton-princeton-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANE SPENCER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DIANE SPENCER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510048",
      "ccn": "510048",
      "name": "LOGAN REGIONAL MEDICAL CENTER",
      "address": "20 HOSPITAL DRIVE",
      "city": "LOGAN",
      "state": "WV",
      "zip": "25601",
      "county": "LOGAN",
      "latitude": 37.8460955101703,
      "longitude": -81.994387030124,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 140,
      "rating": 2,
      "website": "http://www.loganregionalmedicalcenter.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-logan-logan-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-wv-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "51004F",
      "ccn": "51004F",
      "name": "HUNTINGTON VA MEDICAL CENTER",
      "address": "1540 SPRING VALLEY DRIVE",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25701",
      "county": "WAYNE",
      "latitude": 38.3768767297558,
      "longitude": -82.5165061279192,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wv-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "510050",
      "ccn": "510050",
      "name": "WHEELING HOSPITAL",
      "address": "1 MEDICAL PARK",
      "city": "WHEELING",
      "state": "WV",
      "zip": "26003",
      "county": "OHIO",
      "latitude": 40.0591186101966,
      "longitude": -80.6850073396376,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 223,
      "rating": 2,
      "website": "http://www.wheelinghospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wheeling-wheeling-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510055",
      "ccn": "510055",
      "name": "CABELL HUNTINGTON HOSPITAL INC",
      "address": "1340 HAL GREER BOULEVARD",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25701",
      "county": "CABELL",
      "latitude": 38.4097670301146,
      "longitude": -82.4274022995661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 313,
      "rating": 3,
      "website": "http://www.cabellhuntington.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-cabell-huntington-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CABELL HUNTINGTON HOSPITAL INC",
      "parentSystemId": "entity-cabell-huntington-hospital-inc",
      "siblingGroupId": "siblings-wv-cabell-huntington-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-cabell-huntington-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to CABELL HUNTINGTON HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CABELL HUNTINGTON HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to CABELL HUNTINGTON HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CABELL HUNTINGTON HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510058",
      "ccn": "510058",
      "name": "CAMDEN CLARK MEDICAL CENTER",
      "address": "800 GARFIELD AVE",
      "city": "PARKERSBURG",
      "state": "WV",
      "zip": "26101",
      "county": "WOOD",
      "latitude": 39.2694240099293,
      "longitude": -81.5601063497553,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 302,
      "rating": 2,
      "website": "http://www.camdenclark.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-parkersburg-camden-clark-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION",
      "parentSystemId": "entity-camden-clark-memorial-hospital-corporation",
      "siblingGroupId": "siblings-wv-camden-clark-memorial-hospital-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-camden-clark-memorial-hospital-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "51005F",
      "ccn": "51005F",
      "name": "MARTINSBURG VA MEDICAL CENTER",
      "address": "510 BUTLER AVENUE",
      "city": "MARTINSBURG",
      "state": "WV",
      "zip": "25405",
      "county": "BERKELEY",
      "latitude": 39.4177114499753,
      "longitude": -77.9111126703435,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 4,
      "website": "https://www.martinsburg.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wv-veterans-health-administration",
      "campusFamilyId": "campus-wv-51005f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "51005F-loc-wv-martinsburg-martinsburg-va-medical-center",
      "ccn": "51005F",
      "name": "MARTINSBURG VA MEDICAL CENTER",
      "address": "510 BUTLER AVE",
      "city": "MARTINSBURG",
      "state": "WV",
      "zip": "25401",
      "county": "BERKELEY",
      "latitude": 39.4177114499754,
      "longitude": -77.9111126703434,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": 0,
      "rating": 4,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wv-veterans-health-administration",
      "campusFamilyId": "campus-wv-51005f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WV resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "51005F"
    },
    {
      "id": "510062",
      "ccn": "510062",
      "name": "BECKLEY ARH HOSPITAL",
      "address": "306 STANAFORD ROAD",
      "city": "BECKLEY",
      "state": "WV",
      "zip": "25801",
      "county": "RALEIGH",
      "latitude": 37.7988326996878,
      "longitude": -81.1681837503156,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 173,
      "rating": 3,
      "website": "http://www.arh.org/locations/beckley.aspx",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beckley-beckley-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-wv-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-appalachian-regional-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to APPALACHIAN REGIONAL HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to APPALACHIAN REGIONAL HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510070",
      "ccn": "510070",
      "name": "RALEIGH GENERAL HOSPITAL",
      "address": "1710 HARPER ROAD",
      "city": "BECKLEY",
      "state": "WV",
      "zip": "25801",
      "county": "RALEIGH",
      "latitude": 37.787554399888,
      "longitude": -81.2019315897392,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 300,
      "rating": 2,
      "website": "http://www.raleighgeneral.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-beckley-raleigh-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-wv-lifepoint-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "510072",
      "ccn": "510072",
      "name": "WETZEL COUNTY HOSPITAL",
      "address": "3 EAST BENJAMIN DRIVE",
      "city": "NEW MARTINSVILLE",
      "state": "WV",
      "zip": "26155",
      "county": "WETZEL",
      "latitude": 39.6811286400514,
      "longitude": -80.850032620198,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 58,
      "rating": 3,
      "website": "http://www.wetzelcountyhospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-martinsville-wetzel-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "510086",
      "ccn": "510086",
      "name": "WELCH COMMUNITY HOSPITAL",
      "address": "454 MCDOWELL STREET",
      "city": "WELCH",
      "state": "WV",
      "zip": "24801",
      "county": "MCDOWELL",
      "latitude": 37.4391290503207,
      "longitude": -81.5880990101403,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 124,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-welch-welch-community-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL",
      "parentSystemId": "entity-state-of-west-virginia-welch-community-hospital",
      "siblingGroupId": "siblings-wv-state-of-west-virginia-welch-community-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-state-of-west-virginia-welch-community-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK SIMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK SIMPSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WEST VIRGINIA WELCH COMMUNITY HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "510091",
      "ccn": "510091",
      "name": "CHARLESTON SURGICAL HOSPITAL",
      "address": "1306 KANAWHA BOULEVARD EAST",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25301",
      "county": "KANAWHA",
      "latitude": 38.3433547302495,
      "longitude": -81.6300540196962,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 35,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-charleston-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHARLESTON AREA MEDICAL CENTER INC",
      "parentSystemId": "entity-charleston-area-medical-center-inc",
      "siblingGroupId": "siblings-wv-charleston-area-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHARLESTON AREA MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 69.49%). CMS lists BRIAN KEITH GRIFFITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHARLESTON AREA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHARLESTON AREA MEDICAL CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 69.49%). CMS lists BRIAN KEITH GRIFFITH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHARLESTON AREA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511303",
      "ccn": "511303",
      "name": "MINNIE HAMILTON HEALTH SYSTEM",
      "address": "186 HOSPITAL DRIVE",
      "city": "GRANTSVILLE",
      "state": "WV",
      "zip": "26147",
      "county": "CALHOUN",
      "latitude": 38.9227600702121,
      "longitude": -81.0924929603205,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 42,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MINNIE HAMILTON HEALTH CARE CENTER INC",
      "parentSystemId": "entity-minnie-hamilton-health-care-center-inc",
      "siblingGroupId": "siblings-wv-minnie-hamilton-health-care-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-minnie-hamilton-health-care-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS lists STEPHEN S WHITED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MINNIE HAMILTON HEALTH CARE CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINNIE HAMILTON HEALTH CARE CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists STEPHEN S WHITED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MINNIE HAMILTON HEALTH CARE CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MINNIE HAMILTON HEALTH CARE CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511304",
      "ccn": "511304",
      "name": "SISTERSVILLE GENERAL HOSPITAL",
      "address": "314 SOUTH WELLS STREET",
      "city": "SISTERSVILLE",
      "state": "WV",
      "zip": "26175",
      "county": "TYLER",
      "latitude": 39.5586003098874,
      "longitude": -81.0040498796898,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 12,
      "rating": null,
      "website": "http://www.sistersvillehospital.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Government / public",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sistersville-sistersville-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC",
      "parentSystemId": "entity-marietta-memorial-hospital-of-tyler-county-inc",
      "siblingGroupId": "siblings-wv-marietta-memorial-hospital-of-tyler-county-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-marietta-memorial-hospital-of-tyler-county-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "511306",
      "ccn": "511306",
      "name": "ROANE GENERAL HOSPITAL",
      "address": "200 HOSPITAL DRIVE",
      "city": "SPENCER",
      "state": "WV",
      "zip": "25276",
      "county": "ROANE",
      "latitude": 38.8125547796921,
      "longitude": -81.369034229784,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 60,
      "rating": null,
      "website": "http://www.roanegeneralhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-spencer-roane-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL DEVELOPMENT CO.",
      "parentSystemId": "entity-hospital-development-co",
      "siblingGroupId": "siblings-wv-hospital-development-co",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-hospital-development-co"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to HOSPITAL DEVELOPMENT CO.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DEVELOPMENT CO., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to HOSPITAL DEVELOPMENT CO.; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL DEVELOPMENT CO., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511307",
      "ccn": "511307",
      "name": "GRAFTON CITY HOSPITAL, INC",
      "address": "1 HOSPITAL PLAZA",
      "city": "GRAFTON",
      "state": "WV",
      "zip": "26354",
      "county": "TAYLOR",
      "latitude": 39.3438151098376,
      "longitude": -80.0252059304091,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.graftonhospital.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grafton-grafton-city-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "GRAFTON CITY HOSPITAL INC",
      "parentSystemId": "entity-grafton-city-hospital-inc",
      "siblingGroupId": "siblings-wv-grafton-city-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-grafton-city-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS lists KEVIN M GESSLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to GRAFTON CITY HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAFTON CITY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists KEVIN M GESSLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to GRAFTON CITY HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRAFTON CITY HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "511308",
      "ccn": "511308",
      "name": "BRAXTON COUNTY MEMORIAL HOSPITAL, INC",
      "address": "100 HOYLMAN DRIVE",
      "city": "GASSAWAY",
      "state": "WV",
      "zip": "26624",
      "county": "BRAXTON",
      "latitude": 38.6611592900973,
      "longitude": -80.7486080698381,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.braxtonmemorial.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-gassaway-braxton-county-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511310",
      "ccn": "511310",
      "name": "SUMMERS COUNTY ARH HOSPITAL",
      "address": "115 SUMMERS HOSPITAL ROAD",
      "city": "HINTON",
      "state": "WV",
      "zip": "25951",
      "county": "SUMMERS",
      "latitude": 37.6506359497369,
      "longitude": -80.860294530236,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.arh.org/locations/summers_county.aspx",
      "status": "corporate_chain",
      "parentSystem": "Appalachian Regional Healthcare",
      "affiliatedSystem": "Arh",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Arh",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hinton-summers-county-arh-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-appalachian-regional-healthcare",
      "siblingGroupId": "siblings-wv-appalachian-regional-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-appalachian-regional-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to APPALACHIAN REGIONAL HEALTHCARE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Arh; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Arh. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to APPALACHIAN REGIONAL HEALTHCARE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Appalachian Regional Healthcare, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511311",
      "ccn": "511311",
      "name": "HAMPSHIRE MEMORIAL HOSPITAL",
      "address": "363 SUNRISE BOULEVARD",
      "city": "ROMNEY",
      "state": "WV",
      "zip": "26757",
      "county": "HAMPSHIRE",
      "latitude": 39.3333709999011,
      "longitude": -78.6985619999742,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 44,
      "rating": 5,
      "website": "http://www.valleyhealthlink.com/hampshire",
      "status": "pe_contract",
      "caseId": "valley-health",
      "reviewedAt": "2026-06-22",
      "relationshipType": "contract",
      "parentSystem": "VALLEY HEALTH SYSTEM",
      "peFirm": "Onex Partners",
      "evidenceSource": "Valley Health contract dossier",
      "evidenceAsOf": "2026-05-01",
      "evidenceSourceUrl": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "affiliatedSystem": "Valleyhealthlink",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "pe_backed_contract",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence identifies a PE-backed staffing, management, or hospital-based services contract.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "Valley Health contract dossier",
        "National baseline system/operator rule",
        "Valley Health featured case sources"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "PE-backed contractor",
      "operatorName": "SCP Health",
      "publicControlBadge": "PE-backed contract",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-romney-hampshire-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-valley-health-system",
      "siblingGroupId": "siblings-wv-valley-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-valley-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: VALLEY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to VALLEY HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VALLEY HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: SCP Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SCP Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to VALLEY HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VALLEY HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511312",
      "ccn": "511312",
      "name": "PRESTON MEMORIAL HOSPITAL",
      "address": "150 MEMORIAL DRIVE",
      "city": "KINGWOOD",
      "state": "WV",
      "zip": "26537",
      "county": "PRESTON",
      "latitude": 39.4649541101292,
      "longitude": -79.6775116099969,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "https://www.prestonmemorial.org/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONONGALIA HEALTH SYSTEM, INC.",
      "parentSystemId": "entity-monongalia-health-system-inc",
      "siblingGroupId": "siblings-wv-monongalia-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-wvu-medicine"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://wvumedicine.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: MONONGALIA HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID GOLDBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONONGALIA HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MONONGALIA HEALTH SYSTEM, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DAVID GOLDBERG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WVU Medicine; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONONGALIA HEALTH SYSTEM, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511313",
      "ccn": "511313",
      "name": "BOONE MEMORIAL HOSPITAL",
      "address": "701 MADISON AVENUE",
      "city": "MADISON",
      "state": "WV",
      "zip": "25130",
      "county": "BOONE",
      "latitude": 38.0481999997152,
      "longitude": -81.8061899996605,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "website": "http://www.bmh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "BOONE MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-boone-memorial-hospital-inc",
      "siblingGroupId": "siblings-wv-boone-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-boone-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: BOONE MEMORIAL HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to BOONE MEMORIAL HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BOONE MEMORIAL HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to BOONE MEMORIAL HOSPITAL INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BOONE MEMORIAL HOSPITAL INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "511314",
      "ccn": "511314",
      "name": "POCAHONTAS MEMORIAL HOSPITAL",
      "address": "150 DUNCAN ROAD",
      "city": "BUCKEYE",
      "state": "WV",
      "zip": "24924",
      "county": "POCAHONTAS",
      "latitude": 38.2008291201542,
      "longitude": -80.1089784003831,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-buckeye-pocahontas-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "POCAHONTAS MEMORIAL HOSPITAL",
      "parentSystemId": "entity-pocahontas-memorial-hospital",
      "siblingGroupId": "siblings-wv-pocahontas-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-pocahontas-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: POCAHONTAS MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHELLE DEEDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to POCAHONTAS MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POCAHONTAS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: POCAHONTAS MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHELLE DEEDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to POCAHONTAS MEMORIAL HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POCAHONTAS MEMORIAL HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "511315",
      "ccn": "511315",
      "name": "POTOMAC VALLEY HOSPITAL",
      "address": "100 PIN OAK LANE",
      "city": "KEYSER",
      "state": "WV",
      "zip": "26726",
      "county": "MINERAL",
      "latitude": 39.4095076701437,
      "longitude": -79.0031807604299,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://www.potomacvalleyhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-keyser-potomac-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511316",
      "ccn": "511316",
      "name": "GRANT MEMORIAL HOSPITAL",
      "address": "117 HOSPITAL DRIVE, PO BOX 1019",
      "city": "PETERSBURG",
      "state": "WV",
      "zip": "26847",
      "county": "GRANT",
      "latitude": 39.0014186803164,
      "longitude": -79.1369971396987,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-petersburg-grant-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511317",
      "ccn": "511317",
      "name": "PLATEAU MEDICAL CENTER",
      "address": "430 MAIN STREET WEST",
      "city": "OAK HILL",
      "state": "WV",
      "zip": "25901",
      "county": "FAYETTE",
      "latitude": 37.9712765798332,
      "longitude": -81.1497805903173,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 25,
      "rating": null,
      "website": "http://www.plateaumedicalcenter.com",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oak-hill-plateau-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "VANDALIA HEALTH INC",
      "parentSystemId": "entity-vandalia-health-inc",
      "siblingGroupId": "siblings-wv-vandalia-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: VANDALIA HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: VANDALIA HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to West Virginia nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VANDALIA HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511318",
      "ccn": "511318",
      "name": "MONTGOMERY GENERAL HOSPITAL, INC",
      "address": "401 SIXTH AVENUE, FAYETTE COUNTY",
      "city": "MONTGOMERY",
      "state": "WV",
      "zip": "25136",
      "county": "FAYETTE",
      "latitude": 38.1826730398546,
      "longitude": -81.3243991702397,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 69,
      "rating": null,
      "website": "http://www.mghwv.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-montgomery-montgomery-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MONTGOMERY GENERAL HOSPITAL, INC",
      "parentSystemId": "entity-montgomery-general-hospital-inc",
      "siblingGroupId": "siblings-wv-montgomery-general-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-montgomery-general-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS lists VICKIE GAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MONTGOMERY GENERAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTGOMERY GENERAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists VICKIE GAY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MONTGOMERY GENERAL HOSPITAL, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MONTGOMERY GENERAL HOSPITAL, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511319",
      "ccn": "511319",
      "name": "JEFFERSON MEDICAL CENTER",
      "address": "300 SOUTH PRESTON STREET",
      "city": "RANSON",
      "state": "WV",
      "zip": "25438",
      "county": "JEFFERSON",
      "latitude": 39.2959891397822,
      "longitude": -77.8587590604009,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://www.wvuniversityhealthcare.com/default.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ranson-jefferson-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511320",
      "ccn": "511320",
      "name": "JACKSON GENERAL HOSPITAL",
      "address": "122 PINNELL ST",
      "city": "RIPLEY",
      "state": "WV",
      "zip": "25271",
      "county": "JACKSON",
      "latitude": 38.8228762798006,
      "longitude": -81.7301472703983,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.jacksongeneral.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ripley-jackson-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511321",
      "ccn": "511321",
      "name": "ST JOSEPH'S HOSPITAL",
      "address": "1 AMALIA DRIVE",
      "city": "BUCKHANNON",
      "state": "WV",
      "zip": "26201",
      "county": "UPSHUR",
      "latitude": 38.991412050171,
      "longitude": -80.2363893002977,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 51,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "511322",
      "ccn": "511322",
      "name": "SUMMERSVILLE REGIONAL MEDICAL CENTER",
      "address": "400 FAIRVIEW HEIGHTS ROAD",
      "city": "SUMMERSVILLE",
      "state": "WV",
      "zip": "26651",
      "county": "NICHOLAS",
      "latitude": 38.29251219974,
      "longitude": -80.8292926897191,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 77,
      "rating": 2,
      "website": "http://www.summersvillememorial.org",
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-summersville-summersville-regional-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "West Virginia United Health System",
      "parentSystemId": "entity-west-virginia-united-health-system",
      "siblingGroupId": "siblings-wv-west-virginia-united-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-west-virginia-united-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST VIRGINIA UNITED HEALTH SYSTEM, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WEST VIRGINIA UNITED HEALTH SYSTEM, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent West Virginia United Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "514001",
      "ccn": "514001",
      "name": "HIGHLAND HOSPITAL",
      "address": "300 56TH ST SE",
      "city": "CHARLESTON",
      "state": "WV",
      "zip": "25304",
      "county": "KANAWHA",
      "latitude": 38.3150767302945,
      "longitude": -81.5690192597312,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 104,
      "rating": null,
      "website": "http://www.highlandhosp.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charleston-highland-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-wv-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "514008",
      "ccn": "514008",
      "name": "RIVER PARK HOSPITAL",
      "address": "1230 SIXTH AVENUE",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25701",
      "county": "CABELL",
      "latitude": 38.4195914498833,
      "longitude": -82.4366994001243,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 165,
      "rating": null,
      "website": "http://www.riverparkhospital.net",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-river-park-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_public",
      "parentSystem": "Universal Health Services",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-wv-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-public-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to Public healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "514009",
      "ccn": "514009",
      "name": "MILDRED MITCHELL - BATEMAN HOSPITAL",
      "address": "1530 NORWAY AVENUE",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25709",
      "county": "CABELL",
      "latitude": 38.4127655900262,
      "longitude": -82.4133009702408,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 90,
      "rating": null,
      "website": "http://www.batemanhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-huntington-mildred-mitchell-bateman-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MILDRED MITCHELL BATEMAN HOSPITAL",
      "parentSystemId": "entity-mildred-mitchell-bateman-hospital",
      "siblingGroupId": "siblings-wv-mildred-mitchell-bateman-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-mildred-mitchell-bateman-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: MILDRED MITCHELL BATEMAN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LUCILLE P GEDIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MILDRED MITCHELL BATEMAN HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILDRED MITCHELL BATEMAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MILDRED MITCHELL BATEMAN HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LUCILLE P GEDIES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to MILDRED MITCHELL BATEMAN HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILDRED MITCHELL BATEMAN HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "514011",
      "ccn": "514011",
      "name": "HIGHLAND - CLARKSBURG HOSPITAL INC",
      "address": "3 HOSPITAL PLAZA",
      "city": "CLARKSBURG",
      "state": "WV",
      "zip": "26301",
      "county": "HARRISON",
      "latitude": 39.2717753997905,
      "longitude": -80.3714388903817,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 115,
      "rating": null,
      "website": "https://highlandhospitalwv.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarksburg-highland-clarksburg-hospital-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HIGHLAND-CLARKSBURG HOSPITAL",
      "parentSystemId": "entity-highland-clarksburg-hospital",
      "siblingGroupId": "siblings-wv-highland-clarksburg-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wv-parent-highland-clarksburg-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS lists VICTORIA JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to HIGHLAND-CLARKSBURG HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HIGHLAND-CLARKSBURG HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists VICTORIA JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to HIGHLAND-CLARKSBURG HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HIGHLAND-CLARKSBURG HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "514012",
      "ccn": "514012",
      "name": "WILLIAM R SHARPE JR HOSPITAL",
      "address": "936 SHARPE HOSPITAL ROAD",
      "city": "WESTON",
      "state": "WV",
      "zip": "26452",
      "county": "LEWIS",
      "latitude": 39.0411492700069,
      "longitude": -80.4963042702083,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 150,
      "rating": null,
      "website": "http://www.wvdhhr.org/sharpe",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weston-william-r-sharpe-jr-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "WILLIAM R SHARPE JR HOSPITAL",
      "parentSystemId": "entity-william-r-sharpe-jr-hospital",
      "siblingGroupId": "siblings-wv-william-r-sharpe-jr-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-william-r-sharpe-jr-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: WILLIAM R SHARPE JR HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEVONA LUSK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WILLIAM R SHARPE JR HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAM R SHARPE JR HOSPITAL, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WILLIAM R SHARPE JR HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SHEVONA LUSK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WV resolution: normalized CMS owner/operator to WILLIAM R SHARPE JR HOSPITAL; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WILLIAM R SHARPE JR HOSPITAL, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "520002",
      "ccn": "520002",
      "name": "ASPIRUS STEVENS POINT HOSPITAL",
      "address": "900 ILLINOIS AVE",
      "city": "STEVENS POINT",
      "state": "WI",
      "zip": "54481",
      "county": "PORTAGE",
      "latitude": 44.5264318397556,
      "longitude": -89.5670962097364,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 94,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520008",
      "ccn": "520008",
      "name": "PROHEALTH WAUKESHA MEMORIAL HOSPITAL",
      "address": "725 AMERICAN AVE",
      "city": "WAUKESHA",
      "state": "WI",
      "zip": "53188",
      "county": "WAUKESHA",
      "latitude": 43.0111769902658,
      "longitude": -88.2425509504177,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 400,
      "rating": 4,
      "website": "http://www.prohealthcare.org/locations/locations-v2-detail/?id=1119",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waukesha-prohealth-waukesha-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROHEALTH CARE INC",
      "parentSystemId": "entity-prohealth-care-inc",
      "siblingGroupId": "siblings-wi-prohealth-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROHEALTH CARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROHEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROHEALTH CARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROHEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520009",
      "ccn": "520009",
      "name": "ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS",
      "address": "1506 S ONEIDA ST",
      "city": "APPLETON",
      "state": "WI",
      "zip": "54915",
      "county": "OUTAGAMIE",
      "latitude": 44.2482512397427,
      "longitude": -88.4025096797751,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 332,
      "rating": 4,
      "website": "http://www.affinityhealth.org",
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-wi-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL BERGMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL BERGMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520011",
      "ccn": "520011",
      "name": "MARSHFIELD MEDICAL CENTER - RICE LAKE",
      "address": "1700 WEST STOUT STREET",
      "city": "RICE LAKE",
      "state": "WI",
      "zip": "54868",
      "county": "BARRON",
      "latitude": 45.5064612198739,
      "longitude": -91.7591282102524,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 40,
      "rating": 2,
      "website": "http://www.lakeviewmedical.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rice-lake-marshfield-medical-center---rice-lake/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MCHS HOSPITALS INC",
      "parentSystemId": "entity-mchs-hospitals-inc",
      "siblingGroupId": "siblings-wi-mchs-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MCHS HOSPITALS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCHS HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MCHS HOSPITALS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MCHS HOSPITALS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520019",
      "ccn": "520019",
      "name": "ASPIRUS RHINELANDER HOSPITAL",
      "address": "2251 NORTH SHORE DR",
      "city": "RHINELANDER",
      "state": "WI",
      "zip": "54501",
      "county": "ONEIDA",
      "latitude": 45.639470409969,
      "longitude": -89.3748265896773,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 73,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520021",
      "ccn": "520021",
      "name": "FROEDTERT SOUTH - FROEDTERT KENOSHA HOSPITAL",
      "address": "6308 EIGHTH AVE",
      "city": "KENOSHA",
      "state": "WI",
      "zip": "53143",
      "county": "KENOSHA",
      "latitude": 42.578137919808,
      "longitude": -87.8197814599662,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 315,
      "rating": 2,
      "website": "http://www.unitedhospitalsystem.org/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT SOUTH INC",
      "parentSystemId": "entity-froedtert-south-inc",
      "siblingGroupId": "siblings-wi-froedtert-south-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT SOUTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT SOUTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "52002F",
      "ccn": "52002F",
      "name": "TOMAH VA MEDICAL CENTER",
      "address": "500 EAST VETERANS STREET",
      "city": "TOMAH",
      "state": "WI",
      "zip": "54660",
      "county": "MONROE",
      "latitude": 44.0030806798357,
      "longitude": -90.4933190101216,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": null,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tomah-tomah-va-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wi-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "520030",
      "ccn": "520030",
      "name": "ASPIRUS WAUSAU HOSPITAL",
      "address": "333 PINE RIDGE BLVD",
      "city": "WAUSAU",
      "state": "WI",
      "zip": "54401",
      "county": "MARATHON",
      "latitude": 44.9658418501842,
      "longitude": -89.6678902101405,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 325,
      "rating": 4,
      "website": "http://www.aspirus.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wausau-aspirus-wausau-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JENNIFER REDMAN-SCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JENNIFER REDMAN-SCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520034",
      "ccn": "520034",
      "name": "AURORA MEDICAL CTR MANITOWOC COUNTY",
      "address": "5000 MEMORIAL DRIVE",
      "city": "TWO RIVERS",
      "state": "WI",
      "zip": "54241",
      "county": "MANITOWOC",
      "latitude": 44.1253678302744,
      "longitude": -87.619456130223,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 69,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520035",
      "ccn": "520035",
      "name": "AURORA MEDICAL CENTER SHEBOYGAN COUNTY",
      "address": "3400 UNION AVE",
      "city": "SHEBOYGAN",
      "state": "WI",
      "zip": "53081",
      "county": "SHEBOYGAN",
      "latitude": 43.7330079001042,
      "longitude": -87.7542811001636,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 119,
      "rating": 5,
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "campusFamilyId": "campus-wi-520035",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520037",
      "ccn": "520037",
      "name": "MARSHFIELD MEDICAL CENTER",
      "address": "611 ST JOSEPH AVE",
      "city": "MARSHFIELD",
      "state": "WI",
      "zip": "54449",
      "county": "WOOD",
      "latitude": 44.6772621001071,
      "longitude": -90.1787418004124,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 520,
      "rating": 1,
      "website": "http://www.stjosephs-marshfield.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520038",
      "ccn": "520038",
      "name": "AURORA MEDICAL CTR WASHINGTON COUNTY",
      "address": "1032 E SUMNER ST",
      "city": "HARTFORD",
      "state": "WI",
      "zip": "53027",
      "county": "WASHINGTON",
      "latitude": 43.3184058400287,
      "longitude": -88.3624615600053,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 71,
      "rating": 4,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hartford-aurora-med-center-washington-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520041",
      "ccn": "520041",
      "name": "ASPIRUS DIVINE SAVIOR HOSPITAL",
      "address": "2817 NEW PINERY ROAD",
      "city": "PORTAGE",
      "state": "WI",
      "zip": "53901",
      "county": "COLUMBIA",
      "latitude": 43.5669499896964,
      "longitude": -89.4665105996136,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 73,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520044",
      "ccn": "520044",
      "name": "ST NICHOLAS HOSPITAL",
      "address": "3100 SUPERIOR AVE",
      "city": "SHEBOYGAN",
      "state": "WI",
      "zip": "53081",
      "county": "SHEBOYGAN",
      "latitude": 43.7623479002571,
      "longitude": -87.7475379602637,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 185,
      "rating": 3,
      "website": "http://www.stnicholashospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sheboygan-st-nicholas-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS SERVICES INC",
      "parentSystemId": "entity-hospital-sisters-services-inc",
      "siblingGroupId": "siblings-wi-hospital-sisters-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-hospital-sisters-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS SERVICES INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520049",
      "ccn": "520049",
      "name": "BELLIN MEMORIAL HOSPITAL",
      "address": "744 S WEBSTER AVE",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54305",
      "county": "BROWN",
      "latitude": 44.5022420899108,
      "longitude": -88.0112855896391,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 244,
      "rating": 4,
      "website": "http://www.bellin.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "parentSystemId": "entity-bellin-gundersen-health-system-inc",
      "siblingGroupId": "siblings-wi-bellin-gundersen-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "52004F",
      "ccn": "52004F",
      "name": "MADISON VA MEDICAL CENTER",
      "address": "2500 OVERLOOK TERRACE",
      "city": "MADISON",
      "state": "WI",
      "zip": "53705",
      "county": "DANE",
      "latitude": 43.0746831220427,
      "longitude": -89.4309582145659,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wi-veterans-health-administration",
      "campusFamilyId": "campus-wi-52004f",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "520051",
      "ccn": "520051",
      "name": "ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE",
      "address": "2323 N LAKE DR",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53211",
      "county": "MILWAUKEE",
      "latitude": 43.0611632899737,
      "longitude": -87.8800903299777,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 432,
      "rating": 3,
      "status": "signal",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ascension",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milwaukee-ascension-columbia-st-marys-hospital-milwaukee/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-wi-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL W JACKSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DANIEL W JACKSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520057",
      "ccn": "520057",
      "name": "SSM HEALTH ST CLARE HOSPITAL - BARABOO",
      "address": "707 14TH ST",
      "city": "BARABOO",
      "state": "WI",
      "zip": "53913",
      "county": "SAUK",
      "latitude": 43.4809709403004,
      "longitude": -89.730524070126,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 4,
      "website": "http://www.stclare.com",
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-wi-ssm-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520062",
      "ccn": "520062",
      "name": "PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL",
      "address": "791 E SUMMIT AVE",
      "city": "OCONOMOWOC",
      "state": "WI",
      "zip": "53066",
      "county": "WAUKESHA",
      "latitude": 43.1000613401093,
      "longitude": -88.4868137403949,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 156,
      "rating": 5,
      "website": "http://www.prohealthcare.org/locations/locations-v2-detail/?id=1123",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oconomowoc-prohealth-oconomowoc-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PROHEALTH CARE INC",
      "parentSystemId": "entity-prohealth-care-inc",
      "siblingGroupId": "siblings-wi-prohealth-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: PROHEALTH CARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROHEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: PROHEALTH CARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PROHEALTH CARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520066",
      "ccn": "520066",
      "name": "MERCY HEALTH SYSTEM CORP",
      "address": "1000 MINERAL POINT AVE",
      "city": "JANESVILLE",
      "state": "WI",
      "zip": "53548",
      "county": "ROCK",
      "latitude": 42.6878459098362,
      "longitude": -89.0331904204046,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 240,
      "rating": 3,
      "website": "http://www.mercyhealthsystem.org",
      "status": "corporate_chain",
      "parentSystem": "MERCY HEALTH CORPORATION",
      "affiliatedSystem": "Bon Secours Mercy Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Bon Secours Mercy Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mercy-health-corporation",
      "siblingGroupId": "siblings-wi-mercy-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mercy-health-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MERCY HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to MERCY HEALTH CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MERCY HEALTH CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Mercy; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Bon Secours Mercy Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to MERCY HEALTH CORPORATION; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MERCY HEALTH CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520071",
      "ccn": "520071",
      "name": "FORT MEMORIAL HOSPITAL",
      "address": "611 SHERMAN AVE E",
      "city": "FORT ATKINSON",
      "state": "WI",
      "zip": "53538",
      "county": "JEFFERSON",
      "latitude": 42.9311039299893,
      "longitude": -88.8279768101265,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 49,
      "rating": 4,
      "website": "http://www.forthealthcare.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FORT HEALTHCARE INC",
      "parentSystemId": "entity-fort-healthcare-inc",
      "siblingGroupId": "siblings-wi-fort-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-fort-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to FORT HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to FORT HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FORT HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520075",
      "ccn": "520075",
      "name": "ST VINCENT HOSPITAL",
      "address": "835 S VAN BUREN ST",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54301",
      "county": "BROWN",
      "latitude": 44.5011300299799,
      "longitude": -88.0123448704457,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 517,
      "rating": 4,
      "website": "www.stvincenthospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-green-bay-st-vincent-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS HEALTH SYSTEM INC",
      "parentSystemId": "entity-hospital-sisters-health-system-inc",
      "siblingGroupId": "siblings-wi-hospital-sisters-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-hospital-sisters-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520076",
      "ccn": "520076",
      "name": "MARSHFIELD MEDICAL CENTER - BEAVER DAM",
      "address": "707 S UNIVERSITY AVE",
      "city": "BEAVER DAM",
      "state": "WI",
      "zip": "53916",
      "county": "DODGE",
      "latitude": 43.4484329501446,
      "longitude": -88.8261181095654,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 125,
      "rating": 2,
      "website": "http://www.bdch.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520078",
      "ccn": "520078",
      "name": "ASCENSION ST FRANCIS HOSPITAL",
      "address": "3237 S 16TH ST",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53215",
      "county": "MILWAUKEE",
      "latitude": 42.98565775014,
      "longitude": -87.9346572899657,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 260,
      "rating": 3,
      "website": "http://www.mywheaton.org",
      "status": "corporate_chain",
      "parentSystem": "WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milwaukee-ascension-st-francis-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "siblingGroupId": "siblings-wi-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL W JACKSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists DANIEL W JACKSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520083",
      "ccn": "520083",
      "name": "SSM HEALTH ST MARY'S HOSPITAL - MADISON",
      "address": "700 SOUTH PARK ST",
      "city": "MADISON",
      "state": "WI",
      "zip": "53715",
      "county": "DANE",
      "latitude": 43.0593384601487,
      "longitude": -89.4014292203478,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 440,
      "rating": 4,
      "website": "https://www.ssmhealth.com/locations/st-marys-hospital-madison",
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE OF WISCONSIN INC",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-of-wisconsin-inc",
      "siblingGroupId": "siblings-wi-ssm-health-care-of-wisconsin-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520087",
      "ccn": "520087",
      "name": "GUNDERSEN LUTHERAN MEDICAL CENTER",
      "address": "1910 SOUTH AVE",
      "city": "LA CROSSE",
      "state": "WI",
      "zip": "54601",
      "county": "LA CROSSE",
      "latitude": 43.7945860200671,
      "longitude": -91.2469671601639,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 325,
      "rating": 4,
      "website": "http://www.gundluth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-la-crosse-gundersen-lutheran-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "parentSystemId": "entity-bellin-gundersen-health-system-inc",
      "siblingGroupId": "siblings-wi-bellin-gundersen-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520088",
      "ccn": "520088",
      "name": "ST AGNES HOSPITAL",
      "address": "430 E DIVISION ST",
      "city": "FOND DU LAC",
      "state": "WI",
      "zip": "54935",
      "county": "FOND DU LAC",
      "latitude": 43.7775767898517,
      "longitude": -88.4309636502113,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 146,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-wi-ssm-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520089",
      "ccn": "520089",
      "name": "UNITYPOINT HEALTH - MERITER",
      "address": "202 S PARK ST",
      "city": "MADISON",
      "state": "WI",
      "zip": "53715",
      "county": "DANE",
      "latitude": 43.0652117601975,
      "longitude": -89.40158430999,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 389,
      "rating": 5,
      "website": "http://www.meriter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-wi-iowa-health-system",
      "campusFamilyId": "campus-wi-520089",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-iowa-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BETH ERDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BETH ERDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520089-loc-wi-madison-unitypoint-health-meriter-child-and-adolesc",
      "ccn": "520089",
      "name": "UNITYPOINT HEALTH MERITER CHILD AND ADOLESCENT PSYCH",
      "address": "8102 WELLNESS WAY",
      "city": "MADISON",
      "state": "WI",
      "zip": "53719",
      "county": "DANE",
      "latitude": 43.0191533699425,
      "longitude": -89.5250062301056,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 30,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "IOWA HEALTH SYSTEM",
      "parentSystemId": "entity-iowa-health-system",
      "siblingGroupId": "siblings-wi-iowa-health-system",
      "campusFamilyId": "campus-wi-520089",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-iowa-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: IOWA HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BETH ERDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IOWA HEALTH SYSTEM (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists BETH ERDMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to IOWA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IOWA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "520089"
    },
    {
      "id": "520095",
      "ccn": "520095",
      "name": "SAUK PRAIRIE HOSPITAL",
      "address": "260 26TH STREET",
      "city": "PRAIRIE DU SAC",
      "state": "WI",
      "zip": "53578",
      "county": "SAUK",
      "latitude": 43.2872726600973,
      "longitude": -89.752105360005,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": 5,
      "website": "http://www.saukprairiehealthcare.org/clinic-details/location/sauk-prairie-hospital",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-prairie-du-sac-sauk-prairie-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SAUK PRAIRIE HEALTHCARE INC",
      "parentSystemId": "entity-sauk-prairie-healthcare-inc",
      "siblingGroupId": "siblings-wi-sauk-prairie-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-sauk-prairie-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS lists JAMES DREGNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to SAUK PRAIRIE HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAUK PRAIRIE HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JAMES DREGNEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to SAUK PRAIRIE HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAUK PRAIRIE HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520096",
      "ccn": "520096",
      "name": "ASCENSION ALL SAINTS HOSPITAL",
      "address": "3801 SPRING ST",
      "city": "RACINE",
      "state": "WI",
      "zip": "53405",
      "county": "RACINE",
      "latitude": 42.7316504503003,
      "longitude": -87.8265028103305,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 314,
      "rating": 2,
      "website": "http://www.allsaintshealth.com",
      "status": "corporate_chain",
      "parentSystem": "WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "siblingGroupId": "siblings-wi-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "campusFamilyId": "campus-wi-520096",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520096-loc-wi-racine-ascension-all-saints-hospital",
      "ccn": "520096",
      "name": "ASCENSION ALL SAINTS HOSPITAL",
      "address": "1320 WISCONSIN AVE",
      "city": "RACINE",
      "state": "WI",
      "zip": "53403",
      "county": "RACINE",
      "latitude": 42.7158756301477,
      "longitude": -87.7842033696266,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 239,
      "rating": 2,
      "website": "http://www.allsaintshealth.com",
      "status": "corporate_chain",
      "parentSystem": "WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "siblingGroupId": "siblings-wi-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "campusFamilyId": "campus-wi-520096",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "520096"
    },
    {
      "id": "520097",
      "ccn": "520097",
      "name": "ST MARYS HOSPITAL MEDICAL CTR",
      "address": "1726 SHAWANO AVE",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54303",
      "county": "BROWN",
      "latitude": 44.5327629801157,
      "longitude": -88.0660903696154,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 158,
      "rating": 3,
      "website": "www.stmgb.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS HEALTH SYSTEM INC",
      "parentSystemId": "entity-hospital-sisters-health-system-inc",
      "siblingGroupId": "siblings-wi-hospital-sisters-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-hospital-sisters-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 50%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520102",
      "ccn": "520102",
      "name": "AURORA LAKELAND MEDICAL CENTER",
      "address": "W3985 COUNTY ROAD NN",
      "city": "ELKHORN",
      "state": "WI",
      "zip": "53121",
      "county": "WALWORTH",
      "latitude": 42.661895029951,
      "longitude": -88.4961919902643,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 109,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-elkhorn-aurora-lakeland-med-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520107",
      "ccn": "520107",
      "name": "HOLY FAMILY MEMORIAL",
      "address": "2300 WESTERN AVE",
      "city": "MANITOWOC",
      "state": "WI",
      "zip": "54221",
      "county": "MANITOWOC",
      "latitude": 44.0946546603061,
      "longitude": -87.6764957802857,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 167,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-manitowoc-holy-family-memorial-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "HFM HOLDING LLC",
      "parentSystemId": "entity-hfm-holding-llc",
      "siblingGroupId": "siblings-wi-hfm-holding-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HFM HOLDING LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HFM HOLDING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HFM HOLDING LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HFM HOLDING LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "520109",
      "ccn": "520109",
      "name": "MILE BLUFF MEDICAL CENTER",
      "address": "1050 DIVISION ST",
      "city": "MAUSTON",
      "state": "WI",
      "zip": "53948",
      "county": "JUNEAU",
      "latitude": 43.782835450262,
      "longitude": -90.0751558702412,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 40,
      "rating": 4,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mauston-mile-bluff-medical-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "MILE BLUFF MEDICAL CENTER INC",
      "parentSystemId": "entity-mile-bluff-medical-center-inc",
      "siblingGroupId": "siblings-wi-mile-bluff-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-mile-bluff-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS lists DARA BETH BARTELS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to MILE BLUFF MEDICAL CENTER INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILE BLUFF MEDICAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DARA BETH BARTELS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to MILE BLUFF MEDICAL CENTER INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MILE BLUFF MEDICAL CENTER INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "520113",
      "ccn": "520113",
      "name": "AURORA MEDICAL CENTER BAY AREA",
      "address": "3003 UNIVERSITY DR",
      "city": "MARINETTE",
      "state": "WI",
      "zip": "54143",
      "county": "MARINETTE",
      "latitude": 45.0719686798808,
      "longitude": -87.6176965300074,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 55,
      "rating": 4,
      "website": "http://www.bamc.org",
      "status": "corporate_chain",
      "parentSystem": "Advocate Health",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marinette-aurora-medical-center-bay-area/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-wi-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520136",
      "ccn": "520136",
      "name": "ASCENSION SE WISCONSIN HOSPITAL - ST JOSEPH CAMPUS",
      "address": "5000 W CHAMBERS ST",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53210",
      "county": "MILWAUKEE",
      "latitude": 43.0741202500527,
      "longitude": -87.9760734001827,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 538,
      "rating": 5,
      "website": "http://www.mywheaton.org/stjoseph",
      "status": "signal",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Ascension",
      "publicControlBadge": "Ownership warning",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-wi-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KURT SCHLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KURT SCHLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520138",
      "ccn": "520138",
      "name": "AURORA ST LUKES MEDICAL CENTER",
      "address": "2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA BUILDING",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53215",
      "county": "MILWAUKEE",
      "latitude": 42.9888281702035,
      "longitude": -87.9502517702101,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 29,
      "rating": 4,
      "website": "https://www.aurorahealthcare.org/locations/clinic/abdominal-transplant-program-aslmc",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Aurorahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Aurorahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "campusFamilyId": "campus-wi-520138",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Aurorahealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Aurorahealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520138-loc-wi-milwaukee-aurora-st-lukes-medical-center",
      "ccn": "520138",
      "name": "AURORA ST LUKES MEDICAL CENTER",
      "address": "2900 W OKLAHOMA AVE",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53215",
      "county": "MILWAUKEE",
      "latitude": 42.9896262296951,
      "longitude": -87.9502107702022,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 938,
      "rating": 4,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Aurorahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Aurorahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "campusFamilyId": "campus-wi-520138",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Aurorahealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Aurorahealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "520138"
    },
    {
      "id": "520160",
      "ccn": "520160",
      "name": "THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC",
      "address": "1818 N MEADE ST",
      "city": "APPLETON",
      "state": "WI",
      "zip": "54911",
      "county": "OUTAGAMIE",
      "latitude": 44.2784606599994,
      "longitude": -88.3938163000883,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 160,
      "rating": 4,
      "website": "http://www.thedacare.org",
      "status": "corporate_chain",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "affiliatedSystem": "Thedacare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Thedacare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-appleton-thedacare-regional-medical-center---appleton/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Thedacare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Thedacare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Thedacare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Thedacare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520177",
      "ccn": "520177",
      "name": "FROEDTERT MEMORIAL LUTHERAN HOSPITAL",
      "address": "9200 W WISCONSIN AVE",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53226",
      "county": "MILWAUKEE",
      "latitude": 43.0407334907579,
      "longitude": -88.0245800782273,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": null,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-milwaukee-froedtert-memorial-lutheran-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "campusFamilyId": "campus-wi-520177",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520177-loc-wi-milwaukee-froedtert-memorial-lutheran-hospital-chw",
      "ccn": "520177",
      "name": "FROEDTERT MEMORIAL LUTHERAN HOSPITAL CHW",
      "address": "9200 W WISCONSIN AVE",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53226",
      "county": "MILWAUKEE",
      "latitude": 43.0408976819977,
      "longitude": -88.0249134331478,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 59,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "campusFamilyId": "campus-wi-520177",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "520177"
    },
    {
      "id": "520193",
      "ccn": "520193",
      "name": "AURORA BAYCARE MEDICAL CTR",
      "address": "2845 GREENBRIER RD",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54311",
      "county": "BROWN",
      "latitude": 44.4749558997355,
      "longitude": -87.9408808595766,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 167,
      "rating": 4,
      "website": "http://www.aurorabaycare.com",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-green-bay-aurora-baycare-med-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Advocate Health",
      "parentSystemId": "entity-advocate-health",
      "siblingGroupId": "siblings-wi-advocate-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE HEALTH INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Advocate Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520194",
      "ccn": "520194",
      "name": "ORTHOPAEDIC HOSPITAL OF WISCONSIN",
      "address": "475 W RIVER WOODS PKWY",
      "city": "GLENDALE",
      "state": "WI",
      "zip": "53212",
      "county": "MILWAUKEE",
      "latitude": 43.0979459302323,
      "longitude": -87.9146822201539,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 30,
      "rating": null,
      "website": "http://www.ohow.org",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "COLUMBIA ST. MARY'S, INC",
      "parentSystemId": "entity-columbia-st-mary-s-inc",
      "siblingGroupId": "siblings-wi-columbia-st-mary-s-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA ST. MARY'S, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA ST. MARY'S, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA ST. MARY'S, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COLUMBIA ST. MARY'S, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520196",
      "ccn": "520196",
      "name": "OAKLEAF SURGICAL HOSPITAL",
      "address": "1000 OAKLEAF WAY",
      "city": "ALTOONA",
      "state": "WI",
      "zip": "54720",
      "county": "EAU CLAIRE",
      "latitude": 44.8157161902991,
      "longitude": -91.4527104800155,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 13,
      "rating": null,
      "website": "http://www.oakleafsurgical.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "NATIONAL SURGICAL HOSPITALS, LLC",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-altoona-oakleaf-surgical-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-national-surgical-hospitals-llc",
      "siblingGroupId": "siblings-wi-national-surgical-hospitals-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 64.35%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NATIONAL SURGICAL HOSPITALS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 64.35%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NATIONAL SURGICAL HOSPITALS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "520198",
      "ccn": "520198",
      "name": "AURORA MEDICAL CTR OSHKOSH",
      "address": "855 N WESTHAVEN DRIVE",
      "city": "OSHKOSH",
      "state": "WI",
      "zip": "54904",
      "county": "WINNEBAGO",
      "latitude": 44.0277467797286,
      "longitude": -88.595218370294,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 84,
      "rating": 4,
      "website": "http://www.aurorahealthcare.com",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oshkosh-aurora-med-ctr-oshkosh/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520202",
      "ccn": "520202",
      "name": "MARSHFIELD MEDICAL CENTER - WESTON",
      "address": "3400 MINISTRY PARKWAY",
      "city": "WESTON",
      "state": "WI",
      "zip": "54476",
      "county": "MARATHON",
      "latitude": 44.8901823101336,
      "longitude": -89.5801459900547,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 99,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-weston-marshfield-medical-center---weston/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520205",
      "ccn": "520205",
      "name": "MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL",
      "address": "10101 SOUTH 27TH ST, 2ND FLOOR",
      "city": "FRANKLIN",
      "state": "WI",
      "zip": "53132",
      "county": "MILWAUKEE",
      "latitude": 42.8598942399588,
      "longitude": -87.9543016297342,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 16,
      "rating": null,
      "website": "http://www.mymosh.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-franklin-midwest-orthopedic-specialty-hospital-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC",
      "parentSystemId": "entity-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "siblingGroupId": "siblings-wi-wheaton-franciscan-healthcare-southeast-wisconsin-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MICHAEL MCCULLOUGH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WHEATON FRANCISCAN HEALTHCARE SOUTHEAST WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520206",
      "ccn": "520206",
      "name": "AURORA MEDICAL CENTER SUMMIT",
      "address": "36500 AURORA DRIVE",
      "city": "SUMMIT",
      "state": "WI",
      "zip": "53066",
      "county": "WAUKESHA",
      "latitude": 43.0659120599872,
      "longitude": -88.4675786497136,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 117,
      "rating": 5,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-summit-aurora-medical-center-summit/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520207",
      "ccn": "520207",
      "name": "AURORA MEDICAL CENTER",
      "address": "975 PORT WASHINGTON ROAD",
      "city": "GRAFTON",
      "state": "WI",
      "zip": "53024",
      "county": "OZAUKEE",
      "latitude": 43.323652089685,
      "longitude": -87.9281715398526,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 132,
      "rating": 5,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Advocate Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Advocate Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Advocate Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Advocate Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520208",
      "ccn": "520208",
      "name": "SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE",
      "address": "3400 EAST RACINE STREET",
      "city": "JANESVILLE",
      "state": "WI",
      "zip": "53546",
      "county": "ROCK",
      "latitude": 42.6692884403056,
      "longitude": -88.9768889896727,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 50,
      "rating": 4,
      "website": "http://www.stmarysjanesville.com",
      "status": "corporate_chain",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "affiliatedSystem": "SSM Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "SSM Health",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-wi-ssm-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: UMass Memorial Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: SSM Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520210",
      "ccn": "520210",
      "name": "MARSHFIELD MEDICAL CENTER - EAU CLAIRE",
      "address": "2310 CRAIG RD",
      "city": "EAU CLAIRE",
      "state": "WI",
      "zip": "54701",
      "county": "EAU CLAIRE",
      "latitude": 44.794876880265,
      "longitude": -91.5207727002611,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 56,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eau-claire-marshfield-medical-center---eau-claire/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "campusFamilyId": "campus-wi-520210",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520210-loc-wi-eau-claire-marshfield-medical-center-eau-claire-tel",
      "ccn": "520210",
      "name": "MARSHFIELD MEDICAL CENTER - EAU CLAIRE TEL",
      "address": "2116 CRAIG RD",
      "city": "EAU CLAIRE",
      "state": "WI",
      "zip": "54701",
      "county": "EAU CLAIRE",
      "latitude": 44.7964314997996,
      "longitude": -91.5210137002855,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "campusFamilyId": "campus-wi-520210",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "520210"
    },
    {
      "id": "520212",
      "ccn": "520212",
      "name": "MARSHFIELD MEDICAL CENTER - MINOCQUA",
      "address": "9576 HIGHWAY 70",
      "city": "MINOCQUA",
      "state": "WI",
      "zip": "54548",
      "county": "ONEIDA",
      "latitude": 45.8901265801048,
      "longitude": -89.7084632397853,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 19,
      "rating": 5,
      "website": "https://www.marshfieldclinic.org/locations/centers/minocqua%20-%20marshfield%20medical%20center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-minocqua-marshfield-medical-center---minocqua/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520213",
      "ccn": "520213",
      "name": "FROEDTERT COMMUNITY HOSPITAL",
      "address": "4805 S MOORLAND RD",
      "city": "NEW BERLIN",
      "state": "WI",
      "zip": "53151",
      "county": "WAUKESHA",
      "latitude": 42.9577120000954,
      "longitude": -88.1113665001841,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALLEN ERICSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists ALLEN ERICSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520214",
      "ccn": "520214",
      "name": "ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS",
      "address": "N88W14275 MAIN STREET, SUITE 100",
      "city": "MENOMONEE FALLS",
      "state": "WI",
      "zip": "53051",
      "county": "WAUKESHA",
      "latitude": 43.1777265998759,
      "longitude": -88.0876973998206,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 8,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION WISCONSIN EMERUS JV, LLC",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-wisconsin-emerus-jv-llc",
      "siblingGroupId": "siblings-wi-ascension-wisconsin-emerus-jv-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION WISCONSIN EMERUS JV, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW T HANSELMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION WISCONSIN EMERUS JV, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION WISCONSIN EMERUS JV, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists MATTHEW T HANSELMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION WISCONSIN EMERUS JV, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "520215",
      "ccn": "520215",
      "name": "MARSHFIELD MEDICAL CENTER - RIVER REGION",
      "address": "4100 STATE HIGHWAY 66",
      "city": "STEVENS POINT",
      "state": "WI",
      "zip": "54482",
      "county": "PORTAGE",
      "latitude": 44.5429338039025,
      "longitude": -89.5442537669451,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 12,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD MEDICAL CENTER - RIVER REGION",
      "parentSystemId": "entity-marshfield-medical-center-river-region",
      "siblingGroupId": "siblings-wi-marshfield-medical-center-river-region",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD MEDICAL CENTER - RIVER REGION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD MEDICAL CENTER - RIVER REGION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521300",
      "ccn": "521300",
      "name": "ASPIRUS EAGLE RIVER HOSPITAL",
      "address": "201 HOSPITAL ROAD",
      "city": "EAGLE RIVER",
      "state": "WI",
      "zip": "54521",
      "county": "VILAS",
      "latitude": 45.9280646302701,
      "longitude": -89.2516611897792,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eagle-river-aspirus-eagle-river-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521302",
      "ccn": "521302",
      "name": "MAYO CLINIC HEALTH SYSTEM - OAKRIDGE",
      "address": "13025 8TH ST",
      "city": "OSSEO",
      "state": "WI",
      "zip": "54758",
      "county": "TREMPEALEAU",
      "latitude": 44.5779668301696,
      "longitude": -91.213177019972,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-osseo-mayo-clinic-health-system-oakridge-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-wi-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521303",
      "ccn": "521303",
      "name": "THEDACARE MEDICAL CENTER - WILD ROSE INC",
      "address": "601 GROVE AVE",
      "city": "WILD ROSE",
      "state": "WI",
      "zip": "54984",
      "county": "WAUSHARA",
      "latitude": 44.1835605302231,
      "longitude": -89.246059499585,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-wild-rose-thedacare-medical-center---wild-rose/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521304",
      "ccn": "521304",
      "name": "GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS",
      "address": "400 WATER AVE",
      "city": "HILLSBORO",
      "state": "WI",
      "zip": "54634",
      "county": "VERNON",
      "latitude": 43.648726080139,
      "longitude": -90.3452040701187,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.stjhealthcare.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "parentSystemId": "entity-bellin-gundersen-health-system-inc",
      "siblingGroupId": "siblings-wi-bellin-gundersen-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN GUNDERSEN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN GUNDERSEN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521305",
      "ccn": "521305",
      "name": "MAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA",
      "address": "310 W MAIN ST",
      "city": "SPARTA",
      "state": "WI",
      "zip": "54656",
      "county": "MONROE",
      "latitude": 43.9442259599974,
      "longitude": -90.8143835896064,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sparta-mayo-clinic-hlth-systm-franciscan-hlthcare-sparta/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-wi-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521310",
      "ccn": "521310",
      "name": "HSHS ST CLARE MEMORIAL HOSPITAL",
      "address": "855 S MAIN ST",
      "city": "OCONTO FALLS",
      "state": "WI",
      "zip": "54154",
      "county": "OCONTO",
      "latitude": 44.8653345499142,
      "longitude": -88.1276934397618,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.stclarememorial.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oconto-falls-hshs-st-clare-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "HOSPITAL SISTERS HEALTH SYSTEM INC",
      "parentSystemId": "entity-hospital-sisters-health-system-inc",
      "siblingGroupId": "siblings-wi-hospital-sisters-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-hospital-sisters-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOSPITAL SISTERS HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HOSPITAL SISTERS HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HOSPITAL SISTERS HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521311",
      "ccn": "521311",
      "name": "ASPIRUS STANLEY HOSPITAL",
      "address": "1120 PINE ST",
      "city": "STANLEY",
      "state": "WI",
      "zip": "54768",
      "county": "CLARK",
      "latitude": 44.9535820902485,
      "longitude": -90.9188997602885,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GREG SHAW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists GREG SHAW as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521312",
      "ccn": "521312",
      "name": "MEMORIAL HOSPITAL OF LAFAYETTE COUNTY",
      "address": "800 CLAY ST",
      "city": "DARLINGTON",
      "state": "WI",
      "zip": "53530",
      "county": "LAFAYETTE",
      "latitude": 42.6836436897389,
      "longitude": -90.1100271697085,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.memorialhospitaloflafayettecounty.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "LAFAYETTE COUNTY",
      "parentSystemId": "entity-lafayette-county",
      "siblingGroupId": "siblings-wi-lafayette-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-lafayette-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: LAFAYETTE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to LAFAYETTE COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LAFAYETTE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to LAFAYETTE COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LAFAYETTE COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "521313",
      "ccn": "521313",
      "name": "ASPIRUS TOMAHAWK HOSPITAL",
      "address": "401 W MOHAWK DR SUITE 100",
      "city": "TOMAHAWK",
      "state": "WI",
      "zip": "54487",
      "county": "LINCOLN",
      "latitude": 45.4864803300892,
      "longitude": -89.733975410024,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521314",
      "ccn": "521314",
      "name": "MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY",
      "address": "1501 THOMPSON ST",
      "city": "BLOOMER",
      "state": "WI",
      "zip": "54724",
      "county": "CHIPPEWA",
      "latitude": 45.1016772099134,
      "longitude": -91.5014832498271,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "signal",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-bloomer-mayo-clinic-health-system--chippewa-valley-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-wi-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521315",
      "ccn": "521315",
      "name": "MAYO CLINIC HEALTH SYSTEM - NORTHLAND",
      "address": "1222 E WOODLAND AVE",
      "city": "BARRON",
      "state": "WI",
      "zip": "54812",
      "county": "BARRON",
      "latitude": 45.397409620312,
      "longitude": -91.8395260896913,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-wi-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521317",
      "ccn": "521317",
      "name": "ASCENSION CALUMET HOSPITAL",
      "address": "614 MEMORIAL DRIVE",
      "city": "CHILTON",
      "state": "WI",
      "zip": "53014",
      "county": "CALUMET",
      "latitude": 44.0253751498546,
      "longitude": -88.1531909198506,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chilton-ascension-calumet-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-wi-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL BERGMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MICHAEL BERGMANN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Ascension; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521318",
      "ccn": "521318",
      "name": "LADD MEMORIAL HOSPITAL",
      "address": "2600 65TH AVENUE",
      "city": "OSCEOLA",
      "state": "WI",
      "zip": "54020",
      "county": "POLK",
      "latitude": 45.3018607901059,
      "longitude": -92.7006072796692,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 23,
      "rating": null,
      "website": "https://www.myomc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-osceola-ladd-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "LADD MEMORIAL HOSPITAL",
      "parentSystemId": "entity-ladd-memorial-hospital",
      "siblingGroupId": "siblings-wi-ladd-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-ladd-memorial-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to LADD MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LADD MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to LADD MEMORIAL HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LADD MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521319",
      "ccn": "521319",
      "name": "EDGERTON HOSPITAL AND HEALTH SERVICES",
      "address": "11101 N SHERMAN ROAD",
      "city": "EDGERTON",
      "state": "WI",
      "zip": "53534",
      "county": "ROCK",
      "latitude": 42.8347133402386,
      "longitude": -89.044267249729,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "website": "http://www.edgertonhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-edgerton-edgerton-hospital-and-health-services/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "EDGERTON HOSPITAL AND HEALTH SERVICES, INC",
      "parentSystemId": "entity-edgerton-hospital-and-health-services-inc",
      "siblingGroupId": "siblings-wi-edgerton-hospital-and-health-services-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-edgerton-hospital-and-health-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS lists MARC A AUGSBURGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to EDGERTON HOSPITAL AND HEALTH SERVICES, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EDGERTON HOSPITAL AND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists MARC A AUGSBURGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to EDGERTON HOSPITAL AND HEALTH SERVICES, INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EDGERTON HOSPITAL AND HEALTH SERVICES, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521320",
      "ccn": "521320",
      "name": "TOMAH MEMORIAL HOSPITAL",
      "address": "501 GOPHER DR",
      "city": "TOMAH",
      "state": "WI",
      "zip": "54660",
      "county": "MONROE",
      "latitude": 43.9591150398327,
      "longitude": -90.5121263401326,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "https://www.tomahhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-tomah-tomah-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "TOMAH MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-tomah-memorial-hospital-inc",
      "siblingGroupId": "siblings-wi-tomah-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-tomah-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to TOMAH MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOMAH MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to TOMAH MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOMAH MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521321",
      "ccn": "521321",
      "name": "RIPON MEDICAL CENTER",
      "address": "845 PARKSIDE ST",
      "city": "RIPON",
      "state": "WI",
      "zip": "54971",
      "county": "FOND DU LAC",
      "latitude": 43.8343760898778,
      "longitude": -88.8177515297925,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "website": "http://www.agnesian.com/locations/hospitals/ripon-medical-center",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ripon-ripon-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "AGNESIAN HEALTHCARE INC",
      "parentSystemId": "entity-agnesian-healthcare-inc",
      "siblingGroupId": "siblings-wi-agnesian-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-agnesian-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: AGNESIAN HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to AGNESIAN HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AGNESIAN HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AGNESIAN HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to AGNESIAN HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AGNESIAN HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521322",
      "ccn": "521322",
      "name": "GRANT REGIONAL HEALTH CENTER",
      "address": "507 S MONROE ST",
      "city": "LANCASTER",
      "state": "WI",
      "zip": "53813",
      "county": "GRANT",
      "latitude": 42.8439075498379,
      "longitude": -90.7088630997416,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.grantregional.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GRANT REGIONAL HEALTH CENTER INC",
      "parentSystemId": "entity-grant-regional-health-center-inc",
      "siblingGroupId": "siblings-wi-grant-regional-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-grant-regional-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GRANT REGIONAL HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT REGIONAL HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GRANT REGIONAL HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GRANT REGIONAL HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521323",
      "ccn": "521323",
      "name": "MARSHFIELD MEDICAL CENTER - NEILLSVILLE",
      "address": "N3708 RIVER AVE",
      "city": "NEILLSVILLE",
      "state": "WI",
      "zip": "54456",
      "county": "CLARK",
      "latitude": 44.5578867102614,
      "longitude": -90.607874940167,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-neillsville-marshfield-medical-ctr-neillsville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521326",
      "ccn": "521326",
      "name": "THEDACARE MEDICAL CENTER NEW LONDON",
      "address": "1405 MILL ST",
      "city": "NEW LONDON",
      "state": "WI",
      "zip": "54961",
      "county": "OUTAGAMIE",
      "latitude": 44.3811562701926,
      "longitude": -88.7337008497784,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.thedacare.org/hospitals-and-clinics/thedacare-medical-center-new-london.aspx",
      "status": "corporate_chain",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "affiliatedSystem": "Thedacare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "low",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Thedacare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-london-thedacare-medical-center-new-london/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Thedacare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Thedacare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Thedacare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Thedacare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521327",
      "ccn": "521327",
      "name": "WAUPUN MEMORIAL HOSPITAL",
      "address": "620 W BROWN ST",
      "city": "WAUPUN",
      "state": "WI",
      "zip": "53963",
      "county": "DODGE",
      "latitude": 43.6316548302829,
      "longitude": -88.7456216696685,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://www.agnesian.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE CORPORATION",
      "parentSystemId": "entity-ssm-health-care-corporation",
      "siblingGroupId": "siblings-wi-ssm-health-care-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE CORPORATION, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521328",
      "ccn": "521328",
      "name": "MARSHFIELD MEDICAL CENTER - LADYSMITH",
      "address": "900 COLLEGE AVE WEST",
      "city": "LADYSMITH",
      "state": "WI",
      "zip": "54848",
      "county": "RUSK",
      "latitude": 45.4546686702273,
      "longitude": -91.1100498701962,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.ruskhospital.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-ladysmith-marshfield-medical-center---ladysmith/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
      "parentSystemId": "entity-marshfield-clinic-health-system-inc",
      "siblingGroupId": "siblings-wi-marshfield-clinic-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-marshfield-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.marshfieldclinic.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MARSHFIELD CLINIC HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Marshfield Clinic Health System; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MARSHFIELD CLINIC HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521329",
      "ccn": "521329",
      "name": "ESSENTIA HEALTH ST MARY'S HOSPITAL - SUPERIOR",
      "address": "3500 TOWER AVE",
      "city": "SUPERIOR",
      "state": "WI",
      "zip": "54880",
      "county": "DOUGLAS",
      "latitude": 46.6975731500681,
      "longitude": -92.1026321099514,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.essentiahealth.org/essentiahealthstmaryshospitalofsup eriorfoundation/overview.aspx",
      "status": "corporate_chain",
      "parentSystem": "ST MARYS DULUTH CLINIC HEALTH SYSTEM",
      "affiliatedSystem": "Essentiahealth",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Essentiahealth",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-marys-duluth-clinic-health-system",
      "siblingGroupId": "siblings-wi-st-marys-duluth-clinic-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-st-marys-duluth-clinic-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ST MARYS DULUTH CLINIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST MARYS DULUTH CLINIC HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Essentiahealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Essentiahealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ST MARYS DULUTH CLINIC HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST MARYS DULUTH CLINIC HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521330",
      "ccn": "521330",
      "name": "CROSSING RIVERS HEALTH MEDICAL CENTER",
      "address": "37868 US HWY 18",
      "city": "PRAIRIE DU CHIEN",
      "state": "WI",
      "zip": "53821",
      "county": "CRAWFORD",
      "latitude": 43.0218730498958,
      "longitude": -91.113127180356,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.crossingrivers.org/clinics/crossing-rivers-health-clinic-prairie-du-chien.aspx",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-prairie-du-chien-crossing-rivers-health-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC",
      "parentSystemId": "entity-prairie-du-chien-memorial-hospital-association-inc",
      "siblingGroupId": "siblings-wi-prairie-du-chien-memorial-hospital-association-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-prairie-du-chien-memorial-hospital-association-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521331",
      "ccn": "521331",
      "name": "BURNETT MEDICAL CENTER",
      "address": "257 W ST GEORGE AVE",
      "city": "GRANTSBURG",
      "state": "WI",
      "zip": "54840",
      "county": "BURNETT",
      "latitude": 45.7749598596942,
      "longitude": -92.6868951104064,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.burnettmedicalcenter.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-grantsburg-burnett-med-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BURNETT MEDICAL CENTER INC",
      "parentSystemId": "entity-burnett-medical-center-inc",
      "siblingGroupId": "siblings-wi-burnett-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-burnett-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BURNETT MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BURNETT MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BURNETT MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BURNETT MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521332",
      "ccn": "521332",
      "name": "SPOONER HEALTH SYSTEM",
      "address": "1280 CHANDLER DR",
      "city": "SPOONER",
      "state": "WI",
      "zip": "54801",
      "county": "WASHBURN",
      "latitude": 45.8414727001165,
      "longitude": -91.8720680899662,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "https://www.spoonerhealthsystem.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SPOONER HEALTH SYSTEM INC",
      "parentSystemId": "entity-spooner-health-system-inc",
      "siblingGroupId": "siblings-wi-spooner-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-verified-parent-spooner-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHTECH MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHAEL D SCHAFER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HEALTHTECH MANAGEMENT SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPOONER HEALTH SYSTEM INC, ownership class for_profit_private. Excluded HEALTHTECH MANAGEMENT SERVICES INC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHTECH MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHAEL D SCHAFER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HEALTHTECH MANAGEMENT SERVICES INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SPOONER HEALTH SYSTEM INC, ownership class for_profit_private. Excluded HEALTHTECH MANAGEMENT SERVICES INC from the ownership edge because CMS listed only operational/managerial control; retained the direct legal operator as the parent candidate. PE and service-contract exposure remain separate."
    },
    {
      "id": "521333",
      "ccn": "521333",
      "name": "BLACK RIVER MEMORIAL HOSPITAL",
      "address": "711 W ADAMS ST",
      "city": "BLACK RIVER FALLS",
      "state": "WI",
      "zip": "54615",
      "county": "JACKSON",
      "latitude": 44.3032410999092,
      "longitude": -90.8551514395818,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.brmh.net",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BLACK RIVER HEALTH INC",
      "parentSystemId": "entity-black-river-health-inc",
      "siblingGroupId": "siblings-wi-black-river-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-black-river-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BLACK RIVER HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLACK RIVER HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BLACK RIVER HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BLACK RIVER HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521334",
      "ccn": "521334",
      "name": "THEDACARE MEDICAL CENTER - WAUPACA INC",
      "address": "800 RIVERSIDE DRIVE",
      "city": "WAUPACA",
      "state": "WI",
      "zip": "54981",
      "county": "WAUPACA",
      "latitude": 44.345276759831,
      "longitude": -89.0766162397786,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.riversidemedical.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waupaca-thedacare-medical-center---waupaca/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521335",
      "ccn": "521335",
      "name": "HUDSON HOSPITAL AND CLINIC",
      "address": "405 STAGELINE ROAD",
      "city": "HUDSON",
      "state": "WI",
      "zip": "54016",
      "county": "ST. CROIX",
      "latitude": 44.9608096800538,
      "longitude": -92.717610010157,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GROUP HEALTH PLAN INC",
      "parentSystemId": "entity-group-health-plan-inc",
      "siblingGroupId": "siblings-wi-group-health-plan-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-group-health-plan-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GROUP HEALTH PLAN INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GROUP HEALTH PLAN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROUP HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GROUP HEALTH PLAN INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GROUP HEALTH PLAN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROUP HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521337",
      "ccn": "521337",
      "name": "ST CROIX REGIONAL MEDICAL CENTER",
      "address": "235 E STATE STREET",
      "city": "SAINT CROIX FALLS",
      "state": "WI",
      "zip": "54024",
      "county": "POLK",
      "latitude": 45.4090324298293,
      "longitude": -92.6425781200497,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.scrmc.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST. CROIX REGIONAL MEDICAL CENTER",
      "parentSystemId": "entity-st-croix-regional-medical-center",
      "siblingGroupId": "siblings-wi-st-croix-regional-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-st-croix-regional-medical-center"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ST. CROIX REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. CROIX REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ST. CROIX REGIONAL MEDICAL CENTER; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST. CROIX REGIONAL MEDICAL CENTER, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521339",
      "ccn": "521339",
      "name": "ASPIRUS MERRILL HOSPITAL",
      "address": "601 S CENTER AVE",
      "city": "MERRILL",
      "state": "WI",
      "zip": "54452",
      "county": "LINCOLN",
      "latitude": 45.1756325398215,
      "longitude": -89.6818312800191,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ASPIRUS, INC",
      "parentSystemId": "entity-aspirus-inc",
      "siblingGroupId": "siblings-wi-aspirus-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER REDMAN-SCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRUS, INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists JENNIFER REDMAN-SCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRUS, INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521340",
      "ccn": "521340",
      "name": "MAYO CLINIC HEALTH SYSTEM - RED CEDAR",
      "address": "2321 STOUT RD",
      "city": "MENOMONIE",
      "state": "WI",
      "zip": "54751",
      "county": "DUNN",
      "latitude": 44.8829852401264,
      "longitude": -91.9015674101356,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "Mayo Clinic",
      "affiliatedSystem": "Mayo Clinic",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Mayo Clinic",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-menomonie-mayo-clinic-health-system---red-cedar-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-mayo-clinic",
      "siblingGroupId": "siblings-wi-mayo-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-mayo-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.mayoclinic.org/patient-visitor-guide/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MAYO CLINIC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Mayo Clinic; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Mayo Clinic. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Mayo Clinic; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Mayo Clinic, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521341",
      "ccn": "521341",
      "name": "RICHLAND HOSPITAL",
      "address": "333 E SECOND ST",
      "city": "RICHLAND CENTER",
      "state": "WI",
      "zip": "53581",
      "county": "RICHLAND",
      "latitude": 43.3387022800926,
      "longitude": -90.3822743402986,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 1,
      "website": "http://www.richlandhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "RICHLAND HOSPITAL",
      "parentSystemId": "entity-richland-hospital",
      "siblingGroupId": "siblings-wi-richland-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-richland-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to RICHLAND HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICHLAND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to RICHLAND HOSPITAL; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RICHLAND HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521343",
      "ccn": "521343",
      "name": "STOUGHTON HOSPITAL",
      "address": "900 RIDGE ST",
      "city": "STOUGHTON",
      "state": "WI",
      "zip": "53589",
      "county": "DANE",
      "latitude": 42.9202246199617,
      "longitude": -89.2107443497223,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": 3,
      "website": "http://www.stoughtonhospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-stoughton-stoughton-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SSM HEALTH CARE OF WISCONSIN INC",
      "parentSystemId": "entity-ssm-health-care-of-wisconsin-inc",
      "siblingGroupId": "siblings-wi-ssm-health-care-of-wisconsin-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SSM HEALTH CARE OF WISCONSIN INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 40%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SSM HEALTH CARE OF WISCONSIN INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 40%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SSM HEALTH CARE OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521344",
      "ccn": "521344",
      "name": "GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS",
      "address": "205 PARKER ST",
      "city": "BOSCOBEL",
      "state": "WI",
      "zip": "53805",
      "county": "GRANT",
      "latitude": 43.1331841300853,
      "longitude": -90.7086351603231,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.gundersenhealth.org/boscobel",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GUNDERSEN LUTHERAN HEALTH SYSTEM INC",
      "parentSystemId": "entity-gundersen-lutheran-health-system-inc",
      "siblingGroupId": "siblings-wi-gundersen-lutheran-health-system-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GUNDERSEN LUTHERAN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GUNDERSEN LUTHERAN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GUNDERSEN LUTHERAN HEALTH SYSTEM INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GUNDERSEN LUTHERAN HEALTH SYSTEM INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521345",
      "ccn": "521345",
      "name": "WESTFIELDS HOSPITAL AND CLINIC",
      "address": "535 HOSPITAL RD",
      "city": "NEW RICHMOND",
      "state": "WI",
      "zip": "54017",
      "county": "ST. CROIX",
      "latitude": 45.1177607498788,
      "longitude": -92.5555003798362,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.westfieldshospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "GROUP HEALTH PLAN INC",
      "parentSystemId": "entity-group-health-plan-inc",
      "siblingGroupId": "siblings-wi-group-health-plan-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-group-health-plan-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: GROUP HEALTH PLAN INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GROUP HEALTH PLAN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROUP HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: GROUP HEALTH PLAN INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to GROUP HEALTH PLAN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent GROUP HEALTH PLAN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521346",
      "ccn": "521346",
      "name": "THEDACARE MEDICAL CENTER - SHAWANO INC",
      "address": "100 COUNTY RD B",
      "city": "SHAWANO",
      "state": "WI",
      "zip": "54166",
      "county": "SHAWANO",
      "latitude": 44.7605339996847,
      "longitude": -88.6066960000504,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-shawano-thedacare-medical-center---shawano/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "FROEDTERT THEDACARE HEALTH, INC.",
      "parentSystemId": "entity-froedtert-thedacare-health-inc",
      "siblingGroupId": "siblings-wi-froedtert-thedacare-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-froedtert-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.froedtert.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: FROEDTERT THEDACARE HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Froedtert Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FROEDTERT THEDACARE HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521347",
      "ccn": "521347",
      "name": "WESTERN WISCONSIN HEALTH",
      "address": "1100 BERGSLIEN ST",
      "city": "BALDWIN",
      "state": "WI",
      "zip": "54002",
      "county": "ST. CROIX",
      "latitude": 44.941339000036,
      "longitude": -92.3783010002897,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "https://www.wwhealth.org/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "BALDWIN AREA MEDICAL CENTER INC",
      "parentSystemId": "entity-baldwin-area-medical-center-inc",
      "siblingGroupId": "siblings-wi-baldwin-area-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-baldwin-area-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BALDWIN AREA MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BALDWIN AREA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to BALDWIN AREA MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BALDWIN AREA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521348",
      "ccn": "521348",
      "name": "VERNON MEMORIAL HOSPITAL",
      "address": "507 SOUTH MAIN ST",
      "city": "VIROQUA",
      "state": "WI",
      "zip": "54665",
      "county": "VERNON",
      "latitude": 43.551673970296,
      "longitude": -90.8883912799155,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": null,
      "website": "http://www.vmh.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "VERNON MEMORIAL HEALTHCARE INC",
      "parentSystemId": "entity-vernon-memorial-healthcare-inc",
      "siblingGroupId": "siblings-wi-vernon-memorial-healthcare-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-vernon-memorial-healthcare-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to VERNON MEMORIAL HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VERNON MEMORIAL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to VERNON MEMORIAL HEALTHCARE INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent VERNON MEMORIAL HEALTHCARE INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521349",
      "ccn": "521349",
      "name": "RIVER FALLS AREA HOSPITAL",
      "address": "1629 E DIVISION ST",
      "city": "RIVER FALLS",
      "state": "WI",
      "zip": "54022",
      "county": "ST. CROIX",
      "latitude": 44.8646750799463,
      "longitude": -92.6027207602255,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://www.allina.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "ALLINA HEALTH SYSTEM",
      "parentSystemId": "entity-allina-health-system",
      "siblingGroupId": "siblings-wi-allina-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-allina-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS lists JILL OSTREM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ALLINA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JILL OSTREM as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ALLINA HEALTH SYSTEM; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALLINA HEALTH SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521350",
      "ccn": "521350",
      "name": "ASPIRUS LANGLADE HOSPITAL",
      "address": "112 E FIFTH AVE",
      "city": "ANTIGO",
      "state": "WI",
      "zip": "54409",
      "county": "LANGLADE",
      "latitude": 45.1416519998041,
      "longitude": -89.1395449996039,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Church",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Church",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-antigo-aspirus-langlade-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "RELIGIOUS HOSPITALLERS OF ST. JOSEPH",
      "parentSystemId": "entity-religious-hospitallers-of-st-joseph",
      "siblingGroupId": "siblings-wi-religious-hospitallers-of-st-joseph",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-religious-hospitallers-of-st-joseph"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: RELIGIOUS HOSPITALLERS OF ST. JOSEPH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to RELIGIOUS HOSPITALLERS OF ST. JOSEPH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RELIGIOUS HOSPITALLERS OF ST. JOSEPH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: RELIGIOUS HOSPITALLERS OF ST. JOSEPH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 55%). CMS lists JERRY M YANG as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to RELIGIOUS HOSPITALLERS OF ST. JOSEPH; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RELIGIOUS HOSPITALLERS OF ST. JOSEPH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521351",
      "ccn": "521351",
      "name": "REEDSBURG AREA MEDICAL CENTER",
      "address": "2000 N DEWEY AVE",
      "city": "REEDSBURG",
      "state": "WI",
      "zip": "53959",
      "county": "SAUK",
      "latitude": 43.5497148397831,
      "longitude": -89.9929386400439,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 5,
      "website": "http://www.ramchealth.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-reedsburg-reedsburg-area-med-ctr/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "REEDSBURG AREA MEDICAL CENTER INC",
      "parentSystemId": "entity-reedsburg-area-medical-center-inc",
      "siblingGroupId": "siblings-wi-reedsburg-area-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-reedsburg-area-medical-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to REEDSBURG AREA MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REEDSBURG AREA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to REEDSBURG AREA MEDICAL CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent REEDSBURG AREA MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521352",
      "ccn": "521352",
      "name": "UPLAND HILLS HEALTH",
      "address": "800 COMPASSION WAY",
      "city": "DODGEVILLE",
      "state": "WI",
      "zip": "53533",
      "county": "IOWA",
      "latitude": 42.9513239601634,
      "longitude": -90.1294627697511,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.uplandhillshealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dodgeville-upland-hills-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "UPLAND HILLS HEALTH INC",
      "parentSystemId": "entity-upland-hills-health-inc",
      "siblingGroupId": "siblings-wi-upland-hills-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-upland-hills-health-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to UPLAND HILLS HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPLAND HILLS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to UPLAND HILLS HEALTH INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent UPLAND HILLS HEALTH INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521353",
      "ccn": "521353",
      "name": "CUMBERLAND MEMORIAL HOSPITAL",
      "address": "1110 7TH AVENUE",
      "city": "CUMBERLAND",
      "state": "WI",
      "zip": "54829",
      "county": "BARRON",
      "latitude": 45.5308499702764,
      "longitude": -92.0285896198065,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 25,
      "rating": null,
      "website": "http://www.cumberlandhealthcare.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-cumberland-cumberland-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "CUMBERLAND MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-cumberland-memorial-hospital-inc",
      "siblingGroupId": "siblings-wi-cumberland-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-cumberland-memorial-hospital-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS lists EMILY DILLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to CUMBERLAND MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists EMILY DILLEY as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to CUMBERLAND MEMORIAL HOSPITAL INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CUMBERLAND MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521354",
      "ccn": "521354",
      "name": "SOUTHWEST HEALTH CENTER",
      "address": "1400 EAST SIDE RD",
      "city": "PLATTEVILLE",
      "state": "WI",
      "zip": "53818",
      "county": "GRANT",
      "latitude": 42.7196312198204,
      "longitude": -90.4581564903139,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 35,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-platteville-southwest-health-center-inc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "SOUTHWEST HEALTH CENTER INC",
      "parentSystemId": "entity-southwest-health-center-inc",
      "siblingGroupId": "siblings-wi-southwest-health-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-southwest-health-center-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS lists JESSE SOOKOCHOFF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to SOUTHWEST HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists JESSE SOOKOCHOFF as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to SOUTHWEST HEALTH CENTER INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SOUTHWEST HEALTH CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521355",
      "ccn": "521355",
      "name": "THEDACARE MEDICAL CENTER - BERLIN INC",
      "address": "225 MEMORIAL DRIVE",
      "city": "BERLIN",
      "state": "WI",
      "zip": "54923",
      "county": "GREEN LAKE",
      "latitude": 43.9784771499387,
      "longitude": -88.9412263597801,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 3,
      "website": "http://www.chnwi.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-berlin-thedacare-medical-center---berlin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "THEDACARE INCORPORATED",
      "parentSystemId": "entity-thedacare-incorporated",
      "siblingGroupId": "siblings-wi-thedacare-incorporated",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: THEDACARE INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THEDACARE INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: THEDACARE INCORPORATED (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THEDACARE INCORPORATED, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521356",
      "ccn": "521356",
      "name": "BELLIN HEALTH OCONTO HOSPITAL",
      "address": "820 ARBUTUS AVE",
      "city": "OCONTO",
      "state": "WI",
      "zip": "54153",
      "county": "OCONTO",
      "latitude": 44.8963803298881,
      "longitude": -87.8655541801223,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 10,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-oconto-bellin-health-oconto-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "BELLIN MEMORIAL HOSPITAL INC",
      "parentSystemId": "entity-bellin-memorial-hospital-inc",
      "siblingGroupId": "siblings-wi-bellin-memorial-hospital-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: BELLIN MEMORIAL HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BELLIN MEMORIAL HOSPITAL INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BELLIN MEMORIAL HOSPITAL INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "521358",
      "ccn": "521358",
      "name": "DOOR COUNTY MEDICAL CENTER",
      "address": "323 SOUTH 18TH AVENUE",
      "city": "STURGEON BAY",
      "state": "WI",
      "zip": "54235",
      "county": "DOOR",
      "latitude": 44.8327026997619,
      "longitude": -87.3533355300577,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 4,
      "website": "http://www.ministryhealth.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sturgeon-bay-door-county-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
      "parentSystemId": "entity-st-vincent-hospital-hospital-sisters-third-order-of-st-francis",
      "siblingGroupId": "siblings-wi-st-vincent-hospital-hospital-sisters-third-order-of-st-francis",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-wisconsin-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (OPERATIONAL/MANAGERIAL CONTROL, 40%). CMS lists BRIAN C STEPHENS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (OPERATIONAL/MANAGERIAL CONTROL, 40%). CMS lists BRIAN C STEPHENS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Wisconsin nonprofit health system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "523300",
      "ccn": "523300",
      "name": "CHILDRENS HOSPITAL OF WISCONSIN",
      "address": "9000 W WISCONSIN AVE",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53226",
      "county": "MILWAUKEE",
      "latitude": 43.0423540001016,
      "longitude": -88.0241530002766,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 298,
      "rating": null,
      "website": "http://www.chw.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDRENS HOSPITAL OF WISCONSIN INC",
      "parentSystemId": "entity-childrens-hospital-of-wisconsin-inc",
      "siblingGroupId": "siblings-wi-childrens-hospital-of-wisconsin-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-childrens-hospital-of-wisconsin-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL OF WISCONSIN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL OF WISCONSIN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "523302",
      "ccn": "523302",
      "name": "CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY",
      "address": "130 SECOND ST",
      "city": "NEENAH",
      "state": "WI",
      "zip": "54956",
      "county": "WINNEBAGO",
      "latitude": 44.1871350600179,
      "longitude": -88.4544402299313,
      "hospitalType": "Childrens",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 42,
      "rating": null,
      "website": "http://www.chw.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "CHILDRENS HOSPITAL OF WISCONSIN INC",
      "parentSystemId": "entity-childrens-hospital-of-wisconsin-inc",
      "siblingGroupId": "siblings-wi-childrens-hospital-of-wisconsin-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-childrens-hospital-of-wisconsin-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL OF WISCONSIN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to CHILDRENS HOSPITAL OF WISCONSIN INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHILDRENS HOSPITAL OF WISCONSIN INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "524000",
      "ccn": "524000",
      "name": "AURORA PSYCHIATRIC HOSPITAL",
      "address": "1220 DEWEY AVE",
      "city": "WAUWATOSA",
      "state": "WI",
      "zip": "53213",
      "county": "MILWAUKEE",
      "latitude": 43.0467651002079,
      "longitude": -88.0077164303017,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 105,
      "rating": null,
      "website": "http://www.aurorahealthcare.org",
      "status": "corporate_chain",
      "parentSystem": "ADVOCATE AURORA HEALTH, INC.",
      "affiliatedSystem": "Aurorahealthcare",
      "affiliatedSystemEvidence": "Website-domain affiliation rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Aurorahealthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-advocate-aurora-health-inc",
      "siblingGroupId": "siblings-wi-advocate-aurora-health-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-advocate-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.advocatehealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Aurorahealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ADVOCATE AURORA HEALTH, INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Aurorahealthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Advocate Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVOCATE AURORA HEALTH, INC., ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "524002",
      "ccn": "524002",
      "name": "WINNEBAGO MENTAL HEALTH INSTITUTE",
      "address": "4100 TREFFERT DR",
      "city": "WINNEBAGO",
      "state": "WI",
      "zip": "54985",
      "county": "WINNEBAGO",
      "latitude": 44.0747491499623,
      "longitude": -88.5182374198878,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 335,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF WISCONSIN",
      "parentSystemId": "entity-state-of-wisconsin",
      "siblingGroupId": "siblings-wi-state-of-wisconsin",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-state-of-wisconsin"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: STATE OF WISCONSIN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER CRAGGS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to STATE OF WISCONSIN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WISCONSIN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: STATE OF WISCONSIN (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists CHRISTOPHER CRAGGS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to STATE OF WISCONSIN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WISCONSIN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "524008",
      "ccn": "524008",
      "name": "MENDOTA MENTAL HEALTH INSTITUTE",
      "address": "301 TROY DR",
      "city": "MADISON",
      "state": "WI",
      "zip": "53704",
      "county": "DANE",
      "latitude": 43.1337321701654,
      "longitude": -89.3985689395674,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - State",
      "beds": 394,
      "rating": null,
      "website": "http://www.dhfs.state.wi.us",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - State",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "STATE OF WISCONSIN",
      "parentSystemId": "entity-state-of-wisconsin",
      "siblingGroupId": "siblings-wi-state-of-wisconsin",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-state-of-wisconsin"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to STATE OF WISCONSIN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WISCONSIN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to STATE OF WISCONSIN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STATE OF WISCONSIN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "524014",
      "ccn": "524014",
      "name": "BROWN COUNTY COMMUNITY TREATMENT CTR",
      "address": "3150 GERSHWIN DRIVE",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54311",
      "county": "BROWN",
      "latitude": 44.5227122601951,
      "longitude": -87.9248270797105,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "website": "http://www.co.brown.wi.us/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF BROWN",
      "parentSystemId": "entity-county-of-brown",
      "siblingGroupId": "siblings-wi-county-of-brown",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-county-of-brown"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF BROWN (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SAMANTHA N BEHLING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to COUNTY OF BROWN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF BROWN, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF BROWN (OPERATIONAL/MANAGERIAL CONTROL). CMS lists SAMANTHA N BEHLING as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to COUNTY OF BROWN; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF BROWN, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "524017",
      "ccn": "524017",
      "name": "NORTH CENTRAL HEALTH CARE",
      "address": "1100 LAKEVIEW DR",
      "city": "WAUSAU",
      "state": "WI",
      "zip": "54403",
      "county": "MARATHON",
      "latitude": 44.9311304701281,
      "longitude": -89.6342447202689,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 16,
      "rating": null,
      "website": "http://www.norcen.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY",
      "parentSystemId": "entity-human-services-board-serving-north-central-health-care-facility",
      "siblingGroupId": "siblings-wi-human-services-board-serving-north-central-health-care-facility",
      "campusFamilyId": "campus-wi-524017",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-human-services-board-serving-north-central-health-care-facility"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "524017-loc-wi-wausau-north-central-health-care",
      "ccn": "524017",
      "name": "NORTH CENTRAL HEALTH CARE",
      "address": "2380 MARSHALL ST",
      "city": "WAUSAU",
      "state": "WI",
      "zip": "54403",
      "county": "MARATHON",
      "latitude": 44.9317501201874,
      "longitude": -89.6335504896409,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 8,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY",
      "parentSystemId": "entity-human-services-board-serving-north-central-health-care-facility",
      "siblingGroupId": "siblings-wi-human-services-board-serving-north-central-health-care-facility",
      "campusFamilyId": "campus-wi-524017",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-human-services-board-serving-north-central-health-care-facility"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "legacyHospitalId": "524017"
    },
    {
      "id": "524018",
      "ccn": "524018",
      "name": "ROGERS MEMORIAL HOSPITAL",
      "address": "34700 VALLEY RD",
      "city": "OCONOMOWOC",
      "state": "WI",
      "zip": "53066",
      "county": "WAUKESHA",
      "latitude": 43.0843424502876,
      "longitude": -88.4359213399749,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 90,
      "rating": null,
      "website": "http://www.rogershospital.org",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Rogers Behavioral Health",
      "parentSystemId": "entity-rogers-behavioral-health",
      "siblingGroupId": "siblings-wi-rogers-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-rogers-behavioral-health-system-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: ROGERS BEHAVIORAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ROGERS BEHAVIORAL HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Rogers Behavioral Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: ROGERS BEHAVIORAL HEALTH SYSTEM INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to ROGERS BEHAVIORAL HEALTH SYSTEM INC; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Rogers Behavioral Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "524019",
      "ccn": "524019",
      "name": "NORWOOD HEALTH CENTER",
      "address": "1600 N CHESTNUT AVE",
      "city": "MARSHFIELD",
      "state": "WI",
      "zip": "54449",
      "county": "WOOD",
      "latitude": 44.6823444801012,
      "longitude": -90.1658003003234,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 16,
      "rating": null,
      "website": "http://www.co.wood.wi.us/norwood/index.htm",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF WOOD",
      "parentSystemId": "entity-county-of-wood",
      "siblingGroupId": "siblings-wi-county-of-wood",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-county-of-wood"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF WOOD (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARISSA ANN KORNACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to COUNTY OF WOOD; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF WOOD, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF WOOD (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MARISSA ANN KORNACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to COUNTY OF WOOD; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF WOOD, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "524025",
      "ccn": "524025",
      "name": "FOND DU LAC COUNTY ACUTE PSYCH UNIT",
      "address": "459 E FIRST ST",
      "city": "FOND DU LAC",
      "state": "WI",
      "zip": "54935",
      "county": "FOND DU LAC",
      "latitude": 43.7763995502873,
      "longitude": -88.4292339099957,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "website": "http://www.fdlco.wi.gov",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "FOND DU LAC COUNTY",
      "parentSystemId": "entity-fond-du-lac-county",
      "siblingGroupId": "siblings-wi-fond-du-lac-county",
      "campusFamilyId": "siblings-wi-public-authority",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wi-parent-fond-du-lac-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to FOND DU LAC COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FOND DU LAC COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to FOND DU LAC COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FOND DU LAC COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "524026",
      "ccn": "524026",
      "name": "WAUKESHA COUNTY MENTAL HEALTH CTR",
      "address": "1501 AIRPORT RD",
      "city": "WAUKESHA",
      "state": "WI",
      "zip": "53188",
      "county": "WAUKESHA",
      "latitude": 43.026065219905,
      "longitude": -88.2328078201512,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Government - Local",
      "beds": 28,
      "rating": null,
      "website": "http://www.waukeshacounty.gov/",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WAUKESHA COUNTY",
      "parentSystemId": "entity-waukesha-county",
      "siblingGroupId": "siblings-wi-waukesha-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-waukesha-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WAUKESHA COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RANDY SETZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to WAUKESHA COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAUKESHA COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WAUKESHA COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS lists RANDY SETZER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to WAUKESHA COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WAUKESHA COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "524041",
      "ccn": "524041",
      "name": "WILLOW CREEK BEHAVIORAL HEALTH",
      "address": "1351 ONTARIO RD",
      "city": "GREEN BAY",
      "state": "WI",
      "zip": "54311",
      "county": "BROWN",
      "latitude": 44.4762091398317,
      "longitude": -87.9241613104056,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "website": "http://willowcreekbh.com/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "January 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-green-bay-willow-creek-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-wi-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "524042",
      "ccn": "524042",
      "name": "MIRAMONT BEHAVIORAL HEALTH",
      "address": "3169 DEMING WAY",
      "city": "MIDDLETON",
      "state": "WI",
      "zip": "53562",
      "county": "DANE",
      "latitude": 43.1072141000924,
      "longitude": -89.5267237999457,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-wi-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "524044",
      "ccn": "524044",
      "name": "MENTAL HEALTH EMERGENCY CENTER, INC",
      "address": "1525 N 12TH ST",
      "city": "MILWAUKEE",
      "state": "WI",
      "zip": "53205",
      "county": "MILWAUKEE",
      "latitude": 43.050853478966,
      "longitude": -87.9279505273432,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 6,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF MILWAUKEE",
      "parentSystemId": "entity-county-of-milwaukee",
      "siblingGroupId": "siblings-wi-county-of-milwaukee",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-county-of-milwaukee"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF MILWAUKEE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to COUNTY OF MILWAUKEE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MILWAUKEE, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF MILWAUKEE (5% OR GREATER DIRECT OWNERSHIP INTEREST, 50%). CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to COUNTY OF MILWAUKEE; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF MILWAUKEE, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "530002",
      "ccn": "530002",
      "name": "CAMPBELL COUNTY HOSPITAL DISTRICT DBA CAMPBELL COUNTY HEALTH",
      "address": "501 SOUTH BURMA AVE",
      "city": "GILLETTE",
      "state": "WY",
      "zip": "82717",
      "county": "CAMPBELL",
      "latitude": 44.2898826497041,
      "longitude": -105.51747924012,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 90,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "CAMPBELL COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-campbell-county-hospital-district",
      "siblingGroupId": "siblings-wy-campbell-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-verified-parent-campbell-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMPBELL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CAMPBELL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "530006",
      "ccn": "530006",
      "name": "MEMORIAL HOSPITAL OF SHERIDAN COUNTY DBA SHERIDAN MEMORIAL HOSPITAL",
      "address": "1401 WEST 5TH ST",
      "city": "SHERIDAN",
      "state": "WY",
      "zip": "82801",
      "county": "SHERIDAN",
      "latitude": 44.8083730599621,
      "longitude": -106.9760020203,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 88,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HOSPITAL OF SHERIDAN COUNTY",
      "parentSystemId": "entity-memorial-hospital-of-sheridan-county",
      "siblingGroupId": "siblings-wy-memorial-hospital-of-sheridan-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-wyoming-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HOSPITAL OF SHERIDAN COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF SHERIDAN COUNTY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HOSPITAL OF SHERIDAN COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF SHERIDAN COUNTY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "530008",
      "ccn": "530008",
      "name": "RIVERTON MEMORIAL HOSPITAL LLC DBA SAGEWEST HEALTH CARE",
      "address": "2100 WEST SUNSET DR",
      "city": "RIVERTON",
      "state": "WY",
      "zip": "82501",
      "county": "FREMONT",
      "latitude": 43.0346609497974,
      "longitude": -108.418723210053,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 146,
      "rating": 2,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-wy-scionhealth",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "530012",
      "ccn": "530012",
      "name": "WYOMING MEDICAL CENTER",
      "address": "1233 EAST 2ND ST",
      "city": "CASPER",
      "state": "WY",
      "zip": "82601",
      "county": "NATRONA",
      "latitude": 42.8480768797808,
      "longitude": -106.308823259683,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 249,
      "rating": 2,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Local",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-casper-wyoming-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "WYOMING MEDICAL CENTER INC",
      "parentSystemId": "entity-wyoming-medical-center-inc",
      "siblingGroupId": "siblings-wy-wyoming-medical-center-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: WYOMING MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYOMING MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WYOMING MEDICAL CENTER INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WYOMING MEDICAL CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "530014",
      "ccn": "530014",
      "name": "MEMORIAL HOSPITAL OF LARAMIE COUNTY DBA CHEYENNE REGIONAL MEDICAL CENTER",
      "address": "214 EAST 23RD ST",
      "city": "CHEYENNE",
      "state": "WY",
      "zip": "82001",
      "county": "LARAMIE",
      "latitude": 41.1403625997596,
      "longitude": -104.815626750109,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 229,
      "rating": 3,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "MEMORIAL HOSPITAL OF LARAMIE COUNTY",
      "parentSystemId": "entity-memorial-hospital-of-laramie-county",
      "siblingGroupId": "siblings-wy-memorial-hospital-of-laramie-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-wyoming-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HOSPITAL OF LARAMIE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MARGARET (BETH) ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF LARAMIE COUNTY, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HOSPITAL OF LARAMIE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists MARGARET (BETH) ALLEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF LARAMIE COUNTY, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "530015",
      "ccn": "530015",
      "name": "TETON COUNTY HOSPITAL DISTRICT - ST JOHN'S HEALTH - ST JOHN'S MEDICAL CENTER",
      "address": "625 EAST BROADWAY",
      "city": "JACKSON",
      "state": "WY",
      "zip": "83001",
      "county": "TETON",
      "latitude": 43.4802818502876,
      "longitude": -110.749577940442,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 78,
      "rating": 5,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "TETON COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-teton-county-hospital-district",
      "siblingGroupId": "siblings-wy-teton-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-verified-parent-teton-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to TETON COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TETON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to TETON COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TETON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "530025",
      "ccn": "530025",
      "name": "IVINSON MEMORIAL HOSPITAL",
      "address": "255 NORTH 30TH ST",
      "city": "LARAMIE",
      "state": "WY",
      "zip": "82072",
      "county": "ALBANY",
      "latitude": 41.3123556498546,
      "longitude": -105.556312610352,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 99,
      "rating": 3,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-laramie-ivinson-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "IVINSON MEMORIAL HOSPITAL",
      "parentSystemId": "entity-ivinson-memorial-hospital",
      "siblingGroupId": "siblings-wy-ivinson-memorial-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-wyoming-nonprofit-hospital-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: IVINSON MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES G BANDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IVINSON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: IVINSON MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JAMES G BANDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent IVINSON MEMORIAL HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "530034",
      "ccn": "530034",
      "name": "SUMMIT MEDICAL CENTER LLC",
      "address": "6350 E 2ND ST",
      "city": "CASPER",
      "state": "WY",
      "zip": "82609",
      "county": "NATRONA",
      "latitude": 42.8416802099501,
      "longitude": -106.230809720112,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 16,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-casper-summit-medical-center-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystem": "SUMMIT MEMORIAL MANAGEMENT, LLC",
      "parentSystemId": "entity-summit-memorial-management-llc",
      "siblingGroupId": "siblings-wy-summit-memorial-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUMMIT MEMORIAL MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RAYMOND VUCETIC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMIT MEMORIAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SUMMIT MEMORIAL MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RAYMOND VUCETIC as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUMMIT MEMORIAL MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "53004F",
      "ccn": "53004F",
      "name": "CHEYENNE VA MEDICAL CENTER",
      "address": "2360 EAST PERSHING BOULEVARD",
      "city": "CHEYENNE",
      "state": "WY",
      "zip": "82001",
      "county": "LARAMIE",
      "latitude": 41.1482821298181,
      "longitude": -104.785532219708,
      "hospitalType": "Acute Care - Veterans Administration",
      "sourceOwner": "Veterans Health Administration",
      "beds": null,
      "rating": 5,
      "website": "https://www.cheyenne.va.gov/locations/directions.asp",
      "status": "verified_independent",
      "parentSystem": "Veterans Health Administration",
      "affiliatedSystem": "U.S. Department of Veterans Affairs",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "U.S. Department of Veterans Affairs",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystemId": "entity-veterans-health-administration",
      "siblingGroupId": "siblings-wy-veterans-health-administration",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-parent-veterans-health-administration"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: U.S. Department of Veterans Affairs; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: U.S. Department of Veterans Affairs. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. WY resolution: normalized CMS owner/operator to Veterans Health Administration; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Veterans Health Administration, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531302",
      "ccn": "531302",
      "name": "MEMORIAL HOSPITAL OF CONVERSE COUNTY",
      "address": "111 SOUTH 5TH ST",
      "city": "DOUGLAS",
      "state": "WY",
      "zip": "82633",
      "county": "CONVERSE",
      "latitude": 42.7590661701352,
      "longitude": -105.380709679898,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-douglas-memorial-hospital-of-converse-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEMORIAL HOSPITAL OF CONVERSE COUNTY",
      "parentSystemId": "entity-memorial-hospital-of-converse-county",
      "siblingGroupId": "siblings-wy-memorial-hospital-of-converse-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-memorial-hospital-of-converse-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HOSPITAL OF CONVERSE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL OF CONVERSE COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF CONVERSE COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HOSPITAL OF CONVERSE COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL OF CONVERSE COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF CONVERSE COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531303",
      "ccn": "531303",
      "name": "WESTON COUNTY HOSPITAL DISTRICT DBA WESTON COUNTY HEALTH SERVICES",
      "address": "1124 WASHINGTON BLVD",
      "city": "NEWCASTLE",
      "state": "WY",
      "zip": "82701",
      "county": "WESTON",
      "latitude": 43.8477793800131,
      "longitude": -104.188044500117,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 12,
      "rating": null,
      "website": "http://www.wchs-wy.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WESTON COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-weston-county-hospital-district",
      "siblingGroupId": "siblings-wy-weston-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-verified-parent-weston-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WESTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CATHERINE S HARSHBARGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WESTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CATHERINE S HARSHBARGER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Wyoming nonprofit hospital system; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WESTON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531304",
      "ccn": "531304",
      "name": "HOT SPRINGS COUNTY HOSPITAL DBA HOT SPRINGS COUNTY MEMORIAL HOSPITAL",
      "address": "150 EAST ARAPAHOE",
      "city": "THERMOPOLIS",
      "state": "WY",
      "zip": "82443",
      "county": "HOT SPRINGS",
      "latitude": 43.6480152698961,
      "longitude": -108.199255999721,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 15,
      "rating": 3,
      "website": "http://www.hscmh.org",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "COUNTY OF HOT SPRINGS",
      "parentSystemId": "entity-county-of-hot-springs",
      "siblingGroupId": "siblings-wy-county-of-hot-springs",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-county-of-hot-springs"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: COUNTY OF HOT SPRINGS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to COUNTY OF HOT SPRINGS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF HOT SPRINGS, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: COUNTY OF HOT SPRINGS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to COUNTY OF HOT SPRINGS; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent COUNTY OF HOT SPRINGS, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531306",
      "ccn": "531306",
      "name": "WASHAKIE MEDICAL CENTER",
      "address": "400 SOUTH 15TH ST",
      "city": "WORLAND",
      "state": "WY",
      "zip": "82401",
      "county": "WASHAKIE",
      "latitude": 44.0127229701059,
      "longitude": -107.949410919567,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 18,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-worland-washakie-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "nonprofit",
      "parentSystem": "Banner Health",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-wy-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BANNER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BANNER HEALTH (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "531307",
      "ccn": "531307",
      "name": "COMMUNITY HOSPITAL",
      "address": "2000 CAMPBELL DR",
      "city": "TORRINGTON",
      "state": "WY",
      "zip": "82240",
      "county": "GOSHEN",
      "latitude": 42.0828606300956,
      "longitude": -104.192802439596,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 25,
      "rating": 2,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "nonprofit",
      "parentSystem": "Banner Health",
      "parentSystemId": "entity-banner-health",
      "siblingGroupId": "siblings-wy-banner-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-banner-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bannerhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BANNER HEALTH (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Banner Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Banner Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "531308",
      "ccn": "531308",
      "name": "JOHNSON COUNTY MEMORIAL HOSPITAL DBA JOHNSON COUNTY HEALTHCARE CENTER",
      "address": "497 WEST LOTT",
      "city": "BUFFALO",
      "state": "WY",
      "zip": "82834",
      "county": "JOHNSON",
      "latitude": 44.3508046897923,
      "longitude": -106.706491569918,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": null,
      "website": "http://www.jchealthcare.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "JOHNSON COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-johnson-county-hospital-district",
      "siblingGroupId": "siblings-wy-johnson-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-verified-parent-johnson-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: JOHNSON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LUKE SENDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to JOHNSON COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: JOHNSON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists LUKE SENDEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to JOHNSON COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent JOHNSON COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531309",
      "ccn": "531309",
      "name": "NORTH BIG HORN HOSPITAL DISTRICT",
      "address": "1115 LANE 12",
      "city": "LOVELL",
      "state": "WY",
      "zip": "82431",
      "county": "BIG HORN",
      "latitude": 44.8266557899983,
      "longitude": -108.389729609948,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 18,
      "rating": 4,
      "website": "http://www.nbhh.com",
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lovell-north-big-horn-hospital-district/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "NORTH BIG HORN HOSPITAL DISTRICT",
      "parentSystemId": "entity-north-big-horn-hospital-district",
      "siblingGroupId": "siblings-wy-north-big-horn-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-verified-parent-north-big-horn-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS lists ERIC S CONNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to NORTH BIG HORN HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BIG HORN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists ERIC S CONNELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to NORTH BIG HORN HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH BIG HORN HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531310",
      "ccn": "531310",
      "name": "POWELL VALLEY HOSPITAL",
      "address": "777 AVE H",
      "city": "POWELL",
      "state": "WY",
      "zip": "82435",
      "county": "PARK",
      "latitude": 44.756922400311,
      "longitude": -108.771767960078,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 4,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-powell-powell-valley-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "POWELL VALLEY HEALTH CARE INC",
      "parentSystemId": "entity-powell-valley-health-care-inc",
      "siblingGroupId": "siblings-wy-powell-valley-health-care-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-parent-powell-valley-health-care-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to POWELL VALLEY HEALTH CARE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POWELL VALLEY HEALTH CARE INC, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to POWELL VALLEY HEALTH CARE INC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent POWELL VALLEY HEALTH CARE INC, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531312",
      "ccn": "531312",
      "name": "WEST PARK HOSPITAL DISTRICT DBA CODY REGIONAL HEALTH",
      "address": "707 SHERIDAN AVE",
      "city": "CODY",
      "state": "WY",
      "zip": "82414",
      "county": "PARK",
      "latitude": 44.5265952403052,
      "longitude": -109.073283329586,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 25,
      "rating": 3,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "WEST PARK HOSPITAL DISTRICT",
      "parentSystemId": "entity-west-park-hospital-district",
      "siblingGroupId": "siblings-wy-west-park-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-verified-parent-west-park-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: WEST PARK HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COBY LABLUE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to WEST PARK HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PARK HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: WEST PARK HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists COBY LABLUE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to WEST PARK HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent WEST PARK HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531313",
      "ccn": "531313",
      "name": "STAR VALLEY HEALTH",
      "address": "901 ADAMS ST",
      "city": "AFTON",
      "state": "WY",
      "zip": "83110",
      "county": "LINCOLN",
      "latitude": 42.7173299198388,
      "longitude": -110.9304374598,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 22,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NORTH LINCOLN COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-north-lincoln-county-hospital-district",
      "siblingGroupId": "siblings-wy-north-lincoln-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-verified-parent-north-lincoln-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: NORTH LINCOLN COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to NORTH LINCOLN COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH LINCOLN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NORTH LINCOLN COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to NORTH LINCOLN COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NORTH LINCOLN COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531314",
      "ccn": "531314",
      "name": "NIOBRARA COUNTY HOSPITAL DISTRICT",
      "address": "921 SOUTH BALLANCEE AVE",
      "city": "LUSK",
      "state": "WY",
      "zip": "82225",
      "county": "NIOBRARA",
      "latitude": 42.7534431201502,
      "longitude": -104.445526279775,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 24,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "ownershipClass": "government",
      "parentSystem": "NIOBRARA COUNTY HOSPITAL DISTRICT",
      "parentSystemId": "entity-niobrara-county-hospital-district",
      "siblingGroupId": "siblings-wy-niobrara-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "wy-verified-parent-niobrara-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS lists DANA GILLELAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to NIOBRARA COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NIOBRARA COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS lists DANA GILLELAND as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to NIOBRARA COUNTY HOSPITAL DISTRICT; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NIOBRARA COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531316",
      "ccn": "531316",
      "name": "MEMORIAL HOSPITAL OF CARBON COUNTY",
      "address": "2221 WEST ELM ST",
      "city": "RAWLINS",
      "state": "WY",
      "zip": "82301",
      "county": "CARBON",
      "latitude": 41.7868858400657,
      "longitude": -107.262148710094,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 25,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Local",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-rawlins-memorial-hospital-of-carbon-county/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "government",
      "parentSystem": "MEMORIAL HOSPITAL OF CARBON COUNTY",
      "parentSystemId": "entity-memorial-hospital-of-carbon-county",
      "siblingGroupId": "siblings-wy-memorial-hospital-of-carbon-county",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-memorial-hospital-of-carbon-county"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HOSPITAL OF CARBON COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL OF CARBON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF CARBON COUNTY, ownership class government. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HOSPITAL OF CARBON COUNTY (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to MEMORIAL HOSPITAL OF CARBON COUNTY; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HOSPITAL OF CARBON COUNTY, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "531319",
      "ccn": "531319",
      "name": "EVANSTON REGIONAL HOSPITAL",
      "address": "190 ARROWHEAD DR",
      "city": "EVANSTON",
      "state": "WY",
      "zip": "82930",
      "county": "UINTA",
      "latitude": 41.2433482698066,
      "longitude": -110.99049812979,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 42,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "QUORUM HEALTH CORPORATION",
      "peFirm": "GoldenTree Asset Management, Davidson Kempner",
      "acquiredDate": "May 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Quorum Health Corporation",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-evanston-evanston-regional-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quorum-health-corporation",
      "siblingGroupId": "siblings-wy-quorum-health-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-quorum-health-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: QUORUM HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to QUORUM HEALTH CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUORUM HEALTH CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: QUORUM HEALTH CORPORATION (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Quorum Health Corporation; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Quorum Health Corporation. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to QUORUM HEALTH CORPORATION; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent QUORUM HEALTH CORPORATION, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "534004",
      "ccn": "534004",
      "name": "UHS OF WYOMING INC DBA WYOMING BEHAVIORAL INSTITUTE",
      "address": "2521 EAST 15TH ST",
      "city": "CASPER",
      "state": "WY",
      "zip": "82601",
      "county": "NATRONA",
      "latitude": 42.8347641397888,
      "longitude": -106.293872729563,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 85,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "Universal Health Services",
      "affiliatedSystem": "Universal Health Services",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Universal Health Services",
      "publicControlBadge": "Corporate-chain controlled",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-universal-health-services",
      "siblingGroupId": "siblings-wy-universal-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wy-parent-healthcare-company"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.wyo.gov/wp-content/uploads/2026/05/2025-2026-Facility-Directory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: UHS OF DELAWARE INC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists MATTHEW J PETERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Universal Health Services; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Universal Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WY resolution: normalized CMS owner/operator to Healthcare company; ownership class for_profit_public. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Universal Health Services, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "670006",
      "ccn": "670006",
      "name": "THE HOSPITAL AT WESTLAKE MEDICAL CENTER",
      "address": "5656 BEE CAVES ROAD, SUITE M-302",
      "city": "AUSTIN",
      "state": "TX",
      "zip": "78746",
      "county": "TRAVIS",
      "latitude": 30.2953213796269,
      "longitude": -97.8245817798693,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 23,
      "rating": null,
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-austin-the-hospital-at-westlake-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ATTILA LLC",
      "affiliatedSystem": "ATTILA LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ATTILA LLC (OPERATIONAL/MANAGERIAL CONTROL, 63.44%). CMS lists KATHERINE WELCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATTILA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-attila-llc",
      "siblingGroupId": "siblings-tx-attila-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ATTILA LLC (OPERATIONAL/MANAGERIAL CONTROL, 63.44%). CMS lists KATHERINE WELCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ATTILA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670008",
      "ccn": "670008",
      "name": "HOUSTON PHYSICIANS HOSPITAL",
      "address": "333 NORTH TEXAS AVENUE",
      "city": "WEBSTER",
      "state": "TX",
      "zip": "77598",
      "county": "HARRIS",
      "latitude": 29.5338492699768,
      "longitude": -95.1261930802854,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-webster-houston-physicians--hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MEMORIAL HERMANN/ USP SURGERY CENTERS IV LLP",
      "affiliatedSystem": "Memorial Hermann Health System",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MEMORIAL HERMANN/ USP SURGERY CENTERS IV LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN/ USP SURGERY CENTERS IV LLP, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-memorial-hermann-usp-surgery-centers-iv-llp",
      "siblingGroupId": "siblings-tx-memorial-hermann-usp-surgery-centers-iv-llp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-memorial-hermann-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://memorialhermann.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: MEMORIAL HERMANN/ USP SURGERY CENTERS IV LLP (5% OR GREATER DIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Memorial Hermann Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MEMORIAL HERMANN/ USP SURGERY CENTERS IV LLP, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670010",
      "ccn": "670010",
      "name": "MAYHILL HOSPITAL",
      "address": "2809 MAYHILL ROAD SOUTH",
      "city": "DENTON",
      "state": "TX",
      "zip": "76208",
      "county": "DENTON",
      "latitude": 33.1757921899797,
      "longitude": -97.0868223801923,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 59,
      "rating": null,
      "website": "http://www.mayhillhospital.com",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-denton-mayhill-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "MAYHILL HOSPITAL",
      "affiliatedSystem": "Proprietary",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: facility-specific primary-source resolution to Ascend Health Corporation; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAYHILL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-mayhill-hospital",
      "siblingGroupId": "siblings-tx-mayhill-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-670010"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.tdlr.texas.gov/TABS/Search/Print/EABPRJB2806099"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS not matched. Residual remediation: facility-specific primary-source resolution to Ascend Health Corporation; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAYHILL HOSPITAL, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670023",
      "ccn": "670023",
      "name": "METHODIST MANSFIELD MEDICAL CENTER",
      "address": "2700 E BROAD ST",
      "city": "MANSFIELD",
      "state": "TX",
      "zip": "76063",
      "county": "TARRANT",
      "latitude": 32.5679899402102,
      "longitude": -97.0944448396012,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 262,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mansfield-methodist-mansfield-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Methodist Health System",
      "affiliatedSystem": "METHODIST HOSPITALS OF DALLAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-tx-methodist-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://methodisthealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670031",
      "ccn": "670031",
      "name": "ST LUKES PATIENTS MEDICAL CENTER",
      "address": "4600 EAST SAM HOUSTON PARKWAY SOUTH",
      "city": "PASADENA",
      "state": "TX",
      "zip": "77505",
      "county": "HARRIS",
      "latitude": 29.6410979398572,
      "longitude": -95.1622144002845,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 61,
      "rating": 3,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pasadena-st.-luke-s-patients-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "St. Luke’s Health System Corporation",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ST. LUKES HEALTH SYSTEM CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SALLY D LUBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST. LUKES HEALTH SYSTEM CORPORATION; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent St. Luke’s Health System Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-st-luke-s-health-system-corporation",
      "siblingGroupId": "siblings-tx-st-luke-s-health-system-corporation",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-st-lukes-health-system-corporation"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST. LUKES HEALTH SYSTEM CORPORATION (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists SALLY D LUBER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST. LUKES HEALTH SYSTEM CORPORATION; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent St. Luke’s Health System Corporation, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670041",
      "ccn": "670041",
      "name": "ASCENSION SETON WILLIAMSON",
      "address": "201 SETON PARKWAY",
      "city": "ROUND ROCK",
      "state": "TX",
      "zip": "78665",
      "county": "WILLIAMSON",
      "latitude": 30.5667623199119,
      "longitude": -97.6513873503709,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 149,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670047",
      "ccn": "670047",
      "name": "THE HOSPITALS OF PROVIDENCE EAST CAMPUS",
      "address": "3280 JOE BATTLE BOULEVARD",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79938",
      "county": "EL PASO",
      "latitude": 31.7903706302001,
      "longitude": -106.264505530013,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 182,
      "rating": 2,
      "website": "https://www.thehospitalsofprovidence.com/our-locations/east-campus",
      "status": "corporate_chain",
      "parentSystem": "HEALTHCARE NETWORK TEXAS INC",
      "affiliatedSystem": "HEALTHCARE NETWORK TEXAS INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-the-hospitals-of-providence-east-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTHCARE NETWORK TEXAS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK TEXAS INC, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-healthcare-network-texas-inc",
      "siblingGroupId": "siblings-tx-healthcare-network-texas-inc",
      "campusFamilyId": "campus-tx-670047",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTHCARE NETWORK TEXAS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTHCARE NETWORK TEXAS INC, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "670049",
      "ccn": "670049",
      "name": "NORTH CENTRAL SURGICAL CENTER LLP",
      "address": "9301 NORTH CENTRAL EXPRESSWAY NUMBER100",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75231",
      "county": "DALLAS",
      "latitude": 32.8752890500332,
      "longitude": -96.7713632000455,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 23,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-dallas-north-central-surgical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Baylor Scott & White Health",
      "affiliatedSystem": "BAYLOR UNIVERSITY MEDICAL CENTER",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR UNIVERSITY MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR UNIVERSITY MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670053",
      "ccn": "670053",
      "name": "ST LUKES SUGAR LAND HOSPITAL",
      "address": "1317 LAKE POINTE PARKWAY",
      "city": "SUGAR LAND",
      "state": "TX",
      "zip": "77478",
      "county": "FORT BEND",
      "latitude": 29.6044543703199,
      "longitude": -95.6203246398894,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": 3,
      "website": "http://www.stlukessugarland.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sugar-land-st.-lukes-sugar-land-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND",
      "affiliatedSystem": "ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DOUG LAWSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-st-lukes-community-development-corporation-sugar-land",
      "siblingGroupId": "siblings-tx-st-lukes-community-development-corporation-sugar-land",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-st-lukes-community-development-corporation-sugar-land"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND (OPERATIONAL/MANAGERIAL CONTROL). CMS lists DOUG LAWSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670054",
      "ccn": "670054",
      "name": "FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO",
      "address": "9522 HUEBNER ROAD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78240",
      "county": "BEXAR",
      "latitude": 29.5302401098706,
      "longitude": -98.5897513201988,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "website": "http://www.fshsanantonio.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-foundation-surgical-hospital-of-san-antonio/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "USP SAN ANTONIO INC",
      "affiliatedSystem": "USP SAN ANTONIO INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: USP SAN ANTONIO INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to USP SAN ANTONIO INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP SAN ANTONIO INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-usp-san-antonio-inc",
      "siblingGroupId": "siblings-tx-usp-san-antonio-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-usp-san-antonio-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: USP SAN ANTONIO INC (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to USP SAN ANTONIO INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP SAN ANTONIO INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670055",
      "ccn": "670055",
      "name": "METHODIST HOSPITAL - STONE OAK",
      "address": "1139 EAST SONTERRA BLVD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78258",
      "county": "BEXAR",
      "latitude": 29.6158622097064,
      "longitude": -98.4744347704327,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 242,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-methodist-hospital-stone-oak/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-HCA HEALTHCARE CORPORATION OF CENTRAL TEXAS (OPERATIONAL/MANAGERIAL CONTROL, 22.62%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-HCA HEALTHCARE CORPORATION OF CENTRAL TEXAS (OPERATIONAL/MANAGERIAL CONTROL, 22.62%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "670056",
      "ccn": "670056",
      "name": "ASCENSION SETON HAYS",
      "address": "6001 KYLE PARKWAY",
      "city": "KYLE",
      "state": "TX",
      "zip": "78640",
      "county": "HAYS",
      "latitude": 30.0084099898774,
      "longitude": -97.8529774496435,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 154,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "ASCENSION HEALTH",
      "affiliatedSystem": "Ascension",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Ascension",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KAREN KENNARDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ascension-health",
      "siblingGroupId": "siblings-tx-ascension-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ascension"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://healthcare.ascension.org/find-care/location-search"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASCENSION HEALTH (OPERATIONAL/MANAGERIAL CONTROL). CMS lists KAREN KENNARDS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Ascension; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 406; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Ascension. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Ascension; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASCENSION HEALTH, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670059",
      "ccn": "670059",
      "name": "ST LUKES LAKESIDE HOSPITAL LLC",
      "address": "17400 ST LUKES WAY",
      "city": "THE WOODLANDS",
      "state": "TX",
      "zip": "77384",
      "county": "MONTGOMERY",
      "latitude": 30.2032953397856,
      "longitude": -95.4573865203315,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Other",
      "beds": 30,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Voluntary non-profit - Other",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-the-woodlands-st.-luke-s-lakeside-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670060",
      "ccn": "670060",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - SUNNYVALE",
      "address": "231 SOUTH COLLINS ROAD",
      "city": "SUNNYVALE",
      "state": "TX",
      "zip": "75182",
      "county": "DALLAS",
      "latitude": 32.779117270204,
      "longitude": -96.568811809994,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 70,
      "rating": 2,
      "status": "corporate_chain",
      "parentSystem": "TRMC HOLDINGS INC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sunnyvale-baylor-scott-&-white-medical-center---sunnyvale/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: TRMC HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 63%). CMS lists JASON DEEB as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRMC HOLDINGS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-trmc-holdings-inc",
      "siblingGroupId": "siblings-tx-trmc-holdings-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TRMC HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 63%). CMS lists JASON DEEB as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TRMC HOLDINGS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670067",
      "ccn": "670067",
      "name": "BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPITAL",
      "address": "707 HIGHLANDER BOULEVARD",
      "city": "ARLINGTON",
      "state": "TX",
      "zip": "76015",
      "county": "TARRANT",
      "latitude": 32.6828977798239,
      "longitude": -97.1169767698331,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "USP NORTH TEXAS INC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystemEvidence": "CMS owner candidate: USP NORTH TEXAS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 49.9%). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP NORTH TEXAS INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-usp-north-texas-inc",
      "siblingGroupId": "siblings-tx-usp-north-texas-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: USP NORTH TEXAS INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 49.9%). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent USP NORTH TEXAS INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670068",
      "ccn": "670068",
      "name": "TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND",
      "address": "4400 LONG PRAIRIE ROAD",
      "city": "FLOWER MOUND",
      "state": "TX",
      "zip": "75028",
      "county": "DENTON",
      "latitude": 33.0455189896406,
      "longitude": -97.0677567396214,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 99,
      "rating": 5,
      "website": "http://www.phfmtexas.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-flower-mound-texas-health-presbyterian-hospital-flower-mound/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH PARTNERS LLC",
      "affiliatedSystem": "TEXAS HEALTH PARTNERS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH PARTNERS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-texas-health-partners-llc",
      "siblingGroupId": "siblings-tx-texas-health-partners-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-partners-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH PARTNERS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH PARTNERS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670069",
      "ccn": "670069",
      "name": "METHODIST MCKINNEY HOSPITAL LLC",
      "address": "8000 WEST ELDORADO PARKWAY",
      "city": "MCKINNEY",
      "state": "TX",
      "zip": "75070",
      "county": "COLLIN",
      "latitude": 33.1765252899801,
      "longitude": -96.7222957998888,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 23,
      "rating": null,
      "website": "http://www.methodistmckinneyhospital.com",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SP Management Services",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mckinney-methodist-mckinney-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Surgery Partners",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sp-management-services",
      "siblingGroupId": "siblings-tx-sp-management-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-regional-nonprofit-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Regional nonprofit health system; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670073",
      "ccn": "670073",
      "name": "METHODIST HOSPITAL FOR SURGERY",
      "address": "17101 DALLAS PARKWAY",
      "city": "ADDISON",
      "state": "TX",
      "zip": "75001",
      "county": "DALLAS",
      "latitude": 32.9846728503622,
      "longitude": -96.8293407101294,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 32,
      "rating": 4,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "SP Management Services",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-addison-methodist-hospital-for-surgery/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "Surgery Partners",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SP MANAGEMENT SERVICES INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sp-management-services",
      "siblingGroupId": "siblings-tx-sp-management-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-sp-management-services-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to SP MANAGEMENT SERVICES INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670075",
      "ccn": "670075",
      "name": "ST LUKES HOSPITAL AT THE VINTAGE",
      "address": "20171 CHASEWOOD PARK DR",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77070",
      "county": "HARRIS",
      "latitude": 29.9891451901241,
      "longitude": -95.5676182597381,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 106,
      "rating": 4,
      "website": "http://www.stlukesvintage.com/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-st.-luke-s-hospital-at-the-vintage/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARIO J GARNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists MARIO J GARNER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670076",
      "ccn": "670076",
      "name": "BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL AT SHERMAN",
      "address": "3601 N CALAIS STREET",
      "city": "SHERMAN",
      "state": "TX",
      "zip": "75090",
      "county": "GRAYSON",
      "latitude": 33.6766353496566,
      "longitude": -96.6018522099616,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 12,
      "rating": 3,
      "status": "corporate_chain",
      "parentSystem": "TEXAS HEALTH VENTURES GROUP LLC",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-sherman-baylor-scott-&-white-surgical-hospital-at-sherman/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NIKOLE M BEST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-ventures-group-llc",
      "siblingGroupId": "siblings-tx-texas-health-ventures-group-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH VENTURES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists NIKOLE M BEST as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH VENTURES GROUP LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670077",
      "ccn": "670077",
      "name": "HOUSTON METHODIST WEST HOSPITAL",
      "address": "18500 KATY FWY",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77094",
      "county": "HARRIS",
      "latitude": 29.787156620127,
      "longitude": -95.6978280801093,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 239,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-houston-methodist-west-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "THE METHODIST HOSPITAL",
      "affiliatedSystem": "Houston Methodist",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670078",
      "ccn": "670078",
      "name": "BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS",
      "address": "16088 SAN PEDRO",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78232",
      "county": "BEXAR",
      "latitude": 29.5877229403588,
      "longitude": -98.4734592701027,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 10,
      "rating": 5,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "EMERUS BHS SA LLC",
      "peFirm": "Welsh, Carson, Anderson & Stowe",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Baptist Health/Emerus",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-baptist-neighborhood-hospital---thousand-oaks/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "affiliatedSystem": "EMERUS BHS SA LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EMERUS BHS SA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptist Health/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EMERUS BHS SA LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS BHS SA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-emerus-bhs-sa-llc",
      "siblingGroupId": "siblings-tx-emerus-bhs-sa-llc",
      "campusFamilyId": "campus-tx-670078",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-emerus-bhs-sa-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMERUS BHS SA LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baptist Health Arkansas; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: Baptist Health/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EMERUS BHS SA LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS BHS SA LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670080",
      "ccn": "670080",
      "name": "SETON MEDICAL CENTER HARKER HEIGHTS",
      "address": "850 WEST CENTRAL TEXAS EXPRESSWAY",
      "city": "HARKER HEIGHTS",
      "state": "TX",
      "zip": "76548",
      "county": "BELL",
      "latitude": 31.0726036797872,
      "longitude": -97.6829254303152,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 83,
      "rating": 4,
      "website": "http://setonharkerheights.net/",
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-harker-heights-seton-medical-center-harker-heights/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670082",
      "ccn": "670082",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - MCKINNEY",
      "address": "5252 W UNIVERSITY DR",
      "city": "MCKINNEY",
      "state": "TX",
      "zip": "75071",
      "county": "COLLIN",
      "latitude": 33.2209716101918,
      "longitude": -96.6826010198596,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 143,
      "rating": 4,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-mckinney-baylor-scott-&-white-medical-center---mckinney/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY T BOWEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "campusFamilyId": "campus-tx-670082",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TIMOTHY T BOWEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670085",
      "ccn": "670085",
      "name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE",
      "address": "10864 TEXAS HEALTH TRL",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76244",
      "county": "TARRANT",
      "latitude": 32.9306806101547,
      "longitude": -97.3099122795713,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 151,
      "rating": 5,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-texas-health-harris-methodist-hospital-alliance/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670090",
      "ccn": "670090",
      "name": "CRESCENT MEDICAL CENTER LANCASTER",
      "address": "2600 WEST PLEASANT RUN ROAD",
      "city": "LANCASTER",
      "state": "TX",
      "zip": "75146",
      "county": "DALLAS",
      "latitude": 32.6029216600624,
      "longitude": -96.8124160504263,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 84,
      "rating": 2,
      "website": "http://cmcl.us/",
      "status": "unknown",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "unresolved",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline sources did not resolve ownership/control into red, green, or orange. Full research is still required.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Unknown",
      "operatorName": "Physician",
      "publicControlBadge": "Not completely researched",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-lancaster-crescent-medical-center-lancaster/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "LANCASTER REGIONAL HOSPITAL, LP",
      "affiliatedSystem": "LANCASTER REGIONAL HOSPITAL, LP",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS lists ABDUL HAMEED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to LANCASTER REGIONAL HOSPITAL, LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANCASTER REGIONAL HOSPITAL, LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lancaster-regional-hospital-lp",
      "siblingGroupId": "siblings-tx-lancaster-regional-hospital-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-lancaster-regional-hospital-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists ABDUL HAMEED as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to LANCASTER REGIONAL HOSPITAL, LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LANCASTER REGIONAL HOSPITAL, LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670093",
      "ccn": "670093",
      "name": "ASPIRE HOSPITAL LLC",
      "address": "2006 SOUTH LOOP 336 WEST SUITE 500",
      "city": "CONROE",
      "state": "TX",
      "zip": "77304",
      "county": "MONTGOMERY",
      "latitude": 30.2845740202658,
      "longitude": -95.4800426103121,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 30,
      "rating": null,
      "website": "http://www.aspirebhc.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Physician",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "ASPIRE HOSPITAL LLC",
      "affiliatedSystem": "ASPIRE HOSPITAL LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ASPIRE HOSPITAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JOHN C SPARKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ASPIRE HOSPITAL LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRE HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-aspire-hospital-llc",
      "siblingGroupId": "siblings-tx-aspire-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-aspire-hospital-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ASPIRE HOSPITAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST). CMS lists JOHN C SPARKS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ASPIRE HOSPITAL LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ASPIRE HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670098",
      "ccn": "670098",
      "name": "RESOLUTE HEALTH",
      "address": "555 CREEKSIDE CROSSING",
      "city": "NEW BRAUNFELS",
      "state": "TX",
      "zip": "78130",
      "county": "COMAL",
      "latitude": 29.7220058200294,
      "longitude": -98.0699971703397,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 128,
      "rating": 4,
      "website": "https://www.resolutehealth.com/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-new-braunfels-resolute-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "RESOLUTE HOSPITAL COMPANY LLC",
      "affiliatedSystem": "RESOLUTE HOSPITAL COMPANY LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: RESOLUTE HOSPITAL COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to RESOLUTE HOSPITAL COMPANY LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RESOLUTE HOSPITAL COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-resolute-hospital-company-llc",
      "siblingGroupId": "siblings-tx-resolute-hospital-company-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-resolute-hospital-company-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: RESOLUTE HOSPITAL COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to RESOLUTE HOSPITAL COMPANY LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent RESOLUTE HOSPITAL COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670102",
      "ccn": "670102",
      "name": "AD HOSPITAL EAST LLC",
      "address": "12950 EAST FREEWAY, SUITE 100",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77015",
      "county": "HARRIS",
      "latitude": 29.7706335302856,
      "longitude": -95.2002910198396,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 4,
      "rating": null,
      "website": "http://adhealthcare.net/",
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-ad-hospital-east-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "AD HOSPITAL EAST LLC",
      "affiliatedSystem": "AD HOSPITAL EAST LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists LUCKY A CHOPRA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AD HOSPITAL EAST LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AD HOSPITAL EAST LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ad-hospital-east-llc",
      "siblingGroupId": "siblings-tx-ad-hospital-east-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-ad-hospital-east-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists LUCKY A CHOPRA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AD HOSPITAL EAST LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AD HOSPITAL EAST LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670103",
      "ccn": "670103",
      "name": "MEDICAL CITY ALLIANCE",
      "address": "3101 N TARRANT PKWY",
      "city": "FORT WORTH",
      "state": "TX",
      "zip": "76177",
      "county": "TARRANT",
      "latitude": 32.9002925198312,
      "longitude": -97.3139287199702,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 99,
      "rating": 3,
      "website": "http://medicalcityalliance.com/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-fort-worth-medical-city-alliance/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "campusFamilyId": "campus-tx-670103",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA-SDH HOLDINGS INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "670106",
      "ccn": "670106",
      "name": "HCA HOUSTON HEALTHCARE PEARLAND",
      "address": "11100 SHADOW CREEK PARKWAY",
      "city": "PEARLAND",
      "state": "TX",
      "zip": "77584",
      "county": "BRAZORIA",
      "latitude": 29.5777921196508,
      "longitude": -95.3901975299157,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 53,
      "rating": 3,
      "website": "https://hcahoustonhealthcare.com/locations/pearland/",
      "status": "corporate_chain",
      "parentSystem": "HCA Healthcare",
      "affiliatedSystem": "HCA Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context links this hospital to a for-profit corporate operator; no direct PE ownership claim is made by this baseline tag.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "HCA Healthcare",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-pearland-hca-houston-healthcare-pearland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-hca-healthcare",
      "siblingGroupId": "siblings-tx-hca-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-hca-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.hcahealthcare.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: COLUMBIA/HCA OF HOUSTON, INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: HCA Healthcare; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: HCA Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to HCA Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCA Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "670107",
      "ccn": "670107",
      "name": "BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL BURLESON",
      "address": "12500 SOUTH FREEWAY, SUITE 100",
      "city": "BURLESON",
      "state": "TX",
      "zip": "76028",
      "county": "TARRANT",
      "latitude": 32.5754240800767,
      "longitude": -97.3211857195687,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 8,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "Baylor Scott & White Health",
      "peFirm": "Welsh, Carson, Anderson & Stowe",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Baylor Scott & White HealthEmerus",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR UNIVERSITY MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists JOHN E BUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White HealthEmerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White HealthEmerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-scott-and-white-health",
      "siblingGroupId": "siblings-tx-baylor-scott-and-white-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR UNIVERSITY MEDICAL CENTER (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). CMS lists JOHN E BUCK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White HealthEmerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White HealthEmerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Baylor Scott & White Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670120",
      "ccn": "670120",
      "name": "THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS",
      "address": "2000 TRANSMOUNTAIN RD",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79911",
      "county": "EL PASO",
      "latitude": 31.9045744798766,
      "longitude": -106.564962759575,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 108,
      "rating": 2,
      "website": "https://www.thehospitalsofprovidence.com/our-locations/transmountain-campus",
      "status": "corporate_chain",
      "parentSystem": "HEALTH SERVICES NETWORK HOSPITALS, INC.",
      "affiliatedSystem": "HEALTH SERVICES NETWORK HOSPITALS, INC.",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Providence",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-el-paso-the-hospitals-of-providence-transmountain-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH SERVICES NETWORK HOSPITALS, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH SERVICES NETWORK HOSPITALS, INC., ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-health-services-network-hospitals-inc",
      "siblingGroupId": "siblings-tx-health-services-network-hospitals-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH SERVICES NETWORK HOSPITALS, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Providence. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH SERVICES NETWORK HOSPITALS, INC., ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "670121",
      "ccn": "670121",
      "name": "SAINT CAMILLUS MEDICAL CENTER",
      "address": "1612 HURST TOWN CENTER DR",
      "city": "HURST",
      "state": "TX",
      "zip": "76054",
      "county": "TARRANT",
      "latitude": 32.8430169100588,
      "longitude": -97.1880368604213,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 23,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital General Information",
      "evidenceSourceUrl": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-hurst-saint-camillus-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "SAINT CAMILLUS MEDICAL CENTER",
      "affiliatedSystem": "Proprietary",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to PSG Mid-Cities Medical Center; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT CAMILLUS MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-saint-camillus-medical-center",
      "siblingGroupId": "siblings-tx-saint-camillus-medical-center",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-manual-670121"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.govinfo.gov/content/pkg/USCOURTS-txnd-3_20-cv-02477/pdf/USCOURTS-txnd-3_20-cv-02477-1.pdf"
      ],
      "ownershipProofNotes": "No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: facility-specific primary-source resolution to PSG Mid-Cities Medical Center; relationship owned_or_controlled_by. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SAINT CAMILLUS MEDICAL CENTER, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670122",
      "ccn": "670122",
      "name": "HOUSTON METHODIST THE WOODLANDS HOSPITAL",
      "address": "17201 I-45 SOUTH",
      "city": "THE WOODLANDS",
      "state": "TX",
      "zip": "77385",
      "county": "MONTGOMERY",
      "latitude": 30.2055946902634,
      "longitude": -95.4538001501716,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 187,
      "rating": 5,
      "website": "http://www.houstonmethodist.org/locations/the-woodlands/",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "THE METHODIST HOSPITAL",
      "affiliatedSystem": "Houston Methodist",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670124",
      "ccn": "670124",
      "name": "THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS",
      "address": "13600 HORIZON BOULEVARD, SUITE 100",
      "city": "HORIZON CITY",
      "state": "TX",
      "zip": "79928",
      "county": "EL PASO",
      "latitude": 31.6818546197829,
      "longitude": -106.208023710385,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 8,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "HCN EMERUS EL PASO LLC",
      "peFirm": "Welsh, Carson, Anderson & Stowe",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "HCN EMERUS EL PASO LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Hospitals of Providence/Emerus",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-horizon-city-the-hospitals-of-providence-horizon-city-campus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: HCN EMERUS EL PASO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Hospitals of Providence/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCN EMERUS EL PASO LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-hcn-emerus-el-paso-llc",
      "siblingGroupId": "siblings-tx-hcn-emerus-el-paso-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-providence"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.providence.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: HCN EMERUS EL PASO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Providence; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 403; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: Hospitals of Providence/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Providence; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HCN EMERUS EL PASO LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670125",
      "ccn": "670125",
      "name": "TEXAS CENTER FOR INFECTIOUS DISEASE",
      "address": "2303 SOUTHEAST MILITARY DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78223",
      "county": "BEXAR",
      "latitude": 29.3541045197171,
      "longitude": -98.4567103002079,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - State",
      "beds": 72,
      "rating": null,
      "website": "http://www.dshs.state.tx.us/tcid/default.shtm",
      "status": "corporate_chain",
      "parentSystem": "DEPARTMENT OF STATE HEALTH SERVICES",
      "affiliatedSystem": "DEPARTMENT OF STATE HEALTH SERVICES",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "Website-domain affiliation rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Corporate chain",
      "operatorName": "Dshs State Tx",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-antonio-texas-center-for-infectious-disease/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF STATE HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-department-of-state-health-services",
      "siblingGroupId": "siblings-tx-department-of-state-health-services",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-public-authority"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "Official parent-system candidate from existing system-family mapping: Dshs State Tx; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Dshs State Tx. It was not used as ownership proof. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DEPARTMENT OF STATE HEALTH SERVICES, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "670132",
      "ccn": "670132",
      "name": "METHODIST SOUTHLAKE MEDICAL CENTER",
      "address": "421 E STATE HWY 114",
      "city": "SOUTHLAKE",
      "state": "TX",
      "zip": "76092",
      "county": "TARRANT",
      "latitude": 32.9570420803703,
      "longitude": -97.145734270224,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 54,
      "rating": null,
      "status": "signal",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "transaction_warning",
      "classificationDepth": "full_research",
      "classificationReason": "CMS change-of-ownership data contains at least one CHOW row for this CCN. This is a transaction warning until full research resolves buyer, seller, and current control.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Change of Ownership",
        "CMS Hospital Provider Cost Report",
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Transaction warning",
      "operatorName": "Proprietary",
      "publicControlBadge": "Ownership warning",
      "parentSystem": "Methodist Health System",
      "affiliatedSystem": "METHODIST HOSPITALS OF DALLAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-tx-methodist-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://methodisthealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670134",
      "ccn": "670134",
      "name": "LUMBERTON HOSPITAL LLC",
      "address": "220 BLANCO STREET",
      "city": "LUMBERTON",
      "state": "TX",
      "zip": "77657",
      "county": "HARDIN",
      "latitude": 30.2618577498433,
      "longitude": -94.2210574200163,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 4,
      "rating": null,
      "status": "confirmed_pe",
      "relationshipType": "ownership",
      "parentSystem": "ALTUS LUMBERTON LP",
      "peFirm": "BTG Pactual, ZT Corporate",
      "acquiredDate": "July 2020",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Altus Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "ALTUS LUMBERTON LP",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: ALTUS LUMBERTON LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARLEEN CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Altus Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Altus Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ALTUS LUMBERTON LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTUS LUMBERTON LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-altus-lumberton-lp",
      "siblingGroupId": "siblings-tx-altus-lumberton-lp",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-altus-lumberton-lp"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: ALTUS LUMBERTON LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists DARLEEN CALLAHAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Altus Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Altus Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ALTUS LUMBERTON LP; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ALTUS LUMBERTON LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670260",
      "ccn": "670260",
      "name": "TEXAS HEALTH HOSPITAL FRISCO",
      "address": "12400 DALLAS PKWY",
      "city": "FRISCO",
      "state": "TX",
      "zip": "75033",
      "county": "COLLIN",
      "latitude": 33.1813799002335,
      "longitude": -96.8388990003481,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 63,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-frisco-texas-health-hospital-frisco/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TEXAS HEALTH RESOURCES",
      "affiliatedSystem": "Texas Health Resources",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 51%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-texas-health-resources",
      "siblingGroupId": "siblings-tx-texas-health-resources",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-resources"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.texashealth.org/Locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH RESOURCES (OPERATIONAL/MANAGERIAL CONTROL, 51%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Texas Health Resources; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH RESOURCES, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670266",
      "ccn": "670266",
      "name": "TOWNSEN MEMORIAL HOSPITAL",
      "address": "1475 FM 1960 BYPASS E",
      "city": "HUMBLE",
      "state": "TX",
      "zip": "77338",
      "county": "HARRIS",
      "latitude": 30.0047771299656,
      "longitude": -95.2524783004192,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 5,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-humble-townsen-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "TOWNSEN MEMORIAL HEALTH SYSTEM, LLC",
      "affiliatedSystem": "TOWNSEN MEMORIAL HEALTH SYSTEM, LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists TERRY DO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TOWNSEN MEMORIAL HEALTH SYSTEM, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWNSEN MEMORIAL HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-townsen-memorial-health-system-llc",
      "siblingGroupId": "siblings-tx-townsen-memorial-health-system-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-townsen-memorial-health-system-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists TERRY DO as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TOWNSEN MEMORIAL HEALTH SYSTEM, LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TOWNSEN MEMORIAL HEALTH SYSTEM, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670300",
      "ccn": "670300",
      "name": "METHODIST MIDLOTHIAN MEDICAL CENTER",
      "address": "1201 EAST US HIGHWAY 287",
      "city": "MIDLOTHIAN",
      "state": "TX",
      "zip": "76065",
      "county": "ELLIS",
      "latitude": 32.4689565301874,
      "longitude": -96.982002119905,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 46,
      "rating": 4,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-midlothian-methodist-midlothian-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "Methodist Health System",
      "affiliatedSystem": "METHODIST HOSPITALS OF DALLAS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AMY BODWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-methodist-health-system",
      "siblingGroupId": "siblings-tx-methodist-health-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-health-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://methodisthealthsystem.org/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: METHODIST HOSPITALS OF DALLAS (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists AMY BODWELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Health System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Methodist Health System, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670309",
      "ccn": "670309",
      "name": "TEXAS HEALTH HOSPITAL MANSFIELD",
      "address": "2300 LONE STAR ROAD",
      "city": "MANSFIELD",
      "state": "TX",
      "zip": "76063",
      "county": "JOHNSON",
      "latitude": 32.5367542096973,
      "longitude": -97.0994911796087,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 59,
      "rating": 5,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "TEXAS HEALTH HUGULEY INC",
      "affiliatedSystem": "TEXAS HEALTH HUGULEY INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TEXAS HEALTH HUGULEY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JESSE KLEVEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH HUGULEY INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH HUGULEY INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-texas-health-huguley-inc",
      "siblingGroupId": "siblings-tx-texas-health-huguley-inc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-texas-health-huguley-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: TEXAS HEALTH HUGULEY INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists JESSE KLEVEN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to TEXAS HEALTH HUGULEY INC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent TEXAS HEALTH HUGULEY INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670320",
      "ccn": "670320",
      "name": "EAST HOUSTON MEDICAL CENTER",
      "address": "15149 WALLISVILLE ROAD",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77049",
      "county": "HARRIS",
      "latitude": 29.8078609999497,
      "longitude": -95.1703299997502,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-houston-east-houston-medical-center/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "EXCELLENCE EMERGENCY HOSPITAL LLC",
      "affiliatedSystem": "EXCELLENCE EMERGENCY HOSPITAL LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: EXCELLENCE EMERGENCY HOSPITAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KASHIF H ANSARI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EXCELLENCE EMERGENCY HOSPITAL LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXCELLENCE EMERGENCY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-excellence-emergency-hospital-llc",
      "siblingGroupId": "siblings-tx-excellence-emergency-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-excellence-emergency-hospital-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EXCELLENCE EMERGENCY HOSPITAL LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists KASHIF H ANSARI as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to EXCELLENCE EMERGENCY HOSPITAL LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EXCELLENCE EMERGENCY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670321",
      "ccn": "670321",
      "name": "ADVANCED DALLAS HOSPITALS AND CLINICS",
      "address": "7502 GREENVILLE",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75231",
      "county": "DALLAS",
      "latitude": 32.8837661002241,
      "longitude": -96.7576716004061,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 100,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "ADVANCED DALLAS HOSPITAL & CLINICS LLC",
      "affiliatedSystem": "ADVANCED DALLAS HOSPITAL & CLINICS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists LUCKY A CHOPRA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ADVANCED DALLAS HOSPITAL & CLINICS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED DALLAS HOSPITAL & CLINICS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-advanced-dallas-hospital-and-clinics-llc",
      "siblingGroupId": "siblings-tx-advanced-dallas-hospital-and-clinics-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-advanced-dallas-hospital-clinics-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists LUCKY A CHOPRA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to ADVANCED DALLAS HOSPITAL & CLINICS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ADVANCED DALLAS HOSPITAL & CLINICS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670326",
      "ccn": "670326",
      "name": "BRUSHY CREEK FAMILY HOSPITAL LLC",
      "address": "230 DEER RIDGE DR",
      "city": "ROUND ROCK",
      "state": "TX",
      "zip": "78681",
      "county": "WILLIAMSON",
      "latitude": 30.4961804596881,
      "longitude": -97.7228626898941,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 4,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "BRUSHY CREEK FAMILY HOSPITAL LLC",
      "affiliatedSystem": "BRUSHY CREEK FAMILY HOSPITAL LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS lists NICOLE CAMPBELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BRUSHY CREEK FAMILY HOSPITAL LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRUSHY CREEK FAMILY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-brushy-creek-family-hospital-llc",
      "siblingGroupId": "siblings-tx-brushy-creek-family-hospital-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-enrollments",
        "tx-remediation-brushy-creek-family-hospital-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS lists NICOLE CAMPBELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. No organization owner/control row was selected from the current CMS Hospital All Owners extract; absence is not proof of independence. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to BRUSHY CREEK FAMILY HOSPITAL LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BRUSHY CREEK FAMILY HOSPITAL LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670327",
      "ccn": "670327",
      "name": "EXCEPTIONAL COMMUNITY HOSPITAL LUBBOCK",
      "address": "6401 SPUR 327",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79424",
      "county": "LUBBOCK",
      "latitude": 33.5378838753302,
      "longitude": -101.954778974661,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 7,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "MAHBOUBI INVESTMENTS",
      "affiliatedSystem": "MAHBOUBI INVESTMENTS",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: MAHBOUBI INVESTMENTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 35%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MAHBOUBI INVESTMENTS; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHBOUBI INVESTMENTS, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-mahboubi-investments",
      "siblingGroupId": "siblings-tx-mahboubi-investments",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-mahboubi-investments"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: MAHBOUBI INVESTMENTS (5% OR GREATER DIRECT OWNERSHIP INTEREST, 35%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to MAHBOUBI INVESTMENTS; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent MAHBOUBI INVESTMENTS, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670333",
      "ccn": "670333",
      "name": "WESTOVER HILLS BAPTIST HOSPITAL",
      "address": "3011 W LOOP 1604 N",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78251",
      "county": "BEXAR",
      "latitude": 29.4637947528892,
      "longitude": -98.7132457550191,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 74,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "Tenet Healthcare",
      "affiliatedSystem": "Tenet Healthcare",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tenet-healthcare",
      "siblingGroupId": "siblings-tx-tenet-healthcare",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-tenet-healthcare"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://investor.tenethealth.com/financial-information/sec-filings"
      ],
      "ownershipProofNotes": "CMS owner candidate: TENET HEALTHCARE CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Tenet Healthcare; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Tenet Healthcare, ownership class for_profit_public. PE and service-contract exposure remain separate."
    },
    {
      "id": "670336",
      "ccn": "670336",
      "name": "BANDERA FAMILY HOSPITAL LLC",
      "address": "8703 BANDERA RD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78250",
      "county": "BEXAR",
      "latitude": 29.5241804166234,
      "longitude": -98.6402053149124,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 2,
      "rating": null,
      "status": "corporate_chain",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a for-profit/proprietary hospital. This baseline red tag flags corporate/operator review need; it is not a direct PE claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "low",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Corporate chain",
      "operatorName": "Proprietary",
      "publicControlBadge": "Corporate-chain controlled",
      "parentSystem": "FAMILY EMERGENCY ROOMS LLC",
      "affiliatedSystem": "FAMILY EMERGENCY ROOMS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: FAMILY EMERGENCY ROOMS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURA HIGGINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to FAMILY EMERGENCY ROOMS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAMILY EMERGENCY ROOMS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-family-emergency-rooms-llc",
      "siblingGroupId": "siblings-tx-family-emergency-rooms-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-family-emergency-rooms-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: FAMILY EMERGENCY ROOMS LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LAURA HIGGINS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to FAMILY EMERGENCY ROOMS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FAMILY EMERGENCY ROOMS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "670342",
      "ccn": "670342",
      "name": "HOUSTON METHODIST CYPRESS HOSPITAL",
      "address": "24500 NORTHWEST FWY",
      "city": "CYPRESS",
      "state": "TX",
      "zip": "77429",
      "county": "HARRIS",
      "latitude": 29.9622762630186,
      "longitude": -95.6824814109157,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 100,
      "rating": null,
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "parentSystem": "THE METHODIST HOSPITAL",
      "affiliatedSystem": "Houston Methodist",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: THE METHODIST HOSPITAL (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-the-methodist-hospital",
      "siblingGroupId": "siblings-tx-the-methodist-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-methodist-healthcare-system"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sahealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: THE METHODIST HOSPITAL (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Methodist Healthcare System; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent THE METHODIST HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670346",
      "ccn": "670346",
      "name": "BAYLOR SCOTT AND WHITE MEDICAL CENTER - FRISCO",
      "address": "5601 WARREN PARKWAY",
      "city": "FRISCO",
      "state": "TX",
      "zip": "75034",
      "county": "COLLIN",
      "latitude": 33.1044902099592,
      "longitude": -96.8378253204458,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 68,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "BAYLOR HEALTH CARE SYSTEM",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "Baylor Scott & White Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-frisco-baylor-scott-&-white-medical-center---frisco/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-baylor-health-care-system",
      "siblingGroupId": "siblings-tx-baylor-health-care-system",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: BAYLOR HEALTH CARE SYSTEM (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: Baylor Scott & White Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BAYLOR HEALTH CARE SYSTEM, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670779",
      "ccn": "670779",
      "name": "CROSBYTON CLINIC HOSPITAL",
      "address": "710 WEST MAIN STREET",
      "city": "CROSBYTON",
      "state": "TX",
      "zip": "79322",
      "county": "CROSBY",
      "latitude": 33.6606188203725,
      "longitude": -101.246102410136,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 2,
      "rating": null,
      "website": "http://www.crosbytonclinichospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-crosbyton-crosbyton-clinic-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "CROSBYTON CLINIC HOSPITAL",
      "affiliatedSystem": "CROSBYTON CLINIC HOSPITAL",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CROSBYTON CLINIC HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CROSBYTON CLINIC HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROSBYTON CLINIC HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-crosbyton-clinic-hospital",
      "siblingGroupId": "siblings-tx-crosbyton-clinic-hospital",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-crosbyton-clinic-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CROSBYTON CLINIC HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CROSBYTON CLINIC HOSPITAL; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CROSBYTON CLINIC HOSPITAL, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670780",
      "ccn": "670780",
      "name": "FALLS COMMUNITY HOSPITAL AND CLINIC",
      "address": "322 COLEMAN STREET",
      "city": "MARLIN",
      "state": "TX",
      "zip": "76661",
      "county": "FALLS",
      "latitude": 31.3072024503314,
      "longitude": -96.8940031995884,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 36,
      "rating": null,
      "website": "http://www.fallshospital.com",
      "status": "verified_independent",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "CMS/HIFLD ownership fields identify a nonprofit or academic hospital, and this baseline pass did not match a PE, corporate-chain, CHOW, or major-system warning.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Independent / local",
      "operatorName": "Voluntary non-profit - Private",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marlin-falls-community-hospital-and-clinic/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "FALLS COMMUNITY HOSPITAL AND CLINIC",
      "affiliatedSystem": "FALLS COMMUNITY HOSPITAL AND CLINIC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: FALLS COMMUNITY HOSPITAL AND CLINIC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 20%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to FALLS COMMUNITY HOSPITAL AND CLINIC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALLS COMMUNITY HOSPITAL AND CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-falls-community-hospital-and-clinic",
      "siblingGroupId": "siblings-tx-falls-community-hospital-and-clinic",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-falls-community-hospital-and-clinic"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: FALLS COMMUNITY HOSPITAL AND CLINIC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 20%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to FALLS COMMUNITY HOSPITAL AND CLINIC; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FALLS COMMUNITY HOSPITAL AND CLINIC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "670781",
      "ccn": "670781",
      "name": "ANSON GENERAL HOSPITAL",
      "address": "101 AVENUE J",
      "city": "ANSON",
      "state": "TX",
      "zip": "79501",
      "county": "JONES",
      "latitude": 32.7680115198102,
      "longitude": -99.8949768199257,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 45,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-anson-anson-general-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "ANSON HOSPITAL DISTRICT",
      "affiliatedSystem": "ANSON HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: ANSON HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANSON HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-anson-hospital-district",
      "siblingGroupId": "siblings-tx-anson-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-anson-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: ANSON HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ANSON HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "670783",
      "ccn": "670783",
      "name": "CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE",
      "address": "511 HOSPITAL STREET",
      "city": "SAN AUGUSTINE",
      "state": "TX",
      "zip": "75972",
      "county": "SAN AUGUSTINE",
      "latitude": 31.5326158699535,
      "longitude": -94.103006930328,
      "hospitalType": "Rural Emergency Hospital",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 18,
      "rating": null,
      "status": "corporate_chain",
      "parentSystem": "CommonSpirit Health",
      "affiliatedSystem": "CommonSpirit Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "corporate_chain",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline facility, name, website, or owner context ties this hospital to a major multi-hospital system. This is broad red system control, not a PE ownership claim.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Corporate chain",
      "operatorName": "CommonSpirit Health",
      "publicControlBadge": "Corporate-chain controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-san-augustine-chi-st-lukes-health-memorial-san-augustine/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-commonspirit-health",
      "siblingGroupId": "siblings-tx-commonspirit-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-commonspirit-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.commonspirit.org/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: COMMONSPIRIT HEALTH (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: CommonSpirit Health; this is not proof without facility-level inclusion on the official page. Official system page returned HTTP 404; parent edge remains blocked. Existing public parent-system label preserved as a regression candidate: CommonSpirit Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to CommonSpirit Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CommonSpirit Health, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "671301",
      "ccn": "671301",
      "name": "HEMPHILL COUNTY HOSPITAL",
      "address": "1020 SOUTH 4TH STREET",
      "city": "CANADIAN",
      "state": "TX",
      "zip": "79014",
      "county": "HEMPHILL",
      "latitude": 35.9033931699296,
      "longitude": -100.388256819759,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 26,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners",
        "CMS Hospital Provider Cost Report"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-canadian-hemphill-county-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "HEMPHILL COUNTY HOSPITAL DISTRICT",
      "affiliatedSystem": "HEMPHILL COUNTY HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: HEMPHILL COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JENNIFER COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEMPHILL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-hemphill-county-hospital-district",
      "siblingGroupId": "siblings-tx-hemphill-county-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-hemphill-county-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEMPHILL COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists JENNIFER COX as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEMPHILL COUNTY HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "671302",
      "ccn": "671302",
      "name": "STEPHENS MEMORIAL HOSPITAL",
      "address": "200 SOUTH GENEVA",
      "city": "BRECKENRIDGE",
      "state": "TX",
      "zip": "76424",
      "county": "STEPHENS",
      "latitude": 32.7539557396306,
      "longitude": -98.8872108500981,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 40,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-breckenridge-stephens-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "STEPHENS MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "STEPHENS MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: STEPHENS MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STEPHENS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-stephens-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-stephens-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-stephens-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: STEPHENS MEMORIAL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent STEPHENS MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "671303",
      "ccn": "671303",
      "name": "EASTLAND MEMORIAL HOSPITAL",
      "address": "304 SOUTH DAUGHERTY",
      "city": "EASTLAND",
      "state": "TX",
      "zip": "76448",
      "county": "EASTLAND",
      "latitude": 32.3998206401069,
      "longitude": -98.8211424801515,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Government - Hospital District or Authority",
      "beds": 52,
      "rating": null,
      "status": "verified_independent",
      "affiliationConfidence": "high",
      "evidenceSource": "CMS Hospital All Owners",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-06-24",
      "reviewedAt": "2026-06-24",
      "controlCategory": "local_independent",
      "classificationDepth": "baseline",
      "classificationReason": "Baseline official/source ownership fields identify a government, district, authority, military, tribal, or public hospital operator with no documented PE link in this pass.",
      "classificationSources": [
        "CMS Hospital General Information",
        "HIFLD / source hospital owner field",
        "CMS Hospital Enrollments",
        "CMS Hospital All Owners"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "Government / public",
      "operatorType": "Independent / local",
      "operatorName": "Government - Hospital District or Authority",
      "publicControlBadge": "Independent / no big-corp signal",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-eastland-eastland-memorial-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystem": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystem": "EASTLAND MEMORIAL HOSPITAL DISTRICT",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "parentSystemEvidence": "CMS owner candidate: EASTLAND MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LABAN WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTLAND MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate.",
      "ownershipClass": "government",
      "parentSystemId": "entity-eastland-memorial-hospital-district",
      "siblingGroupId": "siblings-tx-eastland-memorial-hospital-district",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-verified-parent-eastland-memorial-hospital-district"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/Licensed-Facilities.aspx"
      ],
      "ownershipProofNotes": "CMS owner candidate: EASTLAND MEMORIAL HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL). CMS lists LABAN WRIGHT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Public authority; ownership class government. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EASTLAND MEMORIAL HOSPITAL DISTRICT, ownership class government. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-closure-050502",
      "ccn": "050502",
      "name": "ST. VINCENT MEDICAL CENTER",
      "address": "2131 W 3RD ST",
      "city": "LOS ANGELES",
      "state": "CA",
      "zip": "90057",
      "county": "",
      "latitude": 34.06313,
      "longitude": -118.27321,
      "hospitalType": "General acute care; transplant & specialty programs; LA's oldest hospital (1856)",
      "sourceOwner": "Expanded closure research import",
      "beds": 366,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "Nonprofit",
      "expandedClosureResearch": {
        "sourceRow": 28,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2020-01-27",
        "careLevel": "Tertiary (specialty referral)",
        "hospitalType": "General acute care; transplant & specialty programs; LA's oldest hospital (1856)",
        "traumaLevel": "None (needs verification)",
        "licensedBeds": "366",
        "patientsServedNote": "Historic safety-net and specialty hospital near downtown LA",
        "ruralUrban": "Urban",
        "ownershipCategory": "PE management contract over nonprofit (BlueMountain/Integrity)",
        "historicalSponsorOrOwner": "BlueMountain Capital Management (managed/optioned Verity 2015-2017); NantWorks majority from 2017",
        "parentCompany": "Verity Health System",
        "acquiredYear": "2015",
        "acquisitionDealNote": "Hedge fund/PE firm BlueMountain took over management of Daughters of Charity hospitals (2015) with option to convert to for-profit; Verity filed Chapter 11 in 2018; sale to KPC collapsed; court approved closure Jan 2020",
        "yearsPeToClosure": "5",
        "extractionMoneyTrail": "Investor-managed turnaround failed; bankruptcy estate preserved claims against BlueMountain and Integrity Healthcare",
        "degradationRecord": "Deferred capital needs across Verity system; failed sales; abrupt ER closure Jan 9 2020, full closure Jan 27",
        "communityImpact": "164-year-old hospital gone; briefly reopened as LA Surge Hospital during COVID; ED closure impact reviewed by LA County EMS",
        "buildingFate": "Campus sold; used temporarily as COVID surge facility, then redevelopment",
        "peLinkConfidence": "PE/investor-linked (contributing factor)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://en.wikipedia.org/wiki/St._Vincent_Medical_Center_(Los_Angeles)",
          "https://en.wikipedia.org/wiki/Verity_Health_System",
          "http://file.lacounty.gov/SDSInter/bos/supdocs/144222.pdf"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://en.wikipedia.org/wiki/St._Vincent_Medical_Center_(Los_Angeles)",
        "https://en.wikipedia.org/wiki/Verity_Health_System",
        "http://file.lacounty.gov/SDSInter/bos/supdocs/144222.pdf"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "parentSystem": "Verity Health System",
      "formerOperator": "Verity Health System",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "BlueMountain Capital Management (managed/optioned Verity 2015-2017); NantWorks majority from 2017",
      "historicalPeRelationshipType": "management or contract exposure; not hospital ownership",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "2015",
      "closureDate": "2020-01-27",
      "closureYear": 2020,
      "closureStatusLabel": "Full closure",
      "closureSummary": "St. Vincent Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Verity Health System. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-28",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://en.wikipedia.org/wiki/St._Vincent_Medical_Center_(Los_Angeles)",
      "closureEvidenceNote": "Deferred capital needs across Verity system; failed sales; abrupt ER closure Jan 9 2020, full closure Jan 27",
      "acquisitionSourceId": "expanded-ownership-row-28",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://en.wikipedia.org/wiki/Verity_Health_System",
      "acquisitionEvidenceNote": "Hedge fund/PE firm BlueMountain took over management of Daughters of Charity hospitals (2015) with option to convert to for-profit; Verity filed Chapter 11 in 2018; sale to KPC collapsed; court approved closure Jan 2020",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-verity-health-system",
      "siblingGroupId": "siblings-ca-verity-health-system",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-050502",
        "external-resolution-pe-closure-050502"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://oag.ca.gov/charities/nonprofithosp"
      ],
      "ownershipProofNotes": "Verity Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Verity Health System official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-closure-140118",
      "ccn": "140118",
      "name": "METROSOUTH MEDICAL CENTER",
      "address": "12935 S GREGORY",
      "city": "BLUE ISLAND",
      "state": "IL",
      "zip": "60406",
      "county": "",
      "latitude": 41.65868,
      "longitude": -87.67821,
      "hospitalType": "Acute care community hospital",
      "sourceOwner": "Expanded closure research import",
      "beds": 314,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 21,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2019-09-30",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "314 (licensed, approx)",
        "patientsServedNote": "Served south-suburban Cook County",
        "ruralUrban": "Urban/suburban",
        "ownershipCategory": "Publicly traded spinoff (Quorum Health, NYSE: QHC)",
        "historicalSponsorOrOwner": "Quorum Health (CHS spinoff; later taken private via KKR-led restructuring 2020)",
        "parentCompany": "Quorum Health",
        "acquiredYear": "2015 (spinoff)",
        "acquisitionDealNote": "CHS spun MetroSouth into Quorum (2015); Quorum shut it in 2019 citing volumes/staffing; union blamed deliberate understaffing",
        "yearsPeToClosure": "4",
        "extractionMoneyTrail": "Quorum was created loaded with CHS spinoff debt; restructured in 2020 Chapter 11 with lenders incl. KKR taking ownership",
        "degradationRecord": "State rep accused owner of 'corporate greed... understaffing it'; ER and OB stopped accepting patients before approval",
        "communityImpact": "South-suburban Blue Island lost its hospital; redevelopment stalled 6+ years",
        "buildingFate": "Vacant; redevelopment plans repeatedly stalled",
        "peLinkConfidence": "Corporate/PE-linked (contributing factor)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://abc7chicago.com/post/metrosouth-medical-center-stops-accepting-new-patients/5557542/",
          "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-024-19/3-e-024-19-metrosouth-medical-center.pdf"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://abc7chicago.com/post/metrosouth-medical-center-stops-accepting-new-patients/5557542/",
        "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-024-19/3-e-024-19-metrosouth-medical-center.pdf"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "parentSystem": "Quorum Health",
      "formerOperator": "Quorum Health",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "2015 (spinoff)",
      "closureDate": "2019-09-30",
      "closureYear": 2019,
      "closureStatusLabel": "Full closure",
      "closureSummary": "MetroSouth Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Quorum Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-21",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://abc7chicago.com/post/metrosouth-medical-center-stops-accepting-new-patients/5557542/",
      "closureEvidenceNote": "State rep accused owner of 'corporate greed... understaffing it'; ER and OB stopped accepting patients before approval",
      "acquisitionSourceId": "expanded-ownership-row-21",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-024-19/3-e-024-19-metrosouth-medical-center.pdf",
      "acquisitionEvidenceNote": "CHS spun MetroSouth into Quorum (2015); Quorum shut it in 2019 citing volumes/staffing; union blamed deliberate understaffing",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quorum-health",
      "siblingGroupId": "siblings-il-quorum-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-140118",
        "external-resolution-pe-closure-140118"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.quorumhealth.com/locations/"
      ],
      "ownershipProofNotes": "Quorum Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Quorum Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-closure-140240",
      "ccn": "140240",
      "name": "WESTLAKE HOSPITAL",
      "address": "1225 LAKE ST",
      "city": "MELROSE PARK",
      "state": "IL",
      "zip": "60160",
      "county": "",
      "latitude": 41.89169,
      "longitude": -87.84833,
      "hospitalType": "Acute care safety-net hospital",
      "sourceOwner": "Expanded closure research import",
      "beds": 230,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 18,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2019-08",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care safety-net hospital",
        "traumaLevel": "None",
        "licensedBeds": "230",
        "patientsServedNote": "Safety-net hospital for west-suburban Cook County",
        "ruralUrban": "Urban/suburban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Pipeline Health",
        "parentCompany": "Pipeline Health",
        "acquiredYear": "2019-01",
        "acquisitionDealNote": "Bought from Tenet Jan 2019 after telling regulators it would keep Westlake open; announced closure within weeks (Feb 2019)",
        "yearsPeToClosure": "<1",
        "extractionMoneyTrail": "Pipeline Health (PE-backed, incl. TWG/Deerfield-linked investors) bought 3 Chicago safety-net hospitals from Tenet (2019); monetized real estate; rapid expansion then Chapter 11 (Oct 2022); sold Weiss & West Suburban to thinly capitalized Resilience Healthcare with real estate separated from operations",
        "degradationRecord": "Closure announced weeks after promising regulators otherwise; pushed through via bankruptcy despite village lawsuit",
        "communityImpact": "West-suburban safety-net capacity lost; legal fight by Village of Melrose Park failed to stop closure",
        "buildingFate": "Closed; site redevelopment stalled for years",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://pestakeholder.org/reports/how-private-equity-raided-safety-net-hospitals-pipeline-health/",
          "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-004-19/6-e-004-19-westlake-hospital-discontinuation.pdf"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://pestakeholder.org/reports/how-private-equity-raided-safety-net-hospitals-pipeline-health/",
        "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-004-19/6-e-004-19-westlake-hospital-discontinuation.pdf"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "parentSystem": "Pipeline Health",
      "formerOperator": "Pipeline Health",
      "peFirm": "Pipeline Health",
      "historicalPeOwnership": true,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "2019-01",
      "closureDate": "2019-08",
      "closureYear": 2019,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Westlake Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Pipeline Health. Historical PE sponsor/context: Pipeline Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-18",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://pestakeholder.org/reports/how-private-equity-raided-safety-net-hospitals-pipeline-health/",
      "closureEvidenceNote": "Closure announced weeks after promising regulators otherwise; pushed through via bankruptcy despite village lawsuit",
      "acquisitionSourceId": "expanded-ownership-row-18",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://hfsrb.illinois.gov/content/dam/soi/en/web/hfsrb/projects/projectdocuments/2019/exemptions/e-004-19/6-e-004-19-westlake-hospital-discontinuation.pdf",
      "acquisitionEvidenceNote": "Bought from Tenet Jan 2019 after telling regulators it would keep Westlake open; announced closure within weeks (Feb 2019)",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-pipeline-health",
      "siblingGroupId": "siblings-il-pipeline-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-140240",
        "external-resolution-pe-closure-140240"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.pipelinehealth.us/our-hospitals/"
      ],
      "ownershipProofNotes": "Pipeline Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Pipeline Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-closure-220067",
      "ccn": "220067",
      "name": "QUINCY MEDICAL CENTER",
      "address": "114 WHITWELL STREET",
      "city": "QUINCY",
      "state": "MA",
      "zip": "02169",
      "county": "",
      "latitude": 42.25032,
      "longitude": -71.01419,
      "hospitalType": "Acute care community hospital",
      "sourceOwner": "Expanded closure research import",
      "beds": 196,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 2,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure (inpatient 2014; satellite ER until 2020)",
        "closureDate": "2014-12",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "196 (approx, needs verification)",
        "patientsServedNote": "Steward said it was losing ~$20M/yr; served Quincy area (~100k)",
        "ruralUrban": "Urban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care",
        "acquiredYear": "2011",
        "acquisitionDealNote": "Steward bought Quincy Medical Center out of bankruptcy in 2011",
        "yearsPeToClosure": "3",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Abrupt closure announced Nov 2014 with all but ER shut within weeks",
        "communityImpact": "City of ~100k left without a full-service hospital; ER remnant closed Nov 2020",
        "buildingFate": "Largely demolished/redeveloped",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.wbur.org/news/2014/11/06/quincy-medical-center-closing-at-years-end",
          "https://www.wcvb.com/article/steward-health-care-bankruptcy-timeline-one-year-later/64690140"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://www.wbur.org/news/2014/11/06/quincy-medical-center-closing-at-years-end",
        "https://www.wcvb.com/article/steward-health-care-bankruptcy-timeline-one-year-later/64690140"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "parentSystem": "Steward Health Care",
      "formerOperator": "Steward Health Care",
      "peFirm": "Cerberus Capital Management",
      "historicalPeOwnership": true,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "2011",
      "closureDate": "2014-12",
      "closureYear": 2014,
      "closureStatusLabel": "Full closure (inpatient 2014; satellite ER until 2020)",
      "closureSummary": "Quincy Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care. Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-2",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.wbur.org/news/2014/11/06/quincy-medical-center-closing-at-years-end",
      "closureEvidenceNote": "Abrupt closure announced Nov 2014 with all but ER shut within weeks",
      "acquisitionSourceId": "expanded-ownership-row-2",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.wcvb.com/article/steward-health-care-bankruptcy-timeline-one-year-later/64690140",
      "acquisitionEvidenceNote": "Steward bought Quincy Medical Center out of bankruptcy in 2011",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-steward-health-care",
      "siblingGroupId": "siblings-ma-steward-health-care",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-220067",
        "external-resolution-pe-closure-220067"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1639691/000119312517297890/d371311dex991.htm"
      ],
      "ownershipProofNotes": "Steward Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Steward Health Care official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-closure-261334",
      "ccn": "261334",
      "name": "I-70 COMMUNITY HOSPITAL",
      "address": "105 HOSPITAL DRIVE, BUILDING B",
      "city": "SWEET SPRINGS",
      "state": "MO",
      "zip": "65351",
      "county": "",
      "latitude": 38.97841,
      "longitude": -93.41658,
      "hospitalType": "Rural critical access",
      "sourceOwner": "Expanded closure research import",
      "beds": 15,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 38,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "Feb 2019",
        "careLevel": "Critical access (CAH)",
        "hospitalType": "Rural critical access",
        "traumaLevel": "",
        "licensedBeds": "15",
        "patientsServedNote": "",
        "ruralUrban": "Rural (town of ~1,400)",
        "ownershipCategory": "Management-company control (EmpowerHMS) - contract-driven collapse",
        "historicalSponsorOrOwner": "EmpowerHMS / Jorge Perez network (18 hospitals, 8 states)",
        "parentCompany": "EmpowerHMS",
        "acquiredYear": "needs verification",
        "acquisitionDealNote": "Community hospital run by outside management company; used for pass-through lab-billing scheme",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Perez network fraudulently billed insurers $1.4B via rural hospitals for outside lab tests; Jorge Perez convicted 2022, sentenced to 8 yrs 4 mo (Dec 2023); ~$80M in lab charges flowed to Perez-affiliated companies from one 14-bed sister hospital in 6 months",
        "degradationRecord": "License voluntarily suspended amid regulatory issues; closed Feb 2019; bankruptcy Mar 2019",
        "communityImpact": "Nearest hospitals in Clinton/Marshall/Sedalia/Warrensburg; town feared losing viability",
        "buildingFate": "Closed; no services remaining (Sheps: closed 2019, 15 beds, none remaining)",
        "peLinkConfidence": "PE-backed contractor/management (site taxonomy: PE-backed contractor)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/",
          "https://www.justice.gov/archives/opa/pr/two-men-sentenced-fraudulent-rural-hospital-billing-scheme",
          "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/",
        "https://www.justice.gov/archives/opa/pr/two-men-sentenced-fraudulent-rural-hospital-billing-scheme",
        "https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "parentSystem": "EmpowerHMS",
      "formerOperator": "EmpowerHMS",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "EmpowerHMS / Jorge Perez network (18 hospitals, 8 states)",
      "historicalPeRelationshipType": "management or contract exposure; not hospital ownership",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "needs verification",
      "closureDate": "Feb 2019",
      "closureYear": 2019,
      "closureStatusLabel": "Full closure",
      "closureSummary": "I-70 Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: EmpowerHMS. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-38",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://kffhealthnews.org/health-industry/rural-hospital-empire-collapse-missouri-town-fallout-jorge-a-perez-empowerhms/",
      "closureEvidenceNote": "License voluntarily suspended amid regulatory issues; closed Feb 2019; bankruptcy Mar 2019",
      "acquisitionSourceId": "expanded-ownership-row-38",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.justice.gov/archives/opa/pr/two-men-sentenced-fraudulent-rural-hospital-billing-scheme",
      "acquisitionEvidenceNote": "Community hospital run by outside management company; used for pass-through lab-billing scheme",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-empowerhms",
      "siblingGroupId": "siblings-mo-empowerhms",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-261334",
        "external-resolution-pe-closure-261334"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.kslegislature.gov/li_2020/b2019_20/committees/ctte_h_hhs_1/documents/testimony/20190321_09.pdf"
      ],
      "ownershipProofNotes": "EmpowerHMS official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "EmpowerHMS official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-closure-360141",
      "ccn": "360141",
      "name": "NORTHSIDE REGIONAL MEDICAL CENTER",
      "address": "500 GYPSY LANE",
      "city": "YOUNGSTOWN",
      "state": "OH",
      "zip": "44501",
      "county": "",
      "latitude": 41.13369,
      "longitude": -80.65944,
      "hospitalType": "Acute care community hospital",
      "sourceOwner": "Expanded closure research import",
      "beds": 355,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 3,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2018-09-20",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care community hospital",
        "traumaLevel": "None",
        "licensedBeds": "355 (licensed, approx)",
        "patientsServedNote": "Provided ER + labor & delivery for north Youngstown",
        "ruralUrban": "Urban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care (acquired via IASIS Healthcare deal)",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Acquired from IASIS Healthcare Sept 29 2017; closed less than a year later",
        "yearsPeToClosure": "1",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Closed <12 months after Steward takeover; staff layoffs; union called it a huge blow to local economy",
        "communityImpact": "Eliminated ER and labor & delivery on Youngstown's north side; complex left mostly empty",
        "buildingFate": "Mostly vacant; 'void in neighborhood' per local press",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.ahd.com/free_profile/360141/Northside_Regional_Medical_Center/Youngstown/Ohio/",
          "https://www.tribtoday.com/news/local-news/2020/02/northside-hospital-leaves-void-in-neighborhood/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://www.ahd.com/free_profile/360141/Northside_Regional_Medical_Center/Youngstown/Ohio/",
        "https://www.tribtoday.com/news/local-news/2020/02/northside-hospital-leaves-void-in-neighborhood/"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "parentSystem": "Steward Health Care",
      "formerOperator": "Steward Health Care (acquired via IASIS Healthcare deal)",
      "peFirm": "Cerberus Capital Management",
      "historicalPeOwnership": true,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "2017",
      "closureDate": "2018-09-20",
      "closureYear": 2018,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Northside Regional Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care (acquired via IASIS Healthcare deal). Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-3",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.ahd.com/free_profile/360141/Northside_Regional_Medical_Center/Youngstown/Ohio/",
      "closureEvidenceNote": "Closed <12 months after Steward takeover; staff layoffs; union called it a huge blow to local economy",
      "acquisitionSourceId": "expanded-ownership-row-3",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.tribtoday.com/news/local-news/2020/02/northside-hospital-leaves-void-in-neighborhood/",
      "acquisitionEvidenceNote": "Acquired from IASIS Healthcare Sept 29 2017; closed less than a year later",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-steward-health-care",
      "siblingGroupId": "siblings-oh-steward-health-care",
      "ownershipRelationship": "historically_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-360141",
        "external-resolution-pe-closure-360141"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1639691/000119312517297890/d371311dex991.htm"
      ],
      "ownershipProofNotes": "The closed hospital was acquired into privately held Steward through the IASIS transaction and is retained as a historical ownership edge.",
      "parentSystemEvidence": "The closed hospital was acquired into privately held Steward through the IASIS transaction and is retained as a historical ownership edge."
    },
    {
      "id": "pe-closure-360151",
      "ccn": "360151",
      "name": "AFFINITY MEDICAL CENTER",
      "address": "875 EIGHTH STREET NE",
      "city": "MASSILLON",
      "state": "OH",
      "zip": "44646",
      "county": "",
      "latitude": 40.80659,
      "longitude": -81.51602,
      "hospitalType": "Acute care",
      "sourceOwner": "Expanded closure research import",
      "beds": 156,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 35,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "Feb 4 2018 (fully closed Mar 6 2018)",
        "careLevel": "Community/secondary",
        "hospitalType": "Acute care",
        "traumaLevel": "",
        "licensedBeds": "156",
        "patientsServedNote": "",
        "ruralUrban": "Small city",
        "ownershipCategory": "Publicly traded spinoff (Quorum Health, NYSE: QHC)",
        "historicalSponsorOrOwner": "Quorum Health Corporation (CHS spinoff, later taken private via 2020 bankruptcy)",
        "parentCompany": "Quorum Health",
        "acquiredYear": "2016 (spun off from CHS)",
        "acquisitionDealNote": "Quorum was spun off from CHS in 2016 loaded with debt; Affinity had 6 straight years of losses",
        "yearsPeToClosure": "2 (from spinoff)",
        "extractionMoneyTrail": "Spinoff debt structure; closure after failed sale efforts",
        "degradationRecord": "Announced Jan 5 2018, clinical operations ceased 30 days later; nurses union warned of public health crisis",
        "communityImpact": "~800 employees incl. 300 physicians; Massillon left without a hospital or trauma center; residents travel to Canton-area hospitals",
        "buildingFate": "City pursued deals for a smaller replacement hospital in the building",
        "peLinkConfidence": "Corporate chain (publicly traded spinoff)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.sec.gov/Archives/edgar/data/1650445/000156459018000099/qhc-ex991_14.htm",
          "https://www.cantonrep.com/story/news/local/massillon/2018/01/05/prognosis-affinity-has-two-months/16370190007/",
          "https://www.wkyc.com/article/news/local/stark-county/deal-could-bring-hospital-back-to-massillons-former-affinity-medical-center/95-591143911"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://www.sec.gov/Archives/edgar/data/1650445/000156459018000099/qhc-ex991_14.htm",
        "https://www.cantonrep.com/story/news/local/massillon/2018/01/05/prognosis-affinity-has-two-months/16370190007/",
        "https://www.wkyc.com/article/news/local/stark-county/deal-could-bring-hospital-back-to-massillons-former-affinity-medical-center/95-591143911"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "parentSystem": "Quorum Health",
      "formerOperator": "Quorum Health",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "2016 (spun off from CHS)",
      "closureDate": "Feb 4 2018 (fully closed Mar 6 2018)",
      "closureYear": 2018,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Affinity Medical Center is recorded as closed or without inpatient hospital services. Historical operator/parent: Quorum Health. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-35",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.sec.gov/Archives/edgar/data/1650445/000156459018000099/qhc-ex991_14.htm",
      "closureEvidenceNote": "Announced Jan 5 2018, clinical operations ceased 30 days later; nurses union warned of public health crisis",
      "acquisitionSourceId": "expanded-ownership-row-35",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.cantonrep.com/story/news/local/massillon/2018/01/05/prognosis-affinity-has-two-months/16370190007/",
      "acquisitionEvidenceNote": "Quorum was spun off from CHS in 2016 loaded with debt; Affinity had 6 straight years of losses",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-quorum-health",
      "siblingGroupId": "siblings-oh-quorum-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-360151",
        "external-resolution-pe-closure-360151"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.quorumhealth.com/locations/"
      ],
      "ownershipProofNotes": "Quorum Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Quorum Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-closure-440051",
      "ccn": "440051",
      "name": "MCNAIRY REGIONAL HOSPITAL (TENNOVA)",
      "address": "705 E POPLAR AVE",
      "city": "SELMER",
      "state": "TN",
      "zip": "38375",
      "county": "",
      "latitude": 35.163080521896,
      "longitude": -88.575914605263,
      "hospitalType": "Acute care (rural); ED, L&D, surgery",
      "sourceOwner": "Expanded closure research import",
      "beds": 45,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 36,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "May 18 2016",
        "careLevel": "Rural community",
        "hospitalType": "Acute care (rural); ED, L&D, surgery",
        "traumaLevel": "",
        "licensedBeds": "45",
        "patientsServedNote": "",
        "ruralUrban": "Rural",
        "ownershipCategory": "Publicly traded chain (Community Health Systems, NYSE: CYH)",
        "historicalSponsorOrOwner": "Community Health Systems / Tennova Healthcare (publicly traded)",
        "parentCompany": "Tennova Healthcare",
        "acquiredYear": "needs verification",
        "acquisitionDealNote": "CHS cited structural/plumbing problems, fewer patients, and less federal funding",
        "yearsPeToClosure": "",
        "extractionMoneyTrail": "Closed while CHS shed hospitals to service debt from its leveraged HMA acquisition",
        "degradationRecord": "Employees told in a called meeting; closed ~2 months later",
        "communityImpact": "125 jobs lost; emergency care moved 18-38 miles away",
        "buildingFate": "Demolished (2018); county later broke ground on new emergency/outpatient facility with Magnolia Regional",
        "peLinkConfidence": "Corporate chain (publicly traded)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.tennessean.com/story/news/health/2016/07/09/rural-tennessee-struggles-changing-face-health-care/86134910/",
          "https://www.jacksonsun.com/story/news/local/2018/01/19/life-after-death-hospital/1007168001/",
          "https://www.beckershospitalreview.com/finance/tennessee-hospital-closes-today-leaving-125-without-jobs/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://www.tennessean.com/story/news/health/2016/07/09/rural-tennessee-struggles-changing-face-health-care/86134910/",
        "https://www.jacksonsun.com/story/news/local/2018/01/19/life-after-death-hospital/1007168001/",
        "https://www.beckershospitalreview.com/finance/tennessee-hospital-closes-today-leaving-125-without-jobs/"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed / historical for-profit facility",
      "parentSystem": "Tennova Healthcare",
      "formerOperator": "Tennova Healthcare",
      "peFirm": "",
      "historicalPeOwnership": false,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "needs verification",
      "closureDate": "May 18 2016",
      "closureYear": 2016,
      "closureStatusLabel": "Full closure",
      "closureSummary": "McNairy Regional Hospital (Tennova) is recorded as closed or without inpatient hospital services. Historical operator/parent: Tennova Healthcare. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-36",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.tennessean.com/story/news/health/2016/07/09/rural-tennessee-struggles-changing-face-health-care/86134910/",
      "closureEvidenceNote": "Employees told in a called meeting; closed ~2 months later",
      "acquisitionSourceId": "expanded-ownership-row-36",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://www.jacksonsun.com/story/news/local/2018/01/19/life-after-death-hospital/1007168001/",
      "acquisitionEvidenceNote": "CHS cited structural/plumbing problems, fewer patients, and less federal funding",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_public",
      "parentSystemId": "entity-tennova-healthcare",
      "siblingGroupId": "siblings-tn-tennova-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-440051",
        "external-resolution-pe-closure-440051"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1108109/000156459021006686/cyh-ex21_102.htm"
      ],
      "ownershipProofNotes": "Tennova Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Tennova Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-closure-450697",
      "ccn": "450697",
      "name": "TEXAS VISTA MEDICAL CENTER",
      "address": "7400 BARLITE BLVD",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78224",
      "county": "",
      "latitude": 29.35363,
      "longitude": -98.54649,
      "hospitalType": "Acute care safety-net hospital",
      "sourceOwner": "Expanded closure research import",
      "beds": 325,
      "rating": null,
      "website": "",
      "classificationDepth": "source_backed_closure_import",
      "taxOwnershipType": "For-profit",
      "expandedClosureResearch": {
        "sourceRow": 5,
        "sourceFile": "research/imports/pe_hospital_closures_expanded.csv",
        "publicationStatus": "closed",
        "closureType": "Full closure",
        "closureDate": "2023-05-01",
        "careLevel": "Secondary (community)",
        "hospitalType": "Acute care safety-net hospital",
        "traumaLevel": "None",
        "licensedBeds": "325-356",
        "patientsServedNote": "One of only two hospitals serving San Antonio's South Side (~500,000 people)",
        "ruralUrban": "Urban",
        "ownershipCategory": "Direct PE ownership",
        "historicalSponsorOrOwner": "Cerberus Capital Management",
        "parentCompany": "Steward Health Care (acquired via IASIS Healthcare deal)",
        "acquiredYear": "2017",
        "acquisitionDealNote": "Acquired via IASIS Healthcare merger Sept 2017",
        "yearsPeToClosure": "6",
        "extractionMoneyTrail": "Cerberus $895M LBO of Caritas Christi (2010, only ~$246M cash); $1.25B sale-leaseback of hospital real estate to Medical Properties Trust (2016) funded a ~$484M dividend recap; Cerberus exited ~2020 with ~$800M profit; CEO de la Torre bought a $40M yacht; system-wide bankruptcy May 6 2024",
        "degradationRecord": "Steward sought county bailout; securities-fraud allegations swirled; cited financial pressure and COVID",
        "communityImpact": "~500,000 South Side residents lost one of two hospitals after 40 years of operation",
        "buildingFate": "Closed; replacement UT Health hospital announced for 2027",
        "peLinkConfidence": "Direct PE (documented)",
        "statusEvidenceUrl": "",
        "statusEvidenceNote": "",
        "sourceUrls": [
          "https://www.cbsnews.com/news/texas-vista-medical-center-closure-investors-role-san-antonio-hospital-under-scrutiny/",
          "https://sanantonioreport.org/san-antonio-health-care-access-texas-vista-closing/"
        ],
        "evidenceAsOf": "2026-07-10"
      },
      "classificationSources": [
        "https://www.cbsnews.com/news/texas-vista-medical-center-closure-investors-role-san-antonio-hospital-under-scrutiny/",
        "https://sanantonioreport.org/san-antonio-health-care-access-texas-vista-closing/"
      ],
      "status": "closed",
      "controlCategory": "historical",
      "classificationConfidence": "high",
      "researchIncomplete": false,
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "parentSystem": "Steward Health Care",
      "formerOperator": "Steward Health Care (acquired via IASIS Healthcare deal)",
      "peFirm": "Cerberus Capital Management",
      "historicalPeOwnership": true,
      "historicalPeRelationship": "",
      "historicalPeRelationshipType": "",
      "historicalSponsorPrecededOperator": false,
      "acquiredDate": "2017",
      "closureDate": "2023-05-01",
      "closureYear": 2023,
      "closureStatusLabel": "Full closure",
      "closureSummary": "Texas Vista Medical Center (fmr Southwest General) is recorded as closed or without inpatient hospital services. Historical operator/parent: Steward Health Care (acquired via IASIS Healthcare deal). Historical PE sponsor/context: Cerberus Capital Management. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.",
      "closureSourceId": "expanded-closure-row-5",
      "closureSource": "Expanded hospital closure research import",
      "closureSourceUrl": "https://www.cbsnews.com/news/texas-vista-medical-center-closure-investors-role-san-antonio-hospital-under-scrutiny/",
      "closureEvidenceNote": "Steward sought county bailout; securities-fraud allegations swirled; cited financial pressure and COVID",
      "acquisitionSourceId": "expanded-ownership-row-5",
      "acquisitionSource": "Expanded hospital closure ownership research import",
      "acquisitionSourceUrl": "https://sanantonioreport.org/san-antonio-health-care-access-texas-vista-closing/",
      "acquisitionEvidenceNote": "Acquired via IASIS Healthcare merger Sept 2017",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-steward-health-care",
      "siblingGroupId": "siblings-tx-steward-health-care",
      "ownershipRelationship": "historically_owned_and_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-closure-450697",
        "external-resolution-pe-closure-450697"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.sec.gov/Archives/edgar/data/1639691/000119312517297890/d371311dex991.htm"
      ],
      "ownershipProofNotes": "The closed hospital was acquired into privately held Steward through the IASIS transaction and is retained as a historical ownership edge.",
      "parentSystemEvidence": "The closed hospital was acquired into privately held Steward through the IASIS transaction and is retained as a historical ownership edge."
    },
    {
      "id": "pe-tracker-01T157",
      "ccn": "001157",
      "name": "JW SOMMER REHABILITATION UNIT",
      "address": "201 AVALON AVE",
      "city": "MUSCLE SHOALS",
      "state": "AL",
      "zip": "",
      "county": "Colbert",
      "latitude": 34.745017568172,
      "longitude": -87.676456625608,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-01t157"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-032004",
      "ccn": "032004",
      "name": "CORNERSTONE SPECIALTY HOSPITALS TUCSON",
      "address": "7220 EAST ROSEWOOD STREET",
      "city": "TUCSON",
      "state": "AZ",
      "zip": "85710",
      "county": "Pima",
      "latitude": 32.232726697011,
      "longitude": -110.838956039948,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 34,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SASSAN MOMTAZBAKHSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-az-chg-hospital-operations-company-llc",
      "campusFamilyId": "campus-az-032004",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists SASSAN MOMTAZBAKHSH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. State resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-033044",
      "ccn": "033044",
      "name": "DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL",
      "address": "1850 S SAN TAN VILLAGE PARKWAY",
      "city": "GILBERT",
      "state": "AZ",
      "zip": "",
      "county": "Maricopa",
      "latitude": 33.316377358401,
      "longitude": -111.742947038964,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-034020",
      "ccn": "034020",
      "name": "HAVEN BEHAVIORAL HOSPITAL OF PHOENIX",
      "address": "1201 SOUTH 7TH AVENUE, SUITE 200",
      "city": "PHOENIX",
      "state": "AZ",
      "zip": "85007",
      "county": "MARICOPA",
      "latitude": 33.436114525607,
      "longitude": -112.082450026757,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 57,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "peFirm": "Thoma Bravo, Resolute Capital Partners, WP Global Partners, Brown Brothers Harriman Capital Partners",
      "acquiredDate": "May 2006",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Haven Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "HAVEN BEHAVIORAL HEALTHCARE INC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HAVEN BEHAVIORAL HEALTHCARE INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-haven-behavioral-healthcare-inc",
      "siblingGroupId": "siblings-az-haven-behavioral-healthcare-inc",
      "campusFamilyId": "campus-az-034020",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "az-official-facility-directory"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.azdhs.gov/licensing/medical-facilities/index.php"
      ],
      "ownershipProofNotes": "CMS owner candidate: HAVEN BEHAVIORAL HEALTHCARE INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Haven Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Haven Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. State resolution: normalized CMS legal owner/operator to HAVEN BEHAVIORAL HEALTHCARE INC; ownership class for_profit_private. PE exposure remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HAVEN BEHAVIORAL HEALTHCARE INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-034036",
      "ccn": "034036",
      "name": "MEDICAL BEHAVIORAL HOSPITAL OF NORTHERN ARIZONA, L",
      "address": "181 WHIPPLE STREET",
      "city": "PRESCOTT",
      "state": "AZ",
      "zip": "86301",
      "county": "YAVAPAI",
      "latitude": 34.556825928422,
      "longitude": -112.471222525278,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 24,
      "rating": 4,
      "status": "disputed",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "NeuroPsychiatric Hospitals",
      "peFirm": "Enhanced Healthcare Partners",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: NeuroPsychiatric Hospitals. PESP PE firm/sponsor: Enhanced Healthcare Partners.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NeuroPsychiatric Hospitals",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-neuropsychiatric-hospitals",
      "siblingGroupId": "siblings-az-neuropsychiatric-hospitals",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-034036",
        "external-resolution-pe-tracker-034036"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://neuropsychiatrichospitals.net/locations/"
      ],
      "ownershipProofNotes": "NeuroPsychiatric Hospitals official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "NeuroPsychiatric Hospitals official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-03T117",
      "ccn": "003117",
      "name": "VALLEY VIEW MEDICAL CENTER",
      "address": "5330 S HIGHWAY 95",
      "city": "FT MOHAVE",
      "state": "AZ",
      "zip": "",
      "county": "Mohave",
      "latitude": 35.003212079546,
      "longitude": -114.597998266933,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-03t117"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-043036",
      "ccn": "043036",
      "name": "ROGERS REHABILITATION HOSPITAL",
      "address": "4313 SOUTH PLEASANT CROSSING BOULEVARD",
      "city": "ROGERS",
      "state": "AR",
      "zip": "72758",
      "county": "Benton",
      "latitude": 36.279489491767,
      "longitude": -94.149792934893,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "March 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tier2-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-04T041",
      "ccn": "004041",
      "name": "S. MARYS REGIONAL MEDICAL CENTER",
      "address": "1808 WEST MAIN STREET",
      "city": "RUSSELLVILLE",
      "state": "AR",
      "zip": "",
      "county": "Pope",
      "latitude": 35.282943604985,
      "longitude": -93.149978392852,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-04t041"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-053043",
      "ccn": "053043",
      "name": "PALOMAR REHABILITATION INSTITUTE",
      "address": "2181 WEST CITRACADO PARKWAY",
      "city": "ESCONDIDO",
      "state": "CA",
      "zip": "",
      "county": "San Diego",
      "latitude": 33.122523825741,
      "longitude": -117.118769178691,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "Non-profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "DSB ACQUISITION LLC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-dsb-acquisition-llc",
      "siblingGroupId": "siblings-ca-dsb-acquisition-llc",
      "campusFamilyId": "campus-ca-053043",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ca-cdph-current-licensed-healthcare-facilities"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.chhs.ca.gov/dataset/59d9abe7-2664-407a-a5aa-f89a866f3381/resource/641c5557-7d65-4379-8fea-6b7dedbda40b/download/current-healthcare-facility-listing20260701.csv"
      ],
      "ownershipProofNotes": "CMS universe: POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. Matched 2 current CDPH licensed hospital row(s) by normalized name and city. CMS POS Type of Control 03. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from nonprofit to for_profit_private through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent DSB ACQUISITION LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-092002",
      "ccn": "092002",
      "name": "BRIDGEPOINT CONT CARE HOSPITAL - CAPITOL HILL",
      "address": "223 7TH STREET NE",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20002",
      "county": "District Of Columbia",
      "latitude": 38.892550691596,
      "longitude": -76.99609410407,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 60,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Silver Point Capital",
      "acquiredDate": "December 2014",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Bridgepoint Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-092002",
        "official-dc-092002"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://bridgepointhealthcare.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "pe-tracker-092003",
      "ccn": "092003",
      "name": "BRIDGEPOINT CONT CARE HOSPITAL - NAT HARBORSIDE",
      "address": "4601 MARTIN LUTHER KING JR AVENUE",
      "city": "WASHINGTON",
      "state": "DC",
      "zip": "20032",
      "county": "District Of Columbia",
      "latitude": 38.824663422771,
      "longitude": -77.012428927123,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 82,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Silver Point Capital",
      "acquiredDate": "December 2014",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Bridgepoint Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-dc-092003",
        "official-dc-092003"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://bridgepointhealthcare.com/"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_proof_notes."
    },
    {
      "id": "pe-tracker-103051",
      "ccn": "103051",
      "name": "TAMPA GENERAL REHABILITATION HOSPITAL",
      "address": "1307 W KENNEDY BLVD",
      "city": "TAMPA",
      "state": "FL",
      "zip": "",
      "county": "Hillsborough",
      "latitude": 27.944718572551,
      "longitude": -82.47366761664,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "FLORIDA HEALTH SCIENCES CENTER INC",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-florida-health-sciences-center-inc",
      "siblingGroupId": "siblings-fl-florida-health-sciences-center-inc",
      "campusFamilyId": "campus-fl-103051",
      "ownershipRelationship": "owned_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "fl-ahca-licensed-hospitals"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ahca.myflorida.com/health-quality-assurance/bureau-of-health-facility-regulation/hospital-outpatient-services-unit/hospitals.html"
      ],
      "ownershipProofNotes": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS universe: POS. The official state licensing/search page was fetched, but it does not expose a complete machine-readable hospital roster suitable for conservative row-level matching. CMS POS Type of Control 04 (proprietary); public/private boundary still requires parent routing; 0 CMS for-profit owner row(s) found, but private-versus-public ultimate-parent status was not independently established. CMS organization ownership-interest role supports the stated parent edge. PE status is separate and no contract/vendor relationship was converted into ownership. Ownership class normalized from unresolved to nonprofit through the verified-parent consistency audit; no majority vote was used. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent FLORIDA HEALTH SCIENCES CENTER INC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-104008",
      "ccn": "104008",
      "name": "SUNVIEW MEDICAL CENTER",
      "address": "1041 45TH ST",
      "city": "WEST PALM BEACH",
      "state": "FL",
      "zip": "33407",
      "latitude": 26.753254359707,
      "longitude": -80.067200995112,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 44,
      "rating": null,
      "status": "disputed",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Cedar Health Group",
      "peFirm": "Cedar Health Group",
      "acquiredDate": "September 2020",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Cedar Health Group. PESP PE firm/sponsor: Cedar Health Group.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Cedar Health Group",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-cedar-health-group",
      "siblingGroupId": "siblings-fl-cedar-health-group",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-104008",
        "external-resolution-pe-tracker-104008"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://cedarhealthgroup.com/"
      ],
      "ownershipProofNotes": "Cedar Health Group official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Cedar Health Group official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-142009",
      "ccn": "142009",
      "name": "KINDRED - CHICAGO - LAKESHORE",
      "address": "6130 NORTH SHERIDAN ROAD",
      "city": "CHICAGO",
      "state": "IL",
      "zip": "60660",
      "county": "Cook",
      "latitude": 41.99343024377,
      "longitude": -87.655567915406,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 94,
      "rating": null,
      "status": "closed",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "2021-12",
      "evidenceSource": "Illinois Health Facilities and Services Review Board",
      "evidenceSourceUrl": "https://hfsrb.illinois.gov/announcements/24-037-kindred-chicago-lakeshore.html",
      "evidenceAsOf": "2026-07-10",
      "reviewedAt": "2026-07-10",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "historical",
      "classificationDepth": "baseline",
      "classificationReason": "KINDRED - CHICAGO - LAKESHORE closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "National baseline system/operator rule",
        "CMS Hospital General Information",
        "PESP Private Equity Hospital Tracker and linked transaction sources",
        "https://pestakeholder.org/private-equity-hospital-tracker/",
        "Illinois Health Facilities and Services Review Board",
        "https://hfsrb.illinois.gov/announcements/24-037-kindred-chicago-lakeshore.html"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Closed / no active hospital operator",
      "operatorName": "No active hospital operator",
      "publicControlBadge": "Closed after documented PE acquisition",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-chicago-kindred-chicago-lakeshore/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "hospitalId": "pe-tracker-142009",
      "formerOperator": "ScionHealth / Kindred Hospitals",
      "closureDate": "2025-04-30",
      "closureSource": "Illinois Health Facilities and Services Review Board",
      "closureSourceUrl": "https://hfsrb.illinois.gov/announcements/24-037-kindred-chicago-lakeshore.html",
      "historicalPeOwnership": true,
      "closureYear": 2025,
      "closureStatusLabel": "Closed / shut down in 2025",
      "closureSummary": "KINDRED - CHICAGO - LAKESHORE closed or ceased hospital operations in 2025 after a documented private-equity acquisition. Former PE sponsor: Apollo Global Management; operating platform: ScionHealth / Kindred Hospitals. This sequence does not by itself prove that PE ownership caused the closure.",
      "acquisitionSource": "PESP Private Equity Hospital Tracker and linked transaction sources",
      "acquisitionSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "acquisitionEvidenceNote": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.",
      "closureEvidenceNote": "The closure source documents cessation of hospital operations in 2025; it does not establish that private equity caused the closure.",
      "acquisitionSourceId": "pe-acquisition-pe-tracker-142009",
      "closureSourceId": "closure-pe-tracker-142009",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-il-scionhealth",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-142009",
        "external-resolution-pe-tracker-142009"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.scionhealth.com/locations/"
      ],
      "ownershipProofNotes": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "ScionHealth official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-144042",
      "ccn": "144042",
      "name": "LAKE BEHAVIORAL HOSPITAL",
      "address": "2615 W WASHINGTON ST",
      "city": "WAUKEGAN",
      "state": "IL",
      "zip": "60085",
      "county": "LAKE",
      "latitude": 42.359315649334,
      "longitude": -87.866605363104,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 386,
      "rating": null,
      "status": "signal",
      "geocodeQuality": "Exact",
      "relationshipType": "venture_backing",
      "parentSystem": "US HEALTHVEST, LLC",
      "peFirm": "F-Prime Capital, Eight Roads, George Conrades, Oak HC/FT",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "signalScore": 4,
      "signalSummary": "The source dataset identifies venture-capital backing. This is a documented investment signal, not confirmed private-equity ownership or a pending sale.",
      "controlCategory": "transaction_warning",
      "classificationDepth": "baseline",
      "classificationReason": "Existing evidence shows a transaction, investment, or ownership-change signal. This public record is baseline-visible, but the full dossier is incomplete.",
      "classificationSources": [
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Transaction warning",
      "operatorName": "US HealthVest",
      "publicControlBadge": "Ownership warning",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-waukegan-lake-behavioral-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-us-healthvest-llc",
      "siblingGroupId": "siblings-il-us-healthvest-llc",
      "campusFamilyId": "campus-il-144042",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "il-parent-us-healthvest"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ushealthvest.com/portfolio/"
      ],
      "ownershipProofNotes": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: US HEALTHVEST, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists RICHARD A KRESCH as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: US HealthVest; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: US HealthVest. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Illinois resolution: normalized CMS legal owner/operator to US HealthVest; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent US HEALTHVEST, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-152007",
      "ccn": "152007",
      "name": "KINDRED HOSPITAL INDIANAPOLIS",
      "address": "1700 W 10TH ST",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46222",
      "county": "Marion",
      "latitude": 39.780819795411,
      "longitude": -86.191064200863,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 59,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-in-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-in-152007",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.scionhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-152013",
      "ccn": "152013",
      "name": "KINDRED HOSPITAL INDIANAPOLIS NORTH",
      "address": "8060 KNUE ROAD",
      "city": "INDIANAPOLIS",
      "state": "IN",
      "zip": "46250",
      "county": "Marion",
      "latitude": 39.90192238873,
      "longitude": -86.060252079577,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 45,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-in-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-in-152013",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-scionhealth"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.scionhealth.com/"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NAKIA TREMBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists NAKIA TREMBLE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to ScionHealth; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-153044",
      "ccn": "153044",
      "name": "COMMUNITY HEALTH NETWORK REHABILITATION HOSP SO",
      "address": "607 SOUTH GREENWOOD SPRINGS DRIVE",
      "city": "GREENWOOD",
      "state": "IN",
      "zip": "46143",
      "county": "Johnson",
      "latitude": 39.628273819782,
      "longitude": -86.076802739492,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 44,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-in-chc-community-care",
      "campusFamilyId": "campus-in-153044",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-parent-community-health-network"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.ecommunity.com/about-us"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHELLE RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MICHELLE RUSSELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Community Health Network; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-154055",
      "ccn": "154055",
      "name": "BRENTWOOD MEADOWS LLC",
      "address": "4488 ROSLIN RD",
      "city": "NEWBURGH",
      "state": "IN",
      "zip": "47630",
      "county": "WARRICK",
      "latitude": 37.991294072087,
      "longitude": -87.331795084919,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-newburgh-brentwood-meadows-llc/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-in-lifepoint-health",
      "campusFamilyId": "campus-in-154055",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "in-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Indiana resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-163026",
      "ccn": "163026",
      "name": "MERCY IOWA CITY REHABLITATION HOSPITAL",
      "address": "2801 HEARTLAND DRIVE",
      "city": "CORALVILLE",
      "state": "IA",
      "zip": "52241",
      "county": "Johnson",
      "latitude": 41.700178243947,
      "longitude": -91.611581079072,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ia-chc-community-care",
      "campusFamilyId": "campus-ia-163026",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ia-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.lifepointhealth.net/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Iowa resolution: normalized CMS legal owner/operator to Lifepoint Health; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-170196",
      "ccn": "170196",
      "name": "KANSAS SPINE & SPECIALTY HOSPITAL, LLC",
      "address": "3333 NORTH WEBB ROAD",
      "city": "WICHITA",
      "state": "KS",
      "zip": "67226",
      "county": "SEDGWICK",
      "latitude": 37.743633726413,
      "longitude": -97.226398452783,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Physician",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "SP Management Services",
      "peFirm": "Bain Capital",
      "acquiredDate": "August 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Surgery Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sp-management-services",
      "siblingGroupId": "siblings-ks-sp-management-services",
      "campusFamilyId": "campus-ks-170196",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN ROGER DICKERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SP MANAGEMENT SERVICES INC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists JOHN ROGER DICKERSON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Surgery Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Surgery Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SP Management Services, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-173035",
      "ccn": "173035",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOS",
      "address": "502 ROSEPORT ROAD",
      "city": "WATHENA",
      "state": "KS",
      "zip": "",
      "county": "Doniphan",
      "latitude": 39.749931490328,
      "longitude": -94.873522668155,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "ClearSky Health",
      "peFirm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ClearSky Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-ks-clearsky-health",
      "campusFamilyId": "campus-ks-173035",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ks-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.kdhe.ks.gov/1165/Hospital-List"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBRA HOFFMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists DEBRA HOFFMAN as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Kansas resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-18T040",
      "ccn": "018040",
      "name": "FRAZIER REHAB INSTITUTE",
      "address": "220 ABRAHAM FLEXNER WAY",
      "city": "LOUISVILLE",
      "state": "KY",
      "zip": "",
      "county": "Jefferson",
      "latitude": 38.249028581248,
      "longitude": -85.748864617876,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "Non-profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-18t040"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-193050",
      "ccn": "193050",
      "name": "CLEARSKY REHABILITATION HOSPITAL OF ROSEPINE, LLC",
      "address": "8088 HAWKS RD",
      "city": "LEESVILLE",
      "state": "LA",
      "zip": "71446",
      "county": "Vernon",
      "latitude": 30.941357840489,
      "longitude": -93.285772927484,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 20,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Titan Rehabilitation Institute of America",
      "peFirm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "acquiredDate": "April 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ClearSky Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-titan-rehabilitation-institute-of-america",
      "siblingGroupId": "siblings-la-titan-rehabilitation-institute-of-america",
      "campusFamilyId": "campus-la-193050",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "la-verified-parent-titan-rehabilitation-institute-of-america"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners"
      ],
      "ownershipProofNotes": "CMS owner candidate: TITAN REHABILITATION INSTITUTE OF AMERICA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Titan Rehabilitation Institute of America, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: TITAN REHABILITATION INSTITUTE OF AMERICA, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists CHARLES L MATTHEWS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Louisiana resolution: normalized CMS owner/operator to Local public authority; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Titan Rehabilitation Institute of America, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-230013",
      "ccn": "234048",
      "name": "PONTIAC GENERAL HOSPITAL",
      "address": "461 W HURON ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.635652997907,
      "longitude": -83.309677654788,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 306,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Sant Partners",
      "acquiredDate": "March 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystem": "AXIOM MANAGEMENT GROUP LLC",
      "parentSystemId": "entity-axiom-management-group-llc",
      "siblingGroupId": "siblings-mi-axiom-management-group-llc",
      "campusFamilyId": "campus-mi-234048",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.michigan.gov/lara/bureau-list/bchs/providers/hospital"
      ],
      "ownershipProofNotes": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AXIOM MANAGEMENT GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists SANYAM SHARMA as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. CMS universe sources: PDC not matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AXIOM MANAGEMENT GROUP LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-230013-loc-mi-pontiac-pontiac-general-hospital",
      "ccn": "230013",
      "name": "PONTIAC GENERAL HOSPITAL",
      "address": "461 W HURON ST",
      "city": "PONTIAC",
      "state": "MI",
      "zip": "48341",
      "county": "OAKLAND",
      "latitude": 42.635652997907,
      "longitude": -83.309677654788,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 306,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Sant Partners",
      "acquiredDate": "March 2016",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Proprietary",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-230013"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: missing_or_generic_parent, insufficient_structured_sources.",
      "legacyHospitalId": "pe-tracker-230013"
    },
    {
      "id": "pe-tracker-230054",
      "ccn": "230054",
      "name": "UPHS MARQUETTE DLP HOSPITAL",
      "address": "850 W BARAGA AVE",
      "city": "MARQUETTE",
      "state": "MI",
      "zip": "49855",
      "county": "MARQUETTE",
      "latitude": 46.543047464893,
      "longitude": -87.410521101919,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Government - Local",
      "beds": 289,
      "rating": 3,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-marquette-uphs-marquette-dlp-hospital/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-mi-lifepoint-health",
      "campusFamilyId": "campus-mi-230054",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mi-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Michigan resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-23T097",
      "ccn": "023097",
      "name": "MARY FREE BED AT MUNSON",
      "address": "1105 6TH ST.",
      "city": "TRAVERSE CITY",
      "state": "MI",
      "zip": "",
      "county": "Grand Traverse",
      "latitude": 44.761578258086,
      "longitude": -85.6414593821,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "Non-profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Graham Healthcare Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Mary Free Bed Rehabilitation Hospital",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-23t097"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-23T230",
      "ccn": "023230",
      "name": "MARY FREE BED AT SPARROW",
      "address": "1215 E. MICHIGAN AVENUE",
      "city": "LANSING",
      "state": "MI",
      "zip": "",
      "county": "Ingham",
      "latitude": 42.733646012574,
      "longitude": -84.53543878916,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "Non-profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Graham Healthcare Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Mary Free Bed Rehabilitation Hospital",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-23t230"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-254012",
      "ccn": "254012",
      "name": "OCEANS BEHAVIORAL HOSPITAL- BILOXI",
      "address": "180 DEBUYS ROAD, BUILDING C",
      "city": "BILOXI",
      "state": "MS",
      "zip": "39531",
      "county": "HARRISON",
      "latitude": 30.391274494558,
      "longitude": -89.001203439971,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 45,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "Oceans Behavioral Health",
      "peFirm": "Webster Equity Partners",
      "acquiredDate": "February 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Oceans Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-oceans-behavioral-health",
      "siblingGroupId": "siblings-ms-oceans-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ms-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.msdh.ms.gov/msdhsite/index.cfm/30%2C7660%2C83%2C613%2Cpdf/HealthFacilitiesDirectory.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: OCEANS ACQUISITIONS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oceans Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: OCEANS ACQUISITIONS INC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists STUART L ARCHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Oceans Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Oceans Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Mississippi resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Oceans Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-262010",
      "ccn": "262010",
      "name": "KINDRED HOSPITAL - ST LOUIS",
      "address": "4930 LINDELL BOULEVARD",
      "city": "SAINT LOUIS",
      "state": "MO",
      "zip": "63108",
      "county": "St. Louis City",
      "latitude": 38.643518790185,
      "longitude": -90.263343213381,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 60,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-mo-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-mo-262010",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN SHRAKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists KEVIN SHRAKE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-263034",
      "ccn": "263034",
      "name": "MERCY REHABILITATION HOSPITAL SOUTH",
      "address": "10114 KENNERLY ROAD",
      "city": "SAINT LOUIS",
      "state": "MO",
      "zip": "",
      "county": "St. Louis",
      "latitude": 38.512471109359,
      "longitude": -90.380462552159,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-mo-chc-community-care",
      "campusFamilyId": "campus-mo-263034",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "mo-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://health.mo.gov/safety/healthservregs/pdf/MOhospByName.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). CMS lists MARCUS B POPPELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Missouri resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-310130",
      "ccn": "310130",
      "name": "HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL",
      "address": "250 OLD HOOK ROAD",
      "city": "WESTWOOD",
      "state": "NJ",
      "zip": "7675",
      "county": "BERGEN",
      "latitude": 40.983736422286,
      "longitude": -74.014609002966,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 128,
      "rating": 5,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2017",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Hackensack Meridian Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nj-ahs-management",
      "campusFamilyId": "campus-nj-310130",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nj-parent-hackensack-meridian-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hackensackmeridianhealth.org/en/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NJ resolution: normalized CMS owner/operator to Hackensack Meridian Health; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-323028",
      "ccn": "323028",
      "name": "LOVELACE UNM REHABILITATION HOSPITAL",
      "address": "505 ELM STREET NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "87102",
      "county": "Bernalillo",
      "latitude": 35.086141467678,
      "longitude": -106.638044484311,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 62,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-nm-ahs-management",
      "campusFamilyId": "campus-nm-323028",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nm-parent-ardent-health-services"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://ardenthealth.com/locations/"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. NM resolution: normalized CMS owner/operator to Ardent Health Services; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-32T009",
      "ccn": "032009",
      "name": "ST JOSEPH MEDICAL CENTER",
      "address": "601 DR MARTIN LUTHER KING JR AVE NE",
      "city": "ALBUQUERQUE",
      "state": "NM",
      "zip": "",
      "county": "Bernalillo",
      "latitude": 35.085642804679,
      "longitude": -106.64045161057,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "disputed",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Ardent Health Services",
      "peFirm": "Equity Group Investments",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Ardent Health Services. PESP PE firm/sponsor: Equity Group Investments.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ardent-health-services",
      "siblingGroupId": "siblings-nm-ardent-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-32t009",
        "external-resolution-pe-tracker-32t009"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mountainsidehosp.com/home.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-341305",
      "ccn": "341305",
      "name": "DLP SWAIN COUNTY HOSPITAL LLC",
      "address": "45 PLATEAU STREET",
      "city": "BRYSON CITY",
      "state": "NC",
      "zip": "28713",
      "county": "SWAIN",
      "latitude": 35.435077877743,
      "longitude": -83.444615373014,
      "hospitalType": "Critical Access Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 48,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "November 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-nc-lifepoint-health",
      "campusFamilyId": "campus-nc-341305",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 97%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DLP PARTNER LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: DLP PARTNER LLC (OPERATIONAL/MANAGERIAL CONTROL, 97%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to DLP PARTNER LLC; ownership class government. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-344030",
      "ccn": "344030",
      "name": "STRATEGIC BEHAVIORAL CENTER-LELAND",
      "address": "2050 MERCANTILE DRIVE",
      "city": "LELAND",
      "state": "NC",
      "zip": "28451",
      "county": "BRUNSWICK",
      "latitude": 34.261604732209,
      "longitude": -78.064478849001,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 20,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-leland-strategic-behavioral-center-leland/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-nc-sbhc-holdings-llc",
      "campusFamilyId": "campus-nc-344030",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "nc-parent-sbhc-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://info.ncdhhs.gov/dhsr/data/hllist.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. NC resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-344031",
      "ccn": "344031",
      "name": "STRATEGIC BEHAVIORAL CENTER-CHARLOTTE",
      "address": "1715 SHARON ROAD WEST",
      "city": "CHARLOTTE",
      "state": "NC",
      "zip": "28210",
      "latitude": 35.117835894129,
      "longitude": -80.87406887565,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "status": "disputed",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Summit Behavioral Healthcare",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "December 2021",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Summit Behavioral Healthcare. PESP PE firm/sponsor: Patient Square Capital.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-charlotte-strategic-behavioral-center-charlotte/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-summit-behavioral-healthcare",
      "siblingGroupId": "siblings-nc-summit-behavioral-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-344031",
        "external-resolution-pe-tracker-344031"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://summitbhc.com/locations/"
      ],
      "ownershipProofNotes": "Summit Behavioral Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Summit Behavioral Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-34T132",
      "ccn": "034132",
      "name": "MARIA PARHAM HEALTHCARE ASSOCIATION INC",
      "address": "566 RUIN CREEK RD",
      "city": "HENDERSON",
      "state": "NC",
      "zip": "",
      "county": "Vance",
      "latitude": 36.330683282944,
      "longitude": -78.44790635031,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "classificationConfidence": "high",
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-34t132"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-362033",
      "ccn": "362033",
      "name": "KINDRED HOSPITALS-DAYTON",
      "address": "707 EAST EDWIN C MOSES BLVD",
      "city": "DAYTON",
      "state": "OH",
      "zip": "45417",
      "county": "Montgomery",
      "latitude": 39.746208911906,
      "longitude": -84.196609777652,
      "hospitalType": "LTACH",
      "sourceOwner": "Non-profit",
      "beds": 67,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-oh-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-oh-362033",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-362038",
      "ccn": "362038",
      "name": "ADVANCED SPECIALTY HOSPITAL OF TOLEDO",
      "address": "1015 GARDEN LAKE PARKWAY",
      "city": "TOLEDO",
      "state": "OH",
      "zip": "43614",
      "county": "Lucas",
      "latitude": 41.621323111255,
      "longitude": -83.596571656929,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "HEALTH CARE FACILITY MANAGEMENT, LLC",
      "peFirm": "Longevity Venture Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "CommuniCare Family of Companies",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-health-care-facility-management-llc",
      "siblingGroupId": "siblings-oh-health-care-facility-management-llc",
      "campusFamilyId": "campus-oh-362038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: HEALTH CARE FACILITY MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE FACILITY MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HEALTH CARE FACILITY MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: CommuniCare Family of Companies; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: CommuniCare Family of Companies. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent HEALTH CARE FACILITY MANAGEMENT, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-363044",
      "ccn": "363044",
      "name": "REUNION REHABILITATION HOSPITAL OF DUBLIN",
      "address": "3805 EMERALD PARKWAY",
      "city": "DUBLIN",
      "state": "OH",
      "zip": "",
      "county": "Franklin",
      "latitude": 40.12271613369,
      "longitude": -83.093457744748,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "disputed",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Reunion Rehabilitation Partners",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Reunion Rehabilitation Partners. PESP PE firm/sponsor: Stanton Road Capital.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Reunion Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-reunion-rehabilitation-partners",
      "siblingGroupId": "siblings-oh-reunion-rehabilitation-partners",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-363044",
        "external-resolution-pe-tracker-363044"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://reunionrehabhospital.com/news/reunion-rehabilitation-hospital-dublin-announces-grand-opening/"
      ],
      "ownershipProofNotes": "Reunion Rehabilitation Partners official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Reunion Rehabilitation Partners official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-364053",
      "ccn": "364053",
      "name": "HIGHLAND SPRINGS",
      "address": "4199 MILL POND DRIVE",
      "city": "BEACHWOOD",
      "state": "OH",
      "zip": "44122",
      "county": "CUYAHOGA",
      "latitude": 41.449410301064,
      "longitude": -81.523254654916,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "LifePoint Health",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "February 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-lifepoint-health",
      "siblingGroupId": "siblings-oh-lifepoint-health",
      "campusFamilyId": "campus-oh-364053",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-verified-parent-lifepoint-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.sec.gov/Archives/edgar/data/1301611/000110465918046550/a18-17580_18k.htm"
      ],
      "ownershipProofNotes": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: LIFEPOINT BEHAVIORAL HEALTH SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL, 0%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent LifePoint Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-364058",
      "ccn": "364058",
      "name": "SUN BEHAVIORAL COLUMBUS",
      "address": "900 EAST DUBLIN GRANVILLE ROAD",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43229",
      "county": "FRANKLIN",
      "latitude": 40.087934703018,
      "longitude": -82.994472864329,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 54,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "SUN BEHAVIORAL HEALTH INC",
      "peFirm": "LLR Partners, HealthInvest Equity Partners, NewSpring Capital, Petra Capital Partners, SV Health Investors",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "SUN Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbus-sun-behavioral-columbus/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sun-behavioral-health-inc",
      "siblingGroupId": "siblings-oh-sun-behavioral-health-inc",
      "campusFamilyId": "campus-oh-364058",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: SUN BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SUN BEHAVIORAL HEALTH INC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: SUN Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: SUN Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SUN BEHAVIORAL HEALTH INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-364061",
      "ccn": "364061",
      "name": "RIVER VISTA HEALTH AND WELLNESS LLC",
      "address": "1599 ALUM CREEK DRIVE",
      "city": "COLUMBUS",
      "state": "OH",
      "zip": "43209",
      "county": "FRANKLIN",
      "latitude": 39.93664612577,
      "longitude": -82.942355764066,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 80,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "BEHAVIORAL HEALTH MANAGEMENT LLC",
      "peFirm": "New State Capital Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "New Vista Behavioral Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-behavioral-health-management-llc",
      "siblingGroupId": "siblings-oh-behavioral-health-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "oh-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://codes.ohio.gov/ohio-administrative-code/chapter-3701-59"
      ],
      "ownershipProofNotes": "CMS owner candidate: BEHAVIORAL HEALTH MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: New Vista Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: New Vista Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEHAVIORAL HEALTH MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: BEHAVIORAL HEALTH MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: New Vista Behavioral Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: New Vista Behavioral Health. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OH resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent BEHAVIORAL HEALTH MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-370216",
      "ccn": "370216",
      "name": "TULSA SPINE & SPECIALTY HOSPITAL",
      "address": "6901 SOUTH OLYMPIA AVENUE",
      "city": "TULSA",
      "state": "OK",
      "zip": "74132",
      "county": "TULSA",
      "latitude": 36.066555192855,
      "longitude": -96.003977713231,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 38,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-ok-ahs-management",
      "campusFamilyId": "campus-ok-370216",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-373036",
      "ccn": "373036",
      "name": "EVEREST REHABILITATION HOSPITAL OKC, LLC",
      "address": "7900 MID-AMERICA BLVD",
      "city": "MIDWEST CITY",
      "state": "OK",
      "zip": "",
      "county": "Oklahoma",
      "latitude": 35.389115814263,
      "longitude": -97.412596000133,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-ok-chc-community-care",
      "campusFamilyId": "campus-ok-373036",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-373038",
      "ccn": "373038",
      "name": "OKLAHOMA CITY REHABILITATION HOSPITAL, LLC",
      "address": "10240 BROADWAY EXTENSION",
      "city": "OKLAHOMA CITY",
      "state": "OK",
      "zip": "",
      "county": "Oklahoma",
      "latitude": 35.574040358779,
      "longitude": -97.513434659481,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "NOBIS REHABILITATION PARTNERS, LLC",
      "peFirm": "Stanton Road Capital",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned. This public record is baseline-visible, but the full dossier is incomplete.",
      "classificationSources": [
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "medium",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Nobis Rehabilitation Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-nobis-rehabilitation-partners-llc",
      "siblingGroupId": "siblings-ok-nobis-rehabilitation-partners-llc",
      "campusFamilyId": "campus-ok-373038",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ok-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oklahoma.gov/health/services/licensing-inspections/medical-facilities-service/facility-services-division.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACEY NIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: NOBIS REHABILITATION PARTNERS, LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists TRACEY NIXON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Nobis Rehabilitation Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Nobis Rehabilitation Partners. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. OK resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NOBIS REHABILITATION PARTNERS, LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-37T001",
      "ccn": "037001",
      "name": "HILLCREST KAISER REHABILITATION CENTER",
      "address": "1125 S. TRENTON",
      "city": "TULSA",
      "state": "OK",
      "zip": "",
      "county": "Tulsa",
      "latitude": 36.147667000483,
      "longitude": -95.969705696122,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Equity Group Investments",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Kaiser Permanente",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-37t001"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-390333",
      "ccn": "390333",
      "name": "AHN EMERUS WESTMORELAND, LLC",
      "address": "6321 ROUTE 30",
      "city": "GREENSBURG",
      "state": "PA",
      "zip": "15601",
      "county": "WESTMORELAND",
      "latitude": 40.310165177754,
      "longitude": -79.600191687599,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 10,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "AHN EMERUS LLC",
      "peFirm": "Welsh, Carson, Anderson & Stowe",
      "acquiredDate": "September 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Allegheny Health Network/Emerus ",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-ahn-emerus-llc",
      "siblingGroupId": "siblings-pa-ahn-emerus-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-independent-pennsylvania-nonprofit-hospital"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHN EMERUS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Allegheny Health Network/Emerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Allegheny Health Network/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHN EMERUS LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AHN EMERUS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Allegheny Health Network/Emerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Allegheny Health Network/Emerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. PA resolution: normalized CMS owner/operator to Independent Pennsylvania nonprofit hospital; ownership class nonprofit. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHN EMERUS LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-392027",
      "ccn": "392027",
      "name": "KINDRED HOSPITAL PHILADELPHIA",
      "address": "6129 PALMETTO STREET",
      "city": "LAWNCREST",
      "state": "PA",
      "zip": "19111",
      "county": "Philadelphia",
      "latitude": 40.045630183589,
      "longitude": -75.097752161302,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 52,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-pa-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-pa-392027",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-393055",
      "ccn": "393055",
      "name": "ST MARY REHABILITATION HOSPITAL",
      "address": "1208 LANGHORNE-NEWTOWN ROAD",
      "city": "LANGHORNE",
      "state": "PA",
      "zip": "19047",
      "county": "Bucks",
      "latitude": 40.199904897605,
      "longitude": -74.929535156871,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 50,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHC Community Care",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chc-community-care",
      "siblingGroupId": "siblings-pa-chc-community-care",
      "campusFamilyId": "campus-pa-393055",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "pa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://sais.health.pa.gov/CommonPOC/content/publiccommonpoc/commonpocselect.asp?factype=01&formSubmitted=SearchByFacType"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA A STABACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CHC MANAGEMENT SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists LISA A STABACK as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. PA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHC Community Care, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-423031",
      "ccn": "423031",
      "name": "SPARTANBURG REHABILITATION INSTITUTE, INC",
      "address": "160 HAROLD FLEMING COURT",
      "city": "SPARTANBURG",
      "state": "SC",
      "zip": "29303",
      "county": "Spartanburg",
      "latitude": 34.990927773487,
      "longitude": -81.942631713477,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-sc-epoch-acquisition-inc",
      "campusFamilyId": "campus-sc-423031",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "sc-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://scdhec.gov/health-facility-regulations/health-facility-licensing"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. SC resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-444005",
      "ccn": "444005",
      "name": "UNITY PSYCHIATRIC CARE-MARTIN",
      "address": "458 HANNINGS LANE, P O BOX 1006",
      "city": "MARTIN",
      "state": "TN",
      "zip": "38237",
      "county": "WEAKLEY",
      "latitude": 36.337464412029,
      "longitude": -88.870661784704,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 16,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "AMERICAN HEALTH PARTNERS MANAGEMENT LLC",
      "peFirm": "Mitchell Family Office",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "American Health Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-martin-unity-psychiatric-care-martin/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-health-partners-management-llc",
      "siblingGroupId": "siblings-tn-american-health-partners-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-american-health-partners-management-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-444019",
      "ccn": "444019",
      "name": "UNITY PSYCHIATRIC CARE-CLARKSVILLE",
      "address": "930 PROFESSIONAL PARK DRIVE",
      "city": "CLARKSVILLE",
      "state": "TN",
      "zip": "37040",
      "county": "MONTGOMERY",
      "latitude": 36.574321957504,
      "longitude": -87.271941141708,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 26,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "AMERICAN HEALTH PARTNERS MANAGEMENT LLC",
      "peFirm": "Mitchell Family Office",
      "acquiredDate": "April 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "American Health Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-clarksville-unity-psychiatric-care-clarksville/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-health-partners-management-llc",
      "siblingGroupId": "siblings-tn-american-health-partners-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-american-health-partners-management-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-444021",
      "ccn": "444021",
      "name": "UNITY PSYCHIATRIC CARE-COLUMBIA",
      "address": "1400 ROSEWOOD DRIVE",
      "city": "COLUMBIA",
      "state": "TN",
      "zip": "38401",
      "county": "MAURY",
      "latitude": 35.605404519826,
      "longitude": -87.05938129694,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 16,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "AMERICAN HEALTH PARTNERS MANAGEMENT LLC",
      "peFirm": "Mitchell Family Office",
      "acquiredDate": "April 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "American Health Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-columbia-unity-psychiatric-care-columbia/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-health-partners-management-llc",
      "siblingGroupId": "siblings-tn-american-health-partners-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-american-health-partners-management-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-444023",
      "ccn": "444023",
      "name": "PERIMETER BEHAVIORAL CENTER OF JACKSON",
      "address": "49 OLD HICKORY BLVD",
      "city": "JACKSON",
      "state": "TN",
      "zip": "38305",
      "county": "MADISON",
      "latitude": 35.654812852782,
      "longitude": -88.831776927738,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 16,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Perimeter Behavioral Health",
      "peFirm": "Ridgemont Equity Partners",
      "acquiredDate": "October 2016",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Perimeter Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-jackson-perimeter-behavioral-center-of-jackson/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-perimeter-behavioral-health",
      "siblingGroupId": "siblings-tn-perimeter-behavioral-health",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-holdco-perimeter-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists FORREST SUMMERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HOLDCO PERIMETER LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: HOLDCO PERIMETER LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists FORREST SUMMERS as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Perimeter Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Perimeter Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to HOLDCO PERIMETER LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Perimeter Behavioral Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-444024",
      "ccn": "444024",
      "name": "UNITY PSYCHIATRIC CARE-MEMPHIS",
      "address": "1505 N SECOND STREET",
      "city": "MEMPHIS",
      "state": "TN",
      "zip": "38107",
      "county": "SHELBY",
      "latitude": 35.182365354686,
      "longitude": -90.044962139436,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 16,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "AMERICAN HEALTH PARTNERS MANAGEMENT LLC",
      "peFirm": "Mitchell Family Office",
      "acquiredDate": "April 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "American Health Partners",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-memphis-unity-psychiatric-care-memphis/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-american-health-partners-management-llc",
      "siblingGroupId": "siblings-tn-american-health-partners-management-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-american-health-partners-management-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: AMERICAN HEALTH PARTNERS MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL). CMS lists MARK T MITCHELL as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: American Health Partners; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: American Health Partners. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to AMERICAN HEALTH PARTNERS MANAGEMENT LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AMERICAN HEALTH PARTNERS MANAGEMENT LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-444027",
      "ccn": "444027",
      "name": "CREEKSIDE BEHAVIORAL HEALTH",
      "address": "1025 EXECUTIVE PARK BLVD",
      "city": "KINGSPORT",
      "state": "TN",
      "zip": "37660",
      "county": "SULLIVAN",
      "latitude": 36.543209529289,
      "longitude": -82.512649989513,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 72,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "SBHC HOLDINGS LLC",
      "peFirm": "Patient Square Capital",
      "acquiredDate": "January 2022",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Summit Behavioral Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-kingsport-creekside-behavioral-health/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-sbhc-holdings-llc",
      "siblingGroupId": "siblings-tn-sbhc-holdings-llc",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tn-parent-sbhc-holdings-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://comptroller.aem.tn.extglb.tn.gov/hfc/division-of-licensure-and-regulation.html"
      ],
      "ownershipProofNotes": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: SBHC HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists PAUL D GILBERT as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Summit Behavioral Healthcare; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Summit Behavioral Healthcare. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. TN resolution: normalized CMS owner/operator to SBHC HOLDINGS LLC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent SBHC HOLDINGS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-44T058",
      "ccn": "044058",
      "name": "SOUTHERN TENNESSEE MEDICAL CTR",
      "address": "185 HOSPITAL ROAD",
      "city": "WINCHESTER",
      "state": "TN",
      "zip": "",
      "county": "Franklin",
      "latitude": 35.175986233183,
      "longitude": -86.091021067107,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-44t058"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-44T187",
      "ccn": "044187",
      "name": "JACK M ROE REHABILITATION UNIT",
      "address": "315 OAK ST",
      "city": "LIVINGSTON",
      "state": "TN",
      "zip": "",
      "county": "Overton",
      "latitude": 36.384457160326,
      "longitude": -85.327939782155,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-44t187"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-450875",
      "ccn": "450875",
      "name": "QUAIL CREEK SURGICAL HOSPITAL",
      "address": "6819 PLUM CREEK",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "79124",
      "county": "POTTER",
      "latitude": 35.210460059888,
      "longitude": -101.913366179686,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "AHS Management",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "August 2015",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Ardent Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ahs-management",
      "siblingGroupId": "siblings-tx-ahs-management",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-ahs-management-company-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: AHS MANAGEMENT COMPANY INC. (OPERATIONAL/MANAGERIAL CONTROL, 100%). Official parent-system candidate from existing system-family mapping: Ardent Health Services; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ardent Health Services. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to AHS MANAGEMENT COMPANY INC.; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent AHS Management, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452016",
      "ccn": "452016",
      "name": "KINDRED HOSPITAL SAN ANTONIO",
      "address": "3636 MEDICAL DRIVE",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78229",
      "county": "Bexar",
      "latitude": 29.522447936323,
      "longitude": -98.556818844114,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 59,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452016",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452023",
      "ccn": "452023",
      "name": "KINDRED HOSPITAL HOUSTON MEDICAL CENTER",
      "address": "6441 MAIN ST",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77030",
      "county": "Harris",
      "latitude": 29.713113956614,
      "longitude": -95.399527839733,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 110,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452023",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452039",
      "ccn": "452039",
      "name": "KINDRED HOSPITAL HOUSTON NW",
      "address": "11297 FALLBROOK",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "77065",
      "county": "Harris",
      "latitude": 29.925077917802,
      "longitude": -95.5878391084,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 158,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TRACY KOHLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452039",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TRACY KOHLER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452051",
      "ccn": "452051",
      "name": "UT HEALTH EAST TEXAS SPECIALTY HOSPITAL",
      "address": "1000 S BECKHAM FL 5",
      "city": "TYLER",
      "state": "TX",
      "zip": "75701",
      "county": "Smith",
      "latitude": 32.338684988377,
      "longitude": -95.291828679501,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 36,
      "rating": null,
      "status": "disputed",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "Ardent Health Services",
      "peFirm": "Equity Group Investments",
      "acquiredDate": "March 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Ardent Health Services. PESP PE firm/sponsor: Equity Group Investments.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ardent-health-services",
      "siblingGroupId": "siblings-tx-ardent-health-services",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-452051",
        "external-resolution-pe-tracker-452051"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "http://www.mountainsidehosp.com/home.aspx"
      ],
      "ownershipProofNotes": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Facility or system website corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-452073",
      "ccn": "452073",
      "name": "KINDRED HOSPITAL- SAN ANTONIO CENTRAL",
      "address": "111 DALLAS STREET  4TH FLOOR",
      "city": "SAN ANTONIO",
      "state": "TX",
      "zip": "78205",
      "county": "Bexar",
      "latitude": 29.433049365517,
      "longitude": -98.492636119473,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 44,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452079",
      "ccn": "452079",
      "name": "KINDRED HOSPTIAL EL PASO",
      "address": "1740 CURIE DRIVE",
      "city": "EL PASO",
      "state": "TX",
      "zip": "79902",
      "county": "El Paso",
      "latitude": 31.77891765868,
      "longitude": -106.478388036315,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 72,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists AMERICA JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452079",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists AMERICA JONES as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452095",
      "ccn": "452095",
      "name": "SOLARA SPECIALTY HOSPITAL MCALLEN",
      "address": "301 WEST EXPRESSWAY 83-8TH FLOOR",
      "city": "MC ALLEN",
      "state": "TX",
      "zip": "78503",
      "county": "Hidalgo",
      "latitude": 26.188090209133,
      "longitude": -98.225360476914,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 53,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-tx-chg-hospital-operations-company-llc",
      "campusFamilyId": "campus-tx-452095",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452096",
      "ccn": "452096",
      "name": "LAREDO SPECIALTY HOSPITAL LP",
      "address": "2005 BUSTAMANTE STREET",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78041",
      "county": "Webb",
      "latitude": 27.534122503519,
      "longitude": -99.473068790827,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 40,
      "rating": null,
      "status": "disputed",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "Ernest Health",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Ernest Health. PESP PE firm/sponsor: One Equity Partners.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-ernest-health",
      "siblingGroupId": "siblings-tx-ernest-health",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-452096",
        "external-resolution-pe-tracker-452096"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://ernesthealth.com/hospitals/"
      ],
      "ownershipProofNotes": "Ernest Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Ernest Health official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-452101",
      "ccn": "452101",
      "name": "SOLARA SPECIALTY HOSPITALS HARLINGEN-BROWNVILLE",
      "address": "333 LORENALY DR",
      "city": "BROWNSVILLE",
      "state": "TX",
      "zip": "78526",
      "county": "Cameron",
      "latitude": 25.973262884866,
      "longitude": -97.510822926426,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 82,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CORNERSTONE HEALTHCARE GROUP HOLDING INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-cornerstone-healthcare-group-holding-inc",
      "siblingGroupId": "siblings-tx-cornerstone-healthcare-group-holding-inc",
      "campusFamilyId": "campus-tx-452101",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452107",
      "ccn": "452107",
      "name": "CORNERSTONE HOSPITAL CONROE",
      "address": "1500 GRAND LAKE DRIVE",
      "city": "CONROE",
      "state": "TX",
      "zip": "77304",
      "county": "Montgomery",
      "latitude": 30.282344296253,
      "longitude": -95.464373641297,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 41,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CHG HOSPITAL OPERATIONS COMPANY LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "financialAssistanceStatus": "listed_by_dollar_for",
      "financialAssistanceSource": "Dollar For",
      "financialAssistanceUrl": "https://dollarfor.org/medical-debt-help-conroe-cornerstone-hospital-conroe/",
      "financialAssistanceAsOf": "2026-07-01",
      "financialAssistanceMatchMethod": "exact_name_city_state",
      "financialAssistanceNote": "Dollar For lists this facility for financial-assistance help. Listing does not establish nonprofit ownership or guarantee patient eligibility.",
      "parentSystemEvidence": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-chg-hospital-operations-company-llc",
      "siblingGroupId": "siblings-tx-chg-hospital-operations-company-llc",
      "campusFamilyId": "campus-tx-452107",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CHG HOSPITAL OPERATIONS COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CHG HOSPITAL OPERATIONS COMPANY LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452108",
      "ccn": "452108",
      "name": "KINDRED HOSPITAL DALLAS CENTRAL",
      "address": "8050 MEADOWS ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "75231",
      "county": "Dallas",
      "latitude": 32.887394945491,
      "longitude": -96.767414011879,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 60,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-tx-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-tx-452108",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-452110",
      "ccn": "452110",
      "name": "SAGECREST HOSPITAL  CARROLLTON",
      "address": "1401 E TRINITY MILLS",
      "city": "CARROLLTON",
      "state": "TX",
      "zip": "75006",
      "latitude": 32.982733826292,
      "longitude": -96.920855919338,
      "hospitalType": "LTACH",
      "sourceOwner": "Proprietary",
      "beds": 60,
      "rating": null,
      "status": "disputed",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "Altus Healthcare",
      "peFirm": "BTG Pactual, ZT Corporate",
      "acquiredDate": "July 2020",
      "evidenceSource": "PESP tracker; independent corroboration pending",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "baseline",
      "classificationReason": "PESP Private Equity Hospital Tracker snapshot marks this hospital as Currently PE? = Y. This update publishes the source-confirmed PE ownership label and keeps full hospital-by-hospital research marked incomplete. CMS Hospital All Owners remains a required follow-up source for enrolled legal-owner rows when no CMS PE-owner flag is matched. PESP parent/operator: Altus Healthcare. PESP PE firm/sponsor: BTG Pactual, ZT Corporate.",
      "classificationSources": [
        "PESP tracker; Currently PE? = Y",
        "CMS Hospital All Owners follow-up required for legal-owner row corroboration",
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "CMS Hospital General Information"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": true,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Altus Healthcare",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-altus-healthcare",
      "siblingGroupId": "siblings-tx-altus-healthcare",
      "ownershipRelationship": "affiliated_or_operated_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-452110",
        "external-resolution-pe-tracker-452110"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6",
        "https://www.tdlr.texas.gov/TABS/Search/Print/EABPRJB2806099"
      ],
      "ownershipProofNotes": "Altus Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships.",
      "parentSystemEvidence": "Altus Healthcare official system directory corroborates the named system/agency relationship and is reused once across the family; the HIFLD location record supports facility identity and source-owner class. Legal ownership remains distinct from staffing, management, and vendor relationships."
    },
    {
      "id": "pe-tracker-454151",
      "ccn": "454151",
      "name": "MEDICAL BEHAVIORAL HOSPITAL OF CLEAR LAKE, LLC",
      "address": "16850 BUCCANEER LN",
      "city": "CLEAR LAKE CITY",
      "state": "TX",
      "zip": "77058",
      "county": "HARRIS",
      "latitude": 29.55618325645,
      "longitude": -95.117068214688,
      "hospitalType": "Psychiatric",
      "sourceOwner": "Proprietary",
      "beds": 92,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "peFirm": "Enhanced Healthcare Partners",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "NeuroPsychiatric Hospitals",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "NEUROPYCHIATRIC HOSPITALS LLC",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-neuropychiatric-hospitals-llc",
      "siblingGroupId": "siblings-tx-neuropychiatric-hospitals-llc",
      "campusFamilyId": "campus-tx-454151",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-neuropychiatric-hospitals-llc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: NEUROPYCHIATRIC HOSPITALS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: NeuroPsychiatric Hospitals; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: NeuroPsychiatric Hospitals. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to NEUROPYCHIATRIC HOSPITALS LLC; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent NEUROPYCHIATRIC HOSPITALS LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-45T231",
      "ccn": "045231",
      "name": "BSA HEALTH SYSTEM",
      "address": "1600 WALLACE BLVD",
      "city": "AMARILLO",
      "state": "TX",
      "zip": "",
      "county": "Potter",
      "latitude": 35.194929243647,
      "longitude": -101.919818655214,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": 2,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Equity Group Investments",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ardent Health Services",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45t231"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-45T747",
      "ccn": "045747",
      "name": "PALESTINE REGIONAL MEDICAL CENTER",
      "address": "2900 SOUTH LOOP 256",
      "city": "PALESTINE",
      "state": "TX",
      "zip": "",
      "county": "Anderson",
      "latitude": 31.73401906856,
      "longitude": -95.62758425442,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "Non-profit",
      "beds": null,
      "rating": 1,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45t747"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-45TA23",
      "ccn": "004523",
      "name": "KINDRED HOSPITAL HOUSTON MEDICAL CENTER",
      "address": "6441 MAIN ST",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "",
      "county": "Harris",
      "latitude": 29.713113956614,
      "longitude": -95.399527839733,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45ta23"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-45TA23-loc-tx-houston-kindred-hospital-houston-medical-center",
      "ccn": "45TA23",
      "name": "KINDRED HOSPITAL HOUSTON MEDICAL CENTER",
      "address": "6441 MAIN ST",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "",
      "county": "Harris",
      "latitude": 29.713113956614,
      "longitude": -95.399527839733,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45ta23"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources.",
      "legacyHospitalId": "pe-tracker-45TA23"
    },
    {
      "id": "pe-tracker-45TA39",
      "ccn": "004539",
      "name": "KINDRED HOSPITAL HOUSTON NW",
      "address": "11297 FALLBROOK",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "",
      "county": "Harris",
      "latitude": 29.925077917802,
      "longitude": -95.5878391084,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45ta39"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-45TA39-loc-tx-houston-kindred-hospital-houston-nw",
      "ccn": "45TA39",
      "name": "KINDRED HOSPITAL HOUSTON NW",
      "address": "11297 FALLBROOK",
      "city": "HOUSTON",
      "state": "TX",
      "zip": "",
      "county": "Harris",
      "latitude": 29.925077917802,
      "longitude": -95.5878391084,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45ta39"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources.",
      "legacyHospitalId": "pe-tracker-45TA39"
    },
    {
      "id": "pe-tracker-45TB08",
      "ccn": "004508",
      "name": "KINDRED HOSPITAL DALLAS CENTRAL",
      "address": "8050 MEADOWS ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "",
      "county": "Dallas",
      "latitude": 32.887394945491,
      "longitude": -96.767414011879,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45tb08"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-45TB08-loc-tx-dallas-kindred-hospital-dallas-central",
      "ccn": "45TB08",
      "name": "KINDRED HOSPITAL DALLAS CENTRAL",
      "address": "8050 MEADOWS ROAD",
      "city": "DALLAS",
      "state": "TX",
      "zip": "",
      "county": "Dallas",
      "latitude": 32.887394945491,
      "longitude": -96.767414011879,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "PESP Private Equity Hospital Tracker",
      "evidenceSourceUrl": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "evidenceAsOf": "2026-04-03",
      "reviewedAt": "2026-04-03",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "PESP Private Equity Hospital Tracker",
        "National baseline system/operator rule"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-45tb08"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources.",
      "legacyHospitalId": "pe-tracker-45TB08"
    },
    {
      "id": "pe-tracker-462005",
      "ccn": "462005",
      "name": "UTAH VALLEY SPECIALTY HOSPITAL",
      "address": "306 WEST RIVER BEND LANE",
      "city": "PROVO",
      "state": "UT",
      "zip": "84604",
      "county": "Utah",
      "latitude": 40.304972733633,
      "longitude": -111.662044582426,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 40,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-ut-epoch-acquisition-inc",
      "campusFamilyId": "campus-ut-462005",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "ut-parent-epoch-acquisition-inc"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://dlbc.utah.gov/information-for-the-public/find-a-facility/"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to EPOCH ACQUISITION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. UT resolution: normalized CMS owner/operator to EPOCH ACQUISITION INC; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-49T075",
      "ccn": "049075",
      "name": "DANVILLE REGIONAL MEDICAL CTR",
      "address": "142 SOUTH MAIN STREET",
      "city": "DANVILLE",
      "state": "VA",
      "zip": "",
      "county": "Danville City",
      "latitude": 36.577330668477,
      "longitude": -79.404742526396,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": null,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "LifePoint Health",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "unresolved",
      "ownershipRelationship": "withheld_pending_evidence",
      "ownershipVerificationStatus": "withheld_unresolved",
      "ownershipEvidenceStrength": "review",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "hifld-location-pe-tracker-49t075"
      ],
      "ownershipSourceUrls": [
        "https://services.arcgis.com/XG15cJAlne2vxtgt/arcgis/rest/services/Hospitals_RAPT/FeatureServer/6"
      ],
      "ownershipProofNotes": "No ownership edge is published: insufficient_structured_sources."
    },
    {
      "id": "pe-tracker-502002",
      "ccn": "502002",
      "name": "KINDRED HOSPITAL-SEATTLE",
      "address": "1334 TERRY AVE",
      "city": "SEATTLE",
      "state": "WA",
      "zip": "98101",
      "county": "King",
      "latitude": 47.611399922019,
      "longitude": -122.328466902265,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 80,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "Kentucky Hospital Holdings JV LP",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "December 2021",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-kentucky-hospital-holdings-jv-lp",
      "siblingGroupId": "siblings-wa-kentucky-hospital-holdings-jv-lp",
      "campusFamilyId": "campus-wa-502002",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wa-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/hospitals"
      ],
      "ownershipProofNotes": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TERESA JOY FISHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KENTUCKY HOSPITAL HOLDINGS JV LP (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). CMS lists TERESA JOY FISHER as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WA resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent Kentucky Hospital Holdings JV LP, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-512003",
      "ccn": "512003",
      "name": "KINDRED HOSPITAL HOUSTON NW",
      "address": "2900 FIRST AVENUE, 2E",
      "city": "HUNTINGTON",
      "state": "WV",
      "zip": "25702",
      "county": "Cabell",
      "latitude": 38.431473135726,
      "longitude": -82.40120413411,
      "hospitalType": "LTACH",
      "sourceOwner": "For profit",
      "beds": 28,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "CORNERSTONE HEALTHCARE GROUP HOLDING INC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "January 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-cornerstone-healthcare-group-holding-inc",
      "siblingGroupId": "siblings-wv-cornerstone-healthcare-group-holding-inc",
      "campusFamilyId": "campus-wv-512003",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wv-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://oig.wv.gov/OHFLAC"
      ],
      "ownershipProofNotes": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: CORNERSTONE HEALTHCARE GROUP HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. WV resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CORNERSTONE HEALTHCARE GROUP HOLDING INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-520116",
      "ccn": "520116",
      "name": "WATERTOWN MEMORIAL HOSPITAL",
      "address": "125 HOSPITAL DRIVE",
      "city": "WATERTOWN",
      "state": "WI",
      "zip": "53098",
      "county": "DODGE",
      "latitude": 43.201363282225,
      "longitude": -88.698929195723,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Voluntary non-profit - Private",
      "beds": 95,
      "rating": 3,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "ScionHealth",
      "peFirm": "Apollo Global Management",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "ScionHealth",
      "affiliatedSystemEvidence": "National baseline system/operator rule",
      "affiliationConfidence": "medium",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ScionHealth",
      "publicControlBadge": "PE-acquired / controlled",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-scionhealth",
      "siblingGroupId": "siblings-wi-scionhealth",
      "campusFamilyId": "campus-wi-520116",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "wi-parent-private-hospital-entity"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.dhs.wisconsin.gov/guide/hospitaldir.pdf"
      ],
      "ownershipProofNotes": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "parentSystemEvidence": "CMS owner candidate: KINDRED HEALTHCARE OPERATING LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ScionHealth; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ScionHealth. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. WI resolution: normalized CMS owner/operator to Private hospital entity; ownership class for_profit_private. PE and service-contract exposure remain separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ScionHealth, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-670062",
      "ccn": "670062",
      "name": "BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY",
      "address": "620 S MAIN STREET SUITE 100",
      "city": "KELLER",
      "state": "TX",
      "zip": "76227",
      "county": "TARRANT",
      "latitude": 32.928390752322,
      "longitude": -97.253997765128,
      "hospitalType": "Acute Care Hospitals",
      "sourceOwner": "Proprietary",
      "beds": 2,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "EMERUS MANAGEMENT COMPANY, LLC",
      "peFirm": "Welsh, Carson, Anderson & Stowe",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Baylor Scott & White Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "Nonprofit",
      "operatorType": "Private equity",
      "operatorName": "Baylor Scott & White HealthEmerus",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: EMERUS MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White HealthEmerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White HealthEmerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS MANAGEMENT COMPANY, LLC, ownership class nonprofit. PE and service-contract exposure remain separate.",
      "ownershipClass": "nonprofit",
      "parentSystemId": "entity-emerus-management-company-llc",
      "siblingGroupId": "siblings-tx-emerus-management-company-llc",
      "campusFamilyId": "campus-tx-670062",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-baylor-scott-white-health"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.bswhealth.com/locations"
      ],
      "ownershipProofNotes": "CMS owner candidate: EMERUS MANAGEMENT COMPANY, LLC (OPERATIONAL/MANAGERIAL CONTROL, 100%). CMS lists TOBY R HAMILTON as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: Baylor Scott & White HealthEmerus; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Baylor Scott & White HealthEmerus. It was not used as ownership proof. CMS universe sources: PDC matched; active POS matched. Residual remediation: normalized CMS owner/operator to Baylor Scott & White Health; ownership class nonprofit. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EMERUS MANAGEMENT COMPANY, LLC, ownership class nonprofit. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-673059",
      "ccn": "673059",
      "name": "LAREDO REHABILITATION HOSPITAL, LLC",
      "address": "2005 A BUSTAMANTE STREET",
      "city": "LAREDO",
      "state": "TX",
      "zip": "78041",
      "county": "Webb",
      "latitude": 27.534122503519,
      "longitude": -99.473068790827,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 21,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "campusFamilyId": "campus-tx-673059",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-673062",
      "ccn": "673062",
      "name": "CLEARSKY REHABILITATION HOSPITAL AT WEATHERFORD LL",
      "address": "703 EUREKA STREET",
      "city": "WEATHERFORD",
      "state": "TX",
      "zip": "76086",
      "county": "Parker",
      "latitude": 32.7501114921,
      "longitude": -97.786164291778,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 26,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "ClearSky Health",
      "peFirm": "Blue Wolf Capital Partners, Leavitt Equity Partners and Peloton Equity",
      "acquiredDate": "April 2019",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "ClearSky Health",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "ClearSky Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-clearsky-health",
      "siblingGroupId": "siblings-tx-clearsky-health",
      "campusFamilyId": "campus-tx-673062",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CLEARSKY HEALTH ACQUISITION LLC (OPERATIONAL/MANAGERIAL CONTROL). Official parent-system candidate from existing system-family mapping: ClearSky Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: ClearSky Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent ClearSky Health, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-673063",
      "ccn": "673063",
      "name": "TRUSTPOINT REHAB HOSPITAL OF LUBBOCK",
      "address": "4302 PRINCETON",
      "city": "LUBBOCK",
      "state": "TX",
      "zip": "79415",
      "county": "Lubbock",
      "latitude": 33.61630237875,
      "longitude": -101.90360898264,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 93,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "EPOCH ACQUISITION INC",
      "peFirm": "One Equity Partners",
      "acquiredDate": "October 2018",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "Ernest Health",
      "publicControlBadge": "PE-acquired / controlled",
      "affiliatedSystem": "Ernest Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "parentSystemEvidence": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-epoch-acquisition-inc",
      "siblingGroupId": "siblings-tx-epoch-acquisition-inc",
      "campusFamilyId": "campus-tx-673063",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: EPOCH ACQUISITION INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST, 51%). Official parent-system candidate from existing system-family mapping: Ernest Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: Ernest Health. It was not used as ownership proof. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_private. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent EPOCH ACQUISITION INC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-673073",
      "ccn": "673073",
      "name": "LONGVIEW REHABILITATION HOSPITAL",
      "address": "701 E LOOP 281",
      "city": "LONGVIEW",
      "state": "TX",
      "zip": "75605",
      "county": "Gregg",
      "latitude": 32.532722393506,
      "longitude": -94.710617271304,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "For profit",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Exact",
      "relationshipType": "ownership",
      "parentSystem": "CENTERRE HEALTHCARE LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "March 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-centerre-healthcare-llc",
      "siblingGroupId": "siblings-tx-centerre-healthcare-llc",
      "campusFamilyId": "campus-tx-673073",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Official page was reachable, but automated facility-name matching did not find this facility; manual review is required. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    },
    {
      "id": "pe-tracker-673074",
      "ccn": "673074",
      "name": "TEMPLE REHABILITATION HOSPITAL",
      "address": "23621 SE H.K. DODGEN LOOP",
      "city": "TEMPLE",
      "state": "TX",
      "zip": "76504",
      "county": "Bell",
      "latitude": 31.068025396746,
      "longitude": -97.350323737744,
      "hospitalType": "Rehabilitation hospital",
      "sourceOwner": "Non-profit",
      "beds": 36,
      "rating": null,
      "status": "confirmed_pe",
      "geocodeQuality": "Non_Exact",
      "relationshipType": "ownership",
      "parentSystem": "CENTERRE HEALTHCARE LLC",
      "peFirm": "Apollo Global Management",
      "acquiredDate": "March 2023",
      "evidenceSource": "CMS Hospital All Owners + PESP tracker",
      "evidenceSourceUrl": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "evidenceAsOf": "2026-05-01",
      "reviewedAt": "2026-06-22",
      "affiliatedSystem": "Lifepoint Health",
      "affiliatedSystemEvidence": "Verified ownership-family staging pass; CMS owner/control evidence plus routed second source. Effective 2026-07-15.",
      "affiliationConfidence": "high",
      "controlCategory": "private_equity",
      "classificationDepth": "full_research",
      "classificationReason": "Existing reviewed or imported evidence classifies this hospital as private-equity owned.",
      "classificationSources": [
        "Existing PE Healthcare Watch evidence dossier",
        "CMS Hospital All Owners + PESP tracker",
        "National baseline system/operator rule",
        "PESP Private Equity Hospital Tracker"
      ],
      "classificationConfidence": "high",
      "baselineReviewedAt": "2026-07-01",
      "researchIncomplete": false,
      "taxOwnershipType": "For-profit",
      "operatorType": "Private equity",
      "operatorName": "LifePoint Health",
      "publicControlBadge": "PE-acquired / controlled",
      "parentSystemEvidence": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN PIERCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate.",
      "ownershipClass": "for_profit_private",
      "parentSystemId": "entity-centerre-healthcare-llc",
      "siblingGroupId": "siblings-tx-centerre-healthcare-llc",
      "campusFamilyId": "campus-tx-673074",
      "ownershipRelationship": "owned_or_controlled_by",
      "ownershipVerificationStatus": "verified",
      "ownershipEvidenceStrength": "high",
      "ownershipEffectiveDate": "2026-07-16",
      "ownershipSourceIds": [
        "cms-hospital-all-owners",
        "tx-remediation-private-specialty-hospital-operator"
      ],
      "ownershipSourceUrls": [
        "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
        "https://www.hhs.texas.gov/providers/health-care-facilities-regulation"
      ],
      "ownershipProofNotes": "CMS owner candidate: CENTERRE HEALTHCARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST, 100%). CMS lists STEVEN PIERCE as an individual managerial/control contact; this is not a parent organization and is not treated as ownership. Official parent-system candidate from existing system-family mapping: LifePoint Health; this is not proof without facility-level inclusion on the official page. Existing public parent-system label preserved as a regression candidate: LifePoint Health. It was not used as ownership proof. CMS CHOW rows matched: 1; review effective dates and completed-versus-pending status before final compile. CMS universe sources: PDC not matched; active POS matched. Residual remediation: normalized CMS owner/operator to Private specialty-hospital operator; ownership class for_profit_public. The edge is legal ownership/control, not staffing or service-contract exposure; PE remains separate. National parent conflict remediation: normalized aliases and removed CMS category/generic-parent collisions; canonical legal/system parent CENTERRE HEALTHCARE LLC, ownership class for_profit_private. PE and service-contract exposure remain separate."
    }
  ],
  "lastResearchPublication": {
    "phase": "fresno-city-custom-next",
    "reviewedAt": "2026-07-04",
    "batchId": "next-50-2026-07-04-fresno-city-001",
    "releaseId": "release-2026-07-04-fresno-city-custom-next-001",
    "hospitalCount": 12,
    "sourceFamilyRows": 328,
    "publicLabelChangesApproved": true,
    "note": "User approved publication/deployment of the Fresno custom NEXT-style findings. Unsupported stronger ownership claims remain held in the published limitations."
  },
  "financialAssistance": {
    "status": "source_overlay",
    "source": "Dollar For hospital directory",
    "sourceUrl": "https://dollarfor.org/medical-debt-help-all-hospitals/",
    "methodologyUrl": "https://dollarfor.org/what-is-hospital-financial-assistance/",
    "capturedAt": "2026-07-01T06:33:18.189Z",
    "sourceAsOf": "2026-07-01",
    "directoryRows": 7677,
    "confirmedMatchRows": 4759,
    "taggedHospitalRecords": 4745,
    "caveat": "Listed means Dollar For offers financial-assistance navigation for this facility. It does not prove nonprofit ownership or guarantee eligibility. Missing means not confirmed, not that help is absent."
  },
  "ownershipReconciliation": {
    "generated_at": "2026-07-17T12:26:45.082Z",
    "release_id": "release-2026-07-17-verified-national-ownership-connections",
    "publication_universe": 8161,
    "territories_unchanged": 81,
    "cms_only_unlocated_added": 0,
    "published_verified_edges": 7978,
    "withheld_unresolved": 183,
    "audit_file": "/data/releases/release-2026-07-17-verified-national-ownership-connections-audit.json"
  }
}
